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
Guest Blog: How to Best Care for Elderly Patients with COVID-19
COVID-19 is an infectious disease that is characterized by dry cough, fever, and fatigue. It is usually caused by SARS-CoV-2 coronavirus. Most of the people who suffer from this disease end up recovering even without receiving any treatment. Others become seriously sick and need intensive medical care. The people who are at risk of severe illness are older adults and people with underlying health conditions. That is why you need to be careful when taking care of an older adult suffering from COVID-19. Below are more details on how you should take care of such a person.
Help Cover Their Basic Needs
Just like other people, older people suffering from COVID-19 have basic needs that have to be met. For instance, they need to eat, put on clothes and sleep well. Therefore, as a caregiver, you need to ensure that the sick person eats and sleeps well. When shopping for foods, buy them fresh vegetables, fresh fruits, legumes, and unprocessed food. Eating these foods will help boost the patient’s immune system, helping them recover from COVID-19.
You should also encourage the patient to take at least eight cups of water every day. This water will transport nutrients throughout their body and regulate their body temperature. If they are not willing to drink too much water, encourage them to consume fruits and vegetables that contain water.
Ensure That They Take Their Medications
COVID-19 patients are often advised to take a few over-the-counter medicines that help manage COVID-19 symptoms. For instance, some of them are told to take medications that help reduce fever and cough syrups. Hiring in-home senior care would ensure that your patient takes all their medications.
While caring for this person, you should check whether the prescribed medications are helping improve the patient’s symptoms or not. If they are not improving, you should contact the patient’s doctor. You should also help the sick person follow any other instructions given by the doctor.
Monitor The Patient’s Symptoms
You should constantly monitor the symptoms that the sick elderly are experiencing. A home pulse oximeter can help you do that. This medical device measures the amount of oxygen in a person’s bloodstream. Therefore, it can help you know when your patient is experiencing difficulty in breathing. For instance, if it shows a reading of less than 92%, you should know that the patient is experiencing difficulty in breathing, and you should have them hospitalized. You should also have your patient hospitalized if they are experiencing emergency warning signs. These warning signs include:
- Bluish face or lips
- Blue, pale, or grey-colored nail beds, skin or lips
- Persistent chest pain
- Trouble breathing
- Confusion
Do Not Leave the Patient Alone
You may be tempted to go out and leave your patient alone after you notice that they are doing fine. However, you should not do that as the patient’s health condition may worsen after you go out. If you have to go out, request a good in-home senior care provider to take care of the sick person while you are away.
While spending time with the sick person, you should wear a face mask and encourage the sick person to wear a face mask. You should not touch your face mask while wearing it, and you should throw it away immediately after use. You should also ensure that you stay at least 6 feet away from this person.
Clean The Patient’s Personal Items
While caring for an older adult suffering from COVID-19, you should clean this patient’s personal items. For instance, you should wash their clothes and personal household items. You should use regular detergent to clean these items and warm water. You should wear disposable gloves while cleaning these items. After you are done cleaning them, remove the gloves and wash your hands with water and soap. You should place the dirty gloves in the waste bin kept in the sick person’s room. You should also clean the surfaces in your home that people often touch. These surfaces include tabletops, doorknobs, and counters.
COVID-19 is an infectious disease. That is why you need to be careful when caring for an elderly person suffering from this disease. You should ensure that this person takes their medications, eats well, and gets enough rest.
Guest Blog: Diabetic Seniors: Steps to Staying Healthy While Social Distancing
During COVID-19 and social distancing, it’s important for seniors — especially seniors with diabetes — to make sure they’re doing everything in their power to maintain healthy, active lifestyles. It’s not easy to keep up the motivation, but there are a few steps you can take to dramatically reduce your chance of developing diabetic foot ulcers, and other unpleasant side effects of diabetes.
Am I at risk for a diabetic foot ulcer?
Everyone with diabetes is at risk for developing a diabetic foot ulcer, and you’re more likely to develop them if you’re older. About 15% of diabetics get a diabetic foot ulcer. Of those, around one-third of those patients develop diabetic foot ulcers. As patients get older, those odds increase and 40% of patients who have had a diabetic foot ulcer will develop another one at some point in their life.
Cooking at home
You’re probably cooking more at home, so why not make the most of it? Good nutrition is essential both for managing diabetes symptoms and helping diabetic wounds heal.
- Protein is an especially important nutrient for wound-healing, so make sure you’re getting plenty of beans, eggs, fish, and tofu.
- Research has shown that the Meditteranean diet has an especially positive effect on diabetes. Look up your favorite Greek recipes that have a good balance of fresh produce, fish, and olive oil, and very low carbohydrates, sugar, and red meat.
Staying active
Staying active can play a huge role in ensuring that diabetes patients keep their symptoms in check. Gyms are closed, so what to do?
If you’ve ever considered setting up a home gym, now is the time! Studies have shown that resistance training has substantive benefits, so think about investing in light weights or resistance bands. They don’t have to be super heavy, they just have to be heavy enough to make your muscles feel the burn. And if you’ve never used weights before, lifting soup cans or water bottles is a good start.
We all want to get outside, but many don’t yet feel comfortable going places that may have crowds. Luckily, many hiking trails have started to re-open, and hiking can provide an easy way to remain active while social distancing. Hiking is a great form of cardio, and has been shown to have a positive effect on blood glucose levels.
Resolve To Be A Healthier You
Most of us have New Year’s resolutions. One of my new goals for 2020 is to age better. Andrew Weil, MD, in his bestseller Healthy Aging: A Lifelong Guide to Your Well-Being (2005) said, “to age gracefully requires that we stop denying the fact of aging and learn and practice what we have to do to keep our bodies and minds in good working order through all the phases of life” (p. 7). You may well ask, “how does one do that”? For me, it means actually practicing what I preach. We are fortunate today to have so much research and information on aging that we can pinpoint some specific areas that are common to successful aging. I have taught these to numerous students and groups of older adults, but it wasn’t until I joined the over 50 age group that this knowledge seemed more personally applicable. So, let me share with you five keys that both scientists and the oldest old persons in our society have found contribute to healthy aging.
Have a positive attitude towards life. This includes having good coping skills and being able to deal with grief and loss appropriately. Most centenarians will say that you should always having something to look forward to. Make a list of places you want to travel this year, vacations to take, people you need to visit, or things that need to be fixed around the house. Then start to cross them out as you do them, and bask in your accomplishments.
Maintain key relationships. These include having a stable marriage and/or being involved in a religious or social community. In George Vaillant’s book Aging Well (2002), he reported the results of the Harvard Study of Adult Development. Generativity, or selfless investment in others (including the next generation), was found to be the best predictor of a long and happy marriage. Likewise, studies show that older persons who affiliate with a religious organization, such as attending church regularly, report better health and better social support systems, and tend to remain independent longer.
Maintain a healthy weight through proper nutrition. Eat a diet with plenty of fiber, fruits, vegetables and water. Limit saturated fats, salt, processed foods, and less useful calories from alcohol or sugary drinks.
Stay active. Physically, do some moderate exercise on most days of the week. For persons who are older and unable to do strenuous activity, remember that regular daily chores that include continuous motion such as doing laundry, gardening, or cleaning house can count as exercise and can also be spread throughout the day to accumulate the recommended 30 minutes of activity. If able, brisk walking is highly recommended. Keep your mind active as well. Resolve to take up a new hobby such as a craft, learning to play an instrument, or studying a foreign language. Working puzzles, playing cards, and reading are also good ways to stimulate your brain function and keep your memory sharp.
Avoid negative behaviors such as overeating or drinking too much alcohol. Adopt an attitude of “everything in moderation”. Don’t smoke, and if you do smoke, stop. Sadie Delany (1994) at over 100 years of age wrote in her book Having Our Say, “so you want to live to be 100. Well, start with this: No smoking, no drinking, no chewing” (p. 11).
Resolve with me to age more gracefully during 2020 and let’s see how we do. Do you have any secrets of healthy aging that have worked for you or your parents/grandparents? Please share them with us.
6 Ways to Keep Seniors Safe During the Holiday Season
The holidays are just around the corner. While it can be the best of times for many, it can also be the worst of times for some. On the one hand Holiday Season means turkey, gifts and family. On the other hand, it can also mean cold, ice, darkness and loneliness.
Here are a few tips on how you can help your mom, dad or yourself stay safe during the holiday season.
1. Get the flu shot
Up to 85% of flu related deaths happen to those over the age of 65. The Center for Disease Control suggests get the flu vaccine is the best way for seniors to avoid getting the flu. It’s often free under Medicare, Medicaid, insurance plans under the Affordable Care Act and many private employer and school insurances.
2. Avoid isolation
Winter conditions have a tendency of keeping folks indoors, especially less mobile seniors, making isolation a real risk.
Check up on your parents frequently. Make sure they’re not missing any medical appointments, they’re getting their medications, their fridge is full and they’re connected to their support system. Arrange transportation if necessary.
3. Walk safely outdoors
Icy conditions and uneven walking surfaces dramatically increase the risk of outdoor falls. Consider crampons for extra grip and stay indoors during winter storms. You may also want to look into getting a medical alert system with GPS and fall detection to get immediate help in the event of a fall, injury or medical emergency.
4. Avoid depression
The winter blues are a real thing. Shorter days, lack of sunlight, cold weather can all lead to depression. Make your parent’s home a brighter place with therapy lamps. Stay in regular contact with them, include them in family plans, arrange for them to meet with friends and to exercise frequently.
5. Keep the heat on, but keep it safe
Make sure all heat sources are used safely.
Space heaters should have three feet of clear space around them – no curtains, blankets or clothing touching. Have the local fire department install smoke and carbon monoxide detectors – it’s often free!
6. Prepare for power outages
A power outage in the winter months can be especially dangerous for immobile seniors. Make sure your parents have a flashlight or battery operated lanterns. Arrange an alternate place for them to stay if they have no heat or light.