The Importance of Companionship for Senior Mental Health

It’s inevitable that as people age, they also become more isolated. A 2016 Merck Manual study found that about 30% of 46 million seniors not living in a nursing home live alone. The consequences of isolation on senior mental health can be tragic, ranging from extreme loneliness to a further decline of health. It’s crucial then, for seniors to seek out companionship.

However, the answer is not necessarily to move to a senior facility. In spite of the prospect of crippling loneliness, many seniors strongly hold on to their independence.  The Merck study also found that about 90% of those seniors who live alone insist on doing so.

How can we then help these fiercely independent but also isolated seniors? There are several possible solutions.

 

Why are Seniors Alone?

There are many reasons that lead seniors to spend their days alone. Adult children may move away or are simply too busy with their own families to visit often. Even seniors with family caregivers may feel alone if their family caregiver works during the day.

There is also the sad fact that friends and spouses may have passed away. Deteriorating health is another factor, as it can mean losing the ability to drive or go for walks. Embarrassment is another consideration, as seniors with poorly functioning facilities (such as bladder control) may worry about experiencing an incident in public.

 

Consequences of Isolation

Loneliness is obviously the biggest result of isolation, but this can, in turn, lead to health problems such as high blood pressure, or a risk of depression.

There is also a decline in health and an increased rate of mortality for seniors who live alone. This may be due to unchecked symptoms and a lack of a social network that would advise medical attention. Seniors who live alone may also neglect or forget to take their medication, or have trouble with certain medical treatments.

Social skills also deteriorate among seniors who are frequently alone. Many of us have heard of the “grumpy old man” stereotype. They have trouble interacting with people when given the opportunity, which in turn leads others to back away, causing more loneliness.

 

In-Home Caregivers as Companions

As mentioned earlier, many seniors value their independence so much that they’re willing to endure isolation. Therefore, relocating them to a nursing facility is not the solution. As long as he or she is able to safely live alone (i.e. no chance of falling or passing out), seniors should ideally live at home where they feel comfortable and secure.

A suitable compromise then would be to hire an in-home caregiver who can provide companionship (and if necessary, some medical assistance) to the senior. This will allow the senior to maintain his or her independence while not feeling lonely and isolated.

In-home caregivers provide physical and mental benefits for seniors. They can help seniors with physical therapy, exercises, or simply taking walks with them. In-home caregivers can even take them on small field trips such to the movies, lunch, or to the mall. They can play mind-stimulating games with seniors such as chess or cards, or assist them with their hobbies.

In-home caregivers can also monitor medication, doctor’s appointments, and the senior’s overall well-being. They can even cook for them, do light housework, and assist in personal care. And of course, in-home caregivers are simply someone to talk to.

Even if your senior has a family caregiver, an in-home caregiver can be a helpful asset. Interacting with a different person is mentally stimulating and can alleviate boredom, for both the senior and family caregiver. An in-home caregiver is also beneficial for the primary caregiver because it allows him or her to take a break and do other things, like work full time, engage in personal outings, or tend to their families.

 

Additional Remedies for Isolation

There are other ways for seniors to combat isolation. Be sure to take into consideration their physical or mental health, as some of these suggestions may not be ideal for someone with say, dementia or debilitating arthritis.

Volunteer

If the senior is still relatively able-bodied, he or she can take on a volunteer role. Even if it’s only once a week, volunteering for a certain cause gets him or her out of the house and interacting with others.

Adopt a Pet

Animals don’t talk, but they certainly provide companionship and unconditional love. Caring for a pet would also give a senior a sense of purpose and stimulate their minds. Just make sure not to get a pet that would be difficult to care for, such as a large dog.

Schedule Regular Meetings with Friends

It’s crucial for seniors who live alone to maintain contact with nearby friends. Encourage them to meet up for coffee or lunch at least once a week, or even visit each other’s homes.

Meet Other People who Share Your Hobby

Coloring, painting, knitting, playing board games, assembling puzzles—there are countless hobbies that seniors can enjoy with others. Local community centers may have clubs that cater to your senior’s hobby.

Use Video Telephony to Keep in Touch

Your senior can communicate with faraway loved ones via Skype, FaceTime, or some other form of video telephony. Seeing their loved ones on a screen can be more satisfying than simply speaking on the phone with them, and can help alleviate some loneliness. You may first need to teach your elderly loved one how to use the technology, so don’t use an overly complicated program. It may lead to frustration and reluctance to use it.

 

If you have a special senior in your life that needs companionship, we at Community Home Health Care can help. Our staff of highly trained in-home caregivers includes home health aides, personal care aides, and registered nurses. We are here to provide personal and medical assistance, but most importantly—friendship. Please visit our website, call us at (845) 425-6555, or drop by our facility and we will be happy to answer any of your questions.

 

Finding a Good Home Health Care Agency

 

If your elderly loved one requires personal and medical assistance due to injury, illness, disability, or declining health, you may want to consider a home health care agency. Home health care agencies employ caregivers and specialists such as occupational therapists, companions, home health aides, and registered nurses. They tend to the patient at his or her own home.

With many home health care agencies available, it can be difficult to find the right one for your elderly loved one’s needs. You’ll need to do a significant amount of research before making a decision. Here are some tips to facilitate that decision-making process.

Note that there’s a difference between a home health care agency and a non-medical home agency. A non-medical home agency provides people who do basic housekeeping and personal care tasks. On the other hand, a home health care agency features specialists and caregivers who focus on more health and medical-related tasks such as administering medication, aiding in physical therapy, and monitoring medical equipment.

 

Why a Home Health Care Agency?

For many elderly people, staying in an unfamiliar environment—even for a short time—can be frightening.  Additionally, the idea of losing one’s independence and personal space can be disconcerting. Remaining at home, where he or she is surrounded by their personal items, family photos, and furniture maintains security and comfort. Therefore, it’s best for an elderly loved one to stay home for as long as possible but still receive the care they need. In addition, hiring help from a home health care agency is cheaper than a hospital or nursing home bill.

Another reason for using a home health care agency is that their specialists can supplement the current family caregiver. Many family caregivers are stretched thin, caring of their elderly loved ones while caring for their own families or working full-time jobs. Home health care agency caregivers can take over for a few hours a week (or even all day), allowing the family caregiver some rest and personal time, or maybe even giving up that role entirely.

Expect Some Resistance

Before you begin your search, discuss the situation with your elderly loved one. There’s a strong chance that he or she will object to a caregiver, which is understandable. Many people will feel uneasy, even afraid at the thought of letting a stranger in their homes. They may fear that they will be robbed, or worse. Explain to your loved one why hiring a caregiver is necessary, even if you are a family caregiver. If he or she is still resistant, offer a short trial of say, a week or two.

If they are capable, consider inviting your elderly loved one to participate in the research and selection process. It may alleviate their worries. Perhaps he or she can even accompany you when you speak to potential caregivers once you’ve narrowed down a particular home health agency.

Home Health Care Agency vs. Independent Caregivers

Some families choose to eliminate the middle man of home health care agencies and hire an independent caregiver. It’s a tempting option, primarily because independent caregivers generally cost about 30-40% less than agency caregivers. However if you go this route, this means that you are the employer and are thus responsible for various employment laws and taxes. You will need to do the background and credit checks for potential caregivers. You also have fewer options during emergencies. What happens if the independent caregiver is sick? A home health care agency on the other hand, will be able to provide a substitute caregiver. It’s not surprising then, that many families opt for using a home health care agency to find the right caregiver for their elderly loved one.

Talk to People

The first step in finding a good home health care agency is to talk to friends, co-workers, family members, and doctors to get advice. Ask them what they look for in a home health care agency and which places they recommend. Your elderly loved one’s physician may even suggest what kinds of specialists are required.

Financial Considerations

The second step is to think about your budget. Particularly, consider the duration of the required services—how long will your elderly loved one need specialist help? A few weeks or months? Indefinitely? And how many hours per day? How many specialists will you need to hire? These factors will affect the costs. Additionally, some places take Medical or Medicare, so check if the facilities you’re interested in are covered.

Initial Research

When you have a better idea of your loved one’s needs and your budget, start that list of home health care agencies. Look for the following information when you visit their websites or call them: licensing, accreditation/certification, and insurance. See if they provide information on their employees, including screening and hiring procedures, background checks, training (medical, non-medical, and emergency situations), and whether or not they’re bonded.

Reviews and References

Look online for reviews of your potential home health care agencies. Major review sites such as Yelp and Consumer Reports will have some ratings. The Medicare website has a section  on home health care listings as well. Of course, don’t just rely on online reviews. Ask the potential agencies for references as well.

Find the Right Caregiver for Your Elderly Loved One

When it comes to matching the right caregiver with your loved one, you may have to look to factors in addition to their training and skills. This is a person who will spend lots of time with your family member, so it’s important that they get along. It helps if the caregiver has similarities or something in common with your loved one. Some people feel more comfortable with a caregiver who speaks the same language as them, or is the same gender or ethnicity. Others may like spending time with a caregiver of the same religion. Ask the home health care agency how caregivers are matched, and if they can accommodate special requests.

 

If you are looking for a home health care agency for your elderly loved one or have any questions, please fill out the form at the Community Home Health Care home page and one of our helpful staff will contact you as soon as possible.