Wednesday, October 24, 2012

Tips on Helping Seniors Enjoy the Holidays


With Thanksgiving and Christmas just around the corner, its time to start planning your family gatherings.  If you have a family member who needs care, its going to take a lot of planning on your part and your going to have to think about some things that you might not have had to do before. 


Much of what my wife and I have learned over the years was by trial and error, just learning as we go along. Over the holidays, as relatives come and go, they usually only see the best out of Mom/Dad/Grandpa/Grandma  and leave with a nice warm feeling on how “well” they are doing.

But what they don’t see, is once everyone has gone back to their everyday life, the long day of visits has taken a toll and has left your loved one exhausted. In turn, can take days or even weeks to get their strength back.

If you have been though this yourself, or this is your first time going through taking care of a loved one, this article can be of some use. You can find it over at about.com, senior living.

I hope you find it as useful as I did. And as always, contact us if you have any questions or need any support

Ensure happier holidays for seniors with special needs or health issues
By Sharon O'Brien , About.com Guide
For most of us, the holidays are a wonderful time to share the joys of family life and friendship. But for many older adults the holidays can be highly stressful, confusing, or even depressing if their mental, physical and emotional needs are not taken into account.
If you have older friends and family members with underlying health issues, you can help them enjoy the holiday season more by following these simple tips, based on advice from specialists in senior medicine at the University of California, San Diego (UCSD) School of Medicine:
1.        Stroll down memory lane. Holidays provoke memories, which can be especially powerful in the later years of life. “Leading authorities have observed that memory and ‘life review’ are important parts of the aging process,” says Barry Lebowitz, Ph.D., deputy director of UCSD’s Stein Institute for Research on Aging. “Older people whose memories are impaired may have difficulty remembering recent events, but they are often able to share stories and observations from the past. These shared memories are important for the young as well—children enjoy hearing about how it was ‘when your parents were your age…’.” He suggests using picture albums, family videos and music, even theme songs from old radio or TV programs, to help stimulate memories and encourage older seniors to share their stories and experiences.
2.       Plan ahead. If older family members tire easily or are vulnerable to over-stimulation, limit the number of activities they are involved in or the length of time they are included. The noise and confusion of a large family gathering can lead to irritability or exhaustion, so schedule time for a nap, if necessary, and consider designating a “quiet room” where an older person can take a break. “Assign someone to be the day’s companion to the older person, to make sure the individual is comfortable,” says Daniel Sewell, M.D., director of the Senior Behavior Health Unit at the UCSD Medical Center, who adds that these guidelines work well for young children as well as adults with mental, emotional and physical health issues.
3.       Eliminate obstacles. If a holiday get-together is held in the home of an older person with memory impairment or behavioral problems, don’t rearrange the furniture. This could be a source of confusion and anxiety. If the gathering is in a place unfamiliar to an older person, remove slippery throw rugs and other items that could present barriers to someone with balance problems or who has difficulty walking.
4.      Avoid embarrassing moments. Try to avoid making comments that could inadvertently embarrass an older friend or family member who may be experiencing short-term memory problems. If an older person forgets a recent conversation, for example, don’t make it worse by saying, “Don’t you remember?”
5.       Create new memories. In addition to memories, seniors need new things to anticipate. Add something new to the holiday celebration, or volunteer for your family to help others. Enjoy activities that are free, such as taking a drive to look at holiday decorations, or window-shopping at the mall or along a festive downtown street.

6.       Be inclusive. Involve everyone in holiday meal preparation, breaking down tasks to include the youngest and oldest family members. “Older adults with physical limitations can still be included in kitchen activities by asking them to do a simple, helpful task, like greasing cooking pans, peeling vegetables, folding napkins or arranging flowers,” Sewell says.
7.       Reach out. Social connectedness is especially important at holiday times. “Reaching out to older relatives and friends who are alone is something all of us should do,” Lebowitz says. “Loneliness is a difficult emotion for anyone. Recent research with older people has documented that loneliness is associated with major depression and with suicidal thoughts and impulses.”
8.       Beat the blues. “Holiday blues” are feelings of profound sadness that can be provoked by all the activities of the holiday season. Seasonal blues can have a particular impact in the lives of older people, according to Lebowitz. “In some people, the ‘holiday blues’ represent the exacerbation of an ongoing depressive illness,” he says. “Depression is a dangerous and life-threatening illness in older people. Tragically, suicide rates increase with age, specifically for older men. Depression is not a normal part of aging and should never be ignored or written off.”
9.       Keep on the sunny side. Seasonal affective disorder (SAD) or winter depression is an illness that can be provoked by reductions in sunlight during the short days of winter. It is important for people confined indoors, especially those at risk for winter depression, to make time for activities that will increase exposure to daylight, according to Lebowitz.
10.    Monitor medications and alcohol. If you have senior family members, be sure to help them adhere to their regular schedule of medications during the frenzy of the holidays. Also, pay attention to their alcohol consumption during holiday parties and family gatherings. According to Sewell, alcohol can provoke inappropriate behavior or interfere with medications.

“Older family members with special needs can get lost in the shuffle and chaos of happy family gatherings,” Sewell says. “So, with all the hustle and bustle of the season, just remember to be sensitive and loving. And plan ahead.”

Wednesday, October 10, 2012

Convincing Mom and Dad they Need Help

I ran across this article and I knew I had to post it. It comes from an in-home care agency in Texas.


I have also been through the same situation having parents/grandparents not wanting to have help come into their home, when it’s obvious to everyone else that they desperately need it.

I wanted to post this little article because I want you to know it is universal. Virtually all the homes we go into were initially non responsive to us being there at first. It always takes some convincing from the children. Until a week later that is, when they always appreciate the help.

I hope you find this helpful! Also, contact us if you have any questions, we are here to help…

Richardson Caregiving - Parents Refuse Senior Home Care: As the owner of a Dallas area company providing senior home care, I have seen many cases in which family members have great difficulty convincing their elderly parent(s) that they need assistance.  I also experienced this problem first hand with my own parents.
It's not easy for any of us to see or admit that we might need help doing what used to be simple activities, Whether its cooking, driving, dressing or just remembering to take the right medications at the right time. Combine that with a tenacious generation that grew up with a great depression and world war, and you have some very independent people who have spent their lives doing for themselves, raising their children, and possibly taking care of their own parents when they were seniors. In addition, our parent's generation is not one to spend money lightly, especially on something that might be viewed as an affront to their personal independence.

I remember when my dad refused to believe that his driving was a danger to himself and others, and I remember trying to convince my mom to let someone else cook when she kept leaving the stove on overnight.  Senior home care was needed, but mom summed up their attitudes best when she said "I don't need another woman in my kitchen doing what I've done perfectly well for 65 years!"
One of the biggest problems that I faced with my parents was the simple fact that I was their child.  In their eyes, I was still just a kid.  How could I possibly know what was best for them.  Compounding my problem was the fact that my mother had Alzheimer's, so discussions and agreements for assistance were soon forgotten, and the whole process was repeated over and over.
These are problems I hear constantly from others throughout the Dallas area who are trying to arrange senior home care for their parents.  As one client's daughter put it, "mom would listen to a stranger off the streets before believing me".
There is no one right answer, however, I have learned a few ways to approach resistant parents that have helped me as well as others over the years.  Simply put - get others involved!  It took me a while to figure out that mom and dad were not going to believe me about their home care needs.  So who would they listen to?
Unlike baby boomers, our parents grew up in a time when traditional authority figures were looked upon as being trusted with little question.  Whether its a doctor, pastor, lawyer, insurance agent, policeman, or best friend.
To my parents, their family doctor was all knowing and highly respected. They also had several friends and cousins who they loved and trusted. So after some calls and discussions regarding my parents issues, a plan was put into place for some visits. 
Although I had been trying unsuccessfully to get dad to quit driving for 2 years, his doctor and insurance agent had him give up the keys in less than a day. I took dad for an arranged "routine" visit with his doctor, who performed a reflex test and had a serious discussion about Dad's slow reflexes and poor eyesite, and how dad could hurt others including children riding in on-coming cars.  His insurance agent, who he'd known for 40 years, came by later
and explained how Dad could be sued if responsible for a wreck,loose his insurance along with money that he and mom relied on for retirement.  And I explained how we could hire a person to help with driving when I wasn't available. He begrudgingly agreed to stop driving immediately.
When the time came, we asked several of Mom's trusted friends to visit and talk to her about "their" memory issues and how they themselves used senior home care professionals to help them around the house.  They wrote their discussion down, everyone signed it, and they gave names of agencies that mom could call. I also enlisted her doctor for an arranged "routine" visit. He gave her a simple memory test and then explained to her about the perils of home activities.  He also wrote her a "prescription" for senior home care that he had her agree to, sign and date.  As I talked to her over the course of the next few weeks, I would show her the notes that she had received and acknowledged.  My brother, sister and I visited soon after, told her how much we loved her, and that we wanted her to accept our gift of senior home care on a "temporary" basis for a week or two just to help her out around the house.
She begrudgingly accepted.
Knowing my Mom's personality, I worked closely with a Dallas senior home care agency to select a caregiver whom I thought mom would like. Over the next 2 weeks of "temporary" help, I stopped by daily to see how it was going
and to remind Mom about our agreement, her friends written recommendation as well as her doctor's prescription    Because of the bond that the caregiver developed with Mom over the first 2 "temporary" weeks, Mom was comfortable to keep having her "friend" come over to help from then on.
Although these particular steps don't work for everyone, the important thing to remember is that patience, love, time, and the enlistment of others can sometimes work wonders.

Friday, October 5, 2012

We Have Moved!!!!


It is with our excitement and pleasure to announce that we have out grown our office location inside the Mo-Kan Economic Development Building. The Mo-Kan Economic Development organization and employees have been absolutely wonderful in helping us start our agency and we are very grateful for all they have done for us.

Although we will miss our old home inside their building. We are very excited to be expanding our office space from 175 sq ft to nearly 1500 sq ft. We are still located downtown; we are now 3 blocks south on 7th and Edmond. Please note our new address -  624 Edmond, St. Joseph MO 64501.


View From Edmond Street
View from 7th & Edmond
Plaque on the wall next to the front door. Pretty interesting.

Thank you very much! As always, please feel free to contact us if you need anything.


Sincerely,



Tad Ulmer, Co-Owner                                               Jason Douglas, Co-Owner
Comfort of Home Healthcare