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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.   

How to know when it’s time to reconsider driving for your elderly parent or patient.  Telling an elderly loved one that it may be time to stop driving can be a difficult conversation. For many seniors, driving may feel like a key aspect of independent living. Asking family or friends for rides can be embarrassing or frustrating—and relying on expensive taxis or car services can add up. But if your loved one is facing physical limitations, driving can be a serious risk to their safety. While aging alone doesn’t change driving ability (there are many happy 90-year olds with licenses while their younger peers have long given them up!), elderly drivers are more likely to have health concerns or other limitations that pose a challenge behind the wheel.  Below are important tips to help you know when it’s time to ask your elderly loved one to hand over the keys—-and how to be sure you’re both making the safest choice.  If your loved one...is confused, nervous, distracted, or forgetful.  Whether your loved one has been diagnosed with Dementia, Alzheimer’s, or is simply experiencing general memory loss, cognitive health is the most important factor for safe driving. If he/she is not able to recall places or names, make choices quickly, or focus properly behind the wheel, they’re likely to be unable to navigate their vehicle or drive safely for any distance or time.  If your loved one...has recent vision changes or an eye disease. Moderate to severe vision loss or eye diseases (such as cataracts, macular degeneration, glaucoma, and diabetic retinopathy) can make it harder for a driver to see road signs, merging cars, or pedestrians clearly enough to respond quickly.  If your loved one…has a hearing loss. Safe driving relies just as much on our sense of hearing as on our sight. Sirens, honking horns, or mechanical issues need to be heard right away to avoid potential crashes or unexpected break-downs.  If your loved one…moves slower or feels weaker.  As any driver can tell you, quick reflexes can often be the difference between a crash and a quick swerve away from danger. As a driver ages, they may find their response times slowing down or their muscles weakening, both of which can undermine their control over the steering wheel, brakes, and vehicle.  Medications and Driving...one more thing to consider. Regardless of age or health, mixing strong medications and driving is a cause for concern—-and seniors may be more susceptible to negative side effects than their younger counterparts. Even if your loved one is in the best of health, check carefully with his/her health provider to make sure none of the prescribed medications’ side effects may impact their ability to drive safely. Note also that some over-the-counter medications, such as antihistamines or cold medicines, may cause drowsiness or dizziness and should be double-checked with a health provider, too.  Making safe, smart choices with your aging parents can be a challenge. But choosing the best 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. 

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We’ve all walked into a room and paused, forgetting why we got up from the couch. Or let an appointment, phone call, or errand slip from our mind. But when an elderly loved one starts forgetting names, places, or regular activities, harmless memory slip-ups can become a reason for concern.  Fortunately, moderate memory loss is a typical sign of aging—-and not necessarily a reason to worry about Alzheimer’s or dementia. And while memory loss is to be expected, studies show there’s plenty of steps you or your loved ones can take to improve memory, boost cognitive skills, and possibly even slow the effects of dementia.  These steps, which include mental exercises and brain games, help our minds improved neuroplasticity. Neuroplasticity is how well our mind can adapt, change, and react to new situations or information. The more we work on mental gymnastics, the healthier we can keep neuroplasticity —and the more we can continue to remember, learn, and recall.  These mental exercises fall into one of two categories: skill developing and skill retaining. Studies point to learning new things as a key way to keep our mind sharp and developing at any age. At the same time, your elderly loved ones may be struggling to recall skills or abilities they once had, and retaining those skills is crucial for a quality of life.  Here are a few mind (and body) steps you can take for yourself or with an elderly loved one to prevent memory loss and increase mental activity.

•  Pick up an instrument, or a paintbrush.  

Learning a new skill, especially a more complex one, is a sure way to give your brain a workout. Encourage your elderly loved one to join a class or take a few lessons on a topic that interests them. In addition to building brain power, learning new skills can keep your loved one feeling motivated and occupied. Motivation and a positive attitude also go a long way to keeping our minds healthy, so consider a local pottery class a 2-for-1! 

• Test recall, or leave the list at home.  

“Recall” is an important mental factor that, with our phones and shopping lists at hand, we don’t exercise often enough. Try testing recall in small, stress-free ways to encourage focus and sharpen mental skills. Leave your shopping list in your pocket as you wander the aisles, or ask your loved one to describe a childhood home or pet to engage memory and visualization skills. 

• Use your senses, or smell the roses. 

Our senses tie closely to our minds’ ability to learn and remember, so utilizing our sense can keep us engaged and ready to learn. Fortunately, there are plenty of ways to experience the senses around the home. Encourage your loved ones to help you in the garden or try something new in the kitchen to enjoy new smells, touches, and tastes together. 

• Get moving, or even dancing. 

Even while you exercise your brain, don’t neglect the benefits of giving your body a light work-out. Not only does moving reduce stress and improve your mood (both of which are great for mental health), it also increases oxygen to your brain for healthier neuroplasticity and reduced risk of diabetes and cardiovascular disease. Non-strenuous workouts, neighborhood walks, or even putting on your loved one’s favorite dancing music are great ways to boost mental and physical health.  Facing memory loss can be difficult for an aging loved one, but there are key steps you can take to improve their mental health and increase their quality of life.  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. 

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When a loved one or patient is suffering from dementia, maintaining communication can be one of the toughest challenges for a caregiver or family member. The patient’s limited understanding,  environmental confusion, and verbal skills can lead to non-response—or increasing frustration for both carer and patient.  How can you have successful conversations with a loved one or patient suffering from dementia? Take the right steps to keep the conversation comfortable, easy to follow, and     First things first: prepare yourself to make the best of the conversation. Prepare yourself for the conversation by getting into a patient, calm, and respectful mindset. Remember, while your patient may have limited cognitive functioning now—they are still the person you, or their family, has loved and admired. Conversation can be easier or harder depending on patient’s circumstances, but your attitude can ensure that every interaction is as meaningful and pleasant as possible.    Second: make the environment as comfortable as possible. 

• Remove Distractions—choose a quiet, well-lit area to help your patient focus comfortably on the conversation. 
• Get their Full Attention—begin your conversation by saying their name, or even touching them lightly on the shoulder or arm. 
• Relax Your Body Language—non-verbal patients may rely heavily on body language, so make sure you give a relaxed, positive impression 
• Maintain Eye Contact—keep their focus on you by sitting next to or across from them and maintaining calm, steady eye contact. 

  Thirdly: keep the conversation clear and easy to understand.  Dementia patients may struggle with focus or comprehension, so make sure your conversations are as simple and clear as possible. That may mean you need to slow your normal speed or limit conversation topics, but it’ll be worthwhile when you can get meaningful responses.  Speak Calmly, Clearly, and Slowly—give time for the patient to process each sentence before moving to the next.  Use Names instead of Pronouns—refer to people mentioned by their names instead of “he” or “she” to help the patient keep track of the conversation. Stick to One Topic at a Time—avoid switching topics suddenly or bringing up new ones without clear introductions.  Rephrase, Don’t Repeat—if the patient doesn’t understand a question or statement, rephrase it as simply as possible rather than repeating it.    And of course, focus on non-verbal communication, too. A friendly smile and reassuring eye-contact, as well as appropriate physical touch, goes a long way to help your patient feel comfortable enough to respond. If the patient does forget or make a mistake, correct them gently or let their mistake slide to keep them feeling positive, included, and respected.   Helping your loved one navigate dementia can be a challenge. But with the right care, it can be an opportunity to treat your loved one with compassion and respect.  Learn more about finding the right caregivers 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.   

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As one continues to age, the last thing they want to worry about is sustainability. For the elderly, this worry can be a significant liability to their personal sense of capability. The majority of seniors want to stay in their home for as long as possible but this can be difficult when dealing with disease or illness. Home care, however, allows one to do this. It is different from institutional care, like assisted living or nursing homes, while still providing medical and, sometimes, non-medical care. For these types of elderly people, home health-care provides the satisfaction of quality service in patients’ home under the physician.

Home Healthcare vs. Hospital Stay

Johns Hopkins developed its hospital-at-home program as a means of treating elderly patients who either refused to go to the hospital or were at risk of hospital-acquired infections. The early trials of its model found the total cost of at-home care was 32% less than traditional hospital care, the length of stay for patients was shorter by one-third (3.2 days vs. 4.9 days), and the incidence of delirium - disturbance in mental abilities that result in confused thinking and reduced awareness - associated with prolonged hospital stay, was dramatically reduced (9% vs. 24%).   In a recent study in the Journal of General Internal Medicine, healthcare costs were 52% lower than when acutely ill patients received hospital care at home, rather than being placed in a hospital bed.  The cause of this is lower labor costs for at-home patients compared to patients in a hospital, where staff must be on hand 24/7. Home-care patients also had fewer lab visits from specialists. For instance, the average daily cost of a hospital stay is $6,200 while the average cost of home health care is just $135 per visit.   Care quality may have also been slightly better for at-home patients, compared to patients who stay at the hospital, because acutely ill patients treated at home experienced more physical activity since they were able to sit upright and freely move around.

The Difficulty of Payment

Unfortunately, in the U.S., the Centers for Medicare and Medicaid Services, and most private payers, do not pay for hospital care delivered at home and restrict payments for telemedicine - an essential aspect of the model that allows physicians and healthcare staff to communicate with the patient - and ultimately, restricting the possibility of implementation for a lot of patients.

Who Also Benefits From Home Health Care?

In a research study, led by Levine, a clinician-investigator at Brigham and Women’s Hospital, they conducted a small, randomized, but controlled trial that compared the health-care use, experience, and cost of Brigham patients who either received hospital-level care at home or in the hospital of 2016. The 20 patients analyzed in the trial had one of several conditions, including infection, heart failure, chronic obstructive pulmonary disease or asthma. Caregivers - those providing aid - reported far less stress because they didn’t have to travel to an unfamiliar hospital, find parking, and coordinate bedside time with the clinical stuff while worrying about their clients.

In Conclusion

Home health care is suitable for patients with chronic conditions, like diabetes, heart and circulatory diseases, musculoskeletal disorders that affect movement, or COPD and other breathing problems. Without assistance, these patients would usually have to seek long-term help from a nursing home or other residential setting but with home health care, they’re able to stay in the comfort of their home after hospitalization. Furthermore, home health-care increases participation in treatment because patients are able to receive therapy at home rather than travel to a remote location while dealing with their illness.   If you introduce the idea to a loved one, make sure that it’s covered by your insurance plan. Some health insurance carriers don’t offer an easy way to cover hospital care at home, as NPR has noted. Others may only cover certain services or specific providers - so determine what options are best for you. Remember, your financial circumstance is important but the biggest priority is your loved one’s safety and recovery. For more information on how to approach delicate subjects regarding the elderly, visit our website, at https://old.commhealthcare.com/home-care-blog/.  

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