Advice for New Michigan Caregivers

Advice for New Michigan Caregivers

Dear Donna:
I am the oldest of three kids and the one who lives closest to our parents. My dad had a stroke last month and is no longer able to drive. My mom was always a nervous driver in her younger days and gave it up entirely about 15 years ago.

While I’ve been helping them out here and there over the last few years, it has become a full-time challenge since my Dad had his stroke. I work part-time at the local bank and have three busy teenagers. I’m really feeling stressed out and worn out, and more than a little resentful that my siblings don’t really help.

Do you have any advice for new caregivers? I could sure use some.

Katrina in Ludington, Michigan

Dear Katrina:

We hear similar stories from adult daughters almost every day in the Heritage Senior Communities across Michigan. You are definitely not alone. The Family Caregiver Alliance estimates that 65.7 million people in the U.S. provide care to someone they love. AARP reports show that unpaid caregiving services add up to $450 billion a year.

Family caregiver is a tough responsibility to take on. But we do have a few tips we think will help.

5 Tips to Help New Caregivers in Michigan

  • Take Care of You: For new caregivers, this probably doesn’t sound like very realistic advice. But you can’t care for your parents if you end up with a serious illness yourself. And the statistics on caregiver health can be sobering. Gallup surveys found that a typical healthy adult has an average physical health score of 83. The average caregiver, however, only scores a 77.4.
  • Ask for Help. Accepting the idea that you will need help on a routine basis and knowing where it will come from is important. Maybe your siblings can each pitch in one weekend a month? Or if they live too far away to do that, ask them to cover the expense of an in-home care aide a few hours each week. Also know that many senior living communities in Michigan offer short-term respite stays to give caregivers a break. Your local church might have a “friendly visitor” program where volunteers from the church provide support to homebound seniors.
  • Organize their Medical File: Keeping all of a senior loved one’s appointments, medical paperwork, and prescriptions organized can feel overwhelming. Taking time to create a home medical file will help you feel like you are on track and prepared. There are also apps you can download to your smart phone or tablet device that allow you to safely store this information for easy access.
  • Manage your Expectations: Another caregiver survival tip is to set realistic expectations for yourself. It might mean accepting that your own home won’t always be immaculate or that dinner one or two nights a week might be a healthy choice from the take-out menu of a local restaurant. Be kind to yourself and don’t feel badly about relaxing your expectations while you are caregiving.
  • Create an Emergency Plan: Our final tip is a critical one. Create an back-up plan for your aging parents’ care in the event of an emergency. If something happens to you, what will happen to them? The plan might be for them to receive services from an in-home care agency or temporarily move to an assisted living community. Just be sure you have a plan is in place before a crisis occurs.

I hope these tips help, Katrina! We invite you to call the Heritage Senior Community nearest to your parents if you need more information or have questions about respite care.

Kind Regards,

Donna

Advice for New Michigan Caregivers

Why are Seniors at Higher Risk for Medication Errors?

If you are the adult child of a Michigan senior, at some point you will likely find yourself helping them manage their medical care. Older adults often live with multiple health conditions which can require them to take a variety of medications. In fact, on average, adults between the ages of 65 and 69 take nearly 14 prescriptions per year. And seniors aged 80 to 84 take an average of 18 prescriptions per year.

The Statistics on Medication Mistakes among Seniors

For older adults who have recently been discharged from the hospital and for seniors with memory loss, managing medications can be even more difficult. According to the Institute of Medicine, 770,000 older adults end up in a hospital emergency department every year. It is also one of the top reasons many older adults choose to move to a Michigan assisted living community. They need assistance with managing medication.

What can you do help the Michigan senior you love safely manage their medications?

Begin by making yourself aware of the potential problems a senior might encounter when trying to stay on track with their medication schedule.

Five Top Mistakes Seniors Make with Medications

Some of the most common mistakes older adults make are:

 

  1. Keep an eye on the clock. Medications for health conditions like diabetes, coronary artery disease and other chronic health conditions are time sensitive. Each dose must be taken at the right time. Seniors may forget to take a dose or take dosages too close together. Both mistakes can have serious health consequences.
  2. Incorrect dosage. When a senior takes a variety of different medicines each day, keeping track of each dosage amount can be challenging. This is especially true if an older adult has vision loss that makes reading the labels on prescription bottles difficult. They make take too much of one and not enough of another.
  3. Drug reactions. As we age, our bodies metabolize medications differently. Many times older adults need a smaller dose than younger. It puts our seniors at greater risk for an accidental overdose or an adverse reaction. One step you can take to minimize this risk for your senior loved one is to make sure each of their physicians has an updated medication list that includes over-the-counter medicines too. It also helps to have all prescriptions filled at the same pharmacy. Most pharmacies have technology that can alert you to potential drug interactions
  4. Modifying medication. Some health conditions that are more common among older adults can cause difficulty swallowing. It might cause a senior to become fearful of choking. This often leads older adults to cut their pills in half or smash them up to eat in food. Some medications aren’t effective if the format is altered. Those with a time release component may actually be harmful. Talk with your aging loved one’s pharmacist to see if their medication can be altered in format or if there is another solution.
  5. Storing medication. Most adults don’t realize how important it is to store medications at the right temperature. Many people store their medicine in the bathroom or kitchen because it is easier to access water. Experts say these may actually be the worst rooms in the house. Because the temperature and humidity fluctuate in both rooms, a safer option is be to store medicine bottles in a drawer in the bedroom.

 

Technology to Help Seniors Manage Medication

The good news is that technology has helped make medication management easier than it used to be. From apps like MediSafe to more sophisticated systems such as Philips Medication Dispensing Service, there are a variety of tech solutions seniors and family caregivers can make use of each day.

We hope this information allows you to spot potentials problems that might put your Michigan senior loved one at risk, and offer you a few solutions to consider.

 

 

Best Pets for Michigan Seniors

If the Michigan senior you love is feeling lonely and blue after the long winter, a pet may be a happy solution! Pets can be great therapists. They are proven to help with everything from decreasing blood pressure to lowering rates of depression among our elders.

Health care organizations from hospitals to hospice programs incorporate pet therapy in to their daily routines.

But there are many factors to consider when choosing pets for seniors. From community restrictions on pets to budget issues and mobility challenges, there are a few issues to consider.

How to Find the Right Pet for an Older Adult in Michigan

  1. Budget: The financial impact of owning a pet is one consideration. While Great Danes or another large breed of dog may be your senior loved one’s favorite, they can be more expensive to feed. At the opposite end of the spectrum are the fluffy little dogs many people find so appealing.  A challenge with owning one of these dogs, however, is they tend to need frequent grooming. Depending upon what part of Michigan your senior loved one resides in, the costs for grooming can quickly add up. Before you make a decision on a pet, be sure to factor in all of the expenses your loved one will incur with each of the companions you are considering.
  2. Mobility: Our snowy, icy Michigan winters can make it hard for older adults to get outdoors to walk a pet each day. While dogs are known to help seniors improve their physical fitness, they can also put them at risk for a fall during the winter months. If your senior loved one doesn’t have a fenced yard or easy outdoor access, a dog may not be the best choice. By contrast, a cat doesn’t need (or often want!) to go outside when the weather is frightful.
  3. Community restrictions: Another factor to keep in mind is where your senior loved one lives. If they reside in a senior living community in Michigan, is it pet-friendly? Or if they call a condominium complex home, are there homeowner’s restrictions regarding pets?
  4. Easy maintenance: Is your aging family member able to care for a pet that might be higher maintenance? For example, a puppy might be a little too high energy for some seniors. An older dog might be calmer and easier to handle. A small bird or fish might be other options. Both are known to help decrease stress and agitation, especially for adults with Alzheimer’s.

Resources for Finding a Pet for a Senior

Finally, we thought it would be helpful to share a few good resources you can use when it comes time to choosing a furry or feathered friend for your Michigan senior loved one:

  • Petfinder is an organization that maintains a nationwide database of pets waiting to be adopted
  • The Michigan Humane Society can help connect you with pets big and small that are looking for a home

 

 

Advice for New Michigan Caregivers

Can Meditation Help Protect Brain Health?

Mediation is the practice of quietly focusing thoughts on the present moment or on a simple word or phrase. It is most commonly associated with religious practices, but it is often recommended to improve health and well-being. In fact, the Latin root of the word “To meditate” means “to remedy.”

The National Institutes of Health (NIH) notes that meditation has been shown to effectively combat insomnia,  reduce high blood pressure, relieve symptoms of  irritable bowel syndrome and shorten the duration of the flu.

Meditation and Alzheimer’s

Several NIH-funded clinical studies also show that regular meditation could promote slow, stall and possibly reverse aging in the brain. And a recent study indicated that meditating at least two hours a week may slow the progression of Alzheimer’s and dementia.

Researchers from UCLA and the Australian National University collaborated on a 2014 study which found that people who meditated regularly for years showed significant reduction in the amount of age-related brain atrophy than those who did not meditate.

In 2013, researchers at the Beth Israel Deaconess Medical Center and Harvard Medical School studied people with dementia and found that  those who did yoga and meditation for just two hours a week showed less brain atrophy and stronger cognitive activity than those who did not meditate.

And in at least one study, meditation has been shown to be effective in reducing the symptoms associated with Alzheimer’s disease, such as sleep disturbances, moodiness and chronic stress. Researchers note that these Alzheimer’s-related issues often result in the accelerated progression of the disease. Mediation therapy improved sleep and reduced stress, leading researchers to conclude that it could possibly slow cognitive decline.

Why meditation works

The research on meditation and its effect on brain health showed a reduction in unhealthy proteins and inflammation. Both are known to contribute to heart disease, stroke, and other chronic disease.

How to meditate to prevent dementia

The Alzheimer’s Research and Prevention Foundation recommends a 12-minute  Kirtan Kriya exercise.   The Kirtan Kriya involves deep concentration while singing and coordinating finger movements.

According to Prevention Magazine, brain-boosting benefits can come from other forms of meditation, too. Activities like walking, yoga and Tai Chi allow the mind to shut out distractions and concentrate on relaxation.

Taking a yoga class or enrolling in a meditation session is another way to learn mindful meditation. The University of Michigan offers a 16-week Mind n’ Motion class for seniors that combines balance exercises with meditation techniques.  

Meditation can help Alzheimer’s caregivers

Caregivers of senior loved ones with Alzheimer’s and dementia deal with a great amount of stress. Meditation can help them reduce stress, fight depression and maintain good health.

A 2012 study at UCLA  found that the Kirtan Kriya method of mindful meditation significantly reduced the amount of inflammation and increased immune cell production in family caregivers.

For more information about meditation and the brain, visit the AARP Brain Health and Wellness website.

Advice for New Michigan Caregivers

What Cars Are Rated Best for Older Adults Safety?

Driving an automobile allows seniors in Michigan to maintain their independence. But as we age, our ability to operate a car safely declines. According to AAA, 90 percent of adults over 65 have health conditions that impair driving. In addition, age-related issues like loss of flexibility, diminished vision and reduced reaction time increase an older adult’s ability to drive safely.

Just a few years ago, this meant that seniors might have had to give up the keys. But automakers have developed high-tech safety features that allow older adults to stay safe behind the wheel longer.  

These features include parking aids, backup cameras and reverse-sensing systems that can alert drivers to autos and objects in the driver’s blind-spots. Some cars are even equipped to automatically apply the brakes when a pedestrian or obstacle is in the path. Adjustable safety belts, pedals and seats can also improve visibility, reaction time and comfort.   

Matching Senior Drivers with the Car Safety Features They Need

AAA Automaker software can help adults over 65 choose a car tailored to their physical limitations and health needs. This useful tool can help you and your senior loved one select automobile features that can help overcome some of the physical changes caused by aging.

AAA recommends:

Six-way adjustable seats. This can make is easier to get in and out of a car, as well as reduce hip and leg pain associated with rising and sitting. Seats with multiple positions, height adjustment and back support can help older adults feel more comfortable and confident behind the wheel.

Keyless entry and ignition. This is a must for seniors with arthritis. A push-button system eliminates the need for turning keys and fumbling around trying to push small buttons on a remote key chain.

Thick steering wheels. These are kinder on older hands because they reduce the need for a full grip on the steering wheel.

High-contrast, large print gauges.  An easy-to-read instrument panel can help seniors with vision issues monitor their speed and vehicle issues.

Best Vehicles for Senior Drivers

Some cars are more senior-friendly than others. Consumer Reports rates new and used cars for older adults based on a variety of features ranging from seat adjustment to steering wheel comfort. Here are their recommendations for older driver safety:

  • 2014 Chevrolet Impala

  • 2011-2014 Chrysler 300

  • 2008-2014 Honda Accord

  • 2011-2014 Honda Odyssey

  • 2014 Kia Soul

  • 2004-2015 Lexus RX

  • 2009-2015 Subaru Forester

  • 2005-2012 Toyota Avalon

  • 2007-2014.5 Toyota Camry

  • 2004-2014 Toyota Highlander

For more information about older adult driving safety, visit the Michigan Guide for Aging Drivers and Their Families.  

 

 

 

Advice for New Michigan Caregivers

Alzheimer’s Caregiver Dos and Don’ts

Caring for a senior loved one with Alzheimer’s is difficult and sometimes frustrating. As the disease progresses, it robs your senior loved one of the ability to understand and communicate. It also brings personality changes and behavioral changes that can challenge even the most patient of caregivers.

How family caregivers and personal companions respond and react in these situations can make a difference.

The Alzheimer’s Association recommends that caregivers practice “compassionate communication” and  respond calmly. This can not only minimize conflict, but reduce aggressive behaviors.

Minimizing Stress in a Senior with Alzheimer’s Disease

Here are some dos and don’ts that can reduce stress for your loved one with Alzheimer’s and for you.

DO change the way you communicate.

  • DO use short, clear sentences. Repeat yourself using a calm voice when necessary.
  • DON’T provide explanations or tell lengthy stories.  
  • DON’T ask questions like “Do you remember when…? Or ask if your loved one remembers what happened in recent memory. This can be humiliating for a person living with Alzheimer’s who likely can’t remember.
  • DO carefully rephrase your questions so that they can be answered with a “yes” or “no.”
  • DON’T remind your senior loved one that their memory is failing. Statements like “I just told you that this morning,” or “I cannot believe you don’t remember that,” can upset and agitate a person with Alzheimer’s.

DO adjust your attitude.

  • DO practice kindness and patience. It is easy to become irritated and frustrated when you are caring for someone with Alzheimer’s or dementia.  

When working with your loved one becomes difficult, take a deep breath and remind yourself that they cannot control their disease. Alzheimer’s causes the deterioration of brain cells. Your loved one is not behaving as they are because they want to aggravate you. As the Alzheimer’s Association puts it, “Once dementia is diagnosed, the patient is excused 100% of the time.”

  • DO be cheerful and reassuring. This can keep your Alzheimer’s loved one calm and help them to feel safe.  
  • DO “go with the flow.” The Family Caregiver Alliance explains that caregivers shouldn’t be concerned about correcting their senior loved one’s misunderstandings. For instance, rather than  letting them know that a loved one they want to go see has been dead for years,  experts recommend caregivers “let it go” and play along to avoid conflict and stress.

DO change your response.

  • DON’T argue or confront. Taking an aggressive stance can trigger an aggressive defense in a person living with Alzheimer’s. When your senior loved one does or says something troubling, it is best to distract them from their thought or behavior. For instance, if your father with Alzheimer’s insists that he needs to get to work, distracting him with a snack and a walk will calm him. Explaining that he retired ten years earlier will only further agitate him.
  • DO focus on reducing stress and making your senior loved one feel safe. According to the Alzheimer’s Association, people living with dementia are very often fearful. When reacting to their behavior, consider all your options and act with their comfort and security in mind.

For more information about caring for your senior loved one with Alzheimer’s disease or dementia, visit the Alzheimer’s Association’s Caregiver Center.