Here’s What to Avoid During Chemotherapy

: Do you know what to avoid during chemotherapy?

Chemotherapy is, without a doubt, a potentially life-saving journey. However, during the process of destroying harmful cancer cells, noncancerous cells can be in the crossfire, leading to challenging side effects. The physician will offer guidelines on what cancer patients should do to minimize these effects, but it’s just as important to know what to avoid during chemotherapy. Read more

Keeping a Sense of Purpose for Seniors Leads to a More Fulfilling Life

Learn the importance of maintaining a sense of purpose for seniors.

What motivates you to push forward every day? If you are part of the sandwich generation, taking care of both older and younger loved ones, your list is probably quite long! However, for aging adults, as the nest empties, it becomes important to redefine their identity and learn new ways to bring meaning to each day. Read more

Important Questions When Visiting Parents Over The Holidays

Happy senior woman drinking coffee

Keep these questions in mind when visiting parents over the holiday season.

It’s been a while since you’ve been able to spend time with Mom. Now that the holiday season is here, you will have some quality time to catch up. Of course, you’ll want to make the most of this time with each other, but it’s also the perfect time to assess how she is really doing, and if there are any changes in her health that may have gone unnoticed through phone conversations and FaceTime.

To help you determine areas of possible concern to assess while visiting seniors in your family this year, we’ve put together a list of questions to answer when visiting seniors in your family this holiday season. Some of these questions you may wish to ask the senior outright, while others can be answered by evaluating the home environment and the person himself.

Financial/Elder Abuse

  • Has she provided anyone with personal information over the phone or internet?
  • Does the senior seem more timid or anxious than usual?
  • Has she cosigned for a loan for anyone?
  • Does she suddenly have a new “friendship” with someone whose motives may be questionable?
  • Is she communicating with strangers online?
  • Are there any changes in her banking activity?

Physical/Mental Health

  • Is she eating more or less than usual?
  • Is she actively engaged in enjoyable activities?
  • Do you notice any bruises or other injuries that could indicate a fall?
  • Is she having trouble falling or staying asleep?
  • Is she spending time with friends?
  • Has she gained or lost weight?
  • Does she seem happy and content?
  • Does she seem short of breath?
  • Does the senior seem to be moving more slowly and cautiously?
  • Is she stumbling or holding onto furniture or the wall to get around?

Home Maintenance

  • Is there clutter in the home that could pose a fall risk?
  • Are the bed linens being changed regularly?
  • Is the laundry clean and put away?
  • Are there any hazards you’re noticing, such as scorch marks on pans or the countertop that could indicate inattention to cooking?
  • Is the home cleaned to the senior’s typical standards?
  • Is the yard maintained?

Cognitive Functioning

  • Is she struggling to remember the names of familiar people or objects?
  • Is she misplacing items, only to find them in unexpected places, such as the car keys in the refrigerator?
  • Does the senior seem more forgetful or confused than usual?
  • Is she repeating questions or statements in conversations?
  • Are there pieces of mail and bills that have not been opened?
  • Are you noticing any unusual behaviors?

If you are in any way concerned about the safety or wellbeing of any loved ones while you’re visiting seniors in your family this year, professional home care services can help. Reach out to Responsive Home Care, the top home health agency in Hollywood, FL and the nearby areas, for more information.

Health Concerns That Can Cause Negative Mood Changes in a Senior

Everyone goes through good days and bad days, and everyone is entitled to negative thinking or irritability every now and then. If you are caring for an older adult who appears to have fallen into a routine of continual negativity and complaining, there could be a reason for it. It’s worthwhile to explore whether or not a health issue may be the culprit for negative mood changes in a senior.

The following are several possibilities for chronic negative mood changes in a senior and how you can help.

  1. Urinary tract infections. A UTI’s classic signs and symptoms of pain, burning, and urgency to urinate may include additional side effects for seniors, including angry outbursts, irritability, confusion, as well as other alterations in behavior or mood. Speak with the physician to rule out a urinary tract infection if you observe these types of uncharacteristic behaviors.
  2. Pain. A recent research study discovered that participants who are experiencing chronic pain reported an increase in negative moods, including fatigue, anger, tension, depression, anxiety, and more. It’s worthwhile to share any of these mood changes with the physician, as these kinds of mood changes actually impact the effectiveness of pain management treatments.
  3. Dementia. Mood and personality changes are typical in dementia. It is crucial to understand that these changes are a symptom of the physiological changes in the brain, and are not a representation of the person’s own choices and decisions. There are medicinal and natural treatment choices that can help the person feel calmer and less agitated that you may desire to explore.
  4. Medication side effects. A number of medications – including those designed to help with mood, such as antidepressants – may cause troublesome mood swings. Medications for blood pressure, inflammation, and seizures may cause personality and behavioral changes in some people. Again, talk with the physician and go through the senior’s prescriptions to determine if the problem stems from one medication, or possibly the interaction of multiple meds together.

Negative mood changes in a senior can arise from loneliness or boredom, too. No matter the reason, constant negativity can be taxing for a caregiver’s personal sense of wellbeing. It is important to be able to step away from your caregiving role on a regular basis, and to make this time away a top priority. The senior will also benefit from the chance to spend time with different friends, family members, or a professional caregiver. These breaks are a healthy part of your caregiver/care receiver relationship – for both of you.

Responsive Home Care’s caregivers are wonderful companions to help brighten the mood of the older adults we serve. All of our care staff are fully trained, background checked, and experienced in a wide range of in-home care services for seniors. If you’re looking for an award-winning home care company in Ft. Lauderdale, FL or the nearby areas, contact us online or at (954) 486-6440 to learn how we can help someone you love, while allowing you the time you need to rest and rejuvenate.

Downsizing for Seniors with Dementia

Learn the benefits of downsizing for seniors with dementia.

You’ve come to the realization that the family home is just way too much for your mother and father to take care of. A smaller home became available just around the corner from you that’s ideal: a lovely flower garden in the backyard, a bright, cheerful kitchen, and no stairs to navigate. Now it’s time to begin the downsizing process. The only problem? Mom has dementia.

It’s not uncommon for seniors with dementia to struggle with change. Leaving the familiarity of home and moving into a brand new one can increase feelings of agitation and anxiety, but there are strategies to help ease the transition.

  1. Pace yourself. It’s natural to want to rip the band aid off and make the downsizing process as quick as possible for seniors with dementia. However, a better approach in this situation is taking time to discuss the upcoming changes with the older adult, one step at a time. Keep a consistent and calm demeanor, and empower the person to maintain as much control over the required decisions as possible.
  2. Maintain memories. Take pictures and/or videos of some of the items being donated or discarded and use them to create a scrapbook for the older loved one. This helps aging loved ones to revisit the items anytime they would like, and can also be used to spark conversations and reminiscing after the move.
  3. Create a system. Donating and discarding seniors’ possessions are necessary parts of the downsizing process. Again, include the individual in the decision-making process to the greatest extent possible. There will probably be specific items the older adult can’t stand to part with, which can be placed into storage if the new living arrangement can’t accommodate them. If there are items the senior rarely uses or sees, however, it might be easiest to have those removed before involving the person in the process.
  4. Set up the new home yourself. Arrange the senior’s most loved furnishings and items of comfort in the new living environment before bringing them in. Include photographs of friends and family near the bed, so they can see them when they go to bed and first wake up. Then bring the senior loved one in, and help with rearranging anything they’d like adjusted. This process will lessen the anxiety that may occur for someone needing to unpack and figure out the best locations to place items in a brand new environment.

Our Alzheimer’s care team is thoroughly trained, experienced, and highly skilled, and we are available to help through the downsizing process and beyond for seniors with dementia. Reach out to us at (954) 486-6440 or online for more information about our caregiver services in Fort Lauderdale, FL and the nearby areas.

What Are the Symptoms of Chemo Brain, and How Can You Reduce Its Effects?

Could memory and focus problems be the result of chemo brain?

Confusion. Short-term memory problems. Inability to focus. Could it be Alzheimer’s?

Perhaps; however if you are a cancer survivor, there is another likely culprit that could be at play: chemotherapy. Known as chemotherapy induced cognitive impairment (CICI) or “chemo brain,” effects such as these can continue for months and on occasion even years post-treatment. Read more

Safely Living at Home with Dementia: Is it Possible?

Senior woman holding a tea cup looking into the distance

Safely living at home with dementia is possible with assistance.

There has been a belief that once someone received a diagnosis of Alzheimer’s disease or another type of progressive dementia, the only option was nursing home care. After all, it’s not possible for someone with cognitive decline to continue safely living at home with dementia, particularly when they live alone – or is it?

Statistics demand the need for all of us to think this through for the people we love, and possibly even for ourselves one day. Nearly 14 million seniors are currently residing at home alone – 33% with dementia, and 15% specifically with Alzheimer’s disease. Even more alarming, half of this population not only lives alone, but has no identified caregiver.

There are a number of key aspects of concern for an older adult who lives alone with dementia:

  • The ability to take care of activities of daily living independently, such as meals, personal hygiene, household management, and problem-solving
  • An elevated risk to senior scams and exploitation
  • The isolation that stems from an anxiety about unfamiliar places and situations as confusion increases

Yet we also recognize that remaining in the home throughout aging for someone with dementia offers many great benefits, such as:

  • The comfort of familiar surroundings and belongings, which provides stability
  • The ability to help keep regular routines, making life navigation easier
  • Self-identity that comes through protecting a feeling of belonging

One solution that is beneficial for a great many is bringing in an expertly trained dementia caregiver to provide just the right level of support to nurture as much freedom and independence as possible, while making sure of safety and wellbeing.

It’s essential to note that the earlier you can bring in support for someone with Alzheimer’s, the better. Even during the very earliest stages of the disease, the progression can happen rapidly, at which time the transition to care would have to occur immediately. By starting slowly with just a little assistance, perhaps with housework, laundry, and meals, you can then work up to an increased amount of care seamlessly as needed.

At Responsive Home Care, we create a customized plan of care that is reviewed and adjusted as needed ongoing – so if the need is for just a couple hours each week of assistance, or full-time, around-the-clock care, we are available to help older adults continue to live at home for a lifetime.

Our fully trained Alzheimer’s care team can ensure safety and comfort throughout each stage of the disease, easing challenges such as:

  • Wandering
  • Aggression
  • Agitation
  • Frustration
  • Cognitive challenges
  • And more

Our caregivers offer the social interaction, mental stimulation, and encouragement to remain physically active which all lead to a significantly better quality of life. Our home care company serves Fort Lauderdale, FL and the surrounding area. Email or call us at (954) 486-6440 for a complimentary consultation for more information on how we can help someone you love continue to live where it is most comfortable – at home – for a lifetime.

Does Having a Sense of Purpose Help Us Live Longer?

What motivates you to get up out of bed every morning? The answer is different for every single one of us, of course, but there is one commonality: it could allow you to live longer. Scientific studies are answering the question, “Does having a sense of purpose help us to live longer?” with a resounding “Yes!” as evidenced in Japan, the country with the highest life expectancy on earth.

Interestingly, there’s no word for our definition of “retirement” in the Japanese language. Instead, there is a focus on maintaining purpose and meaning beyond a person’s working years and defining themselves according to their current pastimes and passions.

So just how can we help older adults – and ourselves – stay involved with what ignites interest and makes a difference in the world around us? Below are a few inspiring ideas to get you started:

Cultivate a sense of compassion for others. There’s no shortage of suffering in this world, and there is something that all of us can do in some way to help lessen the struggles of somebody else. Have a conversation with the older adults in your life about who or what touches their hearts the most – homelessness, mental health, single parents, stray animals, veterans, etc. Direct that compassion into action by brainstorming ways to make a direct impact.

Prioritize family. With so many families living far away from each other, and even further separated recently as a consequence of the COVID-19 pandemic, make a plan to close the gaps and bring family members closer together. Plan a backyard holiday gathering or family reunion. Commit to a video chat or phone call with a different member of the family weekly to reconnect and get caught up on their lives. Work on documenting your life story, and that of past generations, to share with children and grandchildren.

Redefine retirement. For a senior loved one who is already retired from one career, consider another. Is there an unrealized dream that could be explored, such as earning a degree in a different field of interest? Look into volunteer or part-time job opportunities that offer the opportunity to learn something new while serving others.

Take time to play. Meaning and purpose are found in lighthearted endeavors too! Sports, hobbies, art, music, travel, exploring nature, reading, and many other engaging and fun activities provide possibilities for self-expression and a more enjoyable life. Betye Saar, a 93-year-old artist, explains, “… the creative part of me is forever young.”

Responsive Home Care’s caregiving team is full of innovative ideas to help older adults continue to take pleasure in a life of purpose and meaning. Contact us any time online or call us at 954-486-6440 for additional tips and to find out more about our personalized senior home care in Pembroke Pines and the neighboring communities.

Why Strength Training for Seniors Is Imperative Post-Pandemic

strength training for handicapped seniorAs we’re finally easing our way out of this pandemic, we’re finding more about how it has harmed senior loved ones – both physically and emotionally. We know older adults have been at a higher threat of serious issues and death due to the COVID-19 virus, although the impact of 15 months of social isolation and physical distancing is similarly distressing.

Dr. Jonathan Bean of the New England Geriatric Research, Education and Clinical Center at the Veterans Affairs Boston Healthcare System has noticed a “significant decline in functioning” in both his elderly patients and his own mother. Whereas she had been able to walk with the assistance of a walker, be involved in conversations, and participate in other activities of day-to-day life independently pre-pandemic, her self-care and cognitive abilities have diminished dramatically.

Physical therapy Linda Teodosio confirms, explaining, “Immobility and debility are outcomes to this horrific pandemic that people aren’t even talking about yet.” She is noticing a considerable uptick in both falls and chronic disease exacerbation – likely based on poor lifestyle choices due to the pandemic, such as unhealthy food intake and reduced exercise.

As a result, increasingly more older adults require physical therapy as well as other rehabilitative services. Some health plans are addressing the issue by following up with seniors to confirm their wellbeing and also to help connect them to the services they require to restore their strength. Surprisingly, as much as 20% of an older adult’s muscle mass may be lost by just not walking for up to five days, according to physical therapist Sabaa Mundia.

Before leaping into a new exercise routine, however, it’s essential that seniors first schedule an appointment with the physician for a complete exam and recommendations on safe, ability-appropriate exercise. Then make a plan to help the seniors in your life to follow a healthier lifestyle that includes a good amount of exercise.

Let Responsive Home Care help the seniors in your life stay as physically active and engaged as possible to remain strong post-pandemic. Our home caregivers are always on hand to supply the motivation and encouragement to help seniors make physical activity a routine part of every day. We are able to also provide accompaniment to exercise classes, the fitness center, the pool – wherever and whenever a senior wishes to go. Sometimes, just adding in a regular walk with one of our friendly caregivers can make a world of difference in how older adults feel!

Contact us for a free in-home consultation to learn more about how we can help.

Senior Safety Tips: The Assistive Devices Many Seniors Aren’t Utilizing

Happy senior safety leaning on cane

Think about the various tools you utilize each day – your phone, hairbrush, toothbrush – simple items, but ones you can’t imagine living without. For many seniors, there are basic adaptive devices available that could mean the difference between living at home and facing a move to assisted living. However nearly 50% of older adults living at home are not utilizing these handy tools – despite the fact that prices are minimal.

A newly released National Health and Aging Trends Study estimated the ability of seniors to accomplish tasks such as rising unassisted from a sitting position and walking, and found that a large number of the participants could benefit from assistive devices.

Not only that, but the danger of senior falls from the lack of simple assistive devices is increased, resulting in hospitalizations, serious injury, and disability that could easily have been prevented. In fact, once these devices were made available to older adults, based on research, disability rates for older adults dropped by 50 percent, along with a decrease in pain levels and an increase in the ability to independently perform activities of daily living.

Dr. Kenneth Lam, author of the study, explained, “It’s a technical problem which, unlike so much of aging, is actually solvable. In the hospital, I can order an M.R.I. and charge the system thousands of dollars. But down the road, that won’t help patients not fall. What happens when they get home?”

Johns Hopkins in Baltimore has recently launched a program looking to change this by introducing inexpensive assistive tools to seniors. Through several in-home visits with an occupational therapist, nurse, and repair specialist, needs are identified and resolved. That may mean installing grab bars in the bathroom, removing fall hazards, or adding a shower chair or raised toilet seat. Small changes such as these can make a substantial difference in an older adult’s capacity to safely and independently manage activities of daily living.

At Responsive Home Care, we are pleased to offer in-home evaluations to recommend modifications to the home environment that enhance safety and help seniors remain independent and in control. We can also help improve senior’s comfort, safety, and independence through services such as:

  • Preparing nutritious meals and ensuring adequate hydration for seniors
  • Providing assistance as necessary with personal care needs for safe showering/bathing, getting dressed, etc.
  • Maintaining a clean and organized home
  • And more

Contact us at 954-486-6440 to schedule your assessment today!

Ease Family Conflict with an Elder Mediator when Caring for Elderly Parents

happy couple talking with elder mediatorWhen you need to work together in caring for elderly parents, even the closest of siblings may find themselves in conflict. Stress levels and emotions are, of course, running high. Add to this your past history and family dynamics, which have a tendency to resurface during stressful times, and it is easy to understand how challenging this stage in life could very well be for each of you.

The most frequent areas of contention among family members include money matters, differing viewpoints on medical treatments or living arrangements, and an unfair balance of tasks related to caregiving, just to mention a few.

On occasion, regardless of how hard you try, you and your family members are simply unable to arrive at an agreement on how to best care for aging parents. An impasse like this is actually quite typical, frequently stemming from challenging family dynamics and unresolved conflicts. Nonetheless, there is a remedy many families are unaware of which can be exceedingly helpful: enlisting assistance from an elder mediator.

An expert experienced in conflict resolution, an elder mediator provides an unbiased, third-party voice to family meetings. She or he can help defuse increased emotions and outbursts and steer the dialogue in a manner that leads to an outcome that all parties can accept.

Elder mediator Susanne Terry explains, “Most of the time siblings want what’s best for the parents. They just look at it in a different way. Our goal is to help them figure out what their common interests are, so they can work together to find solutions.”

Different from family therapy, which helps families work through issues little by little over an extended period of time, elder mediation is a targeted, condensed process that usually brings about an agreeable outcome in only a few sessions.

Elder mediators give siblings the chance to both offer input and listen respectfully to one another. The aim isn’t only to determine the most favorable outcome for the senior parents, but to help family members maintain good relationships with each other during the process.

When exploring elder mediation options, there are lots of questions you should ask:

  • What is your education, training, and background?
  • What amount of experience do you have in our specific situation?
  • Are you a member of the Academy of Professional Family Mediators (APFM) or other professional associations?
  • Exactly what are your fees?

To find an elder mediator in your area, visit APFM’s mediator directory. Once you and your siblings agree on the very best path forward in taking care of your aging parents, connect with Responsive Home Care. We will be pleased to provide a free in-home assessment to talk about exactly how we can help make sure all their care needs are completely met. Contact us any time to learn more.

 

Medications That Increase Fall Risk for Seniors: Startling New Stats

woman speaking with a female medical professional via video chat

Medications that increase fall risk for seniors should be closely monitored by a physician in order to keep older adults safe from side effects that put them at risk.

We’ve long known that there are certain medications that increase the fall risk for seniors. Twenty years ago, just a little over half of older adults were impacted by that risk; yet today, that number has risen dramatically – to a full 94% of seniors who are now in danger of falling as a result of medication side effects. Not only that, but deaths from such falls are occurring at more than double the previous rate.

Researchers who discovered this increasing concern also found that between 1999 and 2017, senior prescriptions for medications that increase fall risk were filled over 7.8 billion times. This includes a spike from 12 million antidepressants in 1999 to more than 52 million in 2017.

The study doesn’t specifically pinpoint these medications as the cause for fatality in the falls experienced, but indicates the need for further exploration into the dosages being prescribed. Joshua Niznik of the division of geriatric medicine at the University of North Carolina School of Medicine notes, “We’re starting to understand now that the dose of the medication that someone is on is really what we should be looking at probably with the greatest level of scrutiny, and that really has a strong correlation with falls.”

It’s crucial for seniors and their doctors to work together to strike the ideal balance between managing the conditions that require these medications and preventing further complications from a fall.

Amy Shaver, postdoctoral research fellow at the University of Buffalo School of Public Health and Health Professions, and lead author of the study, explains, “These drugs are all necessary medications, but there needs to be a conversation about risks and advantages, that pro-con conversation about: For this particular patient at this particular point in time, what can we do?”

Prescriptions that are specifically linked to fall risk include those for depression, blood pressure management, seizures, pain, and psychosis, among others. Women are most often prescribed these types of medications, and those 85 and older are experiencing the highest spike in fall-related deaths.

One step that seniors can take is to have the home assessed for fall risk and to implement any recommended safety measures. Responsive Home Care is pleased to offer an assessment, scheduled at your convenience. We can also help reduce fall risk through:

  • Ensuring medications are taken exactly as prescribed
  • Assisting with safe walking and transfers
  • Encouraging seniors to engage in doctor-approved exercise programs to strengthen balance, flexibility, and strength
  • And more

Email or give our trusted care team a call at (954) 486-6440 to learn more about our senior care in Fort Lauderdale, FL, and the surrounding communities, and to schedule your assessment today!