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March 7, 2018 Fall Prevention0

The Centers for Disease Control and Prevention (CDC) reports: one out of three adults aged 65 years and older fall every year in the US. As we age, our ability to bounce back from a major injury significantly diminishes. A few days in the hospital can cost precious muscle strength, and mobility. Fall prevention is an essential component for maintaining adult independence.

One fall is a strong indication that more falls are likely. Many seniors experience a regular cycle of falls and hospitalizations until they can no longer remain safely at home. According to the San Diego County Department of Health and Human Services, 7 older San Diegans are expected to die from falls every day in 2030 if there are no changes to current fall trends. Creating a safe living space, getting the appropriate tools, and lining up caregiver support all ensure an environment of fall prevention.

2.  Maintain and Build Strength and Balance

As we age we naturally lose muscle mass and flexibility. But, that doesn’t mean we can’t fight to win it back. Staying active, and focussing on appropriate strength exercises can help seniors remain strong, independent, and upright. Even if your loved one has already experienced a reduction in strength and balance it is never too late to speak with your doctor about doing more. Fall prevention is about maintaining proper form and stamina. Strength and balance are very much use it or lose it skills, especially as you age. If you or your loved one feel weakness or balance issues try adding a few of the following activities to your routine ( with your doctor’s permission of course):

  • Go for a daily walk with friends or your dog
  • Join a yoga class
  • Body appropriate weight training
  • Medicare reimbursed physical therapy support
  • Water based activities
  • Bed and chair exercises

There are so many ways to maintain strength and balance for fall prevention! Find one that fits you or your loved one and get moving!

2.  Practice Medication and Health Management

Side effects for miss-management of medications and chronic health issues contribute to the high fall rates in San Diego county. If you or your loved one often miss medication doses, it may be time to enlist outside help to ensure medications are properly dosed. Conditions like fluctuating in blood pressure or unmanaged diabetes can cause dizziness and may contribute to falls. There are many health issues that affect the senior community. If you notice a medical condition is contributing to the weakness or instability of a loved one, you should bring it up to his doctor. Sometimes changing medications or making lifestyle modifications can greatly reduce the incidence of falls. Even something as simple as drinking more fluids and eating more nutritious, health appropriate meals can do a lot for fall prevention.

3.  Use Assistive Devices Correctly

Have you ever seen a person carry a cane like an umbrella rather than the assistive walking device it is? Yep – it happens all the time. Sometimes, people don’t like the mental stigma they feel goes along with walkers, wheelchairs, and canes. It is important your loved one feel comfortable using whatever assistive device is most appropriate for his needs. If you or your loved one need help using assistive devices, the doctor is a good place to start. Doctors can order therapy services. Home health physical therapists can work with a patient to get the most out of an assistive device.

4.  Bring in a Caregiver to Help with High Fall Risk Activities

Bathrooms are high fall areas. Bringing in a caregiver can help with fall prevention, especially during tasks like bathing and using the restroom. If your loved one is repeatedly falling at night or when showering there is a good indication you can help reduce falls by hiring support during those times. Caregivers can also assist with nutrition and medication support. They can offer a level of oversight on critical tasks to help with fall prevention. If you are interested in finding out more about San Diego Home Care, check out this article.

San Diego Home Care – Everything You Need to Know 

5.  Home safety modification

Take a look around your loved ones home. Most of the falls that occur in San Diego County are the result of slips trips and stumbles. Walkers and toes can get caught up on the edges of carpets and other obstacles in the walkway. Take a look along walking paths, and make sure there is lots of clearance so feet and assistive devices don’t get caught up. Adding grab bars in the shower area supports fall prevention. Make sure to look through the house for places your loved one might have trouble navigating. Steps in and out of the house can transform into ramps. First floor offices can convert to bedrooms to cut down on stairway risk. You can easily add chair lifts and bed rails to help a loved one navigate a cherished home.

 

The hardest part about fall prevention is getting used to necessary changes that support a safe environment. Talk to your loved one about the risks of taking no action. Take small steps to create big gains in mobility and independence. If your loved one has a history of falls, take immediate action and work together to make the environment one he can remain in safely for years to come!


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March 5, 2018 Home Care 1010

Your mom has always been there to help you through life, but as time passes the roles shift. Now, your mom needs your help. Finding the best way to support your mom can be a struggle in today’s busy world.  Whether your mom lives with you, in the same town, or across the country, finding a balance to meet everyone’s needs feels overwhelming.

Using a caregiver agency is a great way to support your family’s needs. So, what can a caregiver do to help your mom? The article below covers 7 things that caregiver services can help with.

 

1.  Meal Preparation and Feeding

Helping your mom get the nutrition she needs is very important. Caregivers can help cook and prepare meals. They can also do the grocery shopping and meal planning for her. A good caregiver can help prepare not only nutritious meals but meals that can meet any dietary restriction that mom may have. If your mother needs help with the physical action of eating, they can provide support for that also.

Caregivers give fluid reminders and encourage your mom to stay hydrated. Dehydration can cause dizziness or vertigo which can lead falls.There are some limitations with meal support. A caregiver cannot administer food via feeding tube. But, short of skills considered medical, a caregiver can make sure your loved one gets plenty of food and fluids.

2.  Transportation Services

Most caregivers can offer transportation services. Transportation can include critical activities like doctors appointments. It can also mean a trip to a favorite restaurant, or shopping for pants. Transportation support is often about promoting independence, and keeping your loved one engage in her favorite activities. Transportation services can help your loved one adjust to losing a driver’s license.

3.  Personal Care

One of the biggest struggles as we get older is losing our independence and requiring help in areas of our lives that are more personal. Caregiving services can offer your mom help with bathing, dressing, toileting, and grooming. Great caregivers can provide help with these sensitive tasks gracefully.  In some cases as people get older they may develop a dislike for bathing (don’t feel alone this is common!) Caregivers can help balance your mom’s personal desire with safety and skin care.

4.  Movement and Transfer Support

A big risk, as mom gets older, is the occurance of a fall. How do you prevent them? Caregiver services can provide support with movement and transfers that can help decrease the chance of a fall. This can range from stand by assistance to full bed bound care. Helping your loved one up from a chair or supporting her as she goes for a walk in the garden can give both you and your loved one peace-of-mind. Caregivers can also give reminders and encouragements for mom if she uses walkers or other assistive devices like grab bars.

What if mom is bed bound?  Bed bound care is a specialty area. When someone losing the ability to walk their care needs are different. They are at risk for rapid muscle loss, and bed sores, also called pressure ulcers. If your mom is bed bound, she needs to be repositioned every two hours to help prevent bed sores. Caregivers can help with the repositioning and help monitor for signs of pressure sores. There are also some devices like pressure relief mattresses, that you can get to help with pressure sore prevention.

5.  Medication Reminders

An important part to keeping mom healthy is making sure she is taking any prescribed medications. Caregiver services include providing medication reminders. This service is limited to reminders only as caregivers cannot administer the medication themselves. They can assist you mom by handing her the pre-dosed medications but cannot administer it into her body. If your mom needs more support with administering her medications there are other medical services available to assist.

6.  Light Housekeeping

Helping with the daily household chores is also in the scoop of a good caregiver. Caregiver services can include light housekeeping, such as washing dishes, helping with laundry, dusting, and cleaning bathrooms and kitchens. Caregivers can even help with chores associated with taking care of your mom’s beloved pet.

7.  Communication, Appointments, and Technology

Caregiver services can include helping your mom get and stay organized. Helping with her communication needs helps reduce the stress and anxiety for you and your mom. Caregivers can help schedule and keep track of appointments. They can also help mom with her technology needs such as using the internet or social media.

Great caregivers fill out daily notes to keep you updated and involved with your loved one’s care.  Some agencies even provide online programs for families to get daily updates. Please note, caregiver services should not include helping with bill pay or other financial decisions. If your mom needs additional support with her finances, you can contact a fiduciary for more information.

Taking care of your loved one is top priority. Using caregiving services can help provide both you and your mom with regular expert support.

For more information about caregiving services in San Diego check out this guide:

San Diego Home Care – Everything you need to know


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March 3, 2018 Home Care 1010

As much as you might want to take care of your aging parents 100% of the time, few of us are capable of doing so. Even the most dedicated family caregivers need help from time to time. It’s important that your chosen caregiver is the right fit and able to make your loved one feel safe, cared for, and comfortable at home. Great caregivers will take amazing care of your loved one’s emotional and physical needs. They will provide companionship to keep your loved one from feeling isolated.

 

Caregiving is not an easy job and not everyone does it well. It takes a special kind of person to be a stellar caregiver and sometimes it is not immediately apparent whether the person you have chosen fits the bill. It’s important that you keep a close eye on the situation and honestly evaluate the quality of care your loved one is receiving.

 

Evaluating the quality and connection your caregiver and your loved one can be complicated. Cognitive impairment, complicated medical needs, and simple interpersonal chemistry can create grey areas. Sometimes poor connection or undone job duties may be the result of dementia related agitation or an unforeseen crisis.

 

All of these complications and more mean that even the most skilled caregiver might not be a perfect fit for your loved one. So, how do you know when your caregiver is the right fit, or if it’s time to find someone new?

 

Here are 5 important signs that mean it might be time to start looking.

 

  1. Your Loved One Isn’t Clicking With The Caregiver

 

The major goal of home care is to provide your loved one with an elevated quality of life. This definitely includes social interaction and general mental well-being. Sometimes, poor connection between your loved one and a caregiver is simply a matter of chemistry. Often, poor connection doesn’t reflect on the quality of the caregiver. Sometimes people just don’t get along. This is especially true if your loved one is not happy to have a caregiver in his home, or is suffering from cognitive impairment.

 

You may need a different caregiver if you notice signs of increased agitation, aggressive behavior, or withdrawal in your loved one. You know your loved one best. If she seems to act differently in the presence of her caregiver, it’s important that you take note.

 

  1. Issues With Reliability And Punctuality

 

We depend on our caregivers to be trustworthy. After all, we are trusting them with the safety and well-being of our loved ones. It would be hard to imagine anything more important than that!

 

The fallout from a caregiver who is frequently late can be disastrous. Many people are on a very tight, demanding schedule. Tardiness can lead to complications for you and other caregivers .  You compensate good money to ensure this doesn’t happen!

 

The subject of reliability can be especially sticky in situations where the caregiver is otherwise a superstar and this leads a lot of families to simply put up with it. No matter how personable and effective your caregiver is, if you can’t rely on them to be on time, you should probably find someone who can do both. You want the best for your loved one. You shouldn’t settle for good enough when there is someone out there who can give you better.

 

  1. The Caregiver Doesn’t Work Well With Family Members

 

Taking care of your loved one is a team effort, and a team is only as strong as its weakest link. If your caregiver adopts a know-it-all attitude that leads to arguments with other members of the team or tries to isolate the family from the patient, you should definitely draw the line there.

 

Sometimes this behavior can stem from your caregiver becoming overly protective. Caregivers spends lots of time with their clients and may feel they know what is best. However, it can also be a way to hide less-than-stellar care or even abuse. Either way, this sort of behavior is simply unacceptable.

 

Your loved one will be happier and better taken care of in an open environment that fosters feelings of trust, teamwork, and positive energy. Don’t let a bad apple spoil the bunch!

 

  1. The Caregiver’s Personal Life Affects The Quality Of Care

 

Your loved one’s care should always be the main concern of the caregiver. Full Stop. Senior care, unfortunately, is fertile ground for abuse. Abuse begins when the needs of the caregiver start to overshadow the needs of her client. It’s a slippery slope and you should never tolerate this sort of behavior.

 

Now, everyone has a bad day from time to time. Nobody is perfect, but if you notice a pattern of personal problems creeping into the work environment, you should consider a new care provider. Your caregiver is there to provide comfort to your loved one, not the other way around!

 

  1. Poor Quality Of Care

 

It’s incredibly important to monitor the level of care your loved one is receiving. Keep watch to ensure your caregiver is completing all required duties. You hire a caregiver because you need additional support and want piece-of-mind. If you notice a tendency to leave “little” things undone, your caregiver may neglect more important things, as well.

 

There is often “downtime” in home care.  Your caregiver should utilize that time to meet your loved one’s needs. If you notice a lack of tidiness, decline in your loved one’s hygiene, or lack of task completion from your caregiver, you need to take immediate action. If you aren’t sure what all your caregiver can do for your loved one, check out this article:

San Diego Home Care –  Everything you need to know

Sometimes a conversation with the caregiver is enough. If that fails to remedy the situation, you shouldn’t hesitate to look elsewhere for help.

 

Ultimately, trust your instincts. If your gut is telling you that your caregiver isn’t up to snuff, you should pay attention to that feeling. Additionally, it’s important to have a conversations with your loved one about her caregiver, from time to time. If you feel there are gaps in the care you are receiving, don’t be afraid to ask your caregiving agency to send someone new. Or, if you hire privately don’t settle for mediocre care. There is an outstanding caregiver who is a great fit for your loved one – you just need to find her!

 


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