The Surprising New Recommendations Related to Low Blood Sugar and Senior Diabetics

The latest recommendations from the Endocrine Society regarding the elderly and diabetes are surprising, to say the least: lower blood sugar isn’t always best. And for those who’ve been maintaining a regimen of finger pricks, insulin injections, and careful monitoring of food intake, this change of course may be a bit hard to swallow.

Known as de-intensification, geriatricians are now often taking the approach with older adults that the benefits to be gained by striving for strict blood sugar control aren’t outweighing the health risks inherent with aging and illness. When A1c and glucose levels are kept at very low levels in the elderly, for instance, it can lead to an increased frequency of hypoglycemia and even kidney failure.

With as many as one in three seniors currently diagnosed with diabetes, these new guidelines are poised to have a staggering impact on the treatment and management of the disease for older adults, requiring a shift in mindset for many.

And not surprisingly, many older diabetics are reluctant to embrace this change. In one patient’s words to Dr. Pei Chen, a geriatrician at the geriatric clinic at the University of California, San Francisco, “I’ve been doing this for 25 years. You don’t need to tell me what to do. I can handle it.”

The new guidelines recommend an increase in A1c from 7 to 7.5% for older adults who are in good health; and up to 8 – 8.5% for those with dementia, multiple chronic illnesses, or poor health. It’s important to note, however, that recommendations are highly individualized based on a variety of factors, and that at no time should high blood sugar be ignored in the elderly.

Generations at Home can help older adults adhere to doctors’ recommendations to manage diabetes and a variety of other conditions with professional, customized, in-home care services for seniors. Just a few of the many ways we can help include:

  • Grocery shopping to ensure the senior has plenty of healthy food options readily available
  • Meal planning and preparation in adherence to any prescribed dietary plans
  • Transportation and accompaniment to medical appointments, tests, and procedures
  • Encouragement to engage in doctor-approved exercise programs
  • Medication reminders to ensure prescriptions are taken at the proper time and in the correct dose
  • And more!

Contact us online or at 727-940-3414 to request a free in-home assessment and discover a healthier lifestyle for a senior you love.

Help for This Common Alzheimer’s Care Concern: Resistance to Personal Hygiene

Towel LifestyleOf the many challenges related to providing care for a loved one with dementia, the Alzheimer’s Association reveals that the most prevalent difficulty is with personal hygiene, for a variety of reasons: Read more

How to Keep Motivating Seniors from Crossing the Line to Bullying

Married couple argumentAs a family caregiver, you no doubt encounter a range of emotions throughout the day: shared laughter over a joke with your loved one; worry over a health concern; and certainly, from time to time, frustrations. We want only the best for those we love, and when an older adult is resistant to doing something we know is best, it can be challenging to determine the most appropriate response.

The key is to offer motivation and encouragement, while being careful not to cross the line into bullying the senior. These tips are good to keep in mind:

  • There’s no one-size-fits-all. An approach that works on one occasion may be completely ineffective in another. If the senior refuses to take a bath, for instance, you may simply want to let the matter slide and try again tomorrow. Or, maybe reframing bath time into a soothing spa activity will hold more appeal. Incorporating humor may work well one day, while using a gentler, softer tone of voice may be the solution on another. Having a variety of strategies at the ready can help reduce frustration for both of you.
  • Empower the senior to remain in control. Have a heart-to-heart conversation with the senior during a calm, peaceful moment to solicit feedback on how the caregiving relationship is going, and what he or she would like to see changed. It’s important to then take to heart the older adult’s feedback and incorporate it into your caregiving approach.
  • Be mindful of incremental bullying. While we certainly would never set out to bully a loved one into compliance, it’s possible to gradually progress from encouragement and motivation into pushiness and forcefulness without realizing it. Take an honest look at your tendencies in communicating with your loved one, and then take steps to improve upon them if needed.
  • Remember the overarching priority. Above and beyond the many tasks required in providing care for a senior loved one, maintaining a healthy, positive and fulfilling relationship with each other is paramount. If you find that the frustrations of providing care are outweighing the benefits for either of you at any time, there’s always the possibility of exploring alternate care options, allowing you to place your focus on spending quality time together with the senior you love.

Generations at Home is the perfect partner for family caregivers. Our caregiving staff are fully trained and experienced in the many facets of senior home care, and can provide the assistance family members need to maintain healthy relationships with those they love. Contact us online or call 727-940-3414 and request an in-home consultation to discover the difference respite care can make in both a senior’s quality of life and yours.

You Are Not Alone: Study Reports Many Family Caregivers Fear Providing Inadequate Care

Senior woman and husband visit with doctor

A serious senior woman sits between her unrecognizable female doctor and her husband. She gestures as she speaks with her doctor.

“Absolutely Dad can move in with me!”

Family care providers are making this commendable choice more often, signifying the beginning of changes in lifestyle they can only fully understand once immersed in them. And even though the rewards of providing care for an older loved one are immeasurable, they are not lacking multiple challenges as well.

It may seem natural to manage everyday activities for a senior loved one; however, it’s much less instinctive than it initially seems. As an example, helping a senior in the shower or bath the wrong way can cause a fall. Inadequate incontinence care may cause skin damage and infection. Noncompliance with a recommended nutritional plan can bring about a number of health complications.

It’s not a surprise that in a current report provided by AARP, “Home Alone Revisited,” a lot of family caregivers reported stress over the chance of making an error in the care they provide. The report features answers from a study sent to over 2,000 family caregivers, who revealed that even though they believed their caregiving was enabling their family members to remain at home over a move to an assisted living or nursing home setting, they expressed concern over their proficiency to complete the tasks needed.

Participants in the survey identified that the most emotionally stressful part of caregiving is incontinence care. And, nearly ¾ of family caregivers surveyed are routinely undertaking medical duties associated with pain management – responsibilities for which they wished they’d been given better training and assistance from the senior’s medical care team.

Heather Young, dean emerita at the Betty Irene Moore School of Nursing at the University of California, Davis (and co-author of the report) points out that, “Too often (family caregivers) are unprepared and do not get the support they need to assume these important roles.”

Asking for guidance and training in new tasks is vital for family caregivers. Those who partner with a knowledgeable in-home care provider, like Generations at Home, can decrease the trepidation and uncertainty in managing care at home successfully. Our caregivers are fully trained in the countless intricacies of aging care, and can provide family members with valuable guidance and education. We also offer trusted, reliable respite care services that enable family caregivers to step away from their care duties while knowing their senior family member will be safe and well cared for.

Call us at 727-940-3414 for a free in-home consultation to learn more.

Helping Seniors Find Meaning and Purpose in Everyday Life

senior home care in St. Petersburg

Seniors enjoy remaining active and engaged in the community.

Think of an average day in the life of a senior loved one. Ideally it provides a couple of positive and enriching experiences: savoring breakfast, participating in an enjoyable hobby or interest, visiting with a good friend or relative, watching a well-liked show on tv. Nonetheless, there’s a distinction between positivity and purpose; and the value of a life rich with significance and purpose is becoming more understandable, particularly in the life of senior loved ones.

Viktor Frankl, world-renowned psychiatrist and survivor of the Holocaust, shares poignantly, “What matters is not the meaning in life in general, but rather the specific meaning of a person’s life at a given moment.”

For anyone whose identity has been devoted to a job and raising a family, and who now are in a season of retirement and fulfilled family commitments, it can be difficult to find other meaning and purpose. At Generations at Home, we make it a priority to help seniors find their passions and funnel them into purposeful experiences, such as:

  • Volunteering. For a senior who loves working with children, tutoring, reading to, or mentoring kids at a local school is an excellent option. Other people may care greatly about helping veterans, and put together care packages of personal care products and snack food items to send overseas. And for animal lovers, delivering treats, blankets, and an affectionate heart to a pet shelter could be extremely satisfying.
  • Learning. It’s true: you’re never too old to master something new. Look into your nearby community college, library, or senior center to find classes or online programs of interest to your senior loved one.
  • Helping at home. Well-meaning family caregivers oftentimes take over household duties to relieve their senior loved ones from the chores they have taken care of throughout their lifetime. Unfortunately, this may have the adverse effect of leaving seniors feeling as though they are no longer useful. Engage the senior in tasks throughout the home that are within his / her expertise and interest, such as assisting with preparing meals, folding laundry, organizing nuts and bolts in a toolbox, etc.
  • Recording family history. Providing the next generation with the rich family history and stories experienced firsthand is a treasure that only seniors can provide. Help your senior loved one document his / her lifetime legacy in a scrapbook, writing, or video recording, and then share with family and friends.

And, get in touch with Generations at Home for the customized in-home support that helps seniors discover satisfaction and purpose, while remaining secure and comfortable within the familiarity of home. We’re able to supply transportation to interesting and enjoyable activities, help plan and implement ideas to accomplish right at home, or help with the various daily tasks throughout the house, such as cleaning and cooking, enabling friends and family to savor high quality time together. You can contact us any time at 727-940-3414.

 

Wandering and Alzheimer’s: Why It Happens and How to Help

dementia care experts

Wandering is a common side effect of Alzheimer’s disease.

Of the many effects of Alzheimer’s disease, perhaps one of the most concerning is the individual’s tendency for wandering as well as the potential dangers that may occur if the senior becomes disoriented or lost. Wandering can take place when the older adult is:

  • Scared, confused or overwhelmed
  • Trying to find someone or something
  • Bored
  • Seeking to keep a familiar past routine (such as going to a job or shopping)
  • Taking care of a basic necessity (such as getting a drink of water or going to the bathroom)

The objective is twofold; to help keep the senior safe, and to make certain his / her needs are fulfilled to attempt to prevent the need to wander to begin with. Try the following safety measures in case your senior loved one is likely to wander:

  • Be certain that the residence is equipped with a security system and locks that the senior is unable to master, such as a sliding bolt lock above his or her range of vision. An assortment of alarms can be bought, from something as simple as placing a bell over door knobs, to highly-sensitive pressure mats that will sound an alarm when stepped upon, to GPS devices which can be worn, and more. It’s also a great idea to register for the Alzheimer’s Association’s Safe Return Program.
  • Conceal exits by covering up doors with curtains, setting temporary folding barriers strategically around doorways, or by wallpapering or painting doors to match the surrounding walls. You could also try placing “NO EXIT” signs on doors, which can sometimes dissuade people in the earlier stages of dementia from trying to exit.
  • Another danger for individuals who wander is the additional risk of falling. Look over each room of the house and address any tripping concerns, such as removing throw rugs, extension cords, and any obstacles that may be obstructing walkways, adding extra lighting, and placing gates at the top and bottom of stairways.

It is important to keep in mind that with supervision and direction, wandering is not necessarily an issue. Go for a walk together outside anytime weather permits and the senior is in the mood to be mobile, providing the extra advantage of fresh air, physical exercise, and quality time together.

While often tricky to manage, the dementia care team at Generations at Home has been specially trained to be equally watchful and proactive in deterring wandering and to utilize creative strategies to help seniors with dementia stay calm and happy. Email or call us at 727-940-3414 for more information!

 

Why Is Dad Being So Irrational? Tips To Understand and Respond to Senior Paranoia

St. Petersburg FL home care

Dementia can cause irrational thoughts.

“I’m telling you, there is a dog in my closet! I hear it growling all night long. We have got to find its owner!”

Hearing a senior loved one express worries such as this that you know to be untrue is unsettling – yet not abnormal. Your very first impulse could be to attempt to rationalize with the person with a response such as, “Nonsense! There’s not a chance a dog may have gotten into the closet!” All the same, for several different reasons, this can be the least successful option to handle irrational ideas and behaviors within the senior population.

Alternatively, at Generations at Home, we suggest the following strategies to help restore a feeling of calm and wellbeing:

  1. First and foremost, schedule a check-up with the senior’s doctor. It’s important to identify any cognitive problems and to make certain he or she receives appropriate treatment if necessary. There also could possibly be prescription medication side-effects taking place.
  2. Seek out the thinking behind the irrationality, and then decide how to solve the issue. For instance, possibly the heating and cooling vent in the closet is loose, or an air vent is blowing onto a row of hangers and bringing about a strange sound.
  3. Instead of wanting to correct the individual, react lovingly with assurance and empathy. Focus on acknowledging the feelings being expressed, as well as on letting the person know that you’re going to be there to assist. Accompanying the senior into a different area and providing interesting distractions, such as listening to music, baking, gardening, or browsing through photos together, can help you restore calm.
  4. One of the most helpful ways to conquer any obstacle is by determining what has helped others in a similar situation. Consider joining an in-person or online community of family caregivers, allowing for the exchange of insightful recommendations and information. A wide range of choices are readily available, such as AgingCare.com’s caregiver forum.
  5. Enlist the support of a professional in-home care provider, such as Generations at Home. Our caregivers are proficient at helping aging parents remain active and engaged, as well as helping to decrease challenging behaviors. Partnering with a trusted caregiver also gives you necessary respite, to take a break from caregiving duties while knowing your loved one is benefiting from superior care.

For additional suggestions about assisting your parent through obstacles with aging, dementia or chronic illness, reach out to the senior care experts at Generations at Home. We’re always available to answer any questions, share resources specific to the challenges you are encountering, and to provide a free of charge in-home consultation and development of a customized care plan to improve quality of life for a senior loved one. Reach out via our online contact form or call us any time at 727-940-3414.

Plan for Senior Falls Now to Prevent a Future Injury

caregiver assisting senior woman with walker outside

Learn proactive steps to take now to prevent senior falls.

Falls among senior citizens are all too common and may have serious outcomes. Taking precautionary measures is crucial, such as examining the house for fall risks like area rugs along with other trip and fall hazards, inadequate lighting, and a lack of appropriate grab bars and railings. But there’s a new approach being suggested now: making a fall plan of care, which, when implemented properly, has been demonstrated to reduce fall-related hospital visits by up to 40%.

So while we certainly do not want to plan for a senior loved one to fall, we can be better equipped by helping the person take the following steps:

  • Stay aware – Avoid letting your mind wander and instead keep your full concentration on your surroundings.
  • Check vision – Frequent eye tests and regularly wearing eyeglasses if needed can ensure tripping risks are noticed and bypassed.
  • Practice stability – Exercises as straightforward as lifting one foot off the ground and remaining balanced on the other foot for 30 seconds will help.

If a fall does occur, knowing how to fall more safely can minimize the possibility of injury. In particular:

  • Prevent head injuries by intentionally turning your face away from the fall, or tucking your chin to your chest if falling backward.
  • Bend the knees and elbows to avoid the stiffness which can lead to a break to the elbow or wrist when attempting to catch your fall.
  • Roll with the fall, which distributes the impact of the fall over an increased portion of the body instead of concentrating it on a single location.
  • Attempt to land on fatty tissue, such as on your thighs or bottom, instead of on more bony surfaces such as hips, knees, and elbows.

Using the following proactive steps can go a long way towards avoiding a fall:

  • Be sure that all walking areas both outside and inside of the house are free from clutter and any potential tripping hazards, such as extension cords.
  • Keep floors, particularly in the bathroom and kitchen, dry and clean.
  • Put up grab bars around the tub and toilet.
  • Make sure handrails are in place and secure alongside all stairwells.
  • Remove and replace any worn out carpets and remove all loose rugs.

At Generations at Home in St. Petersburg, FL, our caregiving team is trained in making your home environment as safe from falls as possible, and we are knowledgeable in providing ambulation assistance and oversight when necessary to help make sure fall risk is decreased. We’re also on hand to take part in physician-sanctioned exercise programs to increase balance and flexibility, resulting in overall improved overall health. Call us at 727-940-3414 for a free in-home assessment to discover more ways we can help!

Striking a Balance Between Senior Safety vs. Independence

St Petersburg FL home care

Learn how to strike a balance between safety and independence for seniors

It’s a conflict that emerges for a number of families: seniors adamantly want to age in place at home, while their family members worry about their health and safety. And there’s an argument to be made in both scenarios. Seniors, especially individuals who live alone, encounter multiple dangers: falls that could lead to serious injury, trouble in maintaining the lifestyle to which they’ve become accustomed as aging progresses, even a vulnerability to con artists. Yet independence is vital to self-worth, irrespective of age.

Striking a balance that meets the requirements of both sides may very well be difficult, but there are some important factors to take into account that will help.

  • Let go of ageism. While there is certainly credibility to worries over safety for older adults at home, especially if they live alone, the other side of the picture is our perception of aging. Pioneer Network President/CEO Penny Cook explains, “Our negative perception helps marginalize older adults. They become ‘less than’ because that helps us cope and then we take on the parental model.” A shift in this reasoning allows us to retain the respect for seniors which they so appropriately deserve, as well as know how integral it really is for them to remain as independent as possible throughout aging.
  • Know their rights. Legally, unless older adults are contending with cognitive challenges, they continue to have the ability to make decisions independently – no matter if the choices made are not the ones we would have selected for them. Attorney Barbara Cashman explains, “Even if I decide to give my money away, a judge could say that it’s my money and my choice what to do with it.”
  • Dialogue is key. As with any issue, calm, logical discussions are definitely the best remedy in diffusing difficult situations and arriving at an answer that really works for everyone. Sit down with your parent and clarify your concerns, but prepare yourself to listen with an open mind to his or her thoughts and views. Realize that a resolution will not be reached in a single discussion; use an initial discussion as a beginning point, and agree to revisit the matter periodically to reevaluate.

Most especially, be aware that there is a viable option: the professional in-home care services of Generations at Home. We can aid in a number of ways to enhance well-being, delivering family members peace of mind, while empowering your loved one to maintain independence, making his or her own choices and decisions in the comfort and familiarity of home. Contact us at 727-940-3414 for an in-home assessment to find out more.

How Concerned Should You Be About Guns and Dementia?

senior aiming a revolver pistol

What you need to know about guns and dementia.

With an impassioned level of debate rivaling the Hatfields and McCoys, it appears insurmountable to come to a resolution around the issue of gun control. Yet in spite of which side of the fence you are on, there’s one little-discussed scenario that will cause all of us to take pause: the frightening mixture of dementia and firearms.

A third of all seniors in the United States report owning a firearm, and an additional 12% are living in the house of a gun owner. Bearing in mind that nearly 9% of those over age 65 have some form of dementia (and that number is anticipated to more than double by 2050), it totals an incredible number of older adults with dementia living with guns. Together with irregular states of confusion, aggression, and other difficult behaviors, having guns in the house sets the stage for possible tragedy.

Within the state of Washington alone, a government study found that tens of thousands of older adults (54,000) reported memory decline and confusion along with access to firearms – and as many as 15,000 of those respondents reported that the firearms they had access to were both unlocked and loaded.

In fact, in one single year alone, a Kaiser Health News report uncovered upwards of 75 reported homicides or suicides committed by people with dementia, in addition to instances of firearms being brandished against those closest to them – family members, neighbors, caregivers. Additionally, the suicide rate for older adults is greater than for any other age bracket, with guns being the most prevalent source for senior men, as reported by the CDC (Centers for Disease Control and Prevention).

The Alzheimer’s Association recommends removing firearms from the houses of those with dementia; however, if that isn’t a choice families are prepared to consider, it is vital that you be certain firearms are stored properly – locked, unloaded, and kept separate from ammunition. A bit of creativity can help as well – as an example, replacing real guns with toy models that allow a person who was an avid hunter to safely maintain his connection to that activity.

For more recommendations on keeping people who have dementia safe, call the skilled dementia care team at Generations at Home. Our fully trained and experienced caregivers are adept in assisting with the more challenging components of dementia, and in determining when a senior might be in crisis and require medical help. Our dementia respite care services allow family caregivers the chance to rest and renew, understanding their loved one is incompetent and caring hands. Call us at 727-940-3414 to find out more.