Improving Your Elderly Relative’s New Year

January 2nd, 2012

Emma Graphic1

If  your family is like many Americans, you probably got together at some point during the holiday season with those you love.  Here’s a important post holiday project that you can do,  now that you’ve spent time in your elderly relatives home.  Here are four key areas to look into in order to determine if there’s something they need, that  can improve there life in 2012:

Their Home

Look around your loved ones’ house or apartment to see if it meets their needs as they age. Can they still safely manage stairs or would a chair lift or lights make that easier?  Would they be better off in their living quarters were all on one level?

Are you concerned about such things as dark stairs, loose rugs, clutter or fire hazards? Would brighter lighting and clearer passageways help? Contact us at Reliant In-Home Care for a free  ‘Safe Home Checklist’

Is there a bath on the ground floor and a room that could become a bedroom if necessary?

Could their home be made more convenient with basic and practical modifications, such as easier to use handles and switches, pullout cabinet shelves, a comfort-height toilet or walk-in shower?

If you’ve answered yes to these questions, talk to family members about addressing the situation or contact us for a ‘Home Safety Evaluation’

Their Ability to Drive

If your older relatives are still driving, ride with them and observe their skills behind the wheel.  Are they having close calls?  Are there dents or dings on the car or garage? Do they turn there heads to bring blind spots into view? Do they drive too slow or miss signs or signals? Do they have difficulties at intersections?  Have they gotten warnings or tickets?

These are a few signs that it might be time to have a conversation about limiting driving or hanging up the keys.

Investigate community alternatives that offer transportation for shopping, medical visits, religious services and visits with family and friends if driving becomes too risky.  At Reliant as well as other home care companies, escorting is often a service offered.

Their Health

If you don’t already know about their health problems and medications, take this time to ask. How do their drugs make them feel? Are their prescriptions current?

It is important to periodically have a doctor or pharmacist review all the medications for side effects and potentially dangerous interactions, or the effect on driving.  Their local pharmacist can be a great resource.

Are they having problems complying or taking their medications? Do they always remember which medications to take and when? Would a pill organizer be helpful? There a many options available from your simple weekly box to advanced digital systems that help distribute the proper daily regime.

Their Finances

This can be a difficult topic to broach, but it is important to discuss momeny matters before a crisis occurs.  Ask your elder relative if all of their legal and financial papers are in one place, and where you can access it in an emergency?

Check on the condition of their mail. Are bills stacking up?  Are there late notices? Do they have any bills they can’t pay?

These are just preliminary conversations you should be having with your parents or other elderly relatives.  Feel free to contact Reliant In-Home Care if we can be of any assistance either through our services or simple for a quality referral or community resource.

We wish you and yours a healthy, safe and happy New Year!

Reliant In-Home Care: 2103 S. El Camino Real, Ste. 102B Oceanside, CA. 92056 * 760-579-0850

Genetics and Longevity on the Edge of Discovery

October 17th, 2011

Lifes Code -Genes

I came across an interesting article in the BBC this week , about 115 year old women who had lived in Denmark.  It is another example of how medical science has moved into the inner world of genetics to bring advancement, answers and hopefully solutions to medical conditions.  This amazing centenarian passed away last week but at the time of her death she was the oldest known person in the world.  What was remarkable besides her longevity, was that she showed no signs of vascular disease or dementia!  Dutch researchers have sequenced the genome of the woman referred to as W115  (unfortunately the article never mentioned her real name).  They presented their findings at a conference in Canada last week, were they  hope the information will be useful in the studies of longevity and cognitive resilience into old age.

Please follow the link to read this interesting article!

http://www.bbc.co.uk/news/health-15278823

Keeping Connected Through California Phones

September 26th, 2011

Clarity Phone

One of the great aspects of modern technology is how so much of it allows us to stay in touch with one another. Social networking sites like Facebook let us keep tabs on what’s going on in the lives of our friends and family. Services like Twitter let us send a message to an entire collection of friends and make plans on the fly. And that’s just the tip of the iceberg!

But there’s one demographic that manufacturers traditionally have a hard time reaching: the elderly. And because manufacturers have a tough time getting a hold in that market, it’s not easy for the rest of us to stay in touch with our older friends and relatives. The technology we rely on to keep us in the loop are the same gadgets and applications that older people seem to avoid.

The reasons why technology companies aren’t marketing cell phones to older adults range from physical issues such as failing eyesight and hearing to cultural barriers. While companies view baby boomers as tech-savvy consumers, the oldest members of the baby boomer generation and people born during the previous generation may not be as comfortable with modern gadgets. They may think of such devices as intimidating or too complicated to use.

­­But a gadget like a cell phone could be a great benefit to an elderly person. It can help that person maintain his or her independence. At the same time, it may even reduce their sense of isolation. According to Jamie van den Bergh of Clarity, most elderly individuals cite a fear of being in a nursing home, not a fear of death, as being the worst factor of growing older. For some senior citizens, a cell phone may allow them to continue to live on their own.

The National Institute on Aging says that one-third of senior citizens between the ages of 65 and 74 have hearing loss. And about half of all elderly people over the age of 85 have hearing problems. The Clarity phone incorporates an amplifier in the phone’s speaker. According to the company, the amplifier makes the Clarity phone twice as loud as ordinary cell phones.

Clarity not only makes cell phones but also home phones as well. One of my clients has replaced her home phone with a Clarity hard-line phone. Her daughter is amazed that her mother says, “Wait I have to take my hearing aid out” before she speaks to her on the phone to her! California has a Telephone Access Program (CTAP) that enables over half a million Californians to stay connected.

There’s a California Phone for every need.  For example, there are amplified phones that make it easier to hear conversations. Big button phones that are easier to dial: Phones with lights that flash for incoming calls, convenient portable phones – and more.  There are also phones that are specially designed for individuals with more significant disabilities.

California Phones are available to all eligible California residents. Individuals can receive free phone equipment with certification by a medical doctor, a licensed audiologist, a qualified state agency, or a hearing aid dispenser. You can visit the website at the following link: http://www.californiaphones.org/about.html

PREPARING THE ELDERLY FOR ER VISITS

August 22nd, 2011

ambulance image

Compared to younger age groups, elderly people are more likely to be taken to the  emergency room (ER) via ambulance, receive a more extensive workup,  be admitted to the hospital,  stay longer, or have repeat visits.  An older person receiving emergency medical services is often too frightened or confused, or sick and in pain to give reliable information about his/ her health status and medical care.  Here are some helpful tips to make a sudden trip to the ER a little less harrowing:

Write It Down

Geriatric specialists recommend that older adults write down important information and leave it in prominent places where family or emergency medical personnel can see it. At the top of the page, write “Vital Information” or “Medical History of (patients name).” Put down your full name and preferred name or nickname, next of kin, designated decision maker, and health-care agent. Include their contact information and address. Also include:

  • Medicare/Medicaid/insurer’s identification number and phone number.
  • Physician(s): list all, including specialists; include phone numbers.
  • Advance directives: living will, durable power of attorney for health care (health- care proxy), do not resuscitate order. Even if you do not have an advance directive, write down your treatment wishes and preference, especially about care at the end of life. (5 Wishes form)
  • Medications: name and dosage, including eye drops and all over-the-counter (OTC) drugs.
  • Pharmacies and phone numbers.
  • Allergies: foods, medications, contact allergies such as skin rashes, itching and sensitivities.
  • Normal physical functions (dressing, personal hygiene, toileting, eating, walking, transferring, bathing) and whether the person needs assistance.
  • Dentures (type); hearing aid; eyeglasses.
  • Nutritional status, including special diet.
  • Medical/surgical history.
  • Pacemakers, other implants.

Keep this information (and advance directives) in a clear plastic folder next to routine medications and/or hang on the inside of the house (perhaps on the refrigerator), inside a cupboard, dresser or desk.  Make several copies of this information and make sure family members or designated friends, have a copy.place it wherever those who will accompany the older person to the ER may find it; perhaps on a bedroom dresser, inside a cuboard, in a purse or wallet.

A Exceptional Senior! -Australia WWII heroine Nancy ‘White Mouse’ Wake dies

August 8th, 2011

Nancy Wake in front of the Australian war memorial in Hyde Park Corner, London (2004)

At one point, Nancy Wake One of the most highly decorated Allied secret agents of World War II, Nancy Wake, has died in London aged 98. Born in New Zealand but raised in Australia, she is credited with helping hundreds of Allied personnel escape from occupied France. The German Gestapo named her the “White Mouse” because she was so elusive.

Australian Prime Minister Julia Gillard said Mrs Wake was “a truly remarkable individual whose selfless valour and tenacity will never be forgotten”. “Nancy Wake was a woman of exceptional courage and resourcefulness whose daring exploits saved the lives of hundreds of Allied personnel and helped bring the Nazi occupation of France to an end,” 

Mrs. Wake worked as a journalist in Europe, she interviewed Adolf Hitler in Vienna in 1933 and then vowed to fight against his persecution of Jews. After the fall of France in 1940, Mrs Wake became a French Resistance courier and later a saboteur and spy – setting up escape routes and sabotaging German installations, saving hundreds of Allied lives. She worked for British Special Operations and was parachuted into France in April 1944 before D-Day to deliver weapons to French Resistance fighters.

At one point, she was top of the Gestapo’s most wanted list. “Freedom is the only thing worth living for. While I was doing that work, I used to think it didn’t matter if I died, because without freedom there was no point in living,” Wake once said of her wartime exploits. It was only after the liberation of France that she learned her husband, French businessman Henri Fiocca, had been tortured and killed by the Gestapo for refusing to give her up.

“I have only one thing to say: I killed a lot of Germans, and I am only sorry I didn’t kill more,” she once said. She was Australia’s most decorated servicewoman, and one of the most decorated Allied servicewomen of World War II. France awarded her its highest honour, the Legion D’Honneur; she also received Britain’s George Medal, and the US Medal of Freedom. In 2004, she was made Companion of the Order of Australia.

She returned to Australia in 1949, where she failed several times to win a seat in parliament. In 1957 she went back to England, where she married RAF fighter pilot John Forward. Wake died in London. She had been a resident at a nursing home for retired forces personnel since 2003.

She is expected to be cremated and her ashes spread in Montlucon in central France, the scene of much of her heroism.Her story inspired Sebastian Faulks’ 1999 novel Charlotte Gray and a 2001 film by the same title, with the lead role played by Australian actress Kate Blanchard.

BBC News Story-8 August 2011 Last updated at 04:02 ET


July 18th, 2011

heart_exercise4

Staying Safe While Exercising

You may already know that exercise is an important part of staying healthy. But how can you stay safe while exercising? The good news is that exercise and moderate physical activity are safe for almost everyone, including older adults. Here are a few things to keep in mind while exercising.

1. Take precautions to avoid injury. The key to exercising safely, especially when just beginning an exercise program, is moderation.

  • When starting an exercise program, start slowly with low-intensity exercises.
  • Wait at least 2 hours after eating a large meal before doing strenuous exercise.
  • Wear appropriate shoes and comfortable, loose-fitting clothing.
  • Warm up with low-intensity exercises at the beginning of each exercise session.
  • Drink water before, during, and after exercise, even if you aren’t feeling thirsty.
  • If exercising outdoors, pay attention to your surroundings, including the weather, traffic hazards, uneven walking surfaces, and strange

2.  Keep an eye out for signs that you should stop exercising.

You might experience minor discomfort or muscle soreness when you start to exercise. This should go away as you get used to the activities. However, if an exercise is too intense, your body will give you stronger signals that you need to stop. If you experience any of the following, stop exercising and follow up with your doctor to discuss your symptoms and any modifications you should consider.

  • Pain or pressure in your chest, neck, shoulder, or arm
  • Dizziness or feeling sick to your stomach
  • Breaking out in a cold sweat
  • Muscle cramps
  • Severe pain in joints, feet, ankles, or legs.

3. Consider talking with your doctor.

In some situations, it’s a good idea to check with your doctor before starting an exercise routine. If you have an ongoing health condition or certain other health problems, such as diabetes, heart disease, or arthritis, or if you haven’t seen your doctor for a while, check with your doctor about your plans to start exercising.

To find out more about how you can exercise safely, visit the Go4Life website at www.nia.nih.gov/Go4LifeGo4Life is an exercise and physical activity campaign from the National Institute on Aging at NIH. It has exercises, success stories, and free materials to help you get ready, start exercising, and keep going.

Helping a Friend/Loved One Move to a Senior Facility

June 28th, 2011

Senior Community Living

What’s involved in moving to a senior facility? What can you do to help your loved one make a smooth transition?

Moving to a senior facility—especially for long term care, as opposed to temporary rehab care—involves adjustments that are both emotional and practical. A person may be dealing with misconceptions, fear, anger or depression. It’s no surprise that moving to someplace new often leads to feeling that you’ve “lost your bearings”—your sense of security and belonging. Making new friends and settling into a whole new scene takes effort and a willingness to stretch and take risks, no matter what a person’s age or health status.

There are practical considerations too: What to take? How to pack? What to do with the things we don’t take. If your loved one is moving to a nursing facility, you can help ahead of time, on move-in day, and during the days and weeks following the move.

Before the move, friends and family can help by:

  • Learning from the facility about space limitations and what personal clothing and items will be needed and helpful
  • Helping pack these personal items
  • Making arrangements for other things not taken
  • Making arrangements for forwarding mail
  • Canceling any unneeded personal or household services, such as the daily newspaper
  • Marking all clothing and personal items with the person’s name
  • Making a list of the personal property being taken to the facility
  • Dealing with any special concerns, such as care of a pet.

On the day of the move, support of a family member or friend can make all the difference. Here are some simple steps:

  • Help your loved one unpack.
  • Place photos, favorite mementos and other personal items where they will help create a feeling of home.
  • Share a meal.
  • Get to know a few people on staff and a few of the other residents.
  • Learn a bit about the activities, amenities, and services the facility offers.
  • Spend some quiet time in conversation as the process winds down.
  • If you can, plan ahead for your next visit and share that with your loved one.

After the move

One of the biggest fears for senior facility residents is that they will be left out. That they’ll be forgotten. That where they live will come between them and the people they know and love.

The truth is there will be differences. Your loved one and his or her support network will have some adjustments to make. But almost always the downside is outweighed by an upside. Care will be improved. Medical and personal care challenges will be dealt with. Staying “socially connected” and “physically active” will become easier. And all of these differences can mean living longer and with a higher quality of life.

You can help your loved one adjust to the move—in fact, take advantage of it—by staying actively involved as friend, guest, advocate and troubleshooter. Check in often with your loved one, with staff, and with a few of the other residents. Ask how things are going and how they could be going better. And if your loved one approves, plan to be part of his or her care conferences.

Copyright ©IlluminAge AgeWise, 2011

Music to Our Ears: How Music Promotes Healthy Aging

May 27th, 2011

indexOver the past few years, researchers have offered new insight into the ways music promotes healthy aging and a sense of well-being for seniors. Recent studies show that listening to music gives the brain a good “workout,” as it makes sense of the patterns and melodies. For example, in a 2011 Emory University study, lead researcher Brenda Hanna-Pladdy, PhD, reported, “Musical activity throughout life may serve as a challenging cognitive exercise, making your brain fitter and more capable of accommodating the challenges of aging.”

Another 2011 study, from Northwestern University, confirms that musical training promotes memory health, and also improves hearing ability in seniors. Researchers showed that listening to music improves the ability to perceive speech in a noisy environment, which is a common challenge as age-related hearing impairment occurs.

Studies have shown detectable brain changes when a person is listening to music. Music influences brain waves, blood pressure, heart rate, breathing, and muscle tone. It provides many other important health benefits. For example:

  • Music can decrease the perception of pain. It provides distraction from aches and illness. Listening to music that a person enjoys can actually raise the level of endorphins (brain chemicals linked with a feeling of well-being).
  • Music has the capacity to reach hidden brain areas. It is stored differently in the brain than are speech and memory. This is why people with Alzheimer’s, stroke, Parkinson’s disease or other conditions that cause a diminished ability to speak or carry on a conversation, may still be able to sing.
  • Music serves as a storehouse for memories. Pictures, thoughts and vivid recollections can all be encoded in the mind with music. So by enhancing memory, music is a good addition to reminiscing activities.
  • Music helps people who are cognitively impaired. Many people with dementia become more aware of the present, of their surroundings, and of other people while listening to music.
  • Music is a wonderful resource for people with visual impairment. It provides another way of staying in touch with the world.
  • Music encourages seniors to exercise and be more active. What’s more fun, calisthenics or dancing? With the addition of music, movements become a pleasure rather than a chore.
  • Music can improve sleep quality. Recent studies show that seniors with sleep problems experienced an improvement after listening to soft music at bedtime.
  • Music brings people together. People who “co-experience” the same rhythms, moods and neurological responses enjoy a togetherness which is familiar to concertgoers or church congregations. Listening to music together enhances communication, and can lend a sense of unity to people of different abilities and of different generations. Music helps us interact with others and feel part of a group.
  • Music can have positive emotional effects. It can uplift the spirit. It can reduce anxiety, stress and agitation. Music which is associated with pleasant memories can be a source of relaxation. And the therapeutic use of music has been shown to be effective in reducing depression.
  • Music provides a sense of meaning and fulfillment. Studies show that most of us have our own strong musical tastes, with which we often identify. Reacting to music in one’s own way builds self-esteem.
  • Music provides comfort at the end of life. Patients receive palliative benefit from appropriate, personalized music. Music helps meet the physical, emotional and psychosocial needs of hospice patients.

Copyright ©IlluminAge AgeWise, 2011

Keeping Your Home Safe

May 10th, 2011

Keys


We consider our homes as a ’safe haven’  but statistics show, that incidents related to unlawful entries have been increasing significantly over the past few years. With this in mind, it is very important to take precautionary measures to protect your home and your family from burglars.

To help you avoid these unfortunate incidents from happening, Reliant In-Home Care has gathered some safety guidelines.  Please read more to view some reminders on how to avoid intruders in your homes:

  • Never let strangers inside your house.
  • For home repairs, make sure you only deal with reputable companies or individuals who are trusted and referred by friends and family.
  • Make sure to lock all your doors and windows at all times.
  • Install and use a peephole and never open your door automatically unless you know and trust the person at your doorstep.
  • Get proper identification documents from delivery persons before letting them inside your home.
  • Be sure to leave lights on when you go out at night.
  • Do not leave any notes on your door when going out.
  • Use timer to turn lights on and off when leaving for a long trip or vacation.
  • Inform your neighbors and the police if you will be gone for a long period of time.
  • Call 911 and do not go inside your house if you suspect that a stranger is in your home.

Protect Yourself from Medical ID Theft

April 29th, 2011

RSC family outing Pic

During the ongoing national debate over healthcare reform, there is one point most people can agree on: the need to curtail the growing epidemic of healthcare fraud. Estimates put the loss at $65 billion a year to Medicare alone. Government agencies are working hard to catch these crooks—and you can help by protecting yourself and loved ones against medical identity theft.

Medical identity theft happens when a scammer steals your personal information (such as your name, Social Security number and medical insurance policy and/or Medicare number) and uses it to commit healthcare fraud.

Once crooks have your personal information, what could happen? A thief could walk into a hospital and use your name and identity to obtain medical treatment or drugs. Or, an unscrupulous provider (or a dishonest employee of an honest provider) could file fraudulent charges in your name. Criminals have even formed phony “clinics” using post office boxes to cheat insurance companies by filing fraudulent medical claims.

Medical ID theft can have an impact on…

  1. Your money. You could be billed for the thief’s charges, and possibly end up spending even more for legal help to straighten out the problem.
  2. Your credit rating. Unpaid charges run up by the crooks can impact your credit score.
  3. Your time. It can take many hours to untangle the mess, which might involve one or more of your healthcare providers, your insurance company and/or Medicare, the credit bureau, even law enforcement agencies.
  4. Your good name. Some victims have found themselves involved in a criminal investigation when scammers illegally obtain drugs in their name.
  5. Your health. Most importantly, Medical ID theft could be dangerous if the criminal’s information (blood type, medical history, medications, allergies, etc.) were to be entered in your medical records. And if a thief uses up your insurance benefit cap, you could be denied coverage for treatment when you need it, or even lose your coverage.

And beyond the personal level, medical ID theft hurts us all by helping to drive up medical costs across the nation.

Fortunately, there are steps you can take to avoid medical ID theft. Know the warning signs, and be proactive in protecting your personal information.

  • Protect your insurance and Medicare information just like you do your ATM card, credit card number and Social Security number. Don’t divulge the information to anyone except your healthcare provider’s office, insurance company, Medicare, or your State Health Insurance Assistance Program (SHIP).
  • Report a lost or stolen card to your insurance company or Medicare right away.
  • Always review medical bills, insurance explanation of benefits statements and Medicare summary notices. Be alert for unexpected or unexplained charges for medical services or purchases.
  • Ask your healthcare provider for a copy of your medical records. (There may be a fee for this; you probably don’t need copies of more expensive items, such as X-rays.)
  • Review your credit report once a year. Many times, especially if scammers have been careful to cover their tracks, this will be the first place a problem shows up.
  • Thieves sometimes change a victim’s contact information when obtaining services. So even if you’ve been reviewing your monthly statements, each year request that your insurance company send a comprehensive list of all benefits paid.
  • If a salesperson calls and asks you to divulge your insurance or Medicare information, hang up. A reputable salesperson will never ask for your personal data.
  • Don’t deal with a salesperson who offers “free” products or says he can help you “get around” Medicare laws.

If you suspect you’ve been victimized:

  • Contact your healthcare provider if you see a questionable charge in medical bills, insurance benefits statement, or Medicare summary and think it might be a mistake. (Sometimes legitimate charges from a medical test or procedure will come from a different entity whose name may be unfamiliar to you.)
  • If you suspect someone has used your medical ID, contact your insurance company right away. If you have Medicare, see the resources at the end of this article for contact information. File a police report, and contact the Federal Trade Commission.

The World Privacy Forum estimates that fraud accounts for up to 10% of all American health care costs! But since most Medicare and insurance fraud relies upon stolen personal information, you can be part of the solution. By spending a few minutes reviewing your information, you can help put a stop to a scammer’s illegal activities.

For More Information

If your Medicare card is lost or stolen, call 1-800-MEDICARE (1-800-633-4227). If you suspect fraud, call 1-800-447-8477 or email hhstips@oig.hhs.gov. Visit the Medicare site for more information about fraud and for help with reading your Medicare Summary Notice. Visit the Stop Medicare Fraud website  for more information, including an easy-to-understand factsheet.

The Federal Trade Commission offers information on Medical Fraud and how to file a report if you suspect fraud.

The World Privacy Forum offers tips for preventing Medical Identity Theft, and a detailed tutorial about what consumers should do if they suspect they have been a victim of Medical ID theft.

Copyright © IlluminAge AgeWise, 2011