Those who had enjoyed a considerable amount of independence in their youth, the time has come
when they need help from others as they were migrated to old age. Life is never static, and it
keeps on changing from time to time because change is the integral and inherent part of life.
Once you cross the fancy days of your youth and step into adulthood, life becomes more
challenging than ever. It took a big leap when you get older and started calling by the people as
elderly.

The adult day care homes came up as a hope for many adults who are living a lonely and concise
life. They have given them many reasons to enjoy their adulthood, keeping aside all their worries
and tensions of life. Many daycare homes in the USA have gone to the extent of providing a
friendly and composite environment that even doesn’t get in their homes. The adult day
programs in Atlanta offer a welcoming environment to the adults by connecting them back to
mainstream society and expanding their outreach. They provide support and a needed break for
someone who cares for a loved one who is no longer independent.

Every adult is welcomed in an adult day care home.

The adult day care homes take care of every adult regardless of their religion, race, and ethnicity.
Caregivers in the Atlanta adult day care homes are not the ordinary people infect they are the one
who is not doing this just as a job but it’s is their passion and nature to help elders and share their
pain and joy. All the adults staying in the adult day care homes spent their day with loads of fun
and doing meaningful activities.

It is not that adult daycare homes only provide emotional or medical support to the adults; they
also facilitate adults by organizing musical events and taking them to cultural festivals. Some of
them hold weekly performances by local musicians and local entertainers. They also give them
the opportunity for interactions with pets and children, cooking projects, take them to nature
walks, games, parties, and yoga classes.

Who joins adult day care homes?

 Adults in their 50s – 90s with some physical or cognitive behavioral problems.
 Older adults who don’t wish to stay home alone all through the day.
 Older adults can benefit from social interaction and a structured environment.
 Adults who are abandoned by their family and they are forced to live alone.
 Adults whose children are not living with them because either for work or study, they
have to live outside the town or country.

Loads of Surprises

It is not that the adults living in the Adult Daycare homes are entirely cut off from their families
and friends. This is not the case with every adult day care home because many Adult daycare

homes provide surprise adults’ by suddenly calling their family members and close friends for a
quick meet up or gathering.

As much as adults miss their family members, their family members also miss them equivalently.

Learn and earn schemes

Money adult Daycare homes also provide learning and earn schemes to the adults who want to
do something big in their life. It doesn’t mean that if you are elder or older, your professional life
is over. Many adults are still willing to work after their retirement from their professional life.
The adult Daycare homes provide equal opportunities for adults.

The post Guest Blog: Adult day programs giving a new life to the adults appeared first on Senior Care Central.

Depression
Depression can occur for a host of reasons. Elderly individuals may be suffering from the loss of a loved one, or they may feel alienated, isolated or otherwise separated from their friends or from their interests outside of the house. Individuals who seem filled with sadness and negative emotions or who are hinting about emotional turmoil may need outpatient or inpatient treatment for depression.

Anxiety Issues/Bipolar Disorder
You may also notice that your loved ones are having heightened periods of elevation followed by periods of deep sadness. They could be suffering from bipolar disorder. Serious anxieties could begin to manifest at this age too. For example, you may notice that your elderly relatives always seem to be thinking about their own death or about expected loss of other loved ones.

Memory Loss
As people age, you may think that it is a normal occurrence for them to forget information that they would have once remembered. However, these early slips could be signs of a more serious problem that is coming into fruition. Your loved ones might now be forgetting about certain dates or social events, but these struggles could turn into failures to take medication or complete other necessary medical tasks.

Personal Care
If you notice that your loved ones are not taking care of themselves as they used to, this situation could also be a sign of mental health issues. For example, you may have noticed that your relatives are no longer brushing their teeth or bathing on a regular basis. Seeking professional help can uncover the root of the issue so that a plan of treatment can be devised.

Social Withdrawal
Your loved ones might also seem to not want to participate in social activities anymore. Whether they are constantly declining invites to attend family functions or they do not want to participate in community activities any longer, these decisions could be signs that a mental health issue is present.

As your loved ones age, you may be the lookout for physical health issues. While addressing these problems is imperative, so is watching for signs of mental health struggles. May is mental health awareness month, get involved to help bring awareness to this important cause!

The post Guest Blog: 5 Signs of Mental Health Issues for Seniors appeared first on Senior Care Central.

A nursing home is a long-term care facility, which provides 24-hour room and board with personalized healthcare services, such as nursing care, therapy, rehabilitation, and a range of other programs and treatments. Choosing a nursing home for a loved one can be stressful because it is an unknown experience with many factors to consider. Patients typically seek 24/7 care at a nursing home to address issues like:

• Chronic illness
• Disability
• Complex medical needs
• Therapy or rehabilitation
• Recovery after sickness, injury, or operation
• Age-related issues such as forgetfulness, need for constant supervision or medical help.

There are typically two types of services available at nursing homes: short-term rehabilitation and long-stay residential units. Choosing a long-stay facility for a parent or other relative is an important decision that ensures the loved one receives appropriate care, respect and can experience the highest level of function and good quality of life.

Four Steps to Help Choose a Nursing Home

There are approximately 691 licensed nursing homes in the state of Florida, and this represents more than 64,000 beds. Because this is such an important decision and there are hundreds of nursing homes, the selection process can be overwhelming at first. Here are some easy steps to start the selection process.

Step One: Choose a geographical area.

Select a geographical area conveniently located so that close friends and family members can visit.

Step Two: Create a shortlist.

Do some quick research and create a shortlist of facilities that appear to match the family’s goals, such as environment, programs, and different treatments or therapy.

Step Three: Perform an advanced review of the shortlist.

• ov compares three nursing homes and ranks them based on overall rating, health inspections, quality, and staffing.
• Ask family, friends, and coworkers that you trust if they have experience with any homes on the shortlist.
• Physicians and nurses often have an inside understanding of how certain nursing homes operate. Ask your loved one’s general physician if they provide medical service at a particular nursing home and if they have a specific facility they would recommend.

Step Four: Visit the different facilities that remain on the shortlist.

• If possible, visit the very hall and room where the loved one would reside.
• Gain as much information as possible about the day-to-day life and activities that current residents experience.
• Take note of the cleanliness of the facility, including the appearance of the staff and residents, the common area, the cafeteria, bedrooms, bathrooms, and kitchen.
• Take note of the atmosphere in the facility. Is it calm and caring or chaotic and unfriendly? Do the residents appear to be cared for, have activities they are engaging in, or do they look unkempt, bored, or secluded?
• Ask to meet with the nurses and staff who work in the hall where the loved one will reside. Jot down the names of the providers and caregivers and check online to see if there are any positive or negative reviews.
• Visit the cafeteria at dinner time or the common area during the day. Taste the food and talk to some residents to get their opinion.
• Ask to observe any special sessions taking place like crafts, yoga, or game day.

Nursing Home Abuse Attorney Suggestions

Experienced nursing home abuse attorney James Hannon, Esq. understands that choosing to place a loved one in a nursing home is a meaningful, life-changing event. He recommends that the family thoroughly investigate the facility to discover prior reports of neglect, abuse, or lawsuits and visit the nursing home of choice at different times to observe:

• Interactions

Look for positive and negative interactions. Watch for staff speaking to one another or residents with disrespect.

• Cleanliness

When you visit the facility on different days and different times, does it always smell clean?

• Maintenance

Touch the bedding, doors, and chairs to see if the facility is comfortable and well maintained.

• Schedule

Stop in to see if the staff members are following the posted schedule.

• Safety

Observe day-to-day interactions to see if the staff are following safety guidelines, such as confirming the patient’s name, the drug, and dosage before giving medication.

• Security

Is the property secure? Is there a security staff member on-site? Do the doors lock at certain hours. Is the parking lot well lit?

Conclusion

As you consider your options, remember that choosing a nursing facility is an important decision. Take the time to research and visit several facilities so that you can confidently place your loved one in a loving, safe environment.

The post Guest Blog: Things to Consider Before Putting Loved Ones in a Nursing Home appeared first on Senior Care Central.

Introduction:

Whether you’re trying to get in shape after years of being sedentary or have always been active, it’s important that you make sure that your clothes are functional.

It’s also important to wear clothes that are comfortable and appropriate for your activity level. Not only will this make exercising more enjoyable but it will also help prevent injuries while working out.

Active wear is available in a wide variety of styles and colors, making it easy to find something that suits your own personal tastes. Here are some tips on how you can choose the right fitness gear:

The benefits of wearing active wear:

In addition to being comfortable and functional, active wear is also versatile. You can wear your activewear for any type of workout, whether you’re hitting the gym or working out at home. Activewear is stylish, yet functional–and it can help you feel confident and look great!

The options for active wear are endless:

When it comes to active wear, the options are endless. There are so many different styles and colors that you can choose from that you may find yourself overwhelmed by all of your choices. That’s okay though! You don’t have to pick just one kind of sportswear–you can mix and match different pieces with each other depending on what activity you’re doing or where you’re going. For example, if I’m going hiking in the mountains I’ll probably wear jeans with some hiking boots (or sneakers if it’s not too muddy), and you can order best boots for men or women online too, but if I’m going mountain biking then I would wear shorts and knee pads instead because they’re more comfortable when riding bikes!

Boomers are wearing more color and patterns than ever before:

As you age, it’s important to maintain your sense of style. While you may have worn all black in your younger years, now that your part of the boomer generation, it’s time to express yourself through color and patterns!

Color is a great way to express your personality–and if you don’t like how something looks on someone else? The answer is simple: wear it yourself along with stylish MK bags! Patterns can also be used as an expression of individualism–and boomers aren’t afraid to stand out from the crowd.

There are many choices when it comes to active wear in every size:

When it comes to active wear, there are plenty of choices for every boomer generation. There are many brands and styles, as well as sizes available. You can find active wear in any color or pattern, style and size–even if you’re looking for something special. You can buy bodybuilding stringer tank tops or gym trousers or shorts online too!

Plus-size options are becoming more readily available in the market:

Plus-size options are becoming more readily available in the market. This is a positive development for the boomer generation, who are no longer limited to one or two active wear brands. There are many options for boomers to choose from, including brands like Athleta and Lululemon that cater to older women with their unique designs and styles. The good news is that there’s an abundance of choices out there now so you don’t have to settle on just one brand or style!

Active wear is available with a variety of styles for all body types:

Active wear is available in a variety of styles, sizes and colors. It’s important to remember that active wear isn’t just for people who are physically active. If you’re looking for something more casual or want to wear your favorite pair of jeans, there are plenty of options out there that won’t make you feel like an old fuddy-duddy.

Active wear helps you feel comfortable and confident:

Active wear is the perfect combination of fashion and function, making it a great choice for older adults. Active wear can be used to make a bold fashion statement while also being functional during workouts. Activewear is designed to fit the body, providing comfort and functionality during athletic activity. Activewear comes in a variety of styles suited for all body types or ages.

Want to start moving your body, this is the article for you.

If you’re a boomer and want to start moving your body, this is the article for you.

You’ve probably heard about how important it is for people to keep moving as they age–and it’s true: regular physical activity can help improve your health, reduce stress and increase happiness. But if it feels like there are so many things in life that need your attention that finding time for exercise seems impossible? That feeling isn’t unusual! The key is starting small with simple activities like walking or gardening that fit into your daily routine.

Here are some tips for getting started on this journey:

• Wear clothes that feel comfortable when exercising–the right gear will help motivate you throughout the day!
• Don’t forget sunscreen! Age spots aren’t just something we see in photos anymore; they’re real and they will occur if unprotected skin gets too much sun exposure over time.
• If possible, try scheduling workouts around other activities such as taking care of kids/grandkids or volunteering at church/school events – these kinds of things provide extra motivation because they remind us why getting active matters so much (and give us something else fun/productive).

Add some new gear when comfortable with your exercise routine:

When you’ve gotten comfortable with your exercise routine, it’s time to start thinking about how to make the experience more enjoyable. In addition to finding new exercises that are right for your body and fitness level, there are also some other things you can do:

Gear: If you want a little extra help with your workout, consider buying some gear. For example, if running is difficult for you because of knee pain or back problems (or any other reason), then an elliptical machine may be better suited for these areas than running would be. Or maybe an adjustable weight bench will give those biceps a boost! On the other hand, don’t waste money on something like a yoga mat unless it’s going to make things easier or more fun–and even then only get one if there’s room in the budget!

Active wear can be a bold fashion statement and also functional during workouts:

When you think of active wear, what comes to mind? Do you see the same old gym clothes that have been around since you started working out in high school? Or maybe it’s those yoga pants that have become your uniform for all things work out-related. While there’s nothing wrong with these staples, active wear can be used to make a bold fashion statement while also being functional during workouts.

The options for active wear are endless and include everything from colorful leggings or sports bras to printed tops and jackets! Boomers are wearing more color and patterns than ever before because they want their clothes to be fun without sacrificing function. There are many choices when it comes to active wear in every size so everyone can participate in this trend whether they’re into running marathons or just trying something new at their neighborhood gym class (and yes–there is such thing as “gym class”).

Conclusion

Active wear is a great way to stay active and look good. It’s also important for you to remember that you don’t need to spend a lot of money on new clothes or equipment; there are plenty of options out there that won’t break the bank!

The post Guest Blog: Exploring active wear for boomer generation appeared first on Senior Care Central.

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It’s a sad fact that as we age, our bodies change. It is true for your elderly loved one as well. As their health begins to fade, they are unable to do things they have easily done before. And they feel this change deeply. And because they are worried that their family members may think of them as a burden, they would act as if nothing is wrong, which is very tricky since it can lead to more problems along the way.

As someone who looks after the welfare of your senior loved ones, it is important to take the initiative to communicate with them. However, doing that is never easy, knowing that seniors will often be argumentative or defensive when it comes to their health. Therefore, it is important to understand your seniors’ health before you discuss anything with them.

You may want to discuss some things with your older family member like a regular check-up, treatment options that the doctor suggests, and diet changes. Also, you need to discuss home modifications to improve their safety at home or whether it’s time to consider personal care, home care, or companionship support. You should approach this topic either in a calm manner or by showing concern for their well-being. But how are you going to do it?

This article will discover the best ways to communicate with your senior loved ones about their health.

8 Ways to Communicate With Your Elderly Loved One About Their Health

1. Listen to Your Senior Loved One’s Concerns

When you listen and understand what your loved one is saying, you create a more fertile ground for conversation. Your senior loved one is more open to considering what you have to tell if you let your loved one speak his concerns freely without judgment. In addition, it could well be that your loved one is ambivalent and needs his time to think things thoroughly. Don’t rush to put words in their mouth. You might need to paraphrase what your loved one said to show that you understood them.

2. Pick the Right Environment

There are several things to consider when picking the right environment. If your loved one is agitated, choose a quiet place for communication. It could be the dining table, living room, or bedroom. Another option is to choose a comfortable chair at the hospital or in their nursing homeroom. You could also schedule a visit for later in the afternoon when your loved one may be more likely to have some energy and interest in talking about their health with you.

3. Ask a Thoughtful Question Instead of Just Giving an Advice

When you are trying to communicate with your elderly loved one about their health, the best thing you can do is ask a thoughtful and well-researched question. It will help you understand your loved ones and concerns much better. Ask them what makes them feel that way and why they feel that way. If you think your aging loved ones need to hear a hard truth like telling him, it might be time to give up the car. It could go a lot better to have a third party begin the discussion, like a physician and a family.

4. Speak Clearly to Make Sure That You are Well Understood

You must speak clearly during the health discussion. You can either repeat what your loved ones said or paraphrase their concerns. Since they are not looking at you, they may not understand you properly. So, repeating what your loved one said would ensure that your loved ones are well understood. One thing to remember is to stick with speaking using more of an informal tone of voice.

5. Include Other Family Members in the Discussion

Include other family members, like your siblings, in the discussion. But before you include your aging loved ones into that discussion, bring all the issues and concerns to the table and ask them what they think should be done. It will help you have a more fruitful discussion with your elderly family member. A unified consensus among family members regarding these transitions for aging loved ones is a more supportive environment than a divided family.

6. Accept Differences of Opinions

Not all families are going to agree on what you think should be done. It means that the discussion is going to be difficult. It is okay if other family members have other ideas on how to proceed. But what you should try to do is find a middle ground agreement among the family members. If there are disagreements, don’t push your loved ones to make a decision they are uncomfortable with.

7. Let Your Loved One be Part of the Decision-Making Process

If you want your loved one’s cooperation and keep them as active as possible, it is important that they feel like they are a part of the decision-making process. You should allow your family members to weigh in by asking their opinion and giving them all the information they need to make the right decisions. If your loved one agrees with what you plan to do, give them all the reasons for why you think it is necessary. It could be very helpful for you both if you can involve your loved ones in planning their future.

8. Keep Notes from Your Important Discussions

You may want to take some notes and record your discussions during your discussions with your aging loved one. It will help you pick up on any key concerns you need to address later on. Also, there might be memories were shared that you may want to use later.

When situations come up in future episodes of your elderly loved one’s health, bring them up again and ask them if they remember it or if it happened before. It could help if you keep records of important conversations and events in the past regarding their health.

9. Offer Your Loved One Choices Whenever Possible

Whether it be house cleaning, grocery shopping, or taking a walk at the park, it would be a good idea to let your loved one choose what to do. If they feel like going out to take a short walk or have a bite to eat, allow them. Be sure that the things you want them to do are things they can still safely do. If you have a senior loved one who is confined to their home and cannot leave, consider creating an environment for them that is as comfortable as possible.

10. Pick Your Battles

Discussing every single issue at once can be embarrassing for an aging parent or loved one. Pick the issues that are the most important, let him know you are aware of the other issues, and then ask if he wants to talk about them later. For example, if your aging relative feels that he is not getting any exercise by walking to the store, ask how his doctor has suggested he should do more exercise. Perhaps there is a way for you to be his walking buddy during the next week or two.

There are a variety of effective ways you can communicate with your aging loved one. It is important that you first understand how their confusion and unclear thinking may affect their health. There are steps you can take to make the interaction more productive and beneficial for both of you. These tips will help you have a more fulfilling conversation with your loved ones regarding their health and help them feel that they have been heard.

Author Bio

I’m Andrea Gibbs, Born, raised, and still living in New York. I’m a work-at-home mom with a background in business development, strategy, and social media marketing. I’m a blog contributor at Serenity Senior care to motivate other parents about how they can enhance their elderly loved ones quality of life.

The post How to Communicate With Your Elderly Loved One About Their Health appeared first on Senior Care Central.

The younger generation may think that all of today’s technology is reserved only for their use, but that’s simply not the truth. Many areas of this digital age can greatly benefit senior citizens, and here are just five ways that older folks can use technology to enhance their lives.

1. Cellphones: Today’s seniors aren’t typically sitting home in rocking chairs or baking cookies. Active senior citizens may enjoy travel or fast-paced social lives, and this makes a cell phone the perfect way to keep in touch wherever you roam. While many phones are difficult to use and feature tiny buttons, there are some very easy to use cell phones for seniors that utilize large, easy-to-see buttons that are just perfect for the older population.

2. Advanced Recliners Nothing beats a hot massage at the end of the day. New technologies  in recliners are ready for the 21st century. Today  some power lift recliners  heat, massage, and  much  more. They can even help you get up after your snooze.

3. Medical Alert Systems: If you’re a senior citizen who has been afflicted with health issues, then you can still live alone in your own home without fear. Many companies offer medical alert systems that allow you to wear a pendant-style device that can summon help with the press of a button. Others are programmed to call for assistance if a fall is detected, and there are even companies that track your movements through GPS so that you can be helped even when you’re away from home.

4. Computers: Internet companies are keeping senior citizens connected throughout the world. It’s a wonderful method of making new friends, joining groups with those who share your favorite hobbies and keeping up with local and worldwide news. Seniors may also keep up with their extended family and see related pictures through social media, shop online, research medical concerns and arrange for local services online.

5. Electronic Readers: Aging eyes can lose the ability to read normal-size print, and this is a great loss to those who have loved to read their entire lives. With the help of various tablets and e-readers, senior citizens can download books, newspapers and magazines, which can be read at any size that the individual requires. These e-readers can also change the brightness to suit your visual needs.

Sources:

https://www.theseniorlist.com/2015/01/2015-recommended-medical-alert-systems/

http://money.usnews.com/money/retirement/articles/2015/11/16/10-essential-tech-tools-for-older-adults

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The post Guest Post: Senior Citizens and Technology: Benefits of the Digital Age appeared first on Senior Care Central.

Many seniors admit that as they grow old, they prefer to settle down and stay rooted. Aging in place has its benefits, but some family members might be concerned about the state of their elderly loved ones in such cases. Concerns such as house chores, safety, and general isolation are a problem for these situations. In such cases, it may be time to consider companion care.

Companion care is a type of long-term care tailormade for seniors and tackles many of the challenges of living alone as an elderly person. Today, we’ll talk about the benefits provided by companion care, and why it’s so important for the elderly to have someone taking care of them.

Independence

A helping hand does not mean an elderly person becomes even more dependent. If anything, companionship actually enhances the feeling of independence. The fact is that as we grow old, we become less capable of doing self-sufficient activities such as driving or sports. Some family caregivers may also start losing their sense of freedom, as all their time becomes dedicated to their aging family.

A companion reduces all those worries. With a companion, the senior now has someone who can watch over them as they go about their daily life. They don’t have to be stuck at home because now, someone is  around to watch them. Family caregivers also lessen their stress because they share the responsibility with a professional. In turn, this makes the elderly family member feel less guilty.

Strong social bonds ensure that an elderly individual continues to be happy and active, even in the twilight of their life.

Companionship

Unsurprisingly, something called companion care provides this benefit in spades. Social connections are important in raising the self-esteem of the elderly. A companion lets your senior loved one enjoy the big and small things with a friendly companion.

It’s a minor benefit to some, but people severely underestimate how much having someone with you improves one’s mental health.  A companion assists your loved ones by teaching them important self-care rituals such as meditation, massage, and morning hygiene.

Validation

A lot of elderly people dread the fact that the world is passing them by. They operate under the false assumption that they are nothing but a burden, and for those suffering from diseases such as Alzheimer’s, this feeling is doubled in their moments of lucidity. The fear of being a burden only strengthens with every passing year.

A companion alleviates all those issues. In addition to helping the elderly’s quality of life, they also provide a comfortable presence for them. Depression in advanced age can be prevented by someone simply being in a home with the person. Companions communicating with your senior family member means they will always feel seen and heard.

For example, if a senior family member performs an accomplishment, such as succeeding at a difficult hobby or task, the companion is there to provide them with emotional support. Validation is a powerful thing because no person wants to feel alone.

Comfort

For the elderly, sudden change can be incredibly upsetting. Moving to a new place, their children leaving to start their own lives, and a plethora of other life stuff could be very detrimental to their mental state. Anxiety, fear, and depression are common for lonely senior citizens. Thus, most senior citizens prefer the comforts of settling down.

Companionship in a familiar place, such as a family home, leads to many benefits. Familiarity, comfort, and safety are only some of the benefits that come with staying in one place with a companion to care for them. Practically, it’s usually financially viable as there are no moving costs and also means they stay close to the friends they have made in the neighborhood.

Peace of Mind

Lots of family members may be concerned about leaving their elderly loved ones alone. Many senior adults do not like the idea that they make their children/younger family members feel “guilty” for leaving them. For the family who does choose to become caretakers, feelings of bitterness and depression may also ensue. Some cannot shoulder the anxiety of not having 100% of their time belong to them.

Hiring a companion fixes a lot of these issues. Some may balk at this idea as shoving responsibility of a loved one onto someone else, but that is simply untrue. Having your own free time is also important in caring for your loved one. They would not enjoy the idea of being your anchor (in the negative sense).

In addition, companions are trained exactly for this purpose. Certain things that you may struggle with are not a problem for a professional companion. They are trusted to give all of their focus to your loved one.

Conclusion

Companion care is a beneficial decision. The benefits above clearly outline why companion care should not be set aside as a “half-measure” in taking care of your elderly loved ones. Companions enhance your loved one’s life, and they are NOT a replacement for you. Make sure that you still visit your senior loved one regularly, and stay in contact with their companion for updates.

The post Why Companion Care is More Important than You Think appeared first on Senior Care Central.

Before your loved one has a health scare, it’s important to have these legal documents ready to protect them and your family. Start the conversation early about your loved one’s healthcare wishes and end-of-life care. Learn what legal documents every senior needs by reading on!

1. Last Will and Testament

Having a will ensures your loved one’s wishes for their estate are properly carried out after their death. If a person doesn’t have a will, state law determines what happens to their assets. It’s recommended that your loved one update their will every five years to keep up with changing circumstances in day-to-day life.

2. Advanced Directive

If your loved one is ever unable to make decisions for themselves due to memory loss or a serious health condition, the family is left to make decisions for them which could lead to disagreements about your loved one’s wishes. An advanced directive, also know as a living will, is a document used to specify your loved one’s health care decisions ahead of time. They can accept or refuse certain types of care (e.g. feeding tube, oxygen administration, life support, etc.) depending on what their wishes are.

3. Power of Attorney

By granting power of attorney to a trusted and responsible family member (proxy), this allows them to make decisions on your loved one’s behalf in case they are unable to. A standard power of attorney allows the family member to pay bills and write checks—while a durable power of attorney for medical care can make healthcare decisions for your loved one.

4. Do-Not-Resuscitate Order

A do-not-resuscitate (DNR) is a legal document that instructs health care providers not to provide life sustaining treatment if a patient’s heart stops or they stop breathing. If your loved one is nearing end-of-life care or terminally ill, they may not want to be resuscitated in a medical emergency. Only the patient or their health care proxy can sign a DNR order.

You can download a free starter kit from The Conversation Project to help guide the conversation with your loved one about their end-of-life care. Don’t wait until it’s too late.

About the Author: Peter Kang is a writer for eCaregivers. He is inspired by his caregiver experience with his late grandfather and role model, a Korean War veteran, to help families find affordable care for their loved ones. Follow Peter on Facebook and Twitter.

The post Guest Blog: 4 Legal Documents Every Senior Needs appeared first on Senior Care Central.

Alzheimer’s disease (AD) is the most common type of dementia seen in older adults. An estimated 5.4 million Americans of all ages had Alzheimer’s disease in 2012. Nearly half (45%) of people over the age of 85 have AD. By 2050, the number of individuals age 65 and over with Alzheimer’s could range from 11 million to 16 million unless science finds a way to prevent or effectively treat the disease. One in eight older adults has AD, and it is the sixth leading cause of death in the United States (Alzheimer’s Association, 2012). Those affected with AD may live from 3–20 years or more after diagnosis, making the life span with this disease highly variable.

Risk factors

Advanced age is the single most significant risk factor for AD (Alzheimer’s Association, 2012). More women than men have AD, but this is because women live longer than men, not because gender is a risk factor. Family history and heredity are also identified risk factors for AD, as are head trauma and poor cardiac health.

Warning Signs

Alzheimer’s disease is characterized by progressive memory loss. The person affected by AD is gradually less able to remember new information and memory lapses begin to affect daily function. It is a terminal disease that over its course will eventually leave a person completely dependent upon others for care.

Diagnosis

Initially, the clinical progression of the disease is slow with mild decline; however, deterioration increases the longer the person lives, with an average life span of 8 years after diagnosis (Cotter, 2002; Fletcher, Rapp, & Reichman, 2007). The underlying pathology is not clear, but a growth of plaques and fibrillary tangles, loss of synapses, and neuronal cell loss are key hallmarks of AD that interfere with normal cell growth and the ability of the brain to function. Absolutely definitive diagnosis is still through autopsy, although clinical guidelines make diagnosis easier than decades ago when less was known about the disease. Primary care physicians generally make the diagnosis through a thorough history, physical exam, cognitive testing, and labs. New criteria for diagnosis include staging the disorder and biomarkers (beta amyloid and tau in the cerebrospinal fluid and blood) (Alzheimer’s Association, 2012b). An MRI of the brain may be ordered to rule out other causes of symptoms.

The clinical course of AD is divided into several stages, depending on the source consulted. In the early course of AD, the person may demonstrate a loss of short-term memory. This involves more than common memory loss, such as where the keys were put, and may involve safety concerns such as forgetting where one is going while driving. The inability to perform math calculations and to think abstractly may also be evident. In the middle or moderate phase, many bodily systems begin to decline. The person may become confused as to date, time, and place. Communication skills become impaired and personality changes may occur. As cognitive decline worsens, the person may forget the names of loved ones, even their spouse. Wandering behavior as well as emotional changes, screaming, delusions, hallucinations, suspiciousness, and depression are common. The person with AD is less able to care for her- or himself and personal hygiene suffers. In the most severe and final phase, the person becomes completely dependent upon others, experiences a severe decline in physical and functional health, loses communication skills, and is unable to control voluntary functions. Death eventually results from body systems shutting down and may be accompanied by an infectious process. Although there is no single test, and the diagnosis may be one of exclusion, early diagnosis is important to maximize function and quality of life for as long as possible. Persons experiencing recurring and progressing memory problems or difficulties with daily activities should seek professional assistance from their physician.

Treatment

Treatment for AD is difficult. There are several medications (such as Aricept, Namenda, Razadyne, and Exelon) that may help symptoms (such as memory), but they do not slow the course of the disease. There is currently no cure; however, research continues to occur in pharmacology, nonpharmacology, and the use of stem cells to manage symptoms and perhaps one day eradicate the disease.

Treatment will focus on symptom management, particularly in the areas of behavior, safety, nutrition, and hygiene. Behavioral issues such as wandering and outbursts pose a constant challenge. Many long-term care facilities have special “memory care” units to care for Alzheimer’s patients from the early to late stages of the disease. These units provide great benefits such as consistent and educated caregivers with whom the patient or resident will be familiar, a safe and controlled environment, modified surroundings to accommodate wandering behaviors, and nursing care 24 hours a day. Additionally, nurses are present to manage medications and document outcomes of therapies. However, many family members wish to care for their loved ones at home for as long as possible.

Thus, another important aspect of care in AD is care for the caregivers. Howcroft (2004) suggested that “support from carers is a key factor in the community care of people with dementia, but the role of the caregiver can be detrimental to the physical, mental, and financial health of a carer” (p. 31). She goes on to say that the caregivers of persons with AD would benefit from training in how to cope with behaviors that arise in these patients and how to cope with practical and legal issues that may occur.

Research has shown that ongoing skills are needed by family caregivers to deal with the progressive decline caused by AD. In fact, “a 63% greater risk of mortality was found among unpaid caregivers who characterized themselves as being emotionally or mentally strained by their role versus noncaregivers” (National Conference of Gerontological Nursing Practitioners & National Gerontological Nursing Association, 2008b, p. 4). Adapting to stress, working on time management, maximizing resources, and managing changing behavior were all skills caregivers needed to develop in order to successfully manage home care of their loved ones. When interventions and resources were not used by caregivers in the early stages of the care recipient’s AD, the risk of a healthy patient being institutionalized due to caregiver burden was higher (Miller, Rosenheck & Schneider, 2012). Caregivers needed not only to acquire knowledge and skills, but also to make emotional adjustments themselves to the ever-changing situation.

Such findings suggest that nurses should focus a good deal of time on educating caregivers of persons with AD to cope with, as Nancy Reagan put it, “the long good-bye.” Scientists continue to explore the causes of AD and hope in the near future to be able to isolate the gene that causes it. In the meantime, results from a fascinating longitudinal study (called the Nun study) on aging and AD, which used a group of nuns who donated their brains to be examined and autopsied after death, has suggested that there is a connection between early “idea density” and the emergence of AD in later life. That is, essays the nuns wrote upon entry to the convent were analyzed and correlated with those who developed AD. It was found that those with lower idea density (verbal and linguistic skills) in early life had a significantly greater chance of developing AD (Grossi, Buscema, Snowdon, & Antuono, 2007; Snowdon, 2004). The nun study has allowed researchers to examine hundreds of brains so far in nuns who died between 75 and 107 years of age and discover other important facts such as a relationship between stroke and the development of AD in certain individuals, and the role of folic acid in protecting against development of AD (Snowdon, 2004). Scientists from a number of fields continue to research the causes and possible treatments for AD and the Nun study project is continuing at the University of Minnesota. Snowdon’s research suggests that early education, particularly in verbal and cognitive skills, may protect persons from AD in later life.

Adapted from Mauk, K. L., Hanson, P., & Hain, D. (2014). Review of the management of common illnesses, diseases, or health conditions. In K. L.
Mauk’s (Ed.) Gerontological Nursing: Competencies for Care. Sudbury, MA: Jones and Bartlett Publishers. Used with permission.

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