Worry-free Strategies for Long-Distance Caregiving

Worry-free Strategies for Long-Distance Caregiving

Caring for an aging parent in Michigan can be stressful. According to the American Psychological Association, 80% of Baby Boomers report high levels of caregiving stress.

Playing an active role in your senior loved one’s care when you live in another city can compound the worry. How can you stay informed? Be involved in decisions? How can you make sure your loved one is safe? How can you show that you care when you aren’t present?
Quality, long-distance caregiving may seem impossible. But with some organization, technology tools, advance planning and a little change in attitude, you can take an active role in your senior loved one’s care.

Caring Long-Distance

Here are some strategies for worry-free long-distance caregiving:

Communicate with Local Caregivers.

Whether your parent is aging in place at home or in an assisted-living or dementia-care community, you need to establish a regular line of communication with caregivers who see them on a daily basis.

• Ask in-home caregivers and visiting nurses to telephone you during or after visits. Adjust the frequency of phone calls based on your senior loved one’ needs and your schedule. For example, you could also set up an every-other-day phone call or a weekly phone call.
• In an assisted living community, connect with the social worker or activities director who can share regular updates with you.
• If your senior loved one is in physical therapy, schedule a regular call to learn about the progress he or she is making. Your aging family member will need to give the physical therapist permission to share the information first.
• If you have siblings who are sharing care close by, stay in contact with them, too. Not only can they keep you informed, but they will need your sympathetic ear. Don’t expect them to call you. They are likely overwhelmed with all the demands caregiving creates, in addition to caring for their own family and career.

Remember, phone calls aren’t the only way to stay in touch. In-home caregivers can help your senior loved one use Skype or a mobile app that will allow you to chat face-to-face over a computer, tablet or phone. This can also help you to build strong relationships with the caregiving team.

Stay close with your mom and dad.
Even if you talk with local caregivers every day, it is important that you still connect with your senior loved one. This will reduce the feelings of distance between you. Your parent will feel your presence and that you are “there for them.” Calling daily will also help you track differences in their health and cognition that you can then discuss with the caregiving team.

Use technology as your eyes and ears.
While you can’t always be in the house with your loved one, you can come pretty close with monitoring technology. Consider installing a remote monitoring system to help you keep tabs on your aging loved one.
• The VueZone Remote Video Monitoring System lets you oversee your aging parent’s activities by video feed on your computer.
• The BeClose system works with wearable tracker technology that monitors your loved one’s daily routine. You receive text alerts, emails and phone calls if your parent strays from his or her normal activities.
Work remotely with other caregivers.

If your siblings and other family members are managing all the hands-on care, you can share some of the load from a distance. You might offer to make phone calls and schedule appointments, pay bills online, do internet shopping for mom, or create her shopping list in Google Drive and share with the family.

Coordinate a caregiving network.

Even though you cannot keep your loved one company on a regular basis, you can work to create a community of visitors who can check on your loved one and keep them socializing. Talk regularly with your aging parent’s grandchildren, neighbors and friends. Encourage them to make a phone call or stop by for a visit. Contact your senior loved one’s church to inquire about services and visits for shut-ins.

Be prepared for changes.

Work with your siblings and caregiving team in advance to create an emergency plan. In the event of a blizzard or power outage, where will dad go? If your aging parent has to have surgery, who will be available to care for them during recovery? What if your senior loved one can no longer stay safely in their home?

Investigate options for short-term respite care or adult day care. This service is perfect for senior loved ones recovering from an illness or injury, or when family caregivers are taking a vacation.

To learn more about respite care for your senior loved on in Michigan, contact the Heritage Senior Community near their home.

 

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Worry-free Strategies for Long-Distance Caregiving

Can Assisted Living Help Improve a Senior’s Nutrition and Health?

Dear Donna:

My mother is 81 years old and lives alone in her home near Holland, Michigan. Over the past year she has been in and out of the emergency room more times than I can even count! The issues have ranged from being dehydrated to several falls to a bad case of the flu.

We are struggling to convince our mother to take better care of herself. My sister or I deliver homemade, frozen meals and a big salad to her once a week. She would only need to heat up the dinners in the microwave and put the salad in a bowl at meal time. But she just won’t do it. Most days she lives on peanut butter toast, cereal and lunchmeat.

We really think the time has come to insist that she move to a safer type of senior housing. I think if she just ate better many of her problems would resolve on their own. I know she doesn’t want to keep going to the emergency room. All the trips back and forth have really worn her out.

Can an assisted living community help us get her back on a healthier track? I really don’t think she needs to be in a nursing home.

Anna in Kalamazoo

Dear Anna:

It sounds like your family has had a very difficult year! The situation is unfortunately all too common. For many seniors, maintaining good nutrition is a real challenge. In some cases it is because the older adult doesn’t have transportation to and from the grocery store or they have a health condition that makes preparing meals difficult.

Poor nutrition in seniors can create many of the circumstances you described. It can lead to a weakened immune system and put her at higher risk for the flu bug that landed her in the house, as well as muscle weakness that may have contributed to her falls.

The good news is an assisted living community may be an ideal solution! Your mother would receive three well-balanced meals each day and the opportunity to enjoy them restaurant-style in the community’s dining room. The social aspect of spending meal times with her peers might encourage her to eat more, too. She would also have the opportunity to participate in fitness and life enrichment programs that may help her improve her overall wellness.

It might be a good idea for you to visit a few assisted living communities in the Grand Haven and Holland areas on your own first. Once you have an idea about what each of them offers and which ones might be a good fit for your mother, you could return again with her.

Best of luck to you and your family, Anna! I hope your mother can get settled in an assisted living community soon and begin to get her health back on track.

Donna

 

 

 

Worry-free Strategies for Long-Distance Caregiving

Prepare to Shoo the Flu

Most people who develop the flu recover from the aches, cough and fever quickly. But older adults are more vulnerable to severe and sometimes deadly complications.

September is the time of year to help your Michigan senior loved ones prepare to fight the flu.

According to the Centers for Disease Control (CDC), people over the age of 65 account for 60 percent of seasonal flu-related hospitalizations and 90 percent of flu-related deaths each year.

It is crucial that you act early to protect your loved ones from this serious illness.

Here’s what you need to know to prevent your aging loved one from getting bitten by the flu bug this year:

  • Get them vaccinated. According to the CDC, the flu shot is the best way to prevent high-risk populations from coming down with the virus. Getting the shot in October ensures they are protected through the peak season in January and February and on in to spring.

Though there is a slight chance that your vaccinated senior could contract the virus even if they receive their flu shot, the vaccine will reduce the severity of illness and the risk of complications.

Adults over the age of 65 may be given a standard flu shot or a higher-dose vaccine designed for those with compromised immunity. Talk with your loved one’s physician to determine which vaccine is best shot for them.

Vaccines can be given at physician’s offices, clinics, pharmacies and at your local health department. Visit the Michigan Flu Vaccine Finder to locate a clinic near you. The annual flu shot is covered by Medicare Part B, with no co-pay.

  • Roll up your sleeve, too. The flu is highly contagious, so it is important that everyone who spends any time with your loved one is also vaccinated to prevent transmitting the disease. The CDC recommends the annual flu shot or nasal vaccine for everyone over six months of age.
  • Limit your loved one’s contact with people who may have the flu. Don’t permit visits with anyone who has symptoms of illness. Remind visitors that the senior in your care cannot risk becoming sick.
  • Encourage healthy hygiene. Remind your senior loved one to wash their hands thoroughly throughout the day and to avoid touching their face, eyes, and nose. This will prevent the spread of infectious germs.
  • Take precautions when in public. Wipe down shopping cart handles with anti-bacterial wipes. Carry hand sanitizer and help elderly adults remember to use it frequently to kill germs they might pick up.
  • Bolster immunity. Make sure your aging parents eat a balanced diet, exercise and maintain strong social ties. All of these things help strengthen their immune system.

If your senior loved one develops flu symptoms, call his or her physician. If they have the flu, the doctor can prescribe an anti-viral influenza treatment that can help them combat the virus more quickly and avoid debilitating complications.

For more information about flu prevention, visit the US Department of Health and Human Services website.

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Worry-free Strategies for Long-Distance Caregiving

Getting the Right Type of Care After a Hospital Discharge

When your senior loved one is discharged from a Michigan hospital, they may have a long road to recovery ahead. Depending on the illness, injury or treatment, it could take anywhere from a few weeks to several months before your aging parent has regained their independence.

In order to heal, they will not only need assistance with healthcare, but also with everyday tasks like bathing, dressing and meal preparation. Your loved one may get this care temporarily in a rehabilitation center, but will also need extra help in their home or in a respite care at an assisted-living community

Being involved in their care before and after discharge can help ensure that they recuperate and return to their daily routine as soon as possible.

The first step

Recovery from a hospital occurs in several stages. If your aging parent is doing well, the hospital may discharge them directly into home care, where family will be responsible for supervising their recovery. Because this situation is not always best for the senior, many are transferred to a short-term rehabilitation center, where they can receive 24-hour skilled nursing services, as well physical, speech and occupational therapy. If the senior meets the criteria, Medicare will cover up to 100 days in one of these skilled nursing communities.

The discharge plan

As soon as your aging parent is admitted, the staff begins discharge planning. When a team of caregivers determines that your senior is healthy enough for release, they will call a meeting and provide options for the family to investigate and consider.

Use a Discharge Planning Checklist to help you prepare for the meeting. It will make it easier for you to have all the information discharge planners need to assess your senior loved one’s care and home environment.

If you aren’t certain if your senior loved one will be safe at home, be sure to share your concerns with the discharge team. They can share resources, offer support and possibly alter their plan. You can also appeal a Medicare discharge decision and request a reassessment.

What’s next?

Once a senior in your care is released from a hospital or rehab center, you will need to decide the best approach for making a full recovery. You will have several choices to consider:

1) Home care administered by family. This will require that you wear many hats as you take on a nursing role. You may need to administer medications, care for wounds, and oversee exercise, as well as bathing, dressing, meals and housecleaning. If your loved one lives alone, you may need to stay with them until they are in better health.

2) In-home care. You might consider hiring a visiting nurse or a private duty aide to lighten your load. A qualified caregiver can make recovery easier on your senior loved one and on you. If a physician orders skilled home health care, it will typically be covered by Medicare. Otherwise, your loved one will have to pay out of pocket.

3) In-home therapy or outpatient therapy. If your loved one needs therapy to build muscle strength, recover lost speech skills, or to re-learn ordinary tasks, a physician may order in-home therapy or outpatient therapy. With a physician’s order, both are usually covered by a senior’s Medicare.

4) Respite Care: You may want to consider a short-term stay at an assisted living community if your loved one is not ready to return home alone after a hospitalization. This allows them to live in a safe and comfortable home-like environment where they can get 24-assistance with care tasks. They can also receive therapy services through a skilled home health agency while they are recovering at an assisted living community.

If you are considering respite care for your recovering senior loved one in the Great Lakes State, call the Heritage Senior Community nearest you.

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Assisted Living Balances Independence with Care

Dear Donna:

My mother will soon celebrate her 88th birthday. Believe it or not, she still lives alone in her home near Grand Haven, Michigan. We are a few hours away but visit her often.

So far we have been able to help her maintain her independence with the use of a private home care aide. I think it might be time for something different now though.

While I think the aide can help her with bathing and dressing just fine, two things I’m most concerned about are that she is alone all night long and also that she is stuck in her house the majority of the time. She has difficulty navigating the steps on the front of her house and getting in and out of the car safely. Between her aide and myself, we do all of her errands and shopping. I think she feels very isolated, but we are afraid she will fall and hurt herself if we try to take her along with us.

I’m a little confused about what an assisted living community can offer that is different from the home care she already uses. Can you help clarify things for me?

Alison in Ann Arbor

Dear Alison:

Thank you for your note! We talk with families visiting our senior living communities across Michigan about this very issue every day. For many adult children, enlisting the services of a home care aide can be a good short-term solution. But when a parent needs a little more care or around the clock supervision, the cost of in-home care can quickly add up.

Here are a few of the benefits an assisted living community can offer residents:

  • The privacy of their own apartment or suite in an environment designed to support elder safety. Grab bars, handrails, step-free showers and emergency call systems are standard.
  • On-site life enrichment programs to help promote socialization and companionship.
  • Caregivers on-site and available 24 hours a day, 7 days a week.
  • Three well-balanced meals and snacks each day.
  • Support with personal care needs such as bathing, dressing, and grooming.
  • Medication management assistance.
  • Housekeeping, laundry and maintenance services to allow for worry-free apartment living.
  • Transportation services provided in an accessible bus.

As you can see, assisted living is a balance of independence and support.

We invite you to call us or stop in for a tour so you can learn more about assisted living as a solution for your mother!

Donna

Worry-free Strategies for Long-Distance Caregiving

How Caregivers in Michigan Can Stay Connected

Caring for an aging loved one requires you to sacrifice a lot of your own time. To make room in an already tight schedule to help a senior loved one with daily tasks, caregivers often move socializing to the bottom of their priority list.

Skipping a group meeting, cancelling a lunch date or passing on a cookout might seem like the best way to reduce the stress of trying to fit too much into the day. It can, however, have the opposite effect.

According to The Caregivers Handbook, being separated from others while devoting extra time and energy to a senior loved one causes caregivers to feel lonely, depressed and stressed. This isolation can also lead to resentment that strains relationships and makes caregiving a negative experience.

Maintaining strong connections with friends and family is crucial to your wellbeing. Make time for socializing in your daily routine. Like exercise, regular social activities are necessary for good health.

Tips for Getting Help When You Are a Caregiver

Taking a break from caregiving is usually possible only if you have someone to take over your aging parent’s care while you slip away. Here are a few tips for Michigan caregivers to consider:

  • Enlist family and friends to cover for you while you attend a social event. Don’t be afraid to ask or to accept a previous offer of help.
  • Hire an in-home caregiver. Aides can help with bathing and dressing, meal preparation, medications and simply offer companionship to your loved one.
  • Consider respite care in an assisted living community. This is perfect for a weekend getaway, a visit with out-of-town relatives, or for a longer vacation.

Staying Social

A few other ideas to allow you to fit socializing into your time-strapped schedule, feel connected to the outside world and improve your relationship with your senior loved one include:

  • Try to schedule at least one social engagement a week. This might be having dinner with a friend, going to a movie or attending a sporting event.
  • Make a social phone call every day. Touching base with a supportive friend or loved one is a small gesture that relieves a large amount of stress.
  • Plan for date nights. Spouses are often the first people neglected when their partner is a caregiver. Even a simple walk in the park together can help you feel less isolated and more in touch with the most important person in your life.
  • Take field trips. If your senior loved one is able, take him or her with you to a craft show, festival, church meeting or barbeque. Connecting with others is good for them, too!
  • Extend an invitation. Encourage friends and loved ones to visit you and the older adult in your care.
  • Connect with other caregivers in Michigan. Join a support group to meet regularly with others who share similar experiences. These are also great resources to learn how to better care for aging loved ones. Contact the Michigan Area Office on Aging to locate support groups in your county.
  • Join online support groups. The World Wide Web is home to many caregiver communities where you can talk with others who are facing similar challenges. Some discussion groups are general, like the AARP Caregiver Community. Others are ailment specific, like the Alzheimer’s Association Connected Caregiver Forum .

Staying connected can help caregivers remain healthy, happy and positive about their role in their senior loved one’s life.

If you are interested in learning more about respite care for your senior loved one, please call the Heritage Senior Community nearest you.

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