About Kristen Mauk

President/CEO - Senior Care Central, LLC

The Sandwich Generation: Make it a Triple Decker!

We have all heard of the “sandwich generation” – those middle-aged adults who are still caring for their own children and also an aging parent. Well, here is an emerging trend that I will call the Triple Decker Sandwich generation: Baby Boomers who help care for aging parents, who still have children at home of their own, and who find themselves also taking on full time care of their small grandchildren. Yes, that is a sandwich of an entirely different kind. That is a Triple Decker.

Pew Social Trends (2013) revealed that many adults in their 30s and 40s were caring for ailing older parents and also providing some type of financial support for grown children. This resulted in reports from the sandwich generation in feeling in a hurry, rushed, and not having enough time for all of their expected duties. Now, add to those statistics another emerging trend: grandparents caring for grandchildren. I am not referring to the occasional or even regular hour babysitting or childcare that loving grandparents provide. Instead, this is the 24/7 responsibility for grandchildren who live with them, or whom they have adopted. The 2015 Profile of Older Americans from the Agency on Aging found that “in 2014, about 554,579 grandparents aged 65 or more had the primary responsibility for their grandchildren who lived with them”. Now, please note that this is only those grandparents aged 65 an over. What about all the others in their 50s and early 60s doing the same? I imagine that each person reading this can think of at least one or two grandparents who are raising small grandchildren. The implications of this on the health of aging persons is enormous. So, here are some tips to survive the Triple Decker Sandwich generation.

Pace yourself

If you have this many people in your life to care for, you must pace yourself. Avoid the temptation to give 100% all the time. It isn’t possible. Something in your life will suffer – and often this is your own health. Think of this task of caring for multiple generations as running a marathon. Develop skills, train, get into a good rhythm that you can maintain for the long haul.

Set priorities

You might have been able to juggle 4 kids and a job when you were in your late 20s or early 30s, but maybe now you are in your 50s with aging parents, teenagers, and a grandbaby to care for. Flexibility is a key to success. You just can’t do everything the same way if you are caring for small children again. Decide what is most important. Set reasonable and attainable goals. Make small goals for each day and celebrate those accomplishments.

Accept help

Even if you were used to being able to do it all yourself when you were younger, the amount of care that a Triple Decker generation person takes on requires some help at times. Let your adult children watch that baby to give you a break. Let the teens in the house help with the childcare. It is a good time for them to learn these skills for when they are parents. Tag team with your spouse to share the burden if you have a little one in the home. Church friends are happy to help if you need a night out.

Take time to rejuvenate

Being part of a Triple Decker sandwich is tough. Take time to rejuvenate to avoid burnout. You can’t care for anyone if you become ill or incapacitated yourself. For each person, renewal comes in different forms. For men, this might mean playing a sport or watching games on TV without interruption, or having a quiet private place in the house that is off limits from the noise of the household. For moms, this might be shopping alone or getting a manicure or pedicure. Sometimes talking on the phone, or meeting with friends for lunch provides a needed break. Know what you personally need to recharge and refocus and then allow yourself this (without guilt) on a regular basis. You may not be able to change your circumstances, but you can change how you deal with them.

Don’t expect too much

Chances are, if you find yourself in the Triple Decker mode, you are aging yourself. You can remember how you balanced work, life, kids, and higher education by yourself years ago. Now you wonder how you did it all. Well, you were 20 or 30 years younger then, so cut yourself some slack. Be sure to get enough sleep. Take breaks as needed. Exercise and eat right. Cut out the unnecessary things you did before to fill time and focus on those priorities that you set, without neglecting your own health.

Triple Decker Sandwich persons are tough and resilient. Congratulate yourself that you have been able to make it all work and care for your many loved ones. You sacrifice many things such as an easy and comfortable retirement and the ability to travel. But, you have given a great gift to those you love by sharing your care for them. In the end when you reflect back on your life accomplishments, you might very well find that this was one of the greatest.

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By |2022-05-12T11:05:35-05:00May 18th, 2022|Dr. Mauk's Boomer Blog, News Posts|Comments Off on The Sandwich Generation: Make it a Triple Decker!

Guest Blog: Inexpensive, Fun Activities For Seniors

bigstock-Group-Of-Senior-People-Holding-4732326

Whether you’ve recently retired, are planning to retire soon or are facing an unknown future where retirement seems virtually impossible, when you’re living on a fixed or tight income, you’re always looking for ways to save money. Plus, since one of the first areas to get cut when the budget is tight is entertainment, you may wonder how can you still have fun, without spending a fortune. To answer that question, here’s a list of inexpensive activities that could be perfect for you!

Attend Free Events. From free nights at the museum to local art gallery showings in town, keep your radar on for free activities in the area that you might enjoy. Most cities will host free lectures, concerts, movie nights and other activities from time to time.

Start a Club or Discussion Group.

    1. Start a book club, movie group or discussion group with a handful of friends, hosted either at your home or rotating homes month to month. Getting together will cost little more than making some snacks — and it will still be a fun night for everyone.

Take Advantage of Community Centers and Libraries. Rent movies or check out books at the library, and go for walks at the local community center track. Within your specific city or town, find what other amenities are available to you and decide to make the most of them, either on your own or with a friend.

Volunteer in the Community. Volunteering not only makes you feel good about helping others, but it also connects you with people in the community and often qualifies you for some cool, cash-saving perks. Whether it’s free food when you’re volunteering at the local school district or a place to socialize when you’re serving as a greeter at the hospital, volunteering helps you reach outside yourself and have fun in the process.

Host Potlucks. Rather than always going out to eat with friends, try hosting potlucks where everyone brings a dish to pass. You’ll only need to make one dish, still have the fun of socializing with friends or loved ones, and save a bundle in the process.

Enjoy the Outdoors. Go to the park, take walks on trails at the forest preserve, plan a picnic or watch a local Little League game. Getting outside is not only good for your spirits, it’s usually inexpensive too!

Mark Westerman is the Chief Marketing Officer for CareOne, Inc., a provider of debt relief services nationwide.

By |2022-05-12T11:05:22-05:00May 16th, 2022|Dr. Mauk's Boomer Blog, News Posts|Comments Off on Guest Blog: Inexpensive, Fun Activities For Seniors

Diverticulosis and Diverticulitis Treatment

Colorful fresh group of vegetables and fruits

Background

Diverticulosis results from pouches that form in the wall of the colon (or large intestine). Diverticulitis is an inflammation or infection of these pouches. Diverticular disease is more common among older adults than younger people (Tursi, 2007). Sixty-five percent of older adults will develop diverticulosis by age 85 (Kennedy-Malone et al. 2004). The exact cause of diverticulosis is not known, but it is speculated that a diet low in fiber and high in refined foods causes the stool bulk to decrease, leading to increased colon transit time. Retention of undigested foods and bacteria results in a hard mass that can disrupt blood flow and lead to infection. The earlier the diagnosis and treatment, the better the outcomes will be; however, if complications such as bleeding increases the risk of less- than- optimal outcomes.

Warning Signs

Risk factors for diverticulosis include obesity, chronic constipation, and straining, irregular and uncoordinated bowel contractions, and weakness of bowel muscle due to aging. Other risk factors are directly related to the suspected cause of the condition. These include older than 40 years old of age, low-fiber diet, and the number of diverticula in the colon (Thomas, 2011). Diverticulosis may result in pain in the left lower quadrant (LLQ), can get worse after eating, and may improve after a bowel movement. Warning signs of diverticulitis include fever, increased white blood cell count, bleeding that is not associated with pain, increased heart rate, nausea, and vomiting.

Diagnosis

Evaluation of the abdomen may reveal tenderness in the LLQ and there may be rebound tenderness with involuntary guarding and rigidity. Bowel sounds may be initially hypoactive and can be hyperactive if the obstruction has passed. Stool may be positive for blood. The initial evaluation is abdominal Xx-ray films, followed by a barium enema, though a CT scan with oral contrast is more accurate in diagnosing this condition (Thomas, 2011). A complete blood count may be done to assess for infection.

Treatments

Diverticulosis is managed with a high-fiber diet or daily fiber supplementation with psyllium. Diverticulitis is treated with antibiotics, but in acute illness the person may require hospitalization for IV hydration, analgesics, bowel rest, and possible NG tube placement. Morphine sulfate should be avoided because it increases the intraluminal pressures within the colon, causing the symptoms to get worse (Thomas, 2011). Patients should learn about a proper diet, avoidance of constipation and straining during bowel movements, and when to seek medical care. The diet should include fresh fruits, vegetables, whole grains, and increased fluid intake, unless contraindicated. In extreme cases, either where the person has complications that do not resolve with medical management or has many repeated episodes, a colon resection may be needed. Patients will need to work closely with their primary care provider to manage any ongoing problems.

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. Burlington, MA: Jones and Bartlett Publishers. Used with permission.

For more information on Diverticulosis, visit NDDIC at:
digestive.niddk.nih.gov/ddiseases/pubs/diverticulosis/

 

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By |2022-05-04T10:41:36-05:00May 10th, 2022|News Posts|Comments Off on Diverticulosis and Diverticulitis Treatment

Nurses Are….

This week we celebrate National Nurse’s Week beginning on May 6th and ending on May 12th (Florence Nightingale’s birthday). The profession of nursing has come far since its inception. When I went to nursing school in the late 1970’s, we were still wearing blue pin-striped uniforms and caps. There were striping and pinning ceremonies to mark milestones in the 4 year journey to the Bachelor of Science in Nursing degree, and it wasn’t until the early 1980’s when my nursing school started to eliminate those bulky caps that were so difficult to keep on our head. When the mandatory uniforms and nursing caps were no longer the symbol of the nurse, we had to develop other ways for patients and families to recognize us. I hope that we are now recognized for the knowledgeable care and comfort that we provide to others. It has been said that nurses are the backbone of the healthcare system.  I would suggest that we are that and much more:

Nurses are timeless. Florence Nightingale left the comforts of home care for the sick. Nurses are there for the beginnings and ends of countless lives. We hold the hands of the young, the old, and everyone in between. The shifts are long and if a patient needs us, we work overtime to finish the job. We might wear a uniform, scrubs, a lab coat, or a suit, but we transcend fashion to don whatever our patients need for safe, quality care.

Nurses are trusted. Gallup polls consistently show that the public trusts the ethics and honesty of nurses above even that of physicians, making us one of the most trustworthy professions in the eyes of the people.  Nurses adhere to the ANA Code of Ethics that emphasizes supporting patients’ autonomy and the concepts of beneficence, justice, fidelity, and veracity. All nurses receive education in ethics, with patient care at the center.

Nurses are inspiring.  How many people can say that their jobs changed a life? As a rehabilitation nurse, one woman who had experienced a stroke told me, “I had stroke and died three times. I was in ICU for weeks, but I didn’t feel alive until I came to rehab. Rehabilitation nurses helped me live again!” Yes, transforming lives is what nurses engage in daily. In fact, many of us can name that one nurse that we remember and would choose to have with us if we were sick or dying – that nurse who knows how to inspire and care.

Nurses are experts.  Nurses are expert caregivers, patient advocates, teachers, and researchers. We know the realm of health care better than anyone because we are the licensed professionals who are there 24/7. There are more nurses with advanced practice degrees and certifications than ever before. Nursing has evolved into a discipline with multiple specialties that support best practice in numerous areas that affect health and wellness. Nurses hold positions of leadership in government, the military, organizational systems, health care corporations, and major companies, all attesting to the value of our knowledge and education.

Nurses are still carriers of light. Florence Nightingale was known as “the lady with the lamp”. I always found that image inspiring. One of my favorite memories from my early career occurred while I was working the night shift on a geriatric unit. An elderly man couldn’t get the music he liked to play on the radio, so he asked for someone to sing some old hymns to him. I did so reluctantly at first, holding his hand and singing all the old songs of the faith that I could remember. The next day, I heard him excitedly telling his family members, “An angel came to my room and held my hand and sang to me last night!”  I was puzzled when later he didn’t seem to recognize me as the singing “angel”.  The following night, he died unexpectedly. Reflecting on that experience, I believe that higher powers were at work there. Maybe I was just the vessel through which a bit of healing flowed. Since then, I have seen countless similar examples of extraordinary happenings when caring nurses are involved.

Nurses do more than just enact art and science. Sometimes…our work is like a little piece of heaven.

 

By |2022-04-17T19:14:26-05:00April 30th, 2022|Dr. Mauk's Boomer Blog, News Posts|Comments Off on Nurses Are….

Chronic Sinusitis

Sinus pain

Background

One of the common health complaints of the elderly is chronic sinusitis. About 14.1% of Americans 65 and older report suffering from chronic sinusitis; for those 75 years and older, the rate is slightly lower at 13.5% (American Academy of Otolaryngology, 2012). Age-related physiological and functional changes that occur can cause restrictions to the airflow. This results from irritants blocking drainage of the sinus cavities, leading to infection.

Warning Signs

Symptoms include a severe cold, sneezing, cough (that is often worse at night), hoarseness, diminished sense of smell, discolored nasal discharge, postnasal drip, headache, facial pain, fatigue, malaise, and fever (Kelley, 2002). The person may complain of pain around the sinus areas, and swelling and redness of the nasal mucosa may be evident.

Diagnosis

Allergies, common cold, and dental problems should be ruled out for differential diagnosis. When symptoms continue over a period of weeks and up to 3 months and are often recurring, chronic sinusitis should be suspected. A CT scan of the sinuses will likely show areas of inflammation.

Treatment

Treatment for chronic sinusitis is with antibiotics, decongestants, and analgesics for pain. Inhaled corticosteroids may be needed to reduce swelling and ease breathing. Irrigation with over-the-counter normal saline nose spray is often helpful and may be done two to three times per day. The person with chronic sinusitis should drink plenty of fluids to maintain adequate hydration and avoid any environmental pollutants such as cigarette smoke or other toxins. Chronic sinusitis is a condition that many older adults wrestle with their entire life. Avoidance of precipitating factors for each individual should be encouraged.

For more information on Sinus Sinusitis, visit The Mayo Clinic at:
http://www.mayoclinic.com/health/chronic-sinusitis/DS00232/DSECTION=risk-factors/

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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By |2022-04-20T18:35:39-05:00April 21st, 2022|Dr. Mauk's Boomer Blog, News Posts|Comments Off on Chronic Sinusitis