Showing posts with label Depression. Show all posts
Showing posts with label Depression. Show all posts

Sunday, December 15, 2013

My elderly parent needs help—should I start with Home Care?

By Bob Gregory


Judy Garland
Cover of Judy Garland
If aging were a game, then Independence would be its name!  There is really no such thing as aging gracefully because most of us, regardless of how old, are fighting aging with everything we have—including our savings.  I often hear from colleagues that the cry from the elderly population is to remain at home for as long as possible.  The term “Aging in Place” has become a battle cry for many elderly as they do not wish to give up their homes, which to most, equate to their independence.  The famous line by Judy Garland “there’s no place like home” resonates among our elderly population because after all, there is no place like home!  However, sometimes our elderly need help to accomplish everyday tasks and we, their children, family members or guardians cannot always be there to provide the help.  So what do we do to help our parents remain at home and thus, independent?

First, I recommend you have your parent evaluated to make sure there are no major underlying medical issues that need to be addressed.   This is always a good first step when you believe your elderly parent needs additional help—find out why so you can make an informed decision.  Assuming the doctor sees no particular medical illness that would require medical services, then have a discussion with your parent about the type help they feel they need.  I also recommend you observe your parent doing daily tasks so you can make an assessment of your own.

For most elderly parents needing assistance, it is usually for chores they are no longer able or comfortable attempting on their own.  This is where Home Care (the non-medical Home Care) can be of great help and extend your parent’s independence.  Some common areas elderly need non-medical help include:

Light Housekeeping                Eating                          Medication Management
Laundry                                  Dressing                      Errands
Meal Preparation                     Bathing                       Shopping
Companionship                       Toileting                      Transportation
Bill Paying                              Continence                  Gardening

Once you and your parent determine the type help needed, you can set a schedule for when services are rendered.  Home Care companies are very flexible so you can customize a schedule that will suit your parent’s needs and lifestyle.  You will also want to consider the cost of the services as you create the schedule.  Medicare’s home health care benefit is limited and does not cover most non-medical home care services that Medicare categorizes as Homemaker or Custodial Care Services.  Most of the time, Home Care is paid from the savings or financial resources of the individual receiving care. This is commonly referred to as private pay or out-of pocket payment.  However, check with your State as some provide help for low-income seniors.

Helping Grandmother WalkAlso, I encourage you not to overlook the “companionship” portion of Home Care.  Often, elderly feel alone and isolated and that can cause everyday chores to seem impossible to complete.  I encourage you to interview several Home Care services and make sure your parent is comfortable with the individual that will be providing the services.  Your parent may go to great links to stay independent and in their own home, but you will find they are very particular about who they allow to provide care!  Finally, don’t let a Home Care provider take your place when it comes to providing care and companionship—they are there to complement you and not to replace you!

If would like a list Home Care Agencies, Assisted Living Facilities or any other type of Senior Facility, I hope you will consider www.seniorfacilityfinder.com. 

If you would like to contribute your thoughts and ideas, please leave them in our comment section. We want to hear them. Helping people care for themselves or their loved ones is what we care about. 

We look forward to reading yours.

Bob Gregory is an advocate for Seniors and is one of the founders of www.seniorfacilityfinder.com. At SeniorFacilityFinder.com, we are dedicated to helping families get the Elder Care help they need without having to provide their personal information! If find you need an assisted living facility or other type of senior facility, please consider www.seniorfacilityfinder.com
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Tuesday, November 26, 2013

The perfect gift for an elderly parent in a Senior Facility!

By Bob Gregory

It’s that time of year again and the commercials on TV are already telling us that Black Friday shopping will begin early on Thanksgiving Day—for your convenience, of course!  I’m sure by now you have your list and you’re checking it twice, but are you stumped as to what to give your elderly parent who resides in a Senior Facility?  Every year I am asked for recommendations on gifts to give elderly parents and I have even written a helpful blog full of ideas (What gifts for the Holiday are appropriate for my parent is in a Senior Facility?) that I refer people for ideas.  This year is no different and the questions are already being asked in the wake of the upcoming shopping frenzy beginning on Thanksgiving. 

Family
Family (Photo credit: betta design)
This year was a little different for me as I confidently referred people to my blog post.  I took the time to sit back and ponder all the gifts that I gave my mother that brought her joy during the holidays as she spent her last few years in a Senior Facility.  Yes, most of the gifts I gave can be found in the post, but the gift that I gave that was the “best ever” was the gift of my time.  It was really that simple and it took me a while to realize how precious the gift of time can be for someone who has so little left, yet spends so much of it apart from loved ones.  The Holidays are always a mad, frantic rush for most of us with so much to do and so little time to do it in.  We are lucky to show up to our own parties, dinners and even Christmas with so much preparation required to have the “perfect” Holiday!

Each year I took great joy in giving my Mother what seemed to be the perfect Christmas gift.  They were always very appropriate for her age and living quarters at the Senior Facility and she always appreciated the gifts and showered me with hugs and kisses.  However, what I recall she enjoyed most was me taking the time to sit and visit—the gift of time!  Looking back, I realize I didn’t really need to bring a gift; I just needed to be there with her and enjoy our time together.  After all, that’s really what brought her the most joy.  The real “best ever” gift would have been one extra visit or even one extra hour.

Christmas gifts.
 (Photo credit: Wikipedia)
Gifts are wonderful and fun to give and receive but what we all need in our lives is more time.  I’m not just referring to extra hours in the day to complete our daily demands or even extra time on Earth to accomplish our destinies; I’m referring to the time we get to spend with our loved ones.  Our children grow up and move on so quickly we can’t remember it happening!  At the same time, our parents grow older and move on to 
another life just as quick. This year, if you want to give the perfect gift, I encourage you to give the gift of time—your time.  Spend that extra hour or make that extra trip to visit.  If you do so, I think you may be surprised that you will also receive a wonderful gift!

If would like a list Assisted Living Facilities, Nursing Homes or any other type of Senior Facility, I hope you will consider www.seniorfacilityfinder.com. 

If you would like to contribute your thoughts and ideas, please leave them in our comment section. We want to hear them. Helping people care for themselves or their loved ones is what we care about. 

We look forward to reading yours.


Bob Gregory is an advocate for Seniors and is one of the founders of www.seniorfacilityfinder.com. At SeniorFacilityFinder.com, we are dedicated to helping families get the Elder Care help they need without having to provide their personal information! If find you need an assisted living facility or other type of senior facility, please consider www.seniorfacilityfinder.com
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Tuesday, November 12, 2013

Do you or an elderly parent have the Holiday Blues?


By Bob Gregory


Holiday HDR
Holiday HDR (Photo credit: Christopher S. Penn)
Yes, the Holidays are once again upon us!  It’s that happy time of year when family and friends gather to share friendship, love, food, drink and gifts.  The Holidays are filled with dinners, parties, shows and good times.  They are also filled with lots of traveling and visiting distant relatives or friends.  We get a chance to catch up on what’s going on in everyone’s lives as well as reminisce about the good ole days.  All we have to do to enjoy the Holidays is to survive the stress!  Yes, the shopping, planning, preparing, traveling and deadline meeting can create a great deal of stress even if all you have to do is sit back and watch someone else do it all for you!  It’s no wonder why some people, especially our elderly, seem to have the “Holiday Blues”.

I often hear how people sometimes feel depressed around the Holidays and they don’t understand why.  This is especially true for the elderly.  To begin, Holidays do not cause Depression!  Depression is a medical condition and should be treated as such.  Its causes are much more profound than a “time” of year known as the Holidays.  If you feel you or an elderly parent may be Depressed, then see your doctor immediately…you need to seek treatment.  I do not want to confuse what I term as the “Holiday Blues” with the medical condition of Depression because they are not the same and while Depression is common in older adults, it is not caused by aging.

Most anyone can experience Holiday Blues but they seem to be more prevalent in our elderly.  I’ve spoken with quite a few elders who tried to describe why they feel “blue” or down during the Holidays and they all refer to many similar causes. 

Some common causes for the Holiday Blues:

  1. Feelings of loss—Holidays are generally highlighted by family and friends getting together to enjoy each others’ company and share the joy of the Season.  If you are fortunate to live a long life and you are counted among the group we refer to as our Elderly, then you have certainly lost family members and friends.  Most family or friends who have passed on are missed most during the Holidays—that time when all use to gather.  Remembering the loss of family or friends can certainly make anyone feel blue and not having them around to reminisce about the past or create new memories can certainly make you feel sad.
  2. Feelings of loneliness—Not everyone has family and friends to visit during the Holidays, especially those in Senior Facilities.   Most Senior Facilities do a great job decorating and 
    Holiday Blues
    Holiday Blues (Photo credit: CJ Schmit)
    providing entertainment and activities but it’s very easy to still feel lonely in the middle of a crowd, especially if you miss being with family and friends.
  3. Financial Stress—Holidays are a time for shopping for gifts, new outfits, decorations, party supplies and holiday trimmings.  However, for those struggling financially, it can be very “depressing” not to be able to afford all the goodies that tempt our purse during the Holidays.
  4. Physical or mental illnesses—There is nothing that dampers the Holiday Spirit more than being ill!  It can be very saddening to have the desire to participate in Holiday festivities and yet be too ill.
Understanding the causes doesn’t necessarily make Holiday Blues easier to accept or cope with, but it can be a step toward combating the “blues”.  The great thing about speaking with people who understand what makes them blue during the Holidays is they usually have a coping technique or two!  These may sound simple, but they are easier to write about than to practice:

Some techniques to cope with the Holiday Blues;

  1. Focus on the positives of your life today and in the past.  Old memories of good times can provide comfort and warmth especially if you share those memories with new friends!  Find the good points of your life—they’re present but you may have to look for them.
    Holiday Sing-a-Long
    Holiday Sing-a-Long 
  2. Give of yourself.  This is probably one of the most positive coping skills I’ve come across.  If you take the time to look around you, you will certainly find someone whose life isn’t quite as fulfilled as yours.  Take the time to do something good for someone who does not have as much in their life as you.  Take the time out of your life to share a kind word, happy memory or just listen to the other person’s woes.  You’ll be surprised at how good both of you will feel.
  3. Accept other peoples’ kindness graciously.  If you are feeling down, it’s very hard to allow someone else to “cheer” you up.  Make an effort to be receptive to others attempts to help you! 
If you have an elderly parent in a Senior Facility, take the time to make their Holidays a little more cheery!  Keep in mind we all will age and the examples we set for our children with our own parents may determine how you will spend your Holidays in the future!  If you don’t have elderly parents, then try to be a friend to someone who does not have family.  Most Senior Facilities will certainly connect you with a resident in need of Holiday Cheer!

If would like a list Assisted Living Facilities, Nursing Homes or any other type of Senior Facility, I hope you will consider www.seniorfacilityfinder.com. 
           
If you would like to contribute your thoughts and ideas, please leave them in our comment section. We want to hear them. Helping people care for themselves or their loved ones is what we care about. 

We look forward to reading yours.

Bob Gregory is an advocate for Seniors and is one of the founders of www.seniorfacilityfinder.com. At SeniorFacilityFinder.com, we are dedicated to helping families get the Elder Care help they need without having to provide their personal information! If find you need an assisted living facility or other type of senior facility, please consider www.seniorfacilityfinder.com
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Thursday, May 9, 2013

I can’t convince my family that my mother-in-law needs help with her Dementia!


By Bob Gregory

Dealing with in-laws can be a very touchy subject regardless of the relationship you may have.  You are family but then again, you’re not—or at least not blood kin.  Families like to believe they take care of their own, in fact it’s a tradition and honor in many cultures to care for elderly family members regardless of the cost or burden.  It is very difficult for family members to take advice from outsiders even if that outsider is a beloved member of the family through marriage.  In the case of my friend, she seems to see or at least admit what no other “family” member admits—her mother-in-law needs help!

My friend recently reached out for advice on how to help her mother-in-law who is suffering from Dementia.  She is receiving care in her own home by her husband but she feels her mother-in-law is not getting the proper attention that she needs.  Her basic needs are being met, but she is not receiving any type of therapy to help her memory and she receives no stimulation other than what is provided by the television in her room.  My friend has appealed to her husband, father-in-law and other family members but all seem to dismiss her call for action. I stated earlier that dealing with in-laws can be very touchy but it can be downright nasty if you are implying they are not “caring” for a family member.  So what do you do when you think an in-law is not receiving proper or adequate care?

Here are a few suggestions on approaching family about an in-law.

    Memories
     (Photo credit: Karthick R)
  • First, you need to remember and recognize that from their point of view, you are the “in-law”.  What I mean by that is that you are the outsider and it doesn't matter the relationship you have, good or bad, this is a very sensitive area.  Be respectful in pointing out what you “observe” and how you would “approach” the situation if it were your own parent.  Do your best not to be accusatory and avoid harsh words such as abuse, mistreatment or neglect even if you feel it applies.  This type of banter will do nothing to help your in-law as the advice will quickly be viewed as an attack and nothing you offer will be accepted.
  • If your in-law has been diagnosed with Dementia, then the doctor should have made some recommendations as to treatments—drug and therapy.  Ask the family members to “educate” you on what is now being prescribed to treat patients with Dementia.  Everyone likes to be put in a position of authority and knowledge so let them educate you on what the doctor recommended and then ask how the different treatments are being applied and are working.  This will force them to recognize they are not following doctor’s orders. Now you have something to discuss without being accusatory.
  • If it has been a while since the last doctor’s visit, offer to attend to provide assistance and to be a second set of ears to understand what the doctor is detecting and recommending.  If you are successful, ask the doctor to make recommendations for therapy or proper in home care.  You can then offer to take the lead in contacting these companies and arranging the needed help.  Sometimes it’s just a matter of being willing to do the work.  Be sure and use the appointment to ask the doctor questions in front of family members about the treatment and engage the family in the discussion with your own follow up questions such as “Do you agree we need to get this treatment started?” , “Do  ou have any questions about why this treatment is necessary?” “Is this treatment something we can get started immediately?”etc.  Put them on the spot in front of the doctor, he/she may become your future ally to get your in-law help!
    The Secret Garden
    The Secret Garden (Photo credit: @Doug88888)
  • If finances are an issue and you are capable of helping, offer the help!  Elderly couples will often put finances ahead of their own or a loved one’s health.  Don’t be naive and believe that money does not play a part in poor health care.  You may offer to pay for a couple of sessions of therapy or additional help.  Generally, health insurance will pay for doctor prescribed therapy but to get the ball rolling, you may want to bring a therapist by for a visit to show your family what the therapy is all about.  Fear of the unknown can easily be a road block.
  • Finally, there are legal steps you can take if you believe there is true neglect or abuse.  This is very difficult and I strongly suggest you give careful thought before mentioning this type of intervention.  You may want to seek council before even suggesting as this can ruin individual lives and marriages!  In this writing, I’m referring to “denial” of what is going on and not abuse or neglect so follow your conscience and heart if you believe it is abuse.
The above suggestions are not “one and done” steps.  Repeat them over and over and over and hopefully you will finally get proper care for your in-law.  It’s not surprising that an “outsider” sees what family members do not—denial is a powerful emotion that clouds our better judgment. Be persistent in your appeal for proper help and you will prevail at some point.  The sooner you succeed the better quality of life your in-law, and the family, will experience.  I wish you much success and I’m very proud of you for being such an advocate for your mother-in-law!

If would like a list Independent Living Facilities, Assisted Living Facilities, Nursing Homes or any other type of Senior Facility, I hope you will consider www.seniorfacilityfinder.com. 
           
If you would like to contribute your thoughts and ideas, please leave them in our comment section. We want to hear them. Helping people care for themselves or their loved ones is what we care about. 

We look forward to reading yours.

Bob Gregory is an advocate for Seniors and is one of the founders of www.seniorfacilityfinder.com. At SeniorFacilityFinder.com, we are dedicated to helping families get the Elder Care help they need without having to provide their personal information! If find you need an assisted living facility or other type of senior facility, please consider www.seniorfacilityfinder.com

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Thursday, May 2, 2013

What is an Assisted Living Facility with Memory Care and is it right for my elderly parent?



By Bob Gregory

Choosing the right Senior Facility can be a daunting task and it can be very complicated if your elderly parent suffers from memory issues.  Memory care units within an Assisted Living Facility are designed to care for residents who suffer from mild to moderate memory loss caused by degenerative diseases such as Dementia or Alzheimer’s.  These types of facilities offer your parent the special care and assistance they need while still allowing the resident to enjoy continued independence. 
Keeping the memories alive
Keeping the memories alive
 (Photo credit: fernanda_maria)
Services provided by the Memory Care units of an Assisted Living Facility:

ü  Security:  Memory Care units generally offer a secure area for individuals with memory impairment diseases.  Generally a wing, or building depending on the size facility, is designated as the Memory Care unit and provides a higher level of security for residents who may wander off and get lost.  Some of these units are considered “lock down” units and may secure or “lock” the doors so residents do not wander off premises.  Levels of lock down vary so you will need to ask.  Some units lock the exits only at night and others have them secured all day.  The staff is normally trained to assist residents when they become “lost” and provide compassion and reassurance as they help the resident return to their quarters.

ü  Memory Therapy: Most Assisted Living Facilities with Memory Care units provide activities designed to provide therapy for their residents.  These activities are designed to be fun, engaging and rehabilitating.  Sensory and Cognitive therapies are generally the focus of the activities but most will include physical therapy as well.  Some have activities especially designed to address the symptoms of aggression and agitation that are associated with degenerative memory diseases.  Therapy may be provided on an individual basis but most are performed in a group setting to promote socializing.  Many facilities now use online memory games and skill activities.  Online programs provide an expansive and ever changing data base of games and activities to challenge and measure progress of the participant.

ü  Enhanced Medication Assistance:  Assisted Living Facilities normally provide assistance with administering residents’ medication.  In facilities with Memory Care, the nurses assure the medication is taken on time.  They are also trained to note changes in behavior and carefully document and notify the primary physician of these changes.

ü  Increased Care Level:  Assisted Living Facilities are designed to help individuals who need assistance performing normal daily functions such as bathing, eating, toileting, dressing, etc.  Facilities with Memory Care units provide a higher level of service for residents who need the same assistance, but may not “remember” they need to perform the daily functions.  In the Memory Care units, caregivers monitor whether a resident is eating, bathing, etc.
English: Logo of Alzheimer's Society.
English: Logo of Alzheimer's Society.
(Photo credit: Wikipedia)
As in any Senior Facility, not all Assisted Living Facilities with Memory Care units are the same and they don’t all provide the same level of care.  You need to do your research as to exactly what level and type of care they do provide.  Make sure your parent’s physician agrees that an Assisted Living Facility with a Memory Unit is sufficient for your parent’s degree of memory degeneration.  You should also discuss your research with the physician to get concurrence that the facility is providing the type of care your parent requires.  I also encourage you to observe the residents in the Memory Care unit and ask at what point the facility would recommend you move your parent to a higher level of care facility such as a Nursing Home.  Finally, you want to be sure your parent is living with residents with similar levels of memory degeneration to promote healthy socialization.

If would like a list Independent Living Facilities, Assisted Living Facilities, Nursing Homes or any other type of Senior Facility, I hope you will consider www.seniorfacilityfinder.com. 
           
If you would like to contribute your thoughts and ideas, please leave them in our comment section. We want to hear them. Helping people care for themselves or their loved ones is what we care about. 

We look forward to reading yours.

Bob Gregory is an advocate for Seniors and is one of the founders of www.seniorfacilityfinder.com. At SeniorFacilityFinder.com, we are dedicated to helping families get the Elder Care help they need without having to provide their personal information! If find you need an assisted living facility or other type of senior facility, please consider www.seniorfacilityfinder.com


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Monday, April 29, 2013

I can’t seem to make my elder parent happy in their Senior Facility and it’s stressing me out!


By Bob Gregory

There are a lot of cute little sayings that come to mind when I hear this “cry” from children who have gone out of their way to make their elderly parent happy.  One that comes to mind is “you can lead a horse to water, but you can’t make it drink”!  This saying is very befitting as no one can really be responsible for another person’s happiness.  We can certainly set the stage for another person to be happy, but in the end, it’s up to the individual to find happiness from within and joy from their surroundings. 

Children of elderly parents in a Senior Facility will experience many different emotions ranging from guilt (please read my post “I know a nursing home is the best move for my elderly parent, so why do I feel so guilty?”) to fulfilled or happy to sad.  Most believe these feelings were generated by the move of the parent to a Senior Facility but if you step back, you will realize you have experienced these emotions all of your life when it comes to your parents!  If you are fortunate, and most are, your parent will settle into this new stage of life and will enjoy their Senior Facility.  Hopefully you will feel confident in your decision in choosing the facility and happy that your parent is happy.  But not all of us will be so fortunate, some of us will go out of our way to make sure our parent is happy in their Senior Facility and we will “seem” to fail miserably!  A word of encouragement—“it’s not your fault!”

If you have followed my advice from earlier writings, then you have done your research carefully and you have found a facility that meets your parent’s physical and mental needs.  The facility has competent health care and loving and attentive caregivers.  It will also have fun activities, entertainment and a wonderful cuisine.  So why is your parent unhappy?  Here are some reasons they may be unhappy and they don’t stem from you!

Reasons your parent may be unhappy:

  I always start with the one that should concern all of us the most and that is health or mental issues.  Symptoms of Depression, Dementia or Alzheimer’s may appear as if the individual is just unhappy.  As I often advise, get your parent tested to make sure their unhappiness is not a symptom of a mental or even a physical condition.  Medications can also cause a person to seem unhappy.  A medical cause may actually be the easiest to identify but the most difficult to fix.  Ease your stress and your conscience by having your parent evaluated!

English: lonely, unhappiness sp: tristeza, des...
English: lonely, unhappiness sp: tristeza, desânimo, desgosto (Photo credit: Wikipedia)
  Your parent may be stubborn and unwilling to accept this new stage of life.  Not everyone ages gracefully so don’t expect your parent to be complacent about growing older.  Their anger and frustration with this new stage of life may very well manifest itself as just being unhappy.  Defiant individuals are often unhappy and unfortunately, there is nothing you can do to change the aging process.  Think back over the years and see if your parent has exhibited signs of being stubborn,  defiant or uncompromising.  If so, you may have found your answer and again, it has nothing to do with you. Sometimes counseling can help but the individual being counseled must have the desire to get “better”. 

  Your parent’s unhappiness could very well stem from grief they are unable or unwilling to overcome.  If your parents were close and one has passed on, you may not realize your parent is still dealing with grief.  Time doesn’t always cure everything and in fact, it can have just the opposite effect.  I experienced this situation with my own mother as she never moved on or recovered from the grief of the death of my father.  She would have moments when all seemed well, but the majority of the time she was a very unhappy person. My siblings and I tried to discuss the grief with her but she always denied that the grief was the cause of her unhappiness.  We encouraged her to seek counseling but she refused.  If this is your situation, then I encourage you to seek professional advice on how to deal with your parent’s grief.  For me, it came up quite often.

English: Robert Plutchik's Wheel of Emotions
Robert Plutchik's Wheel of Emotions
(Photo credit: Wikipedia)
  Your parent may just be an unhappy person!  It sounds a little trite but there are individuals who are never truly happy.  I have experienced a few individuals who are never happy and I think it is somewhat synonymous with unsatisfied.  These are individuals where nothing is ever good enough; there is always room for improvement.  There is little you can do to help an individual like this and if you did your due diligence on the Senior Facility as I stated earlier, then take comfort in that and be happy!

The best way to handle a parent who you just can’t seem to make happy in their Senior Facility is to be confident in your decision and project happiness and joy whenever you are around them.  Don’t let them drag you down as you are not responsible for their happiness.  You have given them every opportunity to be happy and enjoy the rest of their life and that’s truly all you can do!

If would like a list Independent Living Facilities, Assisted Living Facilities, Nursing Homes or any other type of Senior Facility, I hope you will consider www.seniorfacilityfinder.com. 
           
If you would like to contribute your thoughts and ideas, please leave them in our comment section. We want to hear them. Helping people care for themselves or their loved ones is what we care about. 

We look forward to reading yours.

Bob Gregory is an advocate for Seniors and is one of the founders of www.seniorfacilityfinder.com. At SeniorFacilityFinder.com, we are dedicated to helping families get the Elder Care help they need without having to provide their personal information! If find you need an assisted living facility or other type of senior facility, please consider www.seniorfacilityfinder.com

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Monday, March 18, 2013

Preserve and improve your memory


By Bob Gregory

This past Saturday was the 16th Annual USA Memory Championship held at Con Edison in New York.  These competitors are gifted, but like any competitor, they also train for the event.  Of course these competitors are relatively young, but it made me wonder if we should be helping our elderly parents improve memory and fight memory loss by doing a little memory training.  Everyone experiences normal memory loss and according to the British Medical Journal, it can occur as young as age 45!  Testing demonstrated that younger participants had a much lower memory decline (3.6%) while older participants (65-70) showed the greatest decline of nearly 10%!  The article also suggests that being heart healthy has an impact on memory and that diet and exercise can also help.  So what can we do for ourselves and our elderly parents?

Here are some tips on helping prevent and improve memory loss:

  1. Eat healthy and exercise!  We all know the benefits of eating healthy and exercising for weight, heart and general wellbeing, but taking care of our hearts can have the added benefit of preserving and possibly improving our memories.  The August 2012 Harvard Womens Health Watch suggests a diet which contains items from the Mediterranean Diet:

The Mediterranean diet includes several components that might promote brain health:
Mediterranean diet (close up)
Mediterranean diet (close up) (Photo credit: grobery)
·         Fruits, vegetables, whole grains, fish, and olive oil help improve the health of blood vessels, reducing the risk for a memory-damaging stroke.
·         Fish are high in omega-3 fatty acids which have been linked to lower levels of beta-amyloid proteins in the blood and better vascular health.
·         Moderate alcohol consumption raises levels of healthy high-density lipoprotein (HDL) cholesterol. Alcohol also lowers our cells' resistance to insulin, allowing it to lower blood sugar more effectively. Insulin resistance has been linked to dementia.

Along with your healthy diet, don’t forget to exercise!  Not only does exercise improve your health, it can reduce stress and help you sleep.  Aerobic exercise tends to be the best for memory but you should consult your physician who can recommend a safe and effective routine for your level of health.
  1. Focus on one task and avoid multi-tasking.  I’ll admit there are times you cannot avoid being a multi-tasker—ask anyone with young children.  However, as we mature we should take the time to focus and complete one task at a time.  This will produce a much higher quality result and help preserve and improve your memory.  The steps to a single task are much easier to comprehend and retain than many steps to different tasks all at the same time—makes senses!
  2. Organization and routines are a great way to preserve and improve memory.  If you are organized and keep everything in their respective place, you should be able to find what you need and remember where they are kept!  If you have one particular place you leave your car keys every time you come into the house, you will have a much easier time finding and remembering where they are placed.  If 
    Organisation
    Organisation (Photo credit: Sean MacEntee)
    you ever ran around the house looking for your keys, you know I’m right!  Also, keeping a daily routine can help.  Most of us perform the same tasks every single day, such as eating sleeping, bathing, chores and so on.  By keeping a routine, you will be less likely to forget items that need to be accomplished.  For example, if you need to take medication, make sure you take your medication the same time everyday and associate it with an activity you always perform, such as eating a meal.
  3. Participate in activities that cause you to concentrate.  Some experts point to games to help memory and there are a lot of free online games—just Google it!  Others suggest writing or keeping a journal of your day to help improve your memory.  This can also be very therapeutic if you need to express 
    memory game
    memory game (Photo credit: jessica wilson {jek in the box})
    yourself but don’t want to do it verbally!  Reading is another great way to improve memory.  Once you've completed the book, take the time to write your own review and see how much of the detail you can include.  Socializing can also help as friends often reminisce about the good ole days and that can help your memory.  Speaking out loud requires you to recall and organize your thoughts so they are verbalized in a comprehensible manner.
 If you don’t intend to try some of these tips to help your memory, then don’t expect your elderly parent to do so!  This is an excellent opportunity to help yourself and your elderly parent as well.  I suggest you lead by example and include your parent in as many of these activities with you as possible.  Also, keep in mind that not all memory loss is natural and it can be a sign of a more serious issue such as Dementia, Alzheimer’s or Depression.  Make sure you seek professional help to determine whether your memory loss or your elderly parent’s is natural or something more serious.  Finally, there are several drugs on the market that your physician may recommend to help you or your parent so be sure and discuss any issues you may have.  I hope some of these tips are all you need to preserve and improve your memory!

If you find you need an Assisted Living Facility, Nursing Home or any other type of Senior Facility, I hope you will consider www.seniorfacilityfinder.com. 
           
If you would like to contribute your thoughts and ideas, please leave them in our comment section. We want to hear them. Helping people care for themselves or their loved ones is what we care about. 

We look forward to reading yours.

Bob Gregory is an advocate for Seniors and is one of the founders of www.seniorfacilityfinder.com. At SeniorFacilityFinder.com, we are dedicated to helping families get the Elder Care help they need without having to provide their personal information! If find you need an assisted living facility or other type of senior facility, please consider www.seniorfacilityfinder.com

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Thursday, March 14, 2013

Is it Dementia or is it Depression?

By Cynthia K. Klinowski, RN, MSN

Was your parent always the life of the party, telling entertaining stories and cracking jokes?  As a parent were they caring, affectionate and supportive?  Did the stories fall away?  Did you stop hearing from them; they weren't interested much in your life anymore?

What has changed?  Depression goes undercover among our older population, yet more than 6.5 million of the 35 million Americans aged 65 and older are affected by depression, according to the National Alliance on Mental Illness (NAMI).

Senior depression has many causes, but foremost are retirement, a sense of purpose, the death of a loved one, isolating oneself, financial worries and medical problems.  Heart disease, chronic pain and chronic illnesses, such as diabetes and kidney disease, are triggers for depression.  Sometimes, prescription 
A depressed man sitting on a bench
A depressed man sitting on a bench
 (Photo credit: Wikipedia)
medicines, in particular some pain killers and sedation medications, also trigger depression.

There are many reasons why depression among our seniors may be difficult to spot:  Because of the stigma associated with seeking this kind of (mental health) treatment, depressed people may try to hide their predicament.  Also, the depressive state may cause individuals to isolate themselves from friends and family and keep them from their regular activities.

Detecting depression in seniors also may be tricky because many signs of depression are attributed to the aging process itself:  A lack of energy, loss of appetite, disrupted or less sleep—these are all things we expect as we age.

But they need not occur, and sometimes the result of depression—not age.  There’s a decreased level of energy as we age.  And the elderly sleep less in general, but depression makes it harder for them to get a good night’s sleep.

Learning about people's experiences of dementia
Learning about people's experiences of dementia (Photo credit: The Prime Minister's Office)
Some notable signs of senior depression include irritability, physical complaints and cognitive impairment.  Depression sometimes can mask itself as someone having dementia, but you treat the depression and the normal cognitive function gets back to normal.

This is why anyone who suspects a loved one may be depressed needs to help that individual seek treatment.  Fear of dementia interferes with seeking treatment, but an individual’s loss of cognitive skills may be caused by untreated depression.  Not only is the depression treatable, but some forms of cognitive impairment 
respond well to treatment.

Relationship proves to be the key to detecting depression and getting a loved one to seek medical help.  Get an individual feeling safe, and they may trust you to help them.  It’s really hearing what a person saying and meeting their needs.

While some physical ailments can trigger depression, the depressive state can worsen pre-existing medical conditions.  Statistics show that when depression is treated in the elderly, the outcome of their physical illnesses improve.  Pay attention and seek medical attention to help diagnose Depression or Dementia.

If you find you need an Assisted Living Facility, Nursing Home or any other type of Senior Facility, I hope you will consider www.seniorfacilityfinder.com.       

If you would like to contribute your thoughts and ideas, please leave them in our comment section. We want to hear them. Helping people care for themselves or their loved ones is what we care about. 

We look forward to reading yours.

Cynthia K. Klinowski, RN, MSN, is a co-owner and senior medical officer of several Assisted Living Facilities in Florida and a guest blogger for SeniorFacilityFinder.com

Bob Gregory is an advocate for Seniors and is one of the founders of www.seniorfacilityfinder.com. At SeniorFacilityFinder.com, we are dedicated to helping families get the Elder Care help they need without having to provide their personal information! If find you need an assisted living facility or other type of senior facility, please consider www.seniorfacilityfinder.com
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