Dr. Mauk’s Boomer Blog
Each week, Dr. Kristen Mauk shares thoughts relevant to Baby Boomers that are aimed to educate and amuse.
Dr. Kristen L. Mauk, PhD, DNP, RN, CRRN, GCNS-BC, GNP-BC, FAAN
How to Find the Right Senior Housing Community
Guest Blog: How to Find the Right Senior Housing Community
By: Derek Hobson
First let’s tackle the basics. Many people are wary of senior care homes because there’s a stigma that surrounds them; people see them as gloomy, dreary, end-of-life communities. While certainly there was a time when this was the case (several decades ago), most communities have worked hard to battle this stereotype and they have succeeded.
Many communities have done away with “institution” or “hospital” –like settings. Even more have become increasingly lenient on policies regarding residents’ possessions; some facilities have been known to permit pets and even furniture to help it feel like home. So, when the time comes to transition into one of these senior care homes, the question becomes, “How do I find the right one?”
1. Find out About Affordability
This is usually at the top of everyone’s list and for good reason. Today, people are having children later in life. This isn’t a bad thing, but it means that around the same time their kids are going off to college, their parents are starting to need extra care. This can put a lot of stress on adult children, but some senior homes provide help.
Some Assisted Living Facilities will accept private pay for a period of time and then accept the rest through Medicaid. This way, your senior does not need to move and they won’t need to fear outliving their assets.
2. Visit the Community (Often)
If you think a community looks good for your loved one, then you should visit and revisit. You should tour the facility on different days of the week at different times. This way, you’ll get a much broader view of the day-to-day.
See if people are out and about, if engaging activities are going on, and if there’s a general feeling of community. If you show up to an elder care home that looks more like a ghost town, then it’s probably not the one for your loved one.
3. Talk to the Residents & Staff
This one is critical, as nothing quite beats a first-hand view into the establishment. Ask residents if they enjoy the community, what they do on a daily basis, and if they’re happy.
When asking the staff, of course they’re not going to disparage against the home, but one of the most important things to take notice of is how they interact with the residents. If they refer to them by name and have clearly established relationships with them, then this can be a huge indicator of the level of personal care your loved one will receive.
These are the three most important criteria to face when choosing an elder care community and they should give you a well-rounded idea of the facility you’ve chosen.
Guest Blog: Three key ways architecture benefits the elderly
Most people don’t realize just how big of an impact architecture can have on the lives and well being of elderly individuals. For many years, innovative designs for care homes and retirement living have gone a long way in helping to both support and reassure elderly residents so they feel comfortable in their surroundings, and will do for many years to come. Here are three key ways in which architecture benefits the elderly.
Exposure to sunlight
One of the first architectural considerations for any residential project is ‘how does the building sit in relation to the sun?’ This can influence many factors such as the garden, conservatories and large windows, all because we want residents to have the best exposure to natural light as possible. Designs for many care homes ensure that there are no rooms that face exclusively north, so all residents receive direct, natural sunlight into their room at some point during the day. Not only are there psychological benefits of enjoying the sunshine, but exposure to the sun in moderation provides a healthy dose of Vitamin D, absorbed into the body to help strengthen bones which is a huge boost for the elderly to starve off the effects of frailty with age.
Green space
Residential architecture is not just about the building, but landscaping the garden area too. Retaining some green outdoor space is important for elderly residents for whom it may not be possible to venture to the nearest public park whenever they wish, so they can relax outdoors without completely leaving their home. For more mobile elderly residents, gardens also provide the opportunity to continue with a relaxing gardening hobby, or to even take it up. In care homes, gardens are kept in pristine condition all year round by qualified gardeners, and when the months begin to get warmer, residents can enjoy the various plants and colorful flowerbeds – some of which they may have helped to plant themselves.
Built to adapt
When it comes to care home facilities and retirement housing, architectural designs must cater for the ever-changing needs of the residents. Therefore, it has to be built to adapt. Many elderly who use wheelchairs will require spacious rooms with height adjustable surfaces, particularly in the kitchen, and ramps fitted on all entrances and exits. These features take even more prominence in care homes with more residents present, with designs also incorporating wide corridors to allow residents in wheelchairs or on mobility scooters to pass one another with ease, and interior walls within a resident’s living space fitted as panels that can be easily knocked out to create a larger open plan floor space if necessary.
Author bio: Mick Goode is a co-founder and co-director of Croft Goode Architects, based in Lancashire, UK. As a BIM-focused practice of chartered architects, we have a vast range of experience designing for all kinds of projects, including those for retirement living and healthcare buildings for the elderly and disabled.
Skin Cancer Warning Signs
With summer upon us, we are happy to get out and enjoy the change from the long Indiana winter. However, prolonged exposure to that bright sunshine can have dire consequences for us as we age. The risk of skin cancer is higher in older adults, and the major risk factor is sun exposure. Although there are other less serious forms of skin cancer (basal cell and squamous cell), malignant melanoma is the most dangerous kind, accounting for more than 8,700 deaths per year (American Cancer Society, 2013).
As we age and our skin becomes more fragile, sun exposure can take its toll. You can be proactive in preventing skin cancer by following some simple tips:
Wear sunscreen when out in the sun and choose SPF 15 or higher every day, but choose SPF 30 with a waterproof barrier for long exposure. Avoid tanning booths. Wear clothing and hats that protect you from exposure. Ask your primary care provider to perform a skin check with your yearly physical, or visit your dermatologist if you have concerns. Know your own skin and check it regularly using the ABCDE method. Report any suspicious lesions to your doctor right away for follow-up.
The ABCDE method can help us remember the warning signs of skin cancer:
A = Asymmetry (if a line is drawn down the middle of the lesion, the two sides do not match)
B = Border (the borders of the lesion tend to be irregular)
C = Color (a variety of colors is present; the lesion is not uniform in color)
D = Diameter (MM lesions are usually larger)
E = Evolving (note any changes in shape or size, or any bleeding)
The good news is that even the most serious kind of skin cancer can be nearly 100% curable when detected early.
So, enjoy the sun, but be sun smart as well!
Guest Blog: Managing Back Pain as You Age
Like other critical parts of the musculoskeletal system, the spine experiences some wear and tear over the decades. Does this mean back pain is inevitable as you get older? Not necessarily.
What Happens to Your Spine as You Age?
The spine itself is composed of a series of stacked bones called vertebrae. Small joints between each vertebra allow for the spine’s range of movement and little rubbery discs with jelly-like centers inside make sure bones don’t rub against one another (they also serve as the spine’s shock absorbers).
Over time, these disks can dry out, shrink, and wear away, causing the spine to compress. This is known as degenerative disc disease. Sometimes the space surrounding the spinal cord will start to narrow too; this is known as spinal stenosis. Arthritis and osteoporosis may also affect the spine as you age leading to joint degradation and even spinal fractures.
Any of these age-related conditions can contribute to back pain, especially when bones start rubbing against one another and nerves get pinched. The body may even go as far as to grow bone spurs in an effort to stabilize a degenerating spine.
Preventing and Managing Back Pain
So, is there anything older adults can do to prevent it or at least manage the pain and discomfort that comes with those types of conditions? Definitely.
Experts recommend taking actions to relieve some of the burden your spine bears during daily activity. This includes:
- Exercising to strengthen your back and core to more properly support the spine
Practicing good posture when sitting, using the computer, texting, etc.
Wearing a back brace for added posture support and lumbar compression
Eating a healthy diet rich with anti-inflammatory foods that help you maintain a healthy weight and combat systemic inflammation in they body – think fresh fruits, vegetables, whole grains, nuts, seeds, legumes, and lean proteins
Reducing stress on the back. This may mean utilizing lumbar cushions when driving, updating your mattress to better support your spine when sleeping, and avoiding activities which exacerbate your back pain
Additional Thoughts
Of course, it is also important to remember that acute back pain can also stem from something as simple as a muscle strain. Lifting something heavy, straining your arms and neck reaching for something in an awkward position, even sitting for a long period of time in an uncomfortable chair – any of these things can cause back pain and inflammation.
Seniors and Addiction Rehab: What Do You Need to Know?
There are addiction rehab programs for seniors. Many people don’t consider seniors when they think of someone having an addiction. However, that may be a mistake. There are many seniors who experience chronic pain, grief, and other issues, which is why they may abuse drugs. The schedule will be customized to meet each individual’s addiction recovery needs.
Components of Treatment
It is helpful to know what the components of treatment will be, whether you or a senior in your life, needs to get treatment. Some of these components include the following:
● Group therapy
● Daily assessments
● Pain management
● Medication assessments
● On-site medical detox
● Psychological assessments
● Faith-based counseling
● Relapse prevention tips
● Family therapy
These components may vary depending on the addiction treatment center that is attended. You may also get yoga, physical therapy, exercise, and other treatments.
Symptoms and Signs of Substance Abuse
It can be even more troublesome when an addiction goes unnoticed or doesn’t get treated. This is why it is so essential to recognize the symptoms and signs of substance abuse in seniors. Some of these things include the following:
● Anemia
● Agitation
● Liver function issues
● Anxiety
● Personal cleanliness issues
● Mental ability changes
● Eating habit changes
● Depression
● Increased falls
● Drinking despite consequences
● Weakness
● Fatigue
● Incontinence
● Violence
● Hostility
● Memory lapses
● Irritability
● More confusion than normal
● Losing interest in enjoyable activities
● Not keeping in touch with friends or family members
● Marital issues
● Panic attacks
● Mood swings
● Slurring of speech
If you notice these symptoms and signs in a senior, be sure to try to get them help.
When it comes to seniors and addiction rehab, it is important to know all this information. Addictions can be dangerous for anyone, especially the elderly. Their organs and body systems don’t work as well, so it is much easier to get alcohol poisoning or overdose on drugs. If you are a senior with an addiction, you can get inpatient rehab for elders today.
Guest Blog: 4 Ways You Can Find Affordable Homecare
Home care is often preferred by seniors. An overwhelming 90% of seniors want to age in place. It is also affordable compared to nursing homes and assisted living facilities. However, hiring a caregiver may still be out of reach for many families.
1. Home Care Agency
A popular option for hiring a caregiver is through a home care agency. Hiring a caregiver through an agency allows seniors to have personalized one-on-one attention and flexible pricing (choosing less hours means saving on costs). You are also not responsible for any employer obligations like payroll tax and being held liable for any injuries that happen at home. However, this means that agencies pass administrative costs to the family which may still be unaffordable.
2. Family Caregivers
Did you know that there are an estimated 40 million unpaid family caregivers in the United States? Family caregivers perform a wide range of duties like paying bills, running errands, and helping with light household chores. Many family caregivers dedicate on average 20 hours a week towards providing care and some take time off work as well—resulting in a loss of earnable income. While being a family caregiver can save you money, your loved one may have needs that go beyond what you can support.
3. Local Classifieds
You can hire a caregiver directly through your local classifieds or online directory. Hiring a caregiver directly, and not through an agency can provide more affordable home care for your loved one, but there are some extra hurdles. You will need to personally interview and screen potential candidates. This involves meeting with the caregiver, verifying their references, and performing a background check. If your loved one needs care immediately, this process may be difficult and time consuming to do properly.
4. eCaregivers
After learning about using eCaregivers, you can find private caregivers with rates starting at $10-$14/hour for care, versus $20-$24 with an agency, helping you save thousands of dollars in a year while still ensuring quality home care for your loved one. All of the caregivers on eCaregivers have passed a background check so you have a peace of mind that you’re hiring a vetted caregiver for your loved one.
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.