Tuesday, July 24, 2012

Elderly and Strength Training

Activity is incredibly important for the elderly. According to the CDC, if you are over 65, you should get at least 150 minutes a week of moderately intense aerobic activity and strength training at least two days a week.

Over the past few months, there has been more and more research highlighting the great health benefits seniors can gain from weight training.  In the most recent research, strength training was credited with preventing Alzheimer’s, dementia and cognitive decline. In addition to mental benefits, weight training can help seniors strengthen their bones, reduce their risk of falling, and contribute to heart health. Furthermore, according to the CDC, strength training has been credited with helping to reduce disease and symptoms of arthritis, diabetes, osteoporosis, obesity, back pain and depression.

For more information on strength training and exercise ideas, visit the links below:

CDC: Growing Stronger – Strength Training for Older Adults

About.com: Dumbbell Strength Training for Seniors

Wednesday, July 18, 2012

We Are Caregivers Too: Meet Nancy

“She was just sobbing. She walked down the hall of her nursing home and told every nurse and patient ‘my husband has died… did you know my husband died?’” remembers Nancy.

Nancy and her brother had just told their mother that their father and her husband had died. Nancy's mother had been diagnosed with Alzheimer's Disease five years ago, and her husband had been the primary caregiver for almost four years. But in September 2011 he fell ill and within four months Nancy lost him to renal failure.

Nancy and her brother stayed in their mother’s room as she grieved with the staff and patients in her nursing home.

“I just couldn’t stop crying. I lost that comfort of my parents. No matter how old you are it’s hard. You’re always a child and they’re always a parent.”

Nancy is not a weak woman. She is a nurse, a care coordinator at Long Term Solutions, a caregiver, a mother, a competitive sailor, and, up until recently, was legally blind. She was born with ocular albinism with nystagmus, a genetic condition which results in impaired vision. In September 2007, Nancy’s vision had unexpectedly decreased significantly, and she found herself at the Carroll Center for the Blind.

While at the Carroll Center, Nancy found her passion in competitive sailing with the SailBlind team. She went on to sail in the Blind Nationals, winning two first place titles and a second place title with the team. She recently competed with the team in California, and she was able to travel to New Zealand as an alternate with the team, which is commemorated on her leg in the form of a tattoo.

She learned to live with her vision impairments for three years, until she received a life altering surgery on December 10, 2010. Following the surgery, her vision drastically increased. She was able to read, see colors and see during the day. However, she is still unable to drive or see at night, and can only get around with the help of Giggs, her service dog. During all of this, Nancy became a caregiver, and her journey into caregiving began with her mother, who was diagnosed with Alzheimer’s Disease.

“She was first diagnosed five years ago, maybe it was longer. It just seems like all of a sudden she progressed. She’s young. She’s only 81,” she said.

At first, her father assumed the role of primary caregiver. He was a cancer survivor with one kidney, but he was strong and able to care for Nancy’s mother. Her mother suffered from confusion, she would wander, and she couldn’t be left alone. Her father assumed all of those responsibilities and more. He would pick out her outfits, make her meals, and he was always by her side. He made it possible for them to stay in their home, which was where her mother felt most comfortable.

This all changed in September 2011. Nancy was visiting when her father began complaining of chest pain. Nancy checked his vitals. He was quickly decreasing. She called 911, and her father was hospitalized for a possible cardiac issue. Since her father had been the primary caregiver, Nancy and her siblings weren’t completely prepared to take care of their mother, so they enrolled her into respite care at a local nursing home.

“After that, he was discharged to home. He didn’t do too well. We think it might have been the separation,” explained Nancy.

It wasn’t long before her father fell ill again. On Thanksgiving, Nancy received another call from her father. He was extremely confused and disoriented. He didn’t know where he was, and Nancy couldn’t understand what he was saying. She knew something was very wrong, so she immediately called her sister on another line and then 911 to send an ambulance to her father.

“I was sobbing out loud. I just couldn’t help it. He had been so healthy and so strong,” she said.

He was brought to the hospital again. In an effort to help her father recover, Nancy and her siblings decided to transfer him into the nursing home to be with her mother.

“He was separated from my mom, and the love of his life. As difficult as it was for him to be the caregiver, when they were apart for that short time, he gave up on his own life,” explained Nancy.

On December 9, 2011 Nancy received seven calls from her father in the middle of the night because he was in a lot of pain, so on December 10, 2011 she drove out to the nursing home. The first thing she did was request his health information, and, a year after her surgery allowed her to read, she read that her father was in renal failure.

“I called my brothers and sisters and said he’s going back home. They said ‘what are you talking about? We’ll get him home for Christmas.’ And I said, ‘he’s not going to make it to the first of the year’,” explained Nancy.

Nancy’s father refused to be transported to the emergency room for treatment, so Nancy tried calling multiple nephrologists to see if they could begin dialysis immediately. Neither of those worked, so Nancy and her sister watched as her father signed his own DNR order. The next day, he went home on hospice.

“It was the wonderful support of my peers, managers and the owners of Long Term Solutions that gave me the strength to keep going,” explained Nancy.

Nancy stayed with her daughter, and she commuted to work from her home town daily. Due to her vision impairment, she couldn’t drive in the dark. With the short winter days, she would leave her daughter’s home at 6:00 a.m., and, with the encouragement of her manager and peers, leave work in the afternoon to drive back to her father.

“They were so good to me. They really cared. Every morning I would wake up and I would have a message from my manager asking how things were going. I would call her back, and I just couldn’t control my crying,” said Nancy.

Nancy’s last day with her father was on December 29, 2011. Nancy went in to see her father at 5:00 p.m. on that day, and then went to meet her sisters for some dinner.

“I went back to be with him. I walked in the door, looked at him and thought ‘he’s going to die right now.’”
Nancy’s service dog, Giggs, ran under her father’s bed, while Nancy held her father as he took his last couple of breaths.

Nancy watched as her father, who was the primary caregiver for her mother, passed away.

In order to pay for their mother’s care, Nancy and her siblings had to sell their childhood home. It took them weeks to sort through everything, from the pins that her mother used to wear to German Hummel dolls her father had purchased for their mother.

“I wish I could bring her home to me, but I know it’s impossible. It’s so hard because I know I can’t see her for a while because I can’t drive there. I just don’t know when I can drive there.”

Monday, July 16, 2012

Creating a Support Network

This past week, we’ve been focusing on different ways to support caregivers and the loved ones they care for. Next Avenue, a great new site from PBS about boomers and aging, wrote a wonderful piece on creating and maintaining a support network for your aging loved one.

The article had some wonderful tips on working with the people that your elderly loved one interacts with on a daily basis.

- Follow your aging loved one on a weekday to get a handle on their routine. If something happens you will have a good guess as to where they are and how to contact them.

- Introduce yourself to the people they interact with, and exchange contact information. A hairdresser will be more likely to call you if your mother doesn't show up for her appointment if she has met you.

-Lastly, become friendly with your elderly loved ones neighbors. All of these connections will help you keep your elderly loved ones safe and keep you informed.

For more tips or to read the full article, click here.

Wednesday, July 11, 2012

Useful Caregiver Tips: Finding Help

As a caregiver, one of the most important things to remember is to ask for help. It’s so easy to get caught up in the day to day duties of caregiving, and you can easily find yourself incredibly overwhelmed.It’s not first nature to seek out and accept help, but it can be a lifesaver in some situations. Here are some tips for doing that:

Talk to your friends. Keep them updated on your day to day caregiving activities, even when you’re not looking for an extra hand. If they know what’s going on they’ll be able to jump in and take over a few tasks for you.

Remember your other family members. Most of the time, one person assumes most of the caregiving duties. However, look to see if you can use your other family members for chores around the house or other errands that need to be done. Could you pay your son $5 to do the grocery shopping for the week? How about asking your daughter to fold the laundry? These tasks become so much more difficult when caregiving for an adult.

Start making lists. Detailing everything you do will help you identify which chores can be passed on to others.

WeCare+. Our WeCare+ program is designed to support caregivers in multiple ways. We provide guidance and direction regarding what type of assistance your loved one needs, and where to find elder care resources.

Friday, July 6, 2012

Elder Care Information

The Bureau of Labor Statistics released the American Time Use Survey this past week, and there are some incredible figures regarding family caregivers.

According to The New York Times, this survey was started in 2003, and the numbers are based on the minute by minute activities of Americans during a specific 24-hour period. This is the first year that elder care data was collected, and here is what they found:
39.8 million people over the age of 15 acted as unpaid caregivers to someone over 65.

22.3 million ( or 56%) of these caregivers were women.

 23% of these caregivers were between the ages of 45 to 54.

22% of these caregivers were between the ages of 55 to 65.

16% of these caregivers were 65 and older.

23% of these caregivers were part of the sandwich generation, and cared for a child under 18 in addition to fulfilling their elder care duties.

This data was taken in 2011. With the first baby boomers beginning to retire, it will be interesting to see which areas increase during the next year. What do you think this means for the future of caregiving? What surprise you most about this data?

You can find the New York Times article here, and more statistics from the Bureau of Labor Statistics here.

Tuesday, July 3, 2012

4th of July for Caregivers

As a caregiver, holidays can cause unnecessary stress. For caregivers caring for ailing or aging loved ones, the fireworks, parades and picnics associated with Independence Day can be difficult to navigate for a variety of reasons – crowds, accessibility and noise level are just a few of them. There are some basic things you can do to avoid the stress, and planning is crucial to having a joyous Independence Day.

Here are some tips:

- Contact your local town or city office to ask about accessibility. Ask where the best firework viewing areas are, how early you should get there, and ask about parking.

- Plan to get to any fireworks or parades early. It will be easier to navigate with fewer people, and you’ll be beating the crowds.

- Find the easiest and least obstructed path to the bathroom.

- Bring snacks and water. It’s easy to become dehydrated with the warm July weather, so make sure you and your loved one are well fed and hydrated.

- Make sure you have enough sunscreen for you and your loved one.

- Dress your loved one in layers, and bring extra blankets and sweaters in case the temperatures drop after sunset.

- Bring a deck of cards or some other game to take up some time before the fireworks start.

- Stay in and watch the fireworks on television with your elderly loved one!

Have a safe and happy Independence Day!