Health Tips for Seniors: How to Live a Longer, Better Life

The fountain of youth is perhaps less of a magical well restoring juvenescence but instead, a repository that’s deep in knowledge. Understanding our needs throughout aging and accessibility to benefits and services can help us navigate some age related challenges that can improve upon quality of life. Fortunately, Harry Cline, creator of NewCaregiver.org and author of the upcoming book, The A-Z Home Care Handbook: Health Management How-Tos for Senior Caregivers is here with some tips for seniors on how to live a longer, better life! You can read his suggestions below.

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Whole body self-care is important at every stage of life. For seniors, as new healthcare challenges arise, healthy living is critical not only for preventive care but also to actively combat ailments and be proactive in keeping your mind and body sharp. Developing healthy living habits not only helps you live a longer life, but it also improves your daily quality of life.

 Health Insurance

 It’s imperative to understand what is and is not provided under your insurance so that you can maximize the benefits, get the most out of preventative care, and plan ahead for the uncovered costs. At 65, you become eligible for Medicare, which means you are faced with options. When you apply for Medicare, you’re automatically enrolled in Part A, which covers stays at the hospital, some instances of skilled nursing, and hospice. Most people don’t have to pay for Part A, but there’s a deductible that you’ll need to familiarize yourself with each year.

 Part B covers your normal visits to the doctor’s office, lab tests, medical equipment, ambulance, and other outpatient care. Annually, the government sets the monthly premium and deductible for Part B care. Part D covers prescription drugs. If you can afford the extra premiums, Medigap coverage, which is extra health coverage beyond your normal plan, can help you cover some expenses. You will want to keep up with yearly updates to these plans.

 Part C, also known as Medicare Advantage plans, are in lieu of Parts A, B, and D. Some of these plans provide added coverage for dental, vision, and access to fitness facilities across the nation.

 Self-Evaluation

 As we age, our capabilities change. We will become more knowledgeable and skilled, but we may also lose some physical and mental capabilities. Frequently, you should evaluate where you are in your life. For instance, if your knees are not what they once were, pushing yourself in running or aerobics will only hurt you. Try the alternative like water aerobics or yoga.

 Driving keeps adults mobile and independent, but as reflexes slow down and vision deteriorates, driving can become dangerous. Fortunately, if you must stop driving, there are alternatives such as public transportation, taxis, and ride-sharing options. More than ever before, you have more options to get around that don’t have to involve driving. You will still experience a high quality of life, even if you have to change how you go about it. You will, however, need to budget for this, because most public ride services aren’t free.

 Self-Care

 As life gets in the way, it’s easy to let things fall by the wayside. When people run out of time, money, or energy, one of the first things to go is self-care. To maintain as much independence as possible and live your best life, you must make your health and well-being a top priority. Even if you spent your whole life eating poorly, it’s not too late to turn things around. Pick up healthy cooking as a hobby, try fun recipes and experiment with new flavors.

 Other self-care acts to incorporate into your life include:

•  Exercising regularly, focusing on balance and strength

• Getting outdoors to experience fresh air and soak up natural vitamin D

• Seeking help from a physical therapist to assist with posture

• Joining a book club, chess club, or walking group to stay social and connected

• Playing games and puzzles to keep your brain sharp

• Taking time to relax

• Taking time to travel

 Unfortunately, even with a top-notch diet, you run a risk of not getting enough nutrients out of it. 40 percent or more of adults in the US don’t, but you can make up the difference with a high-quality multivitamin.

 A healthier lifestyle can lead to a longer life, fewer years of illness, more independence, and happier days. It’s never too late to start living better. Start by being proactive with your healthcare, schedule regular wellness check-ups, and educate yourself on your health insurance. Also, regularly check in with yourself and your loved ones to assess your well-being and changes you can make to ensure your safety. Above all, prioritize your self-care to ensure your physical and emotional well-being is taken care of.

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This is far from and exhaustive list of suggestions for living a better life and we would love to hear yours in the comments. We know that health is not a one-size-fits-all and you never know what suggestion might encourages one to take actions. Share your tips! We want to hear them.

Understanding Senior Isolation and Ways to Prevent It

Hey Ya’ll,

I might be moving forward with a life-after-caregiving but that doesn’t mean there aren’t still millions of folks navigating what remains a difficult journey. Luckily I have a new guest blogger to introduce you to today. Christian Worstell is a health and lifestyle writer living in Raleigh, NC and he is here with us to shed some light on the pains of senior isolation. He is a seasoned writer and has been doing freelance work for over 15 years and I am so grateful for his deep dive into this topic. As someone that lived in relative isolation as the result of caring for my parents through their illnesses, I can attest to the concerns facing those living a lifestyle of seclusion.

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Seniors might be entering their “golden years,” but many in the elderly population find this golden time diminished by an overwhelming sense of isolation that can put their health, well being, and longevity at risk. The effects of this isolation can be avoided or reversed, but first, you must be able to detect the symptoms your loved one may be facing. This article outlines some of the causes, risks, and signs of senior isolation as well as some ways to prevent it from occurring.

What Is “Senior Isolation?”

Senior isolation occurs when an elderly individual becomes distanced from his or her interpersonal networks or groups. This can take the form of isolation that is psychological or physical, and it can leave seniors feeling as if they have lost their place in the community. The number of seniors that experience such feelings is substantial. In fact, a recent study revealed that nearly a third of respondents between 50 and 80 years old reported often feeling isolated or alone. 

How Isolation Occurs

You might think that being a senior makes you more prone to social engagement, given the fact that many senior citizens have retired from full-time work and can take more time for activities with friends and families. Unfortunately, though, the reality is quite different. Senior citizens often face issues of reduced mobility as they age, which might limit their ability to get out and partake in the activities they once enjoyed. Their social circles also can begin to diminish; in addition to their friends succumbing to age, illness and death, many elderly adults also live at great distances from their extended families, which makes regular contact or social engagement more challenging. Some seniors have the advantage of a caregiver who might regularly attend to cooking or cleaning, but these caregivers are usually not equipped to be a full-time, live-in companion.

Risks of Isolation

The danger is that this isolation can reap a direct impact on a senior’s health. For example, the depression that can result from such isolation can contribute to an overall downturn in health, and the repercussions can be even more far-reaching. In fact, a recent study found that seniors who experienced isolation were more likely to experience longer periods of hospitalization and were also more likely to die sooner than those who did not report such feelings.

 Signs of Isolation

Signs that your loved one might be suffering from isolation include:

• A sudden lack of interest in activities a senior once loved

• The emergence of new habits such as smoking or excessive drinking

• Sullen, hostile, or reclusive behavior

• Drastic weight loss

 If you see such behaviors in your loved one, it is time that you explore some options to address their situation.

Prevention

Here is the good news: the impact of senior isolation can be easily reversed. You can help by simply engaging more with your loved one and encouraging them to do the things they love. Reversing or preventing the negative effects of isolation can be accomplished through a few simple steps:

 Determine the Factors

Consider the main factors contributing to your senior’s sense of isolation and then seek means to address each of these factors. For example, if a senior is struggling to find a new place in his community, help them find groups, clubs, or activities that they might enjoy.

Make Your Loved One Feel Valuable

Find tasks or responsibilities your loved one can take on that make them feel they are valued and important.

 Check-in

Perhaps the easiest of all, make a commitment to check in on your loved one frequently. This doesn’t have to mean a flight once a month across the country, but a standing phone call or note in the mail might provide your senior with the consistency and support to make them feel they are still vital to the larger world.

 Awareness is the Beginning

With the ever-growing number of Baby Boomers entering their senior years, being aware of the issue of senior isolation has never been more prevalent. Recognizing the signs, however, and taking steps to seek solutions to such feelings of isolation can help keep those in their golden years going strong for many more to come.

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If I can add a personal note to this post it’s the question of quality of life. After watching the struggles my parents faced while attempting to remain independent and at home, I can’t help but wonder why there is so much resistance when it comes to assisted living communities. The financial restraints are of course an important consideration, but if you have an affordable option in your area I would encourage you to investigate the possibility. The opportunity to participate in a social environment cannot be understated. It’s good for the mind and good for the soul. We all need connection in our lives so if you or a loved one are living alone as the years are winding down, don’t be afraid to explore a more communal environment. You might be pleasantly surprised for a healthy social adventure that’s still ahead.

Reflections From Life After Caregiving

After almost four years of trying to figure out life alongside of caregiving, I’m suddenly thrust into life without it. Like a car careening to a screeching halt, the abruptness and impact is still revealing itself. I’m picking up the pieces… again… and no sooner had I started to make sense of the ones I was holding do I find myself holding new ones, wholly foreign and equally frustrating. Just as my caregiver life began to click, things changed and my ever quest for stability has shaped-shifted once again.

Last year, around October, I started to really feel like I was gaining a grasp on things.. The years of trial and error eventually led to some clarity around how to be a full-time caregiver. Actually, for the first time in my caregiving journey I felt like I was more than just a caregiver. I had returned to having my own identity with a vision of myself as a maker. I started to identify as an artist and a baker. A maker of things that reflected my journey with time, because more than anything, I had learned how to stand still. I was embracing what I’ve come to think of as the “slow-life” movement.

The monotony of caregiving and its day-in, day-out inertia was a vacuum. It consumed my time and energy and gave me very little in return. The overwhelming feeling of sacrificing my desires for the care of my parents left me bitter, angry that these were my life’s cards. I spent years with that anger, mostly unresolved, because emotionally I was conflicted by love. Love for my parents, love for my partner, and love for the person I was becoming prior to this whole mess starting. Caregiving pit all these loves against each other, forcing me to prioritize them, as if one might have somehow held more importance over the others. I was paralyzed in making pivotal life choices and in that paralysis my frustration grew into rage. My anger seethed and with no place to channel how I was feeling I recoiled into my mind, mentally scheming a way out of this mess. I became a cruncher, a term I’ve identified for how my mind became calculatory. Crunching was the puzzle work of solving my problems and I crunched constantly. I crunched numbers, schedules, and systems, addicted to finding solutions. I crunched in my sleep merely awaiting daylight, so I could just get back to the drawing board to resolve my mess. And I couldn’t settle for just surviving the time. I wanted to enjoy my time and rid myself of the toxicity that was consuming my emotional and mental health.

Long story short, around October of 2018 I started to formulate a plan. All the crunching had paid-off and for the first time in my caregiving journey I had ideas for how I was going to move forward in my own life with happiness. I was ready for caregiving to be a piece of my life, rather than my whole life and I was ready to do that by injecting my interests into the inertia of the job. 2019 Couldn’t come soon enough! I was so ready for a fresh start, so excited to work on this website because this platform was going to encapsulate my new beginning. If caregiving meant a life of isolation then my website would become my vehicle for connection. I realized that if I couldn’t go out and greet the world in the way I craved, maybe I could convince a piece of the online one to come to me. I was ready to do that through food and craft, creating opportunities for interactions. I would post recipes (which are a dime a dozen) but more so I would create reasons for individuals to “visit” me. I prematurely launched the Full Moon Baking Club and Winter Squash Bingo because I was excited. I anticipated them being the cornerstones of 2019 but thrust them into the world early because I was tired of waiting. I had waited nearly four years at this point to feel a sense of myself in my days and finally a sliver of that girl was showing. I didn’t need a specific date or a launch party to validate my readiness. I was ready to hatch, armed with all things related to food, carving, and caregiving that might convince someone to interact with my world.

But then came the abrupt shift, hardly a month into my new found plan. My dad fell on December 14th. I remember it was a Friday. He was gone five days later… His passing was met by the cusp of winter, the government shutdown, and the end-of-year holidays that consume everything that time of year. It was not the most wonderful time of year. Quite the opposite really. And yet 2019 rolled-in, once highly anticipated and now, suddenly an afterthought. There was no fresh start. Instead, 2019 greeted me with a sour taste in my mouth. The bitterness I chocked down from my years before had been replaced by something acrid. The final decree, hamstringing my heart, again to this role of caregiver and stealing my identity once more…

It’s not fair. That’s really all I have to say for myself. It’s just not fair. And never-the-less, it just is what it is… I know people hate that expression but I’m not sure how else make sense of the enormity of grief that encompasses the last four years other than to surrendering to time. I lost my mom, my dad, and my dog. I lost my job, my apartment, and my community… I don’t think the vacuum of caregiving is well understood, which in and of itself is a tragedy. The loss of lives is compounded by the loss of livelihood. Grief alone is heavy but without a social and economical construct to pad the edges, it can push your life to the fringe. The vacuum swallows everything, eroding just about every facet of connection and commonality into something even more incongruous. I am the last person you want at your dinner party. I’m am every bit the definition of your Debbi Downer… Everyone died, I’m unemployed, and too much alcohol will probably bring me to tears... But where I lack in dinner parties, I thrive in pity parties! Other people’s problems serve as respite from my own and I find myself happy to listen to the struggles of others. Not because misery loves company but because pain deserves a voice and after four years of sitting on the sidelines I have found that emotional trauma is dangerous when left unchecked. Luckily my outlets were baking and carving and they will continue to be healthy escapes from a world riddled with malfeasance.

I keep waiting for my course correction. Caregiving has “ended” and I find myself anxious to move on. But Joseph Campbell’s theme of the hero’s journey whispers softly to me that this is hardly an ending. It’s entry into the “abyss”. According to his narrative, I’m only halfway through my caregiving journey because it took four years to get here and it might take four more to recover. The mere thought of this exhausts me but it also gives me comfort. Time has been my one trusted companion thus far so we kinda know the drill. As I mentioned before, I have learned the lessons of staying still. As the clock ticks on with a strange new nothingness, I have mastered the art of waiting cause my life feels perpetually on hold. Something will come… Some job will rescue me from my newly inherited mortgage and other financial burdens but it appears that white knights liberate without time restraints so all I can do is wait. And carve… and bake… and be. Cause life after caregiving isn’t an ending. It’s a blind spot and my only choice is to turn to the sun.

3 Big Benefits of Yoga for Seniors and Caregivers

Lately, my biggest grip about being a caregiver is how sedentary I have become. I spend most of my days watching my dad watch TV and it is literally killing me. I’m developing aches and pains from the lack of movement. I’m agitated and cranky almost all the time which can’t be good for my blood pressure. And perhaps the worst is knowing I should do more but don’t and so it’s all of the above with a dose of guilt to go with it. Cheers to meh…(Insert eye roll here.) Fortunately, I trust this is just a phase. I’ve always been a relatively active person. I’ve dabble in seasons of less movement but for the most part exercise is my health insurance. I know how important it is to one’s overall sense of wellness which is why I am so happy to introduce you to Harry Cline.

Harry is the creator of NewCaregiver.org and author of the upcoming book, The A-Z Home Care Handbook: Health Management How-Tos for Senior Caregivers. He is a retired nursing home administrator, father of three, and caregiver to his ninety-year-old uncle. He is more than familiar with the challenges and rewards of caregiving and understands the role is often overwhelming for those just starting out. Through creating his website and writing his new book, he offers caregivers everywhere help and support. We are lucky to have him with us today to help shed some light on the role of flexibility. That’s right folks! FLEXIBILITY! And balance and mindfulness… But as we move into December we should be remember that this is the “home stretch” of 2018 and there is still time to finish strong. Since both seniors and caregivers (or anyone for that matter) stand to benefit from developing a consistent yoga and meditation practice, Harry is here to share his tips and help us get started.

Here’s Harry!

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Yoga is for everybody. It might sound cliché, but it’s true. There are many benefits of doing yoga for people of all ages and any fitness level. Chances are, you already know this. Perhaps your friends do yoga at a Silver Sneakers class. Maybe your physician told you how yoga can help ease those morning aches and pains. Yoga can be good for you physically, but did you know that yoga has a mental advantage, as well?

Aging isn’t easy, but neither is being a caregiver. Doing yoga together can help alleviate stress and tension while also getting your bodies moving. Caregivers often have little time for self-care, so doing yoga together is a great way to encourage them to work on their own physical and mental health. The same yoga sequences that can benefit seniors can also benefit caregivers.

1. Balance

There are many yoga postures that help improve balance, which has a positive impact on memory and brain function. The brain is home to your body’s balance sensors, so poses that focus on balance can be positive for seniors who may be experiencing mild cognitive impairment. These kinds of poses can also help improve your agility, which can help prevent falls. Balance poses require our attention every second, which improves the equilibrium in both our minds and bodies.

Try This Balance Pose: Tree

Standing with one leg planted firmly on the floor, bring the foot of your opposite leg to your ankle, calf, or thigh. This is the start of tree pose. You can stretch your arms out to the side, press them together in front of your chest, or raise them up over your head. If you feel a little wobbly on your feet, hold on to the back of a chair, a door frame, or a wall.

 2. Flexibility

As we age, our bodies become tighter and tenser. This is also true if we are more sedentary or stressed. Yoga improves flexibility by helping our muscles, tendons, and ligaments elongate and stretch so that our bodies let go and release. It’s important to take it slow -- if a pose is uncomfortable, but you can breathe through it, see if you can stick it out for five to 10 breathes. However, if it feels painful, back out until you find a place that is a comfortable challenge.

Try This Flexibility Pose: Sitting Pigeon

There are several ways to do a pigeon pose. If you’re new to working on flexibility, sit firmly on the floor with your knees bent and feet flat on the ground. Plant your hands behind your back and lean back a bit. Bring your right ankle on to your left thigh just below your knee. If you want to deepen the stretch, bring your right hand to your right knee and apply gentle pressure. If this pose is easy for you, try a more advanced version of pigeon posture.

3. Mindfulness

Yoga helps us connect our minds and bodies, increasing awareness about how we feel and why we act. Yoga, which literally translates as “to yolk,” makes that connect by emphasizing meditation and a focus on breathing. One way to make yoga a habit with you and your caregiver is to set up a meditation space in your home. Choose an area free of distractions and with nice natural light. Roll out your yoga mat, set out a few cushions and light a candle, set out aromatherapy scents, or play calming music.

Try This Breathing Activity: Three-Part Breath

Sit comfortably on the floor or a chair. Roll your shoulders back and down and put space between your ears and your shoulders. Place your right hand on your chest and your left hand over your belly button. Inhale into your belly — your left hand should push forward. Then, move the inhale upward, drawing the air in between your ribs and finally in your chest. Exhale in reverse. Practice making this breath smooth and fluid, like a wave rolling up when you inhale and down when you exhale.

 Yoga can help both you and your caregiver improve your physical and mental well-being. However, just as important -- or maybe even more -- it can bring you closer together, creating a happier, low-stress household.

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Me again…

This topic brings up several thoughts specifically in terms of relationships. I’ve long been searching for an alternative version of “mommy and me” activities that are more aptly appropriate to adult children and their aging parents. It is true that both seniors and caregiver stand to benefit from engaging together in activities. Additionally, activities that promote the physical well-being across generations stand to gain broad acceptance as both youth and elderly populations find their lives increasingly intertwined. But the question is HOW? I anxiously await programs that recognize that senior wellness initiatives must also apply to their caretakers. Programs like Silver Sneakers offer desirable benefits to the senior demographic but I wonder how many would-be participant don’t enroll because of limitations surrounding their caregiver’s access? This trend is also visible at senior centers where age restrictions often limit caregivers from attending and therefore keep many seniors from utilizing available community resources. I see a growing need to bridge this arena if we truly want to improve the culture of aging in America. The exclusivity surrounding age related access is a disservice to quality of life, and I look forward to more perspectives like Harry’s that highlight the intersection of seniors and those that care for them!

And if you are a caregiver, I would love to hear your experience finding activities that cater to both you and your care person. I’ve struggled finding activities that offers both my father and I and opportunity to grow. Aside from the local library (which could benefit their service by creating a senior section mush like a children’s section) I’ve experienced very little in the way of mutually supported service. Rather, what I observe, is the catering to one or the other which feels more like a wedge between the two world and thereby crippling either’s ability to thrive. I, like many caregivers, live without the luxury of separating our experiences. Our lives are conjoined and that I’ve come to accept, but as a caregiver I feel the marginalization of this role. I want to hear your thoughts about organizations, ideas, and/or experiences aimed at addressing this unique circumstance. How can we fill this gap?

Black Widow Halloween Salad Recipe

Get your festive on with this healthy Halloween salad made with black rice and blood oranges and a few other ingredients that keep to this holiday theme. While the kids (and seniors) might be game for a full night of candy, caregivers need nourishment to survive a night of horrors. Eat this salad, then hit the candy and feel a little better about your life choices come morning.

Ingredients:

• Cooked black rice
• Chopped purple kale
• Cooked then chopped red beets (small chop)
• Some black olives, sliced
• Crumbled Goat Cheese
• Blood Orange segmented (Click here for a how-to)
• Parsley
• Vinegar based dressing

Directions

1. Rub some oil into the kale leaves and roast in the oven if you want it crispy (I'm a fan personally but this step is not necessary).
2. In a bowl, mix the kale and rice together in your desired proportions.
3. Place a serving of the rice mix on a plate.
4. Top with your beets and black olives.
5. Sprinkle on some goat cheese
6. Add the blood orange segments
7. Top with a little parsly and the vinegar based dressing of your choice.

Sorry for the lack of specific measurements on this recipe but you know… salads ain’t rocket science and Halloween is a holiday that’s supposed to be scary. Take a risk yo! And enjoy the blood bath. Beets never disappoint when it comes to a good spook. They’re always good for a nice stain of the hands and a brief scare in the bathroom if you know what I mean…;)

“You’re not hemorrhaging. It’s just the beets!”

And for an additional fright, please enjoy these photos of my dad and I celebrating Halloween night. We had a good run with wigs which seemed to be the backbone of our costumes every year. We started things out by just getting “dressed-up”. Wigs, a hat, and feather boa was enough to call us “festive”. But as the years went by we honed our looks. We pulled off Wayne and Garth from Wayne’s World one year before celebrating our last Halloween together as ET and Elliot.

The holidays were always fun. As a caregiver to parents with Alzheimer’s and dementia, I would often wonder if my efforts to celebrate any “festive” event would be in vain. I’d question if I was making more work for myself by decorating the house or preparing elaborate meals, knowing they wouldn’t understand, participate, or remember that said time was significant. But as I look back at this Halloween photo gallery and see our smiles and remember the laughs, I find myself comforted by the memories. The post caregiver life takeaway isn’t the stress or hassle of going through the holiday motions just because I felt we should. Rather, it’s the reminder that on this day and every holiday, the day itself was different. For short periods of time we managed to part ways with the monotony of long term, end of life care. On these days we actually lived life more fully. They are the moments that now standout. Don’t get me wrong; we had our share of nightmares. But Halloween and every other holiday that felt like a forced celebration was actually an escape from the nothingness. It was something and it was worth it!

Happy Hauntings!

Daily Needs Assessment: A Key to Quality of Life

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:

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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.

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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!

Pumpkin Hand Pies With Fresh Whip Cream

Nothing says Thanksgiving like pumpkin pie with fresh whip cream, but why not give the traditional recipe a holiday boost by making pumpkin hand pies? Hand pies make life easier when it comes to clean-up. No plates, no forks, no knives to messy up when slicing. Just a grab and go snack to help celebrate the season. And just in case you need a little soundtrack for inspiration, allow me to introduce you this gem!

Debi Smith and Doc Watson actually have a song called “Pie”. Ugh… ok! Don’t ask how I came across this but it couldn't be more fitting, especially if we are talking about my Dad. It’s difficult at times posting recipes because he is increasingly picky and often refuses to eat what I make. But... not when it comes to hand pies! I'm honestly not surprised given his tendency towards sweets and their hand-held convenience.  As his dementia's been worsening, he's slowly losing his mobility and competency with utensils.

As for making these pies, just know you have options.  I used this recipe for the dough.  It utilizes cream cheese which compliments pumpkin but also contributed to a soft pastry crust that I knew would be easily eaten. As with many seniors, aging teeth or dentures can be a real deterrent when it comes to food so the softer the better.  You can however use store bought crust if you are short on time or seek out a basic pie crust recipe. Like I said, you have options!

More pumpkin hand pies...

As for the filling... I roasted a Fairytale Pumpkin earlier in the week and wanted to use it up.  You can absolutely use canned pumpkin which might allow you to skip over pre-baking the filling (see below). Using the fresh pumpkin was much too runny in my case and if it's too wet, it will damage the dough.  Don't be afraid to bake the filling first if necessary.

Filling Ingredients:

• 2 cups pumpkin puree
• 1/2 cup sugar
• 1 tsp. cinnamon
• 1 tsp. ground ginger
• 1/2 tsp. nutmeg
• 1/2 tsp. salt
• 2 eggs
• splash of cream

Directions:

1. Combine all ingredients in a bowl and mix well. (If your filling is thick then you can immediately fill your hand pies. I used fresh pumpkin and the filling was very wet. I pre-baked the filling in mini muffin cups for 15 minutes until the custard solidified and used that as my filling.)
2. Roll-out your dough and cut out circles with a biscuit cutter if you have one. (I used a pint glass to cut-out circles.)
3. Roll out each circular cut-out to about 1/8 inch thickness and top one side with some filling.
4. Wet the outer edges of the dough with a little water, fold over, and seal the edges by pressing down with a fork.
5. Brush tops with an egg wash and poke a few holes to vent steam in each one.
6. Bake at 375 degrees F for 20-40 minutes or until the dough becomes a golden brown.
7. After baking, cool on a rack.

When it comes to the fresh whip cream just add a teaspoon of vanilla extract and a teaspoon of powdered sugar to some heavy whipping cream and whip on high until stiff peaks form.  Then dip the hand pies in it until your hearts content!

Rules for "how to feed a senior..."

Rule #3: Size Matters

As senior mobility decreases and daily activities become limited, it is not surprising that appetites wane as the body has a reduced demand for calories.  Throw in the facts that appetites are often suppressed due to side effects of prescription drugs , anxiety around dysphagia (difficulty swallowing), weakening teeth and changing taste-buds, and it is no wonder that eating is no longer a thrill like days past.  However, it is still important that seniors consume enough calories to sustain their days, and more importantly, get the essential nutrients that allow their bodies' to thrive regardless of age.

Portion control plays an important role when you are assembling the senior plate.  Even though quantity has decreased, the nutrient density and diversity is as important as ever.  Protein, carbohydrates and fat all need to find there way on to the plate and ideally in each bite.  Sure, an older person might feel full after some mashed potatoes and therefore as a caregiver, it is easy to think you have done your job but if you are not providing meals that are a well-rounded composite of macronutrients then your are not enabling their body to preform at its optimal level of health.  Shoot for quality while aiming for comprehensive meals and forgo some of those concerns around how much they are eating. It's not the volume of food that is going to contribute to their well-being, but rather, the nutrient load they will receive with each bite. 

In case you are curious about what foods have the highest nutrient density you can check the the Aggregate Nutrient Density Index here which is a bit like like a report card for evaluating the micronutrients in fruits, vegetables, nuts, seeds, legumes, etc.  It's not a complete list but it's a start and a great place for developing the foundation of how to build the senior plate. 

Golden Years

As modern media seems transfixed by capitalizing off youth, I have to wonder if I am considered past prime.  I am not even 40, yet the stereotypes that surround “mid-life” remind me I should prepare for an impending crisis.

 At some point, we as a culture have adopted the mentality that life should be figured-out about half way through, and any short comings of that projection are often internalized as failures.  But why are we so quick to adopt failure when the game itself isn’t over?  Half-way is really only part-way, with a substantial chunk still left.  What if the second half is the best half?

The modern portrayal of the “golden years” seems incredibly tarnished.  Seniors have been marginalized by fears of fixed-incomes, arthritis, and blood-pressure medication all indicating to a decline of old-aged comfort. The marketing tactics for seniors even perpetuate these fears dedicating advertising to pharmaceuticals, security systems, supplemental insurance plans and that b*tch who has “fallen and can’t get up!”   

Grey hair, wrinkles and everything else, can’t we find these things to be beautiful?  Isn’t there a place in our cultural mentality for sweetness where golden is really gold and not just a disguise for old?  I refuse to believe that old age can’t be something to look forward too.  One’s best years always need to remain on the horizon and serve as both a destination and a reminder that good things are still to come.  The saying suggests that “Life is sweet”, not youth, no matter how much the media tries to sell us this message.

So, if you care to share, please tell me what your finish line looks like?  Is it a vision of pill boxes and Depends because that is certainly not mine, no matter how mainstream that marketing gets.  Pills and adult diapers may very well be a necessity in my future, but they aren’t exactly the material of dreams.  Not at all! I want the fine china, and I want it every day!  I want hobbies and an early afternoon cocktail on a porch swing with a book.  I want to be able to get-up off the floor without help at any age and go to exercise classes even if they occur on a chair.  I look forward to the discounts because who wants to pay full price for [insert anything here].  And my early-bird special includes sushi not a Salisbury steak?  No, wait.  What is Salisbury steak?  Am I missing something here?  Should I want to want Salisbury steak? 

My point is the golden years should be the best of years and we as individuals and caregivers should strive to make that version of life possible.  Maybe it’s only a fantasy but at least it’s one to look forward to!