Caregiving, Respite & Hospice Archives | CareAvailability https://careavailability.com/category/senior-care/ Find Senior Living Vacancies & Real-Time Caregiver Availability Mon, 28 Jul 2025 22:18:36 +0000 en-US hourly 1 https://careavailability.com/wp-content/uploads/2022/01/cropped-care-availability-favicon-32x32.png Caregiving, Respite & Hospice Archives | CareAvailability https://careavailability.com/category/senior-care/ 32 32 Staying Independent at Home https://careavailability.com/staying-independent-at-home/ Mon, 28 Jul 2025 22:18:34 +0000 https://careavailability.com/?p=363183 Best Practices for Seniors and Knowing When It’s Time to Transition Aging doesn’t have to mean giving up the comforts of home or independence. In...

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Best Practices for Seniors and Knowing When It’s Time to Transition

Aging doesn’t have to mean giving up the comforts of home or independence. In fact, many seniors are choosing to age in place, enjoying the freedom and familiarity of their own surroundings for as long as safely possible. With the right strategies and support, maintaining independence at home can be both realistic and fulfilling. However, it’s also important to recognize the signs when a transition to a senior living community may be the safer and more supportive option.

Best Practices for Staying Independent at Home

1. Prioritize Home Safety
Making small changes can have a big impact. Install grab bars in bathrooms, remove trip hazards like loose rugs, improve lighting, and consider adding a medical alert system for emergencies. A home safety evaluation from an occupational therapist or aging-in-place specialist can help identify personalized solutions.

2. Embrace Technology
From medication reminder apps and voice-activated assistants to video doorbells and telehealth appointments, today’s technology can empower seniors to manage daily tasks independently and stay connected with loved ones.

3. Stay Physically Active
Maintaining mobility and strength through regular exercise is crucial. Simple routines like daily walks, chair yoga, or tai chi can improve balance and flexibility, reducing fall risk and boosting confidence in daily activities.

staying independent at home

4. Maintain a Routine
Sticking to a consistent daily schedule provides structure and can reduce feelings of isolation or forgetfulness. Planning meals, regular chores, and social engagements helps seniors stay engaged and in control of their day.

5. Build a Support Network
Even independent seniors benefit from a trusted circle of support. Family members, neighbors, community volunteers, or hired caregivers can check in regularly, assist with errands, and help monitor changes in health or behavior.

6. Know Your Limits and Ask for Help
Independence doesn’t mean doing everything alone. Whether it’s hiring someone to help with housecleaning or having groceries delivered, outsourcing certain tasks can preserve energy for what matters most.

When It May Be Time to Consider a Senior Living Community

While aging at home is a goal for many, there may come a time when more structured support is necessary. Recognizing the signs early can help ensure a smooth transition and improved quality of life.

1. Increased Falls or Near Misses
Frequent trips, falls, or unsteadiness are red flags. If mobility challenges begin to limit daily activities, a senior living environment may offer safer, more supportive accommodations.

2. Difficulty Managing Medications
If you or your loved one is forgetting doses, mixing up medications, or struggling to keep prescriptions filled, it could indicate the need for supervised care.

staying independent at home

3. Poor Nutrition or Weight Loss
Cooking and eating well can become challenging with age. If there’s evidence of spoiled food, skipped meals, or weight loss, assisted living communities can ensure balanced, daily nutrition.

4. Personal Hygiene Decline
Neglected grooming, dirty laundry, or an unclean home may suggest that daily routines are becoming overwhelming, and support is needed.

5. Social Isolation
A decline in social engagement can lead to loneliness and depression. If getting out of the house feels too difficult or unsafe, a community setting can provide built-in companionship and activities.

6. Cognitive Decline
Forgetfulness, confusion, or wandering behavior could be signs of memory impairment. Memory care or assisted living communities offer tailored environments to support cognitive health.

Staying independent at home is achievable with careful planning and a proactive approach to health and safety. However, recognizing the signs that more support is needed is just as important. Choosing to move into a senior living community isn’t about giving up independence—it’s about gaining the right kind of help to thrive. Whether aging at home or considering a new living arrangement, the goal is always the same: to ensure safety, dignity, and a life filled with purpose and connection.

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Combating Senior Isolation and Loneliness https://careavailability.com/combating-senior-isolation-and-loneliness/ Tue, 08 Jul 2025 17:45:03 +0000 https://careavailability.com/?p=360826 How to Spot the Signs and Offer Support As we age, maintaining strong social connections becomes more important than ever. Yet, many older adults find...

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How to Spot the Signs and Offer Support

As we age, maintaining strong social connections becomes more important than ever. Yet, many older adults find themselves experiencing isolation and loneliness due to factors like retirement, the loss of loved ones, mobility challenges, or health issues. According to the National Institute on Aging, social isolation and loneliness are not just emotional concerns—they’re linked to serious health risks, including depression, cognitive decline, heart disease, and even premature death.

Recognizing the Signs of Isolation and Loneliness

It’s not always easy to tell when an older adult is struggling with isolation, especially if they try to put on a brave face. However, there are warning signs to watch for:

  • Withdrawal from activities or social events they once enjoyed
  • Changes in mood, such as increased irritability, sadness, or anxiety
  • Neglect of personal hygiene or home cleanliness
  • Unexplained weight loss or poor eating habits
  • Lack of interest in communicating—not returning calls or avoiding conversations
  • Cognitive changes, like forgetfulness or confusion, that seem to be worsening

These symptoms can sometimes be mistaken for normal aging or medical issues, so it’s important to view them through a broader lens.

Senior Isolation and Loneliness

How to Help: Meaningful Ways to Offer Support

Fortunately, there are many ways family members, friends, and communities can help reduce feelings of isolation among seniors:

1. Stay Connected

Make regular phone or video calls. Even short check-ins can make a world of difference. Encourage other friends and family members to reach out as well.

2. Encourage Social Opportunities

Support participation in community groups, senior centers, religious services, or hobby clubs. Many communities offer programs specifically for older adults to connect and stay engaged.

3. Promote Intergenerational Interaction

Fostering relationships between seniors and younger generations—whether through grandchildren, neighbors, or volunteer programs—can bring fresh energy and mutual joy.

4. Support Transportation Options

Many older adults lose social opportunities when they no longer drive. Help arrange rides to events, appointments, or social gatherings. Public transit, senior shuttles, or rideshare apps can also be helpful.

5. Check in on Neighbors

If you have older neighbors, a simple knock on the door to say hello or offer to help with errands can create connection and build community.

6. Use Technology Thoughtfully

Teach seniors how to use smartphones, tablets, or voice assistants for video chats, social media, and entertainment. Technology can’t replace face-to-face contact, but it can bridge the gap when needed.

7. Involve Healthcare Providers

If signs of depression or cognitive decline are present, encourage a visit to a healthcare professional. Loneliness can mask or worsen other health issues.

Helpful Resources

If you or someone you know is experiencing a mental health crisis or needs emotional support, help is available:

  • 988 Suicide & Crisis Lifeline: Dial 988 or visit 988lifeline.org for free, confidential support 24/7.
  • Crisis Text Line: Text HELLO to 741741 for support via text message, anytime.
  • National Institute on Aging: Resources on loneliness and social isolation.
  • Eldercare Locator: A public service from the U.S. Administration on Aging—call 1-800-677-1116 or visit eldercare.acl.gov to find local support services.
  • SAMHSA’s National Helpline: Call 1-800-662-HELP (4357) for treatment referrals and information about mental health and substance use.

Loneliness and isolation are silent challenges facing many older adults, but they don’t have to be part of aging. With awareness, compassion, and intentional support, we can all play a role in keeping the older members of our community connected, valued, and engaged.

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Supporting those with PTSD During Fourth of July Fireworks https://careavailability.com/supporting-those-with-ptsd-during-fourth-of-july-fireworks/ Tue, 01 Jul 2025 16:22:44 +0000 https://careavailability.com/?p=360305 Tips for a Safe and Calm Holiday The Fourth of July is often filled with festive parades, backyard barbecues, and dazzling fireworks displays. But for...

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Tips for a Safe and Calm Holiday

The Fourth of July is often filled with festive parades, backyard barbecues, and dazzling fireworks displays. But for some seniors—particularly veterans and those with a history of trauma—this holiday can be emotionally challenging.

Post-traumatic stress disorder (PTSD) is a mental health condition that can develop after someone experiences or witnesses a traumatic event. For older adults, PTSD may stem from military combat, physical or emotional abuse, accidents, or life-threatening situations. The symptoms can include flashbacks, anxiety, hypervigilance, and difficulty sleeping—especially when triggered by sights, sounds, or smells that resemble the original trauma.

Fireworks, with their sudden booms and bright flashes, can closely mimic the experience of combat or traumatic events, making the Fourth of July a high-risk time for emotional distress. Understanding how to recognize and respond to these reactions can help you support your loved one or resident with empathy and care.

If you’re caring for someone who lives with PTSD, here are some practical steps to help them feel safe and supported during the holiday:

1. Talk About the Holiday Ahead of Time

Start the conversation early. Let your loved one or resident know when fireworks are expected in the area, including community displays and neighbors who may light them at home. Giving them time to mentally prepare can reduce feelings of helplessness and surprise.

2. Create a Safe and Quiet Environment

If possible, designate a quiet space in the home that is insulated from outside noise. Close windows, draw blackout curtains, and consider using white noise machines or soft music to drown out external sounds. For some, using noise-canceling headphones can also help.

3. Avoid Overstimulation

Dim lights, reduce background distractions, and offer calming activities like reading, puzzles, or familiar TV shows. Avoid large gatherings or busy public events if they are likely to be overstimulating or anxiety-inducing.

PTSD during Fourth of July

4. Offer Grounding Techniques

Encourage grounding techniques to help manage distress in the moment:

  • Deep breathing exercises
  • Holding a comforting object
  • Naming five things they can see, four they can touch, etc.
  • Gentle movement or stretching

Caregivers can model and guide these exercises during heightened anxiety.

5. Be Mindful of Medications and Triggers

If the senior takes medications for anxiety or sleep, ensure they are taken as prescribed. Keep emergency contacts and calming tools accessible, and watch for signs of increased distress—like agitation, restlessness, or withdrawal.

6. Encourage Involvement in Alternative Celebrations

Help them celebrate the holiday in ways that feel meaningful but not overwhelming. Some ideas include:

  • Watching a patriotic movie
  • Looking through photo albums of past Independence Days
  • Enjoying a quiet BBQ with close family

These quieter traditions can foster connection without distress.

7. Know When to Seek Help

If PTSD symptoms become unmanageable or significantly interfere with their well-being, connect with a mental health professional or crisis line. Having support on hand—whether from a VA specialist, therapist, or care team—can make a difference.

Additional Resources

  • Veterans Crisis Line: Call 988, then press 1 or text 838255
  • National Center for PTSDptsd.va.gov
  • SAMHSA Disaster Distress Helpline: 1-800-985-5990

While fireworks may be unavoidable, with planning and compassion, caregivers can help seniors feel protected and included during the Fourth of July. Your calm presence and understanding can make this holiday more manageable—and meaningful—for those living with PTSD.

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Coming Home After a Hospitalization https://careavailability.com/coming-home-after-a-hospitalization/ Mon, 06 Jan 2025 23:30:38 +0000 https://careavailability.com/?p=354834 What to Expect When Coming Home After a Hospitalization Our team is often called to assist older adults transitioning home from the hospital or skilled...

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What to Expect When Coming Home After a Hospitalization

Our team is often called to assist older adults transitioning home from the hospital or skilled nursing care. Successfully caring for a senior transitioning home requires planning and coordination, depending on the level of care needed. For family caregivers, making a home care plan following a hospital discharge helps avoid rehospitalization. Taking a proactive approach and anticipating health changes may avoid a crisis and keep stress low for everyone. 

Facts about hospitalization

  • Older adults are much more likely to be admitted to the hospital than middle aged adults. 
  • Men are more likely to be hospitalized than women. 
  • Adults over 85 are admitted at the highest rate – 26% were admitted at least once last year. 
  • When an older adult is admitted to the hospital the research shows they may take weeks to months to return to their previous level of strength and independence. 
  • It is difficult to avoid the physical and mental decline older adults suffer after a hospitalization. 
  • Top diagnoses for hospitalizations – septicemia, heart failure, osteoarthritis, pneumonia, and diabetes mellitus. 
  • Septicemia and pneumonia are acute illnesses that can be cured. 
  • Heart failure, osteoarthritis and diabetes are chronic conditions requiring ongoing management to avoid rehospitalizations. 

Coming Home After a Hospitalization

As the old saying goes “an ounce of prevention is worth a pound of cure.” In this case, it is very true. It is preferable to prevent hospitalizations instead of allowing health to deteriorate to the point a hospitalization is necessary. We all agree hospitals provide life-saving treatments for those battling illness or injury. If someone is admitted to the hospital, they meet the criteria their insurance company requires to pay for the room, medications, and other costs associated with treatment of their diagnosis. This often means the person being admitted is very sick and is not stable or safe to return home to receive treatment at home or in a medical clinic. Their care requires 24 hour observation by nurses and monitoring machines. Life-saving treatment notwithstanding, it is the rare person that enjoys their hospital stay or wants to stay any longer than necessary. The 24 hour activity, noise and lights making sleep impossible makes the home seem like a relaxing oasis. 

What to expect upon discharge home from hospital or skilled nursing care

It can be an enormous relief to hear from the doctor “Your family member has recovered enough to go home.” The next feeling after relief is often panic when you need to figure out how to transition your family member back home. Talk with your hospital discharge planning team, they can connect you with resources in your area that can help support the transition to home. Here is some additional helpful information we share with our families: 

Do a Care Trial – Are you the primary caregiver? To do a Care Trial, spend a 24 hour period in the hospital providing the care for the hospitalized person. Try not to use the call-button unless necessary. The Care Trial is critical to understanding care needs and your care capabilities. If there is a care mismatch between the needs of the person and abilities of the caregiver, the gap can be mediated before discharging home and a crisis situation develops. I haven’t located any studies that discuss Care Trials. It is a strategy we used here at HelloCare to determine the readiness of the care team for discharge and reduce the risk of caregiver burnout, mismatch and readmissions. 

Routines might be different – The return home can be joyous, being in familiar surroundings can have a calming effect. Pets, home made foods and family are all appreciated with more joy and energy. Conversely, if a fall or accident precipitated the admission, there can be some anxiety around similar activities. Fear of showering is common after a fall. If your loved one is feeling extra vulnerable bathing, a shower chair may be helpful. Some shower chairs have a sliding bench that can make getting in and out of the shower more comfortable. 

Have as many tasks completed before the person arrives home – Can you pick up the medication or direct someone else to? There may be shortages in medication or supplies – better to know before leaving the hospital where a supply may be provided of missing items. Special food (like clear liquids or soft textures), hospital bed, or wheelchair can all be in the home before your loved one arrives home. Delivery times can be unpredictable. Try to minimize the variables that can cause stress by planning ahead. Try to have delivery of any needed equipment the day before discharge. This allows time to assemble items and get other last minute necessities. 

Prepare for confusion – Older adults with hospital stay longer than 2 days can suffer from a condition similar to jet-lag. The 24 nature of a hospital makes restful sleep difficult. Mixing up day and night, disorientation even in familiar surroundings are common. Research shows, people with cognitive impairment may have reduced brain functioning for weeks to months after returning home. Give your loved one time to readjust, and have a plan for other trusted caregivers to help to allow everyone to rest. 

Learn when to call the doctor to avoid readmission – while your loved-one is ready to discharge home, they may need close follow up care by their doctor. If you need to call for advice after hours or on weekends, have that number handy. 

Coming Home After a Hospitalization

Risk factors for readmission include:

  • Older adults admitted to the hospital with multiple chronic conditions
  • Admitted emergently rather than electively
  • Taking 5 or more medications
  • Non-compliant or unclear about their home treatment
  • No follow up appointment with PCP
  • Discharged on a Friday
  • Male 

Readmissions can be demoralizing, but sometimes necessary. If you are managing a new diagnosis for yourself or a loved one, get familiar with the early signs of trouble. For example a person with heart failure may notice swelling in the ankles and weight gain as an early sign of worsening heart function. A speedy recognition of symptoms and a call to the doctor can avoid a hospitalization.  

Ready for weakness – during a hospitalization people are often in bed most of the day and may be discouraged from getting out of bed and moving around unless hospital staff is at their side. A recent study of college students instructed to stay in bed for 3 days, showed decreased physical strength for 3 months. These were college students! Deconditioning and muscle weakness is so common after a hospitalization medical billers have a code for it. 

Know when to expect the home health team – do you have home health, hospice or home care upon return home? Have the contact information of the office or scheduler. Know when to expect the initial visit, and know who to call if they don’t show up as expected. The visiting nurses, therapists and caregivers are crucial in the first days at home. Know who to call with questions and have the phone number handy. 

Get the PCP involved – if your loved one is lucky enough to have a solid, longstanding relationship with their primary care provider (PCP), make an appointment to be seen soon after returning home. The PCP will help stabilize health and medications, refer to specialists and order tests to monitor recovery. This is an important piece of the puzzle to avoid rehospitalization. 

Knowing what to expect when caring for a family member after a hospitalization can help you manage the transition with minimal stress. Learn your resources and don’t be afraid to ask for help. 

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Creating An In-Home Care Plan That Is A Work of Heart https://careavailability.com/creating-an-in-home-care-plan-that-is-a-work-of-heart/ Fri, 06 Sep 2024 22:37:30 +0000 https://careavailability.com/?p=339881 Crafting a comprehensive and personalized in-home care plan is akin to creating a masterpiece. It requires a deep understanding of the individual, their unique needs,...

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Crafting a comprehensive and personalized in-home care plan is akin to creating a masterpiece. It requires a deep understanding of the individual, their unique needs, and their aspirations. A holistic care plan goes far beyond addressing medical and clinical needs. It is a work of heart, tailored to each Client’s specific preferences and lifestyle, creating a nurturing environment that fosters well-being and independence.

A Holistic Approach to Care

When developing an in-home care plan, it’s important to consider a range of factors that contribute to the overall well-being of our loved ones. These factors delve into their lifestyle, personal preferences, and emotional and mental health requirements. Here are some key areas to consider when creating a comprehensive care plan:

1. Meal and Taste Preferences

Understanding our loved ones’ dietary preferences and any restrictions they may have is crucial in ensuring they receive proper nutrition. This could include food temperature, taste, and texture preferences.

2. Environmental Allergies

Identifying and minimizing exposure to allergens in the home environment is essential for individuals with sensitivities. This includes ensuring proper ventilation, using allergen-proof bedding, and keeping the living space clean and dust-free.

3. Sensory Needs

Considering home temperature, sound levels, and lighting preferences can help create a comfortable living environment for our loved ones. Some may prefer a quieter setting, while others may enjoy listening to music, conversation, or sounds of nature.

4. Mental Health Needs

Incorporating activities that promote mental well-being, such as exposure to natural sunlight, listening to music, practicing meditation, or engaging in favorite hobbies, can greatly benefit our loved ones’ mental health.

5. Sleep Preferences

The care plan should consider factors such as bedtime routines, room temperature, amount of light/dark, and sleep environment.

6. Home Safety Concerns and Trip Hazards

Identifying and addressing potential safety hazards in the home, such as clutter, loose rugs, or poorly lit areas, is essential for preventing accidents and ensuring a safe living environment.

7. Companionship Needs

Acknowledging the importance of social interaction and companionship, incorporating activities like storytelling, looking through photo albums, playing games, crafting, or engaging in other shared activities can help combat loneliness and foster emotional well-being.

8. Emotional Needs

Recognizing and responding to our loved ones’ emotional needs, such as offering reassurance, appreciation, and affirmation, can significantly improve their overall emotional health and fulfillment.

9. Spiritual Needs

If our loved ones have spiritual or religious beliefs, incorporating practices that align with their faith can help provide comfort and support during challenging times.

Beyond the Basics: Tailoring Care to Individual Needs

While the foundational elements of a care plan are essential, the personalized touches truly make a difference. That said, also consider these additional factors when crafting a comprehensive plan:

Cultural and Linguistic Preferences: Respect, honor and celebration for cultural traditions is important, ensuring that the care plan is developed in a culturally sensitive manner. It is also essential to prioritize clear and effective communication, using appropriate translators or interpreters when needed to bridge language barriers.

Personal Interests and Hobbies: Incorporating a Client’s passions and interests into their daily routine can significantly enhance their quality of life. By understanding their hobbies, a care plan can facilitate meaningful activities and experiences that bring seniors joy and fulfillment.

Pet Companionship: Emphasize the importance of pets in senior citizens’ lives and strive to create a pet-friendly environment. Work closely to understand their pet’s needs and ensure their well-being is considered in the care plan.

Adaptive Functioning Support: Care plans can explore ways to leverage technology to enhance quality of life. This may include using assistive devices to improve mobility or communication, or facilitating virtual connections with loved ones through video calls.

Comprehensive Care Planning for A Life Well Lived

A commitment to create a personalized, robust care plan that reflects all aspects of aging in place is essential, as is collaboration and working closely with families and healthcare providers to gather detailed information.

Open communication and active listening are essential building blocks for every unique care plan. This holistic approach promotes not just physical well-being but also emotional and mental wellness, ensuring that Clients receive the support they need to thrive.

The Importance of Regular Reviews and Adjustments

Life circumstances can change. Care plans are living documents regularly reviewed and updated to ensure they meet the Client’s evolving needs. A collaborative approach involving open communication and active listening is essential for creating a truly effective, personalized care plan.

Personalized and Detail-Oriented Care

A well-crafted care plan is more than just a document; it’s a roadmap to a fulfilling and independent life. By addressing the holistic needs of our Clients, we empower them to thrive in their own homes. Our commitment to excellence and personalized care ensures that every Client receives the support they deserve to live their lives to the fullest.

By tailoring care plans to address not only medical needs but also emotional, social, and spiritual requirements, caregivers can provide holistic support that nurtures the overall well-being of their loved ones. This person-centered approach acknowledges the unique identity of each individual and empowers them to lead a fulfilling and enriched life in the comfort of their own homes.

A Growing Need for Care

An in-home care plan goes beyond enriched lives and increased well-being. 44% of in-home care recipients need help or assistance with at least one daily activity, with many of this 65+ group receiving nursing services, personal care, or therapeutic services. Establishing a care plan can further help this growing need by identifying health risks, providing peace of mind, addressing chronic needs, and maintaining a sense of independence.

Other In-Home Services

The Caring for Family of Companies also offers a variety of other in-home services that play a crucial role in strengthening and creating a comprehensive care plan. From meal preparation to medication management, transportation assistance, housekeeping, and companionship, each service is designed to address specific aspects of a Client’s daily life and support their unique needs.

By incorporating these services into a comprehensive care plan, Caring for Family of Companies ensures that every aspect of an individual’s well-being is taken care of, promoting a sense of security, comfort, and independence in the familiar surroundings of their own home. With this holistic approach, Clients can enjoy peace of mind knowing that their overall care is well-coordinated and tailored to their specific needs.

A Partnership for Success

The creation of an in-home care plan that addresses a wide range of needs, from medical and clinical to emotional, social, and spiritual, requires a personalized and detail-oriented approach. By focusing on the uniqueness of each individual and tailoring care plans to their specific requirements, we can provide the highest level of support and ensure that our loved ones are able to live comfortably and happily in their own homes. The dedication and personalized care provided by the Caring for Family of Companies exemplify the importance of creating a work of heart in caring for our loved ones.

Contact your nearest branch – whether you are seeking in home caregiving services in Beaverton, Portland, Clackamas, Eugene, Salem, Central Oregon, Bend, Astoria, or Hood River – to learn more about our personalized in-home care services and how we can create a care plan tailored to your loved one’s unique needs.

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Transportation Resource Guide for Seniors & Individuals with Disabilities https://careavailability.com/transportation-resource-guide-for-seniors-individuals-with-disabilities/ Wed, 29 May 2024 16:51:18 +0000 https://careavailability.com/?p=336845 Caregivers often bear the responsibility of providing transportation, with over 40 percent of older and disabled adults relying on family, friends, or neighbors for rides....

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Caregivers often bear the responsibility of providing transportation, with over 40 percent of older and disabled adults relying on family, friends, or neighbors for rides. A 2021 survey by the National Aging and Disability Transportation Center (NADTC), administered by USAging and Easterseals, found that around three-quarters of caregivers list providing or arranging transport as one of their primary duties.

According to USAging, the national association for Area Agencies on Aging, approximately 600,000 older adults give up driving each year. This transition can create challenges for aging or ill loved ones, making it harder for them to attend medical appointments, shop for necessities, visit family, or participate in social events. Consequently, this increased isolation negatively impacts their health and well-being.

To address these challenges, it’s important to explore alternative transportation options. While available services vary by location, several programs and services are generally accessible across the country to help older and disabled individuals maintain their independence and social connections.

Understanding Different Services

Transportation plays a crucial role in maintaining the independence and quality of life for seniors. As individuals age, driving may become more challenging or even impossible due to health issues or other limitations. Fortunately, there are various transportation options specifically designed to meet the needs of older adults.

From public transit and paratransit services to ride-sharing apps and volunteer driver programs, seniors have access to a range of choices that can help them stay connected, access essential services, and remain active in their communities. Understanding these options is key to ensuring that seniors can continue to live independently and engage in meaningful activities as they age.

Public Transit

Fixed-route public transit refers to a transportation system with predetermined routes, schedules, and stops, such as buses, trains, or trolleys. These services operate along fixed paths, picking up and dropping off passengers at designated stops along the way.

For seniors and individuals with disabilities, fixed-route public transit can be a convenient and cost-effective way to travel, providing access to essential services, activities, and destinations within a community. However, there are navigational and accessibility-related challenges that may arise for these populations when using fixed-route public transit. To address these challenges, many fixed-route public transit systems offer specialized services or accommodations for seniors and individuals with disabilities:

  1. Priority Seating: Individuals with mobility impairments may  find it challenging to board or disembark from vehicles, especially at stops without accessible features. Reserved seating near the front of vehicles can mitigate challenges for seniors and individuals with disabilities.
  2. Accessibility Features: Waiting for and riding on fixed-route transit vehicles can be physically demanding for some seniors and individuals with disabilities, particularly those with mobility issues. Vehicles equipped with ramps, lifts, and other features can better accommodate mobility devices.
  3. Travel Training: Seniors and individuals with cognitive impairments may find it difficult to navigate the fixed-route system, including understanding schedules, routes, and transfer points. These programs provide instruction on how to use the fixed-route system safely and independently.

Paratransit Services

Paratransit services are specialized transportation services designed to meet the needs of individuals who are unable to use traditional fixed-route public transit due to a disability or condition. These services are typically provided as a complement to regular public transit and are mandated by the Americans with Disabilities Act (ADA) for public transit agencies in the United States.

Paratransit services offer door-to-door or curb-to-curb transportation for individuals who are unable to access or navigate traditional buses or trains. This includes individuals with mobility impairments, visual or hearing impairments, cognitive disabilities, or other conditions that prevent them from using regular public transit.

To use paratransit services, individuals must typically qualify based on their disability or condition, as defined by the ADA. Once eligible, passengers can schedule rides in advance, usually with a designated paratransit provider. The provider will then pick up the passenger from their location and transport them to their destination.

Paratransit vehicles are often equipped with features to accommodate passengers with disabilities, such as wheelchair ramps, lifts, and securement systems. Drivers are trained to assist passengers with boarding, securing mobility devices, and other needs they may have during the trip.

A national transit database that maps the locations of transit agencies and organizations throughout the United States. The database offers a comprehensive list of organizations that offer transportation services to communities nationwide.

Transdev North America is a leading provider of mobility services, offering public transportation, paratransit, shuttle, and other transportation services across the United States. Transdev operates in over 200 cities and communities, providing safe, reliable, and accessible transportation solutions.

By dialing 211 or visiting the United Way 211 website, people can access information and referrals for a wide range of services, including food assistance, housing and utility assistance, healthcare, mental health services, and more. United Way 211 operates in many communities across the United States.

Demand Response Services

Demand response transportation services for seniors, also known as Dial-a-Ride or paratransit services, provide flexible and on-demand transportation options for older adults who may have difficulty using traditional public transit. These services are typically operated by public transit agencies or private companies and are designed to meet the specific needs of seniors and individuals with disabilities. These services typically operate through the following formats:

  1. Reservation-Based: Seniors can request transportation by calling a designated phone number or using an online booking system. Reservations are usually required in advance, typically 24 hours or more. 
  2. Flexible Pick-Up and Drop-Off: Unlike fixed-route public transit, demand response services offer more flexibility in terms of pick-up and drop-off locations. Seniors can be picked up from their homes or other specified locations and dropped off at their destination.
  3. Shared Rides: Demand response services often operate on a shared-ride basis, meaning that multiple passengers may be picked up and dropped off along the same route. This helps maximize efficiency and reduce costs.
  4. Accessible Vehicles: Vehicles used for demand response services are often wheelchair-accessible and equipped with features to accommodate passengers with mobility challenges.
  5. Affordable or Subsidized Fare: While fares for demand response services may vary, many agencies offer discounted fares for seniors and individuals with disabilities.

Provides a range of resources, training, technical assistance, and information to transportation providers, human service agencies, advocates, and community members to help them improve transportation options for older adults and individuals with disabilities.

A national directory of local resources for older adults, including information on transportation options. Use this website to find resources at the county and municipal level on a range of senior transportation services.

The Center for Independent Living (CIL) is a community-based, non-profit organization that provides services and support to people with disabilities. The goal of CILs is to promote independence, self-determination, and inclusion for individuals with disabilities by providing a range of services.

Non-Emergency Medical Transportation (NEMT)

Non-emergency medical transportation (NEMT) is a specialized service that provides transportation for individuals who require medical services but do not have access to personal vehicles or other means of transportation. NEMT services are typically used by individuals who need to travel to medical appointments, such as doctor visits, dialysis treatments, physical therapy sessions, and other non-emergency medical appointments.

NEMT services are often covered by Medicaid, private insurance, or Medicare Advantage plans, although coverage and eligibility criteria may vary. NEMT providers may include taxis, wheelchair-accessible vans, or vehicles dispatched by specialty brokers or community groups.

To use NEMT services, individuals typically need to schedule their transportation in advance, usually at least 24 hours before their appointment. The transportation provider will then pick them up from their home or another designated location and take them to their medical appointment. After the appointment, the provider will return them to their original location.

NEMT services often include accommodations for individuals with disabilities, such as wheelchair-accessible vehicles and assistance with boarding and disembarking. Providers may also offer door-to-door service for individuals who need assistance getting in and out of vehicles or navigating through buildings.

The service helps cancer patients find transportation to and from their treatment appointments. It connects patients with local transportation providers, such as volunteer driver programs, public transit options, and other transportation services, based on the patient’s needs and location.

Online tool used to locate information on what qualifies for medicaid, how to use different senior transportation options, and what qualifies as a NEMT.

Non-profit organization that represents the interests of Area Agencies on Aging (AAAs) and Title VI Native American aging programs across the United States. Advocates for policies and programs that support older adults and their caregivers, provides training and technical assistance to AAAs, and conducts research on aging-related issues.

Ride-Sharing and Taxi Services

Ride-sharing and taxi services can be valuable transportation options for seniors, offering flexibility and convenience for those who may not drive or have access to public transit. These services can help seniors maintain their independence, stay connected with their communities, and access essential services and activities.

Ride-sharing services like Uber and Lyft, as well as traditional taxi services, offer on-demand transportation, allowing seniors to request rides quickly and easily using a smartphone app or by calling a taxi company. Many ride-sharing companies and taxi services offer accessible vehicles and accommodations for passengers with disabilities or mobility challenges, such as wheelchair-accessible vehicles or assistance with boarding and disembarking.

Ride-sharing and taxi services can be a flexible transportation option for seniors, allowing them to travel at their own pace and schedule, without the constraints of fixed routes or schedules. Using ride-sharing and taxi services can help seniors stay engaged with their communities, allowing them to attend social events, visit friends and family, and access local services and amenities.

A service that helps older adults use ride-sharing services like Uber and Lyft without needing a smartphone or the ride-sharing apps. It works by allowing users to call a phone number to request a ride, and GoGoGrandparent handles the booking and payment through their platform.

Transportation service specifically designed for seniors and older adults. It offers safe, comfortable, and reliable transportation for seniors who may no longer drive or prefer not to drive. SilverRide drivers are trained to assist seniors with mobility needs and provide door-to-door service, helping seniors get to medical appointments, social outings, grocery shopping, and other destinations.

Uber and Lyft Services

Convenient- sometimes locally subsidized- transportation options for seniors. These services allow users to request a ride through a smartphone app, and a driver will pick them up and take them to their destination.

Click here for full article and to see a full list of resources by state.

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Top 5 Wellness strategies for a Happy Retirement https://careavailability.com/top-5-wellness-strategies-for-a-happy-retirement/ https://careavailability.com/top-5-wellness-strategies-for-a-happy-retirement/#respond Tue, 12 Sep 2023 21:54:32 +0000 https://careavailability.com/?p=331079 Retirement is often seen as the ultimate reward for decades of hard work—a time to relax, travel, or pursue long-neglected hobbies. But what often gets...

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Retirement is often seen as the ultimate reward for decades of hard work—a time to relax, travel, or pursue long-neglected hobbies. But what often gets overlooked is the significance of maintaining holistic wellness during this new chapter. How do you make the most of this freedom? The answer lies in your well-being, not just financially, but physically, mentally, and emotionally as well.

Picture this: You’ve got the financial resources for a comfortable life, but your health doesn’t allow you to enjoy it. Or perhaps your mind is weighed down with boredom or stress. To unlock a truly fulfilling retirement, it’s essential to integrate various elements of wellness.

In this article, we will guide you through five carefully chosen wellness strategies that can enrich your life after work. Each of these approaches serves a crucial role, targeting different yet interconnected aspects of your well-being. Whether you’re about to retire or have already entered this new phase, these strategies can offer you a roadmap to a healthier, happier life.

1.   Physical Exercise

Retirement often brings a decline in daily physical activity. Without a commute, office work, or other job-related tasks, the body enters a more sedentary phase. This idleness not only affects your physical health but also dampens your mental and emotional well-being. 

A Spectrum of Choices

The beauty of exercise lies in its diversity: from brisk walking and swimming to yoga and weightlifting, choices abound. Each form of exercise serves a different purpose. Cardiovascular workouts like jogging improve heart health. Strength training maintains muscle mass. Flexibility exercises like yoga aid joint health. The key is to find a blend that suits you.

Consult Before You Leap

Before diving headlong into any fitness regimen, consult your healthcare provider, especially if you have existing medical conditions. Tailored advice can ensure your exercise plan aligns with your health needs, preventing avoidable injuries or complications.

Routine Matters

Consistency outweighs intensity. Instead of embarking on an exhaustive one-week gym spree, aim for regular, moderate exercise. Experts recommend at least 150 minutes of moderate-intensity aerobic exercise per week, along with muscle-strengthening activities on two or more days a week.

The Compound Benefits

Regular exercise does more than keep you physically fit; it enhances cognitive function, elevates mood, and even betters your sleep quality. So, you’re not just working on your body, but you’re also nurturing your mind and soul. It’s a cascade of benefits that shouldn’t be ignored.

2.   Mental Stimulation

Shifting our lens from the corporeal to the cerebral, the age-old adage rings truer than ever in retirement: “A sound mind in a sound body.” While your muscles require workouts to stay toned, your brain craves its own kind of exercise to maintain peak performance.

Feed Your Brain

What’s the cerebral equivalent of a gym? It can range from crossword puzzles and Sudoku to more elaborate undertakings like learning a new language or a musical instrument. These activities stimulate your brain, enhancing cognitive function and preventing mental rust.

Neuroplasticity: The Flexible Brain

Your brain has the capacity for neuroplasticity and can rewire and adapt. You can teach an old brain new tricks through cognitive training! Engaging in activities that challenge your cognitive faculties promotes this neural flexibility.

Digital Aides

In this digital era, numerous apps and online platforms specialize in cognitive exercises. Platforms like Lumosity or Duolingo can be convenient tools for daily mental workouts. But remember, moderation is key; excessive screen time can be counterproductive.

Social Stimulation

Thinking of things to do when you retire? Let’s not overlook the mental benefits of social engagement. Book clubs, discussion groups, or even strategic games like chess or bridge can serve dual purposes: they are intellectually stimulating and provide a social outlet.

Balance is Crucial

While it’s vital to keep the brain engaged, it’s equally important to allow moments for relaxation and reflection. A balanced mental diet that includes both stimulation and downtime enhances overall well-being.

3.   Financial Security and Healthcare

Retirement offers the freedom to explore new avenues, but it also comes with the challenge of managing your finances in a way that supports your newfound lifestyle. From long-term care to unexpected medical bills, the expenses can pile up. Financial security isn’t just about how much you have saved; it’s about how well you manage what you have.

Budget Wisely, Live Wisely

Creating a realistic budget is a non-negotiable first step. It should be expansive enough to include leisure activities that bring you joy, yet prudent enough to account for unforeseen expenses, especially healthcare costs.

Healthcare: A Priority Expense

Speaking of healthcare, this is often a significant budget item for retirees. From regular check-ups to unexpected illnesses, having a financial cushion for health-related expenses is crucial. It’s not merely about setting aside funds, but also understanding how to make the most of them. For instance, getting your Medicare coverage explained can help you make informed choices that align with your healthcare needs.

Beyond Savings: Investments

To bolster your financial health, consider low-risk investments that can provide a steady income stream. A balanced portfolio can work as a financial safety net, giving you the peace of mind to explore retirement to its fullest.

The Emergency Fund

An often overlooked yet crucial element is the emergency fund. It should cover at least six months’ worth of expenses. This reserve becomes even more critical in retirement, given the potential for unexpected health issues or other emergencies.

Insurance: The Safety Net

Apart from Medicare, additional health insurance can cover gaps that public health services may not address. It’s also wise to review your life and property insurance at this stage. Updating these can provide an added layer of financial security.

4.   Emotional Well-being

Photo by Kampus Production from Pexels

Retirement, for all its promise of leisure and liberty, can sometimes harbor an emotional minefield. The shift from a structured work life to a less defined daily routine can incite feelings of loneliness, boredom, or even depression.

Social Circles: The Emotional Net

One antidote to emotional pitfalls lies in sustaining a robust social life. Connections matter. Whether it’s a group of close-knit family members, long-standing friends, or new acquaintances made in a community group, these relationships can serve as emotional pillars.

Engage in What Brings Joy

There’s no rule that hobbies and passions should wane in retirement. Whether it’s painting, gardening, or simply reading, engaging in activities that bring joy can be an emotional balm. They not only fill your time but also provide a sense of accomplishment.

Let’s Talk: Emotional Health Services

The stigma surrounding mental health services has considerably lessened over the years, making it easier to seek professional guidance. Therapy or counseling isn’t just for crises; they’re beneficial platforms for anyone seeking emotional balance. Monthly or bi-monthly sessions can offer valuable insights into your emotional state.

Mindfulness and Meditation

These practices have crossed from Eastern philosophy into mainstream wellness for a reason: they work. Mindfulness exercises, even as simple as deep breathing, can help manage stress, anxiety, and even depressive symptoms.

5.   Purpose and Personal Growth

Retirement isn’t the end of the road; it’s a diverging path offering multiple routes to personal development and growth. The question isn’t what you’re retiring from, but what you’re retiring to. The concept of ‘purpose’ takes center stage here.

Finding Your ‘Why’

What energizes you? What gives your life meaning? The answers might not come immediately, but that’s alright. Consider this a period of exploration. Whether it’s gardening, mentoring, or writing that novel you’ve always talked about, the possibilities are virtually endless.

The Gift of Time: Use It Wisely

The newly acquired time can either be a gift or a challenge. Setting objectives, even small ones, can provide a roadmap. Goals give you something to work toward, making your days more structured and meaningful.

Never Stop Learning

Remember those cooking classes you never had time for or the history books that gathered dust on your shelves? Now’s the time to dive in. Lifelong learning isn’t just a phrase; it’s a lifestyle choice that adds layers of complexity to your life, making each day a treasure trove of potential discoveries.

Make Room for Change

Flexibility is your ally. Your interests and passions will likely evolve. And that’s okay! Adaptability allows you to change course when a particular path no longer serves you, ensuring your retirement remains dynamic and fulfilling.

Share Your Wisdom

You have a lifetime of experience; why not share it? Whether formally through teaching or informally through storytelling, imparting your wisdom can be incredibly gratifying. Plus, it’s a two-way street—you learn through the act of teaching.

Wrapping Up 

Retirement is more than just an extended vacation—it’s a new chapter that comes with its own challenges and rewards. The strategies discussed here aim to guide you through this life phase, focusing on holistic well-being. While the road ahead may have twists and turns, each day offers a fresh opportunity for happiness and growth. Your next steps are yours to decide, so make them count.

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Top 10 Practical Tips for Caregivers of Alzheimer’s Patients https://careavailability.com/top-10-practical-tips-for-caregivers-of-alzheimers-patients/ https://careavailability.com/top-10-practical-tips-for-caregivers-of-alzheimers-patients/#respond Wed, 12 Jul 2023 00:08:36 +0000 https://careavailability.com/?p=320855 Caring for a person with Alzheimer’s disease (AD) at home is a difficult task and can become overwhelming at times. Each day brings new challenges...

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Caring for a person with Alzheimer’s disease (AD) at home is a difficult task and can become overwhelming at times. Each day brings new challenges as the caregiver copes with changing levels of ability and new patterns of behavior. Research has shown that caregivers themselves often are at increased risk for depression and illness, especially if they do not receive adequate support from family, friends, and the community.

One of the biggest struggles caregivers face is dealing with the difficult behaviors of the person they are caring for. Dressing, bathing, eating-basic activities of daily living-often become difficult to manage for both the person with AD and the caregiver. Having a plan for getting through the day can help caregivers cope. Many caregivers have found it helpful to use strategies for dealing with difficult behaviors and stressful situations. Through trial and error you will find that some of the following tips work, while others do not. Each person with AD is unique and will respond differently, and each person changes over the course of the disease. Do the best you can, and remind yourself to take breaks.

1. Dealing with the Diagnosis

Finding out that a loved one has Alzheimer’s disease can be stressful, frightening, and overwhelming. As you begin to take stock of the situation, here are some tips that may help:

* Ask the doctor any questions you have about AD. Find out what treatments might work best to alleviate symptoms or address behavior problems.
* Contact organizations such as the Alzheimer’s Association and the Alzheimer’s Disease Education and Referral (ADEAR) Center for more information about the disease, treatment options, and caregiving resources. Some community groups may offer classes to teach caregiving, problem-solving, and management skills. See page 20 for information on contacting the ADEAR Center and a variety of other helpful organizations.
* Find a support group where you can share your feelings and concerns. Members of support groups often have helpful ideas or know of useful resources based on their own experiences. Online support groups make it possible for caregivers to receive support without having to leave home.
* Study your day to see if you can develop a routine that makes things go more smoothly. If there are times of day when the person with AD is less confused or more cooperative, plan your routine to make the most of those moments. Keep in mind that the way the person functions may change from day to day, so try to be flexible and adapt your routine as needed.
* Consider using adult day care or respite services to ease the day-to-day demands of caregiving. These services allow you to have a break while knowing that the person with AD is being well cared for.
* Begin to plan for the future. This may include getting financial and legal documents in order, investigating long-term care options, and determining what services are covered by health insurance and Medicare.

2. Communication

Trying to communicate with a person who has AD can be a challenge. Both understanding and being understood may be difficult.

* Choose simple words and short sentences and use a gentle, calm tone of voice.
* Avoid talking to the person with AD like a baby or talking about the person as if he or she weren’t there.
* Minimize distractions and noise-such as the television or radio-to help the person focus on what you are saying.
* Call the person by name, making sure you have his or her attention before speaking.
* Allow enough time for a response. Be careful not to interrupt.
* If the person with AD is struggling to find a word or communicate a thought, gently try to provide the word he or she is looking for.
* Try to frame questions and instructions in a positive way.

While some people with AD don’t mind bathing, for others it is a frightening, confusing experience. Advance planning can help make bath time better for both of you.

3. Bathing

* Plan the bath or shower for the time of day when the person is most calm and agreeable. Be consistent. Try to develop a routine.
* Respect the fact that bathing is scary and uncomfortable for some people with AD. Be gentle and respectful. Be patient and calm.
* Tell the person what you are going to do, step by step, and allow him or her to do as much as possible.
* Prepare in advance. Make sure you have everything you need ready and in the bathroom before beginning. Draw the bath ahead of time.
* Be sensitive to the temperature. Warm up the room beforehand if necessary and keep extra towels and a robe nearby. Test the water temperature before beginning the bath or shower.
* Minimize safety risks by using a handheld showerhead, shower bench, grab bars, and nonskid bath mats. Never leave the person alone in the bath or shower.
* Try a sponge bath. Bathing may not be necessary every day. A sponge bath can be effective between showers or baths.

4. Eating

Eating can be a challenge. Some people with AD want to eat all the time, while others have to be encouraged to maintain a good diet.

* View mealtimes as opportunities for social interaction and success for the person with AD. Try to be patient and avoid rushing, and be sensitive to confusion and anxiety.
* Aim for a quiet, calm, reassuring mealtime atmosphere by limiting noise and other distractions.
* Maintain familiar mealtime routines, but adapt to the person’s changing needs.
* Give the person food choices, but limit the number of choices. Try to offer appealing foods that have familiar flavors, varied textures, and different colors.
* Serve small portions or several small meals throughout the day. Make healthy snacks, finger foods, and shakes available. In the earlier stages of dementia, be aware of the possibility of overeating.
* Choose dishes and eating tools that promote independence. If the person has trouble using utensils, use a bowl instead of a plate, or offer utensils with large or built-up handles. Use straws or cups with lids to make drinking easier.
* Encourage the person to drink plenty of fluids throughout the day to avoid dehydration.
* As the disease progresses, be aware of the increased risk of choking because of chewing and swallowing problems.
* Maintain routine dental checkups and daily oral health care to keep the mouth and teeth healthy.

5. Activities

What to do all day? Finding activities that the person with AD can do and is interested in can be a challenge. Building on current skills generally works better than trying to teach something new.

* Don’t expect too much. Simple activities often are best, especially when they use current abilities.
* Help the person get started on an activity. Break the activity down into small steps and praise the person for each step he or she completes.
* Watch for signs of agitation or frustration with an activity. Gently help or distract the person to something else.
* Incorporate activities the person seems to enjoy into your daily routine and try to do them at a similar time each day.
* Try to include the person with AD in the entire activity process. For instance, at mealtimes, encourage the person to help prepare the food, set the table, pull out the chairs, or put away the dishes. This can help maintain functional skills, enhance feelings of personal control, and make good use of time.
* Take advantage of adult day services, which provide various activities for the person with AD, as well as an opportunity for caregivers to gain temporary relief from tasks associated with caregiving. Transportation and meals often are provided.

6. Hallucinations and Delusions

As the disease progresses, a person with AD may experience hallucinations and/or delusions. Hallucinations are when the person sees, hears, smells, tastes, or feels something that is not there. Delusions are false beliefs from which the person cannot be dissuaded.

* Sometimes hallucinations and delusions are a sign of a physical illness. Keep track of what the person is experiencing and discuss it with the doctor.
* Avoid arguing with the person about what he or she sees or hears. Try to respond to the feelings he or she is expressing, and provide reassurance and comfort.
* Try to distract the person to another topic or activity. Sometimes moving to another room or going outside for a walk may help.
* Turn off the television set when violent or disturbing programs are on. The person with AD may not be able to distinguish television programming from reality.
* Make sure the person is safe and does not have access to anything he or she could use to harm anyone.

7. Home Safety

Caregivers of people with AD often have to look at their homes through new eyes to identify and correct safety risks. Creating a safe environment can prevent many stressful and dangerous situations. The ADEAR Center offers the booklet, Home Safety for People with Alzheimer’s Disease, which lists many helpful tips.
Install secure locks on all outside windows and doors, especially if the person is prone to wandering. Remove the locks on bathroom doors to prevent the person from accidentally locking himself or herself in.

* Use childproof latches on kitchen cabinets and anyplace where cleaning supplies or other chemicals are kept.
* Label medications and keep them locked up. Also make sure knives, lighters and matches, and guns are secured and out of reach.
* Keep the house free from clutter. Remove scatter rugs and anything else that might contribute to a fall. Make sure lighting is good both inside and out.
* Be alert to and address kitchen-safety issues, such as the person forgetting to turn off the stove after cooking. Consider installing an automatic shut-off switch on the stove to prevent burns or fire.

8. Visiting the Doctor

It is important that the person with AD receive regular medical care. Advance planning can help the trip to the doctor’s office go more smoothly.

* Try to schedule the appointment for the person’s best time of day. Also, ask the office staff what time of day the office is least crowded.
* Let the office staff know in advance that this person is confused. If there is something they might be able to do to make the visit go more smoothly, ask.
* Don’t tell the person about the appointment until the day of the visit or even shortly before it is time to go. Be positive and matter-of-fact.
* Bring along something for the person to eat and drink and any activity that he or she may enjoy.
* Have a friend or another family member go with you on the trip, so that one of you can be with the person while the other speaks with the doctor.

9. Visiting a Person with AD

Visitors are important to people with AD. They may not always remember who the visitors are, but just the human connection has value. Here are some ideas to share with someone who is planning to visit a person with AD.

* Plan the visit at the time of the day when the person is at his or her best. Consider bringing along some kind of activity, such as something familiar to read or photo albums to look at, but be prepared to skip it if necessary.
* Be calm and quiet. Avoid using a loud tone of voice or talking to the person as if he or she were a child. Respect the person’s personal space and don’t get too close.
* Try to establish eye contact and call the person by name to get his or her attention. Remind the person who you are if he or she doesn’t seem to recognize you.
* If the person is confused, don’t argue. Respond to the feelings you hear being communicated, and distract the person to a different topic if necessary.

If the person doesn’t recognize you, is unkind, or responds angrily, remember not to take it personally. He or she is reacting out of confusion.

10. Choosing a Nursing Home

For many caregivers, there comes a point when they are no longer able to take care of their loved one at home. Choosing a residential care facility-a nursing home or an assisted living facility-is a big decision, and it can be hard to know where to start.

* It’s helpful to gather information about services and options before the need actually arises. This gives you time to explore fully all the possibilities before making a decision.
* Determine what facilities are in your area. Doctors, friends and relatives, hospital social workers, and religious organizations may be able to help you identify specific facilities.
* Make a list of questions you would like to ask the staff. Think about what is important to you, such as activity programs, transportation, or special units for people with AD.
* Contact the places that interest you and make an appointment to visit. Talk to the administration, nursing staff, and residents.
* Observe the way the facility runs and how residents are treated. You may want to drop by again unannounced to see if your impressions are the same.
* Find out what kinds of programs and services are offered for people with AD and their families. Ask about staff training in dementia care, and check to see what the policy is about family participation in planning patient care.
* Check on room availability, cost and method of payment, and participation in Medicare or Medicaid. You may want to place your name on a waiting list even if you are not ready to make an immediate decision about long-term care.
* Once you have made a decision, be sure you understand the terms of the contract and financial agreement. You may want to have a lawyer review the documents with you before signing.
* Moving is a big change for both the person with AD and the caregiver. A social worker may be able to help you plan for and adjust to the move. It is important to have support during this difficult transition.

For More Information

Several organizations offer information for caregivers about AD. To learn more about support groups, services, research, and additional publications, you may wish to contact the following:

Alzheimer’s Disease Education & Referral (ADEAR) Center
Web address: www.alzheimers.nia.nih.gov

Alzheimer’s Association
Web address: www.alz.org

Children of Aging Parents
Web address: www.caps4caregivers.org

Eldercare Locator
Web address: www.eldercare.gov

Family Caregiver Alliance
Web address: www.caregiver.org

The National Institute on Aging Information Center
Web address: www.nia.nih.gov

The Simon Foundation for Continence
Web address: www.simonfoundation.org

Well Spouse Association
Web address: www.wellspouse.org

Source: U.S. Department of Health and Human Services, Public Health Services, National Institutes of Health, National Institute on Aging – March 2007, Oct 26, 2007
http://www.nia.nih.gov/Alzheimers/Publications/caregiverguide.htm#intro

The National Institute on Aging gratefully acknowledges the following Alzheimer’s Disease Centers for their valuable contributions: Duke University Joseph and Kathleen Bryan Alzheimer’s Disease Research Center and The Johns Hopkins University Alzheimer’s Disease Center.

For more information: www.nia.nih.gov

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Which Came First, the Odor or the Leak? https://careavailability.com/which-came-first-the-odor-or-the-leak/ https://careavailability.com/which-came-first-the-odor-or-the-leak/#comments Wed, 17 May 2023 23:02:40 +0000 https://careavailability.com/?p=318009 Preventing accidents with intentionally-designed, quality incontinence products After saving your dollars and cents, say you splurged on a luxurious Armani CASA sofa. Although it’s meant...

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Preventing accidents with intentionally-designed, quality incontinence products

After saving your dollars and cents, say you splurged on a luxurious Armani CASA sofa. Although it’s meant to be sat on, you cherish its design, form, and function so much that you seldom sit on it, only to feel accomplished and significant. You regard it as a work of art and treat it accordingly, rarely using it as a daily piece of furniture. You might place it in the “fancy room” reminiscent of the Palace of Versailles, where all furniture is pristine and untouched. You derive joy from admiring the exquisitely designed and decorated room, and the sight of the Armani Casa sofa’s lines is enough to please you. In fact, the thought of lounging on the Italian masterpiece brings you more satisfaction than actually sitting on it because its visual appeal is sufficient.

It’s graduation day, and you have decided to host your child’s graduation party inviting your siblings, parents, cousins, and friends to your home. At first, you contemplate if you should purchase red velvet rope to cordon off the area with the fancy furniture… Too much? You don’t think so, but some people may take that the wrong way and possibly get insulted. You then think maybe you should cover the sofa, after all, it is fine Italian fabric, its light color beige, so fine… But then, that would be like putting a face covering on the Mona Lisa; Da Vinci would not be proud. Therefore, with all due respect to Giorgio Armani, you say to yourself, “I’m gonna keep my eye on the sofa during the graduation party to make sure it’s not being abused, it’s being kept clean, and no one is eating while sitting on the sofa.” You feel nervous, but you convince yourself it’s the right thing to do. After all, let’s celebrate!

After picking up Mom and Dad, you spend a long day at your child’s graduation, hot, sweaty, and tiring. However, the euphoria of watching your child’s graduation and the sense of pride masks it all. After graduation, you smell a slight odor in your car; it’s the sweat, the tears, and possibly a little bladder leakage from (very normal); you remember I just bought Mom the name-brand pads that should work. Oh, it’s been a long day, and we will change her liner pads when we get home.

You get home, assist, and ensure Mom changes her pads; in fact, you put two pads because two are better than one, right? (This is the worst thing you can do according to “The Doc”). For Dad, who’s had a prostatectomy, discreetly changes into a fresh pair of the store-bought disposable pull-on. There’s still a bit of odor, but you’re almost used to it by now, and sadly, they’re used to it (this does not have to be expected). You gently guide Mom and Dad to “their” sofa in the house. This sofa has taken a lot of abuse, and you’ve taken some subtle precautions to protect it from further insults. You’ve put a washable covering on it because of the leakage episodes from Mom and Dad, so you’ve found a solution. On with the party! Let’s celebrate!!

Family and friends begin to come to your house, and you strategically escort all persons to sit where you’d like them to. A few of your friends comment on that Armani Casa Sofa, and you feel good and thank them. This also helps you create some small talk about Italian design. Finally, the Krikorians arrive, the meticulous and clean couple; who better to enjoy the sofa than this couple? You feel confident that they would treat the couch with the same reverence and respect that you have. It’s time to eat! You go to the kitchen, and although you decide to cater the event, you’re handling the kitchen and, at the same time, sipping wine. Of course, you decided to serve white wine because it is cool and refreshing with the summer heat and because if someone spills the white wine, it won’t stain as bad as red wine. Also, the lower calories in white might be a good thing.

You make a plate for Mom and Dad, they’re good, you put some music on by Rufus Du Sol, and look at your child with such happiness and adoration. You’re so proud!! You decide to have the second glass of wine; some time has passed, and halfway into the second glass, you realize you’re talking to the Krikorians who’ve entered the kitchen; others are standing around, and your Mom comes up to you…. She says, “Darling, such a beautiful party. We’re so proud of our grandchild and love you all.” In a moment of lucidity, you do the immediate calculation in your head. Mom is out of her sofa, the Krikorians are out of their sofa…

Who’s sitting on the Armani? Which one of my guests is having the pleasure of experiencing an elegant, sleek, Italian-designed piece of furniture… who is having the opportunity, the experience, the bliss of hand-crafted perfection? You look over from the kitchen to the den parent’s sofa and don’t see Dad sitting. You ask Mom, and she shrugs her shoulder. Can it be? It can’t…It takes three seconds to casually walk to the fancy living room, which seems like an eternity. Sure enough, Dad, with his cane in front, is sitting on it having a jolly old time! You breathe, in through the nose and out through the nose, and realize it’s ok. All is well…what’s the big deal after all. You say, “Time for dessert,” but you’re really saying, “I love you, Dad; you are my life, my sun, my north star, but please get off my beautiful sofa.” As he stands up, you are frozen with horror. In fact, you turn white, almost lightheaded.

When he stands, the floodgate opens, and he has a bladder leakage all over his clothes, your floor, and the sofa. For a moment, you imagine a cinched garden hose or a cinched plastic tube and realize that is what the male urethra is when sitting down. When the male stands, you un-cinch the “bladder tube.” You will have bladder leakage if the muscles are not strong enough to hold back the urine. Bladder leakage is normal. Leakage out of the protective garment onto clothing causing embarrassing moments and loss of dignity, are NOT NORMAL and can be prevented with clinical-grade absorbent products. Clinical-grade products are made to absorb and keep the skin dryer for comfort and health. For a fleeting moment, you also realize how uncomfortable and hot your Mom’s double padding can be and think she would be so much more comfortable and happier with the right product, but no time for that; you gotta spring into action.

You casually escort your Dad to the restroom and ask your partner to tend to him; after all, both of you have been caregiving for them for the past two years. You get the cleaners and rush to get the urine out of the sofa. The fabric is not waterproof; liquid has gone through the material into the couch. You have a fading thought, “Did Armani design for leakage episodes.” You do your best, clean what you can, and decide not to ruin your mood but go straight for a shot of tequila, the good stuff. You pour a shot of Clase Azul and fast sip it… no salt, no lime, no ice.

After the party, the lights go down, and the odor lingers. In fact, the smell is the uninvited guest that will not leave the party, and the truth is, it will never go. The odor will get worse because the liquid urine seeped into the sofa and will break down into ammonia, making the smell much worse.

This could have all been prevented. A clinical-grade product that protects from leakage may have been a better option. A better choice not only for the sofa, but you think maybe a more comfortable option for Mom and Dad. You ask yourself, it must be horrible to live with the fear of leaks all day, every day. You also think of the emotional and mental health impact on your Mom and Dad. A clinical-grade product to pull the liquid away from the skin would also help with the daily odor from the urine against the skin. For now, you convince yourself it’s ok; it’s just a sofa, but is it? Ask Mr. Armani…

Form, Fit, & Function – These are the three key elements when searching for a protective product. Like purchasing clothing, Form and Fit MUST be correct. Function is the absorbency levels and rate of acquisition metrics that prevent leaks. If all three F’s are correct, then leakage episodes will be prevented.

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I’m Retired… Now what do I do? https://careavailability.com/im-retired-now-what-do-i-do/ https://careavailability.com/im-retired-now-what-do-i-do/#respond Fri, 09 Dec 2022 01:52:32 +0000 https://careavailability.com/?p=294570 Retirement is a major life transition for many people, and it can take some adjustment. For those who have worked their whole lives, retirement can...

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Retirement is a major life transition for many people, and it can take some adjustment. For those who have worked their whole lives, retirement can be an especially difficult adjustment, as everything from daily routines to financial security can be affected. As people reach retirement age, many are looking for ways to make the most of this new stage of life.

Encore Careers

Encore careers, also known as “third acts”, are one way to do this. Encore careers are a way to remain active and engaged in the community, while also providing financial stability. Maybe you have always had a passion for something else, outdid not make a career change due to income, geography, or other commitments. Retirement can be a great time to go back to school or further develop an existing skill. An encore career can also be an opportunity to continue your same work, but to do it in a different setting.

Volunteerism

Volunteerism is a great way to stay active and engaged in your communities, while also giving back and making a difference. Volunteering can take many forms, from serving meals at a local soup kitchen to mentoring a young person. There are many opportunities to volunteer, such as through churches, schools, hospitals, or other community organizations. There are many online resources that can help connect you with volunteer opportunities. Volunteering can be a great way to make new connections and friendships, as you meet and interact with people from all walks of life. It can also be a great way to gain new skills and knowledge, as many volunteer opportunities involve working with new technologies or learning new techniques. Volunteering can lead to new experiences, such as travel or hands-on work.

Pro Bono Work

Pro bono work is another way to stay active and engaged, by working on a voluntary basis, without payment. This can include legal work, medical work, or any type of work that is not done for monetary compensation. Pro bono work can be incredibly rewarding, as it enables you to use your skills and experience to help others in need, network and make new connections. As retirees work with different organizations and individuals, they may find new opportunities or ways to engage. This can be a great source of satisfaction and fulfillment, as it gives a chance to make a tangible difference in the lives of others.

New Hobbies

Retirement is the perfect time to explore new hobbies and interests. From playing an instrument to learning a new language, there are countless opportunities to develop new skills and passions. For those who have always wanted to pursue a particular hobby but never had the time, retirement can be the perfect time to start. In addition to providing a sense of purpose and satisfaction, new hobbies can also help create new connections. Many hobbies involve joining clubs or groups, which can offer the opportunity to meet and interact with people from all walks of life. Hobbies can also be a great way to stay active and engaged in the community, as many groups and clubs host events and activities throughout the year.

New Lifestyles

Retirement can also be a great time to explore new lifestyles. For those who have always dreamed of living in a different city or country, retirement can be the perfect time to make the move. Similarly, you may also want to explore new housing options, such as a condo, RV life, or retirement community. It can also be a great way to gain new experiences, such as trying different cuisines or visiting new places. Exploring a new lifestyle can also be a great way to stay physically active by exploring their new cities or countries by walking and biking.

New Outlooks

Retirement can also be a great time to explore new outlooks, perspectives and relationships. With more time and freedom, you can devote yourself to exploring different philosophies and ideologies to stay intellectually engaged and stimulated and gain a new understanding of the world. Retirement can be a time to reflect on one’s life and accomplishments, and to think about the future, or gain insight into one’s own life. With more time and freedom, this can also be a time to deepen existing relationships, as well as to develop new ones.

Each of these opportunities provides a sense of purpose and satisfaction, as well as a chance to stay engaged and connected. Explore all of these opportunities, and find the ones that fit your needs and interests. With the right combination of activities, you can make retirement years some of the most fulfilling and rewarding time of your life.

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