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Mornings with #koolbob.

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Daily Needs Assessment: A Key to Quality of Life

February 26, 2018 by Ashley Look in Caregiving

Hi folks!

I'm back here with another guest post from June Duncan, the author of the soon to be released book The Complete Guide to Caregiving and creator of Rise Up for Caregivers.  This time around she comes to us with great information relating to senior independence and some tips for assessing when a caregiver may need to step in.  Identifying these things early can help caregivers (or future caregivers) mitigate problems. Forecasting possible scenarios is a step towards putting a plan in place and I speak from experience when I say you don't want to be caught off guard.  Many of these suggestions are short-term solutions that can help pad the timeline surrounding a more significant transition.  It can be overwhelming to tackle all at once but take notice, address what you can, and begin assessing the needs of your senior loves. 

Now, some words from June:


Image courtesy of Pixabay

Image courtesy of Pixabay

Caregiving for a senior loved one can feel like walking around in the dark sometimes.  However, there are key ways to improve your senior’s quality of life and meet needs more clearly.  With a well-defined assessment, you can enhance your loved one’s independence and relieve that stumbling-in-the-dark sensation.

Gauging independence

Certain tasks performed in everyday life are necessary for independent living.  Those tasks are termed Activities of Daily Living (ADLs), and include items such as dressing, bathing, eating, using the toilet, and being able to move from laying down to standing.  Sometimes with a little support in these areas, seniors can continue living at home and remain reasonably independent.  The first step in deciding whether your loved one can safely remain at home is clearly gauging how much assistance is required in performing those tasks.  Carefully assess your senior’s ability in each of the ADLs, using a sliding scale on how much help is needed to accomplish each task.  This may seem a bit overwhelming, but there are a number of tools available for making this evaluation, such as the Bristol Activities of Daily Living Scale. 

Simple alterations

Once you complete an assessment of your senior’s abilities, review your loved one’s living situation.  Oftentimes, the home environment can be effectively improved with minimal effort, allowing greater safety and peace of mind.  Ensure the main living area is entirely on one floor, with access to a bedroom, bathroom, and kitchen.  Then review the living area for enhanced mobility and reduced safety risks. 

For example, the National Institute on Aging recommends reducing slipping and tripping hazards in the home.  You can do this by removing furniture and opening floor space for your loved one.  Reduce clutter such as magazine racks and piles of newspapers, and eliminate or secure throw rugs.  Stairwells should include a sturdy railing for support, and electrical cords should be safely secured away from walkways to reduce the risk of tripping on them.  Ideally, floors should offer improved traction; you can leave surfaces unpolished or install nonskid strips to enhance your senior’s safety.  Some experts also suggest removing thresholds so your senior doesn’t need to navigate steps in and out of the home and between interior rooms.

Improving visibility is another simple but important way to enhance your loved one’s safety and independence.  Even if your senior is still enjoying good physical vision, sometimes comprehending what is being seen is an issue.  There are several simple ways to help.  Stairs can be marked with different colored tape so the changes in levels are more easily seen.  Similarly, use high-contrast colors for floors and walls.  Eliminate window coverings and rugs with complex, confusing patterns. 

For better accessibility in bathrooms and kitchens, consider installing lever-style faucet handles instead of knobs.  Single levers are best, since they are not only easy to grip but also reduce the risk of scalding.  Use base cabinets for the majority of storage so your senior doesn’t need to climb to reach items, and add lazy Susans and pull-out drawers to reduce bending.  Some professionals advise adding grab bars in bathrooms to reduce risk of falls. 

Services and resources

When considering what ways your loved one’s quality of life can improve, explore resources in the local community.  As the experts at HomeAdvisor explain, seniors can often enjoy remaining in their own homes through the benefits of supportive services.  Meal providers can deliver nutritious food and reduce shopping and meal preparation responsibilities.  Transportation services can allow your loved one to run errands and reach medical appointments even if driving isn’t feasible.  Money management professionals help seniors who are no longer able to perform all of their bookkeeping obligations.  For specific services and resources available in your locality, contact your Area Agency on Aging. 

Assessment is key

A good assessment will help you identify your senior’s limitations.  Once you have a clear understanding of where needs are, you can directly address those concerns.  By modifying the living environment and employing supportive services, you can improve quality of life for both you and your aging loved one.


Alright, now it's your turn.  Do any of you have experience implementing any of these suggestions?  Or, do you have any questions that June or I might be able to address?  We understand that the world of caregiving is increasingly isolated and decision making is often challenging without a sounding board or support system to help provide some perspective.  As always, this space strives to create a community for the unique needs of caregivers so please don't hesitate to tell us your thoughts.  We want to hear from you but we also want to learn from you. Drop us your thoughts and lets get to discussing!

February 26, 2018 /Ashley Look
How to feed a senior, seniors, needs assessment, caregiving, caregiver stress, senior planning, Activities for Daily Living, ADLs, aging, risk assessment, home modification, Alzheimer's, Dementia, Daily Needs Assessment, Quality of life
Caregiving
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Self-Care In The Chaos Of Caregiving

December 06, 2017 by Ashley Look in Caregiving

Today I want to introduce you to June Duncan, the author of the upcoming book The Complete Guide to Caregiving.  It's due for release in 2018 and offers support for friends and family members who have taken on the responsibility of caring for their loved ones. She is also the co-creator of Rise Up for Caregivers as well as the primary caregiver to her 85 year old mother.  Yes, it's all things caregiver and caregiving!  She is here today with a peak into the world of self-care with some handy tip to any new caregivers just touching down in the trenches.  Take a moment to read her words and suggestions and please comment with any thoughts or feedback.  We all recognize the need for more "village" support and therefore we  would love to hear from you on tactics that you feel do and don't work.  Thanks in advance for your participation and thank you June for embarking on the task of creating this much needed resource!

Cue June:


Image courtesy of Pixabay

Image courtesy of Pixabay

Taking care of the needs of a senior loved one is stressful, and many of us learn the hard way that life needs to be balanced to be healthy and happy.  The good news is that a lot of other people are in the same boat, so if you’re feeling overwhelmed, you’re not alone.  It’s vital that you don’t neglect your own health, or you won’t be able to perform well as a caregiver.  You can reach the breaking point if you aren’t careful. 

You’re not alone

Americans are living longer, and as a result, more of us are providing supportive care to elderly family and friends than ever before.  Mayo Clinic notes that 80 percent of long-term caregiving is performed by informal caregivers.  If you are providing care to an elderly loved one, you are at risk for caregiver stress.  No matter how much you love someone, tending to their needs and watching them decline is a heavy burden.  Many times, the caregiver’s own health suffers, reducing the ability to function in many ways.  Watch for these signs that you could be overdoing it:

●     Moodiness, irritability or angering easily

●     Significant changes in weight

●     Changes in sleep habits

●     Feeling exhausted

●     Feeling overwhelmed or anxious

●     Feeling sad or depressed

●     Loss of interest in activities you used to enjoy

●     Frequent headaches, pain or illness

●     Substance abuse; drinking too much or abusing drugs, including prescriptions

Self-care

It’s critical to learn to take care of your own needs and embrace self-care.  Caregiving is demanding.  Without a self-care plan, your mental and physical health can decline.  Make your burden lighter and recognize you are doing it for both yourself and your loved one.

●     Reach out.  Don’t try to do everything yourself.  Ask family members and friends to give you a break.  Think of some options and let your helper pick something to tackle, like taking your senior on an errand or for a walk, or preparing a meal once a week. 

●     Stay connected.  Engage in a support group.  Set aside time to spend with friends, and don’t become isolated.

●     Be realistic.  Make lists and prioritize. Do what you can when you can.

●     Take care of your health.  See your personal physician, and don’t put off your routine exams.  Get enough sleep, eat right and exercise. 

Finding time

You’re probably thinking to yourself that you are already maxed out; how can you squeeze in time for doctor visits, much less exercising?  The AARP offers some great advice on organizing your schedule and realizing these goals.

●     Schedule it.  Make arrangements for respite, whether from an agency or family members.

●     Organize and communicate.  Review schedules and commitments ahead of time with those sharing the caregiving burden.  Make sure there are no gaps in coverage, and that things like appointments are coordinated. 

●     Divide duties.  List responsibilities and delegate who will do what.  Make sure everyone understands who handles insurance issues, who orders prescriptions, and so on.  This eliminates concerns of schedule gaps and of duplicating efforts.

Physical well-being

Exercising is vital to your self-care routine.  According to the professionals at the Mental Health Foundation, we need to keep moving.  Activity is good for your bones, muscles and flexibility, and will also improve your mental health and well-being.  You can be active through household chores, running errands or organized exercise.  It doesn’t take long.  According to the American Psychological Association, “Usually within five minutes after moderate exercise you get a mood-enhancement effect.”

A home gym

A small home gym is a practical addition to a caregiver’s lifestyle.  It’s inexpensive, you only need a little elbow room, and you can squeeze in a workout when it’s convenient.  A handful of well-chosen pieces of equipment, like a yoga mat, dumbbells and resistance bands, will put you well on your way to fitness with minimal space, time and money.

Meet your own needs

Without tending to your own needs, your mental and physical health will suffer, and you can’t be as effective in your role.  Develop a self-care plan, get organized, manage your time well and make exercise convenient.  By taking these steps, your life will be more balanced, healthier, and you’ll be a better caregiver.

Author: June Duncan


Ok, now its your turn!  Do you feel your own health suffering?  Do you have a self-care regimen?  Are you meeting your own needs or can you express the obstacles that stand in your way?  Many of these things are easier said than done so it's important we share tips and strategies for tangible ideas that work.  The caregiver community is growing exponentially yet public resources remain scarce.  Truly addressing challenges will only come from the voices living them so lets hear it!  I'll go first.  The best thing I have done for myself within the world of caregiving/self-care was to create a schedule.  It sounds silly in that the idea of creating a schedule is obvious however, personal circumstances warrant personal tailoring for something to stick and sticking is the hard part!  You can read about it here if you are curious but now it's your turn.  Do tell!

December 06, 2017 /Ashley Look
how to feed a senior, Self-care, Rise Up for Caregivers, caregiver stress, caregiver health, caregiver schedule, self-care repair
Caregiving
2 Comments
 
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