A Proactive Approach to Loneliness and Social Isolation In Seniors

Although the prevalence of loneliness and isolation in seniors has been an enduring concern, the outbreak of the current COVID-19 pandemic has significantly increased awareness and sensitivity to the issue. As a result of pandemic impacts, other populations are suddenly faced with a new social reality, prompting friends, family, and service providers to understand the elderly human experience more deeply and strive to minimize its negative outcomes.

Prevalence rates suggest that nearly 30% of older adults experience loneliness and/or social isolation and 5% report often or always feeling lonely. As reported by the National Institute on Aging, loneliness and social isolation can have long-term negative effects on older adults’ physical and mental health, including:

● Poorer cognitive function

● High blood pressure

● Heart disease

● Obesity

● Weakened immune system

● Anxiety

● Depression

● Cognitive decline

● Alzheimer’s disease

● Death

Individuals can become socially isolated for a variety of reasons. These reasons include growing older or weaker, the deaths of their spouses and friends, limited mobility, illness, or leaving the workplace. Older people also often have limited access to transportation, and fear that they will become burdensome to their family and friends. This may motivate them to stay at home, or refuse to accept offers for participating in family and social activities. Regardless of the circumstance, it is crucial for social workers, family, and caregivers to compensate wherever necessary and provide seniors with opportunities for social engagement, in order to mitigate the effects of loneliness and isolation.

Recognizing Isolation and Loneliness

Research shows that social isolation and loneliness overlap significantly, and are often used interchangeably. In social isolation, individuals lack contact with their social network. On the other hand, loneliness refers to a state of feeling alone, separated, or separate from others. This can be defined as an imbalance between desired and actual interpersonal contact. Even though gerontological researchers and social workers distinguish between loneliness and social isolation, they acknowledge that both of these issues negatively impact older people’s health and well-being, and thus emphasize the benefits of interventions that address both.

Addressing Loneliness and COVID-19

In light of the recent pandemic, loneliness and social isolation heightened amongst seniors who were forced to be separated from loved ones for extended periods of time. In residential facilities, patient isolation remained a priority, as well as a significant concern. Since families were unable to enter the facility, senior programming directors were challenged to come up with creative ways to alleviate their residents’ loneliness and isolation. Visiting from outside windows or from a distance in outdoor premises, became the new norm. Utilizing technology, such as Skype, FaceTime, Zoom, and Hangouts has also been incredibly effective in keeping at-risk adults isolated, yet socially active. Re-thinking how to offer group activities with appropriate social distancing, or organizing compassionate visits for persons at the end-of-life posed an additional challenge for those who most appreciate the significance of social interaction for their patients.

Older adults living independently at home can face these challenges as well. Thus it is crucial to ensure the adult has a variety of occasions to engage in meaningful social activities. For loved ones living apart it is also important to keep consistent, open communication with on-site caregivers, or the elderly individual, to be assured that there are a variety of opportunities for social engagement, despite living independently.

How We Can Help

There are a variety of techniques on how caregivers can help reduce social isolation. With increased focus on the issue and a bit of proactive planning, caregivers, or even family and friends can easily help their loved one be set up for success. Here are some ideas:

Make a schedule

Creating a structure in day-to-day life, even if it may be difficult, offers the individual a sense of stability and purpose. Try setting an alarm to start the day at a reasonable time. Begin the week with a basic plan that outlines goals or activities for each day. Incorporate a combination of leisurely activities and chores, such as attending senior events, shopping, cooking a meal, a doctor’s visit, or taking a walk in a local park. Be sure to include something enjoyable and involve someone else’s company when planning the schedule.

Keep a Pet

Several studies have shown that pet attachment can alleviate loneliness by providing social support and companionship for the pet owner. Studies that evaluated the role of pet attachment or animal-assisted therapy demonstrated favorable effects on emotional well-being. A caregiver can help with pet care and maintenance so that the adult can enjoy full benefit, stress-free.

Discover New Friends

Facilitating opportunities to connect with new people is another way to alleviate isolation. Seniors can pursue their hobbies with like-minded peers, such as by joining a library society, sports venue, or knitting club. Caregivers can offer escort and companionship to adults pursuing their hobbies. There may also be local opportunities to connect with volunteers who are eager to join and facilitate new friendships.

Learn to love computers

In a fast-paced digital age, older adults often feel incompetent and isolated amidst a younger, tech-savvy generation. Explore opportunities for seniors to learn technology-related skills, such as corresponding by email, or following social media. Researchers have found that seniors who completed a 3-week computer training course and internet tutorial reported a significant decrease in loneliness. Caregivers can also offer ongoing assistance in this new experience.

Regardless of how you choose to fill the week, we encourage taking a proactive approach to combat loneliness and mitigate its effects. You can find additional caregiver resources on our website, and explore a variety of timely topics such as medical assistance, personal care, and senior companionship.

Reach out to us today to learn more about our team of caring and experienced personal caregivers, registered nurses, and home health aides who expertly serve families just like yours.

We’re here for you and happy to assist your family. Give us a call at (845) 425-6555 with any questions.

References:

Gardiner C, Geldenhuys G, Gott M. Interventions to reduce social isolation and loneliness among older people: an integrative review. Health Soc Care Community. 2018 Mar;26(2):147-157. doi: 10.1111/hsc.12367. Epub 2016 Jul 13. PMID: 27413007.

Cacioppo JT, Cacioppo S. Older adults reporting social isolation or loneliness show poorer cognitive function 4 years later. Evid Based Nurs. 2014 Apr;17(2):59-60. doi: 10.1136/eb-2013-101379. Epub 2013 Jun 8. PMID: 23749730.

Senior-Friendly Activities for Fall

The days are gradually getting shorter, and the luscious lawns of summer give way to autumn’s fallen leaves. There’s always something special about each time of year, so we’ve rounded up 7 of our favorite fall activities that seniors can easily enjoy as well. With some great entertainment options while staying indoors, or venturing out into the crisp autumn air, you and your loved one can now go ahead and celebrate the new season!

1. Experience the Lovely Outdoors

As summer’s warmth fades out into the cold of winter, autumn offers the ideal climate to comfortably enjoy time spent outside. Take in the beautiful foliage and fresh autumn scents together, while engaging in a physical activity that relaxes and invigorates. When planning an outing with your loved one, it’s important to keep his or her mobility in mind. You’ll want to make sure your choice is suited to your loved one’s physical capabilities. Whether you choose to admire the scenery from the porch, in the car, strolling in a local park, or walking along a guided hiking trail, you’re guaranteed to return inside refreshed.

2. Prepare Seasonal Snacks

On a chilly afternoon, who doesn’t savor the tantalizing smell of freshly baked pastries? Or better yet, sharing the day and making memories together over a recipe? Cool days with longer evenings are the perfect time to get cozy in the kitchen and prepare a homemade snack. With easy-to-find ingredients, you and your loved one can whip up something delicious to enjoy together or share with friends and family on your next special occasion. Take advantage of autumn’s bounty of apples, cranberries, pumpkins in one of these simple seasonal treats.

3. Plant Ahead

Fall may not be the most enjoyable time to sit out in the yard, but if you’ve got a small patch for planting, this is the best time to invest in a home garden. Make the most of your loved one’s green thumb and get planting! Generally, trees, shrubs, and a wide variety of perennial plants grow best when planted at a time when the ground is moist. In this way, the roots can establish themselves before the ground freezes and winter sets in. Veggies that thrive in this season include bok choy, Brussels sprouts, beets, broccoli, cabbage, carrots, kohlrabi, cauliflower, celery, endive, kale, leeks, and head and leaf lettuces. They also include onions, peas, garlic, radishes, snow peas, spinach, Swiss chard and turnips. Flowers, such as tulips, hyacinths, and daffodils can be planted early in the fall and will reappear to decorate the landscape each year. For these, you’ll need one trip to your local nursery and then lots of patience until spring blooms again…

4. Decorate Indoors

Your loved one will enjoy crafting in good company while sprucing up the house with seasonal decor. Create an autumn wreath to display on the front door, paint pumpkins in varied sizes to dress up the table, or get started on crocheting a personalized holiday gift for someone special. Spend an afternoon visiting your local craft stores, like Hobby Lobby or Michael’s, and take advantage of the wide selection of seasonal art supplies they offer. You can also find some more ideas here for great crafts that guarantee memorable activities and warm autumn vibes. Crafting together will help you create the perfect atmosphere for this time of year.

5. Coordinate a Visit

While everyone is spending less time outdoors, seize the opportunity to reconnect with long-time acquaintances, extended family, and close friends. Ask your loved one who they’d like for company and schedule a date, or offer to accompany them on a visit to someone they’d be glad to get together with. You can invite guests to your loved one’s home, or make up for them to meet at a local coffee shop, restaurant, or entertainment venue. When guests visit at home, you can bring out old photo albums for them to reminisce with, as they enjoy the chance to reflect on a bygone era with someone from their past. Restoring old friendships is a powerful way for seniors to feel younger and more vibrant.

6. Work on a Fall-Themed Puzzle

Bring the scenic views inside and relax together with a cup of tea while you assemble a masterpiece. Larger-piece puzzles allow seniors to create their own works of art- ones that can both be displayed proudly and are easily accessible. They also offer older adults an opportunity to keep their fingers and minds nimble, while having fun and experiencing a sense of gratification. Many find that working on a puzzle has a meditative effect, subtly decreasing feelings of anxiety, and increasing mental well-being. Click here to choose from a selection of autumn puzzles that can be delivered to your door and enjoyed in the company of grandchildren, neighbors, or friends. When the project is completed and displayed, your loved one will be happy to show it off to visitors and tell them about the process of creating their masterpiece.

7. Visit a Farmers Market

A farmers market is more than a convenient place to purchase fresh locally-grown fruits and vegetables, dairy products, or honey. Visiting a farmers market is also an informal way for seniors to be social by providing them with the opportunity to interact with neighbors and support local farmers. Adults can stroll through the market and stop for free samples and tastes while enjoying the plethora of colors and produce. Your loved one can select from a variety of fresh products to enjoy at home and is sure to look forward to another delightful trip. Click here to locate the farmers’ market closest to you.

Regardless of how you choose to share the day, we hope you enjoy the time spent together. You can find additional caregiver resources on our website, and explore a variety of timely topics such as medical assistance, personal care, and senior companionship.

Reach out to us today to learn more about our team of caring and experienced personal caregivers, registered nurses, and home health aides who expertly serve families just like yours.

We’re here for you and happy to assist your family. Give us a call at (845) 425-6555 with any questions.

Community Home Health Care wishes you and your family a most memorable autumn!

Going On an Outing With a Senior With Dementia? These 8 Tips Are For You

You’re Not The Only One

If you dread taking your loved one on outings, you’re not alone.

One of the hardest parts of caring for your loved one who’s suffering from Alzheimer’s is going on outings with them. Seniors with dementia or Alzheimer’s can display embarrassing or unusual behaviors in public, making it difficult for you to take them out without creating a commotion.

Why Outings are Beneficial

Going out into the sunshine and being social helps
● Enhance their moods
● Lower their stress levels
● Improve their sleep patterns
● Use their energy in a positive way
● Create new memories
● Lessen their sense of isolation
● Develop a stronger sense of self (affecting self-esteem, confidence, and happiness)
● Orient them in reality

Outings are important — for both caregivers and seniors. So use these 8 tips to make your outings as smooth and enjoyable as can be!

1. Pack your go-bag.

Be prepared, they say. It’s true! Pack a tote bag with essentials, and things your loved one would appreciate. Here are some ideas of what to bring on an outing to make it more pleasant:

● Snacks and water
● Emergency contact information
● Up-to-date medical information
● Photocopies of important legal documents
● Relevant medications
● Incontinence briefs
● Wipes and tissues
● Magazines and books
● Weather-related accessories (umbrella, sunscreen, sunglasses, gloves, etc)
● Extra clothing
● A soothing item for them to hold

2. Choose Alzheimer-friendly places.

When your loved one displays behavior that is not socially accepted, many businesses are not sympathetic, and instead of offering you assistance, they ask you to leave.

While not always possible, choose to visit establishments whose employees have completed special training to help them understand and assist people with dementia and their caregivers.

Think about how your senior loved one will behave in the place you plan to visit. Busy places (like restaurants, movie theaters, amusement parks) can be overwhelming with all the sights and sounds and people. Choose your destination carefully.

3. Have explanations prepared.

Bystanders will naturally become uncomfortable and maybe stare when an adult displays strange behaviors like removing clothing or shouting inappropriately. Plan how you’re going to deal with these situations.

Here’s an idea: print small cards to hand out to bystanders, explaining that your senior loved one has Alzheimer’s and to please forgive the outburst. This discreet way of informing people also helps preserve your loved one’s dignity.

4. Stay calm.

Think this is an obvious one? It’s easy to get agitated along with your loved one. You are already working really hard caring for them, and taking them on an outing adds to your stress.

Yet, it’s important to remain calm. If you find your stress levels are rising in response to the outing, take three deep breaths, remind yourself that you’re doing the best you could, and carry on calmly.

Your calm state will help your loved one, too.

5. Inform your loved one in advance.

Some elderly people with dementia do not like sudden changes to their schedules. Take time to prepare them. Tell your loved ones when and where you’re going, what they can expect there, and any other information that will help them feel calmer and in control.

It also helps to keep your routine as close as possible to normal, by including tasks from their normal daily routine.

6. Inform the people at your destination.

Forewarned is forearmed! Going to visit people you know? Prepare them in advance. Explain that your loved one is suffering from dementia or Alzheimer’s and that they may display surprising behavior. Give them pointers for what they should and shouldn’t do.

For example, many people tend to do “memory tests” when speaking with people with dementia. Tell them in advance that testing your loved one agitates them.

7. Dress them comfortably.

You know the physical comfort of your loved one makes a big difference to their behavior. So dress your loved one in appropriate and comfortable clothing and shoes to lower the chances of outbursts. (Wearing proper shoes can also help your elderly loved one avoid potential falls.)

8. Time it right.

As their caregiver, you know your loved one fares better at different times of day and different times of the week. Plan your outing for a time when your loved one’s spirits are high and they’re feeling good. Make sure the duration of the trip will not overwhelm them, either.

You’re all set!

You’ll be well prepared with these tips the next time you need to go on an outing with your aging loved one who’s suffering from dementia or Alzheimer’s.

Looking for more helpful resources? Community Home Health Care has a caring, experienced staff of trained in-home caregivers, including personal care aides, registered nurses, and home health aides.

Explore our website and fill out the online form to receive more information about the medical assistance, personal care, and friendship we provide. You can call (845) 425-6555 with any questions you have, and we’ll be happy to help.

Kudos to you, caregiver!

The Fourth of July: Celebrating and Promoting Senior Independence

Independence Day — For All

July 4th. The birth of American indepence. Picnics, patriotic t-shirts, and brilliant firework displays.

It’s the quintessential mark of our very human desire to be free. The desire to ‘do it myself,’ like every two-year-old asserts.

Yet, what does Independence Day mean for those who are slowly becoming more dependent on those around them? What does the word ‘independence’ mean to aging seniors and their caregivers?

This July 4th, we’re talking about senior independence — what it means, why it’s so important and how to promote it. Plus, some inspiration for seniors and caregivers navigating the delicate balance of dependence and independence.

Why Independence is Hard to Define

Did you build your own house? Did you sew your clothes, grow and harvest your food — all with tools you built yourself? Of course not! Yet you still consider yourself an independent person, correct? That’s because independence is not about self-reliance, but about how you perceive your own ability to care for yourself independently.

Ask yourself; what does independence mean to me? Is it the ability to make your own schedule? Get out of the house? Take on new responsibilities without much pressure? Maybe it’s the ability to make your choices without being told what to do.

“When I was younger, I thought independence meant working hard and saving up for a house. As I got older, I realized part of being an adult was deciding what role I wanted to play in my life.”

Everyone has their own criteria for independence.

What’s the big deal?

Your golden senior years are a joyous time. A time to explore your past accomplishments, your goals for the future, and what independence means to you. Your body and mind are changing. Your capacity to work is changing. You may even need help with basic functioning like meal preparation, bathing and dressing.

That’s why independence is a buzzword for seniors. It means everything to hold on to the freedom and independence you still have as you age.
No matter your age, freedom and independence are crucial to our self-esteem.

The Good News

Your golden years are a prime time to do things you never would have dreamt of before. Asking for help with bathing can be difficult, but it doesn’t mean you’ve lost your independence.

When you retire, for the first time in your life you have the freedom to decide what you’ll do with your time. It’s a great time to try new things! Senior independence can mean doing things for yourself that you wouldn’t have dreamed of doing when you were younger—working on a book, for example, or starting your own small business, or buying a pet. It means planning your days so that you get the most out of each hour, and not wasting time on things that don’t contribute to your happiness.

“When I turned 71, I took an art class for the first time in my life. And to my surprise, I discovered a real talent! Now I use my time to paint portraits and beautiful scenery for my kids’ homes. Seeing my handiwork hanging on their walls brings me such joy. What would have been if I never took that art class?”

4 Ways to Promote Senior Independence

Whether you’re a caregiver or a senior, you can promote senior independence the following ways:

1. Improve your advocacy skills.

When making decisions on behalf of another, or making decisions a team instead of on your own, it’s important to
● Stay positive
● Use a pleasant tone of voice
● Communicate as clearly as possible
● Be okay with comprising for the sake of another

Keep these things in mind when advocating for yourself or your loved one. Not sure if you’re being an effective advocate? Ask for
feedback from those around you!

2. Encourage a healthy lifestyle.

Staying healthy is crucial to maintaining your independence, especially as we age. It means staying functional and active for longer and needing less help with physical tasks. Take a look at your diet and see where you can add more whole grains, vegetables, and cut down on processed foods and foods high in fat and sodium. Commit to an exercise routine that suits your level and stick to it! You’re sure to see both physical and emotional improvement from living a healthier lifestyle.

3. Talk openly about aging.

Aging. We’re all headed towards it, every second of our lives. Today’s media likes to convince us that staying young forever is a commendable (and attainable!) goal. Instead of falling for the promise of a fountain of youth, embrace aging with grace and be proud of all your years of experience, friendships you’ve made, and accomplishments you’ve achieved.

4. Make things easy to access.

Speaking up and asking for help can be really uncomfortable. Especially when you have to ask for so many things, so often.

An easy way to decrease the number of times a senior needs to ask their caregiver for help — make commonly used items easily accessible. That limits the need for constant requests for help reaching or lifting for things. Clothing, food, appliances, toiletries, etc, should all be made available to the senior.

“My mom asked me to move the outfits she wears most often to a lower shelf. Now she can dress herself every morning without calling for her caregiver. It’s the simple changes like these that allow her to feel independent.”

Growing Every Day

When you’re forming or maintaining a caregiver-senior relationship, every day is a new opportunity for personal growth. Here are some inspirational quotes to help you on your journey.

“To find yourself, think for yourself.”

― Socrates

No matter how dependent we become on others, whether due to life circumstances, illness, or age, we can still think for ourselves. And that is true independence.

“There are only four kinds of people in the world. Those who have been caregivers. Those who are currently caregivers. Those who will be caregivers, and those who will need a caregiver.”

― Rosalyn Carter

Caregiving is universal. At some point in your life, you have given care or received care. Embrace it.

“Freedom is nothing but a chance to be better.”

― Albert Camus

So…you’re independent. The pivotal question is: what are you going to do with your independence?

Happy Fourth of July!

Whether you’re celebrating as a caregiver or senior, Independence Day is a time for reflection on our relationships and goals. Make sure to see some fireworks while you’re pondering!

If you’re looking for a caregiver or professional to help your elderly loved one age with grace and independence, contact Community Home Health Care at 845-425-6555 or contact us through our site.

Make Home Safer: Easy Ways to Prevent Common Senior Accidents

Should you be concerned about at-home senior injuries?

According to the CDC, 3 million older people are treated in emergency departments for fall injuries every year. Less than half of seniors report their falls to their doctors.

The effects of a bad fall or home accident can be devastating. Twenty-five percent of senior falls cause injury to more than one part of the body (compared to an average sixteen percent among other age groups). Accidents can cause broken bones or head injuries. One in five falls among women aged 55 and over requires hospital treatment.

Although most falls do not result in a serious injury, being unable to get back up can cause pressure sores and hypothermia while they’re stuck in one place waiting for help.

Besides, the senior can become afraid of falling again. This fear may cause your loved one to cut down on their everyday activities, causing themselves to become weaker and increasing their chances of getting injured.

The good news is that you can easily prevent the most common senior home accidents by making small changes to your elderly loved one’s home environment.

“After my mom fell and broke her wrist, I took the time to declutter her home. Now she feels much safer, and I’m calmer knowing there is less of a chance she’ll fall again.”

Who is most at risk for home accidents?

Most at-home senior accidents are caused by a combination of risk factors. The more risk factors a senior has, the greater their chances of getting injured at home. The main risk factors for getting injured at home include:

● Lower body weakness
● Difficulties with walking and balance
● Use of medicines, such as tranquilizers, sedatives, or antidepressants (some over-the-counter medicines can affect balance and how steady you are on your feet)
● Vision problems
● Foot pain
● Poor footwear
● Home hazards or dangers
● Vitamin D deficiency
● Calcium deficiency
● A history of previous falls

The 9 Most Common (and Avoidable) Senior Home Accidents

The following nine injury types are most common for seniors living at home:

1. Falls
2. Burns
3. Choking
4. Medication overdose or improper medication
5. Bedsores
6. Infections
7. Lacerations
8. Sprains
9. Joint dislocation

Make Your Senior’s Home Environment Safer in 5 Minutes

You can make a home safer for older adults in as little as five minutes. Here are some ways you can make your elderly loved one’s home safer and help them navigate their homes with confidence:

Kitchen:

● Install induction stoves (rather than gas or electric)
● Purchase a one-cup boiler
● Install a stove with an automatic shut off
● Purchase a cooktop fire-suppressor and quickly install it using magnets
● Purchase a jar opener and safety can opener
● Place the things they use most often on the lower shelves (about waist high)
● Label containers and storage areas clearly

Sitting Room/Lounge:

● Remove tripping hazards such as rugs, clutter, or electric cables
● Check if the senior and their walker/wheelchair can easily navigate the room (if not, rearrange the furniture to allow easy navigation)
● Purchase a chair raiser
● Replace carpet with cushioned non-slip flooring

Bedroom:

● Use risers to increase the height of the bed
● Ensure drawer handles offer easy access
● Place an easy-to-reach lamp close to the bed
● Light the path from their bed to the bathroom (ideally with two-way switches that glow in the dark)

“We placed lightbulbs along the path from my dad’s bed to the bathroom. He says it’s the best gift we’ve ever given him!”

Bathroom:

● Add grab bars inside and outside your tub or shower and next to the toilet (if there are grab bars already, make sure they are tight and in good condition)
● Install a higher toilet seat
● Put down non-slip mats with anti-skid backing (or replace the bathroom tiles with a non-slip surface)
● Install walk-in showers and baths

Stairs:

● Remove items lying on the stairs
● Ensure there are no upturned carpet edges
● Put railings on both sides of stairs (or tighten existing railings)
● Repair or remove damaged or worn carpet
● Repair uneven steps or broken steps
● Look at stairlift options

Floors:

● Get rid of things they could trip over (upturned carpet edges, clutter, electric cables, etc)
● Avoid repetitive carpet patterns (they may produce optical illusions)

In General:

● Make thresholds between rooms easy to walk over by installing anti-slip ramps
● Light their home with more or brighter light bulbs (ideally with lighting that simulates daylight because it’s most effective and can improve moods)
● Install smoke and carbon monoxide detectors throughout the home

“I’m amazed at the difference a few small changes could make! We put my grandmother’s microwave on the counter, and bought her a walker with a tray so she can bring her food to the table. It’s much safer and it gives her more independence.”

Simple Changes A Senior Can Make to Avoid Accidents

In order to prevent injuries, your elderly loved one should:

● Wear well-fitting footwear
● Get out of bed and chairs slowly so as not to become dizzy
● Ask their doctor or pharmacist to review their medicines to see if any might make them dizzy or sleepy
● Ask their doctor about taking vitamin D supplements
● Exercise to make their lower body stronger and improve balance
● Avoid leaving items lying around on the floor or stairs
● Have a ‘grabber’ that helps pick things up off the floor without having to bend down
● Clean up spills immediately to prevent slipping on them
● Keep two walking sticks, one at the top of the stairs and another at the bottom
● Use the microwave to cook or heat food more rather than the oven or stove (if the microwave is easily accessible)
● Learn what to do if they have a fall or other accident
● Do not dry clothes on heaters
● Clean lint from the clothes dryer once a month (or ask a friend or family member to do it for them)
● Turn the cold water on first when filling the bathtub
● Use the rear burners when cooking on the stove top, and turn the panhandles away from the front of the cooker

“Last year my dad fell while trying to pick up a sweater from the floor. We bought him a new ‘grabber’ and he uses it all the time now! He can pick things up easily without fear of falling.”

“My great aunt insisted on frying her own food. It used to be okay, but her arthritis was getting worse and making it harder for her to do things with her hands. When she got a small burn we spoke to her gently about the risks. Now she uses an air-fryer and loves the health benefits, too!”

Make Your Senior’s Home Safer Today

You can implement the above tips today to make your senior loved one’s home as safe as possible.

If you’re looking for a caregiver or professional to help your elderly loved one navigate their home as safely as possible, contact Community Home Health Care at 845-425-6555 or contact us through our site.

How to Make the Most of Your Doctor Appointments

Many people find doctor visits to be a stressful experience. Their blood pressure may skyrocket and they may have a tendency to forget all of the questions that they had before their appointment. This often leads to frustration and the sense that an expensive appointment was a waste of time and money. No one wants this to happen to them. 

This leaves the question: What steps can you take to ensure that you make the most of your doctor appointment? 

Therefore, we’ve come up with numerous recommendations and which you’ll find laid out below. 

#1 Have Moral Support with You

Often people go to doctor’s appointments alone, for a variety of reasons. For example, it may be difficult to coordinate appointment times with other family members and friends. Also, some people may be uncomfortable discussing very personal issues in front of other people. But, despite these reservations, it can be very helpful to have someone you trust with you. A trusted friend, a family member, and even a caregiver can help reassure you and ensure that you are as calm as possible during the appointment. Also, this person can take notes for you and prompt you to ask some of the important questions that you may have. 

#2 Be Prepared

You are the expert on your own body and how you feel at any point in time, therefore, you know the issues that concern you. Before your appointment, write down any questions that you might have and it may also be helpful to do research your symptoms. This does not mean that you are self-diagnosing. Instead, you are equipping yourself with information to ask informed questions and have a better understanding of what your doctor is talking about. 

Part of being prepared also means writing down all of your symptoms, so that you don’t forget any critical pieces of information during the appointment. For example, if you are visiting a GI specialist, it may be helpful to record in a notebook or tablet when you have experienced vomiting or diarrhea. You should also indicate if these episodes were linked to the food that you ate. 

#3 Be Honest and Transparent

The best way for your doctor to be able to help you is if he or she knows all of the details about your health and lifestyle. Part of being transparent is sharing all of your symptoms, even if you find some of these symptoms embarrassing or personal. Some people struggle to discuss different bodily functions. Remind yourself that your doctor is a well-trained professional and that your doctor is not judging you. He or she wants to help you to the best of his or her ability. Honesty also extends to providing truthful information about various lifestyle choices, particularly when they ask questions about your smoking or drinking history.  

#4 Full Information Also Involves Your Medication

Again, transparency and honesty are important so that your provider can give you the best possible care. Most doctors keep your medication list as part of your electronic medical record. But, if you are seeing a new doctor or if there have been changes in your medication list, make sure to bring an updated list with you to your appointment. This is important for various reasons. First, in some cases, the medication itself can cause troubling symptoms. If the doctor knows your medication list, he or she may be able to determine if your symptoms are linked to medication. Also, some drugs can badly interact with other drugs, causing a cavalcade of problems. 

To safely prescribe medication, a doctor needs to know what other medications you regularly take. In addition, it is important that you share more than just your prescription medication list. You also need to tell them about any over-the-counter medications and supplements that you may be taking.

#5 Leave With Information

It is important that you leave your appointment with information, preferably printed out information. This endnote or recap should provide you with an overview of the issues that you and your provider discussed. When possible, it should specifically outline the next steps in the treatment of your condition, such as suggested diagnostic labs or a follow-up appointment with a specialist. The summary should also offer information about any new medications that have been prescribed or changes in your existing medication list. This information can be very helpful when you get home. 

#6 And Finally, Be On Time 

Try to get to your appointment approximately 15 minutes before it is scheduled to start. This is important for several reasons. First, if you are rushing to get there, this will increase your stress level. A stressed patient is less likely to remember all of their questions and concerns. Second, doctors’ schedules for the day are often jam-packed with patients. Getting there on time shows that you respect your provider and his or her time. Also, if you are late, then the amount of time that you have for your appointment may be cut short, which may mean that you do not have time to raise all of your concerns. 

In Conclusion

Doctors’ appointments are undoubtedly stressful and this stress may be even higher if you are dealing with a serious health condition. Unfortunately, stress can get in the way of you getting the most out of your appointment and we know that’s not what you want. Therefore, by taking the steps that were highlighted above, you can maximize your appointments. And, ideally, this will help you be as healthy as you can possibly be. 

In addition, Community Home Health Care is here to help. We have Personal Care Aides and Home Care Aides that can drive you to and from your appointment. They can also accompany you throughout the appointment to write down information and ensure you ask your doctor questions about any concerns you have. If it’s an Aide that you’ve worked with for a while, they may even be able to chime in about changes they’ve noticed. If you’re looking for more information about home care, visit our website or call us at (845) 425-6555. 

 

 

10 Lifestyle Factors That Improve Brain Health

Nowadays, Americans are living longer than they were just a few generations ago. Thanks to advances in medicine and technology, people are staying healthy, active, and vibrant members of their community for much longer. However, aging also comes with certain pitfalls and hurdles. One of these challenges is a process that is described as cognitive decline or cognitive impairment. 

According to the CDC, the most significant risk factor for the 16 million Americans with cognitive impairment is age. The CDC states that more than 5 million Americans over the age of 65 are affected by Alzheimer’s Disease, and these numbers are expected to skyrocket in the coming decades. Fortunately, there are numerous steps that people can take to minimize their risk of developing cognitive impairment and remain healthy and vibrant for longer.  

Below is a description of 10 lifestyle steps that’ll help you and your loved ones improve your brain health.

#1 Get Good Sleep

A significant number of studies have shown that poor sleep is associated with cognitive challenges. It is important to get enough sleep. In fact, many adults require 8 hours or more of sleep to be fully recharged. But, it is not only the length of sleep that is important. The quality of sleep is also essential. If you believe that you are struggling with your sleep, it may be beneficial to discuss this with your primary care physician and arrange for a sleep study. 

#2 Walk It Out

Staying active and fit is an integral part of boosting your cognitive powers and stopping or slowing down cognitive impairment. Exercise can boost your self-esteem and sense of well-being, which in turn can boost brain performance. But walking does more than that. Walking helps send additional blood to the brain, and this fuels brain health. 

Before you start any new exercise program, make sure to discuss any health concerns that you may have with your physician. Also, remember to take it easy in the beginning and slowly work up to more vigorous exercise. 

#3 Eat Foods with Monounsaturated Fatty Acids

Many of us have a diet that is not healthy. These days, there are many processed foods, and refined sugar is included in practically everything. We know that these diets are bad for our waistline, but they can also be harmful to our brains. It is essential to replace these unhealthy choices with better options, such as foods that contain monounsaturated fatty acids. These fatty acids have been shown to accelerate brain functioning and are found in various delicious food choices, such as olive oil, almonds, and avocados. 

The next time you head to the grocery store, consider making some of these healthy substitutions. 

#4 Yoga 

Embracing yoga is another excellent choice to help you build better long-term brain health. Many of us are stressed from our day-to-day life, and this stress may play into cognitive decline. The next time you are feeling stressed, set aside 20 to 30 minutes for a yoga session. Or, if you are not up for yoga, you can work on embracing a meditation practice. Many people who meditate regularly report that it has a significant impact on their ability to concentrate on challenging tasks. 

#5 Journal 

Sometimes in the modern world, the idea of journaling can seem old-fashioned. But it is not. It can be incredibly useful (and cathartic) to write down all of your concerns and then potentially brainstorm solutions. This process of jotting down your concerns may dramatically reduce your stress level, and, in turn, this can boost brain functioning. 

#6 Vitamin C 

We all know that Vitamin C can help us fight off nagging winter colds. However, that’s not all that Vitamin C does for us. Foods rich in Vitamin C, such as oranges, grapefruits, and peppers, help the body fight oxidative stress. Oxidative stress can lead to a decline in cognitive functioning. Even though fruits and vegetables are the best sources of Vitamin C, you can also supplement your Vitamin C levels with vitamin supplements. 

#7 Hydration 

For decades, we have heard the reminder that drinking 8 cups of water per day is important to our overall health, including cognitive functioning. However, most of us do not drink eight glasses a day, and many of us are chronically dehydrated. By boosting our water consumption, we can help flush various toxins out of our bodies. This lifestyle change will boost both our physical health and brain health. 

#8 Replace Coffee with Tea

Raise your hand if you’re a coffee lover! It’s no surprise that many of us are addicted to our morning cup of coffee. Some of us could not imagine starting the day without a jolt of caffeine in our system. However, many doctors believe that this is not the healthiest start to the day. Instead, they think that switching out coffee for tea can lead to much better cognitive functioning. As an added benefit, the variety of teas available on the market has expanded dramatically in recent years. This means that you will have numerous delicious options available to suit your taste buds. 

#9 Turn off the TV 

We are all eager to unwind at the end of a stressful day. Often, the first choice for a relaxing evening is to turn on the television. But, usually, television programs do not challenge your brain or make you think. Instead of choosing this mindless activity, it can be beneficial to pick up a book instead. If you are not a big reader, another option is to do a crossword puzzle. Your brain is strengthened when it thinks and does things. 

#10 Talk to Other People 

A challenging part of the aging process is loneliness. As people age, their family may move away from them, and with time, their friends and spouse may die. This often leads to a sense of loneliness and isolation. Unfortunately, being isolated can exacerbate cognitive decline. Therefore, it is crucial to seek out activities and engagement with other people. Look for clubs in your community that are focused on activities that you enjoy. Volunteering is another wonderful way to boost social interactions while also helping your community. 

Conclusion 

Aging is challenging, and one of the most significant challenges of aging is the cognitive decline that many older Americans face. Fortunately, cognitive decline is not inevitable. The lifestyle choices that you make may increase or decrease your likelihood of experiencing these upsetting symptoms. So, think carefully about your diet and exercise choices and make time to have mindfulness activities as a part of your day. These simple steps can improve and boost your brain health. In addition, if you need a helping hand to assist you in implementing these lifestyle suggestions, call Community Home Health Care to get matched with a compassionate caregiver today. 

Mental Health for Seniors: How to Identify Problems and Get Proper Care

Have you noticed that an older adult in your life is sleeping more than usual, seems angry and irritable, or is having suicidal thoughts? Did you know that these could be signs of a mental health problem?

According to the National Council on Aging (NCOA), one in four older adults—about 7 million—are living with a mental disorder such as depression or anxiety. By 2030, NCOA expects the number to double to 15 million.

The sad fact is that two-thirds of older adults with mental disorders do not receive treatment for their conditions. Untreated mental disorders can lead to poor overall health, higher health care costs, disability or impairment, compromised quality of life, increased caregiver stress, a higher risk of suicide, and death.

For these reasons, it’s important to recognize the warning signs and risk factors associated with depression and anxiety—and know how to get treatment for your aging loved one.

Depression in Seniors

The most prevalent mental disorder among seniors is depression, according to a brief released by the Healthy Aging Program at the Centers for Disease Control and Prevention (CDC) and the National Association of Chronic Disease Directors (NACDD). Depression in seniors can lead to health conditions such as diabetes, heart disease, and stroke, and the condition can make it difficult for the sufferer to seek treatment.

Warning Signs and Risk Factors of Depression in Seniors

As a caregiver, it’s important to know the signs and risk factors of depression to ensure that the senior in your life receives treatment as quickly as possible. As with most mental health disorders, depression has numerous symptoms. Some seniors may only experience a few symptoms, while others may show signs of several.

The National Institute of Mental Health (NIMH) lists the most common warning signs of depression in seniors as:

  • Persistent Sad, Anxious, or “Empty” Mood
  • Feelings of Hopelessness or Pessimism
  • Irritability
  • Feelings of Guilt, Worthlessness, or Helplessness
  • Loss of Interest or Pleasure in Hobbies and Activities
  • Decreased Energy or Fatigue
  • Moving or Talking More Slowly
  • Feeling Restless or Having Trouble Sitting Still
  • Difficulty Concentrating, Remembering, or Making Decisions
  • Difficulty Sleeping, Waking Early in the Morning, or Oversleeping
  • Changes in Appetite
  • Changes in Weight
  • Thoughts of Death or Suicide
  • Suicide Attempts
  • Aches or Pains, Headaches, Cramps, or Digestive problems—Without a Distinct Physical Cause

Do you think an older adult in your life for is suffering from depression? If they have experienced any of these symptoms for a majority of the days over a two-week period, their health care provider should screen them for depression.

In addition to the warning signs, there are a few risk factors associated with depression in seniors. These include:

  • A Personal or Family History of Depression
  • Major Life Changes, Stress, or Trauma
  • Certain Physical Illnesses and Medications

Anxiety in Seniors

Anxiety is another prevalent mental health condition for seniors, and it often is associated with depression. In fact, nearly half of older adults who are diagnosed with depression also experience anxiety, according to the CDC and NACDD brief.

Warning Signs and Risk Factors of Anxiety in Seniors

Generalized anxiety disorder (GAD) is the most common type of anxiety. Seniors with GAD are typically over-anxious and worrisome for a majority of days for at least six months. From personal health and everyday routines to work and socialization, GAD can affect nearly every aspect of a senior’s life.

Like depression, there are numerous warning signs when it comes to anxiety. According to the NIMH, caregivers should be aware of the following signs and symptoms of GAD in seniors:

  • Feeling Restless, Overly Excited, or On-Edge
  • Being Easily Fatigued
  • Having Difficulty Concentrating
  • Mind Going Blank
  • Irritability
  • Experiencing Muscle Tension
  • Difficulty Controlling Feelings of Worry
  • Having Sleep Problems (Difficulty Falling or Staying Asleep, Restlessness, or Unsatisfying Sleep)

Besides these signs and symptoms, chronic health problems such as thyroid conditions or heart arrhythmias can lead to or increase anxiety symptoms. Drinking caffeinated beverages, substance abuse, and certain medications can also cause anxiety.

According to the NIMH, research has shown that genetics and environmental factors can increase the risk of developing anxiety. A few of the common risk factors associated with anxiety disorders are:

  • Shyness During Childhood
  • Exposure to Stressful or Negative Life or Environmental Events
  • A Family History of Anxiety or Other Mental Illnesses

Treating Depression and Anxiety in Seniors

The typical treatments for both depression and anxiety in seniors include medication and psychotherapy—or a combination of both. Caregivers need to be aware of the signs and symptoms of each condition since treatments are generally more effective when they begin during the early stage of either condition.

Whether you’re a caregiver in a long-term care facility, assisted living facility, or a home health care provider, several activities can help promote the mental health and wellbeing of seniors. The Substance Abuse and Mental Health Services Administration recommends enhancing your caregiving routine with the following types of activities:

  • Healthy Activities: Walking, exercise classes, interactive games, gardening, relaxation classes, yoga, Quigong, or Tai Chi.
  • Intellectual Activities: Reading books, discussing current events, crossword puzzles, card games, chess, or strategy games.
  • Artistic Activities: Arts and crafts, creative writing, music, drama, and dance.
  • Skill-Building Activities: Classes to learn about computers, cooking, sewing, carpentry, gardening, finances, or grandparenting.
  • Spiritual Activities: Attending religious services or prayer groups, celebrating religious holidays, or meditation classes.
  • Volunteer and Mentoring Activities: Intergenerational activities with children, teens, and young adults.
  • Coping Activities: Classes on loss and bereavement, caring for a spouse, problem-solving, or socialization.

If you’re an older adult living with depression, anxiety, or another mental health disorder, there are a number of things you can do to while you’re being treated for your condition to help improve your quality of life:

  • Be Active and Exercise Regularly
  • Set Realistic Goals
  • Spend Time with Friends or Family
  • Don’t Isolate Yourself—Reach Out for Help
  • Know That Your Mood Will Improve Over Time—Not Right Away
  • Postpone Major Life Changes (Getting Married or Divorced, Changings Jobs, Etc.)
  • Discuss Major Decisions with a Trusted Relative, Friend, or Your Caregiver
  • Educate Yourself About Your Condition

Do you have a loved one that is living with a mental health disorder? Community Home Health Care has a dedicated staff of experienced and trained in-home caregivers, including personal care aides, registered nurses, and home health aides. To learn more about our services, visit our website and fill out our simple online form. You can also visit us in person or call (845) 425-6555 to speak with a caring representative today. Whether you need medical assistance, personal care, or friendship, we’re here to help!

 

Winter Safety Tips for Seniors & Caregivers

Brrr! When temps drop and the roads get icy, it can be tempting to snuggle under the covers for the whole winter. But although the cold season may not be pleasant for anyone (sled rides excluded), winter weather can be particularly dangerous for the elderly—and caregivers and seniors alike need to be prepared and winter-smart to avoid the risks of cold, ice, and electrical issues.
Luckily, with just a little bit of planning and caution, you can make sure that the seniors in your life are prepared to handle anything the winter throws at them—and your elderly loved ones can know the right steps to take to stay safe and healthy all season.

6 Quick Tips for Keeping Seniors Winter-Safe

Prevent falls and slips.
Yikes, those icy patches can be tricky for everyone. But for seniors, any slip or stumble can lead to serious injury, from hip and wrist fractures to head trauma, lacerations, or even bad bruising that limits mobility.

Luckily, you don’t need to stay inside to prevent a slip (but if the weather is very bad, an evening at home can be a good idea!). To handle ice and sleet safely, make sure your loved one has winter shoes with good traction and non-slip soles and, if they use a cane, replace the cane tip for best use.
Once you’ve come inside, make sure both you and your loved ones leave any wet or icy shoes at the door to prevent slippery surfaces on hardwood or linoleum floors.

Prepare for outages and storms.
Snowstorm blackouts may be exciting for the kids, but lack of electricity or downed power lines can lead to harmful situations for seniors.
Prepare for limited travel ability or black-outs by creating a disaster kit of needed supplies and food to keep on hand. Your kit should include non-perishable food and water for several days, as well as a manual or battery-operated can opener, and battery-powered flashlight, radio, and extra batteries.
And don’t forget the medicine! Make sure you have extras of your loved ones’ necessary medications and first aid essentials.

Watch your heating appliances.
Space heaters, electric blankets, and other heat sources may be cozy and warm in cold climates, but they must be handled safely.
Before using any device, check that there are no signs of damage, age, or fraying to the material or power cords. When in use, make sure that avoid covering the device and keep any heat source away from flammable materials.
If you’re snuggling by a fireplace or warming up with gas heaters, prevent dangerous carbon monoxide poisoning by keeping an updated, working carbon monoxide detector nearby.

Stay covered and warm.
Cold temperatures can be a risk of easily preventable frostbite and hypothermia—-especially for those over age 65. And since we can’t stay indoors all winter long, make facing the cold a little easier by taking note of a few important cold weather steps:
Don’t skimp on the heating bills — keep your senior’s indoor space at a comfortable temperature,
Don’t forget to check on heating appliances, boilers, and utility bill payments to avoid being left in the cold!
Don’t skip bundling up with layers: socks, heavy coats, gloves, scarf, and a hat can keep everyone cozy and warm all winter long.
Don’t forget to stay warm indoors too—remind your loved ones to dress warmly if the house has drafts, chilly bathrooms, or cold floors.

Fight the winter blues.
Feeling gloomy under the grey skies? That’s pretty common!
Cold winters, with the lack of sun and limited social outings, can lead to feelings of loneliness, isolation, and depression for everyone.

To help your elderly loved one or patient beat the winter blues, make sure to maintain a regular schedule of visitors or phone calls—or consider setting up a home companion or adult daycare schedule. A daily check-in not only keeps loneliness at bay, but also ensures there’s always someone to notice any health or environment changes that may be worrisome.

Keep a healthy diet.
In the colder months, dehydration and poor nutrition are common causes of poor health for seniors.
Limited time outdoors, lack of exercise and poor diet can lead to vitamin deficiencies, especially Vitamin D. And since it’s chilly outside, it’s easy to forget a daily water intake—which can lead to dehydration. Focus on maintaining sufficient fluid intake and a fortified, balanced diet to keep healthy and fight off the sniffles, all year long.

Staying safe and healthy all winter can be a challenge. But the right home care can help. Learn more about finding compassionate caregivers focused on dignity and quality of life by reaching out to Community Home Health Care at 845.425.6555. We’re always happy to answer any questions and connect you with the right care for your family.

Feeling at Peace: How to Lose the “Caregiver Guilt”

If you’re feeling negative emotions when caring for an elderly loved one, you are not alone. For many, the demands of caregiving are only deepened by a sense of guilt—and often the worry that we aren’t doing enough, providing enough, or taking care of everything that requires our attention. 

There are many forms of caregiver guilt, depending on the caregiver’s life circumstances. For many, the guilt is a result of our sense of responsibility for things we feel we could’ve changed for the better—even if the events or choices were outside our control.  And when the complicated challenges of caring for an elderly loved one may not go as planned, our guilt makes us shoulder the disappointment and self-blame in how things turned out. 

If you’re feeling caregiver guilt, the following statements may sound familiar: 

  • We feel guilty we don’t spend enough time without loved ones, or that we spend too much time with them at the expense of others.
  • We feel guilty for moving our loved ones into a senior facility or assisted living, or that we’re hurting them and others by keeping them in their own home or moving them into our family’s home. 
  • We feel guilty for own feelings: for resenting the burden of caregiving, for frustration at our parent’s limits, and for being selfish if we do prioritize our own needs.  

Caregiver guilt is almost unavoidable. Our care and desire to make the best choices for our loved ones means that we can hold ourselves to high standards of behavior—and blame ourselves when the stress of caregiving shows on our careers, family life, or mental health. 

But there are steps you can take to mitigate your unwarranted feelings of guilt. Relying on others, taking time for self-care, and focusing on the positive helps you balance your emotions. And a happier, healthier caregiver can provide better care. 

Tip 1: Accept Help

The first step to alleviating guilt is to rid yourself of the expectation that you need to handle everything on your own. Reach out to other family members, or even consider hiring a caretaker to provide care and companionship when you can’t. If those options aren’t available, think about which errands in your personal life can be delegated or hired out. While paying for supermarket delivery or extra cleaning help may seem selfish, the benefits of your ease of mind will go a long way. 

Tip 2: Remove the “Should”

As a caregiver, your to-do list is full of “shoulds” for every minute of the day, but it may be time to renovate that list. Make a chart of “shoulds” and “needs,” and categorize all your tasks honestly. You may find that some of your most difficult or time-consuming tasks are “shoulds”, such as taking Mom for her doctor appointments, that can be delegated or given up to make way for the most important needs without compromising on your caregiving. 

Tip 3: Focus on the Positive 

Guilt has a way of keeping you focused on the things you haven’t done right, but you can keep negative feelings at bay with mindfulness and self-reflection. Keep in mind, your goal is to keep your loved ones safe and provided for—and no one can truly “do it all”. Take the time to reflect on your accomplishments, to give yourself positive reinforcement, and to reassure yourself that the caregiving role is a challenging one for anyone—and your efforts go a long way to keeping your loved one happy and healthy. 

Tip 4: Do For Yourself, Too.

There’s no quicker way to drain your emotional health than denying yourself the habits that keep you happy, healthy, and upbeat. When your schedule is full, it’s tempting to sideline your gym hours, social life, or even just some “me time”. But going for too long without any space for yourself will only leave you angrier, stressed, and unable to stretch yourself further. Put your self-care on your to-do list to keep it a priority, and focus on getting in your personal time—even if that means removing other tasks from the list (takeout is fine for dinner, sometimes!) 

Tip 5: Find Support 

Believe it or not, there are plenty of people in the same boat as you—or ready to offer an understanding ear. Search online for support groups in your area, or ask friends and family if they know a fellow caregiver. Speaking to others lets you share stories, tips, or even just enjoy the company of someone facing the same challenges with positivity and a healthy mindset.

Caregiving can be overwhelming. But when it comes to making the right decisions for your loved one, finding trusted home care shouldn’t be. Learn more about finding compassionate caregivers focused on dignity and quality of life by reaching out to Community Home Health Care at 845.425.6555. We’re always happy to answer any questions and connect you with the right care for your family.