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.
Tips to make sure the seniors in your life receive the care they need
As people age, their need for support increases. Old age usually comes with mental function deterioration, increased risk of disease, and loneliness. Being there for an aging parent often comes with lots of responsibilities. The goal is to help improve the quality of their life. Here are some guidelines to help you care for your aging parents.
Watch out for health concerns
Senior people are predisposed to a wealth of health concerns, both physical and mental. Some people creep up suddenly, whereas others may experience depression and severe anxiety. As their caregiver, it is important to keep an eye on their general wellbeing. Identify potential concerns ahead of time, and be there to help. Start researching more information on common health problems in seniors. Often, your aging parent may even tell you if there’s something wrong and if they experience any concerning symptoms. However, there are times when the aging parent doesn’t realize that something is wrong. Dementia and Alzheimer’s disease are progressive diseases that can be difficult to tackle. Spend as much as time as you can with your loved one, and this way you’ll be able to determine potential symptoms that are more harming than they look.
Professional help
In case your parent or relative experiences mental of physical decline that you can’t handle by yourself, it might be a good idea to look for professional help. There are lots of healthcare services you can consider. Don’t miss out on weekly appointments to the doctor and search for ways to make their lives easier; even that may mean looking into assisted living facilities and nursing homes. Many people ignore the symptoms their aging parents have. Stay alert and look for assistance in your local community. Thanks to advanced technology, there are solutions to be close to your parent even if you live miles apart.
Make time to visit
The elderly are not just affected by medical problems. Studies have shown that many seniors living alone fight with depression, anxiety, loneliness, and severe fatigue. It might be a good idea to visit your parents at least once a week. Offer them emotional support, take the grandkids with you, and make them feel loved and cared for. Face to face visits are the best, although if that’s not possible you can stick to phone calls, or Skype chats.
Encourage socialization
Many seniors don’t want to get out of the house. They’ve been used to watching TV all day, and that’s it. Sedentary activities increase the risk of depression, so it might be a good idea to take parents out. Do things together every week. Go grocery shopping together, spend time in the park, and have a good time. Qualitative family time makes seniors feel valued. If you can’t visit often, recommend them to join a book club. Or encourage socializing with their neighbors. Living in isolation leads to physical and emotional distress. In the long term, loneliness may lead to increased fears (e.g. fear to go out, fear to talk to people, fear to call a child to say hello).
Home care
There’s a lot of debate around the notion of “home care”. Many people don’t like the idea because they associate it with improper care. The truth is, there are excellent home care facilities spread around the country. Many provide excellent services, apart from caregiving. Senior people need to stay social. They need to be active – both physically and mentally – to enjoy the best of life. Some of today’s advanced assisted living facilities are more comfortable than an actual home. These places provide excellent accommodation, lots of activities, treatments, and therapies that compel a senior to enjoy their lifestyles.
It is important for aging parents to appreciate life. The best care home in Maidstone provides exquisite services. However, for the system to work seniors must be open to change. It’s no shame in not being able to live on your own house. Rather than struggle performing daily duties, assisted living facilities are all about increasing the quality of your life. They can help you feel better, socialize with people the same age, try out lots of activities, and boost cognitive function. All these improve the quality of your life by 30%.
Hypothyroidism Warning Signs and Treatment
Background
Hypothyroidism results from lack of sufficient thyroid hormone being produced by the thyroid gland. Older adults may have subclinical hypothyroidism, in which the TSH (thyroid-stimulating hormone) is elevated and the T4 (thyroxine or thyroid hormone) is normal; 4.3–9.5% of the general population has this problem (Woolever & Beutler, 2007). In this condition, the body is trying to stimulate production of more thyroid hormone. Some older adults with this condition will progress to have primary or overt hypothyroidism. This is when the TSH is elevated and T4 is decreased. Hashimoto’s disease is the most common cause and represents 90% of all patients with hypothyroidism (American Association of Clinical Endocrinologists [AACE], 2005; Woolever & Beutler, 2007), though certain pituitary disorders, medications, and other hormonal imbalances may be causal factors.
Warning Signs
Older adults may present an atypical picture, but the most common presenting complaints are fatigue and weakness.
Diagnosis
Diagnosis should include a thorough history and physical. Bradycardia and heart failure are often associated factors. Lab tests should include thyroid and thyroid antibody levels (common to Hashimoto’s), and lipids, because hyperlipidemia is also associated with this disorder.
Treatment
Treatment centers on returning the thyroid ¬hormone level to normal. This is done through oral thyroid replacement medication, usually L-thyroxine. In older adults with coexisting cardiovascular disease, starting with the usual doses may exacerbate angina and worsen the underlying heart disease, so it is important to start low and go slow. Titration should be done cautiously, with close monitoring of the older adult’s response to the medication. The does should be adjusted on 6- week intervals until normal levels of thyroid hormone are achieved. Once the TSH is within normal limits, then checking the TSH should be done every 6 to 12 months to monitor effectiveness and blood levels, because hyperthyroidism is a side effect of this therapy and can have serious implications on the older person’s health.
Patients need to learn the importance of taking thyroid medication at the same time each day without missing doses. Sometimes older adults have other problems associated with hypothyroidism, such as bowel dysfunction and depression. Any signs of complicating factors should be reported to the physician, and doctors’ appointments for monitoring should be religiously kept. Strategies for managing fatigue and weakness should also be addressed, because some lifestyle modifications may need to be made as treatment is initiated.
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.
http://www.nlm.nih.gov/medlineplus/ency/article/000353.htm
Guest Blog: How to Ensure the Safety of the Elderly in Rehab Centers
Rehab centers have proven to be a breath of fresh air for individuals who have fallen prey to alcohol or drug addiction. They help people cope with their life-endangering habits and transform themselves to become a better person, thus, enabling them to live a happy and healthy life all over again. Rehabs are designed carefully to deal with people with various addictions, particularly elders. From installing a quiet hand dryer to creating the room door, everything is customized to ensure the safety and wellbeing of inhabitants.
Letting go of any sort of addiction is never easy. When dealing with older adults, we need to be extra cautious owing to the fact that the ageing process makes them prone to other health issues as well. Here are a few tips to keep in mind while trying to maintain the safety of elders intact in a rehab center:
Higher a Highly Trained Staff:
The staff has a significant impact on adults’ safety and rehabilitation process. The more trained they are for the tasks, the better results will be yielded. A nurse who has experience working with younger people in a rehab center might not be fit for the task when treating older patients.
You need to ensure that your staff is professionally trained to work with ageing adults battling with addiction. Since they have different needs, their mind and body will react differently to medication. They will respond differently to therapy techniques. The behavioral changes might be hard to handle at times, but having trained staff will help deal with patients more appropriately and will ensure their health is monitored carefully.
Focus on the Environment:
When dealing with addiction among older adults, we need to pay special attention to our surroundings. Bringing comfort within the physical environment is crucial for the healing process to begin. Staying away from the problematic environment and living in a structurally designed environment accelerates the rehab process.
Inpatient rehab is the safest option for adults. The constant surveillance and support from the professionals make the detox and treatment process productive. Besides, being able to interact with someone battling the same issue as you, gives you the strength to pass the hurdles and bring out the best in you. Focusing on the environment of the rehab center is an essential step toward giving someone a new life.
Offering Aftercare Programs:
Since the goal of rehab facilities is to eradicate the alcohol or drug addiction from the patients completely, it is recommended to lend support to them even when the treatment time period is completed. Offering the aftercare program increases the success rate of your treatment. Going back to the previous environment brings a lot of stress to the patients since they will be living with all the trigger points around them.
Keeping them engaged with therapies, alumni programs, or sober living options ensures their safety and brings them physical and mental wellbeing.
Focus on Your Patients
Getting rid of an addiction is never easy. It is a lot of hard work, consistency and committed support of professionals that make it happen. We know that ‘old habits die hard’; dealing with older adults in rehab is more difficult than dealing with the younger ones. Make sure your rehab facility is fully equipped with everything that is needed for successful treatment and therapies. Keep the safety of your patients your priority for better outcomes of your treatment processes.
Guest Blog: 5 Ways Seniors Can Improve Their Quality Of Life
Research indicates that Americans are living longer than any other period in history. The best way to ensure your quality of life in your senior years is by addressing mental and physical health. Here are some tactics that can help make your golden years even more exciting.
Be Active in Your Healthcare
Not only do you need to make sure you have a primary care physician familiar with your health history, you also need to make sure you stay up to date on how you’ll pay for regular checkups, appointments with specialists, and medication. This includes keeping an eye on your Medicare plan and making changes to it as necessary. You may want to consider signing up for a Medicare Advantage plan, which offers perks that regular plans don’t cover. For instance, a Humana Medicare Advantage Plan offers benefits like a Nurse Advice Line, which saves you from the time and hassle of visiting your doctor for every little ache and pain, and enrollment in SilverSneakers, which will help you stay active throughout your golden years — another critical component of your quality of life.
Exercise Regularly
The body isn’t able to repair itself as quickly when we become older — not to mention, the loss of muscle mass contributes to mobility issues. Not only can regular exercise improve both of these concerns, but it can also regulate blood pressure and sugar management, boost mood, strengthen the immune system, improve gastrointestinal function, enhance cognitive ability, prevent heart disease and diabetes, and make it easier to manage weight. There’s no need to push yourself too hard. Even simple walking for 30 minutes four times a week is enough to get going. Seniors can also work out at home with exercise videos, fitness apps, and Wii games.
Eat Well
Eating a healthy diet is crucial at every stage of life, but takes on an even more important role as our bodies change with age. Your doctor may recommend a specific diet that tailors to your unique health needs — if you need to consume more protein or calcium, for example — but in general, you’ll need to eat foods that make your microbiome happy. Not only will eating probiotic-packed and fermented foods help you stay regular, you’ll actually feel happier and more energized overall by taking care of your gut health, since doing so ramps up your body’s production of the feel-happy chemical serotonin.
Improve Quality of Sleep
Research suggests that seniors can benefit from quality and quantity of sleep more than they did in their younger years. There are several tactics that can make it easier to get ample shuteye, since it can be a challenge for the elderly. This includes increasing daytime light exposure, ditching caffeine and alcohol in the evening hours, exercising early in the day, making your bedroom a cool and dark respite, unplugging from electronics at least one hour before bed, and consistent bed- and wake-up times.
Stay Social
It’s important to stay social in order to keep your mental health in check. Some easy ways to stay socially engaged include connecting with friends via social media, joining a club or senior center, volunteering, helping out your family (such as babysitting the grandkids so your adult children can enjoy a date night), and taking up a part-time job.
It’s important that you have an established primary care physician and that you visit him or her regularly. You’re more likely to prevent illness and disease when you’ve got a health care schedule in place (as well as a plan to pay for it). A pro can also direct you to other specialists and help guide you through the financial side of care, too.
Photo Credit: Pixabay
Guest Blog: Spending Tips for Your Grand Kids
Introduction: Being a grandparent is special in many ways. It sometimes means overspending and spoiling our grandkids. We tend to cut down on other expenses rather than buying gifts for our cute little ones.
What’s so special about being a grandparent? Grand parenting brings along with it opportunities for loving a new person, the magic of childhood, play and fun and the joy of parenthood minus the heartache that often goes along with it. It is also an opportunity to share your hobbies with a young, curious mind, watch as the kids grow and develop, provide encouragement and make an impact, draw upon your breadth of experience to guide the child through life’s challenges. Many grandparents, in today’s graying America, provide care for their grandkids while mom goes off to work. This can be a very enriching experience for both.
Why do we overspend on our grandkids? A 2012 study by AARP shows that 89% of grandparents spoil their grandkids. USA Today says that 40% of Americans spend $500 or more per year on their grandchildren. Some grandparents even pay for their grandchildren college education and afterschool activities, such as piano lessons and dance classes. Grandparents often find themselves in a dilemma where they would like to be there for their adult kids financially but don’t want to jeopardize their retirement savings.
Where can I cut on spending?
- Give the gift of time. It doesn’t always have to be a gift. Going on a hike together or doing a baking project can be a very memorable one for the two of you, much more so then a gift. Share stories. Your grandchildren will be delighted to hear stories about when their parents were children. Get with the times and learn to text and build a relationship that will last.
- Make a budget. “Making a budget is the most important thing you can do because then you will be able to understand where your money is going and where you can afford to make cuts,” says Meg Favreau, senior editor of Wisebread.com. Grandparents should not fall into the trap of overspending on their grandkids. “If it’s affecting your ability to meet your obligations or is dipping into retirement savings, that’s a sign that it’s excessive spending,” says Suzanna de Baca, vice president of wealth strategies at Ameriprise Financial. For full article, click here.
Save your retirement for the fun things in life. Very often, without proper planning, our retirement funds get totally wiped out down the road if a loved one requires long-term care. Medicaid will usually cover for many types of care, including in-home, assisted living and nursing home care. They will however “look back” for a period of five years prior to application to uncover monetary gifts granted- “spent down” during that period, in which case they will impose a penalty corresponding with the gifted funds. Plan ahead and gift the monies to your loved ones now, so it doesn’t hurt you in the years to come. A Medicaid planning company like Senior Planning Services can guide you through the application process if you’re eligible and help shoulder the burden in these stressful times.
Conclusion: Being a grandparent is one of life’s most meaningful pleasures, but it can also be a juggling act. Knowing when to educate, when to spoil, when to stop spending, when to “spend down” and when to save your retirement funds; are all part of this blessing called grandparenthood.