Thursday, February 14, 2013

Activities of Daily Living

active living; care giver, in home care
Most long-term care is not medical care; you may be surprised to find it is assistance with the basic personal tasks of everyday life, sometimes called “Activities of Daily Living,” also known as ADL. Most of us may think that this happens to 65+ seniors, however, there are a variety of reasons a person may become incapable of performing some or all of the basic functions or activities that they at one time were able to perform without assistance. Unfortunately, being injured or becoming disabled in an accident or on the battlefield, developing an illness and the results or effects of getting older are common causes for needing this type of long-term care, it is not restricted to age.

After performing research from various sources we have developed a list of five basic ADL, keep in mind not all agencies agree on the exact wording or the number of basic ADL but to assist in conveying a few common activities we offer this list and two graphical illustrations as a starting point.

What do you do when a loved one or someone close to you needs assistance in performing ADL?
It can be extremely difficult for family members, friends, neighbors or acquaintances to step in and provide the needed assistance on a routine basis, especially when it is long-term; this type of caregiver is also known or referred to as an “informal or family caregiver”. Consider juggling a full-time job, managing a household, finding time to do things that offer R&R and now add the task of providing care for someone who needs it. Becoming an informal caregiver involves more than just providing care. To list a few of the requirements, becoming an informal or inexperienced caregiver requires:
  • Having a caring personality
  • Being able to meet the needs and expectations of the care receiver
  • Much patience and self-sacrifice
  • Dealing with unexpected major life changes
activities of daily living - image1
Can your loved one perform basic daily activities independently
within the home, away from home, or both?
According to a fact sheet published by Family Caregiver Alliance there were 52 million informal caregivers providing care to someone aged 20+ who was ill or disabled in 1987/19881 (sorry I could not find more current statistics). Providing informal care can often lead to damaged personal relationships, deteriorating health for the caregiver and lose of wages and benefits. In most severe cases, particularly when long-term care is required, the family caregiver is forced to give up work to care for a family member or friend, the cost in lost wages and benefits, in 2000, was estimated to be $109 per day2.

activities of daily living-image2; the caregivershcs.com
Consider what the CareGivers can offer!
Consider an alternative; the staff at CareGivers has over 25 years of experience working with seniors, developmentally disabled, and veterans, providing expertise that you can count on. We are experts in caring for people. Our Care Manager will gladly answer all of your questions; provide a no-cost home care evaluation and assessment, establish a Care Plan and select the caregiver that will provide the in-home care services that best fit your loved one’s situation.

Please review our home page, our care services and / or give us a call (408) 249-4967 and “let us step in while you step out worry free”!

1 Health and Human Services. Informal caregiving: Compassion in action. Washington, DC: Author, 1998. Based on data from the 1987/1988 National Survey of Families and Households (NSFH), 2002.
2 Stucki, B. R., and J. Mulver. Can aging baby boomers avoid the nursing home? Long-term care Insurance for Aging in Place. Washington, DC: American Council of Life Insurers, 2000.

Friday, February 1, 2013

Four Types of In-home Care Providers



Four Types of In-home Care Providers
by ElderCarelink





Hiring an in-home care provider is a big decision for all parties concerned. Often times, the situation is approached from a "we'll try it -- once" angle, making finding the right home care aide of paramount importance.

When it comes time to make the choice of who to call, you've got a couple of options: non-medical home care and home health care.

Non-medical home care refers to a series of non-medical services provide by caregivers, which could include help with daily living activities, transportation, providing medication reminders and more.

Home health care is a broad term that covers a gamut of health care services provided in the home. In most cases, home care is typically less expensive than receiving care in a nursing home (skilled nursing facility), a hospital, or assisted living facility.

Here's a breakdown of four common in-home care providers:

Companion homemakers. These folks are here to help you with chores around the house, not provide your parent or loved one with medical support. Cooking, cleaning, laundry, walking the dog, yard work -- think of companion homemakers as eager and willing helpers.

Home health aides. Home health aides give you a break from helping your parent or loved one with bathing, dressing, using the bathroom and other needs. They can be full-time, live-in or part-time, depending on your needs.

Therapists. Helping with physical issues, speech, emotional distress and a variety of other needs, therapists are more akin to doctors making house calls than they are to around-the-house helpers -- but when leaving home is an issue, homecare therapists fit the bill perfectly.

Registered nurses. A registered nurse (RN) is trained to provide skilled medical care to meet your parent or loved one's needs, whether that's on a part-time basis or full-time, live-in.

Take the time to do your homework and due diligence before bringing in a professional to help your parent or loved one out around the house.

Sunday, January 27, 2013

My First Experience As A Caregiver

It was over 30 years ago when I had my first experience as a caregiver. I was in my early twenties, had just started working for a new employer, the woman who was training me became my new friend who soon lost her apartment so I convinced my boyfriend to allow her to move in with us temporarily until she could save money to get her own place. All of this happened in a month's time.

A few weeks after she moved in I took her to the hospital for an outpatient surgical procedure. The next day she called me at work complaining that she was experiencing severe pain, I told her I would get someone to fill-in for me and that I was on my way to the house. By the time I arrived she began to hemorrhage profusely, my adrenalin kicked in, realizing the importance of quickly assessing a situation, remaining calm and level-headed. I immediately reached for every towel I could find, wrapped the hemorrhaging area of her body and without any delay very carefully got her into my car and rushed her to the emergency room.

Your care is our priority
I drove like I was driving an ambulance very carefully going through every red light while laying on the horn all the way to the hospital, fortunately we got there safely. I pulled right up to the front door and just continued to lay on the horn.

The next thing I knew, a team of nurses and doctors were right there removing my friend from the car and rushing her into the emergency room to evaluate her situation. The nurses and doctors quickly realized that she had been a patient just a day before this episode. Then the doctor on duty at the ER made a quick assessment that she would need surgery immediately to stop the hemorrhaging. It turned out that the doctor, who had performed the surgery, had left an instrument inside of her. This was the cause of the hemorrhage. Needless to say her doctor never responded to any of the phone calls in regard to this terrible situation.

The doctors in surgery were able to remove the instrument and stop the hemorrhaging. Thank God.

Hospital care
My friend had a two day stay before coming home after this fiasco. For the next two weeks I was her in-home care provider which required taking one week of unpaid absence from work; she was my friend in need of help, I was the only person she felt comfortable enough to provide care.

My normal week consisted of going to work and coming home, on evenings when my boyfriend was home he had my dinner prepared or we would go out to dine and enjoy each other's company. When he was away on business trips, I would have dinner with a friend, go to a movie, spend time with my dogs... Now I have a dependent, someone who needs my care from morning until evening. My first experience of being a care provider, I had no children, and before this the only similarity to routinely providing care was caring for my dogs. This experience took me to a whole new level; it put a new meaning in life for me. It made me feel like a parent taking care of her sick child.

Her care required a few routine necessities such as making sure that she took her medication on time, the most effective method was to create a chart which we could both monitor. She felt a bit weak for the first few days, so it was necessary for me to assist her getting in and out of bed and maintaining her personal care; she needed assistance dressing, undressing and showering. It was also important that she not stay in bed all day, so I encouraged and helped her take short walks around my house throughout the day when she felt up-to it.

Loving caregiver
I prepared her meals daily which included a variety of fresh vegetables, fruits, lean meat and fish, oh my goodness, cooking meals on a regular basis, is this me? Reflections of my childhood arouse as the days passed, my mother took meticulous care of me whenever I was ill. So I found pleasure in being able to provide all the comforts she needed just as my mother had provided for me. We watched movies, talked about work and though I enjoyed this experience of providing care for my friend, we looked forward to the day we could return to our normal activities.

There were times in the day that I needed to take care of some personal things but I put those things on hold, I made sure that my friend's needs came before mine because providing care for her was the priority.

The second week was different I returned to work because she was able to do more for herself and was feeling better. Later that week I had to take off again to take her to the follow up doctor's appointment. Although things were returning to some since of normalcy they were not totally normal, each evening I prepared her lunch and snacks for the next day, each morning I prepared breakfast for the two of us but again I enjoyed doing this for my friend.

I called her several times a day to check on her to make sure she had taken her medication, eaten the meals that I prepared the day before and to see how she was getting along. Had I actually become a caregiver?

Being a caregiver is a serious profession and is not to be taken lightly. Patient care should take precedence over answering your cell phone, watching your favorite soap opera or taking that cigarette break. Caregivers have to remember the first rule of thumb your patient comes first. Is there a caregiver hidden within you?

Friday, January 18, 2013

The Benefits of Citrus

A few weeks ago I talked about "The Great Benefits of Vitamin C"; well today I'd like to enlighten you a bit more.

I'd like to talk to you about Citrus. Did you know that citrus contains an ample supply of vitamin C, folic acid, potassium, pectin and it also contains more than 150 phytochemicals that aide in protecting our health and now I'm pretty sure you are wondering, what in the world are “phytochemicals”?

Phytochemicals are also known as phytonutrients which are a wide variety of organic compounds produced by plants. Here are some common names you are probably more familiar with: ascorbic acid, antioxidants, beta-carotene (vitamin A), folic acid and vitamin E.

These compounds are found in beans, grains, fruits and vegetables. We'll talk more on that subject next time.
 
Allow me to return the focus back to citrus for a moment because I have some noteworthy information for you. I would bet that you didn't know citrus pulp and the white portion of oranges, tangerines and pink grapefruits is rich in glucarates. OK, another one of those what in the world is that right?

Glucarates substances are currently being studied for their potential to prevent breast cancer. Oranges, tangerines and pink grapefruits not only contain glucarates but they are loaded with significant levels of carotenoid pigments that protect us against cancer. Carotenoid pigments are powerful antioxidants that act to enhance our immune response to infections. So the next time you consume one of these delicious fruits go ahead and eat the white of it.

Thursday, January 3, 2013

Aging and staying independent with a little help

by ElderCarelink

Over the course of the next three decades, the number of Americans over the age of 65 should double to 80 million. And, at some point in their lives, most people over the age of 65 eventually need assistance with daily living tasks such as bathing, eating, dressing, shopping and more.

With most older people desiring to remain at home for as long as possible, the need for caregiving options is only going to increase. Many elders actually require assistance to remain independent well before they require any type of 24-hour, round-the-clock care. A study from Home Instead Senior Care found that individuals receiving additional care required fewer (25%) physician and doctor visits, and were more likely to use adult day care services.

In addition to in-home care, there are several other caregiving assistance and housing options to help elders age-in-place and remain independent, including accessory dwelling units, adult day care services, senior centers, Meals on Wheels and more.

Is it time for more care?

There are several signs to look for to decide if it is time to hire an in-home care provider or consider moving a loved one into a senior housing situation, such as an assisted living facility.. Example signs could include the following:
  • A declining chronic health condition such as dementia or congestive heart failure
  • Recent fall or accident
  • Difficulty with activities of daily living such as bathing, cooking and dressing
  • Lack of mobility, such as difficulty with driving
  • Loss of friendships or active participation in group activities
  • Signs of forgetfulness, such as moldy food in the refrigerator
If you are a caregiver, be sure to consider your current state of health as well. Are you exhausted or depressed? If so, it may be time to consider bringing in some additional help.

Monday, December 31, 2012

The Great Benefits of Vitamin C

Most of us think of vitamin C as merely an immune booster, but let us look a bit deeper into this wonderful vitamin.  Did you know that vitamin C can slash your risk of heart attack and stroke?

It promotes healthy arteries by increasing your body's production of collagen, which is a “reinforcement molecule”; vitamin C also promotes healthy gums by supporting your connective tissue. There by lowering our risk of heart trouble.  Because our bodies cannot make or store its own vitamin C we lose it every time we urinate.

Here is a list of the top 10 foods that have the highest levels of Vitamin C.
  1. Hot Chili Peppers
  2. Guavas
  3. Bell Peppers
  4. Thyme
  5. Parsley
  6. Raw Kale
  7. Kiwi
  8. Papayas
  9. Oranges
  10. Strawberries 
So, on that note, I encourage you to go right out and get a fresh dose of this vitamin right away, especially since this is cold and flu season! 

Thursday, April 19, 2012

Respite care is a lifeline for caregivers

Caregiver taking a break


Respite care is a lifeline for caregivers
by ElderCarelink





Caregivers hear it all the time: "Take care of yourself or you won't be able to take care of others." But, how does a caregiver find time for self-care? It seems impossible when we are already running in circles, keeping up with the various demands on our time. Yet, there are resources available to help caregivers take a break. Caregivers must be willing to look for these resources and accept help.
  • County human services agency. Many county human services agencies have funds set aside for respite care, much of which is not dependent on financial need.
  • Senior companions. RSVP, a senior volunteer program, offers senior companion programs in many areas. Senior companions are seniors in good health who offer wonderful company for elders at home while the caregiver has some time to themselves.
  • Faith communities. Many faith communities and churches have volunteer groups. These volunteers can keep elders company while the caregiver runs errands or takes a break.
These options are generally provided at no or minimal cost. But, paid options shouldn't be overlooked or ignored. Just a few hours of assistance can mean the difference in a caregiver's physical and mental health.
  • In-home care. A flexible option, in-home care can be scheduled to meet the elder's and caregiver's needs.
  • Adult day care. Adult day care offers a variety of activities for elders and, like in-home care, is very flexible.
Although an elder may fight the idea of having someone else caring for them, caregivers cannot give in to their guilt. Caregivers need to detach and take care of themselves. If you feel you cannot leave your loved one, even for an hour, then you need help. Please check out the various options mentioned above. You are as important as the person you care for.

This is an article by ElderCarelink