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Positivity and Health

websites@hibu.com (Hibu Websites) — Thu, 20 Feb 2025 02:57:00 GMT

"Optimism is the most important human trait, because it allows us to evolve our ideas, to improve our situation, and to hope for a better tomorrow." - Seth Godin {American Author}

Our minds are powerful tools for creating health and wellness. While studies haven't identified precisely why positive popel are healthier, researchers suspect that it is because people who are more positive process stress better and move through hard situations more easily.

Negative attitudes and feelings of helplessness can create chronic stress, which can, in turn, damage the immune system. Anger and hostility are related to health conditions such as high blood pressure, cardiovascular disease, digestive disorders, and increased instances of infection.

Surprisingly, the tendency toward a positive or negative outlook does have a genetic component. However, this doesn't mean that people can't improve their outlooks. Some tips to improve your outlook include:

* Smile more. Even fake smiling can reduce heart rate and blood pressure during stressful situations.

* Practice reframing. Instead of stressing about a current situation, try to find a positive aspect to it.

* Build resiliency. Having friends and family nearby to share the situation with, accepting that change is a part of life and finding new wyas to adapt, and feeling like you have the control to change the current situation are all ways to embrace whatever life throws your way.

* Share your feelings. Often, we spend too much time in our heads. Sharing our feelings with a trusted other can help find a different way to look at a situation. If others are mired in their current negative situations, encourage them to share their fears.

( Johns Hopkins Medicine , University of Minnesota , and University of Wisconsin Health )

While loved ones might resist the idea of optimistic thinking, there are health reasons to ask them to reconsider. Positive thinking can lead to :

*Better sleep

* Increased life span

* Lower levels of distress

* Lower rates of depression

* Greater resistance to the common cold

* Better cardiovascular health

* Better coping skills during extreme hardship

Tips for Creating a More Positive Outlook

* Get better sleep

* Take a walk outside

* Follow a healthy lifestyle

* Practice positive self-talk

* Surround yourself with positive people

* Be open to humor or create a place for smiling and laughing every day

* Consciously work on experiencing three positive emotions for every negative one.

* Actively evaluate your self-talk at various points during the day to see how you're doing.

( Mayo Clinic and University of Wisconsin Health )

Are you a negative or positive thinker?

Listen to your own self-talk -- that endless stream of unspoken thoughts that goes through your head. Some forms of negative self-talk to watch out for include:

Filtering - This means magnifying the negative aspects of a situation and not acknowledging the positive. For example: Your loved one had a good night's sleep, a fun phone call with their grandchild, and took a walk on a beautifully sunny day outside. But then they tripped and fell with minor injuries. At the end of the day, did they say it was a "bad" day because of the fall or a "good" day because of the rest?
Personalizing - When something bad occurs, you or your loved one automatically takes the blame. Sometimes no one is to blame.
Catastrophizing - You or your loved one uses language that makes things out to be much worse than they are, or assumes that because one bad thing happened, it's all downhill from there. Single events in the day are rarely the "worse" or "most horrific. "
Polarizing - You or your loved one sees things as either good or bad and not the huge gray area in the middle. This leads to feeling like one is only perfect or a failure, healthy or dying tomorrow, capable or completely incapacitated.

If you are seeing these tendencies in your loved one, you should take care to address the subject, as they are more likely to see it as an attack and apply all of the above thought processes to that interaction.

( Mayo Clinic )

Positive Self-Talk

* Affirm daily what is good about you.

* Remove the words "never" and "always."

* Express gratitude -- either aloud or in your head.

* If you make a mistake, take a moment to forgive yourself.

* Don't say anything to yourself that you wouldn't say to someone else.

( Mayo Clinic )

Asthma

websites@hibu.com (Hibu Websites) — Thu, 06 Feb 2025 18:00:00 GMT

Did you know that, while our brain is only about 2% of our body mass, it consumes 20% of the oxygen that we breathe in? Just 5 minutes without oxygen can cause noticeable brain damage.

Asthma is often characterized by coughing, wheezing, shortness of breath, and chest tightness or pressure. According to the CDC, 1 in 13 people suffers from asthma. It is characterized by the inflammation of the bronchial tubes in your lungs with increased production of mucus. This causes less air to be taken in, with less oxygen to be distributed throughout the body.

Asthma can be hereditary, so it is beneficial to know family health history. It is also connected to other allergic conditions like atopic dermatitis or hay fever. If your loved one is prone to allergic reactions and begins to have trouble breathing, have a doctor determine if they have developed asthma as well. Asthma is more commonly seen in adults with occupations that subject them to airborne chemicals, such as those used in farming, salon work, or manufacturing.

( University of Rochester Medical Center )

How to Control Asthma

Prescription drugs
Monitor lung capacity with regular doctor visits
Use a Peak Flow Meter at home
Develop an asthma action plan with your doctor
Use a rescue inhaler or nebulizer when necessary
Stop smoking and vaping
Exercise regularly to maintain a healthy weight and help with breathing

( Cleveland Clinic )

Common Asthma Triggers

Airborne allergens, such as pollen, dust mites, mold spores, pet dander, or bug waste
Respiratory infections, including the common cold
Physical activity
Cold Air
Air pollutants, such as smog and smoke
Some medications including beta blockers, aspirin, ibuprofen, and naproxen sodium
Strong emotions or stress
Sulfites
Gastroesophageal reflux disease (GERD)

( Mayo Clinic )

Asthma Attacks

While they may generally have trouble breathing, people who suffer from asthma are most concerned with preventing an attack, a sudden onset of severe symptoms.

Early signs of an attack include:

Frequent cough, especially at night
Losing their breath easily or shortness of breath
Feeling very tired or weak when exercising
Wheezing or coughing after exercise
Feeling tired, easily upset, grouchy, or moody
Signs of a cold or allergies (sneezing, runny nose, cough, nasal congestion, sore throat, and headache)
Trouble sleeping

If your loved one has an asthma action plan, generally including an inhaler and breathing treatments, it is critical to intervene during these early symptoms. If you notice that the inhaler is needed multiple times a day or becomes a challenge for your loved one, talk with the doctor about alternatives such as a nebulizer or oral medications.

The attack can also include some or all of the following:

Severe wheezing when breathing both in and out
Very rapid breathing
Chest pain or pressure
Tightened neck and chest muscles, called retractions
Coughing that won't stop
Difficulty talking
Feelings of anxiety or panic
Pale, sweaty face
Blue lips or fingernails

Gradually, the lungs will tighten so there is not enough air movement to produce wheezing. It is at this point that hospital intervention is critical. Some people interpret the disappearance of wheezing as a sign of improvement and fail to get prompt emergency care.

( WebMD and Asthma and Allergy Foundation of America )

Who Does Asthma Affect?

Asthma can affect children and adults. Symptoms are typically more intermittent in children and persistent in adults.

Unfortunately, adult-onset asthma has a higher death rate than childhood asthma. This is perhaps because symptoms are ignored by the adult or their caretakers and attributed to weight or just a regular part of getting older. Do not ignore wheezing or coughing, especially if it seems chronic. It is important to seek medical advice to ensure that shortness of breath is not something more serious.

Some of the factors that might increase the risk of adult-onset asthma may include:

Being overweight
Pregnancy or menopause
A buildup of allergens such as cats, cigarette smoke, chemicals, mold, or dust

Childhood asthma will often go into remission for a decade or so then return in a person's 30s or 40s. Remember that asthma does not have a cure. It is important to maintain the medical relationships and awareness throughout your lifetime.

( Cleveland Clinic )

Health Advocacy

websites@hibu.com (Hibu Websites) — Thu, 23 Jan 2025 15:21:05 GMT

How to Help Seniors Get the Care and Resources They Need

We all know how difficult it can be to keep track of doctor recommendations, medications, advice, insurance, and costs when we’re dealing with our own medical care. Compound that with the confusion of dementia or reduced short term memory, and a decrease ability to communicate their needs and challenges, and the process for your senior becomes even more daunting. Your loved one depends on someone to help keep the big picture straight.

How can you be an effective advocate for your loved one?
Most importantly, you need to care. When you care about their health and general well-being, you are more inclined to ask the deeper questions, seek out additional opinions, research other approaches, and push back on unnecessary expenses. Other helpful traits to have are good organizational skills, some free time, physical aptitude to bring your senior to and from multiple appointments, and social skills to work with the various health professionals who are collaborating on y our seniors care plan.
( Johns Hopkins Medicine )

Health advocates, whether they are paid professionals, free placements, or family members, provide several services:

Coordinate with Medicaid, Medicare, and insurance companies
Help get the patient to doctor visits, testing, and procedures
Track prescriptions and help ensure they take proper amounts at correct times
Research alternative therapies and treatments and discuss options with the senior and their medical team
Make sure that things like Power of Attorney and Living Wills are in place

( Love to Know and Institute on Aging )

Paid advocates can provide the following additional help:

A complete assessment with care recommendations (usually completed in the senior’s home)
Assistance finding appropriate housing and transitioning to the new living environment such as an assisted living facility
Reviewing all bills from medical professionals, hospitals, and insurance companies for accuracy
Identifying and securing community services such as Meals on Wheels, adult daycare, or wheelchair transportation services
Handling paperwork to ensure service delivery

( Love to Know and Institute on Aging )

If you are unable to hire professional advocacy assistance, many times local senior centers can help. Often, they are familiar with resources and are committed to helping your senior maintain some level of independence. Senior centers administer a range of programs such as congregate meals, transportation services, and community education.
( National Council on Aging )

In addition, they will need the daily personal health advocacy provided by checking in on their routine, health, weight and mobility, and prescriptions. You are an extension of your senior’s mind and spirit, and will be able to be a better advocate for their health when in the doctor’s office or at the pharmacy. Even if you are working with a professional advocate, you will be able to share this information.

One of the most important ways to advocate for your senior daily is helping with medication. Keep an eye out for these deterrents to taking their medications appropriately:

Memory: Brainstorm creative ways that will help them remember to take the medications - alarms, notes, or pill boxes.
Vision: Sometimes they simply can't see well enough to read the correct dosing. Ask the pharmacist to print the labels in large print.
Hearing: They may not want to admit that they can't hear the instructions that pharmacist or doctor is giving them. Be their ears.
Dexterity: Can they open the bottles easily and are the pills pre-split? Do they need your help administering eye drops or inhaled medications?
Swallowing: If your loved one has difficulty swallowing, follow up with their medical team to determine if there is a liquid, patch, or other form of dosing that can be used.

( Family Caregiver Alliance )

What is a Professional Health Advocate?
They are often individuals with higher degree in nursing, social work, or gerontology that help seniors with a variety of issues, including those related to medical, financial, and insurance problems. They may work out of an office, but will usually make home or facility visits. The best ones are kind, knowledgeable, and results-driven when it comes to getting your senior’s needs met.

( Institute on Aging )

Questions for the Medical Team about Medications and Treatment

How will I know that the treatment is working?
What are the potential side effects?
How will this medicine interact with other medications that my loved one is taking?
What is the cost of the medicine or treatment prescribed? Are there less expensive alternatives?
Do you have written information about the treatment that we can take home?

( Family Caregiver Alliance )

Sundowners, a Soft Word, But a Difficult Condition

websites@hibu.com (Hibu Websites) — Thu, 09 Jan 2025 16:30:00 GMT

Sundowners – it’s such a soft sounding word for a very challenging condition. Sundowing refers to an extreme state of confusion that often occurs during the late afternoon or evening for people with dementia or Alzheimer’s. It can manifest in a variety of concerning behaviors that include anxiety, aggression, paranoia, hallucinations, shouting, inability to follow directions, pacing, or wandering.
( Medical News Today )

Up to 20% of adults with Alzheimer’s experience Sundowners Syndrome. Unfortunately, the exact cause isn’t known and there is no way to predict whether your senior will be affected by it. While the cause isn’t known, there are several avoidable factors that are known to aggravate it.

Fatigue
Shadows
Low lighting
A change in schedule

While your loved one may act aggressive, combative, and angry, it’s important to remember that, for many of our seniors, these emotions are based in a fear response and/or an intense feeling of needing to get away. It’s not a rational set of reactions but the emotions are real to them. Your empathy is key towards driving efforts to calm and reassure them, and can go a long way toward helping control your own frustrated reactions during this time. Neither of you asked for this.

Sundowning doesn’t reliably respond to medications or medical interventions. Many of the medications that might be tried have side effects that trigger alternate confusion or aggravation for your loved one. And, what triggers them now may not be what triggers or exacerbates it in the future.

Sundowners or Delirium?

The symptoms of Sundowners and Delirium are similar; however, they are very different conditions. Delirium often begins suddenly and doesn’t necessarily occur at specific times. Sundowners creeps up as dementia progresses and very often is more pronounced in the afternoon and evening.
Some causes for delirium include:

Urinary tract infection
Stroke
Low Blood Sugar
Drug interactions
Head Injury
Carbon monoxide
Lung or heart problems

Since delirium is often a reaction to a condition, it can be more easily addressed directly and medically.

( Medical News Today )

You can help to reduce the challenges of sundowning through a multitude of holistic means:

Maintain a predictable schedule, especially in the afternoon and evening.
Increase the amount of daylight that your loved one is exposed to.
Limit afternoon naps.
Limit caffeine, sugar, and liquid during the late afternoon.
Close curtains and turn on lights at sundown.
Reduce the amount of activity, including TV, at night.
If their confusion starts at the time of day that people are getting home from work and preparing dinner, try to decrease the chaos or move them to a quieter part of the house.
Play soothing music or nature sounds.
Take an evening walk.
Utilize a night light in the room where they sleep.
Avoid restraining your loved one or arguing with them when they are agitated. Pacing can help them work off the agitation. Reassurance, rather than argument, will help calm them.
Sometimes the best solution is distraction. Offer your senior a favorite snack, beloved object, or change in activity. Even simple tasks like folding laundry can be used to distract and involve their brain in a less reactive way.

Since Sundowner’s does not always follow a predictable pattern, it is important to pay attention to potential triggers, as well as to which activities seem to soothe the confusion. Knowing your loved one’s triggers can potentially help you gift them with the internal tools to handle their own feelings of frustration and confusion.
( Mayo Clinic , Alzheimer’s Association , AARP , and Medical News Today )

The Calming Properties of Aroma and Touch Therapy

Many institutions have successfully incorporated aroma and touch therapies into their evening routines. You can employ this in your home as well.

A diffuser with essential oils is easy to add to any room. You can also apply an essential oil to a cotton ball in a small bowl on the nightstand or common area. Aromas that are calming include lavender, rosemary, rose, ylang-ylang, chamomile, blue tansy, frankincense, jasmine, vanilla and cinnamon. Try one scent at a time to determine which ones may be effective for your loved one.

If your senior is amendable to touch, a foot or hand massage, perhaps combine with a warm water soak, can be helpful. Some people enjoy having their heads or scalp rubbed. Even simply holding their hands can ground and support them during this confusing time.

( AARP )

Quality of Life with Arthritis

websites@hibu.com (Hibu Websites) — Thu, 26 Dec 2024 17:15:00 GMT

It is difficult to watch the ones your love struggle to perform daily tasks that they used to do with ease. However, while arthritis is not curable, there are many options for improving quality of life.

There are over 100 variants of arthritis, including osteoarthritis, rheumatoid arthritis, gout, lupus, scleroderma, and anklylosing spondylitis. Arthritis is any condition which causes swelling of one or more joints, causing stiffness and pain. Often the conditions worsen with age but are not specifically age-related.

The most common and well-known types of arthritis are osteo and rheumatoid.

Osteoarthritis involves damage to the cartilage on a joint. As the cartilage wears down, the bones end up grinding against one another causing pain and restricted movement.
Rheumatoid Arthritis is an auto-immune condition which is an attack by the body’s immune system on the linings of the joint capsule (a membrane that encloses all the joint parts). It initially causes inflammation but eventually can destroy cartilage and bone within the joints. About 75% of rheumatoid arthritis sufferers are women.

Diet and Rheumatoid Arthritis

Red meat, sugar, alcohol, fat, salt, caffeine, dairy, and nightshade plants (tomatoes, potatoes, and peppers) can worsen the condition.

Early clinical trials have shown that a low-fat plant-based diet has improved the condition after just a month. High fiber diets can lower the risk for knee osteoarthritis.
( Physician’s Committee for Responsible Medicine )

The most common signs of arthritis are:

Pain
Stiffness
Swelling
Redness
Decreased Range of Motion

The challenge can be that, for our older adults, some of these are signs of other conditions as well. Take into consideration whether your loved one also has the following risk factors:

Family history – Some types of arthritis are genetic.
Advanced age – Age is not a cause of arthritis but does increase the risk.
Gender – Women are more likely to develop rheumatoid arthritis while men tend to develop gout or other variants.
Previous joint injuries – These can increase the change of arthritis developing in that join.
Obesity – Increased weight puts added stress on joints. If your loved one has other risks that would be an additional reason to pay extra attention to diet and exercise.

( John Hopkins Medicine , American College of Rheumatology and Mayo Clinic )

Treatment

Arthritis has no cure. All treatments are aimed at improving quality of life. Treatments can be pharmaceutical or holistic in nature dependent on the patient’s desires.

Commonly used arthritis medications include:

NSAIDs are non-steroidal anti-inflammatories that are Over-The-Counter
Counterirritants are creams that contain menthol or capsaicin.
Steroids like prednisone reduce inflammation and can slow joint damage. They do have side effects from ongoing use and should be closely monitored by your loved one’s medical team.
DMARDs (Disease-Modifying-Antirheumatic Drugs) are used with rheumatoid arthritis to slow the progression of the disease. There is an increased risk of infection with these drugs.

More holistic treatments include:

Exercise can increase range of motion and help with the stiffness to be expected as arthritis progresses. Close attention should be paid to the amount of pain that movements cause. Swimming and water related exercises are good alternatives.
Weight loss removes pressure on aching joints.
Acupuncture is used to reduce many types of pain.
Glucosamine and Chondroitin have both been proven is some studies to help with arthritis pain.
Fish Oil can reduce some arthritis symptoms. However, fish oil can interfere with some medications. Check with your medical team to ensure other medications are compatible.
Yoga and Tai Chi are both slow moving forms of exercise that increase strength, improve mobility and help with range of motion. Find a class that is experienced with the challenges of older adults.
Heat and cold can help reduce inflammation or increase mobility.
Massage increase blood flow and will temporarily relive pain. Find a therapist who is knowledgeable about the pain associated with arthritis.
A variety of assistive devices are available to help keep your loved one mobile. These include canes, shoe inserts, walkers, and raised toilet and chair seats.

As the disease progresses, there are times when a doctor might suggest more intensive surgical measures including joint repair, joint replacement (most often hips and knees), and joint fusion (most often wrist, ankle and fingers).

( Johns Hopkins Medicine , American College of Rhematology and Mayo Clinic )

Exercise and Arthritis

Exercise can help with weight loss as well as mobility. Some exercises that your loved one might enjoy include:

Water walking
Water aerobics
Swimming
Bocce ball
Golf
Shuffleboard
Walking outdoors or on a treadmill
Pilates, Tai Chi or yoga

( Arthritis Foundation )

Pneumonia

websites@hibu.com (Hibu Websites) — Thu, 12 Dec 2024 16:45:00 GMT

We're all aware of the precautions to take for virus and flu season. However, an additional danger is that any of these other conditions can morph into pneumonia. Pneumonia claims the lives of about 50,000 Americans each year.

Pneumonia is an infection that inflames the air sacs on one or both lungs and may cause them to fill with fluid. It is caused by a variety of sources including bacteria, viruses, and fungi. Many of the germs that can cause pneumonia are airborne. While our bodies are generally efficient at blocking these germs; stress, lack of sleep, general depression, colds, or any weakness can allow them to sneak in. Pneumonia is the most serious for infants, people older than 65, and people with existing health challenges or weakened immune systems. It is particularly dangerous for people with heart failure or chronic lung problems.

Types of Pneumonia

Bacterial Pneumonia

The most common form of bacterial pneumonia is pneumococcal pneumonia. Often it occurs after one has had the cold or flu. It is contagious initially but is no longer contagious after a couple days of antibiotics.
Mycoplasma pneumoniae, or walking pneumonia, is a milder form of pneumonia. It is contagious and airborne. Those diagnosed often don't feel ill and are generally not hospitalized but can spread the pneumonia to others.

Viral Pneumonia

Viruses, including COVID-19, can cause viral pneumonia. The flu is the most common viral gateway for pneumonia. Symptoms of viral pneumonia are initially similar to those of the flu but quickly affect the lungs and breathing.
Most virus generally spark only a mild form of pneumonia in health individuals. However, COVID-19 has shown that, because of its inherent propensity for lung damage, it can introduce a more severe bout with pneumonia.
Older adults and people with serious illness or weak immune systems, ironically, may have fewer and milder symptoms, including a lower temperature rather than a fever. Mental acuity can be affected by a loss of oxygen to the brain, so any sudden change in mental awareness should be a cause for alarm.

Fungal pneumonia

Pneumonia caused by fungi is most common in people with compromised health. It is acquired through the soil or bird droppings. Ask your doctor if there are pneumonia-causing fungi in your area.

( Mayo Clinic and American Lung Association )

Symptoms of Pneumonia

Chest pain when breathing or coughing
Confusion or changes in mental awareness (in adults age 65 and older)
Cough, which may produce phlegm
Fatigue
Nausea, vomiting or diarrhea
Fever over 102°, sweating and shaking chills
Lower than normal body temperature (in adults older than age 65 and people with weak immune systems)
Bluish lips and nailbeds
Shortness of breath

( Mayo Clinic )

Prevention

Get vaccinated - Talk with your doctor about which might be best for your loved one. Some of the vaccines that can help include:

Haemophilus influenzae type b (Hib)
Influenza (flu)
Measles
Pertussis (whooping cough)
Pneumococcal polysaccharide (recommended by the CDC for all adults over 65)
Pneumococcal conjugate (recommended by the CDC for immune compromised individuals)
Varicella (chickenpox)

Practice good hygiene - Make sure that your loved one is washing hands and sanitizing surfaces adequately, even in their own home.
Keep your immune system strong - Get enough sleep, move or exercise regularly, and eat a healthy diet.
Stay away from sick people - The distancing we've all been doing is helpful but if someone in the home is sick, isolate your immuno-compromised loved ones as well.
Don't smoke

( Mayo Clinic and Center for Disease Control )

Risk Factors

Chronic Disease - Asthma, COPD (chronic obstructive pulmonary disease), or heart disease are primary risks.
Smoking - On top of weakening the lungs, smoking generally weakens your body's natural defenses against bacteria and viruses that cause pneumonia.
Compromised Immune Systems - People who have HIV/AIDS, or who have had a transplant, chemotherapy, or steroids should be aware of the risks for pneumonia.
Being Hospitalized - ICU stays, especially on a ventilator, can be risky. That is not to say avoid going to the hospital if you need medical attention. Catching and treating illnesses early can help prevent a hospital stay.

( Mayo Clinic )

Traveling with Low Stress

websites@hibu.com (Hibu Websites) — Thu, 28 Nov 2024 18:05:38 GMT

Travel can be stressful for your family member with dementia. Changes in routine upset their feelings of stability and familiarity. However, you can set it up so that it is easier for everyone.

A good first step towards taking your loved one on a longer trip is to plan a day outing or stay-cation (overnight in your own city).

Some things to take into consideration:

Plan the day with ample time to allow your loved one to decompress from each activity
All time for a nap, if necessary
Choose locations that are quieter, with fewer people, and less waiting time.
Make sure that restrooms can accommodate any limitations.
Start your outing at a calmer part of the day for your loved one.
Let people know about your older adult by creating business sized cards to hand to clerks or restaurant staff. They can say something like “My family member has dementia. We are giving them a fun outing but they might say or do things that are unexpected. Thank you for your understanding.”
Be ready to change your plans if your loved one seems to be agitated.
It is not a failure on anyone’s part if your loved one can’t handle what you’ve planned. Kudos to you for trying to give them some normalcy or fun.

( National Institute of Health )

Prepare your Family Members Before a Visit

Your extended family will be excited to see their loved one but may not know how to interact. Here are some easy guidelines:

Keep greetings and interactions calm.
Don’t speak to your loved one as if they are a child.
Respect personal space and ask permission for hugs and touch.
Make eye contact and call the person by name.
Don’t argue if the person seems confused. Change the subject instead.
Prepare to have an activity to share – a photo album, simple game, music or a walk outside.

( Daily Caring )

If you feel that your loved one can handle an extended trip, use what you’ve learned from your day trips in planning for your extended time.

Before the trip

Talk with your medical team to determine if there are medications that can calm them during th travel days. Be prepared to use these only, if necessary, since a sleepy traveler can make changing planes or moving from place to place more difficult.
Take advantage of available assistance at the bus terminal, train station, or airport.
Bring snacks that your senior likes so that you are not reliant on restaurants or airline foods.
Make sure to bring important documents including insurance information, doctors’ names and phone numbers, medication lists, and medical records.
Pack items for your loved one that are familiar to them and that they like holding for comfort. If they don’t have something, get them a gift of a sensory blanket, soft stuffed toy or fidget game several weeks prior to the trip to see if any of those help calm them in difficult times.
Get an ID bracelet that is difficult for them to remove in case they wander off.
Ensure that you have a current photo.
If you are going to visit family, spend a little time beforehand looking through photo albums and talking about the people in those albums.

Once you arrive at your destination

Give them the opportunity to rest in a quiet location with familiar faces. Even if you are visiting family, they may not immediately feel comfortable with people they haven’t seen in a while.
Plan activities that can be stepped out of easily, if necessary.
Pre-identify restroom locations.
Try to keep the sleep and food schedules similar to their schedules at home.

( National Institute of Health and Special Needs Alliance )

It’s OK Not to Bring Your Loved One

At the end of the day, if you are planning this trip because you would like to see family and are unsure if it’s something your loved one will enjoy, reconsider whether they need to join you. Sometimes the kindest thing you can do is to leave them in the comfort of their own home with a caregiver they trust, while you take the break that you’ve earned.
If you are concerned that they’ll be missing an important family gathering such as a wedding, graduation, or reunion, they can be included through video chat without the stress of travel and larger gatherings.
( Daily Caring )

Gratitude for your Health

websites@hibu.com (Hibu Websites) — Thu, 14 Nov 2024 17:15:00 GMT

Gratitude is a thankful appreciation for what an individual receives, whether tangible or intangible. In the process, people usually recognize that the source of that goodness lies at least partially outside themselves. As a result, gratitude also helps people connect to something larger than themselves as individuals – whether other people, natures, or a higher power.

Gratitude has the power to heal and to improve physical health. It can make people happier, improved relationships, lessen depression, and even decreases pain. In several recent studies, organizations have proven a link between health and a gratitude practice, especially in older adults. People of all ages and nationalities who practice gratitude report fewer health complaints (including headaches, gastrointestinal issues, blood pressure, respiratory infections, sleep disturbances, and colds) than their less grateful counterparts.

One study found that a regular gratitude practice decreased the production of cortisol, which in turn lowered blood pressure. The participants had an average heart rate significantly lower than the group that didn’t practice gratitude. Helping seniors establish regular gratitude patterns might diminish feelings of stress about aging and replace them with a more relaxed and content demeanor.
( Harvard Medical School and Greater Good Science Center – UC Berkeley )

Gratitude Action Items

Think of one thing or person you’re grateful for when you wake up in the morning. Share that feeling with someone else.
Take a few minutes each day to mindfully close your eyes, breathe in and out slowly, and focus your mind on positive thoughts.
On medical visit days, find one thing you are grateful for in the experience. It can be as simple as appreciating the smile from the receptionist.
( Mayo Clinic )

Easy Ways to Incorporate Gratitude into Our Daily Lives

( Harvard Medical School and Mayo Clinic )

Loss & Grief

websites@hibu.com (Hibu Websites) — Thu, 31 Oct 2024 20:14:46 GMT

Helping Seniors Cope with the Loss of a Loved Ones

During this time of their lives, a lot of your senior’s experience may be punctuated by loss: loss of health, independence, mobility, routine, and more. The most acute loss is that of family and friends. Here are some ways to help them cope.

As they grow older, your loved ones will lose friends, family and spouses through death. While they may be aware that loss will happen, that knowledge doesn’t always give them the tools to handle it.

The Difference Between Grief & Depression
Grief and depression have many common symptoms, but there are ways to tell the difference. Grief comes with ups and downs and involves a variety of emotions. Even when people are grieving, they will experience times of joy and happiness. With depression, however, the feelings of despair are persistent.

Symptoms that may indicate depression rather than just grief include:

Persistent and vague complaints
Moving in a slower manner
Demanding behavior
Trouble concentrating
Pessimism
Loss of interest in things once pleasurable

If you see signs of depression in anyone or experience these symptoms yourself, seek help from a medical or mental health professional.

( HelpGuide )

The Stages of Grief
Swiss-American psychiatrist Elizabeth Kübler-Ross outlines five stages in the grief process:

Stage 1 - Denial

“This can’t be happening to me.”

Stage 2 - Anger

"Why is this happening? Who is to blame?"

Stage 3 - Bargaining

"Make this not happen and in return I will ___."

Stage 4 - Depression

"I'm too sad to do anything."

Stage 5 - Acceptance

"I'm at peace with what happened."

While it is often thought that, once you’ve completed one stage, you move to the next one and never go back, this is not necessarily the case. The path is more like a roller coaster where the person grieving may experience higher and lower depts of feeling and may loop back to previous steps multiple times during the ride. This is normal.

Often, memory loss and dementia can make it feel like the losses are fresh over and over. It is important to practice compassion when your senior doesn’t remember that their spouse or friend has passed. Allow them to process it anew, rather than being frustrated with them that they don’t remember. They may have to go through the stages of grief daily.

Losing a spouse may leave a gap that is larger than just the person. The lost spouse may have been the one who was more upbeat, more thoughtful, more organized, more of the caregiver in the relationship. There may have been tasks they enacted throughout the relationship that the surviving spouse never had to do – paying bills, cooking, gardening, cleaning, even driving. This secondary loss can be keenly felt by the surviving spouse. Learning new skills at this point in their lives may seem overwhelming and contribute to the difficulty or moving on at each stage.

Don’t discuss the loss of other friends or family in their life. Staying involved in their daily lives, even through phone conversations, will help you see who is important to your loved one and will help you know when to be there for them during an unexpected loss.
( HelpGuide )

Healthy Ways to Help Your Senior Handle Grief

Share the Sorrow

Allow your senior to talk about their loss if they want to. They might feel comforted to know that you are grieving as well. If it seems appropriate, suggesting a loss support group can be very helpful, as they might feel safer sharing with strangers.

Don't Ignore the Pain

It may feel like you can push the pain away by immersing your loved ones in other activities. Unfortunately, this only delays the pain and sometimes forces it to surface in inappropriate or unhealthy ways.

Allow them to Express Grief in their Own Way

Everyone expresses grief in different ways: tears, screaming, withdrawing, cleaning, caregiving, sleeping. Allow your loved one to grieve in their own way.

Offer Practical Help

Especially if the deceased spouse was traditionally the caregiver or the one to manage the household, the surviving spouse may be overwhelmed and stop caring for themselves. Offer to cook, clean, run errands, and take them to appointments.

( Mental Health America )

It is unavoidable that your senior will experience loss in their lives. How they process and handle that loss can be shaped by the love and caring of their caretakers, family, and friends.

Depression in Seniors
Grief left unacknowledged can morph into depression. Depression is a medical illness that carries with it a wealth of other health risks. Unfortunately, so often, depression is assumed as a normal component of aging – a reaction to illness, loss, and social transition as your senior faces their own mortality and vulnerability. It does not need to be.

Depression is often mistaken for or lumped in with the symptoms of:

Dementia
Alzheimer's disease
Arthritis
Cancer
Heart Disease
Parkinson's disease
Stroke
Thyroid disorders

While depression certainly might stem from these conditions, it needs to be treated as a separate illness with its own diagnosis. Sometimes, successfully addressing depression can lessen other symptoms of aging. Happiness or contentment can be a healing antidote, protecting the immune system, increasing social awareness, lowering heart and blood pressure, and inspiring healthier decisions.
( Healthline , NCOA )

Supporting Seniors' Nutritional Health

websites@hibu.com (Hibu Websites) — Thu, 17 Oct 2024 15:50:16 GMT

Recognizing Nutritional Problems in Seniors

Many seniors face inadequate nutrition. The effects of being undernourished or malnourished can be dangerous, so it is important to recognize signs of nutritional issues in aging loved ones.

Common Challenges to Seniors’ Nutritional Health

Typically, nutritional issues are associated with poverty or illnesses. For seniors, however, some of the most common challenges include:

Difficulty getting to grocery stores, carrying groceries, and putting them away
Trouble with meal planning and remembering things in the kitchen
Struggling with cooking, cleaning dishes, etc.
Lack of hunger due to health problems, sadness, or loneliness
Forgetting to cook, eat, or get groceries
Fatigue leading to convenient unhealthy food choices
Problems with taste, swallowing, or digestion

Some challenges are unexpected. For instance, one study found a senior woman was unplugging her refrigerator at night because it was noisy. This made the food she was consuming unsafe and caused health problems for months. ( Public Health Post and NCBI )

Malnourished or Undernourished?

Seniors can be malnourished or undernourished. Knowing the difference can help you prevent and address nutritional issues.

Malnourishment is when the body does not receive the nutrients needed to maintain a healthy balance. Dietary changes may restore balance, such as eating more fiber or less sugar. A body is undernourished when too few calories are consumed. This can be addressed simply by eating more. ( Merck Manuals )

Consequences of Nutrition Problems

Being undernourished or malnourished can:

Weaken the immune system
Cause fatigue
Upset digestive processes
Strain the heart and mind
Lead to extreme weight loss
Increase risk of death
Increase risk of hospitalization
Delay healing times

( Mayo Clinic )

Signs of Nutrition Problems in Seniors

Recognizing some nutrition problems in seniors can be simple, but others are more complex.

Look for signs like these:

Weight loss, whether slow or fast
Lack of appetite
Difficulty concentrating
Feeling cold often
Getting sick easily
Wounds taking a long time to heal
Mood changes or irritability

In extreme cases or when malnourishment is a problem, symptoms might include:

Shakiness or lightheartedness
Difficulty breathing
Sunken cheeks and features
Digestive trouble
Hair and skin dying out

( Medical News Today )

Home Care Tip

Medications can also affect nutrition. If a senior is showing signs of nutrition problems, talk to a doctor and bring along a list of medications and health conditions. ( Family Doctor )

Dance for Health

websites@hibu.com (Hibu Websites) — Thu, 03 Oct 2024 17:00:00 GMT

"We should consider every day lost in which we have not danced at least once." - Friedrich Wilhelm Nietzsche

As we know, exercise is a key component for staying healthy. Movement is important for older adults, especially those for whom a sedentary lifestyle poses health threats.

A recent study by the New England Journal of Medicine discovered that dance had the greatest protection against dementia of any of the other leisure activities studied, reducing the risk by up to 76%. Other activities studied were reading, bicycling, swimming, crossword puzzles, and golf.

As brain cells die and weaken with age, the first thing to go is nouns (like the names of people) because there is only one pathway to remembering those. Dancing uses multiple pathways to movement, from coordinating steps and enjoying the music to social interactions. Therefore, there are more pathways a person's brain creates to facilitate the fun.

Additionally, freestyle dancing (dancing that doesn't follow a specific set of steps) might be even better than more pattern-based dancing, like ballroom, for mental acuity. The reason is that anything that requires us to constantly think and revise on the go requires our brain to continually re-route and create new pathways for decision-making.

While dancing might be the most fun and brain-diverse way to strengthen new neural pathways, anything that requires quick decisions versus a routine way of doing things can help.

Freestyle dancing as a pair creates an additional need to interpret signals from a partner. Changing up the partner adds even another level of complexity. So maybe try putting on some good music and have everyone in the family dance with mom on different days?

Pattern-based dancing can be relaxing and movement-rich. For improving chances against dementia, people who are proficient in ballroom dancing can move into a brain space that is more routine, which reduces the neural rerouting that can be more useful for older adults.

The wonderful message in this is that dancing early and often can help our brains no matter what age we are.

( New England Journal of Medicine , Psychology Today , and Stanford University Dance )

The Benefits of Dance

Improves cardiovascular health
Improves balance and strength
Gentle on the body
Boots cognitive performance
Can be done by anyone
Can be a social activity
Is mood boosting

( Healthline )

Dance Movement Therapy (DMT)

If you aren't sure about the idea of creating a dance routine with your loved one, you have other options for introducing dance into their lives. Dance Movement Therapy (DMT) targets the specific areas in which your loved one might need improvement.

Dance therapist are more dialed in to which movements will help improve specific neural pathways. They can design programs to help with balance and gait issues associated with disease like Parkinson's Disease. While some steps are taught, there is often a focus on creativity and freestyle to engage more of the senses.

Dance therapy is based on the principle that movement reflects an individual's thoughts and feelings. So, watching how a person chooses to dance, paired with their physical and emotional capabilities during the process, will give the therapist insights to guide the therapy.

( National Institute of Health )

Dance as Mind-Body Intervention for Parkinson's

Dance requires the practice of fluid movements and postures while maintaining full body control, which can address many motor symptoms associated with Parkinson's. In addition, dance can improve patients' emotional, cognitive, and social well-being as a result of listening to music and interacting with other people.

Here's how dance may address each of the key areas identified as being important in an exercise program designed for individuals with Parkinson's.

Dance is an activity performed to music. The music may serve as an external cue to facilitate movement.
Dance involves the teaching of specific movement strategies.
Dance incorporates balance exercises.
Dance can enhance strength and/or flexibility
Dance can result in improved cardiovascular functioning.

( Parkinson's News Today and National Institutes of Health )

Mental Health

websites@hibu.com (Hibu Websites) — Thu, 19 Sep 2024 17:42:05 GMT

While we conscientiously treat our loved one’s physical health, it’s easy to overlook mental health as a component of aging. Challenges with our loved one’s state of mind should be approached with the same sensitivity as physical ailments.

An estimated 20 percent of people aged 55 and older experience some level of mental health challenge. These concerns include anxiety, depression, dementia, and suicidal thoughts. Yet less than 3 percent of older adults report seeking mental health solutions.

Anxiety

Anxiety comes in several forms and can be closely tied to medications, depression, or other health issues.
   •   Panic Disorder includes panic attacks and feelings of intense terror that strike repeatedly and without warning, sometimes without a specific trigger.
   •   Obsessive Compulsive Disorder is characterized by obsessions that include rituals like handwashing, counting unnecessarily cleaning, or other routines that serve to calm them.
   •   Post-Traumatic Stress Disorder often includes nightmares, flashbacks, numbing of emotions, being easily startled, or irritability. Usually, it is in response to a traumatic event in their past.
   •   Phobia is an extreme fear to something that doesn’t actually pose an immediate danger. Common phobias can be going outside, using the phone, certain animals, riding in a car, heights, tunnels, and flying.
   •   Generalized Anxiety Disorder is characterized by an ongoing feeling of worry about everyday life and activities.
If you see any of these symptoms of anxiety in your loved one, seek reliable medical assistance. Their family doctor may be able to determine if the symptoms are linked to a medication or medical diagnosis. A trained mental health professional can determine the appropriate way to lead them through.
( Mental Health America )

Depression

Depression is the condition for which your loved one may least likely seek help. Especially in our older generations, mental health carries a stigma that makes it difficult for people to speak up. Depression can worsen health in people with conditions such as heart disease, diabetes, and stroke, as they become uninclined to care for themselves appropriately.

Some indications that your loved one might be depressed are:
   •   Persistent sadness
   •   Recurring thoughts or mentions of self-harm or suicide
   •   Noticeable change in appetite
   •   Withdrawal from previously enjoyed activities
   •   Difficulty sleeping or sleeping too much
   •   Heavy alcohol consumption
( Centers for Disease Control and National Institute of Mental Health )

Dementia

Dementia is most often characterized by deterioration in memory, thinking, behavior, and the ability to perform everyday activities. While it largely affects older citizens, dementia is not a normal part of aging.

Alzheimer’s disease, the most common cause of dementia, affect 12 million people worldwide. Early diagnosis of Alzheimer’s is becoming increasing possible, due to the sensitive diagnostic tools developed by psychological and medical scientists.

Early diagnosis by the doctors in your loved one’s life and understanding the challenges that this condition poses are critical for the path they will follow. Especially when they are initially still cognizant of what is happening to them, dementia can trigger anxiety, depression, or even suicidal thoughts. It is important to no just prepare for the worsening dementia but to treat the current responses and fears as well.

( World Health Organization and American Psychological Association )

Suicidal Thoughts

Suicide rates are particularly high among older Americans. Older men have the highest suicide rate of any age group at 45 per 100,000, compared to the rate of 11 per 100,000 for all ages.

Those suffering from depression are at greatest risk for suicide. Do not ignore remarks about death or self-harm. If your older family member seems depressed, get them the help that they need. An offhand remark is often a subtle cry for help. Report these comments to your loved one’s doctor and encourage your relative to seek treatment immediately. If there are firearms in the home, remove them as soon as possible. For more advice, call the National Suicide Prevention Lifeline at 800-273-8255. All calls are confidential.
( AARP )

Depression and Suicide

Up to 20 percent of older adults and up to 37 percent of nursing home residents suffer from depression.
Although older Americans make up 13 percent of the population, they account for 20 percent of the people who commit suicide.
Seventy-five percent of older adults who commit suicide have seen their doctor in the past month.
( American Psychological Association )

Depression or Dementia

Depression sometimes get mis-diagnosed as dementia, as the older adult with depression may exhibit dementia-like symptoms, such as forgetfulness, disorientation, or inattentiveness. A person with depression will complain about memory loss, while someone with Alzheimer’s disease or other form of dementia will try to conceal it or not even realize they have it.

Caring for Aging Skin

websites@hibu.com (Hibu Websites) — Thu, 05 Sep 2024 15:59:40 GMT

Our skin is the main thing other people see and is the first thing that most people are concerned about displaying signs of again.

Sharpening Seniors' Minds

websites@hibu.com (Hibu Websites) — Thu, 22 Aug 2024 15:48:25 GMT

How to Help Seniors Maintain Their Minds and Memories

In the United States, approximately 40% of people over the age of 65 experience age-related memory impairment. Memory and mental health are closely connected. Helping seniors stay sharp can also improve their quality of life. ( NCBI )

Top Strategies for Maintaining a Healthy Memory

To maintain a healthy memory, seniors must stay mentally active. That doesn't have to be taxing, though! Some strategies for maintaining a healthy memory are things seniors might already do as part of their everyday lives.

Read and write regularly.
Play games, solve riddles, and complete puzzles.
Try learning to play an instrument or take up a new hobby.
Take a class at a community college, university, or adult education center.
Spend time in conversation and socializing.

( Care.com )

Easy Everyday Brain Training

Choose a couple of these training exercises to work the brain every day:

Do crossword puzzles
Memorize something
Write down one new thing you've heard or learned
Play a challenging game
Choose a topic to research
Take a class or listen to a lecture
Use your non-dominant hand for a simple activity
Practice using all your senses
Repeat something you've learned to someone else

( Family Doctor )

Factors Affecting the Memory

The brain is part of the body. Seniors' physical health will affect cognitive function, including memory. Pay attention to factors that affect memory, like:

Physical Activity

Exercise is good for the brain. Activity promotes good circulation, so your mind gets the oxygen it needs. Plus, your brain and memory both work when you have to make coordinated motions or follow a workout routine.

Nutrition

Brains need fuel. Research by Harvard University shows that diets high in saturated fat can inhibit memory, while healthy diet rich with fish, whole grains, fruits, and vegetables are good for maintaining a healthy memory.

Sleep and Rest

A tired brain can't devote as much as energy to making or storing memories. Seniors should get plenty of sleep.

( Harvard Health Publishing and Everyday Health )

Effects of Memory-Related Impairments

Normal age-related memory loss is not as dangerous as memory-related illnesses, but it can still impact a senior's quality of life. Help seniors recognize the normal effects of memory loss so they can adapt and stay safe.

Common effects of memory loss are:

Misplacing items
Delayed critical thinking skills
Forgetting appointments or directions
Needing new information repeated in order to remember it

( Cleveland Clinic )

Home Care Tip

Although age-related memory loss is common and may not have serious side effects, memory-related illnesses like dementia, including Alzheimer's disease, can be dangerous. Learning the warning signs, like mixing up words or mood swings. ( Mayo Clinic )

COPD (Chronic Obstructive Pulmonary Disease)

websites@hibu.com (Hibu Websites) — Thu, 08 Aug 2024 15:00:00 GMT

Sixteen million Americans suffer from diagnosed COPD, with millions more likely suffering from the effects but undiagnosed and untreated.

If your loved one suffers from breathing challenges, they could have COPD (Chronic Obstructive Pulmonary Disease). COPD is not just one disease but an identifier for a group of disease that cause breathing-related problems, including the more commonly known emphysema and chronic bronchitis.

In the past, COPD was thought of as primarily a men's disease. This is because it affected smokers and people in jobs where large amount of fumes, dust, or chemicals were inhaled, during a time when fewer women were in the workforce. With more women than men now getting COPD, this is no longer the case. In 2017, COPD became the third leading cause of death for women. If your loved on is having trouble breathing and you have not addressed this with their doctor, now is the time.

In the United States, the leading cause of COPD is tobacco smoke. However, exposure to other air pollutants, genetics, and recurring respiratory infections can also play a part. While there might be a genetic component that might make you more likely to get it, it is not contagious.

Because there are so many variations in the disease that manifest as COPD, there is no single test for it. There is also no cure, only treatment. Based on symptoms, your doctor will determine a course of treatment. Your medical team may include a pulmonologist and physical and respiratory therapists who will work toward treatments that work best for your loved one.

COVID-19

People with COPD are not considered to be at a higher risk of COVID-19. They are, however, at a higher risk of having complications and poorer outcomes should they contract the virus. As with any at-risk community, please follow all guidelines for maximum protection.

( University of Maryland Medical System )

Why More Women than Men?

In the 1960s, cigarette ads targeted women.
Women's lungs are smaller and estrogen can play a role in worsening lung disease.
Because it was previously more of a men's disease, doctors still often misdiagnose or under diagnose women.

If you feel your female loved one has been misdiagnosed, advocate for the doctors to take a second look. Early diagnosis and treatment is key.

( American Lung Association )

Symptoms

Symptoms are often mild at first, leading people to brush them off. There can be some intermittent coughing or shortness of breath. However, the symptoms will progressively worsen and become harder to ignore. it is time to see the doctor when you see one or more of the following symptoms:

Shortness of breath, after even mild exercise such as walking up a flight of stairs
Wheezing
Chest tightness
Chronic cough with or without mucus
Need to clear mucus from lungs every day
Frequent colds, flu, or other respiratory infections
Lack of energy
Swelling of the feet or ankles
Unexplainable weight loss

Symptoms Requiring Immediate Medical Care:

Bluish or gray fingernails or lips
Confusion or fairness
A racing heart

( Healthline )

Treatment

While COPD is incurable, it can be treated and managed with great success. Some of the things that a physician may suggest include:

Quitting smoking
Avoiding secondhand smoke and other pollutants
Plenty of fluids
Nutritional supplements and eating habits to boost overall health
A monitored exercise program
Pulmonary rehabilitation
Medication, which might include daily and emergency inhalers
An annual flu and pneumonia vaccine
Quick intervention in the case of flu or other respiratory infections
Supplemental oxygen

( Centers for Disease Control and Prevention and Healthline )

Benefits of Quitting Smoking

If your loved one is a smoker, they will need to quit to either ward off or manage existing COPD more effectively.

( COPD.com and Medical News Today )

Food Safety

websites@hibu.com (Hibu Websites) — Thu, 25 Jul 2024 17:24:15 GMT

According to the Centers for Disease Control and Prevention (CDC) each year 48 million illnesses, 128,000 hospitalizations, and 3,000 deaths in this country can be traced to food-borne pathogens.

We’ve probably all heard our older loved ones comment that they have always (insert poor food storage adage here) and it was fine. However, bacteria have evolved since their youth. There are both more types of bacteria and they are more resistant to the usual elimination methods.

Food sources have become more global. Even fruits and vegetables are coming from other states and other countries. This both increases the number of pathogens that can be picked up between the place of origin and our homes and introduces new bacteria that wouldn’t be in our environment had we shopped locally.
( Partnership for Food Safety Education )

Who is at Risk?

Adults aged 65 and older are at a higher risk for hospitalization and death from food-borne illnesses. There are several reasons for this:

Their gastrointestinal tract holds food for longer, allowing more bacteria to grow.
Liver and kidneys typically function at a lower level, not clearing bacteria and toxins as efficiently as when they were younger.
Their stomach may not produce as much bacteria-reducing acid.
Underlying chronic conditions such as diabetes and cancer increase the susceptibility to food-borne illnesses.

( FoodSafety.gov )

Did You Know?

Flour, regardless of the brand, can contain bacteria that cause disease. Flour is ground from raw grain, which may be bleached, but not usually treated to kill bacteria like E.coli.

The FDA recommends the following precautions:

Do not eat raw cookie dough, cake batter, or dough that is meant to be cooked.
Follow instructions for cooking any products containing flour.
Wash hands and work surfaces thoroughly after contact with dough or flour.
Chill dough promptly if not baking immediately.

( Food and Drug Administration )

Tips for Safer Food Storage and Handling

You can start practicing safe handling as soon as you choose your foods in the market. Here are some basic tips:

Separate raw meat, poultry, seafood, and eggs from other foods in your shopping cart, grocery bags, and refrigerator. Use the plastic bags provided in the market (or your own) to further isolate these foods.
Wash hands and surfaces often. Wash hands for at least 20 seconds before and after handling food.
Rinse all fruit and vegetables, including those with rinds that won’t be eaten.
Never place any food on an uncleaned surface.
Refrigerate foods promptly in a fridge set to a temperature of 40℉ or below. Bacteria that cause food poisoning multiply most quickly between 40℉ and 140℉.
Never let raw meat, poultry, eggs, fish, cooked food, or cut fruit and vegetables sit at room temperature for more than two hours before refrigerating
Frozen foods should be kept at a temperature of 0℉ or below
Do not defrost foods at room temperature. Defrost in the fridge, cold water, or the microwave. Cook immediately once they have been thawed.

It is important to cook food at a temperature that kills the harmful bacteria. A food thermometer should be a staple for any home cook. While foods have a variety of ideal temperatures, a few minimums include:

Roasts and steaks should be at least 145℉
Poultry should be at least 165℉. Check internal temperature at the innermost part of the thigh or wing and the thickest part of the breast.
Ground meat should be at least 160℉. The process of grinding distributes bacteria.
Fish should be at least 145℉ and/or until the flesh is opaque and flakes easily with a fork.
Eggs should be cooked until the yolk and white are firm.
When microwaving, stir and rotate to ensure there are no cold spots.
Sauces and gravies should be brought to boil when reheating.
Other leftovers should be heated thoroughly to 165℉

( Partnership for Food Safety Education )

Best if Used By

The date on your packaged food is to indicate the date by which the food will be the best flavor and quality. The date when the food is “bad” can be anywhere from days to months beyond that. Unfortunately, there are no universal rules for food dating. If you have questions or concern about the quality, safety, or labeling of the foods you buy, reach out to the company directly.
( Food and Drug Administration )

Aqua Therapy

websites@hibu.com (Hibu Websites) — Thu, 11 Jul 2024 18:00:00 GMT

Falls are the main reason for injuries in older adult and rank as the second largest reason for unintentional fatal injuries. Aquatic exercise and therapy can be key to combating these risks. It allows our loved ones to work on balance and improve bone density through weight resistance in an environment that reduces the risk of falling.

Whether you enroll your loved one in an aqua-aerobics class, participate in a medically prescribed aqua-therapy session, or just work with them to create water fun, the benefits of working out in the water are myriad.

Water therapy can help with:

Pain
Diabetes
Parkinson’s
Osteoporosis
Limited range of motion
Circulatory issues
Joint replacement
Obesity
Arthritis
Alzheimer’s
Neurological or balance deficits
Respiratory challenges
Poor self-esteem
Orthopedic injuries

Water creates resistance to help build muscle mass which, in turn, increases bone density and reduces the incidence of broken bones. Care should be taken when entering or leaving the pool or spa.

It helps if you choose a warm water environment. While it doesn’t need to be bathwater warm, it reduces shock and stress to the system to choose a pool or spa that heats its water to make it easier to enter and less intensive to warm up the muscles.
( Alternative for Seniors and Fit to Function Kinesiology )

Tips for Starting a Water Program

•    Find a heated pool or spa
•    Invest in a good pair of water shoes
•    If your loved on is nervous about the water, a flotation vest can help them have a better peace of mind
•    Start slowly at 5 minutes and gradually increase to 30 minutes a day
•    Consider enrolling in a class to add a social component
•    As with any exercise program, drink plenty of water to stay hydrated
( American Physical Therapy Association )

Before Starting Any Exercise Program

People with high blood pressure, congestive heart failure, or breathing disorders should limit the exercises to ones done with the water waist deep. Deeper water can cause undue stress on the cardiovascular system. Always talk with your loved one’s physician to determine if there are any risks or limitations.
( Aging Care )

Some Exercises to Get Started

Cholesterol - Reducing Recipes

websites@hibu.com (Hibu Websites) — Fri, 28 Jun 2024 00:59:26 GMT

Delicious Recipes to Help Reduce Cholesterol for Your Aging Adult

Seniors with high cholesterol should avoid certain ingredients to protect their heart health. Try these delicious cholesterol-reducing recipes instead.

High cholesterol levels put seniors at greater risk of heart disease and stroke. According to the American Heart Association ( heart.org ), it's important for seniors to take steps to keep their cholesterol levels under control.

Seniors and their caregivers can reduce cholesterol by eating healthily. There are many cholesterol-reducing recipes that seniors enjoy. Add them to a senior's menu to help protect their heart and health.

A Classic Dinner: Chicken Pot Pie

EatingWell offers many recipes for seniors with high cholesterol. This one's a favorite because it makes 4 individual meals. Freeze 3 for your senior to reheat for meals in the future.

Ingredients

4 teaspoons extra-virgin olive oil
1 pound boneless, skinless chicken breast, trimmed, cut into 1/2-inch cubes
1 cup sliced shallots
1 10- or 12- ounce bag frozen mixed vegetables thawed
2 cups reduced-sodium chicken broth
1/4 cup cornstarch
1/4 cup reduced-fat sour cream
6 sheets 9-by-14-inch phyllo dough, defrosted (follow package directions)
Cooking spray (olive oil or canola oil)

Directions

Preheat oven to 425 °F.
Cook chicken in a skillet with 2 teaspoons of oil over medium-high heat. Remove chicken after 3 minutes, adding shallots and 2 more teaspoons of oil. Stir over medium heat 3 minutes. Add veggies and seasonings of choice for 3 minutes.
Pour in 1 3/4 cups broth and bring to a boil. Whisk the remaining 1/4 cup broth and cornstarch in a small bowl and add to the pan. Boil and cook until thickened.
Remove from heat, adding chicken, sour cream, and seasonings of choice.
Divide the mixture among four 12-ounce baking dishes.
Make 2 stacks of 3 sheets of phyllo each, spraying with oil lightly. Cut the stacks in half and divide, placing one stack over each baking dish.
Place the potpies on a baking sheet and bake until the tops are golden and the filling bubbly. Takes 18 to 20 minutes.

( Recipe from Eating Well )

Delicious Dessert: Baked Fruit

Livestrong ( livestrong.com ) recommends serving fruit as a heart healthy dessert because it is naturally sweet and low in cholesterol. To dress up regular fruit, bake it. For example, try WebMd's baked apple recipes:

Ingredients

1 Apple
1 Tbsp Softened Butter
Pinch of Cinnamon
1 Tbsp Maple Syrup
A spoonful of chopped pecans or walnuts

Directions

Remove the apple's core and bottom so it stands up stably.
Stir remaining ingredients together into a filling
Spoon filling into apple center
Wrap with plastic wrap and microwave 3 minutes or until tender.

( Recipe from WebMd )

Cholesterol-Friendly Ingredients

Fish
Lean Meats
Fruits
Olive oil
Nuts
Legumes
Oats

( Medical News Today )

Ingredients to Avoid for Heart Health

Red meat
Dairy
Packaged baked goods
High sodium snacks
Shortening
Vegetable oils
Fried foods

( Medical News Today )

Low-Cholesterol Snacks

Pre-cut Veggies like carrots or celery sticks are filling, nutritious, and low in cholesterol
Handheld fruits like apples, oranges, or grapes are convenient and tasty
Nuts and seeds are easy to snack on, fibrous, and reduce cholesterol
Fruit-based muffins or bread satisfy cravings for soft baked goods minus all the shortening

Home Care Tip:

Giving up favorite foods can upset seniors. Your senior may be more likely to accept a new diet if you continue to prepare preferred meals but use low-cholesterol ingredient substitutes.

Diet Advice for Seniors with Kidney Health Problems

websites@hibu.com (Hibu Websites) — Thu, 13 Jun 2024 19:21:34 GMT

How to Follow a Kidney-Healthy Diet

Many seniors experience kidney trouble at one time or another. In such instances, it is important to adjust senior’s diets to protect kidney health.

Over time the kidneys tend to perform less effectively. As a result, seniors are at greater risk of kidney problems and kidney failure. A kidney-healthy diet can help.

The kidneys are organs that filter the blood. They filter wastes and extra fluid to form urine. Other functions include hormone production and body fluid regulation. Since kidneys serve as filters, what seniors eat affects their function. A kidney-health diet can reduce strain on the kidney and improve health.

Dietary Tips for Kidney Health

Generally, protecting the kidneys or reducing strain on them involves limiting the intake of sodium, potassium, and phosphorus. Limiting these nutrients is commonly referred to as “the renal diet.”

These tips can help seniors follow the renal diet:

Reducing Sodium

Never add salt to food
Only consume reduced-sodium soups or broths
Avoid frozen meals
Don’t eat foods with 300mg or more sodium per serving
Check labels to be sure no salt is added
Do not buy foods preserved in a “solution”

Reducing Potassium

Avoid melons and bananas
Do not drink orange, prune, or grapefruit juice
Limit tomato-based foods like pasta sauce
Never eat dried beans
Don’t eat cooked green’s, spinach, collards, or swiss chard
Always wash and peel potatoes

Reducing Phosphorus

Reduce dairy intake to 1 cup per day
Limit broccoli, mushrooms, and brussel sprouts to 1 cup per week
Cereals like bran or oatmeal should be eaten no more than once a week
Do not drink soft drinks or beer
Choose white bread over whole grains

Reducing Proteins

The consumption of foods like meat and nuts should be reduced

( ClevelandClinic )

Kidney-Friendly Foods

Given the many limitations a renal diet requires, many seniors are at a loss about what they can eat. These foods are generally safe for seniors with kidney problems to consume:

Veggies like bell peppers, cauliflower, cabbage, radishes, and turnips
Seafood rich in Omega 3 fatty acids
Low-potassium fruits like blueberries red grapes, cranberries and pineapples
Easier-to-digest proteins like egg whites or skinless chicken
Unsalted seasonings like garlic and onion
Light grains like bulgur and buckwheat

( Healthline )

Signs of Kidney Problems

Blood in urine
Weak or reduced urine output
Pain near the kidneys
Loss of appetite
Puffiness in the legs or ankles
High blood pressure

( Better Health )

Types of Kidney Disease

Polycystic Kidney Disease
Kidney Cancer
Acute Kidney Failure
Nephronia/Nephropathy
Secondary caused by diabetes, lupus, etc.

( Med broadcast )

Home Care Tip

Many seniors grow discouraged by restrictive diets like the renal diet. One way to encourage them is to make their favorite meals or treats using kidney-friendly alternative ingredients.

Long Distance Care for Seniors and their Families

websites@hibu.com (Hibu Websites) — Thu, 30 May 2024 19:21:32 GMT

How to Care for Senior Loved Ones Long Distance

Offering real support and care to seniors is a challenge for many families. For those living far away from senior loved ones, the challenge is even greater.

As families spread out around the country and globe, seniors often rely on the support of loved ones who live far away. Long-distance caregiving has unique challenges, but it can be done safely and effectively. In the US, approximately 5-7 million adults are responsible for caring for a senior family member who lives more than 26 miles away. For seniors and their caregivers, long-distance support is possible through smart strategies. (Caregiver.org)

Common Challenges of Long-Distance Caregiving

Caregiving for senior loved ones is typically challenging. Coordinating services, ensuring a senior's safety, offering companionship, and dealing with emotions are all common difficulities for families. Distance adds more complications.

As a result, common challenges of long-distance caregiving include:

Finding, hiring, and managing professional caregivers
Filling in caregivers during times of absence
Tracking seniors' progress, needs, and well-being
Offering companionship to combat loneliness
Arranging for services like transportation
Gaining assurance of senior safety in their own homes
Feeling disconnected or out of the loop in the caregiving process
Paying for quality care plus travel expenses

( NCBI )

Fun Facts about Aging in the Modern Day

Only 3% of seniors live in nursing homes
Many seniors choose to live in retirement communities with age restrictions, and often times their children don't meet those requirements
A large number of seniors choose to never retire and remain independent.
An increasing number of seniors like to travel for fun
Approximately 1/2 of seniors in the US use social media and like to connect online.

Strategies for Successful Long-Distance Caregiving

Long-distance caregiving has become increasingly common due to the changing lifestyles of both seniors and families. Many caregiving agencies are now equipped to include long-distance loved ones in caregiving. Advance in technology also make it possible for far-away family members to be involved in caregiving.

Smart strategies for long-distance caregiving include:

Selecting a caregiver agency that uses technology to offer real-time interaction and transparency between in-person caregivers and family members
Using video calling technology to stay connected with seniors on a regular basis
Hiring companions, transportation, and other services designed specifically for seniors
Opting for the support of a professional senior care agency
Setting up automatic bill pay and other regular needs so seniors don't have to track them
Making sure access to medical records has been granted to those living away.

( Money US News )

Smart Tech for Long-Distance Care

Video-calling devices
Video doorbells that connect with family member's phones
Caregiving tracking and communication apps
Wi-Fi lights that can be controlled remotely and by voice
Biosensors that offer health and movement information

( NCBI )

Home Care Tip

Often, seniors and long-distance caregivers are anxious about each other's well-being. Stay positive in conversations with either party. Reassurance can many times improve the situation.

Caring For Mentally Alert Seniors with Physical Limitations

websites@hibu.com (Hibu Websites) — Thu, 16 May 2024 19:21:34 GMT

Being physically limited while mentally alert can be especially difficult. There are ways to cope with this situation though.

Many people feel that their brains stay young even as their bodies age. Physical challenges affecting mentally alert seniors can be frustrating as a result.

Many aspects of aging are challenging. The deterioration of the body is one of those challenges. For seniors who are mentally alert, coping with physical limitations can be especially difficult. There are several ways to help senior’s mental wellbeing while they struggle with their physical health.

The Challenges of Being Alert but Limited Physically

When a person ages, they can expect to experience some deterioration. What many seniors don’t expect, though, is how difficult it can be to become physically limited while remaining mentally aware. Some compare the experience to feeling like a young person trapped in an elderly body.

Challenges that result include:

A loss of ability to participate in physical activities
Increased dependence on others for everyday life
Mental stamina that is greater than physical endurance
Frustration with desires to act that cannot be carried out
Depression from a perceived loss of purpose or independence
Anxiety over physical changes and limitations

Signs of a Mentally Strong Senior

Can carry on fluid conversations
Remembers recent activities
Is socially engaged
Is aware of current news
Can communicate needs and challenges
Engages in mindful activities like reading
Recognizes physical changes and limitations

Coping with the Physical Aging Process While Mentally Young

Since anxiety and depression can result when mentally alert seniors struggle with physical challenges, it is important to protect their emotional well-being. Coping mechanisms many seniors find helpful include:

Adopting hobbies that require mental agility but little physical effort
Using technology and tools to adapt to physical limitations
Retaining independence in whatever ways are possible
Regularly engaging socially apart from physical activity
Having access to transportation if independent driving is not possible
Participation in reasonable physical activities, especially to prevent further limitation

Preventing Depression Among Seniors

Depression can increase mortality rates and overall health, especially among seniors. Since physical limitation can contribute to depression, it is important to help physically impaired seniors prevent depression.

Preventing depression can include:

Regular social engagement
Mentally stimulating activities
Participating in purposeful hobbies
Receiving counseling
Adaptations that promote independence
A positive attitude
The support of loved ones

Home Care Tip

For many mentally strong seniors, a positive perspective can make coping with physical challenges easier. Remind seniors of the people who love them and value them. Help them focus on their purpose and pleasures. Offer a perspective of gratitude and hope instead of dwelling on limitations.

Keeping Seniors Safe on the Road

websites@hibu.com (Hibu Websites) — Thu, 02 May 2024 15:52:03 GMT

Driving Safety for Older Adults

December 2 to 6 is Older Driver Safety Awareness Week. Given 18% of all traffic fatalities are people who are 65 years of age or older, it is important to learn about senior safety on the road. ( National Highway Traffic Safety Administration )

Increasing Driver Safety for Seniors

Encourage seniors to increase their safety on the road with these tips.

Stay active to maintain flexibility and strength
Make sure brakes, steering wheel, and seats function smoothly
Drive at times of day with good visibility
Keep up to date on vision and hearing checks
Use adaptors like extra mirrors
Leave extra space between vehicles and stay below the speed limit
Ask doctors about medications and their effects on driving

( National Institute on Aging )

Changes Influencing Seniors on the Road

Given how experienced most of them are as drivers, it can be hard for seniors to accept there are safety concerns about their driving. It's important for them to know this isn't because they are "bad drivers."

Age-related changes that affect driving for seniors include:

Limited vision or hearing
Decreased reaction time, judgment, or attention due to health conditions
Poor posture
Weakness when operating a steering wheel, brakes, etc.
Memory loss that leads to getting lost or confused
Medications that impair judgement and reaction times

Night-time driving exacerbates the effects of these changes on senior safety as well. ( AARP )

Look for a CarFit Program

Did you know there is a national program called CarFit that offers free senior driver safety checks? Qualified volunteers take 20 minutes to assess seniors' vehicles and make recommendations to improve safety. Look up events near you at car-fit.org ( CarFit )

Conversation Starters about Seniors' Road Safety

Driving can be a sensitive topic for seniors. Use these questions to start conversations:

Have you noticed any scratches or dents on your car recently?
Have you experienced anything frightening on the road lately?
Do any of your medications affect how you feel when driving?
Are there any signs on your usual route that have been hard to spot?
What's the best route to get between (two points senior should be familiar with)?
Would it be helpful to you if you didn't have to driver all the time?

( National Highway Traffic Safety Administration )

Home Care Tip

Many public, private, and non-profit transportation providers offer discounts or free rides to seniors. Contact a local Area Agency on Aging (AAA) for listings near you. For non-emergency medical transportation, contact Medicaid. If a senior is struggling with the idea of driving less, encourage them to try these affordable options and experience how much freedom they will still have.

Why Seniors Should Share With Younger People

websites@hibu.com (Hibu Websites) — Thu, 18 Apr 2024 19:21:21 GMT

How to Help Seniors Connect with Younger People

One of the struggles many seniors face is feeling disconnected from others. Connecting seniors with younger generations gives meaning and enjoyment.

Isolation, loneliness, and sense of purposelessness all contribute to depression in seniors. When seniors have the opportunity to pass on knowledge, their quality of life can improve.

Seniors have hard-earned wisdom, skills, and love to share. Helping seniors connect with others, especially younger people, is beneficial for everyone.

What Seniors Have to Offer Younger Generation

There is no age at which people stop having something to contribute to others. Seniors actually have a lot to offer to younger generations, including their wisdom, experience, and friendship.

Some of what seniors can pass down include:

Recipes they’ve created and/or mastered
Games or hobbies that people of all ages enjoy
Advice from all sorts of real life experiences
Skills like knitting, drawing, woodworking, etc.
Memories of history/ observations of cultural changes
Family history and relationship advice
A great example of listening and caring well

Every individual senior will have different treasures accumulated throughout life that they can share with others. Talk to senior to find out what they are passionate about and then connect them with youth who share similar interests.

How Seniors and Younger Generation can Connect

Seniors and younger people can connect throughout a variety of programs, as well as personal relationships.

* Volunteering

Whether seniors contact a local school and ask how they can help or they sign up with a program, there are many ways they can volunteer with younger people. Many libraries, preschools, child care programs, clubs, and religious programs welcome older volunteers.

* Writing

The wisdom, stories, and lessons seniors have amassed over their lives are valuable. Senior can write a memoir, record their voice while they tell a stories, or ask for transcription assistance from younger people.

* Using Technology

Technology today allows seniors to connect with younger people anywhere.using skype or a similar program, seniors can have conversations or teach skills to youth all over the world. Some schools also support virtual pen pal relationships between seniors and kids.

Reasons Seniors Should Connect with Younger People

#1 reason: seniors and young people can learn from each other

Other reasons include:

Improved quality of life for seniors
Greater sense of purpose
Companionship
Sharpens seniors memories
Exposing youth to the aging process develops compassion
Strengthening communities

Younger Groups Seniors can Connect With

Children/grandchildren/neighborhood kids
Boys and girls clubs like 4-H or boys scouts
Religious classes or groups
Library reading groups
School classes needing volunteers
Vocational tech groups
Daycare/preschools
After school programs

Home Care Tip

If a senior has physical limitations or communication issues, it may be best for seniors to volunteer by working on projects at home. For example, a senior could recorded stories or make crafts that they help deliver to family members or other people instead of working alongside them out of their home.

Aging Adults and Diabetes: What you Need to Know

websites@hibu.com (Hibu Websites) — Thu, 04 Apr 2024 19:21:05 GMT

Managing Diabetes as Part of Senior Care

Diabetes is a disease that affects the way the body processes food, especially sugar. Many seniors have a form of diabetes, which can become serious if it isn’t managed. Learn basic facts about diabetes prevention and management. ( CDC )

Types of Diabetes

There are two types of diabetes, type 1 and type 2. While type 2 is much more common, especially among aging adults, type 1 diabetes can also affect seniors.

Type 1 Diabetes

Chronic
Unpreventable
Diagnosed with a blood test
Checked on through regular blood sugar tests
May require regular insulin injections or a pump

Type 2 Diabetes

Chronic
Sometimes preventable
Diagnosed with a blood test
Checked on through periodic blood sugar tests
Often manageable by lifestyle and diet changes; may require medication

For seniors with type 1 diabetes, care should continue as normal. Caregivers should pay special attention for symptoms of hypoglycemia and take care to help seniors manage their disease as common parts of aging, like memory loss or lack of routine, increase the difficulty of maintaining a healthy state. ( Healthline )

About Type 2 Diabetes and Seniors

Symptoms:

Feeling tired
Being unusually hungry or thirsty
Accidental weight loss
Frequent urination
Blurred vision
Skin infections
Healing slowly from cuts and bruises

Type 2 Diabetes Management:

See a dietician for help with meal planning for a healthier diet
Get regular exercise (personal training is often discounted for seniors)
Track glucose levels with blood tests as directed by a doctor
Lose weight if obesity is contributing to the disease
Choose a healthy lifestyle to decrease risks associated with diabetes like stroke (stop smoking, get more sleep, attend annual physical exams)

Medical Tests:

Blood test can diagnose diabetes and sometimes even shows signs of prediabetes. Seniors should be screened for diabetes at annual appointments and ask a doctor for blood test if symptoms develop.

In some cases, medication is part of type 2 diabetes management. Ask a doctor if any medications could be helpful in preventing type 2 diabetes from worsening. Be sure a senior’s caregiving team is in sync concerning diabetes care to keep blood sugar levels healthy. ( National Institute on Aging )

Type 2 Diabetes Prevention:

Many people can lower their risk of type 2 diabetes by making lifestyle changes like:

Losing weight
Getting regular exercise
Eating a healthy diet
Taking prescriptions as recommended by a doctor

Seniors should take prevention very seriously if they are told they have prediabetes, which predisposes them to develop the disease. ( WebMD )

Type 2 Diabetes Risk Factors

Seniors are at greater risk of type 2 diabetes if they:

Are over 65 years old
Are overweight
Have a family history of diabetes
Are sedentary
Had gestational diabetes while pregnant

( National Institute of Aging )

Home Care Tip

Being diagnosed with type 2 diabetes can be discouraging for seniors. The risks of worsening diabetes are serious: people sometimes require amputations. Be supportive and understanding. Find a support group or classes about type 2 diabetes to help seniors stay positive and make healthy choices.

Finding the Right Mobility Aids for Seniors

websites@hibu.com (Hibu Websites) — Thu, 21 Mar 2024 19:21:20 GMT

Mobility Aids for Seniors

Many seniors experience difficulty getting around independently. Mobility aids can offer stability and support.

If a senior is unstable performing motions like sitting down or walking, it is essential to find mobility aids that fit their needs and ensure their safety. Approximately 1/3 of older people living at home fall at least once a year. It's common for seniors to need mobility aids for safety and support. ( MerckManuals )

Common Mobility Aids for Getting Around

For seniors living at home and maintaining a high level of independence, common mobility aids are simply designed to help them gedt around. Options include:

* Canes

- Designed to increase stability and compensate for minimal balance issues

* Power Scooters

- Support those who cannot walk long distances but have upper body control and stamina

* Walkers

- Help support those with significant stability problems but moderate upper body strength

* Wheelchairs

- Offer mobility to those unable to walk safely on their own. Variations of sterring ability available.

* Rollators

- For those with severe stability issues who lack upper body strength and balance.

Possible Results of Senior Falls

Sometimes mobility issues are just inconvenient for seniors. Other times mobility issues put them at risk for falling. Falls can be very dangerous for the aging. Faling can result in:

Bruises
Fractures
Breaks
Need for physical therapy
Surgical correction
Hospitalization
Death

( MerckManuals )

Mobility Aids for a Safer Home Enviornment

Some mobility aids aren't designed to support long-range motion. Instead, they make the home environment safer and increase independence with specific tasks. Improve home safety and mobility by installing:

Rails along stairs, near bathroom fixtures, in hallways, etc.
Tub/bath transfer seats or benches
Supportive seat cushions
Grab handles for getting in/out of a car, bed, couch, or chair
Rolling over-bed or over-couch tables
Additional lighting or voice command lighting to improve visibility
Non-slip flooring that is securely tacked down
Stairlift
Ramps to replace stairs

Mobility Problem Risk Factors

A number of issues can increase seniors' risk of struggling with mobility and balance.

Diminished eyesight
Diabetes or heart disease
Thyroid problems
Nerve issues
Medications
Dizziness
Muscle weakness
Gait changes
Postural hypotension
Foot pain, deformities, or poorly-fitting footwear
Confusion or memory problems
Environmental factors like lack of lighting

Paying for Mobility Aids

Insurance companies, as well as some grant or senior care non-profits, may help cover the cost of mobility aids. Ask a doctor or local agency for the aging for ideas on where to start seeking financial assistance for mobility devices.

Home Care Tip

Style matters. If seniors seem unwilling to accept mobility aids, consider options that look sleek or fit their sense of style. Sometimes a device that feels personalized makes a difference for seniors struggling to accept necessary changes.

Allergies and Senior Care

websites@hibu.com (Hibu Websites) — Thu, 07 Mar 2024 20:21:17 GMT

How to Help Seniors with Allergies

Everything from the changing of the seasons to a crumb or food can cause a reaction for someone who has an allergy. For seniors, allergies can be especially dangerous.

Seasonal allergies alone affect 50 million people in the U.S. Seniors can be affected by these allergies, as well as food, pet, dust, and other types of allergies. As seniors face other challenges associated with aging, it’s important to help them with allergy management. ( Hopkins Medicine )

Common Allergies among Seniors

Although allergies often develop in childhood, it’s not uncommon for people in their 50s, 60s, or 70s to suddenly develop allergies. The most common causes of allergic reactions in seniors are the same as the most prevalent allergies in general.

Common types of Allergens include:

Seasonal

Pollen
Weeds
Certain plants

Environmental

Mold
Dust
Certain Animals

Food

Peanuts
Shellfish
Ingredients in Medications

If seniors display symptoms of allergies like a runny nose, upset stomach, headache or rash after exposure to an allergen, it’s important for them to consult a doctor. ( WebMD )

Tips for Managing Allergies

Whether seniors have been managing allergies for years or are learning to deal with onset allergies, it is important that they have help.

Some aspect of aging, like memory loss or reliance on medications, can affect seniors’ abilities to handle their allergies. Environmental allergies, like an allergy to mold, can also be difficult for seniors to manage if they have trouble maintaining a clean home on their own.

Help Seniors by:

Keeping a list of allergens available for all caregivers
Including allergies on medical alert tags or other places emergency personnel might look
Keeping allergens out of the home, including as meal ingredients for other family members
Finding indoor activities for seniors with seasonal allergies during hard times of year
Asking medical personnel if allergies and a senior’s medications might conflict
Finding allergen-free recipes
Helping maintain a clean home
Knowing what to do (and educating seniors about what to do) if an allergic reaction occurs ( Asthma and Allergies )

How Allergies Affect Seniors

Part of aging is the degeneration of the immune system, organs, and other elements of the body. For seniors, that can mean allergens that once weren’t a big deal now result in a constantly runny nose or another more intense symptom. Some medications can also exacerbate symptoms. Don’t take senior allergies lightly. Ask doctors how to manage allergies best. (Life Care Services)

Symptoms of Allergies

Seniors should be checked for allergies if they have symptoms like:

Itchy/running nose
Congestions or wheezing
Dry or inflamed skin
Rashes
Watery eyes
Headache
Mucus and nasal discharge
Persistent cough
Swelling

( SeniorCaring )

Home Care Tip

Integrate allergy management into any tracking provided to seniors and their families. For instance, include allergy medication on daily meds trackers and add cleaning task specifically preventing dust and other allergens to task lists.

Preventative Health Strategies for Seniors

websites@hibu.com (Hibu Websites) — Thu, 22 Feb 2024 20:21:07 GMT

As Seniors Age, Their Risk of Disease and Health Problems Increases

Preventative strategies can help seniors live healthier lives with fewer risks.

60% of older adults manage two or more chronic conditions, according to one study. Some conditions that affect seniors are preventable; others aren’t but may be improved if they are recognized early enough. ( Healthypeople.gov )

There are several preventative strategies seniors can use to protect their health and reduce their risks, including certain medical tests. It’s important for seniors to have these screenings performed.

Common Preventative Services for Seniors ( Healthine: Family Doctor )

Everyone Over 50

Colorectal Cancer Screening
Annual Wellness Exam
Influenza Vaccine
High Blood Pressure Screening
Skin Check
Mental Health Checkups

Everyone Over 65

Annual Pneumococcal Vaccines
Diabetes Screening
Thyroid Screening
Annual Vitamin D Test
Bone Density Scan
Semi-Annual Hearing Test
Annual Periodontal Exam
Shingles Vaccines
Annual Eye Exam

Women

Over 45

Cholesterol Screening

Over 50

Annual Breast Cancer Screening
Pelvic Exam and Pap Smear

Over 65

Osteoporosis Screening

Over 35

Cholesterol Screening

Over 50

Prostate Cancer Screening

How to Keep Track of Test and Screening

With so many steps to take for preventative care, it’s easy for some tests to be overlooked or forgotten. Seniors should keep track of which services they have had performed and when. Some helpful methods for tracking include:

Keep a checklist of annual screenings to be filled out each year
Ask for copies of test results to keep in a binder
Grant doctors’ offices permission to share files with each other electronically
Sign up for electronic health records websites used by doctors’ offices
Keep a long-term record of screening, procedures, and other notable medical events to bring to annual wellness appointments

( EverydayHealth )

Top Reasons to Take Preventative Measures

Did you know some preventable disease can develop without noticeable symptoms? That’s one reason why screenings are important. Other reasons to have screenings as an older adult include:

Might take actionable steps if warning signs of problems are detected
Possibly identify disease early enough to treat them
Reduce the impact of some conditions
Improve the chances of living a long and healthy life

( Very Well Health )

Other Preventative Health Strategies

Besides screening, tests, and vaccinations, the top strategies seniors can use to prevent health problems include:

A healthy diet
Regular exercise
Getting rest

( NCBI )

Home Care Tip

Many preventative services, like wellness exams or certain vaccines, are covered by most health insurance providers. Ask insurance providers for a full list of free services seniors can take advantage of.

Heart Health For Seniors

websites@hibu.com (Hibu Websites) — Thu, 08 Feb 2024 18:33:08 GMT

Protect Senior Heart Health During American Heart Month

Since heart disease is the leading cause of death in the United States, especially among seniors, it is important for caregivers to know the facts.

17.6 million deaths each year are caused by heart disease. Seniors are especially prone to cardiovascular complications. Learn about heart health to protect against this threat.

In 1964, more than half of American deaths were the result of cardiovascular disease. Although this percentage has decreased, heart disease is still the leading cause of death in the United States.

Every February is designated as American Heart Month by the federal government to encourage individuals to learn about, prevent, and address heart problems. Since seniors are especially at risk, it is important that caregivers understand heart disease.

( The American Heart Association )

Types of Heart Health Problems

There are a wide variety of heart health problems. Cardiovascular disease is a term used to broadly describe the plethora of problems that can impair the cardiovascular system.

Specific cardiac issues include, but are not limited to:

Diabetes
Hypertension
High Cholesterol
Cardiomyopathy
Arrhythmia
Valve Problems
Pericarditis
Stroke
Heart Attack
Heart Failure

While some of these conditions are manageable, others can be fatal if they are not handled properly. It is vital for seniors and caregivers to learn the signs of heart problems.

( The American Heart Association )

Heart Facts for Seniors

121.5 million American adults have a cardiovascular disease
50% of cardiovascular procedures were for people over age 65 in 2014
Heart disease is the leading cause of death in the United States among seniors
Men

77% of men between 60-70 years old have a heart disease
Nearly 7% of males age 60-79 have heart failure
The average age of 1st attacks is 65.6 years

Women

66% of all stroke patients age 85 and older are female
Cardiovascular events tend to occur later in life for women than men
High blood pressure is more common in women, averaging 85% for those over 75

( The American Heart Association )

Signs of Cardiovascular Issues

Symptoms That Need Immediate Medical Attention

Emergency treatment should be sought for signs of heart attack and/or stroke, such as:

Chest pain or tightness
Upper body pain in the jaw, neck, back or arms
Difficulty breathing
Sweating
Vomiting and/or nausea
Dizziness or lightheaded
Facial drooping
Slurred speech
Slurred speech
Unconsciousness/fainting
Anxiety
Heart palpitations
Fatigue
Numbness
Impaired vision

Signs it is Time to Schedule a Doctor's Appointment

Many heart conditions can be managed with regular treatment or lifestyles changes. These conditions often present with mild symptoms. Seniors should schedule an appointment with their primary physician or cardiologist if they experience symptoms of heart disease like:

Fluttering in the chest
Fast, slow, or irregular heartbeat
High or low blood pressure
Lightheaded
Ongoing fatigue
Dizziness, fainting, or near fainting
Difficulty breathing after exercise
Lower body swelling

( Mayo Clinic ), ( Mayo Clinic )

Tips for Heart Healthy Caregiving

Treatment for heart disease varies according to the specific illness. Some treatments are as simple as dieting. Others may require medication.

In general, caring for an individual with heart problems will require lifestyle changes. Caregivers can help seniors protect their hearts by:

Reducing sources of stress
Providing a heart-healthy diet
Encouraging rest and taking physical activity slowly
Creating low level exercise regimens
Offering medication reminders
Watching for signs of change in heart and health

( WebMD )

Home Care Tip:

For some seniors, heart disease can create fear and stress. Caregivers can offer support by remaining positive and offering solutions to reduce stress levels. Heart disease is not an immediate death sentence. A long life can be achieved through lifestyle changes in many cases.

Caregiver Burnout: Signs & Coping Tips

websites@hibu.com (Hibu Websites) — Thu, 25 Jan 2024 20:21:31 GMT

Being a caregiver can be an exhausting and difficult task. It’s important to recognize caregiver burnout and cope healthily.

Understanding caregiver burnout symptoms and comping mechanisms can help make caregiving more enjoyable and fulfilling.

About 1 in 3 adults serves as an informal caregiver to another adult, like an aging parent or disable relative. Although may find the opportunity to care for a loved one to be a privilege, it can also be demanding. Here is how to cope effectively.

Signs of Caregiver Burnout

Caregiver burnout is a state of exhaustion that may result in a change of attitude. The exhaustion can be physical, emotional, and/or mental. Common signs of burnout include:

Lack of energy
Sleeping to little or too much
Feeling fatigued
Sense of hopelessness, despair
Weight loss or gain
Lost of interest in hobbies and activities
Neglecting one’s own needs
Feeling like one’s, life revolves around caregiving
Growing impatient or irritable with loved ones
Worrying excessively about the future
Mood swings or depression
Challenges coping with everyday tasks or problems.
Headaches, stomach aches, and other physical signs of stress
Getting sick easily

Tips for Coping with Caregiver Burnout

Burnout doesn’t have to be permanent condition. Use these tips to prevent and cope with caregiver burnout.

Ask For and Accept Help
Others may desire to be or willing to help caregiving tasks, even if only temporarily.
Set Realistic Goals
Understanding that not all tasks can be done all of the time. Consider saying “no” to extra requests and demands.
Connect with Others
Find a support group, talk to a friend regularly, and connect with others who can listen and understand.

Avoid Common Causes of Burnout

Caregiving for too many hours, not having space to process emotions, lack of sleep, and other issues are common causes of burnout. Avoid these to recover and prevent further exhaustion.

Make Time for Yourself
Make time for rebuilding and recharging – consider scheduling time for the gym, naps, doctor appointments, and self-care activities.

Caregiving by the Numbers

Caregiving is common in the United States

About 43.5 million people offer unpaid caregiving in the U.S.
About 15.7 million caregivers are helping someone with memory illnesses
About 75% of caregivers are female
About 57% of caregivers preform clinical tasks
The average caregiver is 49 years old
Family caregivers send 24.4 hours caregiving a week on average
40% of caregivers are in high-burden situations

Due to the prevalence of caregiving in the U.S., support groups for caregivers are common. These can be helpful in preventing and coping with burnout.

Burn out Risk Factors

Caregivers are more likely to experience burnout if they:

Are female
Live with the person they are caring for
Are socially isolated
Have depression
Face financial difficulties
Spend most of their hour’s caregiving
Didn’t have much choice in caregiving options

Home Care Tip

There are many options for caregiving. Caregivers should not feel they are the only ones who can helped their loved ones because the pressure will cause exacerbate burnout. Involve other loved ones in caregiving, find an adult day care, or consider a private aid.

Help Seniors Protect Themselves From Scams

websites@hibu.com (Hibu Websites) — Thu, 11 Jan 2024 20:21:51 GMT

The Most Common Scams Targeting Seniors (And How to Avoid Them)

Seniors are often targeted by con artists. Scams are most often conducted through the phone, mail, or internet.

The FBI, the Federal Trade Commission, the United States Justice Department, and many law enforcement groups have all made statements about seniors being targeted for scams. Women over 60 who live alone are particularly susceptible.

In recent years, con artists have taken advantage of a number of older Americans by scamming seniors. Realizing that many seniors have money but little knowledge of technology or current scams, criminals see opportunity. You can help protect seniors by sharing information with them about common senior-targeting scams.

Senior Phone, Mail and Door-to-Door Scams

Many scams targeting seniors are carried out over the phone. These are the most common to watch out for:

Health

Health insurance scams requesting personal information
Health insurance scams offering or requesting money
Medical equipment telemarketing
Medicare billing calls
Telemarketers claiming Medicare covers their services or products
Blank health forms requiring signatures

Charity

Telemarketers requesting financial information over the phone
Claims that unfamiliar local charities need funds
Request to support individuals or invest in new charities

Home Goods and Services

Door-to-door repairmen or contractors who have not been requested
Service personnel claiming to be sent by a utility company without prior notice
Contracts without refund, cancellation, or other legal details
Providers looking to install equipment without prior request
Anyone wo asks for money before work is completed

IRS and Service Provider Scams

Phone calls supposedly from the IRS requesting information or money
Tax or service related mail asking for a signature or money besides regular bills
Offers or winnings for contests or lotteries seniors have not entered
In-person visits without prior notice from supposed collections agents
“Bank” or “bank card” requests for personal or financial account information

( NCOA )

Digital Scams Targeting Seniors

Many scams that target seniors use digital technology, especially pop-ups or emails, since seniors are less likely to understand what is or isn’t valid online. Look out for:

Emails claiming someone is in danger or needs ransom
Emails that say: “Re:” but are not replies to emails seniors have sent
Emails about goods or services “purchased” that have not been purchased
Pop-ups that claim ransom or software is needed to unlock the computer
Offers for tech support or protection software from unfamiliar companies
Any requests for passwords, personal information like a social security number, or money made by companies seniors do not have an account with
Emails supposedly from known providers or companies that are not :com: or that look unprofessional
Services offered by unknown entities, including “tax accountants” that are unfamiliar
Offers or winnings emailed or in a pop-up that seniors did not sign up for

( Federal Trade Commission )

How to Protect the Elderly

Encourage seniors to:

Allow loved ones to be involved in their finances
Ask a trusted loved one about any requests for personal or financial information
Require written documentation before agreeing to a contract or giving away information
Ask for a certified letter when government agencies call
Never hire someone or allow someone inside if they are going door-to-door
Refuse to make on-the-spot decisions, ask for contact information instead
Sign up for the National Do Not Call Registry 1-888-382-1222
Verify with known representatives using official provider numbers when receiving calls on the providers behalf.

( AgingCare )

Home Care Tip

Develop a list of the names, numbers, and email addresses of senior’s utilities, insurance, and other finance-related providers. Urge seniors to contact those designated provider representatives using the list instead of discussing legal or financial matters with people who call them.

How To Help Homebound Seniors Stay Active

websites@hibu.com (Hibu Websites) — Thu, 28 Dec 2023 20:21:19 GMT

Seniors who are homebound face extra challenges. Loneliness, lack of physical activity, and more can become problems. Help senior stay active.

Being homebound as a senior can increase risk of loneliness, stress, lack of physical activity, and more. It is important for seniors’ health to stay active even if unable to get out.

Up to 3.6 million people over 65 in the US are considered housebound. Often, those who are housebound suffer from medical and/or mental illnesses. Between the isolation of being at home and the challenges of illnesses, homebound seniors often have trouble staying active.

Common Challenges Homebound Seniors Face

Seniors who are homebound often suffer from a medical problem, psychiatric disability, or a memory disorder. When seniors are homebound, they often face challenges like:

Being isolated
Feeling of loneliness
Hardships getting medical care/going to appointments
Difficulty buying groceries and other essentials
Mobility problems within the home
Lack of exercise and physical activity
Trouble finding mental stimulation
Few conversations or social connections
Decreased quality of life

Top Reasons Seniors Become Homebound

Limited mobility
Weakness
Poor balance
Medical conditions
Memory disorders
Mental health problems
Lack of social support or assistance

Top Ways to Help Homebound Seniors Stay Mentally Sharp

Crosswords
Puzzles
Reading
Learning something new
Regular conversations
Practicing memorization

Tips for Staying Active When Homebound

Staying active can help seniors who are homebound to live higher quality, healthier lives. Use these tips to help seniors stay active:

Find Exercises That Seniors Can do At Home

Physical activity is a natural form of stress relief. It also helps seniors stay flexible, fit and healthy. Some great exercises for homebound seniors include:

Stretching
Seated strength training
Aerobic exercise
Yoga

Help Seniors Enjoy a New Hobby

Trying something new cna help seniors stay sharp and active. Activities like knitting, reading, painting, wood carving, and scrapbooking, are great choices.

Set Seniors Up in Online Communities

There are lots of ways for seniors to connect with others online. If they really like writing, for example, they could write a blog. Online communities, chat rooms, and digital games all allow seniors to socialize without leaving home.

Play Games Regularly

If seniors have favorite board or card games, make time to play on a regular basis. They may also be able to play some games by themselves.

Encourage Visitors

Socializating doesn’t require going out. Seniors can connect with others by:

Having visitors over
Hosting groups and activities
Using skyo to catch up with friends or loved ones

Taking Care Of Their Place

For seniors able to perform some maintenance, cleaning, or decorating tasks, it is good to keep at it. These sorts of activities can help seniors stay active and take pride in their home.

Home Care Tip

Often being homebound can be discouraging for seniors. Help them stay positive and encourage them to stay active by participating in their activities.

Tips for a Safe & Happy Holiday Season for Seniors

websites@hibu.com (Hibu Websites) — Thu, 14 Dec 2023 18:18:55 GMT

Support Senior Safety and Happiness During the Holiday Season

The holiday season tends to carry changes in routine, decor, diet, and more. For seniors, these shifts can hinder safety and make the season stressful. Use these tips to ensure seniors have a happy, health holiday.

Top Challenges to Holiday Safety

Traveling alone
Disrupted routine
Missed medications
Unhealthy diet
Time spent sedentary
Loneliness
The expense of gifts
Too much activity

( Care.com )

Mental and Emotional Health Tips

Although holidays like Thanksgiving, Hanukkah, Christmas, and New Year's can be happy and celebratory, for many seniors these holidays, feel lonely. Increased instances of moods and depression can result.

Help seniors stay safe mentally and emotionally

Encourage social activity, even if through technology like video chatting
Offer holiday activities, like decorating, crafting, or selecting gifts
Make healthy versions of holiday food favorites
Ask seniors about their traditions and memories
Help by listening, sympathizing, and reminding them of their faith or values

( Seniors Matters )

Holiday Travel Safety for Seniors

Visiting with loved ones during the holidays is often a source of joy, but traveling can be hard on seniors. Those planning to travel should:

Talk to a doctor ahead of time about health concerns
Ask for enough medication to cover time away and questions about time zones affecting medication schedules
Wear compression socks if flying or spending a long time in the car
Bring copies of important documents like health insurance and emergency numbers
Give copies of travel itineraries to loves ones
Carry medications and essential items on the plane or in the car in case of emergency or disruptions to plans
Wear a medical ID if needed
Use hand sanitizer and wash hands to avoid germs
Ask for an escort or wheelchair to help navigate airports safely
Drink plenty of water to stay hydrated

( Health in Aging )

Fun Holiday Activities for Seniors

Spread cheer among seniors with activities like these:

Make a wreath or a stocking or decorations
Reminisce about the past and talk about tradition origins
Listen to holiday classics
Prepare favorite foods
Connect with loved ones
Pick out presents and cards
Go for a walk somewhere indoors
Watch a holiday classic

( DailyCaring )

Home Care Tip

For seniors with memory-related issues, breaks from routine can be especially problematic. Caregivers can help seniors by writing things down, especially a schedule during the holidays. Setting automatic reminders for medications can also be helpful.

Fun Crafts to Do with the Elderly During Holidays

websites@hibu.com (Hibu Websites) — Thu, 30 Nov 2023 20:21:30 GMT

Make Holiday Memories with Seniors

Take on these simple projects with seniors to make special holiday memories together this season. The crafts are easy and fun.

Part of the joy of the holidays is making memories together. Senior mobility and energy may be limited, but making simple crafts at home are special ways to brighten the holidays.

5 Nostalgic Projects to Make This Holiday Season

These crafts are fit for seniors because they are calm and simple. They’re also nostalgic, adding joy to the time spent making them. Seniors might also enjoy making these crafts to give as gifts over the holidays.

Recycled Card Bookmarks – use ribbon, glue and old Christmas cards to make simple bookmarks
Mason Jar Snow Globes – encourage seniors to put knick-knacks collected over the years in their mason jar snow globes. Only a few materials are needed
Memento Ornaments – clear, hollow ornaments can be fun to fill with special mementos. These are often valued as priceless memory holders and conversation pieces
Scrapbooks/photo albums – good old-fashioned scrapbooking allows seniors to reminisce and share stories with a sense of purpose and delight.
Needlework/sewing project – There are a ton of easy, fast, adult crafts seniors can make using fabric, needle, and thread (or yarn). Search online for adult sewing ideas and directions.

Simple, Decorative Holiday Crafts Seniors will Love

Being able to decorate or make decorations to give as gifts can brighten the holidays for seniors. Decorative items seniors can easily make include

Basic jewelry
Holiday Pins
Candleholders
Gift tags
Ornaments
Pinecone decorations

Check out sites like goodhousekeeping.com or countryliving.com and look up holiday craft ideas.

Benefits of Crafting for Seniors

Making something offers a number of benefits to seniors, especially during the holidays. Benefits include

A sense of purpose
Joy of giving gifts
Something to share with others
Nostalgic feelings and reminiscing
Honing skills
Learning something new
Memory making
Conversation starters
Adding cheer to living environment
Mental boosts

Make Holiday Projects More Special

Wheter seniors really love making crafts or not, spending time working on projects over the holiday can create precious, joyful memories. There are many ways to make these activities more meaningful to seniors.

Turning on holiday musics
Planning projects as gifts to loved ones
Inviting friends or family to participate
Using the projects to decorate
Encouraging storytelling and memory-sharing while crafting
Completing projects to donate to charity
Incorportating mementos or favorite knick-knacks into crafts
Making regular time to work on crafts over the season

Home Care Tip

Some seniors' fine motor skills deteriorate over time. If that is the case, offer to help seniors write cards and select crafts that don't require precision. Seniors should retain a sense of ownership over projects, even if they are unable to do some of the tasks independently.

How to Make the Holidays Special for Seniors

websites@hibu.com (Hibu Websites) — Thu, 16 Nov 2023 20:21:26 GMT

Creating Holiday Meals and Memories Seniors Will Love

Making the holidays special for seniors can involve such simple things as spending time together and cooking a special meal or two.

Nostalgia has a powerful effect on seniors. By making the holidays special for them, you can improve their quality of life.

The magic of the holiday season doesn’t necessarily wear away with age. Seniors get nostalgic during the holidays, and many still want to celebrate.

Creating a Special Holiday Meal

There are many holiday meals that are heart healthy for seniors. You can find many recipes on web sites such as aplaceformom.com , tasteofhome.com or health.com . Use these ideas to get started:

Main Dishes:

Roasted, lightly seasoned turkey breast
Sweet potato pasta with ground turkey
Turkey meatloaf

Sides:

Pan seared Brussel sprouts with cranberries and pecans
Roasted green beans with almonds
Lemon orzo salad

Desserts:

Oatmeal cookies with cinnamon and raisins
Peppermint tea
Lemon bars

Dress the Meal Up:

Use holiday napkins and/or tablecloths
Help seniors dress up for the meal
Invite loved ones to share the meal with a senior

How to Make Holiday Memories

So much of the holiday season is about reminiscing, reflecting, and togetherness. For seniors, this can be a challenge due to memory issues, health concerns, or family members living far away. You can sweeten the season by intentionally spreading holiday cheer and making memories.

Softly play holiday music, including songs that were popular in past decades
Read holiday cards together and use them to decorate
Create a holiday craft with a senior or help them select/make gifts for loved ones
Look through old photo albums and reminisce with seniors as they share stories
Share your favorite holiday memories and ask seniors about theirs
Plan to attend an even like a holiday concert, pageant, game night or festival
Take a drive to see holiday lights and décor

One Major Benefit of Holiday Celebrations for Seniors

Depression is common during the holiday season, especially among seniors. Feeling sad and alone isn’t good for seniors’ health. When you brighten the holidays for seniors, you may be increasing their lifespan and improving their quality of life. Agingcare.com

Coping with Holiday Hardship

The holiday can be stressful for seniors, as well as risky for their health. Help seniors avoid and cope with these challenges. Care.com

Don’t plan back-to-back activities
Be mindful of the weather
Keep tissues and sanitizer available
Schedule time to connect with long-distance loved ones
Make free or affordable plans
Don’t upset routines like bedtimes
Keep fiber and other nutrients in their diet
Remain positive and sensitive

Home Care Tip

Decorations for the holidays can be dangerous for seniors. Be sure that décor like lights, candles, hanging ornaments, glass pieces, and linens are not in places where seniors would be endangered if they slip, fall, or forget to turn something on or off.

How to Help Seniors Through Sundowners Syndrome

websites@hibu.com (Hibu Websites) — Thu, 02 Nov 2023 13:06:48 GMT

About Sundowners Sundrome

Mood changes are common for aging adults and often accompany health problems. Seniors with memory-related illnesses like dementia or Alzheimer's disease are especially prone to challenges resulting from mood changes. ( NCBI )

One common mood issue among seniors with memory-related illnesses is sundowners syndrome.

Sundowners Syndrome is:

Not a disease, but a common behavior pattern noticed by medical staff and caregivers
A change in mood occurring in the late afternoon, evening or night
Spotted by symptoms of stress, anxiety, restlessness, confusion, and/or aggression
Most common among seniors with dementia or Alzheimer's disease
Worsened by poor lighting, fatigue, or a disrupted schedule

( Senior Living )

Triggers of Sundowners Syndrome

To help minimize triggers, avoid:

Dim or changing lighting
Disruptions to routines
Unhealthy diets
Exciting, energizing activities later in the day
Loud noises and music
Argumentative or commanding tones

( Medical News Today )

Tips for Managing Sundowners Syndrome

While most people seem to calm down later in the day, seniors with memory-related issues experiencing sundowners syndrome tend to get more active. There are several ways to help seniors through this challenge.

Support Sleep

Since disruptions to schedules and lack of sleep can exacerbate sundowners syndrome, it is importnat to support seniors getting good sleep. A solid routine and supplements like melatonin can help.

Use Lighting

Dimming lights seem to be one of the triggers of sundowners syndrome, so it can be helpful to plan to turn more lights on later in the day and keep them on until bedtime. Closing the blinds while lights are on can also minimize symptoms.

Be a Calming Presence

To help seniors' moods stabilize, caregivers should be a calming presence. Limit alcohol intake and activity later in the day. Remain calm if mood swings begin. Remind seniors what time it is and what their schedule holds. This help seniors to relax despite feelings of confusion or anxiety they may be facing.

( WebMD )

Mental Health Among Seniors

According to the World Health Organization, about 15% of seniors live with mental disorders. Some of the top mental challenges seniors face include:

Depression
Anxiety
Dementia
Alzheimer's Disease

Home Care Tip

Careful and consistent communication between caregivers is important for seniors who face sundowners syndrome. This ensures routine are kept, which can alleviate symptoms.

Helping Seniors Through Transitions in Aging

websites@hibu.com (Hibu Websites) — Thu, 19 Oct 2023 14:09:48 GMT

Supporting Seniors Through Age-Related Transitions

Seniors face many transitions. For those who have been independent for a long time, an increased need for assistance and support can be especially challenging. It's important to ease senior's transitions.

Types of Transitions Seniors Face

Some transitions seniors face are obvious, like an illness, hearing loss, or a medical event. However, subtler, equally difficult transitions can also come with decreasing independence.

Types of transitions include:

Loss of privacy as others are more involved in care
Needing to ask for help getting places
Inconveniencing others by asking for support
Inability to participate in hobbies or activities
Reliance on others to remember things and make decisions
Difficulty keeping track of important information and memories
Grief as peers move to care facilities or pass away
Having less control over diet and schedule
Depending on strangers if professional caregiving is needed

( Bay Area Senior Care )

Top Tips for Supporting Seniors in Transition

As seniors face transitions related to aging, they may experience a variety of feelings, including grief, depression, and anxiety. Many seniors who become dependent also face feelings of guilt or failure.

Help seniors through transitions by:

Extending as much autonomy as is safe and healthy
Including seniors in conversations about care plans and their preferences
Easing them into the idea of having someone help them - start out with smaller tasks for short periods of time
Provide reasons like the concern of loved ones or a desire to cover housekeeping for them
Pointing to an authority, like a doctor's recommendations
Listening patiently to seniors' concerns and preferences

Conversations about transitions through aging can be painful for seniors and their loved ones. Remind seniors that you want the best for them and that their lives are meaningful.

( Daily Caring )

Driving-Related Transition Tips

Limits on driving can make seniors especially frustrated with a loss of independence. Use these suggestions to help keep them safe.

Use CarFit, an educational program for seniors to help them make safe driving decisions
Stay up to date on medical tests, including eye exams
Ask seniors about their driving concerns and challenges, offering alternatives and options to help maintain independence

( Guideposts )

Conversation Starters

Try these strategies for starting hard conversations with seniors:

Do your homework so you can offer encouragement and real options
Ask questions with observations (i.e. "How's the house? It must be hard to keep up.")
Offer practical help, like finding a housekeeper, to ease seniors into receiving support
Don't cut seniors out of conversations or decisions

( Caring.com )

Home Care Tip

As seniors begin to receive home care services, it is important to include them in the conversation. It can also be helpful and reassuring to show them portals or other tools that allow their loved ones to be involved in their care, even from afar.

Prostate Health for Aging Adults

websites@hibu.com (Hibu Websites) — Thu, 28 Sep 2023 19:21:04 GMT

Prostate Health for Aging Adults

September is prostate awareness month. Spreading awareness of this disease is important, especially among seniors. Men over age 65 account for nearly 60% of all prostate cancer diagnoses. ( Prostate Cancer Foundation: Patient Guide )

About Prostate Health

Men have prostates, which are small glands located near the bladder. Prostates can develop problems like infections or inflammation. Cancer cells can also form in the prostate, which can develop into tumors. There are more than 20 specific forms of prostate cancer.

Symptoms of Prostate Cancer

Unfortunately, prostate cancer doesn’t usually have symptoms until it is in an advances stage. That’s why screening for prostate cancer is so important.

Screening for Prostate Cancer

There are two main options for screening for prostate cancer. Seniors can receive a blood test, which is called a prostate-specific antigen (PSA) test. A physical rectal exam may also be conducted. If a doctor suspects a patient has prostate cancer, a biopsy is almost always involved in the diagnosis.

Treatment of Prostate Cancer

The most common treatments for prostate cancer include radiation, surgery to remove tumors, and drug-based therapies. ( Prostate Cancer Foundation: Patient Guide )

Prostate Cancer Prevention

No studies to date have definitively proven a prostate cancer prevention strategy. However, some prevention strategies are believed to reduce the risk of cancer overall, and may improve the body’s ability to fight any kind of cancer.

Try:

Eating a healthy, anti-inflammatory diet
Maintaining a healthy weight
Staying active
Attending regularly scheduled doctor appointments

( Mayo Clinic )

Why Screening for Prostate Cancer is Vital

The obvious reason for screening older men for cancer is that early detection increases the odds of survival. There are other reasons for getting screened, though:

Men with prostate cancer may have genes that predispose both their sons and daughters to form of cancer
Data about prostate cancer, even if it is non-aggressive, can be used by researchers to prevent and treat all cancers.
Early detection can reduce the intensity of treatment required, as well as the side effects.
Doctors may be able to begin with the less invasive blood test if a senior’s risk level is low.

( Prostate Cancer Foundation )

Risk Factors for Prostate Cancer

Men should be certain to get screened for prostate cancer if they:

Are over 65
Have a family history of cancer
Have genetic factors predisposing cancer
Are African American
Have an unhealthy lifestyle and poor dietary habits

( Prostate Cancer Foundation: Patient Guide )

Home Care Tip:

For many men, having to experience a rectal exam is the main reason for avoiding prostate cancer screening. Remind senior men that their health (and genes) can affect their loved ones. Any temporary discomfort is worth it.

Seniors And Animal Care

websites@hibu.com (Hibu Websites) — Thu, 21 Sep 2023 19:21:33 GMT

All about Pets and Seniors

When caregiving for a senior, the thought of caring for a pet as well can be overwhelming. However, pets and pet therapy can offer significant benefits to seniors.

Animal-loving seniors can benefit from having a pet or receiving pet therapy. Although it may present challenges, many believe the benefits outweigh the risks and challenges.

Top Pets For Seniors

Dogs

Poodle
French Bulldog
Schipperke
Maltese
Pembroke Welsh Corgi

Cats

Birman
Ragdoll
Russian Blue
British Shorthair
Persian

Planning for Seniors Pets Care

If a senior who is need of caregiving has a pet or is considering getting a pet. There are many factors that need to be considered. Seniors and their caregivers should ask the following when determining whether to get or keep a pet in this season of life:

What animal and/or breed is the most low-maintenance and easy-going?
What assistance will the senior need to care for the pet?
Could the animal pose a serious threat to senior safety?
Is it possible for the pet to belong to a ;oved one and simply visit regularly?
What happens to the pet if the senior cannot care for it any longer?
Can this pet live with the senior in a facility if the senior must move?

Many seniors with pets hire caregivers to help groom and exercise animals as well as to transport the animal to the veterinarian.

Top Tips For Helping Seniors Choose Pets Wisely

Talk to a vet or a pet specialist to identify an animal that is a good match for a senior
Choose a vet that weighs under 20 pounds (many pet-friendly senior facilities have weight limits)
Set up the home so that the pet can access an area to relieve themselves independently
Choose food and water dishes with automatic dispensing so care is lower-maintenance
Socialize the pet with friends and loved ones in case the pet needs to move to a new home
Adopt a pet that is mature and that has already been trained
Arrange for assistance with pet care in case a senior need help

Benefits for Pet Interaction

Interaction with a pet can help seniors:

Gain companionship
Deal with stress
Use less medication
Experience lower blood pressure and cholesterol
Recovery from injury or surgery faster
Stay active
Be more sociable
Avoid depression and loneliness
Fell comfortable and calm

Why Pet Therapy is Wise

Some seniors are simply not able to have their own pets. If they are an animal lover, that can be depressing. Pet therapy is wise alternative to owning a pet. The benefits of pet therapy are diverse, affecting both physical and mental health for the better.

Pet therapy is offered in many senior living communities and facilities. Often, pet therapy groups also visit hospitals and senior centers. Some pet therapists will bring their furry helpers to individual’s home as well.

Home Care Tip

If a pet requires medication, keep their meds far away from a senior’s medication. Otherwise, it is easy for seniors to mix up their meds with pet meds, posing a risk to the health of the seniors and their pet.

Emergency preparedness for National Safety Month

websites@hibu.com (Hibu Websites) — Thu, 07 Sep 2023 19:21:12 GMT

Help Seniors Prepare for Emergencies and Hazards

June is national safety month. This is a great time to check in on our senior home safety as well seniors emergency preparedness plans.

In emergency situations, seniors are often less able than other adults to protect themselves. For example, older adults are 2.5 times more likely to die in fires than the general population. Preparing for emergencies can help keep seniors safe when hazards arise. ( U.S. Fire Administration )

Safety is one of the major concerns of most seniors and their family members when older adults live in their own homes. The concern is valid; injury is the cause of 1 in 40 deaths in America. National safety month each June is a great time to check on the emergency preparedness of seniors and the condition of their living spaces. ( Healthfinder.gov )

Safety tips and technology

Often, improving senior home safety involves making minor adaptations or additions. Use this checklist to minimize risks in the home:

Add supports to chairs, walls, bathroom fixtures, etc.
Uses brighter bulbs and add more lighting
Remove loose rugs and other tripping hazards
Find light switch with built-in nightlights
Get devices like life-alert buttons that seniors can wear
Set loud alarms on stoves, cell phones, and other appliances when they are turned on for a long time or need to be recharged
Create a plan for regular check-ins by friends or family
Keep poisons and chemicals in a secure place away from edible items
Schedule regular checks on fire alarms, carbon monoxide detectors, and other alert systems
Update ventilation to prevent smoke, mold, and other hazardous built up
Remove clutter and arrange furniture for easy navigation
Run cords and other tripping hazards along walls or out of the way
( AARP )

How to Build an Emergency Kit

Besides common home hazards, seniors are also at an elevated risk when emergencies like fires or natural disasters occur. This can be due to factors such as dulled senses had health conditions like memory loss or limited mobility.

Build an emergency kit to protect seniors. Be sure to make the kit something seniors can grab and take with them quickly if necessary

Include:

Emergency numbers like poison control
Personnel emergency contact numbers
A limited supply of essential medications
Copies of insurance/vitial documentation
Spare keys to the home, car, etc
One basic outfit
Water or filtered water bottles

It’s also wise to create a second, similar kit for loved ones to use in case a senior experiences an emergency. Close friends, family members, or caregivers should be told where to locate the kit. For older adults living in areas particularly prone to natural disasters, this second kit should be stored elsewhere, like with a family member

( American Red Cross )

Common Home Hazards for Seniors

For many seniors, illnesses, and natural processes of aging can be threatening. Seniors living in their own homes face additional threats in the form of home hazards. Some medical conditions, like dementia, can make these hazards in the home include:

Throw rugs or steep stairs that could cause falls
Poision for pest or chemicals in cleaning supplies
Carbon monoxide
Fire
Choking
Sharp objects that are not secured
Stoves and other hot devices

( Stay Safe )

Conditions that Make Seniors More Vulnerable

Extra precautions and preparedness are important for seniors who are more vulnerable than others, for instance, the following conditions increase vulnerability:

Memory-related health problems
Chronic fatigue or poor sleeping habits
Living in areas prone to natural disasters
Experiencing poverty
Limited mobility
Multi-level homes
Dulled senses like reduced haring. Eyesight, or sense of smell

Home care tip

To make chemicals and other hazardous materials obvious, add brightly colored labels or stickers. This can help prevent common mistakes and accidents.

Help Seniors Stay Sharp

websites@hibu.com (Hibu Websites) — Thu, 24 Aug 2023 19:21:36 GMT

How Seniors Can Protect Brain Health

Like any part of the body, the brain changes over time. Seniors can protect their brain health both physically and mentally.

Since the brain wears with age, it’s normal for seniors to have small memory lapses. However, more significant brain issues can also develop. That’s why it is important for seniors to protect their brain health physically- and by staying sharp.

Make Brain Care Fun:

Complete a crossword
Assemble a 1,000 piece jigsaw puzzle
Build a model
Take up a new hobby
Record stories or memories
Play unfamiliar games online or in person
Drive a new route
Cook a new recipe
Read nonfiction
Learn new song lyrics
Watch mysteries
Practice a new language

How to Protect the Brian Using Physical Strategies

The brain is an organ. Just like other organs, it’s affected by things like your blood pressure and what you eat. Seniors can decrease their risk of brain-related diseases like dementia by taking care of their brains physically.

Important parts of physically protecting brain health include:

Not smoking or drinking excessively
Exercising regularly
Eating a healthy diet with omega-3 fatty acid
Maintaining a health cholesterol and weight
Managing blood pressure problems and stress
Stimulating the brain’s functions
Sleeping normal hours and durations

Tips for Stimulating the Brain to Stay Sharp

Brain need to stay active to remain healthy. Stimulations is essential for the physical brain health of seniors. It also improves mental wellness, decreasing the risk of depression.

Use these tips to stay sharp:

Complete puzzles and mentally-challenging games
Stay engaged socially
Learn new things independently or through classes
Add variety to routines
Use all 5 senses regularly
Switch hands for basic tasks
Have fun while exercising the brain

Sometimes activating the brain feels challenging. But, most of the time, it’s just part of having fun and challenging yourself to stay creative and try new things. Brain stimulation is most effective if it’s interesting to seniors.

Benefits of a Healthy Brain

Having a healthy brain has its benefits, especially for seniors.

Benefits include:

A sense of purpose
Greater independence
Improved memory
Reduced risk of depression
Decreased boredom
A more positive mood
Increased concentration

Care for the Mind Too

Protecting brain health is about more than memory-seniors are at a greater risk for depression. Staying sharp can add purposefulness to senior’s lives, decreasing the chance of depression. However, it is also important for seniors to mentally relax and de-stress. Encourage seniors to meditate, reflect on positive memories, and deal with emotions like sadness or loneliness.

Home Care Tip

Symptoms of boredom from lack of mental stimulation can be surprising. Instead of recognizing their boredom, many seniors just feel grumpy, lonely, or purposeless. This can lead to appetite, sleep, and mood problems. If you notice these symptoms, try suggesting more mentally-engaging activities.

Helping Seniors Create an Emergency Contact Plan

websites@hibu.com (Hibu Websites) — Thu, 10 Aug 2023 19:21:08 GMT

In case of an emergency, especially an evacuation, its essential for seniors and their loved ones to have a communication plan.

According to FEMA, the most common reasons for evacuation are fires and floods. It’s important for seniors to know who to contact in case of a disaster. A senior’s loved one needs to know who to contact to check on senior safety too. ( OSHA )

When a senior is facing a crisis, like emergency evacuation, they need to know how to act quickly. A disaster communication plan helps seniors and their loved ones know what to do to stay safe and connected in case of an emergency.

How A Disaster Communication Plan Works

The first step in any disaster communication plan is to designate an emergency contact who will check in on a senior

Senior and emergency contact person check in with each other
Emergency contact coordinates with senior to evacuate them
Loved ones and caregivers can check in with emergency contact about seniors status
Emergency contact keeps all parties updated
When applicable, emergency contact helps senior return home
Emergency contact verfies with all parties that senior may be contacted directly

Seniors should select a secondary emergency contact in case their primary isn’t available. Loved ones and caregivers should receive the emergency sontact’s phone number, email address, and mailing address as well. ( CDC )

Role of an Emergency Contact

A senior's emergency contact may be responsible for ( CDC ):

Keeping up with disaster status in a seniors home region
Checking in on a senior safety
Reminding a senior of their emergency plans
Coordinating the evacuation of a senior
Connecting with a senior's loved ones to provide updates
Helping a senior coordinate their return home
Navigating health, insurance, and other needs during times of crisis
Letting loved ones know when a senior can be contacted independently again

Choosing an Emergency Contact

When choosing two emergency contacts. Seniors should choose people who are ( Red Cross ):

From another region (long distance calls are easier to make during disasters)
Able to make important decisions with good judgment
Connected to the senior’s loved ones
Entrusted with access to vital information like accounts, insurance providers information, etc.
Reliable and able to navigate community, healthcare, and emergency service conversations
Willing to coordinate with second emergency contact person

Tips for Disaster Safety ( Admistration for Community Living )

Keep emergency contact numbers in a disaster kit, wallet, and in/near the phone
Provide copies of emergency contact person’s information to loved ones and caregivers
Send copies of essential documents and information to emergency contact, insurance cards
Add numbers of local and national agencies to contacts (CDC, FEMA, CMC, etc.)

Home Care Tip

In times of crisis , it is unsafe for seniors to navigate the options and plans of multiple parties. Verify with seniors and their loved ones that they understand why only one or two emergency contacts should be involved.

What Seniors Need To Know About Osteoporosis

websites@hibu.com (Hibu Websites) — Thu, 27 Jul 2023 19:21:12 GMT

How Osteoporosis Affects Seniors

Its likely more than 200 million people are living with osteoporosis, a medical condition marked by having fragile bones. This condition is especially common among older women, and it could be dangerous. ( NCBI )

May is national osteoporosis month. Since seniors are at greater risk of this disease, it’s important to learn how to prevent or manage osteoporosis.

The Basic Facts of Osteoporosis

What is Osteoporosis?

Everybody relies on their bones for strength, support, and more. Osteoporosis is a disease that weakens bones. As a result, bones are fragile and susceptible to risks like breaks and fractures when combined with conditions like arthritis, osteoporosis can make taks like moving around risky and painful.

Potential outcomes of osteoporosis:

Breaks and fractures
Poor posture
Limited mobility
Complications resulting from break and fractures

What causes it?

For many people, osteoporosis is a side effect of aging. However, it can be exacerbated and accelerated by conditions like rheumatoid arthritis, stoke, and some cancers. Some medications and negative habits, like poor nutrition, can also contribute.

Diagnosing Osteoporosis

Osteoporosis is diagnosed through a bone mineral density (BMD) test. Other exams and laboratory tests are sometimes administered as well. ( National Osteoporosis Foundation )

Preventing and Managing Osteoporosis

Preventing Tips

Preventing osteoporosis protects seniors from bone-related problems. Consider incorporating the following:

Calcium
Vitamin D
Regular exercise
A balance diet

Managing osteoporosis

Learn to prevent falls and what to do in case of a fall
See a doctor for regular monitoring of disease progression
Eat a bone-healthy diet and subscribe to an exercise regime
Take medication to treat osteoporosis

( American Family Physiscian )

Risk factors

Being a women
Getting older
Being of caucasian or Asian descent
Family history
Small body frame
Unhealthy diet
Lack of exercise

( Mayo Clinic )

Symptoms of Osteoporosis

If you are experiencing any of the following signs of bone loss, it is essential you be screened for osteoporosis and other bone-related diseases.

Loss of height
Aches without injury
Poor posture
Oral bone loss condition
Regular fractures

( WebMD )

Home care tip

Since seniors are at greater risk of osteoporosis and falling. It's important for you to learn how to avoid falls, including how to arrange a home safely as well as getting up andc getting down aftely.

( National Osteoporosis Foundation )

Top Tips for Traveling with Seniors

websites@hibu.com (Hibu Websites) — Thu, 13 Jul 2023 19:21:16 GMT

For seniors, travel can be especially challenging or risky. Use these top tips to make senior travel fun and safe.

As adults age, their family members tend to act as long-distance caregivers. The average distance a long-distance caregiver lives from a senior is 450 miles. That means if seniors travel to see their loved ones, they often go a long way. ( Cargiver.org )

It’s common for seniors to have some trouble getting around like they used to do. So, it’s not surprising that long-distance travel can be a real challenge. Here’s how to make travel safer and more comfortable for aging adults.

Options for Travel for Seniors

Although seniors can travel by plane, train, or car, each option has pros and cons.

Traveling by Plane

Pros

A fast form of travel
Can earn loyalty program points
Often accommodates disabilities

Cons

Airports can be overwhelming
Might be expensive
Some are afraid of flying

Traveling by train

Pros

Access to many locations
Passes y moderately fast
May allow for socializing

Cons

Routes can be inconvenient or confusing
Limited options for stops and pricing
Limited accessibility for those with disabilities

Traveling by car

Pros

Control over routes/stops
Can add cushions/supports for comforts
Often most affordable

Cons

Can take a long time
A possibility of getting lost
Driving alone may not be safe

( AARP )

How Seniors can Travel with Ease

For safe, comfortable, and fun travel expenses, seniors can use the following tips:

Prepare Ahead of Time

Practice using a map app, write down directions
Contact airports or train stations to learn about available assistance options
Pack vital items in a carry-on or easily accessible bag in case of emergency or change of plans
Research parking options (get a disability tag if necessary)
Consult a doctor about plans if travel is a concern for medical reasons
Know where medical facilities are located at travel destination

Ask Questions

Don’t be afraid to ask other people for help while traveling. Try to ask people who work wherever you are (in a hotel, airport, etc.) for safety reason. Never offer strangers more details than necessary when asking for help.

Bring Someone/Share with Loved Ones

Find a friend or relative to travel with
Inquire about traveling caregivers if assistance will be needed
Share your location on your phone, as well as copies of your itinerary with loved ones.

( Better Health Channel )

A Senior’s “Bonus” Packing List

Although some of these items may be on most adults’ packing lists, they tend to be extra important for seniors to ensure their safety and comfort. ( USA Today )

Medications/supplements
Support pillow or cushions
Ambulatory/ medical devices
Hearing aid batteries
Doctor list/medical alert information
Compression sockls
Dentures holder/cleaner

Why Most Seniors Travel ( Senior Living )

See family/friends
Multigenerational vacations
Medical specialist appointments
Complete “bucket list” goals
Hosted or group tourist outings

Home Care Tip

Seniors may have difficulty estimating their need for downtime or rest while traveling. Encourage them to make plans that can be flexible so they can enjoy their time away.

Summer Health Tips for Seniors

websites@hibu.com (Hibu Websites) — Thu, 29 Jun 2023 19:21:40 GMT

Stay Healthy This Summer: Tips for Seniors

When the sun is out, so are many seniors. There’s plenty of fun to be had in the summer months but caregivers and their seniors also face unique risks.

According to the CDC, around 31% of weather-related deaths in the US are due to heat-related issues. Seniors, especially those with cardiovascular issues, are at increased risk of health problems resulting form heat exposure. Caregivers and seniors can stay cool using these tips.

When you check the weather, pay attention to the reports of heat waves. A combination of humidity and temperature, heat waves can affect the body temperature dangerously. There are three progressive levels of heat wave indicators to look for.
One of the best ways to prevent heat-related health problems is simply to stay hydrated. Avoid caffeine, which actually dehydrates the body. Drinks 8 glasses of water, fruit juices, and even healthy sport drinks to stay cool and filled up with the needed fluid.
A heat watch indicates that a heat wave may be swelling up, increasing the risk of heat-related health problems. At this point, relocate any outdoor plans you have for the next two days to the indoors.
Heat warnings indicate a heat wave is imminent. Seniors should prepare for outages and being homebound for a few days. Once a heat advisory is issued, seniors need to stay inside cool buildings and drink pliantly of water (Red Cross).
You’re never too old to suffer from sunburn. Protect your skin against sunburn and even skin cancer simply by applying sunscreen with an SPF of 30 or more. Wear hats and light clothing too.
Don’t add heat to everyday living when its already hot outside. Take lukewarm or cool showers or baths. Eat cold meals or room temperature foods. Seek transportation help instead of waiting outside for public transportation.
Light, airy clothing is best in the heat. Tight, dark thick clothing can be problematic. To ensure comfort in air conditioner and outdoors, dress in easy to remove layers.

Air conditioner enables people to enjoy summer comfortably and safely. Some states offer low-income citizens, including many seniors, financial assistance paying energy bills. Another option for staying cool indoors is visiting places with air conditioning, like senior centers, movie theaters, or local libraries ( Benefits.gov ).

Being able to spot the signs of heat-related emergency can save a life. Caregivers and seniors should pay attention to symptoms like:

Headache
Dizziness
Lack of sweat
Weakness or cramping
Stomach problems or nausea
Quickened heartbeat
Difficulty breathing or shallow breathing
Fatigue

Signs like these can be indicators of dehydration, heat exhaustion, or even heat stroke. If you notice these symptoms, take these steps to cool off quickly and seek medical attention ( WebMD ).

Get out of the heat and into a cool space
Remove excess clothing, including shoes & socks
Lie down and elevate the legs
Apply cool, wet towels, drink water, or a sport beverage

If someone is overheated or begins to show signs of heat-related health problems, get the cool quickly. Getting cool can prevent overheating from becoming a medical problem or reduce the severity of a heat-related emergency (Family Doctor).

Home Care Tips:

Summer is exciting, but it’s also naturally taxing on the body. Stay safe while enjoying outdoor activities by moving slowly, sticking to the shade, and having easy access to water.

Summer Outdoor Activities

websites@hibu.com (Hibu Websites) — Wed, 21 Jun 2023 19:21:38 GMT

Outdoor Activities for seniors to Enjoy during the summer

Getting outside during the summer offers actual health benefits to seniors. A Harvard Health study explains that time in the sun raises Vitamin D levels and improves moods ( health.harvard.edu ). For many seniors, a regular mood boost provided by outdoor activity can significantly enhance quality of life.

With health and safety in mind, seniors and their caregivers can enjoy being outdoors during the summer. We have created a list of summer activities that may be of interest to your senior.

In the heat of summer, spending time near water source is great way to cool off. Some seniors may enjoy dipping their feet in the lake, while others may want to sign up for water aerobics class. Fishing is also a popular water-related activity. For those who don’t want to get wet, take a boat ride or simply sitting somewhere with a scenic water view can be refreshing.

For little or no money, bird watching can keep caregivers and seniors occupied and engaged all throughout the summer months. Whether relaxing in a nearby park or traveling to a wildlife refuge, bird-watching is fun a calming. For those who grow passionate about the activity, a few simple tools will enhance the bird-watching experience:

Set of binoculars
A few varieties of bird seed to scatter
Notebook or checklist for recording sightings
Birding app for identifying avian life

Major sporting events may be difficult for seniors, especially events hosted in large arenas where extensive walking, climbing, and sun exposure are required. Local sporting events tend to be friendlier to the aging. Attend youth or recreational sport leagues’ games instead. Just bring a comfortable chair, kick back, and cheer from the sidelines.

Competitive seniors enjoy classic yard games. Caregivers and their seniors might run and informal summer tournament among friends or just between themselves. Just be sure to select yard games that are low impact and appropriate for senior limitations.

Cornhole
Bean bag toss
Croquet
Shuffleboard
Lawn bowling
Horseshoes
Pickle ball

Summer is high time for community fairs and local festivals. Everything from craft shows to free concerts in parks make getting outdoors more exciting. Look for a community calendar on the local government or regional recreational websites.

It’s basic, but taking a stroll is a pastime nearly everyone enjoys. Make going for a walk an outing by choosing different routes each day or driving to a scenic location to soak in the sights. Seniors will not only benefit from the sun, but also from the leisurely, healthy movement.

These favorite hobbies can be moved outdoors on summer days:

Painting
Crafting
Reading
Writing
Scrapbooking
Playing cards
Entertaining friends
Building models

Home Care Tip:

The hottest time of the day is 3 pm. Schedule indoor activities for the mid to late afternoon to keep seniors from too much exposure to heat. Many seniors benefit from napping or eating in an air-conditioned space between 2 pm and 4 pm when it’s hot outside ( Farmer’s Almanac ).

Multiple Sclerosis: The Basics You Need to Know

websites@hibu.com (Hibu Websites) — Thu, 01 Jun 2023 19:21:45 GMT

Multiple Sclerosis: What You Need to Know

Multiple Sclerosis is a disease that can cause varying degrees of disability. Seniors affected by this disease often go undiagnosed.

Some symptoms of Multiple Sclerosis can be similar to those of other diseases, normal signs of aging, and common conditions that affect the elderly. As a result, the disease sometimes goes undiagnosed.

Medical practitioners can’t treat a disease if they don’t know someone has it. Since Multiple Sclerosis (MS) can be mistaken as something else, it is important for seniors and their caregivers to know what to look for.

( EverydayHealth )

FAQS about Multiple Sclerosis

What is Multiple Sclerosis?

Often call MS, Multiple Sclerosis is a chronic disease of the central nervous system. The disease affects the myelin sheaths around the nerves, in turn causing problems in the communication system between the brain and the body. The resulting issues can become progressively worse.

What Impact does MS Have?

Since MS affects the nerves, it can cause a wide variety of issues. The problems resulting from MS are often unpredictable. Some cases are mild, others are severe. Many with MS develop impairments such as vision loss, a lack of control over muscles, and cognitive issues.

How is MS Treated?

Although MS cannot yet be cured, it can be managed with treatment. There are several medications that can reduce the progression and effects of MS. Different therapies and rehabilitation options can also improve quality of life for those with the disease.

Diagnosis Options for Those Who May Have MS

The most common symptoms of MS are also symptoms of a large number of other diseases. They are also similar to what occur naturally experience as they age. If someone you know exhibits symptoms of MS (especially if they have risk factors like a relative with the disease), it is wise to consult a doctor.

A diagnosis of MS includes a combination of tests and examinations. Common tests include:

An MRI to check for lesions in the central nervous system
A cerebral spinal fluid analysis to look for oligoclonal bands
An Evoked Potential (EP) test to check nervous system response time

( SeniorLiving )

Common MS Symptoms

Fatigue that worsens throughout the day
Numbness in the body, face, or legs
Tight muscles in spasm
Weakness in the muscles, especially the feet
Bladder and bowel dysfunction
Vision problems
Dizziness
Pain
Cognitive issues like difficulty focusing
Depression
Sexual dysfunction

( SeniorLiving )

Home Care Tip

People living with MS or who are suspected of having MS may feel hopeless in regards to the disease. Share encouragement. MS is chronic, but not terminal. Many people with MS live productive lives into their 80’s. Staying positive is important.

( EverydayHealth )

Assistive Technology For Seniors

websites@hibu.com (Hibu Websites) — Thu, 18 May 2023 19:21:25 GMT

Technology to Improve Senior Lives

Assistive technology can make a difference in seniors’ lives. Learn about technologies that are designed especially for seniors.

One of the benefits of technology is that it can improve quality of life. Assistive technology for seniors is designed to enhance safety and well-being

Assistive technology for seniors supports their health, safety, and quality of life. There are many types of technology designed for these purposes. Some of these technologies are digital and cutting-edge, others are more basic.

Most Common Assistive Devices for Seniors

There are many types of devices designed to help seniors. The following are the most popular:

Hearing aids
ACTIVATOR Poles
Buttoning aid hook
Bed handles
Long reach comfort wipe
Medical alert devices
Voice-controlled alarm clocks
TV ears
Uplift seating device
Chair lifts
Computer magnifier software
Tablets or ipads
Robotic vacuums
Video doorbells
Monitoring devices
Voice command devices

How to Choose an Assistive Device

With all the options out there for assistive devices, it can be challenging to know how to choose the right one. Seniors can use these tips to chooses the best assistive devices for their needs.

How to Research

Online research, customer reviews, and senior service agencies are great places to find about these kinds of assistive technologies out there. When it comes to comparing the devices themselves, it's best to use verified sources like Consumer Reports.

Where to Buy

Assistive technologies can sometimes be purchased directly from the companies that manufacture them. Big box stores like Best Buy or Walmart sometimes carry devices. Online retailers, like Amazon.com, often sell assistive technologies as well.

What to Consider Before Purchasing

There are several steps you should take before purchasing assistive technology.

Compare consumer product reviews
Verify the manufacturer's reputation with the Better business Bureau
Look for coupons or discounts
Check on return policies

Benefits of Assistive Devices

Help seniors age in place
Increase independence
Improve quality of life
Enable social connections
Protect senior safety
Support senior health
Enhance convenience
Restore senior confidence

Technology for Senior Homes

Seniors living at home can especially benefit from assistive technology. These are many adaptations that can be made to homes to improve senior safety.

Smart senior home technology can include:

Voice-activated lights and alarms
Video doorbells and monitors
Chair lifts and other lift devices
Accesibile fixtures
Mobility aids
Adaptive switches for equipment
Amplifiers for devices with sound
Modern communication devices

Home Care Tip

If seniors need an assistive device but find it too expensive, encourage them to look for grants or other types of aid. Check www.cta.tech for example of programs.

Stroke Awareness

websites@hibu.com (Hibu Websites) — Thu, 04 May 2023 19:21:46 GMT

The Basics of Strokes

Did you know that each person’s risk of stroke almost doubles every decade after age 55? Caretakers and seniors must be aware of this potentially fatal condition.

What is a Stroke?

A stroke happens when blood flow to part of the brain is cut off. The cells in the brain that do not receive oxygen via this blood flow will die. The dead cells in the brain can no longer operate, meaning whatever functions they performed prior are damaged or lost.

What Causes Strokes?

There are two types of strokes:

A hemorrhagic stroke is when a brain aneurysm bursts or a blood vessel in the brain leaks

An ischemic stroke is when a blood vessel to the brain is blocked by a blood clot

Transient Ischemic Attacks (TIAs) are “mini-strokes,” when brain blood flow stops only briefly. These are caused by blood clots.

Who is at Greatest Risk of Stroke?

Some stroke risk factors are not preventable. For example, risk of stroke increases with age especially after age 55. Women are more likely to stroke than men, and African Americans are at higher risk than Caucasians.

Other risk factors can be managed, reduced, or prevented entirely. For instance, individuals with blood and circulatory disease’s like diabetes or arterial disease, are at greater risk. Those with unhealthy lifestyles, especially obesity or lack of exercise are also more likely to have a stroke.

How are Strokes Treated?

Doctors must diagnose and treat strokes quickly to reduce the impact of the stroke and potentially save a life. The medication used to treat stroke immediately, tissue plasminogen activator (or Alteplase IV r-tPA} must be administered within 3 hours of a stroke. Physical treatment to remove clots can also be performed.

What Happens After a Stroke?

Recovery from a stroke is lifelong because brain cells have died. The disabilities caused by strokes depend on the part of the brain affected. Many individuals lose partial use of a limb, elements of speech, or portions of their memory. Therapies are often prescribed for months or years to help individuals adapt to disabilities caused by strokes.

( stroke.org )

Signs of a Stroke and What to Do (F-A-S-T)

Face Drooping: Does one side of the face droop or is it numb? Ask the person to smile.
Arm Weakness: Is one arm weak or numb? Ask the person to raise both arms. Does one arm drift downward?
Speech Difficulty: Is speech slurred, are they unable to speak, or are they hard to understand? Ask the person to repeat a simple sentence like, “The sky is blue.” Is the sentence repeated correctly?
Time to call 9-1-1: If the person shows any of these symptoms, even if the symptoms go away, call 9-1-1 and get them to the hospital immediately.

(Instructions taken directly from American Heart Association )

Preventable or Manageable Stroke Risks:

High blood pressure
Diabetes
Poor diet
Smoking
Sedentary lifestyle
High cholesterol
Obesity

( The American Stroke Association )

Important Stroke Stats:

Over 133,00 Americans die of strokes each year
80% of strokes are preventable
Almost 1 in 6 American adults with high blood pressure don’t know they have it
Stroke is the 5th leading cause of death in the US
About ¾ of strokes are first-time strokes

( The American Stroke Association )

Home Care Tip

Many people do not realize that strokes are preventable. Caregivers should educate seniors about those risk factors they can control in order to reduce their risk of stroke.

Meal Planning Tips for Seniors with Diabetes

websites@hibu.com (Hibu Websites) — Thu, 20 Apr 2023 19:22:19 GMT

Diabetes meal planning can help seniors living with the disease prevent it from getting worse while protecting their overall health.

The American Diabetes Association reports that 25.6% of Americans over the age of 65 have diabetes. Caregiving for a senior with this disease requires proactive meal planning. ( diabetes.org )

Commonly known for its effects on glucose (blood sugar) levels, diabetes is a disease many seniors live with. Type II diabetes is more common among seniors. The disease is directly influenced by nutrition. Diabetes can often be managed simply by making healthy choices. Portion control and consuming healthy foods like vegetables and lean meat are key. As a result, caregivers and their seniors must plan meals that help keep diabetes under control. ( nia.nih.gov )

Healthy Food Choice’s for Diabetes

Sugar-free foods when possible
Low sodium alternatives
Fresh, whole foods
Whole grains
Low fat dairy
Minimal fried foods

Sign up for My Food Advisor, a free tool that offers low-cost, meal planning for those living with diabetes: http://www.diabetes.org/mfa-recipes/meal-plans/low-cost-meals.html

Diabetes Meal Planning Methods ( diabetes.org )

The Plate Method – Select a meal that will fill ¼ of the plate with a lean protein, another ¼ with a grain or starchy vegetable, and the remaining 1/2 with a non-starchy vegetable.

Carb Counting – Since carbs break down into the glucose that a person with diabetes has trouble regulating, its best to limit carbs consumed to about 45-60 per meal.

Glycemic Index – Often used along with the carb counting method, planning meals around the glycemic index (GI) can make dietary choices easier. Seniors with diabetes choose from foods that are low on the GI for 2 meals per day and may opt for just one high or medium GI food each day.

Quick Meal Planning Tips

Swap for Healthier Alternatives - ex. swap sweet potatoes for fries or use sugar free jam instead of jelly.

Keep Meals Simple - when meal planning, make it a rule that you cook just one meat, one side and one vegetable. Whenever possible, simply season it all then grill or steam

Develop a Routine – Once you’ve found favored health meals, plan to repeat them once a week.

Tips for Cancer Caregivers

websites@hibu.com (Hibu Websites) — Thu, 06 Apr 2023 19:21:48 GMT

Caregiving for a senior with cancer comes with many challenges. Seniors with cancer often experience longer recoveries. Here’s what caregivers need to know to help.

It’s estimated that 39% of people will be diagnosed with cancer in their lifetime.
Many individual’s living with cancer are over the age of 65. ( cancer.gov )

Many seniors face challenges as they age, particularly health problems. For some, cancer further complicates their care. Caregivers offering support to seniors with cancer must be aware of the unique challenges their seniors face.

The National Center for Biotechnical Information (NCBI) finds that 67% of family caregivers of seniors with cancer experience depression. Caregiver burnout, sleep trouble, and other unhealthy issues tend to affect those who take care of elderly cancer patients.

Take care of yourself by:

Sharing your struggles with loved ones
Receiving counseling
Participating in a support group
Sharing the burden of care with others
Taking time away to rest
Attending your own medical appointments
Enjoying activities that bring you joy
Eating healthily and exercising

Cancer Recovery Challenges for the Elderly

Treating cancer poses a medical dilemma. For cancer cells to be eliminated, the body is exposed to toxins in chemotherapy or damage by radiation.
Cancer treatment is a delicate balance between under and over treating. For frail seniors, treatment can be more harmful than cancer itself.
Cancer patients’ bodies have to recover not only from the effects of cancer but also from the side effects of treatment.
Elderly cancer patients may naturally have weakened immune systems that make recovery more difficult.
Recovery from cancer may be negatively impacted by other illnesses common among seniors, like diabetes or heart disease.
Seniors with cancer can typically expect to have a longer recovery period with more risks, side effects, monitoring, and medications than younger patients.

Whether or not you are privy to the medical information of a senior with cancer, you can learn about their treatment plan. Find out how often treatments are scheduled and the common side effects of treatment. This will help you plan caregiving activities appropriately.

Cancer can result in symptoms such as hair loss, nausea, and memory problems. It is important for caregivers to know about common side effects of cancer and its treatment. When uncommon symptoms are noticed, a caregiver needs to know who to call and at what point emergency assistance should be sought.

Since there are so many common side effects of cancer treatment, caregivers can often anticipate resulting needs. For example, the fatigue typical of cancer patients will likely lower seniors’ energy level. Prepare to offer mobility assistance and limit planned activities to accommodate for the extra rest times you can expect.

Individuals respond to cancer diagnoses, prognoses, and treatments differently. While encouragement is beneficial, it’s often more valuable for caregivers to listen supportively. Compassionate care helps seniors to enjoy a high quality of life even with cancers effects.

Many seniors with cancer also face other medical challenges, like arthritis or heart disease. Pay attention to the needs other medical conditions create. Learn what you can about how other illnesses and cancer may influence each other and impact your senior.

Seniors with cancer often require 24-hour care and extensive assistance. Work together with family members and other caregivers to keep track of side effects, appointments, and medication administration.

( Cancer.gov , Cancer.org )

8 Symptoms of Mental Illness in the Elderly

websites@hibu.com (Hibu Websites) — Thu, 23 Mar 2023 19:21:41 GMT

How to Spot Symptoms of Mental Illness in the Elderly

Normal signs of aging can mask symptoms of mental illness in the elderly.

About 58% of people over the age 65 think that depression is a normal part of aging. Myths like this often prevent seniors from having mental illnesses identified and treated. ( Mental Health America Survey )

According to the CDC ( cdc.gov ), an estimated 20% of people over the age of 55 have a mental health issue. Many mental illnesses can significantly affect physical and social well-being. Mental illnesses can, however be hard to distinguish from regular signs of aging.

8 Common Symptoms of Mental Illness in the Aging

Signs of mental illness in the aging may be expressed verbally in discussion. Often, though, the elderly exhibit their symptoms behaviorally or physically instead. Look for these 8 symptoms in the elderly to spot mental illnesses during the aging process.

1. Unusual Avoidances

For seniors, avoiding extreme heat or exhausting activities makes sense. However, avoiding eye contact, using the bathroom, touching certain objects, or participating in events is atypical. Watch for extreme or unusual avoidances.

2. Difficulty Making Basic Decisions

Decision-making is affected by memory, emotions, and judgment processes. When seniors struggle to make basic decisions or change their minds frequently the issue may be cause by mental illness.

3. Unexplained Stomach Distress

A person’s gut reveals much about their physiological state. If a senior has unexplained digestive problems, they may be experiencing feelings or thoughts due to mental illness that are causing distress.

4. Agitation or Moodiness

Irritability among seniors may occur as a result of physical conditions like chronic pain. However, agitation and moodiness that is disassociated from a reasonable cause can indicate a mental health problem.

5. Change in Appetite or Sleeping Patterns

Often a change in eating or sleeping habits is the first sign people notice of depression. Pay attention to a senior’s routine and ask questions to understand why their habits may otherwise be changing.

6. Disinterest with Fatigue

Feeling tired can occur as a result of aging. When tiredness becomes constant or chronic fatigue, it may be a sign of something more. Be on alert for a disinterest in hobbies or decrease in socialization due to fatigue.

7. Hallucinations or Delusions

If a senior recalls information that doesn’t make sense or that never occurred, they may be experiencing hallucinations or delusions. These symptoms may present as paranoia or as simple confusion.

8. Sudden Changes in Behavior and Attitude

It is unusual for optimistic seniors to suddenly feel sad all of the time with no cause. Likewise, a senior who participates in a hobby regularly and without explanation stops, may be struggling with a mental illness.

( Todays Geriatric Medicine )

Common Mental Illnesses Among Seniors

Depression
Anxiety
Memory Diseases
Cognitive Impairment
BiPolar Disorder

( cdc.gov )

Pre-existing conditions such as:

Dementia
Alzheimer’s
Parkinson’s
Stroke
Diabetes
Thyroid disorders
Degenerative diseases

Significant Life Changes Like:

The loss of a loved one
Moving
Becoming disabled
Enduring an illness or injury
New medications

( Helpguide )

Home Care Tip:

Due to stigmas and myths about mental illness, many seniors are unwilling o visit a mental health professional like a psychologist. Seniors are often more likely to be honest with primary care providers and may receive treatment from them more willingly.

Tips for Seniors During Sleep Awareness Month

websites@hibu.com (Hibu Websites) — Thu, 09 Mar 2023 20:21:53 GMT

Sleep Awareness Month: How to Improve Senior Sleep Patterns

Sleep Deprivation and other sleep issues can impact senior health significantly. Learn how to improve sleep patterns for seniors.

An average of 7 ½ to 9 hours of sleep each night is considered healthy for most adults. Seniors are often unable to sleep this much due to a variety of sleep related problems. During sleep awareness month, learn what can be done to help seniors establish health sleep patterns.

*Sleep Awareness Month is sponsored by the National Sleep Foundation .

How Aging Affects Sleep

Unfortunately changes in sleep patterns are a normal part of aging. Many seniors have difficulty falling asleep and staying asleep. In some cases the challenge is due to a sleeping disorder or the side effect of a medication.

However, sleep disturbance in the aging is often just the result of reduced REM sleep. In other words, seniors tend to be lighter sleepers. They wake up more often due to noise, aches, movement, the need to use the bathroom, etc.

( The Sleep Foundation )

Common Sleep Illnesses Seniors Face

For those seniors whose difficulties with sleep result from medical conditions, it is important to receive medical treatment. Encourage sleep-deprived seniors to see the doctor if they experience:

Advanced Sleep Phase Syndrome
Sleep Apnea
Restless Leg Syndrome
Insomnia
Sleep-related side effects of medication
Sleep-related side effects of underlying disease.

Issues like these are often addressed through lifestyle changes or medication. Seniors can consult with their doctor to learn about the best treatment options for their particular problem.

(WebMD)

Sleep Tips for the Aging

To make the most out of sleep, seniors can use these simple tips:

Be Mindful

Stress, worry, and negative thought patterns can disrupt sleep – even if seniors try to “think positively” right before bed. Since sleep deprivation affects mental health and vice versa, it is important to encourage seniors to develop a health response to stress at all hours.

Exercise Regularly

Physical activity can help the body sleep. Regular exercise also offers health befits that positively impact sleep, like lower blood pressure, stress relief, and improved breathing.

Form a Bedtime Routine

Many habits can influence sleep for better or for worse. Lying in bed during the day can disrupt sleep patterns. Watching television or screen time on the phone at night can also delay sleep. Encourage seniors to establish a bedtime routine that includes doing something quiet and relaxing for an hour.

Eat and Drink for Better Sleep

Sometimes seniors drink alcohol before bed because it makes them sleepy. However, alcohol tends to wake people up in the middle of the night and reduce REM sleep cycles. Food does the same. Seniors should avoid eating food or drinking alcohol for 8 hours before bedtime. ( Better Health While Aging )

Some sleep problems can be prevented using these tips:

Maintain a healthy weight
Address breathing problems
Track medications and corresponding side effects
Develop a healthy mindset
Stick to a routine
Don’t nap for more than 20 minutes at a time ( FamilyDoctor.org )

Many medications designed to aid sleep are habit forming. Such drugs often have impactful side effects as well. Be sure that seniors only use pharmaceutical sleep aids in the short-term and that they follow doctor’s directions. (WebMD)

Home Care Tip

Sleep problems can cause mental health issues. They can also be a sign of an existing mental health problem. If a senior has difficulty with sleep and exhibits emotional trouble, suggest that they have their mental wellness evaluated. (Helpguide)

Arthritis and Senior Care

websites@hibu.com (Hibu Websites) — Thu, 23 Feb 2023 20:21:26 GMT

What you need to know about Arthritis and Senior Care

Arthritis is a medical condition many seniors struggle with. World Arthritis Day takes place on October 12th.

Did you know that arthritis is the leading cause of disability in the United States? Many seniors struggle with this type of disease.

Over 54 million adults in the Us have been diagnosed with a form of arthritis. Since the condition is common among seniors, it is important to understand the symptoms and the effects of arthritis when caring for them.

Basic Facts about Arthritis

A word used to describe joint pain and joint disease, arthritis comes in many forms. Some of the most common types of arthritis include: osteoarthritis and rheumatoid arthritis. Seniors often develop osteoarthritis.

What is Osteoarthritis?

This form of arthritis occurs when the cartilage breaks down. Cartilage is the tissue that covers the ends of the bones and joints. Cartilage is found largely in joints like the knees, hips, and shoulders. When the cartilage breaks down, the bones can rub against each other, wearing away the bones, reducing mobility, and causing both stiffness and pain.

Who does Osteoarthritis Affect?

Typically, osteoarthritis occurs in older adults. It tends to occur as a part of aging since the cartilage is worn down over time and with extensive use.

How to Prevent Osteoarthritis

Although osteoarthritis is cause by wear and tear, it is preventable to a point. Adults should take care and stretch and to use joints safely by bending to life properly. This may reduce or delay osteoarthritis if a person in prone to the condition.

Supporting Seniors with Arthritis

Unfortunately, osteoarthritis cannot be completely cured or reversed. However, there are many ways to reduce the pain and difficulties that result from the condition.

Medication like Tylenol or NSAIDs can relieve pain
Physical therapy can reduce stiffness and improve mobility
Occupational therapy can offer alternative motions to avoid aggravating affected joints
Yoga, tai chi, and other gentle exercises can relieve pain and stress
Medical injections can relieve pain
Surgeries can protect bones replace severely damaged joints

Risk Factors and Arthritis

Seniors are at greater risk of osteoarthritis if they:

Have struggled with obesity
Overused various joints
Maintained poor posture
Are genetically predisposed
Have previously injured their joints

Sign of Arthritis

Stiffness in joints
Stress related to pain
Decrease flexibility in the joints
Noise when the joints move
Swelling around the joints
Pain in the joints during cold weather or after activity

Home Care Tip

Seniors “feeling cold in their bones” isn’t a joke. Cold weather can exacerbate osteoarthritis pain. Support seniors with arthritis by helping them stay warm and offering extra help with physical tasks when it’s chilly.

Thyroid Health for Seniors

websites@hibu.com (Hibu Websites) — Thu, 09 Feb 2023 20:22:01 GMT

The Basics: Understanding Thyroid Health

What is the Thyroid?

An endocrine gland at the base of the neck, the thyroid is small but powerful. A thyroid affects many essential body functions, contributing to tasks like regulating body temperature and metabolism. Digestion, cognitive ability, and other functions are also affected by the thyroid,

What Kinds of Thyroid Diseases Are There?

The most well-known thyroid condition is hypothyroidism, which causes too much hormone production. Other conditions include cancer, Graves’ disease, goiter, and Hashimotos disease.

How are Thyroid Problems Diagnosed?

A combination of simple tests can be used to diagnose thyroid problems. A doctor can measure reflexes, metabolic rates, and perform a clinical evaluation to check for a thyroid issue. These tests are typically performed along with blood tests that check T4, T3, TSH, antibodies, or other blood levels.

How are Thyroid Conditions Treated?

Treatment for thyroid dysfunction is specific to each disease and patient. Typically doctors prescribe medications to either decrease thyroid production or to replace the function of the thyroid. Treatments with iodine or therapy may be used in some situations. Surgery for the thyroid is rarely performed on older patients.

( National Academy of Hypothyroidism )

Recognizing Symptoms of Thyroid Issues

There are over 300 symptoms of thyroid problems, many of which are common to other diseases as well. Younger patients often exhibit many symptoms, whereas seniors often experience only a few. Seniors with thyroid problems often go undiagnosed because so many symptoms of thyroid dysfunction are common to other age-related health issues.

The most commonly occurring symptoms of thyroid dysfunction include:

Cold extemities
Dry skin
Unexplained weight loss or gain
Digestive issues
Vision problems
Difficulty swallowing
Fatigue or tiredness

Seniors are at greater risk of having thyroid problems if:

A family member has thyroid disease
A family member has an autoimmune disorder
Swelling occurs around the thyroid
They are a female over age 50

Since so many seniors are at risk of developing a thyroid condition and the symptoms are so diverse, it is recommended that seniors ask their healthcare provider for thyroid monitoring during regular appointments.

Home Care Tips:

Symptoms of thyroid disorders are similar to common signs of aging. As a result, many seniors suffering from thyroid disease live undiagnosed.

If you suspect a senior may have some type of thyroid dysfunction, encourage them to see their doctor. Besides the basic bloodwork, evaluating this disease is painless. Preventing the risks of thyroid disease is work the simple testing.

Glaucoma Awareness Month

websites@hibu.com (Hibu Websites) — Thu, 26 Jan 2023 20:22:02 GMT

What Seniors and Caregivers Need to Know about Glaucoma

Even though it is the second leading cause of blindness, few people know about glaucoma. Seniors are especially at risk and need to know the facts.

More than 3 million people in the US have glaucoma. Many are seniors. Many don’t know they have the condition. However, this symptomless disease can be stopped before it does more damage. It is very important to learn about this “sneaky thief of sight.” (glaucoma.org)

What is Glaucoma?

The term “glaucoma” actually describes different kinds of eye diseases that damage the optic nerve. Some examples of types of glaucoma include:

Primary Open-Angle Glaucoma
Angle-Closure Glaucoma
Secondary Glaucoma
Normal Tension Glaucoma

Each kind of glaucoma has its own unique features. All are related to pressure in the eye. Most progress gradually and subtly. As a result, many people experience no symptoms.

How Serious is Glaucoma?

Glaucoma is considered a sneaky disease because it presents with so few symptoms. However, the disease is serious. If left untreated, glaucoma causes vision loss and eventually blindness.

Acute types of glaucoma are the exception and are also serious. They are accompanied by sudden, severe symptoms like redness, nausea, and severe pain with blurriness or visual disturbances. Emergency treatment is necessary to prevent blindness.

Who is at Risk for Glaucoma?

Individuals who meet the following criteria have an elevated risk of this disease:

Age 60 or older
African-American or Hispanic-American
History of eye problems
Family history of glaucoma
High blood pressure
Heart disease
Regular use of corticosteroids

How is Glaucoma Diagnosed?

Since glaucoma often presents with no symptoms unless the disease is acute, doctors make their diagnosis based on several tests. Medical tests for glaucoma include:

Tonometry (internal pressure)
Pachymetry (corneal thickness)
Perimetry (vision range and scope)
Comparisons over time (photos of the optic nerve)

What are Treatment Options for Glaucoma?

Prescription eye drops are the main treatment for glaucoma. They must be administered correctly and regularly, according to a doctor’s direction. In severe cases, glaucoma can be treated with prescription medications or surgery. (Healthline)

Helping Seniors with Eye Health

Since glaucoma is a serious disease, it is important for seniors and their caregiver’s to take steps to monitor for and treat the conditions. Senior’s often need help in this process. Currently glaucoma is not classified as a fully preventable or curable disease. However, glaucoma can be treated to prevent the disease from doing more damage.

1. Encourage Regular Eye Checks

Seniors often experience some degree of vision loss as they age. Many are not alarmed or do not notice. As a result, many seniors do not see their eye doctors regularly.

In order to monitor for glaucoma and other eye problems, seniors should have an annual eye exam. Encourage seniors to attend their exams faithfully. It can be helpful to offer a ride since many seniors struggle with driving for a few hours after eye exams that require dilation.

2. Complete Treatment Properly

The main treatment for glaucoma is an eye drop prescription. Due to tremor’s, vision issues, and other health problems, seniors may have difficulty administering their drops themselves. Memory challenges can also cause seniors to forget this important part of their routine. Caregivers can help by offering reminders and even assisting in administering eye drops according to doctors’ directions ( A Place for Mom )

Home Care Tip

For seniors with vision loss (including sight problems due to glaucoma) everyday tasks can be challenging. Sightconnection.com is a website that offers inventive and practical resources and tools to help with these issues. ( Sight Connections )

Winter Indoor Activities

websites@hibu.com (Hibu Websites) — Thu, 12 Jan 2023 20:22:00 GMT

Beat Senior Seasonal Depression with Engaging Indoor Winter Activities

Seasonal depression affects many seniors. Engaging indoor activities can make the winter more enjoyable and healthy.

Depression can increase during the winter months, affecting senior health and quality of life. Indoor activities for seniors can relieve depression.

About 6 million American seniors are affected by depression. For many, depression occurs or increases during the winter months. Depression can increase health risks, including the risk of death. Many indoor activities can improve senior’s outlook and ease the effects of depression. (WebMD)

Symptoms of Depression

Sluggishness
Lack of Interest
Over or under sleeping
Combativeness
Moodiness
Withdrawal
Rejection of routine
Low Appetite
Neglecting self-care (Seniors Guide)

Indoor Activities Seniors Can Enjoy in the Winter

Social Activities

Visiting with friends regularly
Communicating online via video chat
Letter writing or scheduled phone calls
Joining a senior hobby club
Getting involved in a religious group
Volunteering if able

Creative Hobbies

Scrapbooking
Completing puzzles
Knitting or crocheting
Making models and crafts
Painting or other arts
Playing board games

Adult Education

Local book clubs at the library
Community education classes
Lectures at museums
Classes for specific skills
Interest-based discussion groups
Opportunities to learn online (NCOA)

Ways to Stay Active Indoors

Exercise is proven to relieve depression. That makes staying fit even more important for senior health. Of course, many seniors are limited in the types of exercise they can perform. Use these ideas to keep seniors moving indoors safely:

Visit malls or community centers to take walks
Find appropriate gym equipment for the home
Encourage daily stretching sessions
Sign up for senior yoga, Zumba or aerobics
Locate an indoor swimming pool
Seek personal training at a gym or at home
Get into a strengthening program via physical therapy (NCBI)

Did you know?

Binge watching TV, a common activity of seniors in the winter, is actually linked to loneliness and depression. Encourage seniors to spend less than 2 hours at a time watching TV.

Try not to suggest TV-watching when seniors are bored or depressed. Recommend activities that stimulate the brain, like reading or playing a game. (CBS News)

Home Care Tip:

Seasonal depression can also be linked to mental health and memory disorders. If a senior’s mood does not improve despite increased activity, socializing, or exercise, encourage them to visit their doctor.

Winter Safety

Mon, 09 Jan 2023 21:45:00 GMT

Winter Safety: Top 5 Tips for Caregivers and their Seniors

Harsh weather can bring special challenges to seniors and their caregivers. Prepare yourself so you stay healthy and safe in severe winter conditions. By taking little extra precautions, you can be prepared for whatever the winter weather may bring your way.

Tip #1 - Home prep for power outages

Sudden power outages can be scary and frustrating, especially if they last for more than a few minutes. Prepare your home in case there is a power outage, so you’ll be ready when it goes dark. Put together an emergency preparedness kit in case of a prolonged or widespread power outage.

Emergency Preparedness kit

* Water – one gallon per person, per day (2-week supply)

* Non-perishable food (2-week supply)

* Flashlight

* Battery-powered or hand-crank radio (NOAA Weather Radio, if possible)

* Extra batteries

* First aid kit

* Medications (7-day supply) and required medical items

* Multi-purpose tool

* Sanitation and personal hygiene items

* Copies of personal documents (medication list and medical information, deed/lease to home, birth certificates, insurance policies)

* Cell phone with chargers

* Family and emergency contact information

* Extra cash

* If someone is dependent on electric-powered, life-sustaining equipment include backup power in your plan.

* Keep a non-cordless phone in your home. It will likely work even if the power is out.

* Care with a full tank of gas

( redcross.org )

Tip #2 - Dressing for Cold Weather

Cold temperatures can lead to frostbite and hypothermia – a condition where the body temperature dips too low. More than half of hypothermia-related deaths were of people over the age of 65, according to the CDC. (cdc.org)

Bundle up
Keep indoor temperatures warm and dress in layers. If going outside in very cold temperatures, cover all exposed skin. Use a scarf to cover your mouth and protect your lungs. When venturing outside make sure you are outfitted with:

1. Warm socks

2. A hat

3. Gloves

4. A scarf

5. A heavy coat

Prevent falls in slippery conditions

Icy, snowy roads and sidewalks make it easy to slip and fall. Falls are a leading cause of death from injury in men and women over the age of 65. (cdc.org)

Help prevent falls in winter weather:

* Stay indoors until roads are clear and conditions have dried.

* Wear shoes with good traction and non-skid soles.

* Replace a worn cane tip

* Take shoes off immediately after coming indoors.

Tip #3 - Prevent carbon monoxide poisoning

Carbon monoxide is gas that cannot be seen or smelled, making it nearly impossible to detect unless you have an alarm. Using the fireplace, gas heater or lanterns can lead to carbon monoxide poisoning. Keep seniors safe by making sure they have a current carbon monoxide detector and check the batteries regularly. Avoid leaks and poisoning by having any active fireplace or natural gas heater inspected to ensure it is properly vented.

Tip #4 - Outdoor Safety

Driving and walking in harsh winter conditions can pose health hazards. Stay indoors during severe winter weather and follow these tips if and when you must go outside:

* Dress warm and wear the proper footwear to help prevent slips and falls.

* Make sure the path to your door, garage and mailbox are shoveled and free of debris.

* Use salt to melt icy sidewalks and steps or cover the ice with something gritty such as sand or cat litter.

* Take your time to reduce your risk of falling.

Tip # 5 - Good nutrition

Proper nutrition in the winter months can boost immunity and help provide seniors with much-needed nutrients to ward off wintertime ailments. A healthy immune system can help ward off the germs that cause colds and the flu and even help minimize a cold’s duration.

Nutrition tips for your best immunity

* Increase your intake of fruits and vegetables rich in nutrients such as citrus, cabbage, broccoli, pumpkin, sweet potato and spinach

* Fight infections with zinc. Zinc is found in fish, oysters, poultry, eggs, milk, unprocessed grains, and cereals.

* Drink hot tea to help ward off germs.

* Include good bacteria in your diet. Products such as kefir, yogurt and sauerkraut provide live cultures that help fight off infections

* Take a daily multivitamin.

( todaysdietitian.com )

Top 5 Winter Weather Risk
1.    Home power outages
2.    Colder weather
3.    Carbon monoxide poisoning
4.    Outdoor dangers
5.    Nutrition and staying healthy

Car and Driving Precautions:
1.    Keep an ice scraper in your car
2.    Check your wipers and wiper fluid. Keep an extra gallon of cold-weather formula wiper fluid in the car or garage.
3.    Be mindful of travel warnings or advisories during winter weather.
4.    Tell someone where you are going and when you expect to be back.
5.    Take a cell phone with you.

Home Care Tip:
The American Red Cross advises against using candles in a power outage due to the extreme risk of fire.

Brighten the Holidays for your Senior

Thu, 15 Dec 2022 16:15:00 GMT

How to Help Seniors Fight Loneliness During the Holidays

Loneliness is often experienced by seniors during the holiday season. There are ways to brighten the season for lonely and depressed seniors.

The holiday season can exacerbate seniors’ feelings of loneliness. This can cause health problems and affect their quality of life.

Persistent loneliness can have the same health impact as smoking 15 cigarettes a day. Since loneliness can exacerbate health issues and increase the risk of mortality. It is especially important to combat isolation and feelings of loneliness during the holidays. (Forbes)

Spot the Signs of Loneliness
Many seniors do not recognize their loneliness or the health problems that feeling lonely can cause. As a result, few will voice their need for additional support. Look for these signs of loneliness among seniors:

* Under or oversleeping

* Withdrawal from existing relationships

* Combativeness or moodiness

* Depression

* Lack of appetite

* Anxiety over change or visitors leaving

* Lack of interest in normal passions

* Decreased attention to self-care

(Seniors Guide Online )

Health Risks of Loneliness
Loneliness can increase seniors’ risk of:

• High blood pressure

• Depression

• Low immune health

• Obesity

• Mortality

(Healthline)

How to Brighten the Holidays

During the holidays, many seniors feel particularly lonesome. Nostalgia, memories of lost loved ones, and distance from family can all contribute to the holiday blues. Add cheer to seasonal loneliness with strategies like these:

• Display holiday cards and greetings

• Set up decorations with seniors

• Help seniors make video calls to loved ones

• Plan holiday event outings

• Tune in to festive TV shows and regular radio programs

• Sign seniors up for in-house visit by carolers or other holiday volunteers

• Encourage seasonal volunteering if seniors are able

Did You Know?

• 17% of Americans over 65 live alone.

• An estimate 8.8% of seniors in American are chronically lonely

• Americans between the ages of 57 and 85 have support from an average of only 3.6 people.

• 42% of Americans over 65 have a disability

• Health, location, impairment, economic status, and even language can impact the risk of isolation

( AARP )

Tips for Fighting Loneliness

Besides holiday-specific methods for combating loneliness, there are many steps seniors can take to reduce social isolation. Seniors can:

* Get connected with local senior centers

* Attend religious or interest-based groups

* Participate in home-visit programs

* Schedule regular phone calls with loved ones

* Practice letter or card writing, even to pen pals

* Use technology to connect with distant loved ones

* Mark social events to look forward to on the calendar

* Call the Friendship Line at 1-800-971-0016 at any hour to engage in conversation

(NCOA)

Home Care Tip:
Loneliness is often linked to isolation. Isolation can be a threat to health, but also can increase safety risks. Social workers for seniors can arrange for a variety of services to help address seniors’ needs, including isolation.

How Home Care Helps with Pneumonia

Thu, 01 Dec 2022 16:00:00 GMT

Home care specialist provide support and assistance as your loved one returns home after being hospitalized for pneumonia.

How Home Care Helps after Pneumonia

What is Home Care?
Home care is a more personalized alternative to nursing homes and assisted living facilities. It provides services such as personal care, homemaking, companionship and more to individuals living at home, so they can remain comfortable and independent for as long as possible.

Home Care vs Home Health
Home health is typically short-term medical services administered in the home to treat an illness or injury. This type of medical assistance is usually provided by a registered nurse, physical occupational or speech therapist. Home care agencies are often requested to provide supplemental care as the patient transitions.

Who is a Good Candidate for Home Care?
Home care can be beneficial for individuals who are getting older, are chronically ill, are recovering from a surgery or are disabled. Perhaps your loved one needs assistance with day-to-day tasks but does not need to be in a nursing home or hospital. Home care could be the right fit for them.

Wha t Types of Home Care Services are Available?

Home Care looks different for everyone. Each individual’s needs are unique and home care can be tailored to fit those needs. Depending on what your loved one’s needs are, caregiving services can be available 24-hours a day or a few hours each week.

Some of the services include:

• Personal Care

o Bathing, Grooming, Dressin

o Toileting and Incontinence

o Medication Reminders

o Mobility Assistance

o Repositioning to Avoid Bedsores

• Homemaking

o Cooking and Clean-up

o Light Housekeeping

o Laundry and Ironing

o Changing Bed Linens

• Companionship

o Conversation

o Reading Aloud

o Hobbies and Projects

The Importance of Home Care

Home care is a valuable option for an individual who desires to maintain their independence and continue their life in the comfort of their home.

A study done by the AARP showed that 90% of individuals over age 65 want to stay home as long as possible.

Home Care Interventions for Patients being discharged for Pneumonia

Pneumonia is a lung infection caused by bacteria or a virus and is often a complication from the flu virus . Pneumonia causes fluid to be collected in the lungs, so individuals often experience difficulty breathing. (lung.org)

For patients who are discharged from the hospital after having pneumonia, 18% of them will be readmitted within 30 days. If someone has recently been hospitalized for pneumonia, home care can help with their return home and aid in their recovery.

Below are services that home care can provide that align with evidence-based practices that are proven to reduce admission rates for pneumonia.

1. Homemaking Assistance

a. After being discharged from the hospital, an individual with Pneumonia may feel weak for an extended period of time and will need time to regain strength and energy. They will need plenty of rest in order to avoid relapse. A caregiver can assist with light housekeeping, carrying items around the house so that the patient can get the rest they need in order to recover. ( lung.org )

2. Help Them Build Immunity

a. Pneumonia typically occurs when a patient’s immune system is weakened due to another illness, such as bronchitis or the flu. Caregivers can help patients buildup their immunity by making sure they get plenty of fluids and health liquid meals. They can also monitor visitors to make sure no one with a cough or cold is contaminating the home. ( medlineplus.gov )

Impact of Home Care for Outcomes for Seniors

1. Cost - Home-care services are more affordable than assisted living facilities and nursing homes. Give Schuylkill Home Care a call at 570-385-2818 to hear what our rates are!

2. Families - Families have peace of mind knowing their loved ones are getting the care that they need.

3. Quality of Life - Aging individuals desire is to remain at home.

4. Health - Individuals will have increased longevity due to more personalized care.

How to Keep Feet Healthy

Thu, 20 Oct 2022 20:41:13 GMT

Care for your feet so they can care for you

Did you know that by the age 50 the average adult has walked 75,000 miles? And with life expectancy going up each year, that is many more miles that we should expect to walk.

No foot pain is “normal,” even as we age. Many of our older loved ones may chalk up foot pain to the aging process and ignore it. Worse yet, they often cut back on activities to try to prevent pain, causing other health risks. Our feet often provide early indications of conditions such as diabetes, arthritis, or circulatory disease. All pain should be referred to a podiatrist for diagnosis and treatments.

According to the US National Center for Health Statistics, impairment of the lower extremities is a leading cause of activity limitation in older people. The NCHS also reports that one-fourth of all nursing home patients cannot walk at all, while another one-sixth can walk only with assistance. Poor foot care can contribute to these statistics. However, there are solutions.

The most important solution is daily foot care.
Often, care beyond the daily bath or shower is difficult for older adults due to challenges bending down or seeing their feet, so it’s important that we help out weekly, if not daily.

Some things to pay attention to include:

     • Toenail length. Toenails should be trimmed straight across and kept short enough so they do not press on neighboring toes.
     • Blisters, cuts or scratches. These can lead to infection if ignored. Thinner, aging skin can make it easier to bump or bruise our feet, allowing for the entry of bacteria.
     • Dryness. Cracks in the toes or heels can also allow bacteria to enter. Moisturize regularly with a moisturizer made specifically for feet.
     • Callouses or corns. These are often signs that perhaps shoes are not the right fit.
     • New moles or discolorations. Check for any new moles or discolorations, including between the toes and on the bottom of the feet. Immediately bring these to a dermatologist’s attention.
     • Swelling. Many health risks, including diabetes, injury to the leg, or circulatory issues, will show up as swelling in the feet.
     • Sensitivity or lack of sensitivity. Either one of these can signal nerve damage and should be investigated right away.
( American Podiatric Medical Association and Australian Podiatry Association)

Choosing a Podiatrist
Feet are complex anatomical structures that require expert care. Be sure your loved one is seeing the most qualified healthcare professional to treat their feet by looking for “DPM” (Doctor of Podiatric Medicine) after his or her name. This means a physician has completed years of rigorous foot and ankle training in podiatric medical school and hospital-based residency training, making him or her uniquely qualified to care for this part of the body.
(American Podiatric Medical Association )

Time for New Shoes?

A properly fitted shoe should have the following characteristics:
     • At least one inch (a thumb’s width) between the end of the shoe and the longest toe
     • Room to pinch some material at the sides or top of the shoe for width
     • A shape that matches the shape of and conforms to the foot (No human has a foot shaped like the point that many dress shoes have. Flip flops and unsupported sandals can lead to falls.)
     • A firm heel area (Press on both sides of the heel area to ensure that the heel is stiff and won’t collapse)
     • A flexible shoe box to allow for a natural heel to toe walking pattern.
     • A firm sole (Try to twist the shoe from side to side. It shouldn’t twist in the middle.)

A shoe with a firm sole and soft upper that can be laced, buckled, or strapped to the foot, is best for daily activities. Measure both feet late in the day and buy the shoe that fits the larger foot. If your podiatrist has prescribed orthotics, take them with you and try them out in the shoes you’re considering.

( Advanced Foot and Ankle Care Centers , Australian Podiatry Association , American Podiatric Medical Association and US Department of Health and Human Services )

Testing the Shape of a Shoe for Fit

Remove the insert of the shoe and tract it on a piece of paper. Have your loved one stand on the tracing and trace their foot. Their foot should fir within the boundaries of the insert tracing.

Breast Cancer Awareness for Seniors

7016264536 — Thu, 06 Oct 2022 20:26:12 GMT

What Senior Women Need to Know About Breast Cancer

Breast cancer is one of the most common cancers women face. The two biggest risk factors for this type of cancer are being female and getting older. Senior women need to be aware of this disease. Since October is Breast Cancer Awareness month, start the conversation.
( Currents by Great Call )

Seniors and Breast Cancer Basics

What is Breast Cancer?
Cancer is a general term for many diseases where abnormal cells form and negatively impact healthy cells. Groups of these cells are called tumors. Breast cancer affects tissues in the breast and can come in different forms, like metastatic, inflammatory, or ductal carcinoma in breast tissues.

Risk Factors for Breast Cancer
Besides being a woman and being a senior, there are several factors that increase the risk of breast cancer. Risk factors include:
• Never having children or having a first child at an older age (35+)
• Having dense breast tissue
• A family history of breast or ovarian cancer
• Previous cancer in one breast or breast tissue abnormalities like hyperplasia

Diagnosing Breast Cancer
If symptoms of breast cancer appear, a senior may be diagnosed through one or more of the following:
• A mammogram

• An MRI

• An ultrasound

• A biopsy

• Lab tests
( National Breast Cancer Foundation )

Treating Breast Cancer in Seniors

Women over the age of 65 make up 40 percent of patients newly diagnosed with breast cancer. Treating senior patients can be different than treating cancer in younger patients.

Common cancer treatments include:
• Surgery
• Radiation
• Chemotherapy
• Hormone therapy
• Targeted medicinal therapy

Although treatment strategies depend on the type of cancer, all treatments seek to kill unhealthy cells but carry risks. For seniors, the risks can be so significant that treatment can’t be administer as strongly. This is often the case when seniors already have other medical conditions or physical vulnerabilities.

Seniors with breast cancer should ask their doctors questions about treatment to understand the reasons for the course of treatment prescribed and understand the associated risks.
(NCBI)

Prevention and Detection Tips
For those who are 55 and older, these prevention and detection tips can reduce the risk of breast cancer and increase the chances of detecting breast cancer earlier.

• Have a mammogram every other year
• Pay attention to any changes in breasts and report them to your doctor right away.
• Talk to a doctor if you are at a high risk of breast cancer.
• Maintain a healthy weight and nutritious diet
• Stay physically active
• Avoid post-menopausal hormones
• Don’t smoke
https://siteman.wustl.edu/prevention/take-proactive-control/8-ways-to-prevent-breast-cancer/

By the Numbers
• More than ½ of women with breast cancer are over 60
• 1/5 of women with breast cancer are over 70
• There are more than 30 million women who have or have had breast cancer in the US
(Breastcancer.org)

Home Care Tip
The National Breast Cancer Foundation offers a free guide to symptoms that senior women may find helpful. You can help a senior download this guide at nationalbreastcancer.org

Seniors and Vision

Thu, 22 Sep 2022 16:34:31 GMT

Seniors with Vision Loss and How Caregivers Can Help

Seniors are prone to eye disorders, so exams are crucial. Problems develop painlessly and have no symptoms and individuals may not notice changes in their vision.

Seniors and Vision Loss: How to Adapt to Changes in Sight
The importance of sight exams

Getting an annual eye exam is important for people of all ages, but especially for older individuals. Senior citizens are more prone to eye disorders such as glaucoma, cataracts and macular degeneration than younger people. Early detection is critical with these three diseases.

Age-related eye problems can develop painlessly and have no early symptoms. Individuals may not even experience changes in their vision until the condition has become more advanced.

Annual eye exams help seniors keep regular tabs on their eye and overall health. Eye exams can also uncover other potential health problems such as artery blockages, hypertension, high cholesterol and diabetes.
( www.vsp.com )

How Loss of Sight Impacts Driving

Age-related vision changes and eye diseases can negatively affect driving abilities even before an individual notices any symptoms.

Age-related vision changes that affect seniors’ ability to drive:

Not being able to clearly see road signs
Difficulty seeing objects up close, like the car instrument panel or road maps
Difficulty judging distances and speed
Changes in color perception
Problems seeing at night or in low light
Difficulty adapting to bright sunlight or glare from headlights
Experiencing a loss of side vision

( www.aoa.org )

According to the U.S. Centers for Disease Control and Prevention, 2.8 million seniors are thought to have severe vision impairment – defined as either blindness or difficulty seeing, even with eyeglasses.

How loss of sight impacts hygiene

Loss of vision can impact all areas of one’s life including day-to-day activities and personal hygiene. There are things caregivers can do to help seniors who have experienced vision loss.
Mark their toothbrush with a tactile or contrasting-colored tag so it’s easily distinguishable.
Move hygiene products to pump packs that squeeze out pre-measured amounts.
Put shampoo and conditioner in different colored or shaped bottles so they are easy to identify.

How loss of sight can be dangerous

Vision loss can be dangerous for seniors and can affect other areas of their life. The CDC estimates that about 1.3 million older, vision-challenged Americans fell at least once in 2014. Since falling is among the leading injuries that sends seniors to the hospital, preventing falls is critical.

Help prevent falls when caring for someone who has low vision or blindness:

Leave things are you found it in their home. If something has to be moved, tell them where you have moved it.
Be careful when cleaning the house. Cords, wet floors and a mop and bucket are all potential hazards they could trip or slip over.
Shut doors completely or leave them fully open. A half-open door is a hazard.
Replace light bulbs to provide them with good lighting in all the rooms, staircases, closets and hallways.
Declutter their home and help them dispose or items that are no longer meaningful or necessary.
Have grab bars installed in stairways and bathrooms.

Home Care Tips:
Point out obstacles in their home to them or family members that may be potential hazards, such as a throw rug or cables on the floor, which could cause them to trip and fall.

Staying Connected Online

Thu, 08 Sep 2022 16:09:51 GMT

The Next Best Thing to Being There

What many of us most want to do right now is give out loved ones a big hug and sit down for some intimate heart – to – heart conversation. Unfortunately, that is just not as possible these days, even if we live nearby.

So, how should we communicate with our loved ones who might be sheltering in place or living in a facility with contact restrictions? There are several helpful options to stay in touch with long-distance loved ones, anytime.

Lack of technical knowledge is no longer a reason not to touch base. Most of our favorite restaurants, shops, and corporations are offering online options and may very well continue to do so for quite some time. It is time to help your senior and yourself relieve any fears they may have of online communication.

Tech Considerations for Your Senior
Check that the device supports:

Increased sizing for fonts
Voice commands
Volume control or integration with hearing aids
Larger buttons
The ability to set up one touch “favorites” for frequently used sites or calls

( Caring.com )

If you have a home care worker staying with your parents, ask them to set up some alternate methods of communication for you. Many of the solutions can be used on multiple platforms – smartphone, tablet, laptop, desktop. For those with troubled eyesight, consider setting up a tablet, laptop or desktop communication so the visuals are larger and the controls easier to manage.

If you are the in-home caregiver, it is equally beneficial to begin to set up this lifeline for both of you to the outside world. More people than ever are flocking to video chats and text messaging and those communications have no age limit. Once your loved one is set up with appropriate technology, you might even find that they are happily able to connect on their own with friends and family.

For your own check-ins, we recommend setting aside a regular time and day each week so your loved one has something to look forward to. It also makes it easier on friends and family who might want to join in occasionally. If they know your video call occurs at the same link every week on Sunday at 5, for example, they might be able to drop in. Having a weekly, or even more often, video chat will help your senior to become more comfortable with the technology.

While this may feel like a time where we are apart, it doesn’t have to be. Through technology, we might be able to draw closer than before.

( CNET )

Communication with Home Care and Medical Teams

Home care and medical teams are also expanding their online communications, to help minimize risk of exposure. Remote appointments are also often an option, as many assessments can be done over phone or video.

Consider checking to see if your loved one’s healthcare providers have a remote option – whether by phone, text, or video chat. If you can avoid having them sit in a waiting room and in an exam room for questions that do no require hands-on care, virtual care makes so much sense. Virtual care options are especially helpful if they are provided by their current primary care doctor, who already knows them well. Prescription refills, recurring medical issues, and even minor concerns can be communicated quickly and without hassle. Check if your insurance covers this sort of “visit.”

Video Chat Ranks Highest
A recent study investigated mode of social contact and risk of depression in older adults. It found that, while face to face was the number one preferred mode of communication, video chats consistently were able to lower the rates of depression and loneliness in the seniors studied.
( US News and World Report )

Communication Options
•    Good old-fashioned handwritten cards and letters
•    Zoom, FaceTime, Skype or Google Hangout “calls”
•    Telephone Calls
•    Social Media
•    Text Messages
•    Email

Seniors and Pet Therapy

Thu, 25 Aug 2022 16:15:00 GMT

“Dogs have a way of finding the people who need them, filling an emptiness we don’t even know we have.” – Thom Jones, American writer

What is Pet Therapy?

Pet therapy is an interaction between a person and a trained animal, alongside the animal’s handler, with the goal of helping that person cope with or recover from a health issue or mental challenge. Pet therapy is a broad term that encompasses Animal Assisted Therapy (AAT) and Animal-Assisted Activities (AAA).

AAT typically entails concrete treatment goals using an animal and its handler, in conjunction with work done by a licensed psychotherapist, social worker, or other mental health care provider. AAA generally involves interactions where the animal and its handler visit with one or more people for comfort or recreation. Both have value and tend to revolve around the same benefits to the patient.

Dogs and cats are the most commonly used in pet therapy. However, fish, guinea pigs, horses and other animals can also be used. The type of animal chosen depends on the therapeutic goals of a person’s treatment plan, the location where the therapy will take place, and the type of support needed.

With the early successes, more grant money has been applied in recent years to studying and quantifying the benefits of pet therapy, including being used in situations such as child development, therapy, public health, autism mediation, and disease reduction or prevention.

Benefits of Pet Therapy

The most well-known benefits of pet therapy are:

Lowers anxiety and helps people relax
Provides comfort and reduces loneliness
Increase mental stimulation
Lowers blood pressure and improves cardiovascular health
Diminishes overall physical pain
Makes exercises and physical therapies more enjoyable
Enables a greater use of language and social interaction in patients with dementia or autism
Assists in recall of memories in patients with head injuries or chronic diseases such as Alzheimer’s disease.

( Alliance of Therapy Dogs , National Center for Biotechnology Information , NPR )

Requirements for Pet Therapists

Animal-assisted therapy often serves in conjunction with work done by a licensed psychotherapist, social worker, or other mental health care provider.

For the most part, not just any animal can be used for pet therapy. The first step in pet therapy is the selection of a suitable animal. Before an animal and its handler can participate in pet therapy, the team usually must fulfill certain requirements. This process typically includes:

A physical examination of the animal to confirm it’s healthy
An obedience training course
An instructional course for the trainer
An evaluation of the animal’s temperament and behavior
A certification from the sponsoring organization

( Healthline )

Who Could Benefit from Pet Therapy?

Pet therapy can significantly reduce pain, anxiety, depression, and fatigue in people with a range of health problems, including:

People with dementia
People in long-term care facilities
People receiving cancer or invasive treatments
People with cardiovascular diseases
Children or adults having dental procedures
Veterans with post-traumatic stress disorder

( Mayo Clinic )

A recent report from the U.S. Department of Health and Human Services, the Centers for Disease Control and Prevention (CDC), and the National Health Center for Health Statistics show that nearly 60% of hospice care providers that provide alternative therapies offer pet therapy to patients.
( Alliance of Therapy Dogs )

And it’s not only people with health problems who reap the benefits. Family members, friends and even staff who sit in on animal visits say they feel better, too!

Respite Care

Thu, 11 Aug 2022 13:21:24 GMT

This One’s For YOU!

Respite care provides a temporary break for family caregivers. No matter how much you love the person you are caring for, caregiving is hard and can drain your personal and emotional resources. It is important to take time for yourself when you can. Respite care can be arranged for any amount of time from a couple hours a week to several weeks a month. The care can be provided in home, in an adult day care facility, or in a healthcare setting.

Try to plan for respite care before you get burnt out. You deserve time for yourself, your family, shopping, exercising, reading, vacations, and relaxing. Giving yourself this basic are will ensure that the time you spend with your senior is quality time and the best you have to give.
( National Institute on Aging , ARCH National Respite Network and Resource Center )

Types of Respite Care

In-Home

Having a caregiver come into your home may be the easiest for your senior and for your own coordination efforts. An in-home caregiver can help with bathing, dressing, grooming, medications or even housework such as laundry, making beds, or fixing meals. They can take your senior to the park or appointments, giving you time to tidy up, take a bath, or have friends over for brunch.

Adult Day Care Centers or Programs

Some of the activities your senior can enjoy at adult day care centers include:

Crafts
Games
Meals
Social Time
Spa experiences
Music and dance

Many adult day care centers also provide pick up and drop off services for your loved one.

Respite Care Facilities

If you need a longer stretch of time to recoup, take a vacation, or tend to personal matters, perhaps a respite care facility is the answer. Some assisted living facilities have a few rooms set aside for short-term stays. Many of these facilities offer amenities such as hair and nail salons, gyms, religious services, and supervised outings.

( WebMD )

Signs You May Need to Consider Respite Care

Withdrawal from friends and family
Loss of interest in activities previously enjoyed
Feeling blue, irritable, hopeless, and helpless
Changes in appetite, weight, or sleep patterns
Getting sick more often
Feelings of wanting to hurt yourself or the person for whom you are caring
Emotional and physical exhaustion
Excessive use of alcohol and/or sleep medications

( WebMD )

The Right Time

Needing help does not make you a failure. It shows that you are human. It also means that you are thinking ahead and practicing self-care. Also, if you haven’t set up reliable alternate care, you may not be ready if an emergency arises that necessitates you being away from your loved one. You don’t want to be testing out new arrangements in the middle of a crisis or illness.

Sometimes the best way to get acceptance for an alternate caregiver is to have someone help with housework before helping with personal care. This allows your loved one to become familiar with the idea of a new caretaker and build trust. It may also buy you that same time. It can also be helpful to suggest that you would like to try having a person in “just for a week,” which gives your senior some feeling of control over the situation and might help them be more open to extending the arrangement.

Make sure to include extended family in the decision. They may not realize how difficult it is for you to be a caregiver and may help with solutions or even step up to be your respite caregiver. They won’t know you need help if you don’t tell them. Do not discount the desire of friends and neighbors to help. You likely have a network of friends outside of immediate family who would be happy to give you a break. They can provide a perfect social diversion or an understanding ear and may be more accepted by your loved one for delicate personal needs.
( Family Caregiver Alliance )

Ideas for Involving Family

Local family and friends can:

Prepare meals
Pick up prescriptions
Spend a few hours a week at the house

Take your loved one to adult day care
Accompany your senior on a trip to the park or museum

Remote family and friends can:

Fund a meal service

Check in with your senior on phone or video calls
Help with car service schedules
Come out for a week so you can decompress on a vacation or staycation

( AARP )

Skin/UV Awareness

7016264536 — Thu, 28 Jul 2022 15:02:34 GMT

Plan a summer adventure with your aging loved one. Our tips and ideas give you everything you need to know to take grandma out for a fun and safe day.

How to Plan a Fun & Safe Summer Adventure with Grandma

Plan a field trip for your grandparent! Imagine picking grandma or grandpa up from the nursing home and filling the day with a summer adventure. Your grandparent will look forward to the day and remember it for years!

Here’s everything you need to plan a fun summer field trip with your older loved one.

Create A Plan
Craft a plan of what your summer adventure will look like. When making your plan, take into consideration your grandparent’s mobility and the physical demands of events.

The Plan Should Include:

What time you’ll pick your loved one up.
The fun activities that will make up your day.
Plan for rest breaks in between activities. How often you rest will depend upon the type of activity as well as your loved one’s health condition. Some individuals will need more frequent and longer rest breaks than others.
Plan on meals, snacks, and water throughout the day.

What to Bring?
Taking your loved one on a fun summer adventure will require some planning and packing on your part. Make sure you include these items so you are prepared for whatever the day may bring.

Easy snacks like fresh sliced fruit, nuts, and nutrition bars
Plenty of water to stay hydrated throughout the day
An extra change of clothes in case of incontinence
Moist towelettes for easy cleanup after meals
Comfortable walking shoes
Sunblock
A hat
A sweater in case they get cold
Any required medication
A camera to capture the adventure!

Activity ideas

Make sure to choose activities that you think your grandparent will enjoy and ones they are physically able to do. Keep it simple and choose public spaces that aren’t too crowded or loud. If you can choose a place that is familiar to them and has fond memories, that can be a big plus.

Go Fishing

If the weather is warm and mild, go to the lake or your favorite fishing hole and see if the two of you can catch some fish. If they are in a wheelchair, make sure the dock is wheelchair-accessible. You can spend the day chatting while soaking up some Vitamin D.

Have a Picnic

Take a walk around a park and then have a picnic after. Make sure to pack a cane or walking stick to help with balance. Pack a picnic lunch of their favorite foods, a blanket, and enjoy some leisurely time together outdoors. You can even bring a kite and take turns flying it!

Work in The Garden

Taking care of something can give your loved one a sense of responsibility and pride. You can take them to your local nursery and let them pick out some favorite plants you can plant together. Even some fresh herbs in a windowsill can be planted with limited dexterity. Make sure you have ergonomical tools in case they experience any pain. Once your garden harvests, you can share the fruits (and vegetables) of your labor with them. ( Today )

Go Miniature Golfing

Find a miniature golf center near you or set one up in your backyard. You can help your grandparent if their ball goes off course and even make a fun contest of what the winner will receive. Grab an ice cream cone afterwards to wrap up your day of laughter and a little exercise.

Bring the World to You

Use www.thumbtack.com to invite a professional or expert into your home for a private session of your favorite hobby. The site offers access to a variety of health and wellness activities provided in the comfort of your home.
Some of these include:

Dance Lessons

Turn back the clock to music and dance from another era with private lessons that range from the fox trot to the hustle, and even the cha cha.

Beauty Services

Maintaining good hygiene and appearance is important for wellness and self-esteem. Haircuts, color, perm and manicure services can all be scheduled with a license cosmetologist.

Yoga

Gain balance and flexibility in the comfort of your home with Yoga. A teacher can provide a specialized lesson for your loved one.

Chess

A game of strategy and critical thinking. Chess can be a mentally stimulating game for seniors and their loved ones or caregivers.

Home Care Tip:
Give yourself plenty of time! When creating your schedule for the day, be sure to plan for car transfers, a leisurely pace and slower mobility. Remember that your loved one will be safe and able to enjoy the day’s activities more if they can do them at their pace.

Benefits of Yoga

Thu, 14 Jul 2022 16:15:00 GMT

Yoga is a great form of exercise for seniors. Many yoga postures can increase flexibility, mobility, strength, and balance through low-impact movement. Psychologically, it can help keep your mind sharp and increase positive emotions, mindfulness, and self-awareness. (Chopra)

The Benefits of Yoga

It is tempting to look at some of the extreme yoga poses depicted in movies and think that it is not an activity for older adults. However, a good yoga instruction will find poses that work for any of their students. The benefits are not derived from hitting a specifically difficult pose but in moving one's body mindfully toward that pose within your own individual limits.

A yoga class taught by an instructor that is aware of the challenges and limitations of an older student can yield many benefits:

Balance - Falls are one of the most common causes of injury in older adults. Balance poses can give their bodies more "tools" to stay steady.
Stress Relief - The calm mindfulness of yoga can center your loved one's thoughts and even provide moments of clarity.
Mobility - Working slowly through ranges of motion can increase overall mobility, in turn increasing independence and self-confidence.
Strength - Slow, controlled movement forces the muscles to work harder, thus building strength as they work through the postures.
Flexibility - Many of the poses focus on working through a range of motion. Increased flexibility and muscles tone can help protect your love one from accidents.
Bone Density - A recent study showed a connection between yoga and increased bone density in seniors who have osteoporosis or osteopenia. Increased bone density leads to fewer fractures than seniors who don't practice any muscle-improving exercises.

Yoga works on a healing premise that brings the mind, body and breath together to perform various poses. For example, as a mood booster, poses that open the chest and pull shoulders back, such as the Bridge or Modified Bridge poses, counteract the fact that when stressed or anxious, we tend to round our shoulders and cave inward. Body language experts have determined that even moving into a posture that conveys strength, power, and confidence will inspire that feeling within ourselves.
( Yoga International and Philips Lifeline )

Yoga is Adaptable

About half of Americans over the age of 65 have a disability related to hearing, vision, or walking. More than 87% of seniors take at least one prescription drug and nearly 60% take 3 or more.

All of these can affect balance and the ability to understand or work through complex steps. It is important to find a yoga instructor who is familiar with some of the challenges of older adults. A certified yoga instructor should be familiar with adaptations to the traditional poses and attentive enough to step in to guide your loved one through these adaptations. Classes that are set up with a competitive feel may not be appropriate for someone who needs the extra attention.

Yoga can be adapted even to students who are chair-bound, with a variety of spine and hip strengthening exercises taking place in a seated position. As your loved one gains strength, the chair can become a stabilizing prop for leg and ankle poses as well.
( Duke Integrative Medicine )

Types of Yoga

When looking for a class or instructor, there are many types of yoga to be aware of:

    * Ashtanga , Vinyasa , or Power Yoga tends to be fast paced and requires a lot of poses where the hands bear weight.
    * Hatha , Lyengar or classes that are alignment focused tend to be slower and allow for a greater number of adaptions.
    * Kundalini classes are often primarily done in a seated position and work with breath and chanting.
    * Yin , Restorative , and Chair yoga tend to be floor-or-chair-based to help adaptations.

Try to find an instructor who is open to meeting with you and your loved one ahead of time to take note of physical challenges, including past injuries, so that they can best help them through the poses. Avoid instructors who believe that every pose is accessible to every person. The ultimate achievement of a particular pose should not be the goal of a yoga practice.

When is Yoga Not Recommended?

While yoga is a highly adaptable practice, some conditions can make it riskier:
    * Unregulated blood pressure
    * Advanced Parkinson's Disease
    * Advanced Alzheimer's Disease
    * Spinal degeneration

* Medications that cause dizziness

Consult with your senior's physician to determine if yoga is an appropriate activity. Sometimes, if it is something your loved one has their heart set on, it can still be accomplished in a one-on-one class with an instructor who is familiar with their health challenges.
( Philips Lifeline )

A Recipe for Health and Nutrition

websites@hibu.com (Hibu Websites) — Thu, 30 Jun 2022 15:45:00 GMT

Meeting a Senior's Dietary Needs

As our loved ones age, their nutritional needs change, as do their abilities to tolerate various food textures and flavors. Dexterity challenges might make it more difficult to eat foods that crumble. Swallowing issues due to stroke or Parkinson's might make larger bites more challenging. Denture or jaw pain might make it tough to take smaller bites. Generally, our taste buds will age as well, making foods that used to be appealing seem bland or, conversely, overly spicy. Seniors left to their own devices may start to avoid the challenges of meal preparation altogether, shorting themselves on valuable nutrition.

While our loved ones may need fewer calories as they age, they specifically need more B vitamins, calcium, protein, and hydration. As we age, our ability to absorb nutrients decreases. Additionally, your senior may have varied nutritional requirements to help with medications or supplements they may be taking. It may be valuable to connect with a nutritionist to help guide food and nutrition choices.

Foods to Choose

As you think through a revised meal plan for your loved one, ensure they have variety to address all their nutritional needs. It is important to make sure that the meals we make are easy for them to consume, simple to prepare, and appealing in both taste and smell. Some considerations include:

Foods that are soft in texture and easy to chew like scrambled eggs, oatmeal, beans, or mashed potatoes.
Foods that are already bite sized (no larger than 1 inch) - Consider the use of a food processor - not to turn the meals into mush but to reduce the size of all ingredients to bite sized chunks.
Steamed vegetables in a variety of colors. There is some truth to the "eat the rainbow" adage. Soups are also a good way to include more veggies.
Meats that are skinless and boneless, perhaps shredded or flaked, like cod, salmon, pulled pork or hamburger.
Fruits that are soft and pre-cut or blended into delicious smoothies - Add yogurt, milk, or supplements to smoothies to get some added nutrition without affecting taste.
Natural seasonings such as ginger, green onions, and garlic for added nutrition.

( Chefs for Seniors , A Place for Mom , and Elderly Health Service - Department of Health, Hong Kong )

Foods to Avoid

Foods that may be more difficult for your loved one to eat might include:

Foods that are coarse or dry, hard or stringy in texture
Vegetables that are stringy or hard to bite like celery, carrots, or kale, unless they're cut into smaller pieces.
Foods that crumble easily and are hard to pick up.
Overly salty seasonings - the elderly are more easily dehydrated and salty foods will contribute to this.
Meats that are tough, on the bone, or chewy, like ribs or squid

( Chefs for Seniors , A Place for Mom , and Elderly Health Service - Department of Health, Hong Kong )

Meal Ideas

Breakfast Ideas

Scrambled eggs or egg whites. You can add diced onions, mushrooms, or chives.
Fruit, such as sliced apple or pineapple, orange, or grapefruit sections, grapes or melon balls. A dollop of yogurt adds freshness and zest.
Whole grain toast. Try apple butter, naturally sweetened jam or a drizzle of honey instead of butter!

Lunch Ideas

Homemade tuna salad. Try using vegan or canola mayo and adding pine nuts or chopped cashews for added texture. Ass curry seasoning for extra flavor.
Green leafy salad with your favorite vegetables: tomatoes, cucumbers, scallions, olives, and avocado.
Homemade soup. Start with vegetarian or chicken stock, then add your favorite vegetables and seasonings. Potatoes add texture, and squash or fresh corn add sweetness. A large batch can be frozen into individual portions for anytime use.

Dinner Ideas

Baked or broiled skinless chicken breast or fish fillet (tilapia, salmon, and tuna are delicious choices). Season with a squeeze of lemon and herbs such as rosemary or thyme.
Potato, yam or squash - baked or broiled. Baking them together with the meat in tin foil preserves the flavors and speeds the cooking time.
Steamed or broiled vegetables such as broccoli, carrots, cauliflower, asparagus, beets, spinach, or kale. Choose different combinations in a variety of colors for rounded nutrition.

( The Goodman Group )

Elder Abuse

websites@hibu.com (Hibu Websites) — Tue, 14 Jun 2022 15:45:00 GMT

Protect our loved ones by knowing the signs and what to do if you see them.

Around 1 in 10 senior Americans experience some form of elder abuse. Some estimates show as many as 5 million seniors are abused each year. One study estimates that only 1 in 14 of these are reported to authorities. Often a senior’s desire to stay in their home eclipses their need to report abuse that might be happening.

Common Types of Elder Abuse
There are five primary categories of abuse:

Physical

Non-accidental use of force that results in pain, injury, or impairment, including the use of drugs, restraints or confinement

Emotional

Treatment of an older adult in a way that causes emotional or psychological distress, including yelling, threats, ridicule, isolation or blame

Sexual

Contact of a sexual nature with an elderly person without their consent

Neglect

Failing to fulfill basic needs such as food, water, health, cleanliness, pharmaceutical regularity, and emotional care.

Financial

Unauthorized use of a senior's funds or property

Self-Inflicted Abuse
Elder abuse can be self-inflicted as well. Our loved ones may feel like they can still be independent without realizing they are not maintaining a good quality of life.

Some things that you can do to help ensure they are practicing good self-care are:

Check in often and enlist the help of friends and neighbors to do the same. Are they gaining or losing too much weight? Does their home continue to have a healthy level of upkeep? Are any medications clearly marked and appear to be being taken regularly?
Make sure that contact information for doctors is easily accessible in their home.
Research senior centers that might offer daytime activities, as well pick up and drop off services.
As a later resort, consider looking into legal guardianship so that, if they truly are unable to care for themselves, you have the legal recourse to step in on their behalf.

( American Society on Aging and USC Center on Elder Mistreatment )

Preventing Elder Abuse
If you’re a caregiver and feel you are in danger of hurt or neglect, help is available. Maybe you’re having trouble controlling your anger? Have others raised concern with your behavior? Perhaps you feel disconnected or overwhelmed? Recognizing that you have a problem is the biggest step to getting help and preventing abuse.

Here are some examples to help you prevent elder abuse or neglect:

Request help from friends, relatives, or local respite care agencies or find an adult daycare. program – everyone needs a break.
Take care of yourself with proper rest, diet, regular exercise, and medical needs.
Seek help for depression.
Find a support group for caregivers of the elderly.
Get help for any substance abuse issues.
Get professional help such as a therapist

( HelpGuide )

The Warning Signs

Abusers will rarely abuse your loved one in your presence. Often it can happen in the heat of a moment when there isn’t anyone else around. However, there are signs that can indicate that abuse might be happening.

Unexplained bruises, welts, or scars, especially if they appear symmetrically on both sides of the body
Broken bones, sprains, or dislocations
Drug overdose or, conversely, signs of medication not being taken
Dramatic weight loss for no apparent reason
Broken eyeglasses or other personal assistance devices
Caregiver's refusal to let you see your loved one alone
A home that is in greater disarray than prior to the caretaker’s presence
Cowering or hiding behavior by your loved one in the presence of their caretaker
Sudden onset behavior that mimics dementia such as rocking, sucking, or mumbling

Anything that seemingly comes on suddenly and without apparent cause should be investigated.
( National Institute on Aging , HelpGuide )

If you Suspect Abuse

If you believe someone is in immediate danger, call 911 or the local police for immediate help. If you suspect abuse or neglect of someone living in the community, contact your local Adult Protective Services or Long-Term Care Ombudsman.
( National Center on Elder Abuse )

Pain Awareness

websites@hibu.com (Hibu Websites) — Thu, 02 Jun 2022 15:45:00 GMT

How to Identify and Assess Pain

Pain is a signal from the central nervous system indicating that something is wrong. Pain is helpful in that it alerts the brain to take action. If we never felt pain, we could be injured or have a serious medical condition without any awareness that our body is in danger.

Unfortunately, chronic pain is an entirely different experience. It is often a symptom of a medical condition or has no known cause.

We have all likely experienced pain at some point in our lives. There are a variety of common words to describe pain, such as dull, acute, shooting, burning, sharp, or throbbing. However, people's understanding of these words and their position on the pain scale can vary wildly. There is no medical way to diagnose a level of pain, so often it hinges on our subjective experience. A larger challenge occurs when trying to describe someone else's pain. A particularly empathic doctor might be better able to key into a level of pain, but most will rely on anecdotal descriptions to help them understand.

( Pain Scale )

Types of Pain
Most pain can be separated broadly into two buckets - acute or chronic.

Acute pain - is usually sudden, can be attribut4ed to a specific trauma, and can generally be resolved in a set amount of time. there are three primary types of acute pain. If your loved one is in pain, it is important to see if they can determine which type they are experiencing.

Somatic pain - A person feels this superficial pain on the skin or the soft tissues just below the skin. These are usually bruising or contusions from a fall or other accidents.
Visceral pain - This pain originates in the internal organs and the linings of cavities in the body. It can indicate a more deep-rooted disease or a more serious accident.
Referred pain - A person feels referred pain at a location other than the source of tissue damage. For example, people often experience shoulder pain during a heart attack. If you don't know of a specific accident or trauma, it is important not to assume the point of pain or treatment prior to talking with a doctor.

Chronic pain - is generally pain that is ongoing for months or years and interferes with daily activities. Chronic pain affects approximately 100 million American adults, with almost half of those impaired in their work or life daily. Because chronic pain is often not associated with another condition, it's important to ensure that your loved one's medical team includes a doctor that understands the challenges of non-specific pain and alternatives for treatment.

( American Chronic Pain Association and Center for Disease Control )

Pain Scales
Often the best way to track pain is to track it over time. Does the pain have an ebb and flow? Is it associated with any specific activities? Has non-specific pain been occurring for a while? Some of the questions that a doctor might ask that you can also pursue with your loved one include:

How would you describe the pain (burning, stinging, stabbing, throbbing...)?
Where do you feel the pain, and has it spread?
Which activities aggravate and relieve the pain?
Are there times of day when the pain is worse?
How long have you been experiencing it?

Knowing where your senior hurts, how bad they perceive the pain to be, and how much it's impacting their daily life is helpful both to aid you in knowing how to assist them, but also as an aggregated set of information to relay to their medical team.

( Medical News Today and Pain Scale )

Non-Verbal Pain Cues

If your loved one is cognitively impaired, there are still ways to determine that they are in pain. Here are some examples of cues to pay attention to if they are not in their normal state of being.

Restlessness
Crying, moaning, and groaning
Resistance to care
Increased wandering
Sleeping or eating problems

( Medical News Today )

Non-Drug Pain Treatments

There are several non-drug therapies that may be more suitable for those with chronic pain. Examples include:

Acupuncture
Psychotherapy
Chiropractic
Heat and cold
Exercise
Massage
Vitamin or herbal supplements

( Medical News Today )

Information in this article is not a substitute for medical advice. Always consult your medical professional before starting or modifying treatments/medications.

Age Discrimination

websites@hibu.com (Hibu Websites) — Thu, 19 May 2022 15:45:00 GMT

Ageism, its effects on seniors, and how you can help

While we often think of age discrimination in the context of employment, it is so much more insidious as our loved ones age. No matter how alert or competent they are, they may be increasingly seen as unable to make decisions for themselves, handle routine physical tasks, or even carry on intelligent conversations. This can eat away at their self-esteem, engender anger and reactivity in their conversations, and cause them to retreat into the very inabilities that are assumed of them.

Ageism refers to discrimination based on someone's older age. It includes stereotypes, myths, dislike, avoidance of contact, as well as discrimination in housing, employment, and other services.

As we know from personal experiences, the health and capabilities of older adults are just as varied as those of younger adults and shouldn't be lumped into a single category labeled "seniors." By creating this bucket, society dehumanized older adults and adds to the ease in which they as a group can be excluded from communities, social policies, and support systems.

( San Diego State University and National Institute of Health )

Studies have found that older people who feel discounted are three times more likely to develop a disability and four times likely to die prematurely.

The mind is a powerful thing and a mind that tells them there is nothing more to live for can be detrimental to their overall health.

( AARP )

Ageism's Effect on Health Care

Unfortunately, many health care workers can subconsciously and systematically discriminate against our senior population. Assumptions that a senior may be cognitively or physically impaired or unable to participate in their own care can lead to blocking them from clinical trials, advanced treatment options, or even provision of complete medical diagnosis.

Ageism has also been identified as both as a cause and a symptom of elder abuse. The image of aging depicted in the media has generally been negative, which seems to be more acceptable in the case of older persons than that of any other social group. This can cause older people to view themselves as invisible and unworthy, contributing to self-neglect, a growing and largely hidden type of elder abuse.

( American Journal of Public Health and United Nations )

What Can We Do?

One way that we can work toward a more inclusive mindset is to take care in how we label our older adults. Whenever possible, language that uses the words "we" and "us" instead of "they" and "them" to refer to our seniors as a group will help us remember that aging is something that is not only happening to others, but to ourselves as well. For example, instead of "what older people need," use "what we will need when we're older."

How often have we seen an elderly person being spoken to as if they were a child? Or how often do we speak loudly from the outset in assumption that the person in front of us is hearing impaired? How often do we describe ourselves as forgetful if we lose something but label our aging parents as senile if they do the same? Additionally, while referring to someone as a "sweet little old lady" might seem a positive message, it can also be viewed as patronizing and dis-empowering to that person. It is good practice to assume capability before decline.

( Stanford Social Innovation Review and Radical Age Movement )

Elder Speak - Some tips for re-empowering our seniors are:

Speak to them as the adults that they are. If the conversation requires you to speak more slowly or enunciate, take the cues from the conversation, rather than assumptions.
Address them by their given name instead of pet names like "honey" or "dear."
Eliminate the use of baby talk when interacting.
Ask if they would like assistance rather than assuming they need it.
Don't refer to them as "young man" or "young woman," which implies that their actual age is less desirable.

( Aging Parents Insights )

Loneliness and the Effect on Mental Health

websites@hibu.com (Hibu Websites) — Thu, 05 May 2022 15:31:38 GMT

"But there are other words for privacy and independence. They are isolation and loneliness." - Meghan Whalen Turner, The King of Attolia

The most recent U.S. census data shows that more than a quarter of the population lives alone - the highest rate every recorded. Being alone does not necessarily herald loneliness, and living with someone may not stave it off. However, being alone can lend itself to undiagnosed loneliness and its partner, depression.

Especially right now, people are spending more time isolated from others than ever before. Many of us, however, live with family members and perhaps communicate with colleagues via video, text, and email. This is not necessarily the case for our seniors.

It is important to note that your loved one can be lonely even when they have people coming and going in their life each day. And with short-term memory issues, their perception of how often they see you or other loved ones can be altered so that they are lonely even moments after you've left.

Setting your senior up with technology for video chatting, while not a replacement for a live person, can help in those moments where they just need a friendly face.

Your loved one may feel a daily caregiver is only there for chores and not for companionship. See if your caregiver can schedule in time just to sit and chat to help them feel heard and cared for. And if you aren't sure this is a valuable use of their paid time, these causal conversations could yield medical information that you might not know about otherwise.

Your senior also can feel lonely because they do not feel like they are a productive member of society. Connecting them, even virtually, with your local senior center or religious organization can help them find a niche.

As we move back to a time of less isolation, ensure that your senior can get to small gatherings. Often a lack of transportation and their desire not to burden you will add to their feelings of isolation and loneliness.

( National Institute of Health and American Psychiatric Association )

Signs of Loneliness

Some of the signs to watch for, both in yourself and in your loved ones, include:

Inability to connect except on a very superficial level
No close or "best" friends
A feeling of isolation, even when in a group
Exhaustion in social situations
A continual feeling of being drained or unmotivated

( CIGNA Health Care )

Types of Loneliness

There are essentially three types of loneliness. Understanding which one is affecting your loved one will go a long way towards knowing how to help.

Social Loneliness

As our senior age, they naturally drift apart from social circles they once had. Perhaps they've been moved to be closer to you, leaving behind friends and activities. This is a type of loneliness that occurs when you don't feel a sense of belonging to a group. Even if your parents are still together, there is a need for a wider social circle. Research senior activities in your area, even virtual calls, that might connect them with people outside of their home.

Emotional Loneliness

Emotional loneliness can hit those who have lost a partner and feel like they don't fit into their social circle where others still have their spouses or live-in children. It is a feeling of lack of relationship or attachment. Often it can be felt the worse when your senior wants someone to talk to each day. It can be helpful to reconnect them with same-generation relatives that they might have lost touch with. Even emails and text exchanges can go a long way towards restoring their sense of self.

Existential Loneliness

This is the most intangible of the types. It is generally more of a feeling of not knowing your place in the universe that most of us experience at one time or another. It typically shows its head in times of change when we don't know what to expect or don't realize that others are sharing the same life experience. Encourage your loved one to share their thoughts and feelings about aging or set them up with others in their age or medical group.

( Psychology Today )

Chronic Loneliness Risks

Chronic loneliness can lead to:

Depression
Sleep disorders
Type 2 diabetes
Heart disease
High blood pressure
Mental health and emotional problems
Substance abuse

Social isolation increases the risk of early death by 50-84%! The stress of loneliness affects immune system functioning and increases inflammation, precursors to countless more complex medical issues.

( National Institute of Health )

Meditation for Calm and Health

websites@hibu.com (Hibu Websites) — Thu, 27 Jan 2022 15:45:00 GMT

“Meditation is the discovery that the point of life is always arrived at in the immediate moment.” – Alan Watts

So much of the lives of our older adults are encompassed with medications and doctor’s visits. They are focused on the stresses of the future and the memories of the past. Meditation is an activity that helps them learn how to be in the moment, costs nothing, and can bring enormous health benefits.

When a person mediates, their breath and heart rates slow, blood pressure decreases, and the stresses of they day get set aside. Meditation can promote better focus, increased calm, and improved sleep. In seniors experiencing early dementia, mindful mediation can help stimulate memories – both long and short term. Research has shown that mindful meditation can reduce pain and potentially slow the progression of Alzheimer’s.
( Seniors Matter and US News and World Report )

As you start to research which meditation style will work for your loved one, there are several to look at:

Mindfulness is the practice of just being in the moment without judgment of what the moment holds.
Guided Imagery focuses on calming mental images such as a beach, a favorite place, or person.
A Body Scan can be a useful tool to help our loved ones take account of where they are experiencing pain or discomfort on any given day. It is a practice where the mediator focuses on one body part at a time and notes how that body part is feeling in that moment. Your loved one may note such things as whether their foot, hand, arm, neck are hot or cold, tingling or calm, tense or loose.
Transcendental Meditation is the practice of focusing on a single word or sound that is repeated over and over to create a chant or mantra.
Metta is the loving-kindness mediation. It begins with developing kind thoughts and loving feelings inward. There are so many reasons for our loved ones to be disappointed with their failing health, mind and bodies. This meditation restores for them a feeling of self-love. Once this has been mastered it expands to encompass friends, family, acquaintances and ultimately, people from whom they’ve become estranged.

If your senior is more mobile, there are meditations practices, such as tai chi, qigong or yoga, that combine the body and movement with breath and the silence of mind. The slow and repetitive movements provide a similar mindfulness to the chants of Transcendental Meditation.
( Seniors Matter and Healthline )

Caregivers Benefit Too

As a caregiver for your loved one, you can also benefit from the calm, acceptance, and lowered stress of mediation. Consider setting aside a moment each day to either mediate while your loved one naps, or as a shared exercise with them. Studies have shown that only 8 weeks of regular practice creates improvements in mental focus and decreased anxiety.
( KAPOK )

How to Start

Mediation is easy to start and forgiving in the process. It doesn’t seek perfection, only that the person practicing it keeps an open heart.

Start with creating a regular time for the practices. Morning or midday are good times that allow the benefits to be felt through the rest of the day.
Start with as few as 5 minutes and work towards a goal of 20 minutes a day. It doesn’t need to be the same amount of time each day.
Meditation can be done sitting or lying down.
Coach your loved one to take deep breaths from their diaphragm. The benefits of deep breathing include increased oxygen for their brain and blood.
Focus on inhaling and exhaling as separate movements.
Have your senior pay attention to any other physical sensations during the practice.
While the focus should be on being in the moment, other thoughts that pop into their minds should be welcomed, acknowledged, and then allowed to move on without judgement.
Some people are aided by using quiet music or nature sounds. Others prefer quiet. Some welcome a guided meditation where you (or a podcast, YouTube channel, or purchased meditation) quietly guide them through the above. Other prefer to sit and guide their thoughts on their own. There is no right or wrong.
If you are choosing to guide your loved one through this process, remember to offer yourself the same acceptance and mindfulness that you are asking them to have. Take it slowly and don’t judge if it isn’t done perfectly.

( Seniors Matter and Healthline )

Rekindling Holiday Traditions

websites@hibu.com (Hibu Websites) — Thu, 16 Dec 2021 15:00:00 GMT

This is a subtitle for your new What are the holiday traditions that you remember from your youth? Who are the people who created those memories for you? For your parent or older adult, the memories they helped create are often the ones that sustain them in their older years.

Often travel and intensive decorating or party activities are difficulty for your older adult. There is no reason for a holiday celebration to be a burden on either yourself or your loved one. However, it can also be difficult for your loved one to know that you might be continuing with travel or celebrations with family and friends without them. Be mindful that holiday depression can be worse for those who believe their best years are behind them.

You can help make the holidays special through even the simplest things that you can do. Loved ones with memory challenges often relive the feeling of the holidays through the scents and tastes of the season. Be mindful that chaotic lights and decorations might be overwhelming, but a few memorable decorations, holiday delicacies, or the scent of pine or cookies might spark hints of memories.

Small new traditions throughout the season can be effective in creating the holiday mood:

Bake holiday cookies or work on easy crafts with grandchildren
Take an easy drive out to look at lights or participate in a holiday service
Put up some decorations to surprise your older adult. Remember to remove them at the end of the season so they don’t feel the pressure to clean up.
Set up smaller gatherings with neighbors and friends.
Arrange Zoom or video calls with relatives or friends that are further away.
If family is inclined to travel, consider having them come at different times throughout the month rather than one big gathering.
Play holiday music or watch holiday movies.
If your loved one has cherished holiday decorations, take one or two out and ask them to talk about them. Who does it make them think of? What are the memories connected to that piece? How long have they had it?
If your older adult is capable and wants to help, don’t exclude them under the guise of doing it for them. Find options for them to help create magic.

( Aging Care and Care.com )

Holiday crafts to do with your loved one

Holiday wreath
Filled stockings
Pomanders with oranges and cloves
Decorate cookies
Simple ornaments (kits can be purchased at your local craft stores)

( Daily Caring )

If family can’t come to visit over the holidays and you are planning to go visit them without your loved one, think ahead and start some in-home care before the holidays so that the caretaker becomes family. Ensure that your caretaker knows their religious and tradition preferences and ask them to help create the holiday spirit in your absence.

Not everything has to be holiday specific. As we age, family time and quiet activities together can take on new importance over gaudy decorations, resplendent trees, and hectic gatherings.

Some ideas for indoor activities that can be planned throughout the winter months include:

Play card or board games. They can be as simple or complex as your loved one is able to enjoy.
Have a family movie night with popcorn, hot chocolate, warm blankets, and fluffy pillows.
Invite a friend over for a tea chat.
Prompt grandchildren to ask about the “olden days” and traditions that might have gone by the wayside.

( Aging Care and Care.com )

Considerations for Guests

Let guests know ahead of time of any physical or communication challenges that your loved ones have, and how to respect their time and abilities best.
If there are multiple guests in a room, limit cross talk.
Make sure to ask questions of your loved one and allow them time to respond.
Encourage guests to bring their own food or offer a potluck meal so that your loved one don’t feel the need to host.

( Alzheimer’s Association )

Dignity in Communication

websites@hibu.com (Hibu Websites) — Thu, 18 Nov 2021 16:33:23 GMT

“Every life deserves a certain amount of dignity, no matter how poor or damaged the shell that carries it." - Rick Bragg

It can be easy, when your loved one appears to be a shell of the vibrant human being they were in their youth, to treat them with less respect or awareness of the human being that they still are. Even if they cannot express themselves in the way that they used to, the person you love is still in there and deserving of being treated with respect and dignity.
Alzheimer’s Disease and other dementias gradually diminish a person’s ability to communicate. However, their desire to connect doesn’t diminish at the same rate. The first visible signs of reduced communication abilities due to their dementia might be:

Difficulty finding the right words
Using familiar words repeatedly
Describing familiar objects rather than calling them by name
Easily losing a train of thought
Difficulty organizing words logically
Reverting to speaking a native language
Speaking less often
Relying on gestures more than speaking.

( Alzheimer’s Association and Us Against Alzheimer’s )

More Ways to Preserve Dignity Beyond Communication

Focus always on dignity. They are not just a dementia patient. They are a mom, dad, uncle, aunt, friend, cousin, human being.
Use preferred names when addressing them.
Knock before entering their personal space.
Sit when feeding them or helping with other tasks.
Honor their clothing choices.
Ask before changing music or TV shows that might be on when you enter a room.
If they must use a catheter bag, cover it to keep it from being a focal point for visitors.

( Very Well Health )

Meet them where they are but try not to finish their communications for them unless they ask for help. Some tips to help you grant them dignity in your conversation include:

Don’t make assumptions about someone’s ability to communicate because of an Alzheimer’s diagnosis. The disease affects each person differently.
Don’t exclude your loved one from conversations or assume they are not listening.
Speak directly to them rather than to their caregiver or companion. Allow them the dignity of making the decision to defer to their caregiver.
Take time to listen to them express his or her thoughts, feelings and needs however long it might take. Don’t interrupt unless help is requested.
Ask your loved one directly what they are still comfortable doing and what they may need help with. When they are early in their decline discuss with them whether they appreciate or are frustrated when you complete sentences for them.
It’s OK to laugh . Sometimes humor lightens the mood, can open up memories and neural pathways to make communication easier.
Don’t pull away ; your honesty, friendship and support are important to your loved one. As difficult as it might be for you to see them in cognitive decline, it’s so much more difficult for them to be the ones in the middle of it. Don’t assume they are completely unaware of the challenges they face.

As their communication abilities decline in later dementia, non-verbal communication becomes more meaningful:

Maintain eye contact with your loved one to show them that you are engaged with what they are saying or communication non-verbally.
Ask questions but only one at a time. Yes or no questions may be easier than open ended questions as the disease progresses. They can nod or smile for yes. For example: “Would you like a cup of tea?” Rather than “What would you like to drink?”
As you notice that they are having challenges recognizing people, make a point of introducing yourself each time you enter the room. It’s not their fault if they don’t recognize you and can be a source of frustration or embarrassment.
Avoid baby talk or diminutive addresses like Sweetie or Darling. Use the name they prefer to be called.
Be prepared to repeat yourself. If you expect to have to do this, you will reduce your own frustration with having to do it. You are showing respect to your elder if you are prepared to communicate in the way that they need you to.
If you don’t know what to say, sometimes it’s enough to simply sit with them and hold their hands. You can listen to music from their childhood or read to them from favorite books.
Pay attention to their emotions more than the specific words they are speaking. You will know if they seem agitated or happy. Respond to the emotions. Especially if they are frustrated or stressed, words will be more difficult for them.

Above all, they are human beings. If you continue to think of them as the person you have always loved, instead of the disease that has overtaken their brains, you will instinctively treat them with dignity and respect. They have earned that over a lifetime.

( Alzheimer’s Association and Us Against Alzheimer’s )

The Science of Pets

websites@hibu.com (Hibu Websites) — Thu, 04 Nov 2021 04:01:37 GMT

Almost 65% of American households have at least one pet. That means that your loved one likely has benefited at some point from having a pet in their lives. If this was a positive experience for them, you might want to consider some form of pet therapy for their senior years.
( The National Center for Biotechnology Information )

The American Heart Association has issued an official statement that pet ownership, specifically of dogs, may reduce the risk of cardiovascular disease, systemic hypertension, obesity, and complications from nervous system disorders.

While our loved ones may not be able to care for a pet, that doesn’t mean that their lives can’t benefit from other solutions. Animal Assisted Activities and Animal Assisted Therapy are two therapies that are worth researching for your older adult.

Animal Assisted Activities are informal interactions such as animal visitation programs that can include a variety of different types of animals such as rabbits, hamsters, birds, dogs, cats, or even farm animals. These sorts of visits have been associated with reduced depression and increased happiness. In addition to the interactions with the animals, the human interaction during the visits can help combat loneliness.

Animal Assisted Therapy is a more structured therapeutic intervention that is directed by health professionals with specific goals for the interactions. These goals can be physical, mental, emotional and/or social. The most common animals used are dogs, cats, and horses, but other animals may also be used for specific mobility goals. There is often a better chance that Animal Assisted Therapy will be covered by insurance.

( The National Center for Biotechnology Information and Therapet )

Considerations for Pets in a Home

While there are many advantages to having a pet in the home, there are some things to consider.

Pets can create a tripping hazard – either themselves or the toys that they bring out.
If there is a level of dementia or Alzheimer’s, the pets feeding schedules can be skewed toward either too much or too little food.
Pets provide additional cleaning duties that can be overwhelming.

Ensure that, if your loved one has a pet, they also have resources to help them care for the pet, even if that pet is a fish.

( BrightFocus Foundation )

The science behind why pet interactions work is undeniable and fascinating. Just 15 minutes of bonding time with an animal sets off a chemical reaction in the brain that lowers cortisol and increases serotonin. This causes heart rate, blood pressure and stress to drop.

If your loved one is physically capable, walking a dog is a fabulous form of cardiovascular exercise. However, even if that is beyond their current abilities, there is also a physical and emotional benefit that can come from brushing, petting, and feeding a pet. Caring for another being can provide a sense of worth and engagement in the world. The small motor movements required for these activities can provide dexterity in a non-pressured, non-therapeutic environment.

There is some evidence that pet therapy can be used successfully for loved ones who experience Sundower’s Syndrome; a period in the evening of increased agitation and confusion often suffered by those with Alzheimer’s. If it is safe for the animal, having an animal around during that time, might give your loved one focus, a feeling of acceptance, a being that doesn’t expect verbal communication, and memories of pets that they might have had in their youth.

Do not discount the advance of pets other than cats and dogs. One study of patients in an Alzheimer’s facility found that after introducing an aquarium into their dining hall, the patients experienced higher food intake and weight gain and needed less nutritional supplementation. Consider how a tank with fish might be helpful for your own loved one in their home.
( A Place for Mom and Human Animal Bond Research Institute )

A Pet Alternative

Sometimes there isn’t a pet available for your loved ones. In these instances, there as been some success with stuffed “pets”. You are not attempting to trick your senior into believing that this stuffed pet is real. They will often know that it is not but will happily sit with one in their lap and pet them as if they were real. They can provide a similar sense of calm and stress relief. Similar activities involve baby dolls for your older adult that is especially connected to babies and children.
( Statewide Home Health Care Australia )

Can you hear me?

websites@hibu.com (Hibu Websites) — Fri, 22 Oct 2021 03:25:43 GMT

Imagine if you awoke one day and realized that you could no longer hear your favorite songs, the sound of your grandchildren laughing, the nuances of your regular TV shows, or even inside jokes shared with your closest friends. Many of our loved ones start to experience this as they age, and it can cause them tremendous sadness and a feeling of loss. As hearing loss can come on slowly, they may not even be able to pinpoint why they feel so isolated and lonely.

Approximately one in three older adults have some level of hearing loss but many don’t want to admit it, even to their loved ones. However, when someone can’t hear well, they tend to withdraw from communications, to become depressed, and to self-isolate.

When your loved one starts to pull back from communicating, it might not be obvious that hearing loss is the reason. Some things to looks for to indicate that this might be their challenge:

An inability to accurately understand conversations over the phone, or an avoidance of talking on the phone altogether.
Stress when trying to follow a conversation where two or more people are involved
Asking people to repeat what they are saying multiple times
Turning up the volume on TV or music to levels that cause others to complain
Withdrawal from loud social occasions
Complaints from your loved one that others mumble
More difficulty in hearing women and children. The most common level of hearing loss is in the higher registers.
Their own speech becomes more mumbled for incoherent.

( National Institute on Aging )

How to Speak with Someone who is Hearing Challenged

Choose places to talk where there is minimal background noise.
Make sure to include your loved one in group conversations when they might be inclined to withdraw.
Stand in good lighting and use facial expressions and gestures to help give context to what you’re saying.
Face the person and speak clearly.
Speak a little louder but don’t yell or enunciate abnormally.
Do not hide your mouth, eat or chew gum while speaking.
If you need to repeat yourself, use different words to express the same message.
Be patient and positive.
It is not rude to ask your loved one what might help them hear your better. Sometimes one ear hears better, or they read lips or a certain tone or volume works best for them.

( National Institute on Aging )

One of the first indications of hearing loss might be tinnitus, or a ringing in the ears. If your loved one starts to complain about ringing, buzzing, hissing, or bells that no one else can hear, this may be what they are experiencing. While this is an early indicator of hearing loss, it can also be a sign of health problems such as high blood pressure, allergies or medication side effects. While it may seem a small complaint, it is certainly worth bringing to the attention of your loved one’s health team.

In addition to the types of hearing loss that come with age, there are also other health conditions or medications that can contribute to the challenges.

Diabetes
High blood pressure
Ear infections
Viruses
Heart conditions
Stroke
Brain injury
Some medications that treat infections, cancer, and heart disease
Some antibiotics
Potentially aspirin at higher dosages

( National Institute on Aging )

Treatment Options for Hearing Loss

Hearing aid(s)
Assistive devices, such as telephone amplifiers or technology that converts speech to text
Training in speech reading through lip reading and body language
Techniques for preventing excess wax in the outer ear.
If medications are causing the loss, finding new medications.

( John Hopkins Medicine )

Dementia and Hearing Loss

The dangers from hearing loss in your loved one go far beyond the words that are missed. Hearing loss is one of the highest risks for development of dementia. Recent research has determined that brain atrophy happens more quickly in those with hearing loss.

Many of the symptoms are surprisingly similar. Both dementia and hearing loss are characterized by difficulty with communication, complications with completing simple everyday tasks, changes in the methods of communication, and increasing feelings of stress and fatigue. Because of this, hearing loss could be misdiagnosed as dementia and vice versa. It is important to look at both possibilities for your loved one to address their confusion appropriately.

( The Hearing Journal )

Eating Challenges

websites@hibu.com (Hibu Websites) — Thu, 07 Oct 2021 16:15:00 GMT

Whether it’s to stay healthy, in social gatherings with friends, or as an expression of our creativity, food is central to our days and happiness. Most people have food-related stories around their social events or holidays. However, as we age, sometimes that joy is diminished by our body’s decreased capacity to intake nutrients, mechanical issues with chewing and digestion, and a declining sense of taste.

When eating is no longer enjoyable, it can be tempting to skip eating or to choose foods that are quick and easier to prepare. Unfortunately, our loved ones do not have the luxury of pursuing these simpler, and less healthy, choices while maintaining their health. Malnutrition is a gateway to weakness, loss of muscle strength, wounds that don’t heal as quickly, and reduced mental capacity. One study noted that over 43% of older patients admitted to intensive care were malnourished and that they were more likely to have complications and longer hospital stays than other patients.

It’s important to watch out for things that might cause your loved one to eschew a healthy eating style:

Medications can impair smell and taste, making food seem less appetizing
Conditions which affect the teeth or mouth can make chewing and swallowing difficult.
Arthritis can make holding a fork or knife painful leading to an over-reliance on snack and finger- foods.
Losing their partner, and the subsequent depression and feelings of isolation, can remove the desire to prepare a meal for just themselves.
Reduced income may mean that choices must be made between quality foods and other living costs.
Physicians are rarely as well trained in nutrition and may treat the symptoms of malnutrition with drugs and therapy, without realizing that the cause could easily be remediated with a better diet.

( Tufts University )

Meal Services

If you are not nearby to monitor your loved ones’ eating habits, it might be worth looking into a service such as Meals on Wheels where they will bring healthy foods to your adult and, at the same time, look in on whether they seem to be eating what is brought. A side benefit is that often the people who bring the meals will sit with your loved one for a snack or chat, adding a social component to the nutritional one.
( Winchester Hospital )

In order to stay ahead of malnutrition challenges, encourage your older adult to follow these guidelines:

Eat whole foods that offer a lot of nutrients without extra calories such as brightly colored fruits and vegetables, whole grains, dairy with added vitamin D and calcium, seafood and lean meats, eggs, beans, nuts and seeds.
Avoid foods with empty calories such as those that are highly processed as well as soda and alcohol.
Choose foods that are lower in fat and not fried.
Drink plenty of liquids, especially water.
Reduce salt consumption and increase spices that add flavor to the foods.
Increase exercise of any kind as it can work to stimulate appetite.

If your loved one simply has a small appetite, you can help them add calories and nutrition without adding bulk by introducing sauces or gravies and/or grated cheese to dishes. Stirring powdered milk into dishes can add calcium. Adding honey, molasses or maple syrup to their breakfast cereal can help raise their blood sugar. Adding wheat germ to cereals and baked goods can increase the nutritional value without adding bulk. Additionally, consider suggesting more small meals during the day instead of a couple larger ones that can be overwhelming to both prepare and to eat.

It helps to make sure that your loved one is following a regular schedule for meals so that it is as simple as looking at a clock to know that it is time to eat. If they don’t remember to look at clocks, find a calendar or app that will sound an alarm for breakfast, lunch, snacks, and dinner. Also, encourage them to find a friend or neighbor to share meals with several times a week. Social eating can be an encouragement to stay healthy.
( US National Library of Medicine and Cleveland Clinic )

What Nutrients are Most Beneficial

B6 found in whole grains and organ meats
B12 found in lean meats and fish
Folate found in dark greens, beans, and peas
Calcium and vitamin D found in dairy and dark green vegetables
Fiber found in beans and whole grains
Healthy fats found in avocado, nuts, seeds, and fish
Potassium found in bananas, potatoes, and yogurt

( WebMD )

Games for Health

websites@hibu.com (Hibu Websites) — Thu, 23 Sep 2021 16:15:00 GMT

Does your loved on like to play games? Were they competitive in their younger years? Just because they might be at diminished mental or physical capacity does not mean that they can’t participate in competitive activities now.

Being happily engaged in games or activities has many health benefits for your older adult. It can reduce agitation, anxiety, depression and anger. It can give them a sense of purpose and a feeling of being successful at something. Participating with you or other loved ones provides them social time and can encourage conversation. A game is an easy way to involve other family members who might be struggling with how to interact with their older relatives.

Some activities and games to explore with your loved one might include:

A Home-Made Puzzle.

Print a copy of their favorite family photo or vacation location. Laminate the photo and cut it into four or more puzzle piece shapes. Multiple photos can be stored in separate baggies for variety. Choose puzzles with more pieces on days they seem especially sharp and ones with fewer for the days they are feeling challenged. Help them succeed.

Cards.

Purchase large print playing cards and perhaps a card holder. Games like Solitaire, Go Fish, Blackjack, Crazy Eights, Gin Rummy, or War are wonderful for someone in early dementia. Someone in late-stage dementia might simply enjoy shuffling or separating the cards by color or suit. If they seem overwhelmed by the quantity of cards, remove some before starting your games to make them easier to handle.

Bingo.

This can be done at home or find a local senior center that offers this activity for more social interaction for your loved one.

Bean Bag Toss.

This can be done either standing or sitting but is a fun game for your older adult to play with grandchildren. You can put pieces of paper on the floor with points for the easiest version or use plastic dog bowels with points written on them in permanent marker for a slightly more challenging target.

Indoor Golf.

If your loved one used to golf and is unable to get out on the course any longer, consider an indoor putting mat. It can be used either from a sitting or standing position. For an older adult with dementia, the muscle memory might still be there. If they tend to throw items, ensure that the putter and ball are of softer or foam material to reduce in-home damage. Monitor the activity for frustration and try to redirect to a new activity if it seems too challenging.

Checkers.

Use a larger board and pieces if small motor movements are difficult.

( Daily Caring )

Do Memory Games Work?

At some point in your research for activities for your older adult, you will find organizations that tout memory games for preventing Alzheimer’s. While there is no solid evidence that these games help prevent the disease, they can help provide mental and social stimulation which can be helpful in the moment and can help slow the progression.

Any activity which inspires social interaction creates happiness, which is beneficial no matter what age-related challenges your loved one might be suffering.

Challenging our brains in new ways will create new neural pathways and strengthen existing ones, helping us to be more flexible when faced with mental or physical challenges.

Some ideas for memory or brain games that can help include:

Crossword Puzzles
Sudoku Puzzles
Memory Card Games
Jigsaw Puzzles
Online games such as those provided by Lumosity.com

Since these sorts of games can also result in frustration if they are beyond the capacity of the person playing them, monitor your loved one closely and suggest a different game or activity if they are struggling.
( Everyday Health and Cognitive Vitality )

Online Games

Many popular games also have online versions if you do not have family members available to engage with your loved one. Find versions for your older adult to put on the computer that have larger fronts, fewer rules and easy-to-understand interfaces. If possible, set one up as an icon on the main screen of their device sot that it is easy to access.

If sitting up straight is something that your loved one’s medical team is working on, consider purchasing one of many tablet or cell phone holders that brings the device up to eye level so that your loved one is not hunched over for extended periods to play their favorite digital games.
( Med Crave )

Safety Note!!!!

If your loved one tends to put things in their mouth of twist items in their hands, avoid games and activities that include sharp objects, small items, string, or things that will break when bitten.

Parkinson's Disease

websites@hibu.com (Hibu Websites) — Thu, 09 Sep 2021 15:30:00 GMT

Has your loved one been diagnosed with Parkinson’s Disease (PD)? While any diagnosis can be scary, know that PD itself is not fatal. With early detection and proper care, your senior can still experience many years of fulfillment.

Parkinson’s Disease is a brain disorder that leads to shaking, stiffness, and difficulty with walking, balance, and coordination. Symptoms usually begin gradually and worsen over time. As the disease progresses, people may have difficulty walking and talking. While speech and movements are affected, often the patients retain full mental capacity and can participate in their own care plan.

Parkinson’s Disease has four main symptoms:

Tremor (trembling) in hands, arms, legs jaw or head
Stiffness of the limbs and trunk
Slowness of movement
Impaired balance and coordination, sometimes leading to falls

Ancillary to the main symptoms, you may see the following in your loved one:

Difficulty swallowing, chewing and speaking
Less animated facial expressions
Changed handwriting
Urinary issues
Skin problems
Depression
Sleep disruption
Soft speech

The progression of PD can be slow, and the initial signs may be very subtle. There is not test for the disease, so attention to detail is important to help your physician make a diagnosis.
( National Institute on Aging and ParkinsonsDisease.net )

Exercises for Parkinson’s Disease

Aerobic Activity – 3 days a week for 30 minutes per session

Activities can include brisk walking, running, cycling, swimming, and aerobics class.

Strength Training – 2/3 non-consecutive days for 30 minutes per session

Training can include weight machines, resistance bands, and light/moderate handheld weights.

Balance Exercises – 2/3 days per week with daily smaller activities

Exercises should include activities that require multi-directional stepping, weight shifting, dynamic balance activities, large movements, and multitasking such as yoga, tai chi, dance, or boxing.

Stretching – 2/3 days per week with daily stretches being ideal

Stretches should work on sustained stretching with deep breathing or dynamic stretching before exercise

( Parkinson's Foundation )

The primary dangers for PD patients are from falling or from Pneumonia.

Since PD affects the neural pathways controlling movement and balance, even walking on flat, even surfaces can be difficult to navigate. Falls that require surgery carry multiple risks to our older adults related to medications, blood clots and heart involvement.

PD also eventually affects the ability to swallow, leading to an increased risk of aspirating food or drink into their lungs. While many of us can “cough up” items that we’ve swallowed incorrectly, those with PD may be unable to do this. This, in turn, can lead to pneumonia and other pulmonary complications. Coughing serves a purpose in usual illnesses to clear mucous and phlegm from our chest to keep it from building up and becoming infected. Unfortunately, our loved ones with PD are not able to adequately cough to clear this and are at risk for multiple more risky conditions, including pneumonia and the need for hospitalization.

( National Institute on Aging and ParkinsonsDisease.net )

Diet for Parkinson’s Disease

Drink six glasses of water per day to help medications break down more efficiently.
Fiber-rich foods will help deter constipation.
Limit sugar, alcohol, and caffeine in the evening to help eliminate barriers to sleep.
Ensure adequate vitamin D to help with bone health.
Include nuts like walnuts and cashews to promote brain health.
Incorporate berries like blueberries and strawberries for their antioxidant properties.
Eating foods like salmon, tuna, and dark leafy vegetables, which contain anti-inflammatory properties for our brains.

( Parkinson’s Foundation )

Your Care Team

As with many of the diseases that can affect our older adults, staying active and pursuing a healthy diet can slow the progression of the disease.

Finding an occupational therapist who is skilled in the needs of PD patients will be important to help modify daily activities like eating and drinking, chores, and management of technology and can help your loved one continue to live a productive life.

Over half of patients will experience a level of depression connected with the diagnosis. Involving a therapist early in the diagnosis can help them handle the emotional challenges.

Your loved one can also benefit from including a movement disorder specialist on their care team. This is a neurologist that specializes in movement disorders such as Parkinson’s. These specialists usually ensure that they are on the cutting edge of new therapies for PD.
( The Michael J. Fox Foundation )

Music as Therapy

websites@hibu.com (Hibu Websites) — Thu, 29 Jul 2021 18:45:00 GMT

"Music gives a soul to the universe, wings to the mind, flight to the imagination, and life to everything." - Plato

We all know the feelings and memories that different songs evoke - a song that harkens to our first love, reminds us of happy times in our childhood, that our parents use to play in the early evenings, that we used to sing with our friends.

Out loved ones have these same memories tucked away too. And there is some evidence that these memories are easier for them to retrieve than names or faces. Current research indicates that the areas of the brain that store musical memories are relatively unaffected by Alzheimer's, dementia, and Parkinson's. Even playing an instrument is tucked away in a part of the brain that can remain untouched by their ailment. Some studies have reported that listening to music can even bridge the gap for a recall of specific memories.

In non-demented Parkinson's disease, music can lead to more fluid motor flow, such as dancing. The emotional experience of listening to music can increase the release of dopamine, which is a brain chemical lacking in those with Parkinson's disease. Unfortunately, this improvement stops the moment the music does. For dementia patients, the benefit of music can improve mood, behavior, and cognitive function far beyond when the music stops.

Healthy adults who are leaning to play an instrument show improved performance on some cognitive tests. While playing music, multiple areas of the brain are activated and, in the long run, this can help reconnect the two sides of the brain. Perhaps it is never too early for all of us to start using music to help prevent cognitive decline.

( Practical Neurology , The Michael J. Fox Foundation , and Mayo Clinic )

Playing Music

Playing music is a complex undertaking that engages multiple areas of the brain simultaneously, helping to improve brain health or, at a minimum, to slow decline. Playing an instrument requires:

Fine motor movements and an intact sensory system to manipulate an instrument
Immediate processing of visual and auditory elements of a melody
Mathematical precision and internal rhythm to keep tempo
Emotional interpretation of the sound
Coordination with other performers

( The Michael J. Fox Foundation )

What you Can Do at Home

While specific goals should be guided by a licensed Music Therapist, there is certainly a benefit to providing your loved one a musical outlet. Consider creating playlist they can use to sing along or tap their feet. If they used to play an instrument, perhaps giving them access will spark old memories.

Combing songs with daily routine makes necessary activities like eating and washing easier. The practice develops a rhythm that helps recall memory of the activity, empowering someone whose body and mind needs all the help it can get.

Listen to the music with your senior, especially at first. Look for clues in their facial gestures and body language to gauge the effect the song is having on their mood. Music can be stimulating or soothing. It can conjure a range of emotions from elation and joy to melancholy and irritation. Music can turn a bad mood around, trigger lost memories, and ground people to the present moment. If you feel a song or playlist is having an adverse effect, remove it from the playlist.

Choosing Music

Look at the top pop songs from the years when your loved one was between 18 and 25. Experts say that this is when we hone our musical tastes.

Certified musical therapist Rachel Rambach created a list called 12 Songs Every Music Therapist Should Know that might be good jumping off point to start your own list. Songs on her list include Over the Rainbow, You Are My Sunshine, and Amazing Grace. Even songs like Take Me Out to the Ballgame can inspire positive memories.

As you're considering adding music to help a loved one who has Alzheimer's disease, consider these tips:

Think about their preferences. Ask them directly or gauge their reactions to a range of music. Involve family and friends by asking them to suggest songs or make playlists.
Set the mood. To calm your love one during mealtime, sundown, or a morning hygiene routine, play music or sing a song that's soothing. To boost your love one's mood or help them get moving, use more upbeat music.
Avoid over stimulation. When playing music, eliminate competing noises . Turn off the TV. Shut the door. Opt for music that isn't interrupted by commercials, which can cause confusion.
Encourage movement. Help your loved one to clap along or tap his or her feet to the beat. If possible, consider dancing with your loved one.
Pay attention to your loved one's response. If you loved one seems to enjoy particular songs, play them often. If your loved one reacts negatively to a song or type of music, choose something else.

( Pace for Mom , Mayo Clinic , and Dementia Care Central )

Creating an Advance Directive

websites@hibu.com (Hibu Websites) — Thu, 15 Jul 2021 18:30:47 GMT

How do we want to be treated when we get to the end of our lives? What decisions would we like made on our behalf if we are unable to make them? Life is uncertain. It’s important to have a plan in place.

An Advance Directive is a document to let family and medical professionals know our desires should something happen. Work with your loved one to get these documents drafted while they are still able to speak clearly about their choices. Work together , instead of assigning it to them as a task, to ensure that you understand clearly what they want.

As a part of the Advance Directive, your loved one will often appoint someone as their healthcare proxy. This is the person that, if your older adult cannot make a medical decision themselves, will make the decision in accordance with their wishes. If you do not feel like you agree with the decisions that they are making in the Advance Directive, steer them to choose someone who might be more in line with their values. If there is a trusted medical professional in your family, perhaps this person might be better suited for this role.

( Death with Dignity )

It is good idea to speak with your loved one’s doctor about any potential future health risks. Including their physician also ensures that everyone is on the same page for long-term care decisions. It is worth noting that talking with the doctor about advance care planning during a wellness visit is covered by Medicare.

The most important things to take into consideration before making any specific decisions are your loved one’s personal values.
1.    Is it important to them to be able to be mobile, so paralysis or coma may not be acceptable?
2.    Do they need the ability to speak to their loved ones or do they feel the could communicate in other ways should speech be impaired?
3.    Would they want pain medications at the end of life if it meant that they were drowsy and lethargic all the time?
4.    If in a facility, is it important to them that their pets and grandchildren can visit or be with them?
( National Institute on Aging and The Conversation Project – Institute for Healthcare Improvement )

Where to Draft your Advance Directive

The laws governing how a state will honor your Advance Directive vary from state to state. Often, one state will not honor an Advance Directive created in another state. If your loved one travels or resides in several states, it is recommended that you create and Advance Directive in each location.
( Death with Dignity )

Some of the many things to think about for an Advance Directive:

Are they open to the use of CPR?
Are they willing to be put on a ventilator or other life sustaining mechanical apparatus? If so, for how long?
What level of feeding/hydration is acceptable?
Do they want to live their last days in a hospital, in hospice, or at home?
What level of comfort care and pain medications are acceptable?
What if they require blood transfusions or organ transplants?
Have they filled out an organ donation card?

Many organizations offer online templates for Advance Directives that can be used as a starting point. Many hospitals will require the directives to be notarized.
( National Institute on Aging and The Conversation Project – Institute for Healthcare Improvement )

What is a DNR (Do Not Resuscitate) Order?

A DNR order is a document that indicated to emergency and medical responders that the person does not want CPR or other life-restoring measures should their heart or breathing stop. In the moment, it may be hard to honor this wish. It is easier to have a clear directive and a healthcare proxy willing to make this decision on their behalf.

If your senior has indicated that they would like to donate their organs, they will need to note that the desire to donate supersedes the DNR since there may be a need to keep the heart beating until the organs can be take for donation.
( National Institute on Aging )

Activities for Seniors

websites@hibu.com (Hibu Websites) — Thu, 01 Jul 2021 18:22:02 GMT

Children aren’t the only ones who pipe up with “I’m bored. There’s nothing to do.” Our older family members often feel the same way. As we age, the things that interested us in our younger years either have long since been conquered or we are simply unable to do those things with the same aptitude. Sometimes our loved ones are simply too tired to come up with new activities that suit their current stage in life.

Did you know that creative activities can help people battling serious illnesses to decrease negativity and stress? Improving health is a great reason to suggest your loved one find hobbies and activities that might lift their spirits.

Activities you can suggest might include:

Reading or listening to audio-books . It’s a bonus for everyone if they can find a book club and interact with other readers either virtually or in-person. Ask them what their reading passions were as they grew up – fiction, non-fiction, biography, how-to, science fiction….
Cooking and baking . Get the grandchildren involved in a baking extravaganza to learn some of grandma or grandpa’s favorite recipes. Make sure someone writes them down as we all know the infamous “it’s all in my head” comments from our favorite home chefs. A cookbook from grandma might be a great gift next year.
Bird-watching. This can be as passive as simply watching the birds or as active as taking a walk and documenting the birds. If this is of interest, bookmark the National Audubon Society as a reference.
Knitting, crocheting, and quilting. These are all fun activities if your loved one still has dexterity in their hands. It’s also a perfect way for older adults on a limited budget to create gifts that will be cherished for years.
Gardening . There are many ways to adapt growing a garden to suit the mobility level of your older adult – from simply getting out in the existing garden to building raid beds to eliminate the kneeling and stooping, to create smaller window planters that can be tended inside or outside the home.
Playing an instrument . Whether or not they played an instrument in their youth, learning or improving on musical skills are great for the mind and soul. Consider that even the voice is an instrument if they would just like to sing along to their favorite songs. Set up a favorites list on a streaming app and let them belt it out.
Drawing, coloring, painting, and sculpture. If your loved one has a creative streak, encourage them to embrace one of these outlets. Help them acquire the necessary tools and set up a space in their home for them to easily work on their projects.
Recounting memories . Find ways in which your loved one can share their memories, either with you or with younger family members. Fun projects might be scrapbooks, photo albums, recipe books, or simply storytelling time that can be documented either in audio or video.
Playing games or doing puzzles. These can be done alone or with someone and in physical or virtual formats.
Television watching. While not a stimulating activity all on its own, it might be a great avenue to inspire your loved one into a new hobby. Encourage things like cooking shows, documentaries, travel channels, or DIY shows. Monitor that they are not falling into the trap of mindlessly watching whatever is in front of them.

( Daily Caring and Senior Matter )

Some ideas for activities outside of the home might include:

Museums
Senior centers
Theater or movies
Sporting events – even their grand-kids’ games
Restaurants
Walking clubs
Recreational classes
Volunteer opportunities

( National Institute of Aging )

Volunteer Opportunities

If your loved one has been active in their community, encourage them to explore volunteer opportunities in the following areas:

Soup kitchens
Animal shelters
Church ministry
Political advocacy
Schools, libraries, museums, or hospitals
Community gardening
Neighborhood cleanup

( National Institute on Aging )

Benefits of Staying Active

Research shows that people with an active lifestyle:

Are more disease resistant
Have a longer and happier lifespan
Are less depressed and more resilient
Have an easier time coping with loss
Maintain their ability to communicate and reason

( National Institute on Aging )

Television and Seniors

websites@hibu.com (Hibu Websites) — Thu, 03 Jun 2021 16:30:25 GMT

It might surprise you to learn that older adults watch more television than younger people do. Watching TV comprises most of the leisure time for adults aged 70 to 105 years old.

Television can be an avenue to learning new things, connecting with the world, creating a diversion, and providing some light entertainment. However, it can also supplant physical or recreational activities and real-world interactions.

Pluses and Minuses

If you are mindful, there are certainly benefits to TV for our older adults. As they become less able to go out to movies, concerts, or specular sports, TV can fill this void.

While some sitcoms and light viewing can help to relieve depression, sometimes the news or similar shows can make a depressed mood worse. It is important to pay attention to what our loved ones are watching and find a suitable balance.

The most notable down-side to excessive TV watching is some decrease in mobility. In general, a sedentary lifestyle choice can be detrimental to bone health, cellular/immunity function, and cardiovascular efficiency. Excessive TV use has been linked with a greater risk for Type 2 diabetes, obesity, lower life satisfaction, and an increased risk for dementia.

Excessive TV viewing has also been linked with cognitive decline. This can be because viewers are not spending as much time doing things that can keep their minds sharp such a reading, playing boards games, talking with friends and relatives, or working on puzzles. If they eagerly engage in conversation with you during a show, it can be an indication to you that they are simply using the TV to pass time and would prefer another outlet. It can help both you as the caregiver and your loved one to spark conversations based on the shows they are watching. Use open ended questions like “What decision would you have made in that situation?” or “When was the last time you did x activity?” or “Who does that character remind you of?”. You can also use a board game or book that is depicted in a show as a cue to suggest playing the game or start reading that book with your loved one.

( Medical News Today and National Institutes of Health )

If TV has become an outlet for your loved one, try to ensure that they are also getting plenty of exercise and movement during the rest of the day. It can be helpful to set up a habit of having them stand up and stretching during commercials or take a walk to another room between shows. Incorporate exercises that can be done from a seated position into their day. On a nice day, suggest a quick walk outside or to a nearby window to watch “reality TV.”

What are they watching?

If your loved one is spending more than four hours a day watching TV, it is possible that they are simply using it to pass time, rather than to provide practical information or relaxation. If they cannot tell you what they just watched, it might be time to find an activity that is more brain engaging for them.

If they insist on using the TV as an activity, perhaps ensure that their programming selection includes some of the following to help keep their spirits up:
•    Light-hearted sitcoms
•    Uplifting dramas
•    Educational programs
•    Sports or reality TV
•    Movies from when they were young adults
( Center for Media Literacy )

Where are they watching?

While cable TV and network programming continue to be the most accessible, more viewers are turning to streaming, where they have control of what they watch and when. These can be accessed by anyone with an internet connection and the correct hardware.

If your loved one has a smart TV, most streaming services can be accessed directly through the TV interface. If you set this up for them, make sure to check the “remember me” box in the setup screen so that your loved one only needs to turn the TV on to watch their favorite shows.

If your older adult does not have a smart TV, they will need a separate device to help manage the streaming services.

( Medical Alert Systems )

Happiness Quotient

A new study by the University of Maryland concludes that unhappy people watch more TV, while people who describe themselves as very happy spend more time reading and socializing.

Analyzing 30-years’ worth of data, the Maryland researchers report that spending time watching television may contribute to viewers’ happiness in the moment, with less positive effects in the long run.
( Phys.org )

Starting a Fitness Rotuine

websites@hibu.com (Hibu Websites) — Thu, 20 May 2021 18:26:09 GMT

When thinking of starting a fitness regime, many people may envision smelly gyms, sweaty feet, and plenty of grunting and pain. Often lofty goals, such as races or competitions, sway people from starting a sensible routine. Fitness goals should be about improving our health and how we interact with the world, not about increasing our status.

When thinking of starting a fitness regime, many people may envision smelly gyms, sweaty feet, and plenty of grunting and pain. Often lofty goals, such as races or competitions, sway people from starting a sensible routine. Fitness goals should be about improving our health and how we interact with the world, not about increasing our status.

It’s never too late to start a fitness commitment. Exercise reduces risk of cardiovascular disease, hypertension, type 2 diabetes, osteoporosis, obesity, colon cancer, depression, and breast cancer. It also decreases the risk of falls and fall-related injuries.

Consult their physician before having an older loved one start a new fitness program, especially if there are health concerns.

Some tips to map a workout:
   •    Aim for just 15 – 30 mins a day to start
   •    Break workouts up into 10-minute increments throughout the day, if necessary.
   •    Make sure that they are drinking plenty of water before, during and after their session.
   •    To minimize fall risk, ensure appropriate footwear for the activity.
   •    Start and end the workout with slower movements and activities.
   •    Don’t let them overdo it. The goal is not pain and exhaustion.

Questions for the Doctor before starting a fitness program

   1.    Are there exercises or activities they should avoid?
   2.    Is their preventative care up to date – for example, tests for osteoporosis, diabetes, or cardio-fitness?
   3.    How do any health conditions affect their ability to perform the selected activities?
   4.    What modifications might be necessary to safely perform the activities?
( National Institute on Aging )

Categories of Exercise

There are several types of activity to consider working into a weekly schedule.

Aerobic

Aerobic exercise is just as the word implies, good for the oxygen exchange between the lungs and heart. Aim for at lest two hours of moderate aerobic exercise or one and a half hours of vigorous intensity each week. Spread this time over 3-5 days. Remember that vigorous for them may be significantly less than vigorous for you. Especially if they have a competitive nature, it should be stressed that they do not over do it.

Some examples of aerobic activity that might appeal to your loved one are:
   i.    Brisk walking
   ii.    Biking
   iii.    Jogging
   iv.    Dancing
   v.    Swimming
   vi.    Aerobic classes
   vii.    Yard work
   viii.    Tennis
   ix.    Golf (without a cart)

Muscle Strengthening

Having stronger muscles has been proven to improve bone density. Aim for at least two days a week. The focus can be varied from session to session to include legs, hips, back, chest, abdomen, shoulders, and arms. To help build muscles, have your older adult start with a weight that they can safely life for eight repetitions. The repetitions should be slow and controlled – three seconds to life the weight, hold for one second, then lower for three seconds. Breathe in as the weight is lifted and out as it’s lowered. Do these eight to fifteen times and then take a rest. If fifteen seems easy, consider increasing the weight by a pound.

Some good muscle strengthening tools and activities include:

   i.    Weight machines
   ii.    Handheld weights
   iii.    Yoga
   iv.    Exercise bands
   v.    Calisthenics
   vi.    Tai Chi
   vii.    Digging, lifting, and carrying as a part of gardening

Balance

More than one third of senior citizens suffer from fall-related injuries. Improving balance should be a core goal for any exercise program. Aim for three or more days a week. Ensure that there are adequate safety measures in place, such as things or people to hold onto.

Some easy exercises to consider include:
   i.    Standing from a seated position
   ii.    Backward walking
   iii.    Sideways walking
   iv.    Heel walking
   v.    Toe walking
   vi.    Standing on one leg

Stretching

Stretching is important and should be done at a minimum at the end of every workout. Do not allow your loved one to “bounce” the stretch or to stretch further than they can easily go to feel a slight tug. It should not hurt. Improvement will happen naturally.

(University of Nebraska, Institute of Agriculture and Natural Resources, National Institute on Aging , Harvard Medical School , and CDC )

Motivation

It is never too late to start working out. A recent study showed that many of the losses in strength, flexibility, and stamina could be reversed, even in the frailest of participants. The study followed 100 participants, aged 72 to 98. They did resistance exercises three times a week for ten weeks. They showed marked improvement over their sedentary counterparts, being able to lift more weight, climb more stairs, and walk faster.

Organizing Finaces

websites@hibu.com (Hibu Websites) — Thu, 22 Apr 2021 03:30:22 GMT

organizing finaces Finances may not be your favorite topic, but at some point, it is something that almost everyone must address with their older loved ones. Quite honestly, it's one of those topics that is better addressed sooner than later.

organizing finaces organizing finaces If you collect nothing else, the following documents are important to have access to (and to draft up if your loved one hasn't yet):

organizing finaces * organizing finaces organizing finaces A power of attorney form organizing finaces . This allows you to step in and care for their finances should that become a necessity.

*organizing finaces organizing finace * organizing finaces A health care proxy . This enable you to make critical medical decisions in the even that they cannot do it for themselves.

organizing finaces * organizing finaces A will . Even if there are verbal agreements for assets, a legally drawn-up will is essential to ensure that the estate distribution runs smoothly.

organizing finaces

organizing finaces These important documents should not be kept in a safe deposit box in a bank but in a fire-proof safe in the home. Unless you are listed on their safe deposit box, you will not be able to gain access without these forms. If they're inside the box you need access to, you can see the dilemma. If it's too late for this, you can gain access to the safe deposit box by having a new power of attorney drafted, if your loved one is still competent to authorize it. Otherwise, you will need a court order to open the safe deposit box.

organizing finaces

organizing finaces Making sure that these specific documents are lined up well ahead of time will ensure that you do not have to make a contentious trip to court to have them drafted. Should you be in a position where a court trip is necessary, hire an experienced elder law attorney as you will need to prove medical and/or physical incompetence, as well as the possibility of a judgment that your senior will require additional financial oversight over your own expenditures. An elder law attorney is uniquely qualified to guide you through this process. It is very expensive and time consuming and can be avoided simply by having the power of attorney form at hand.

organizing finaces ( Bankrate )

organizing finaces

organizing finaces organizing finaces Types of Powers of Attorney

organizing finaces organizing finaces A power of attorney names a person who can act on your behalf. organizing finaces Specific powers of attorney organizing finaces are limited to handling certain task, such as paying bills or handling retirement accounts, usually for a set amount of time. organizing finaces General powers of attorney organizing finaces give your agent wide-ranging authority to handle all legal and financial matters. Specific and general powers of attorney can end authority when you become incapacitated. organizing finaces Durable powers of attorney organizing finaces may be limited or give your agent general authority to handle all your legal/financial matters, but your agent keeps the authority even if you become physically or mentally incapacitated. Rules vary by state and your needs may change over time, so it's important to research and understand your options before creating a power of attorney.

organizing finaces ( AARP )

organizing finaces organizing finaces

organizing finaces Other Documents organizing finaces

organizing finaces organizing finaces organizing finaces There organizing finaces may come a time when you need to step in to handle your loved one's larger financial investments. If all the information is not at hand and they are not able to point your in the right direction, a good place to start sleuthing is their tax returns.

organizing finaces

organizing finaces organizing finaces Schedule B will list dividends and interest income, as well as the names of financial institutions. If your loved one worked with an accountant or financial advisor, they should be able to help. Obviously, it is helpful if you are listed as a contact with their financial advisor or accountant and have the power of attorney document at hand. Many financial advisors will even ask to have a family member listed in the event that your loved one seems to be making unexpectedly rash or unstable decisions.

organizing finaces organizing finaces ( Bankrate and AARP )

organizing finaces

organizing finaces organizing finaces In a Fire-Proof Lock Box

organizing finaces organizing finaces The following are documents and information that are helpful to also keep on hand in an in-home lock box. This is a good list to collect for yourself in your home as well.

organizing finaces

organizing finaces * Will ( including name, firm name, location, contact information of attorney)

organizing finaces * Labeled keys

organizing finaces * Lock combinations

organizing finaces * Deeds; titles of registration for land, condo, home, vehicle(s)

organizing finaces * Social Security card

organizing finaces * Education and military records

organizing finaces * Marriage license

organizing finaces * Divorce decree

* organizing finaces * IOUs, private loan agreements

organizing finaces * Stock certificated, bonds

organizing finaces * Information about any pre-purchased funeral service, cemetery plot, and funeral request

organizing finaces * Computer login and passwords for all online accounts, including PayPal and other money transfer services; checking and savings; department stores and national credit card companies; and social media

organizing finaces * Account numbers for all credit cards

organizing finaces * Locations of living will and other legal documents

organizing finaces * The last three years of federal and state tax returns (Save seven years if the person in your care has filed a claim for worthless securities or taken an unpaid debt deduction.)

organizing finaces

* organizing finaces

*organizing finaces

Kidney Disease

websites@hibu.com (Hibu Websites) — Fri, 26 Mar 2021 02:18:42 GMT

kidney disease What do our kidneys do? Most people are aware that a major function of the kidneys is to remove waste products, drugs, toxins, and excess fluid from the body. The kidneys are super-efficient organs, filtering almost 200 quarts of fluid every day! This process helps maintain a stable balance of body chemicals enabling our bodies to perform their most basic functions without issue.

kidney disease kidney disease Our kidneys also regulate the body's salt, potassium, and acid content, as well as produce hormones that affect the function of other organs such as stimulating red blood cell production, regulating blood pressure, and controlling calcium metabolism.

kidney disease kidney disease ( National Kidney Foundation )

kidney disease

kidney disease kidney disease Because our kidneys support so many of our body's functions, it is important to pay attention to their health. Chronic kidney disease, or chronic kidney failure, is a gradual loss of kidney function. As kidney begin to fail, toxins build up in the body, causing many complications evidenced by some of the following symptoms:

kidney disease kidney disease * Nausea                                                           * Swelling of feet and ankles
kidney disease * Vomiting                                                        * Persistent itching
kidney disease * Loss of appetite                                           * Chest pain, if fluid builds up around the lining of the heart
kidney disease * Fatigue and weakness                             * Shortness of breath, if fluid builds up in the lungs
kidney disease * Sleep problems                                           * High blood pressure (hypertension) that's difficult to control
kidney disease * Changes in how much you urinate
kidney disease * Decreased mental sharpness
kidney disease * Muscle twitches and cramps

kidney disease Unfortunately, most of these symptoms are not specific and can be attributed to several other diseases. Additionally, the symptoms tend to come on slowly, further complicating our ability to notice them in our loved ones. Because the kidneys are highly adaptable and able to compensate for lost function, signs and symptoms may not appear until irreversible damaged has occurred.

kidney disease kidney disease kidney disease How to Reduce your Risk of Kidney Disease

kidney disease

kidney disease kidney disease Follow the instructions on over-the-counter pain relievers. Taking too many pain relievers can cause kidney damage.
kidney disease Maintain a health weight.
Don't kidney disease Don't smoke.
kidney disease Work with your doctor to manage other conditions that might lead to kidney damage. kidney disease
( Mayo Clinic )

kidney disease kidney disease kidney disease

What kidney disease Can Cause Kidney Disease?

kidney disease kidney disease There kidney disease are several diseases and conditions that can contribute to the likelihood of kidney disease. If your loved one has one of these conditions, it is advisable to ask their doctor to keep an eye out for signs of kidney failure.

kidney disease kidney disease * Diabetes

kidney disease kidney disease * High blood pressure

* kidney disease * Heart and blood vessel ( cardiovascular) disease

kidney disease * Smoking

kidney disease * Obesity

kidney disease * Being African American, Native American or Asian American

* Family history of kidney disease kidney disease

kidney disease

kidney disease kidney disease Complications from Kidney Disease

Kidney disease can affect many areas of our loved one's lives. Some of the complications to watch for include:

* Fluid retention, which could lead to fluid in the lungs

* Cardiovascular disease

* Weak bones and an increased risk of bone fractures

* Anemia

* Difficulty concentrating, personality changes or seizures

* Decreased immune response

( Mayo Clinic )

Some Facts about Chronic Kidney Disease (CKD)

* 37 million American adults have CKD.

* Early detection can help prevent that progression of kidney disease to kidney failure.

* Heart disease is the major cause of death for all people with CKD.

* Hypertension causes CKD and CKD causes hypertension.

* Persistent proteinuria (protein in the urine) means CKD is present.

* High risk groups include those with diabetes, hypertension, and family history of kidney failure.

* African Americans, Hispanics, Pacific Islanders, American Indians, and seniors are at increased risk.

( National Kidney Foundation )

Eating for Kidney Health

In addition to seeing the doctor on a regular basis, there are foods that will contribute to the health of kidneys.

If your loved one is currently healthy, consider eating a diet that:

* Has less than 2300 milligrams of sodium each day

* Has smaller portions of protein

* Consists of fresh rather than processed or pre-packaged foods

* Uses more spices and herbs instead of salt

* Is heart healthy

* Is grilled instead of fried

* Is lower in fat

* Includes alcohol in moderation or not at all

If your loved one already has kidney disease, they will need to eat foods that have less phosphorus and potassium. Too much phosphorus with a poorly functioning kidney can leach calcium from their bones and lead to weak and breakable bones. It can also lead to itchy skin and joint pain. Avoid foods like deli meats, bran and oatmeal cereals, dairy foods, and caramel-colored beverages. Too much potassium with a poorly functioning kidney can lead to heart disease. Avoid foods like salt or salt substitutes, canned fruits and vegetables, oranges, potatoes, brown and wild rice, beans and nuts.

( National Institute of Diabetes and Digestive and Kidney Diseases )

How to Keep Feet Healthy

websites@hibu.com (Hibu Websites) — Thu, 25 Feb 2021 16:00:00 GMT

Care for your feet so they can care for you

Did you know that by age 50 the average adult has walked 75,000 miles? And with life expectancy going up each year, that is many more miles that we should expect to walk.

No foot pain is "normal," even as we age. Many of our older loved ones may chalk up foot pain to the aging process and ignore it. Worse yet, they often cut back on activities to try to prevent pain, causing other health risks. Our feet often provide early indications of conditions such as diabetes, arthritis, or circulatory disease. All pain should be referred to a podiatrist for diagnosis and treatment.

According to the US National Center for Health Statistics, impairment of the lower extremities is a leading cause of activity limitation in older people. The NCHS also reports that one-fourth of all nursing home patients cannot walk at all, while another one-sixth can walk only with assistance. Poor foot care can contribute to these statistics. However, there are solutions.

The Most Important Solution is Daily Foot Care

Often, care beyond the daily bath or shower is difficult for older adults due to challenges bending down or seeing their feet, so it's important that we help out weekly, if not daily.

Some things to pay attention to include:
•   Toenail length - Toenails should be trimmed straight across and kept short enough so they do not press on neighboring toes.
•   Blisters, cuts, or scratches - These can lead to infection if ignored. Thinner, aging skin can make it easier to bump or bruise our feet allowing for the entry of bacteria.
•   Dryness - Cracks in the toes or heels can also allow bacteria to enter. Moisturize regularly with a moisturizer made specifically for feet.
•   Callouses or corns - These are often signs that perhaps shoes are not the right fit.
•   New moles or discolorations - Check for any new moles or discolorations, including between the toes and on the bottom of the feet. Immediately bring these to a dermatologist's attention.
•   Swelling - Many health risks, including diabetes, injury to the leg, or circulatory issues, will show up as swelling in the feet.
•   Sensitivity or lack of sensitivity - Either one of these can signal nerve damage and should be investigated right away.
( American Podiatric Medical Association and Australian Podiatry Association )

Choosing a Podiatrist

Feet are complex anatomical structures that require expert care. Be sure your loved one is seeing the most qualified healthcare professional to treat their feet by looking for "DPM" (Doctor of Podiartic Medicine)after his or her name. This means that a physician has completed years of rigorous foot and ankle training in podiatric medical school and hospital-based residency training, and making him or her uniquely qualified to care for this part of the body.
( American Podiatric Medical Association )

Tips for New Shoes?

A properly fitted shoe should have the following characteristics:

At least one inch (a thumb's width) between the end of the shoe and the longest toe.
Room to pinch some material at the sides or top of the shoe for width.
A shape that matches the shape of and conforms to the foot. (No human has a foot shaped like the point that many dress shoes have. Flip flops and unsupported sandals can lead to falls.)
A firm heel area. (Press on both sides of the heel area to ensure that the heel is stiff and won't collapse.)
A flexible shoe box to allow for a natural heel to toe walking pattern.
A firm sole. (Try to twist the shoe from side to side. It shouldn't twist in the middle.)

A shoe with a firm sole and soft upper that can be laced, buckled, or strapped to the foot is best for daily activities. Measure both feet late in the day and buy the shoe that fits the larger foot. If your podiatrist has prescribed orthotics, take them with you and try them out in the shoes you're considering.
( Advanced Foot and Ankle Care Centers , Australian Podiatry Association , American Podiatric Medical Association , and US Department of Health and Human Services )

Testing the Shape of a Shoe for Fit

Remove the insert of the shoe and trace it on a piece of paper. Have your loved one stand on the tracing and trace their foot. Their foot should fit within the boundaries of the insert tracing.
( US Department of Health and Human Services )

Intergenerational Care

websites@hibu.com (Hibu Websites) — Thu, 11 Feb 2021 14:45:00 GMT

Raising Children While Caring for Elderly Parents

Raising children while caring for your parents is a special kind of balancing act. Your senior may feel like they're in the way. Your kids may act out when they sense that you are stressed about the responsibilities. Some reasons why your children might act out are:

Anxiety about changes in the family dynamic
Sadness about the changes they see in their grandparents
Feeling ignored when the parent's attention is elsewhere
Sensing they've been demoted in the family hierarchy
Fear of what might happen in the future

While adults can reason away most of these fears, children do not yet have the same coping mechanisms. As their parents, it's important to give them the tools to handle change and chaos. Here are some ideas to help you get a handle on the stress:

Breathe! This may seem obvious, but studies have shown that when someone is stressed, they can forget to breathe.
Say "Yes!" when someone offers to help. Let them take your children and/or your parents for an outing to give you a couple of hours to collect yourself.
Make yourself a priority. It is hard to find the time or the energy but a little self-indulgence each day will help ease the edges of a rough time. Even if it's just a piece of chocolate, a half-hour soak in the tub, or a call with a trusted friend.
Hire help. Having someone take care of the cleaning, grocery shopping, or other household tasks is not a sign of weakness, but a sign that you are putting yourself on the priority list.
Look into institutional help. Often school social workers, guidance counselors, or your faith communities can suggest services to help ease the burdens.
Share your concerns with your children, keeping it age appropriate. Your children will benefit from a solid discussion about what is happening with their grandparent and may even have ideas for how they can help. "Helping" is one way to ease their own fears and give them a sense of control.
Allow your parents to participate in decisions about their care. If appropriate, discuss with them the challenges of a multi-generational family and allow them to help out. Perhaps they are slower at housework, but that doesn't mean that they can't or are unwilling to help out.

( Empowering Parents )

Intergenerational Programs

Especially as adults are living longer and, for the most part, healthier lives, it is important to help give meaning to those later years. Eighty-three percent of older adults have expressed a desire to volunteer or perform community service to continue being a viable part of society. Intergenerational programs can help fill a void, both for seniors and youth.

Intergenerational programs offer multiple generations services at the same location. Examples include retirement communities with on-site childcare and housing for grandparents who are raising their grandchildren.

The number of single-parent families and the need for parents to work outside of the home continue to rise. The experience and time that a grandparent or older relative might have to give while parents are working can be a huge benefit.

Intergenerational programs can benefit older adults through improved physical and mental health, enhanced socialization, improved sense of self-worth, and increased independence. Those with dementia have experienced lowered levels of agitation, improved attitudes about other generations and, often, delayed necessity for entrance into care facilities.

Children benefit through enhanced social skills, increased stability, a growth in empathy, lower levels of aggressive or anti-social behaviors, and improved academic performance.

It is hard to be the sandwich generation, caught between the family that raised you and the family you are raising, but there are ways to make it work and even to make it an enriching time in all of your lives.

( Commission on Affordable Housing and Health Facility Needs for Seniors in the 21st Century )

How to talk with Children about Aging Relatives

Keep it age appropriate but honest
If an illness or disease is involved, let them know that no one caused it. Children sometimes think they are to blame.
Help them understand that sadness and anger are normal. Offer them appropriate outlets for these feelings.
Let them help brainstorm fun activities that the family can do together (crafts, music, photo albums, story time).

( National Institute on Aging )

Activities for Children and Seniors

Take a walk
Feed the birds
Sit on a bench or swing
Listen to music
Look at photo albums
Play board games
Read
Do crafts, paint, or draw
Brush hair or do nails
Bake cookies or bread

( Alzheimer's Association )

Illness-Related Precautions

websites@hibu.com (Hibu Websites) — Thu, 14 Jan 2021 18:00:00 GMT

Helping Seniors - and Yourself - Stay Safer

Recommendations to wash your hands for at least 20 seconds, avoid touching your face, and keep a safe distance of 6 feet have become all too common, and can serve us all well now and for years to come during cold and flu seasons. But there is more we can do.

In your concern about avoiding illness, remember that if you are a caregiver, you are also at increased risk. Caregivers are notably tired and worn down, and are just as susceptible to the cold, flu and COVID-19. The consequences can be wide-reaching. If you have to remove yourself from the home for an extended period of time or call in unexpected respite care, these changes can be stressful for your loved one and can further open them up to the change to fall ill.

What else can we work into our daily routines that will help us all stay safer, especially seniors and the immunocompromised?

Other precautions you can take include:

Exercise. Physical activity can boost your immune system can can reduce the risk of a cold by 33%.
Sanitize mobile devices, keyboards, doorknobs, and light switches regularly.
Drink plenty of fluids. Water and hot tea can help the nasal passages stay moist and can trap germs before they enter the body. Note that seniors have 10 to 15 percent less water in their bodies than when they were younger, allowing dehydration to onset much more quickly.
Eat a varied diet that includes protein, which can help boost the immune response. Consider adding fish, eggs, or yogurt to your diet.
Get a flu shot. Flu vaccines change each year and it's important to stay current on your vaccine regime. Last year's vaccine may not protect you this year.

( Daily Caring )

DID YOU KNOW!?

Did you know that chicken soup does actually help? The steam helps open nasal passages. The broth soothes the throat. The protein from the soup helps infection-fighting white blood cells do their job!

( Daily Caring )

Despite our best efforts, we may still get ill. If you or your senior are starting to feel the symptoms of cold or flu, it's important to see the doctor. For older adults, if antiviral medications are prescribed, starting them within 2 days of getting sick could mean the difference between mild flu or severe pneumonia.

Some things to do to help your ill senior:

Ensure adequate sleep. Sleep is important and restorative. Prop your loved one up at a 45-degree angle. This can help keep draining fluids from settling in their sinus cavities and causing worse infections.
Practice social distancing, even in the home. It is in everyone's best interest in the home that you separate the patient as much as possible, even if they want your care and comfort. Provide them with ample medication and tissues and then spend most of your time in a different room for at least the first 2-3 days, which are the most contagious.
Provide adequate ventilation. A cold breeze blowing on a sick person isn't good but opening windows in other rooms will help move the particulates outside and bring fresh, clean air in for everyone to breathe more freely.
Continue to practice the good eating and drinking habits that you started before they got sick.

Once they're feeling better, they may be eager to get back out into the world. They may be contagious for over 5 days after symptoms appear and, in the case of viruses like COVID-19, you might be contagious after being in contact with your loved one for 2 weeks prior to symptoms appearing. Limit any outside contact during this time.

( Daily Caring and Sixty and Me )

Cold Versus Flu

The flu is different from a cold. Cold symptoms are usually milder than flu symptoms, and people with colds are more likely to have a runny or stuffy nose than people with the flu. Common symptoms of the flu include:

Fever or chills (older adults may not have a fever)
Cough
Sore throat
Runny or stuffy nose
Muscle or body aches
Headaches
Fatigue
Vomiting and diarrhea (more common in children)

( Health in Aging )

Stomach Flu

Did you know that the stomach flu is actually not influenza at all? Many people use the term "stomach flu" to describe illness with nausea, vomiting, diarrhea. While these can be related to a flu, mostly in children, they are rarely the main symptoms of any strains of influenza. A flu vaccine will not keep these at bay.

( Centers for Disease Control and Prevention )

New Year's Goals

websites@hibu.com (Hibu Websites) — Thu, 31 Dec 2020 15:15:00 GMT

For older adults, making a New Year's resolution can be a symbol of hope. Resolutions are a sign to their inner selves that they believe they will be around for the coming year to enact those changes.

The word "resolution" has gotten a stigma a something that people start on January 1st and break on January 2nd. Calling a resolution a goal might help everyone get out of the mindset that these are things you say only New Year's Day. Goals can be set any time. You can help your loved one create some measurable goals for the coming year. In fact, helping them reach their goals might be a goal for yourself!

Make goals bite-sized and measurable. For example, instead of saying "lose weight," set smaller monthly goals to eliminate one poor eating choice from your diet or add one extra daily activity. Losing weight will be a product of those goals, but not the goal itself.

Goals don't have be boring! Especially as we age, there are legacies to be passed down. Consider asking your family members to sit down with you (even virtually) each week to pass down recipes, stories, and lessons they've learned throughout their lives. This can be a great family activity that feels less like a resolution and more like the right thing to do.

( Philips Lifeline and American Psychological Association )

Personal Goals

Cleaning and Sorting - As we move through life, it's easy to amass items that just don't serve us anymore. As organizational expert Marie Kondo says, keep only those things that spark joy. Our homes should be a haven. That old vase you picked up in a thrift store on a whim, which is out only to be dusted, can probably go to someone who might value it more.

Technology - Video chats with family members can ease loneliness and allow us to keep an eye on them. Add a form of digital music, which has been proven to help with mental acuity and emotional happiness. Teaching your loved one how to email or text will allow them to connect with their peers more easily.

( Philips Lifeline )

Health Goals

Exercise - Increasing exercise can be as simple as getting your loved one a pedometer and a goal for a certain number of steps each day. You can make it a competition, if that is something they'd enjoy, or a reward system where they earn something for achieving the daily goal.

Medications - As we age, there are an increasing number of medications to keep track of. A worthwhile goal is to take an annual look at the medications in your loved one's home. Check to see that none are expired and there aren't duplicates or varied dosages.

Vaccinations - If vaccinations are not on the annual schedule, it's a good time to make sure that your loved one is up to date on the ones their doctor might recommend, such as flu, pneumonia, and shingles.

( Medical Alert Advice )

Financial Goals

Legal Documents - While it seems like setting up a will or trust or other legal decisions might be a "one and done," it is useful to review these documents annually. The people designated in these documents may no longer be in our lives or in a position to take on any responsibilities mentioned.

Bills - A great goal for a new year is to consolidate debt and to set up a plan for paying bills more efficiently. Scattered accounts can lead to financial mistakes and even fraud. If your loved one isn't using autopay or bill pay systems, you can work with them to learn how to mange finances online. If they are uncomfortable with the prospect of taking their account management online, a first step can be to set up smaller accounts, like utilities, to get them used to the process.

( U.S. News and World Report )

What is Rehabilitation Therapy?

websites@hibu.com (Hibu Websites) — Thu, 30 Apr 2020 19:55:02 GMT

Therapies for your Senior

At some point in your senior’s medical treatment, you will likely hear the term “Rehabilitation Therapy.” This refers to the trio of Physical, Occupational and Speech/Language Therapy. These can be some of the most helpful and integrative therapies your senior will participate in as they can work in tandem to help your loved one to learn a new way of accomplishing things in their daily lives. These therapies can work together as solutions to avoid surgery or reliance on medications.

Physical Therapy (PT) is used to help address the effects of disease, injury and disability by using exercise, manual therapy, education and therapeutic activity. The primary goal of PT is to improve movement and help reduce the pain associated with immobility. Imagine your loved one rising stiffly from their chair or hunching painfully. Physical therapy will work to help them feel less pain when performing these simple tasks. PT can also be used to help reduce or prevent injury, which can enable a person to avoid surgery or reliance on medications.

Goals

Diagnose physical problems restricting movement because of an illness or injury
Ease pain & boost mobility and muscle strength through exercises and other techniques
Develop fitness and wellness programs aimed at preventing injuries and encouraging a more active lifestyle

Occupational Therapy (OT) is directed at helping your senior to regain some level of independence in their daily activities. These therapies can help your senior with cooking, bathing, dressing, toileting, eating, and more. Maybe your loved one is losing weight unnecessarily merely because they are having difficulty feeding themselves or preparing their meals. OT can regain a level of independence for them. Much of the work by an OT can be done in the home. In some cases, these adjustments may include assistive devices such as splints, braces, or canes.

Goals

Help patients with daily living skills and self-care tasks such as getting dressed
Support patients with memory loss or other cognitive issues
Make recommendations about adaptive equipment

Speech-language pathology (SLP) is used to help your senior with communication, swallowing, and/or eating. Communicating effectively and swallowing safely can play a huge role in a patient’s ability to participate in social rituals like mealtime, make their wants and needs known, connect with their loved ones, or continue working in a specific vocation. SLPs work with individuals with a variety of diagnoses (ranging from stroke and autism spectrum disorder to head and neck cancer and traumatic brain injury).

Goals

Strengthen the muscles in the mouth, jaw, and neck
Help people work on goals related to social communication
Evaluate and provide treatment plans for feeding and swallowing challenges

( OT Potential , Allied Health , Autism Speaks )

How Do These Therapies Work Together?
While your senior may not need all three legs of Rehabilitation Therapy trio, they can benefit from any combination. For example, in the instance of a stroke:

An SLP can help your loved one communicate their fears, desires and successes with you and with your care team.
A PT would step in to strengthen weakened muscles and to help regain some bilateral strength, keeping other muscles from being injured when compensating for the weak ones.
An OT will assist your senior in relearning to eat, cook, open doors, button and zip their clothes, and move from sitting to standing.

( All Allied Health Schools )

One of the most notable losses during aging is mobility. Even when dementia or Alzheimer’s sets in, your loved one will still want to be active, communicate, go out to eat, care for and dress themselves, or move about their living space with some ease. These are the activities that the PT/OT.SLO team can help with to prolong a sense of independence. These three therapies are valid for anyone who has any form of mobility issues, including those with Parkinson’s, dementia, stroke, or muscular degeneration. Often the physical side of their aging can be overlooked in the process of treating the emotional and mental changes. There is solid evidence that physical activity can be effective for stemming the progression of dementia and provide a level of happiness and independence not gained by merely working with their mental losses. The techniques used by therapists would be like those used to treat patients with brain injury from trauma, stoke, or other brain conditions such as cerebral palsy or multiple sclerosis.

It is important that your senior likes and trust the therapist you bring in as they will be asking them to step outside of their comfort zone and your love one may not be able to understand why.
(PT in Motion )

Seniors & Pet Therapy

websites@hibu.com (Hibu Websites) — Mon, 06 Apr 2020 01:23:48 GMT

What is Pet Therapy?

Pet therapy is an interaction between a person and a trained animal, alongside the animal’s handler, with the goal of helping that person cope with or recover from a health issue or mental challenge. Pet therapy is a broad term that encompasses Animal-Assisted Therapy (AAT) and Animal-Assisted Activities (AAA).

Dogs and cats are most commonly used in pet therapy. However, fish, guinea pigs, horses and other animals can also be used. The type of animal chosen depends on the therapeutic goals of a person’s treatment plan, the location where the therapy will take place, and the type of support needed.

With the early success, more grant money has been applied in recent years to studying quantifying the benefits of pet therapy, including being used in situations such as child development, therapy, public health, autism mediation, and disease reduction or prevention.

Benefits of Pet Therapy
The most well-known benefits of pet therapy are:
•    Lowers anxiety and helps people relax
•    Provides comfort and reduces loneliness
•    Increases mental stimulation
•    Lowers blood pressure and improves cardiovascular health
•    Diminishes overall physical pain
•    Makes exercise and physical therapies more enjoyable
•    Enables a greater use of language and social interaction in patients with dementia or autism
•    Assist in recall of memories in patients with head injuries or chronic diseases such as Alzheimer’s disease
( Alliance of Therapy Dogs , National Center for Biotechnology Information , NPR )

Requirements for Pet Therapies
Animal-assisted therapy often serves in conjunction with work done by a licensed psychotherapist, social worker, or other mental healthcare provider.
For the most part, not just any animal can be used for pet therapy. The first step in pet therapy is the selection of a suitable animal. Before an animal and its handler can participate in pet therapy, the team usually must fulfill certain requirements. This process typically includes:
•    A physical examination of the animal to confirm it’s healthy
•    An obedience training course
•    An instructional course for the trainer
•    An evaluation of the animal’s temperament and behavior
•    A certification from the sponsoring organization
( Healthline )

Who could Benefit from Pet Therapy?
Pet therapy can significantly reduce pain, anxiety, depression and fatigue in people with a range of health problems, including:
•    People with dementia
•    People with long-term care facilities
•    People receiving cancer or invasive treatments
•    People with cardiovascular disease
•    Children or adults having dental procedures
•    Veterans with post-traumatic stress disorder
( Mayo Clinic )

A recent report from the U.S. Department of Health and Human Services, the Centers for Disease Control and Prevention (CDC), and the National Health Center for Health Statistics shows that nearly 60% of hospice care providers that provide alternative therapies offer pet therapy to patients.
( Alliance of Therapy Dogs )

And it’s not only people with health problems who reap the benefits. Family members, friends and even staff who sit in on animal visits say they feel better, too.

Conversation Starters

websites@hibu.com (Hibu Websites) — Thu, 02 Apr 2020 02:21:22 GMT

Tips for Communicating with Seniors

Seniors crave social connection as much as the rest of us. Unfortunately, sometimes they are less able to verbalize their feelings as well as they used to or are self-conscious about slower speech or reduced memory. Some extra effort may be needed to strike up a conversation with them.

It's important to try not to treat them differently. Realize that they have had rich experiences, which you can tap into and learn from during your time with them. Your honest and loving curiosity about their lives will both help to trigger memories for them as well as provide a natural path for conversation.

Planning for a Visit

If you know ahead of time that you'll be visiting a senior, consider bringing something to do or talk about that might help trigger memories for them. A few ideas include:

A family photo album
Music from when the person was young
A simple craft project or puzzle
A homemade goodie

If they have access to a kitchen and used to enjoy cooking, bring ingredients for a meal or snack you can enjoy making and eating together. This might spark conversations about favorite foods, cooking techniques, or recipes.

Questions to Spark a Conversation

If conversations don't seem to flow naturally, here are some questions that might help:

Who influenced your life the most?
What is the happiest moment of your life?
What is your proudest accomplishment?
What is your earliest memory? Note that many people's long-term memory stays intact much longer than their short term memory.
Who were your friends when you were growing up?
Did you have a pet?
Did you travel when you were younger? Where was your favorite vacation?
What was your favorite hobby?
What was school like for you as a child? What were your favorite and least favorite subjects?
What do you wish you'd done that you didn't?

( Aging Care )

Conversation Tips

It might be tempting to finish sentences, fill in blanks, or correct inconsistencies, but it is more respectful to give your full attention. Be patient if they aren't able to speak or think things through at their previous place.
Try to stick to one topic at a time. Limit distractions to allow time to collect their thoughts. Turn off televisions or phones and move to a quiet corner, if possible.
This is a time of their lives that may be characterized by loss: loss of health, finances, friends, mobility, and control, to name just a few. If we let them talk about these losses, it often gives us opportunities to talk about alternatives that help them retain the control they have left.
When planning time together, rather than asking open-ended questions, give a couple of options. For instances, instead of "What would you like to eat?" try "Would you rather have tacos or spaghetti for dinner?"
Be aware of non-verbal communication. As people lose the ability to talk clearly, they may rely on other ways to communicate. Facial expressions may show sadness, anger, frustration, or other emotions. Allow them to express themselves verbally and non-verbally in every way they can.

The bottom line is that all humans crave connection. They want to feel valued, respected, and loved. The efforts you make to communicate with your loved ones and seniors that you spend time with may be valued far more than you even realize and maybe even far more than they can express to you.

( MentalHelp.net )

Understand Alzheimer's Disease

websites@hibu.com (Hibu Websites) — Tue, 15 Oct 2019 19:22:31 GMT

Alzheimer’s disease is a progressive, degenerative disorder that attacks the brain’s nerve cells, or neurons, resulting in loss of memory, thinking and language skills, and behavioral changes. Alzheimer’s disease is not a normal part of aging but is the most common cause of dementia in people 65 years of age and older.

There are 2 stages of Alzheimer’s disease: mild (or early), middle (or moderate) and late (or severe). In its early stages, memory loss is mild, but with late-stage Alzheimer’s, individuals lose the ability to carry on a conversation and respond to their environment. Those with Alzheimer’s live an average of eight years after their symptoms become noticeable but survival can range from four to twenty years depending on age and other health conditions. But Alzheimer’s is not just a disease of the elderly. Nearly 200,000 Americans under the age of 65 have younger-onset Alzheimer’s disease also known as early-onset Alzheimer’s. Alzheimer’s is the sixth leading cause of death in the United States.

It can be difficult dealing with a relative undergoing the changes associated with Alzheimer’s. Over time they may forget words or misplace objects, forget something they just read, ask the same question over and over or not remember names when meeting new people. But help is available. Contact your local Alzheimer’s Association Chapter , search for ALZConnected or the Alzheimer’s Navigator for assistance. Of course respite options are available through your choice of home care agencies. Taking time for yourself is important in supporting your affected loved one. Help may be beneficial to your loved ones.

Alzheimer’s is at the forefront of biomedical research. Ninety percent of what is known about Alzheimer’s has been discovered in the last 20 years. Many potential approaches to treatment are currently under investigation worldwide. Don’t be overwhelmed with your loved ones diagnosis of Alzheimer’s disease, help is available to you.

Please feel free to contact us at any time for more information on assistance with your loved one. We can be a valuable resource with your questions.

"What Is Alzheimer's ." Alzheimer's Association . http://www.alz.org/alzheimers_disease_what_is_alzheimers.asp.

"Definition of Alzheimer's ." Alzheimer's Foundation of America . http://www.alzfdn.org/AboutAlzheimers/definition.html

What is the Right Diet for Me?

websites@hibu.com (Hibu Websites) — Tue, 15 Oct 2019 19:22:30 GMT

“Let food be thy medicine and medicine be thy food” – Hippocrates

From nearly the beginning of time, man has understood that we are what we eat. Diets high in proteins, fruits, and vegetables led to leaner people than diets filled with carbohydrates and fats. But it all can be so confusing. How do you choose which diet is the right diet for you?

Each of us has dietary needs specific to us. You may have areas you want to improve such as brain function or joint health or you may have dietary needs such as having diabetes or osteoarthritis. So how do we navigate our food intake? Many great resources can be found by searching the internet. WebMD , for example, has a list that goes from A-Z listing all diet plans. This can be a great resource center when looking to get started.

Another great resource is choosemyplate.gov . This site is completely free and set up by the Department of Agriculture to assist you with your dietary needs. It has everything from printable materials to a super-tracker in which you can set up a group to motivate others along with yourself in gaining better health. This site can be an invaluable resource toward your health management.

Consult with your doctor or nutritionist to help you choose the most effective plan for you. Also look at outside support for guidance and motivation. Receiving outside support has been proven as key in continuing your success. A great way to stay motivated in addition to receiving support is by being in a group setting. This group can just be a simple support group or it could be a friendly competition group to see who can become healthy first. Motivation and support ideas are endless! Do what works best for you!

Staying informed is the first step towards better health. Take advantage of all the advice out there; start with the ones listed here if that helps. Get the support that you need to get you motivated and then you will be well on your way to be a better you.

For more health quotes, Click Here .

Joint Health

websites@hibu.com (Hibu Websites) — Tue, 15 Oct 2019 19:22:29 GMT

With the temperature rising more and more, we are enjoying outside activities such as walking, hiking, and sporting activities. Now is the time to consider your joint health. As we become more active in the coming months, we need to consider the health of our joints as every activity depends on them. Here are some ideas for increasing our general joint health.

The two most talked about supplements are glucosamine and chondroitin. Glucosamine is a naturally occurring chemical found in the fluid around our joints. It is widely considered to be the best supplement for joint health. It is beneficial to the health of our cartilage. As we get older, our levels of cartilage naturally decrease; glucosamine has been found to help boost those levels. Glucosamine can be man-made or harvested from shells of shellfish.

Chondroitin can also be found naturally in the joints of our bodies. It can be man-made or made from the cartilage of sharks, pigs and cows. Studies show that chondroitin, when used in combination with glucosamine, can aid in joint health in the early stages of osteoarthritis. But always consult your doctor with any additions of supplements.

Diet and nutrition are additional ways in which we can make changes to help our overall joint health; such as lowering our general fat intake. A high BMI will increase “wear and tear” injuries to the joints by adding additional stress to the joints. Eat a balanced diet can help decrease a high BMI. Consult your doctor or nutritionist to find a diet right for your needs.

Omega 3 and Omega 6 are important additions to include in your nutrition. Eating cold-water fish, flax seed as well as cooking with olive oil are ways to help increase these fatty acids in your diet. Also consider boosting your calcium and vitamin D, especially if you are on any medication, such as prednisone that may deplete the levels in your body. Calcium is found in food such as milk, yogurt and cheese. Vitamin D can be found in fish, egg yolks. It can also be found from sunlight.

WebMD has created a list of the 7 best foods for joint health. The list is made of foods such as cherries and richly colored fruits. These foods are important for decreasing inflammation in the joints. Red peppers and citrus fruits can help boost our levels of collagen in the body. Canned salmon is a great source of calcium and vitamin D. Adding oatmeal to your diet can help decrease inflammation in your joints. Walnuts are rich in Omega 3 and finally kale is a natural antioxidant and provider of calcium.

Whether it is through the addition of supplements or a change in diet, now is the time to consider the health of your joints. There are many great resources to aid in your journey to better joint health found on the internet. Do your research and consult your doctor and enjoy better overall joint health.

Eat Right to Maintain Healthy Joints

http://www.webmd.com/arthritis/features/joints-food#1

home « JointHealth™ | changing arthritis

http://www.jointhealth.org/

Improving The Quality Of Your Life Today

https://www.jointhealthmagazine.com/

Combating Dementia

websites@hibu.com (Hibu Websites) — Tue, 15 Oct 2019 19:22:28 GMT

Nearly everyone will be affected by dementia in one way or another during their lifetime. It may happen to us, our friends or even our family members. Dementia can come in many forms and stages. Click here to learn more about the different forms and stages. Knowledge is vital in coping with the day to day symptoms of dementia.

here are 3 types of activities that can be beneficial when combating with dementia. These activities are physical, emotional and mental. While these types of activities will not get cure the dementia, it may help slow down its progression. Some physical activities that could help are small tasks such as cooking and baking; walking; participating in community events; cleaning; and light gardening. Mental activities that could be helpful are puzzles, reading, watching movies, signing, and making arts and crafts. Emotional activities can include telling old stories, scrapbooking, etc. Emotional activities can include telling old stories, looking at photos, scrapbooking, etc. By staying physically, mentally and emotionally active, one can try to fend off the effects of dementia for as long as they can. Partaking in activities as well as changing your lifestyle such as quitting smoking, cutting back on drinking, eating a healthy diet, and manage any cardiovascular diseases you may have; can help minimize the risks of increased dementia.

There is no cure for dementia however, there are several treatments. Speak with your doctor before trying any of these treatments. Medications such as Aricept, Razadyne, Exelon, etc. are used to slow the breakdown of acetyl cholinesterase* which plays a role in learning, memory and cognitive skills. Glutamate inhibitors such as Namenda prevent the overproduction of glutamate *that accompanies dementia. Medications for managing mental health, mood, and behavior issues may be used as sometimes increased mood swings, depression, and anxiety may occur in conjunction with worsening dementia.

Taking care of yourself is always important with any changes in your physical or mental health. When dealing with dementia it is recommended to learn as much as you can about memory loss and dementia. It is beneficial to write down your feelings in a journal and note any changes that occur so that you may speak with a doctor about your process. Joining in a local support group may help you or your loved ones, so that know that they are not alone. Counseling either individual or family can help prepare you for what is to come. Talking to a member of a spiritual community can be a vital resource as it helps take care of your spiritual health.

These are simply suggestions to help you or your loved one combat against dementia. What may work for one person doesn’t necessarily work for another. Keep active both mentally and physically to help slow down dementia as much as possible.

Sources:

* http://www.mayoclinic.org/diseases-conditions/dementia/manage/ptc-20199100

* https://www.dementia.org/treatment

How to Beat the Heat

websites@hibu.com (Hibu Websites) — Tue, 15 Oct 2019 19:22:22 GMT

Well, it’s the beginning of August now. Summer is flying right through. But believe it or not, the heat is just getting started. 2017 is shaping up to be one of the hottest years we have seen in a while. Just because September is right around the corner, doesn’t mean that we are safe from the heat. Obviously, it is hard to predict the weather a month out; but preliminary data is showing that the heat isn’t slowing down. So, what should you do to protect yourself? We have a couple suggestions for you.

If you are someone who likes to go for a run or a walk outside, considered going in the early morning or in the late evening. It has been proven to be the coolest time of the day. Sometimes your schedule doesn’t allow you to exercise any other time; that’s ok! Just try to scale it down a little bit or walk instead of running so that you don’t exert yourself too much.

When you are out and about, wear light color clothing especially cotton made. Cotton makes the clothes more breathable for you. Dark colors such as black absorb a lot of the sun’s rays, which in turns make you hotter, which is why light color clothing is much more preferred. Light colors reflect a good majority of the rays which in turns helps you to stay cool.

Summertime and fall is prime time for sports. Whether you are a fan or an athlete, these tips are good for you. Carry a spray bottle filled with water. There are spray bottles out there than even have a fan attached to them as well! Two great gadgets in one. Drink plenty of water and/or sports drinks such as Gatorade and Propel. The trick is to keep drinking before you get to the point where you are thirsty. By the time you become thirsty, it may be too late and you might be working on becoming hydrated. So, keep up with the fluids. Having said that, avoid caffeine and alcohol; they will increase the likelihood of you becoming dehydrated. If possible, bring a cooler with you. One, to have a lot of water and sports drinks cold at any given time but also so that you can pack cold fruit such as grapes, watermelon, apples, etc. Besides being something cold and tasty to eat, fruit can help hydrate you as well as giving you a nutritional snack. If you don’t have a cooler, than try this trick for keeping a drink cold. Place a water bottle (or sports drink) in the freezer overnight or at least a couple hours before you will need it. It will be frozen solid by the time you need it, but as the day progresses, the ice will melt keeping your drink colder a lot longer which in turns helps cool you down.

If you are fortunate enough to have an air conditioner (or more than 1) it is a brilliant idea to have a fan circulating the cool air to make sure that it just isn’t staying in one place. It will also help the areas that aren’t normally reached by the air conditioners. If you don’t have an air conditioner, go out to the library, local mall, aquarium, etc. It will give you something to do as well as cool you down. Typically, these places have air conditioning running all the time, which will allow you to stay cool.

The best way to beat the heat is to stay indoors but now a day that just isn’t possible especially during the summer time. If you do find yourself outside on a hot day, use some of the suggestions above. In addition, please remember to put on sunscreen as well as remembering to reapply it. We tend to forget the reapplying part but it is essential for our skin to stay healthy. Wear a hat (a sun hat works wonders) and sunglasses to protect your eyes and your face. And when possible stay in the shade. It will protect you from the harmful sun rays as well as keep you cool.

http://www.medicinenet.com/script/main/art.asp?articlekey=52796

https://www.cdc.gov/features/extremeheat/index.html

Extreme Heat and the Elderly

websites@hibu.com (Hibu Websites) — Tue, 15 Oct 2019 19:22:20 GMT

Did you know that extreme heat has caused almost 7,500 heath related deaths in the United States from 1999-2010? Unfortunately, we are all susceptible to getting sick from the heat; some more than others. People over the age of 65 are at a high risk for heat-related illnesses. Why? There are a several reasons for it.

Poor circulations, inefficient sweat glands and changes to their skin (which is all a part of the natural adding process) can make it hard to an elder’s body to react to temperature changes. If an elderly person has not the best lungs or may have a medical condition such as asthma, COPD, etc. higher humidity can affect their breathing. Medications to treat diseases for heart, lung, or kidney can have an adverse effect during the hot months. Some diuretics, sedatives, heart and blood pressure drugs can cause elderly person to not be able to perspire to cool oneself down. Many times, an elderly person is not dressed appropriately. It is not because they don’t know what they should wear. It is usually because they are cold majority of the time, which then leads them to wear multiple layers which can do more harm than good during the summer/fall months. The elderly also more likely to not routinely keep their fluids in check. This is one of the major reason why the elderly become more likely to be dehydrated.

So how can we help our elderly loved ones throughout the summer months? First step is to be aware of the signs of a heat stroke. Warning signs can vary from person to person, however it typically includes the following:

An extremely high body temperature (above 103°F)
Red, hot, and dry skin (no sweating)
Rapid, strong pulse
Throbbing headache
Dizziness
Nausea
Confusion
Unconsciousness

If you see that your love one has any of these signs, see immediate medical assistance. While you wait, try to cool them down via shady area, cool them down with a bath (sponge or full immersion), fan them, etc. If that doesn’t work, and help hasn’t arrived yet; call your local emergency room for further instructions.

There are other illnesses that can arise from heat. They are heat exhaustion, heat cramps, and heat rashes. It is best to have some knowledge of these illnesses so you know what to be on the lookout for. Click here for more information on heat exhaustion, heat cramps, and heat rashes.

Second step check in on them at least twice a day during those hot days and those days where the air index is very high. By checking in on them, you can monitor their physical condition as well as encourage fluids. If you are not able to check in on them yourself, contact your love one’s neighbor to see if they would be able to check on them. Some questions to ask yourself when checking in.

Drinking enough water?
Do they have access to air conditioning and is it on?
Do they know how to keep cool?
Do they show any signs of heat stress?

If you and your loved one are able to, go to a library, the mall, and/or a movie theater. These places typically have air conditioning on all the time. In addition to keeping cool, you can rest assure that your loved one is keeping cool as well because you are right there with them.

Have a backup plan in case the power goes out or the air conditioning stops working. Hopefully you won’t need to use it, but you will be prepared should the need arise.

https://www.cdc.gov/disasters/extremeheat/older-adults-heat.html

https://www.cdc.gov/features/extremeheat/index.html

http://www.iowalivingmagazines.com/2014/07/02/q-why-does-hot-weather-affect-the-elderly-so-much/

https://www.cdc.gov/disasters/extremeheat/faq.html

Preventing Falls for Seniors

websites@hibu.com (Hibu Websites) — Tue, 15 Oct 2019 19:22:18 GMT

The CDC ( cdc.gov ) has found that the leading cause of death and injury among older Americans is falling down. The dangers of falls for seniors are many, from bruising all the way to death depending on the severity of the fall.

The National Institute on Aging ( nihsseniorhealth.gov ) states that the loss of a steady, healthy balance and gait is common among seniors. Other factors, like certain medications and diseases, can increase difficulty with balance. To determine if a senior is at high risk for falling, look for the following signs:

A change in gait
Difficulty getting in and out of chairs or bed
Reaching for support when bending, moving, or climbing
Needing breaks while moving about routinely, like while climbing stairs
Straining to see clearly
Watching ones feet while moving
Shuffling instead of lifting the feet when walking
Pain in the joints, back or lower body

Common Medical Conditions that Increase the Fall Risk

Arthritis
Diabetes
Parkinson’s Disease
Alzheimer’s and Dementia
Chronic Pain
Dehydration
Disorders of the Foot or Legs
Thyroid or Blood Issues
Weakened Muscles
Sensory Issues with Hearing, Vision or Neuropathy

The CDC offers a downloadable checklist for fall prevention. Click here to see the list to determine what changes are needed to make your home a safer place for your senior.

This information was taken from a ClearCare article.

Diabetic Holiday Recipes (Waldorf Salad and Orange Rosemary Turkey)

websites@hibu.com (Hibu Websites) — Tue, 15 Oct 2019 19:22:16 GMT

Ingredients:

2 cups crushed pineapples
2 chopped pears or apples
½ cup sliced celery
½ cup seedless grapes (halved)
2 sliced kiwis
1/3 cup fat-free dressing
1/3 cup fat-free yogurt
1 tbsp. homey
2 tbsp. toasted walnut pieces
Kale or lettuce

Directions:

Toss all solid ingredients together.
Stir together liquid ingredients separately.
Fold solid mix into liquid blend.
Chill for 6 hours and serve with kale or lettuce

Recipe from Diabetic Living Online

Orange Rosemary Turkey

Ingredients:

12 lb. Roaster Turkey
¾ cup olive oil
2 tbsp. minced garlic
2 tbsp. rosemary
2 tbsp. parsley
2 tbsp. thyme
1 tsp pepper
1 tsp salt
1 orange peeled and sliced

Directions:

Clean and dry turkey before releasing skin.
Mix all ingredients except for the orange. Rub under and over turkey skin.
Place orange slices under skin without tearing skin.
Put turkey in pan and add water to a ½ inch depth.
Roast turkey in oven at 325 degrees for 3-4 hours or according to package instructions.
Cover the turkey if it is browning more than preferred.
Let turkey sit 10 minutes before slicing.

Recipe from Diabetic Connect

Diabetic Holiday Recipes (Wild Rice Stuffing and Sugar-free Apple Pie)

websites@hibu.com (Hibu Websites) — Tue, 15 Oct 2019 19:22:11 GMT

Wild Rice Stuffing

Ingredients:

½ cup wild rice
¼ cup brown rice
1 ¾ cup water
1 tsp chicken bouillon powder
¼ tsp ground nutmeg
2 cups fresh sliced mushrooms
½ cup celery
1/3 cup sliced onion
½ cup pine nuts

Directions:

Rinse uncooked rice in strainer. Place rice, water, bouillon, and nutmeg in pot.
When rice pot boils, reduce heat and cover. Simmer for 20 minutes.
Add vegetables to rice pot. Cook covered over medium-low for 25 minutes.
Sir frequently, adding nuts when vegetables are soft. Serve immediately.

Recipe from Diabetic Living Online

Sugar-free Apple Pie

Ingredients:

12 oz. unsweetened apple juice concentrate thawed
3 tbsp. cornstarch
1 tbsp. cinnamon
6 cups thinly sliced apples
2 pie pastry shells (9inch)

Directions:

Preheat oven to 350 degrees.
Whisk 1/3 cup of juice with cornstarch and cinnamon.
Simmer apple slices and remaining apple juice in saucepan over medium heat for 10 minutes.
Stir in cornstarch mixture, cooking five more minutes.
Set aside to cool and place pie pastry shell in baking dish
Add apple mixture and place second pie shell over top, cutting a few slits in the top crust piece.
Bake 45 minutes or until crust is golden brown.

Recipe from Sunrise Senior Living

Cholesterol Reducing Recipes

websites@hibu.com (Hibu Websites) — Tue, 15 Oct 2019 19:22:09 GMT

High cholesterol levels put seniors at greater risk of heart disease and stroke. According to the American Heart Association (heart.org), it’s important for seniors to take steps to keep their cholesterol levels under control.

Cholesterol Friendly Ingredients (Medical News Today):

Fish
Lean Meats
Fruits
Olive Oil
Nuts
Legumes
Oats

Ingredients to Avoid for Heart Health (Medical News Today):

Red meat
Dairy
Packaged Baked Goods
High Sodium Snacks
Shortening
Vegetable Oils
Fried Foods

Low Cholesterol Snack:

Pre-cut veggies like carrot or celery sticks are filling, nutritious and low in cholesterol
Handheld fruits like apples, oranges, or grapes are convenient and tasty
Nuts and seeds are easy to snack on, fibrous, and reduce cholesterol
Fruit-based muffins or bread satisfy cravings for soft baked goods minus all the shortening.

Chicken Pot Pie

4 tsp. extra-virgin olive oil
1 lb. boneless, skinless chicken breast, trimmed, cut into ½ inch cubes
1 cup shallots
1 10 or 12 ounce bag frozen mixed vegetables thawed
2 cups reduced-sodium chicken broth
¼ cup cornstarch
¼ cup reduced-fat sour cream
6 sheets 9-by-14 inch phyllo dough, defrosted
Cooking spray (olive or canola)

Chicken Pot Pie

Directions

Preheat oven to 425 F
Cook chicken in a skillet with 2 teaspoons of oil over medium-high heat. Remove chicken after 3 minutes, adding shallots and 2 more teaspoons of oil. Stir over medium heat 3 minutes. Add veggies and seasonings of choice for 3 minutes.
Pour in 1¾ cups broth and bring to a boil. Whisk the remaining ¼ cup broth and cornstarch in a small bowl and add to the pan. Boil and cook until thickened.
Remove from heat, adding chicken, sour cream, and seasonings of choice.
Divide the mixture among four 12-ounce baking dishes.
Make 2 stacks of 3 sheets of phyllo each, spraying with oil lightly. Cut the stacks in half and divide, placing one stack over each baking dish.
Place the potpies on a baking sheet and bake until the tops are golden and the filling bubbly. Takes 18 to 20 minutes

( Recipe from Eating Well )

Fighting Loneliness During the Holidays

websites@hibu.com (Hibu Websites) — Tue, 15 Oct 2019 19:22:07 GMT

Loneliness is often experienced by seniors during the holiday season. This can cause health problems and affect their quality of life. There are ways to brighten the season for lonely and depressed seniors.

Persistent loneliness can have the same health impact as smoking 15 cigarettes a day. Since loneliness can exacerbate health issues and increase the risk of mortality, it is especially important to combat isolation and feelings of loneliness during the holidays. (Forbes)

Spot the Signs of Loneliness:

Many seniors do not recognize their loneliness or the health problems that feeling lonely can cause. As a result, few will voice their need for additional support. Look for these signs of loneliness among seniors:

Under or oversleeping
Withdrawal from existing relationships
Combativeness or moodiness
Depression
Lack of appetite
Anxiety over change or visitors leaving
Lack of interest in normal passions
Decreased attention to self-care

( Senior Guide Online )

Loneliness can increase senior’s risk of:

High blood pressure
Depression
Low immune health
Obesity
Mortality

( Healthline )

How to Brighten the Holiday

Display holiday cards and greeting
Set up decorations with seniors
Help seniors make video calls to loved ones
Plan holiday event outings
Tune in to festive TV shows and regular radio programs
Sign seniors up for in-house visits by carolers
Encourage seasonal volunteering if seniors are able

Tips for Fighting Loneliness

Get connected with local senior centers
Attend religious or interest-based groups
Participate in home-visit programs
Schedule regular phone calls with loved ones
Practice letter or card writing
Use technology to connect with distant loved ones
Mark social events to look forward to on the calendar
Call The Friendship Line at 1-800-971-0016 at any hour to engage in conversation

( NCOA )

Did you Know?

17% of Americans over 65 live alone
An estimated 8.8% of seniors in America are chronically lonely
Americans between the ages of 57 and 85 have support from an average of only 3.6 people
42% of Americans over 65 have a disability
Health, location, impairment, economic status, and even language can impact the risk of isolation.

( AARP )

Home Care Tip:

Loneliness is often linked to isolation. Isolation can be a threat to health, but also can increase safety risks. Social workers for seniors can arrange for a variety of services to help address senior’s needs, including isolation.

“5 Wishes” Advanced Health Care Directive

websites@hibu.com (Hibu Websites) — Tue, 15 Oct 2019 19:22:04 GMT

Five Wishes is an advanced directive that records an end of life care plan in plain language.

It is important to have a plan for future care in case a senior is unable to make decisions for themselves at that time. Many individuals create living wills to direct such decisions, but may not understand all of the legal jargon. Five Wishes is a very simple legal document written in plain language to ensure individuals receive the end of life care they desire.

What is an Advanced Directive?

If a senior faces a health issue that renders them unable to make healthcare decisions for themselves, an advanced directive determines who makes decisions for them. It can also direct the kind of care they receive.

Why Use Five Wishes as my Directive?

A living will and a durable power of attorney for healthcare are two forms of advance directives. Five Wishes is an advanced directive that covers the same medical topics. Five Wishes also addresses the individual’s desires for spiritual, emotional, and personal care.

What are the Five Wishes?

The person you want making care decisions for you when you can’t
The kinds of medical treatment you do or don’t want
How comfortable you want to be
How you want to be treated
What you want loved ones to know

How can I complete a Five Wishes Form?

Anyone over the age of 18 can complete a Five Wishes document. To order a hard copy of Five Wishes or complete the form online, visit agingwithdignity.org

Reasons to Complete Five Wishes

Know what their loved one desires
Know who is responsible for what in the care process
Are protected from disputes about care
Don’t have to guess what a loved one would want
Can address non-medical needs with confidence

Tips for Cancer Caregivers

websites@hibu.com (Hibu Websites) — Tue, 15 Oct 2019 19:22:02 GMT

Caregiving for a senior with cancer comes with many challenges. Seniors with cancer often experience longer recoveries. Here’s what caregivers need to know to help.

It’s estimated that 39% of people will be diagnosed with cancer in their lifetime.
Many individual’s living with cancer are over the age of 65. ( cancer.gov )

Take care of yourself by:

Sharing your struggles with loved ones
Receiving counseling
Participating in a support group
Sharing the burden of care with others
Taking time away to rest
Attending your own medical appointments
Enjoying activities that bring you joy
Eating healthily and exercising

Cancer Recovery Challenges for the Elderly

Treating cancer poses a medical dilemma. For cancer cells to be eliminated, the body is exposed to toxins in chemotherapy or damage by radiation.
Cancer treatment is a delicate balance between under and over treating. For frail seniors, treatment can be more harmful than cancer itself.
Cancer patients’ bodies have to recover not only from the effects of cancer but also from the side effects of treatment.
Elderly cancer patients may naturally have weakened immune systems that make recovery more difficult.
Recovery from cancer may be negatively impacted by other illnesses common among seniors, like diabetes or heart disease.
Seniors with cancer can typically expect to have a longer recovery period with more risks, side effects, monitoring, and medications than younger patients.

Here are some websites that you can go to for more information: Cancer.gov , Cancer.org , Cancercare.org

Heart Health for Seniors

websites@hibu.com (Hibu Websites) — Tue, 15 Oct 2019 19:21:57 GMT

Protect Senior Heart Health during American Heart Month

Since heart disease is the leading cause of death in the United States especially among seniors, it is important for caregivers to know the facts.

17.3 million deaths each year are caused by heart disease. Seniors are especially prone to cardiovascular complications.
In 1964, more than half of American deaths were the result of cardiovascular disease. Although this percentage has decreased, heart disease is still the leading cause of death in the United States.
Every February is designated as American Heart Month by the federal government to encourage individuals to learn about, prevent and address heart problems. ( The American Heart Association )

Types of Heart Health Problems

There are a wide variety of heart health problems. Cardiovascular disease is a term used to broadly describe the plethora of problems that can impair the cardiovascular system.

Specific cardiac issues include, but are not limited to:

Diabetes
Hypertension
High cholesterol
Cardiomyopathy
Arrhythmia
Valve problems
Pericarditis
Stroke
Heart attack
Heart failure

While some of these conditions are manageable, others can be fatal if they are not handled properly. It is vital for seniors and caregivers to learn the signs of heart problems. ( The American Heart Association )

Signs of Cardiovascular Issues:

1. Symptoms that Need Immediate Medical Attention

Chest pain or tightness
Upper body pain in the jaw, neck, back of arms
Difficulty breathing
Sweating
Vomiting and/or nausea
Dizziness or lightheadedness
Facial drooping
Slurred speech
Unconsciousness/fainting
Anxiety
Heart palpitations
Fatigue
Numbness
Impaired vision

2. Signs it is Time to Schedule a Doctor’s Appointment

Many heart conditions can be managed with regular treatment or lifestyle changes. These conditions often present with mild symptoms.

Fluttering in the chest
Fast, slow, or irregular heartbeat
High or low blood pressure
Lightheadedness
Ongoing fatigue
Dizziness, fainting or near fainting
Difficulty breathing after exercise
Lower body swelling ( Mayo Clinic )

Tips for Heart Healthy Caregiving

Reducing sources of stress
Providing a heart-healthy diet
Encouraging rest and taking physical activity slowly
Creating low level exercise regimens
Offering medication reminders
Watching for signs of change in heart and health ( WebMd )

Top Tips for Preventing Heart Disease

Quit smoking
Eat a balanced diet
Maintain healthy weight
Reduce stress
Exercise regularly

Heart Facts for Seniors

42.2 million people over 60 have a cardiovascular disease
51% of cardiovascular procedures were for people over 65 in 2010
Heart disease is the leading cause of death in the United States among seniors

Men

70% of men between 60-79 years old have a heart disease
Black men are at higher risk of heart problems
The average age of 1st attack is 64.7 years

Women

Women between 65 and 84 are more likely to have a stroke
Cardiovascular events tend to occur later in life for women than men
High blood pressure is more common in women, averaging 80% for those over 75 ( The American Heart Association )

Home Care Tip

Seniors Coping with Loss of Independence

websites@hibu.com (Hibu Websites) — Tue, 15 Oct 2019 19:21:55 GMT

A loss of independence is a fear many seniors have. When this fear is realized, there are several ways caregivers need to help.

According to an AARP study conducted in 2012, 57% of seniors over age 70 do not find it easy to live alone and need help with daily tasks. This loss of independence can have a toll on senior’s psychological and physical well-being.

Most people begin to live and perform daily life tasks independently by the age of 20. About 50 years later, many find that independence is no longer safe or viable. The loss of independence senior’s face can often result in grieving, frustration and other emotional upset. Caregivers can help seniors by understanding the process.

Types of Independence Seniors May Lose

As seniors’ bodies and/or minds degenerate, they can experience a variety of types of losses. Their independence can be impacted in ways that change their lifestyles and even their understanding of the world.

Some types of independence seniors may lose include:

Mobility

Ability to live alone

Memory

Comprehension/decision-making skills

Strength to perform daily tasks

Energy to clean or cook

Social life

Sight

Hearing ( Senior Advice )

How to Help Seniors Cope with Increased Dependency

Relying on other people’s assistance for basic tasks like bathing or common activities like driving can be frightening and frustrating for seniors. With the loss of independence, seniors also tend to lose some control over their schedule, freedom, preferences, and more.

Caregivers can help make decreased independence more bearable using strategies like these:

Maintain a Standard of Dignity

Requiring assistance with activities like bathing or shopping does not mean that seniors need to give up their dignity. Caregivers should always guard seniors’ privacy. It is also wise to use the terms a senior does when referencing body parts, activities, or even hygiene products.

Offer Reminders that You Can Be Counted On

Depending on other people for help, especially with essential tasks, requires trust. This can cause seniors anxiety and stress. Remind a nervous senior that he or she is in good hands and is being taken care of to assuage their fears.

Give Options for Caregiving

Since dependence requires trust and can be very personal in nature, it is important for seniors to have choices. Learn if a senior prefers same-sex caregivers, certain routines, etc.

Ask Instead of Telling

Caregiving for someone who has lost a type of independence is a supportive role, not a leading role. Caregivers should ask seniors about their preferences, needs, etc., instead of telling them. For example, if a senior cannot cook for themselves, a caregiver should ask for input for meal planning.

Stay Organized and Consistent

Dependence means a loss of control. Seniors have to wait on others for assistance which can be stressful. Caregivers should remain consistent with their routine so that seniors don’t need to be anxious about when or how their care will be provided. Organize necessary materials so they are accessible to seniors who cannot mobilize independently as well (NCBI)

What to Make Accessible to Seniors with Mobility Limitations

TV remote or computer
A telephone
Basic contact sheet
A calendar or schedule
Reading or entertainment materials
Medication

Common Emotions Seniors May Experience

Loss of independence is an emotional experience for many seniors. They may experience and exhibit normal emotions like:

Denial
Irritability
Frustration
Anxiety
Guilt
Sadness ( MY Ageing Parent )

Home Care Tip

Many seniors fear losing their independence more than they fear death. Realizing this fear can lead to depression in seniors. Know the symptoms of depression and help seniors get medical care if they exhibit signs of this mental illness.

Find The Right Caregiver For Your Elderly Parent

websites@hibu.com (Hibu Websites) — Tue, 15 Oct 2019 19:21:53 GMT

Entrusting Your Aging Parent to Someone Else’s Care is a Big Decision

How do you know who the right caregiver is? There are a few steps you can take to help make your selection confidently.

57% of seniors over age 70 do not find it very easy to live alone. Many need assistance with some daily tasks. If your parent is one of them and plans to age in place, it’s time to hire a caregiver. There are several steps to take to ensure your loved one receives the best care. (AARP)

First Steps to Take When Hiring a Caregiver

1. Understand Your Loved Ones Needs

The first thing you need to know is the kind of care your parent needs, and how often. Home care caregivers offer assistance with non-medical activities like bathing, cooking, transportation, or companionship. Create a list of specific activities your parent needs help with.

2. Assess Your Financial Options and Resources

Your finances may affect your caregiver options. Work out a budget for caregiving. Many non-profit and governmental programs offer financial assistance for the care of the elderly as well.

3. Choose an Agency

Many families use a home care agency because of the added security, accountability, and convenience. Consider factors such as how long the agency has been in business, their procedures for documenting and monitoring care, and how they train and hire caregivers.

4. Compile Your Requirements

The final step to take before beginning your caregiver search is compiling your requirements. If possible, create a list together with your loved one who will be receiving care. Include preferences about the caregiver’s gender, age, availability and more. Mark non-negotiables, like that the caregiver speak a particular language, or have a driver’s license. Use this list to screen potential private caregivers or give to an agency you select. ( NPR )

What to Ask Potential Caregivers

Do you have any licensing or certifications?
What is your home care experience?
Why do you work as a caregiver?
Do you have experience working with certain illnesses/injuries?
How do you protect your health as a caregiver?
Are there caregiving activities you will not perform?
Can you provide a previous client as a reference?
May I speak to your references?

( Care.com )

There are more than 65 million people serving as caregivers to the elderly, disabled, or chronically ill in the United States. Some caregivers are unpaid friends or family members. Many, however, are employed as professional caregivers. ( Caregiveraction.org )

Don’t Forget…

If your parent is capable of making decisions or if other family members are also responsible for a parents care, those individuals should be consulted. Schedule times to make final decisions together. Establish processes for clear lines of communication with the agency to ensure visibility into your loved ones care. ( US News )

Home Care Tip

Remember that, although caregiving is a very personal job, it is a form of professional work. Caregivers should behave like employees and family members should retain the right to hire, fire, and address issues as an employer.

8 Symptoms of Mental Illness in the Elderly

websites@hibu.com (Hibu Websites) — Tue, 15 Oct 2019 19:21:47 GMT

How to Spot Symptoms of Mental Illness in the Elderly

Normal signs of aging can mask symptoms of mental illness in the elderly.

8 Common Symptoms of Mental Illness in the Aging

1. Unusual Avoidances

2. Difficulty Making Basic Decisions

Decision-making is affected by memory, emotions, and judgment processes. When seniors struggle to make basic decisions or change their minds frequently the issue may be cause by mental illness.

3. Unexplained Stomach Distress

4. Agitation or Moodiness

5. Change in Appetite or Sleeping Patterns

6. Disinterest with Fatigue

7. Hallucinations or Delusions

If a senior recalls information that doesn’t make sense or that never occurred, they may be experiencing hallucinations or delusions. These symptoms may present as paranoia or as simple confusion.

8. Sudden Changes in Behavior and Attitude

( Todays Geriatric Medicine )

Common Mental Illnesses Among Seniors

Depression
Anxiety
Memory Diseases
Cognitive Impairment
BiPolar Disorder

(cdc.gov)

Pre-existing conditions such as:

Dementia
Alzheimer’s
Parkinson’s
Stroke
Diabetes
Thyroid disorders
Degenerative diseases

Significant Life Changes Like:

The loss of a loved one
Moving
Becoming disabled
Enduring an illness or injury
New medications

( Helpguide )

Home Care Tip:

Facing End of Life Care Options

websites@hibu.com (Hibu Websites) — Tue, 15 Oct 2019 19:21:45 GMT

Understanding Options for End of Life Care

It is important for seniors and their caregivers to understand end of life care options, like hospice or palliative choices.

Sometimes life ends unexpectedly. But for many seniors, the end of life comes with warning signs and happens slowly. Although difficult to discuss, it is important for seniors and their caregivers to understand all of their options.

What Makes End of Life Care Unique?

End of life care is unique because it is specifically for people who are nearing the end of a terminal disease or condition. The goal of end of life care is not rehabilitation or to cure an illness, but to support individuals as they wish until they pass away.

What Leads Up to End of Life Care?

A number of diseases and conditions can lead to end of life care. Patients with terminal cancer diagnoses may begin end of life care when they decide to stop seeking treatment for the cancer, for example. Chronic illnesses, organ failure, and neurological diseases are other examples of conditions that may lead to end of life care.

When is it Time for End of Life Care to Begin?

Medical professionals will often consult with patients and their caregivers when they believe end of care is warranted. For hospice care, patients generally must be considered to be within 6 months of death

Who Provides End of Life Care?

Teams of medical professionals and caregivers often work together to provide end of life care. Hospice care is often performed by a team in a facility or in the home. Palliative care is usually provided in a hospital or medical facility.

( Caregivers Library )

Main Types of End of Life Care

Hospice – Either home or facility-based, hospice may or may not be covered by an insurance policy. Some aspects of the service may not be covered. Hospice begins within 6 months of the expected end of life.
Palliative – Facility based, palliative care focuses on comfort instead of treatment. It is usually included with insurance. Palliative care can be provided at any time during a chronic or terminal disease.

Weighing End of Life Care Options

There are many factors to consider regarding end of life care. Seniors and their loved ones should make decisions based on questions like:

Is life-prolonging treatment desired during end of life care?
Will care be sought on a specific timeline or in an ongoing capacity?
Will the care be provided at home or in a facility?
Does insurance need to cover all of the costs?
What types of care and services does my insurance provider cover?
Is round the clock care needed?
What kinds of providers are desired for end of life care (counselors, nurses, caregivers)?
Will access to specialized technology and equipment be a factor?

( NHPCO )

Tips for Discussing End of Life Care

Determine what term for end of life is acceptable
Talk about preferences before needs
Make a list of “do nots” to abide by
Take breaks to avoid growing overwhelmed
Consult the insurance company ahead of time to learn about options
Include everyone who will be involved in end of life decisions if a senior becomes unable to speak for themselves

( The Conversation Project )

Home Care Tip

Plan for seniors to enjoy their favorite activities or treats on days when end of life care will be discussed. Staying positive is important for a senior’s health and decision-making, especially during difficult conversations.

How to Help Seniors Make the Most of Doctor Visits

websites@hibu.com (Hibu Websites) — Tue, 15 Oct 2019 19:21:24 GMT

Preparing seniors for doctor visits

Getting to a doctor visit, as well as understanding and implementing medical advice, can be a challenge for seniors.

Aging involves changes in health, physical ability, and medical risks. On average, older adults in the US tend to be in a healthcare setting about 17 days a year. Given how common (and often necessary) it is for seniors to interact with doctors, it is important to help seniors navigate doctor visits well.

A start to finish doctor visit checklist

For seniors, doctor’s visits are stressful. Use this checklist to help ease anxiety

* Arrange transportation to and from the appointment
* Identify whether or not a companion is necessary for the visit
* Check if the appointment or associated tests require seniors to contact their insurance company ahead of time for pre-certification or other purposes
* Pack everything needed for a successful appointment

Insurance card
Photo ID
Payment for co-pays or other charges
Contact information for other doctors
List of current medications
List of allergies/medical conditions
Medical records, if needed
A list of questions for the doctor
And notepad or device for note-taking

*Verify at checkout after the appointment

If further testing or labs required
When new prescriptions should be picked up
If there are instructions or treatment notes seniors can take home with them
When follow-up appointments are scheduled
If any payment is due

How to Help Seniors Advocate for Themselves

Often, seniors feel nervous or powerless when in healthcare settings. Encourage seniors to attend their appointments confidently and to speak up for themselves. Remind seniors to:

Bring glasses or hearing aids if necessary to support effective communication
Prepare to share what has been going on in their lives and to ask questions
Ask for directions, diagnoses, and notes about the appointment in writing
Get a second opinion if they are uncomfortable or unsure of something a doctor says
Take a family member or close friend for support if self-advocacy is challenging for them

Tips to see the Doctor Less Often

Following doctor's instruction and taking care of oneself are great ways for seniors to reduce the number of appointments they attend. There are also alternatives to traditional doctor visits that seniors can benefit from such as:

Web-based medical services
Virtual or over-the-phone appointments
Retail clinics, especially for flu shots or common, minor illnesses
Urgent care centers

Cyclical Reasons Seniors Should See the Doctor

One of the reasons aging adults tend to see doctors often is for cyclical treatments, check-ups, or preventative care. For instance, seniors should plan on:

Annual check-ups
A colonoscopy every decade
Annual vaccinations
Regular eye exams
Dental exams twice a year
Screening for cancer, thyroid disorder, etc.

Home Care Tip

Help seniors who are active online to understand that the web does not have a medical degree. While medical information could be helpful to reference and understand more about health, only professionals with education and training should make a diagnosis and prescribe treatments.

Exercises That Are Safe For Seniors

websites@hibu.com (Hibu Websites) — Tue, 15 Oct 2019 19:21:23 GMT

Easy ways for seniors to exercise

Only about 28-34% of people aged 65-74 are physically active. Exercise is essential for good health, but it can be risky if not performed properly. Use these exercises to encourage seniors to stay healthy. ( HHS.gov )

Without physical activity, seniors are at a greater risk of health problems like heart disease. Their bones are more fragile and their blood pressure is higher. A number of other problems can result from lack of activity. That’s why seniors should use safe, easy exercise to stay fit. (Cdc.gov)

Simple Indoor Exercises

Exercising indoors tends to be safer for seniors than outdoors. It is important to ensure movements are gentle and can be adapted for different limitations so as to not over-exert aging hearts, muscles, and bones.

Great indoor exercises include:

Walking
Climbing steps
Indoor swimming
Balance exercise (while holding something stable)
Light bodyweight exercises like squats

Since seniors are at risk of injury (especially from overuse) when exercising, it is best for seniors to learn and practice exercises with the help of an instructor or personal trainer. Performing exercises like these with a group can also make staying active more fun. ( Medicare.org )

Make Exercise Part of Everyday Life

Seniors can incorporate activity into everyday life by developing habits like regularly:

Gardening
Dancing
Walking
Climbing stairs
Stretching

Best seated exercises

For seniors who have balance issues or other physical limitations, seated exercises are the safest way to stay active. Try these seated exercises and Stretches:

Ankle and wrist rolls
Are circles
Single leg calf raises
Sit and stand motions
Seated hip marches
Seated torso twists

To keep bones and muscles strong, seniors add light weights to these exercises. Weights that can be strapped on their wrists or ankles are the safest option.

Don’t Forget to Exercise These Body Parts

There’s more to the body than major muscle groups. Seniors can stay healthy by exercising the following overlooked body parts as well:

Eyes
Brain
Fingers
Wrists

Keeping these body parts active may involve reading, memorizing new things, or even using small devices to increase finger strength and dexterity. While these exercises might not improve heart health, they can help seniors maintain skills and abilities.

Home Care Tip

When seniors struggle with stiffness or diseases like arthritis =, working out can seem intimidating and sound painful. However, exercise is a proven form of pain relief. Encourage seniors to get active in order to get better.

Helping Seniors Prevent Hearing Loss

websites@hibu.com (Hibu Websites) — Tue, 15 Oct 2019 19:21:14 GMT

Here’s how to help them understand hearing loss and cope healthily.

Age-related hearing loss affects many seniors. Here’s how to help seniors prevent further hearing loss and cope healthily.

About 1 in 3 adults, between 65 and 74 years old, experiences hearing loss. Difficulty hearing or making out sounds can put seniors at risk of social, health, and safety problems. Since hearing loss can sometimes be reduced, it’s important for seniors to be aware of their auditory heath.

( NIDCD ) ( NAIA )

The Basics of Hearing Loss

Who experiences hearing loss?

Anyone can experience hearing loss, but it is especially common among older adults. As age increases, the risk of hearing impairment increases as well.

What causes hearing loss?

Damage from noise or certain disease can cause hearing loss, but so can simple deterioration that comes with age. Deterioration can be exacerbated by medical conditions like high blood pressure, exposure to noise, and other factors.

Are there different levels of hearing loss?

Age-related hearing loss is often gradual. What may begin as simply needing the TV volume louder can turn into being unable to make out words or sounds.

How can hearing loss be prevented?

Currently, hearing loss can’t be prevented entirely. However, it can be minimized or delayed by protecting against noise and avoiding common conditions that put you at greater risk of hearing loss (like diabetes).

Is Hearing Loss Dangerous?

Medically, age-related hearing loss is unlikely to cause other health problems. However, being hard of hearing can put you in risky situations, like making it difficult to hear an alarm or understand important instructions spoken to you.

( NIDCD )

What to Do if You Think you Have Hearing Loss

Signs of hearing loss include:

Not being able to make sounds out against background noise
Difficulty understanding words or sounds, especially consonants
Withdrawal from conversations or avoidance of socializing
Regularly turning up the volume
Muffling of typically clear sounds including speech

What to Do if you Experience Signs of Hearing Loss:

If you have symptoms of hearing loss, see a doctor as soon as possible. A simple hearing test can lead to a diagnosis. Through the use of a hearing aid (or possibly with the help of surgery or implant), your hearing loss many be minimized. (Mayo Clinic)

Hearing Loss by the Numbers

Among adults over 70 with hearing loss, only 1/3 of those who could benefit from hearing aids use them.
Around 28.8 million U.S. adults could use hearing aids for their benefit.
Men under 69 are twice as likely as women of the same age to experience hearing loss
About 50% of people who are 75 or older have impaired hearing

( NIDCD )

Risks Associated with Hearing Loss

Impaired hearing can make it hard for seniors to hear at all, but can also make understanding words clearly difficult. As a result, seniors are a greater risk for:
Misunderstanding doctor’s instructions
Mishearing warning or important statements
Not hearing fire alarms or other emergency notifications
Growing isolated due to less confidence in conversations
Certain health issues, particularly those related to stress or balance

( Hopkins Medical )

Home Care Tip

There are some apps that can be paired with hearing aids to customize options and preferences. Encourage seniors to embrace technology like this to make using hearing aids less frustrating.

Understand Cholesterol and its Effects

websites@hibu.com (Hibu Websites) — Tue, 15 Oct 2019 19:21:13 GMT

Helping Seniors Maintain Healthy Cholesterol Levels

Cholesterol levels can be a source of stress for seniors. Here’s what seniors and their loved ones need to know.

About 37 percent of the U.S. adults have higher than recommended LDL cholesterol level. Since this can increase risk of heart disease or stroke and seniors are already at higher risk of such health problems, it’s important for aging individuals to understand cholesterol.

What Cholesterol is All About

Although many people think of cholesterol as something negative to avoid, cholesterol is actually a natural substance the body make on it own. Cholesterol helps cells make hormones, digest food, and more. Besides the cholesterol your body makes, you can also consume cholesterol in eggs, meat, and other foods.

There are three types of cholesterol doctors measure:

High Density Lipoprotein (HDL)
Low Density Lipoprotein (LDL)
Triglycerides

HDL is “good” cholesterol because its function is basically to clear out LDL cholesterol, which can build plaque up in the arteries. Triglycerides can also cause harmful build up affecting the heart.

When doctors give patients their “cholesterol level” findings, high HDL numbers are encouraging. High LDL and/or triglyceride numbers are what is commonly called “high cholesterol” and increases risk of heart disease.

How to Manage Cholesterol Levels

Seniors tend to be at an elevated risk of heart disease simply because of aging process. When seniors also have high cholesterol, theri heart disease risk increases. It is important for seniors to manage their cholesterol levels in order to keep arteries clear and functioning.

Here is how to manage cholesterol:

Medication

There are a few medications that can help lower bad cholesterol levels and increase HDl. the most common medications for this are called statins.

Dietary Changes

Since cholesterol levels can be affected by what you eat, seniors with high LDL or triglycerides levels should:

Avoid unhealthy fats
Eat healthier fats
Get plenty of fiber
Reduce sugar intake
Reach a healthy weight

Exercise Regularly

The body can manage conditions like high cholesterol better if you are physically active. Exercise stimulates many important natural process. Simply taking walks is a great start.

Risks Associated with Poor Cholesterol Levels

The consequences having too much LDL cholesterol include:

Clogged arteries
Increased risk of heart disease
Higher risk of stroke
Reduced function of the cardiovascular system

Other Heart Disease Risk Factors

Besides high cholesterol, other risk factors for heart disease among seniors include:

Race/ethnicity
Smoking
Conditions like diabetes or obesity
Lack of physical activity
Senetics
High blood pressure

Home Care Tip

Seniors can often have high cholesterol without showing any symptoms. Encourage seniors to visit doctors regularly and receive recommended blood tests to check cholesterol levels, especially if they are elevated risk due to obesity or poor diet.

How to help seniors with financial planning

websites@hibu.com (Hibu Websites) — Tue, 15 Oct 2019 19:21:11 GMT

Managing Money as an Older Adult

One-third of seniors don’t have money left over at the end of each month. This and other monetary concerns make financial planning especially important for seniors. ( NCOA )

About 1 in 20 seniors have experienced financial mistreatment. Since many seniors already face uncertainties and struggles financially, seniors need an understanding of how to plan financially and how to protect themselves from financial risks. ( NAPSA )

Financial Safety Tips for Older Adults

Seniors are often the targets of financial scammers. Additionally, seniors can be financially vulnerable due to changing technology and issues related to aging. For example, seniors with hearing problems may struggle with communication about their finances and seniors with memory loss may have trouble managing their budget.

Using these tips to stay financially safe:

Work with financial advisors (be sure they are licensed abd a fiduciary)
Use unique passwords for accounts and record and store information electronically or on pen and paper
Entrust a loved one with access to accounts in case of an emergency
Keep finances in multiple secure accounts
Always call the numbers listed on the account information do not return call as they might be a scam
Get details about financial decisions in writing for review
Check credit reports once a year
Sign up for notifications when payments are over a certain amounts are made
Never give confidential information, such a social security number over the phone unless you initiate the call

( American Bankers Association )

Estimating Cost of Living During Retirement Years

Look up these tools online to better understand planning for retirement budgeting.

Blackrock’s Retirement Expenses Worksheet
T. Rowe Price’s Retirement Income Calculator
Social Security’s Retirement Estimator
Mymoney.gov

( CNN Money )

Budgeting as a Senior

Many seniors are retired, which often leads to living on smaller income then when they were employed full-time. As a result, they tend to live on a carefully managed budget. The most common living expenses include:

Housing
Food
Medical
Personal care/ living assistance
Moving
Travel and leisure
Gifts/support of loved ones

To live within the means, seniors can adhere to a reasonable budget by:

Downsizing to save on housing and utilities
Asking for senior discounts on food, travel, leisure, and more
Looking into insurance, supplemental insurance, and health savings accounts HSA options to reduce costs
Reducing insurance, such as auto insurance, by reporting no daily commute as a retiree
Maintaining traditional savings accounts in order to avoid withdrawals from retirement accounts in emergencies or for unexpected large expenses
Restricting credit card spending to maintain more awareness of budgeting and reduce potential credit card fraud
Choosing one account to pay all regular cost of living expenses, while maintaining additional accounts for specific other expenses
Switching to online and automatic billing, direct deposit, and other simple process that make management essay and may include incentives for switching

( FDIC )

Common Sources of Senior Income

Social Security checks
Retirement accounts
Savings
Stocks
Pensions
Annuities or insurance
Home equity
Part-time jobs
Seasonal or temporary work
Consulting work

( US News Money )

Home care tip

Encourage seniors to keep legal documents up to date, especially those giving power of attorney POA. In the case a senior is unable to manage their own finances, a POA can step in and help. If one is not assigned, such processes are longer and can be costly.

Tips for Unifying a Senior’s Care Team

websites@hibu.com (Hibu Websites) — Tue, 15 Oct 2019 19:21:06 GMT

How to Help a Senior’s Caregiving Team Work Together

Many seniors rely on the care and support of multiple people. This type of community is important, but can also be a problem if everyone isn’t working in sync. Use these strategies to work as a team.

Why It’s Important to Stay in Sync

Excellent caregiving can reduce some of the risks seniors face, but if a caregiving team is out of sync, risk can actually increase:

Medications can get mixed up
Stress levels can increase
Lapses in scheduling
Uncertainty about what tasks were completed
Missed appointments
Unnoticed symptoms

( NCBI )

How to Spot a Team-Oriented Caregiving Agency

Not all caregiving services see teamwork the same way. For instance, some agencies require caregivers to use private tracking tools in a way that would make interaction with a senior’s family members tedious.
Look for agencies that have:

Existing plans for communications with family members
A proven track record of good reviews from clients and their families
Online portals such as Schuylkill Home Care’s Family Room to make teamwork efficient and effective
A senior-centered, dignified perspective on care.

( AARP )

Ways to Coordinator Care as a Team

Working together to help a senior enjoy life in their own home safely required organization. Use these tips to coordinate care effectively:

Hold regular meetings

Agree on communication guidelines like:
What are the best times for updates?
When is the best time to regularly check in about upcoming needs?
Who should be contacted first if there is an emergency?
Who is authorized to make what kinds of decisions?

Post these communication guidelines so all caregivers can see them
Leave an emergency guide and kit for all caregivers can see them

One of the most important ways to stay organized is to use an app. Care agencies sometimes offer apps or other tools for communication. ( CDC )

Home Care Tip

Be sure seniors know who is on their caregiving team and when to expect different caregivers to be around. Many seniors appreciate the sense of independence and ability to anticipate who will be helping them.