by trevor@addfuelfire.com | Sep 12, 2015 | Caregiving, Healthy Aging, Uncategorized
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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by trevor@addfuelfire.com | Aug 30, 2015 | Caregiving, Dear Donna, Uncategorized
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
by trevor@addfuelfire.com | Aug 22, 2015 | Caregiving, Uncategorized
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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by trevor@addfuelfire.com | Aug 16, 2015 | Caregiving, Healthy Aging, Uncategorized
August is National Immunization Awareness Month, which focuses on promoting vaccinations to prevent serious illness and to save lives. Many mistakenly believe that immunizations are only necessary for infants and young children. But vaccines are not just for kids. Seniors in Michigan needs their shots, too.
As we grow older, our immune system weakens, putting each of us at a greater risk of life-threatening diseases that are often times preventable with a simple vaccination. The Centers for Disease Control estimates that as many as 70,000 adults lose their life each year from vaccine-preventable illnesses. It is vital that you know which vaccines are recommended for your Michigan senior loved one to ensure they are protected.
Immunizations for seniors over age 65
The CDC recommends an annual flu shot and several one-time vaccinations for your senior loved one.
- Influenza or flu vaccine: This annual shot is a must for older adults. The flu can be deadly to people of all ages, but kills more seniors than any other group. Almost 90% of flu-related deaths are in adults over the age of 65. Seniors also account for more than 50% of hospitalizations for the influenza virus.
This important vaccine reduces the likelihood that an older adult in your care will contract the flu virus. If they do, the symptoms are less likely to be severe and less likely to require a costly hospital stay.
The US Department of Health and Human Services recommends your senior get the influenza vaccine in October or November to ensure they are protected through the peak season.
- Pneumonia vaccine: Pneumonia is responsible for almost 50,000 deaths in older adults each year. It is also the leading cause of hospitalization in Americans over the age of 65. This one-time vaccination, covered by Medicare, can protect against 23 different strains of bacterial pneumonia.
The Pneumovax immunization also helps to prevent infections of the bloodstream and bacterial meningitis.
Recently, the CDC’s Advisory Committee on Immunization Practices recommended that seniors also receive an additional dose of a new pneumonia vaccine that prevents 11 more types of this life-threatening disease. Prevnar13 is not yet covered by Medicare and costs up to $150.
- Shingles vaccine: Seniors over 60 are more prone to shingles, a painful and long-lasting skin rash caused by the chicken pox virus. The one-time Zostavax vaccine lowers the risk of contracting this infection by 50%. If your senior loved one does come down with shingles, the shot reduces the severity of the rash and the level of pain.
The shingles vaccine can be given even after an outbreak, preventing further infection.
Vaccines for special circumstances
Additional vaccinations may be required based on medical need.
- Tdap: This vaccine is the tetanus-diphtheria-pertussis booster for adults who may or may not have been given the DTP vaccine when they were younger. The one-time shot was added to the CDC’s recommended vaccinations list after a recent outbreak of whooping cough, or pertussis, which is deadly in infants.
- Hepatitis A and B: Physicians often administer these vaccines to seniors in assisted living communities and nursing homes, where an outbreak may occur.
To track vaccines for a loved one in your care, you may want to use a Vaccine Administration Record.
Vaccinations are an important part of your senior loved one’s health and well-being. Check with their health care provider to make sure they are protected. For more information about vaccinating a senior loved one, visit US Department of Health and Human Services Senior Vaccine Schedule.
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by trevor@addfuelfire.com | Jul 28, 2015 | Caregiving, Uncategorized
Dear Donna:
My 84 year old grandmother recently got an iPad and started surfing the internet. She lives in northern Michigan away from all of her grandchildren. We think this will be a great way for her to stay connected. My husband and I are setting her up with an email account, but she also wants to join Facebook. I’m not sure where to start in giving her advice on what to be careful of when she is online. This is all brand new to her. Any tips?
Denise in Grand Haven, Michigan
Dear Denise:
Sounds like a good plan for helping your grandmother stay in touch with all of you! For someone new to the internet, there are a lot of potential risks to learn about to avoid becoming the victim of some type of a scam.
Here are a few tips from our web team to keep your grandmother safe online:
- Use strong passwords on all accounts. The best ones are a combination of letters, characters and numbers. Her passwords should always be at least eight characters long. Never use family members’ names, the names of pets or other familiar terms that may be easy to guess.
- Never open email from strangers. These are often spam and can lead to an account being hacked. Ones to be especially wary of have subject lines such as “You’ve Won…” or “Free for a Limited Time.”
- Protect her home WiFi. If your grandmother will be working off of a home Wi-Fi, as most tablet users do, make sure the network has a strong password set up too. Having an unprotected network can make her vulnerable to hacking.
- Shop with caution when online. Talk with her about the importance of shopping online only with security-enabled sites. Those are the online stores with a URL that begin with https://. The “s” signifies the data is encrypted in transit. Never enter financial information into a site that begins with http://
- Facebook privacy and security. When you help your grandmother get set up and rolling on Facebook, be sure to enable her privacy settings and review those with her. Help her to set up her account so only friends can see her information. Encourage her not to accept Friend requests from people she doesn’t know. Doing so may lead to problems. A final Facebook tip is to caution her about what she posts. For example, she shouldn’t share that she is going to be out for an evening or gone on vacation.
We hope these tips are helpful to you Denise! I’ve also shared a few more resources for you to visit at the bottom of this page.
Donna
by trevor@addfuelfire.com | Jul 20, 2015 | Caregiving, Uncategorized
If you know someone who is caring for an aging parent in Michigan at the same time they are raising a family, you know a member of the Sandwich Generation. These men and women are caught in the middle of their need to care for their younger families and their duty and desire to care for their older parents.
Caregivers in the Sandwich Generation might be responsible for meal preparation, shopping, housekeeping and transportation for parents and for their own children. They also might manage medication and therapy schedules, and oversee a senior’s financial matters. These dual caregivers are essentially running two busy households.
When you consider that 60% of these caregivers also have jobs, it is easy to see how self-care is shuffled to the bottom of their priorities.
According to The American Psychological Association, the stresses of caring for a senior loved one can take a toll on the health of members of the Sandwich Generation. Studies show that adults caring for multiple generations experience weakened immune systems, more frequent headaches and backaches, and higher levels of depression.
Easing the caregiving burden is essential to a Sandwich-Generation caregiver’s well-being.
Here are some ways you can help:
- Lend a hand. Offer to help, but know that simply asking the caregiver if he or she needs help may not be enough. Look for a specific task or opportunity you can assist with to lighten their load.
- Give them a break. Stay with the aging loved one while the caregiver enjoys lunch with friends, has their hair done, or just takes a quiet walk alone. Consider volunteering your time to allow for a regular “caregiver’s day off.”
- Be a good listener. Allowing the caregiver to vent or share the day’s experiences over the phone can help them avoid feelings of isolation. Socializing is a great way to relieve stress.
- Be positive and supportive. If you are the spouse of a mufti-generational caregiver, you may feel some resentment when your husband or wife is busy caring for an aging loved one. Focus on admiring your spouse for their commitment to their elders and their hard work.
- Do some research. Most family caregivers aren’t aware of the many resources available to assist them. Visit the Michigan Office of Services to the Aging website for more information about services like Meals on Wheels and Michigan Adult Day Services that can make caregiving easier.
- Help them to prepare. The hard work of the Sandwich Generation allows seniors to stay in their homes, but there may come a time when they must move to an independent living or assisted living center. Encourage the caregiver to visit several senior living communities. Knowing the amenities and expenses of each will help them create an emergency back-up plan just in case they need it.
For more information to help a friend or family member of the Sandwich Generation care for themselves, visit the AARP Caregiving Resource Center.
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