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Running a marathon is one of the toughest things that you can do. Doing the full 26.2 miles requires grit, determination and a bit of luck. Luck in the sense that it reaches a point along the marathon whereby your will to run is gone and all you can do is hope that your body doesn’t give in. You require a lot of energy to run a marathon but the fact that it is a competitive event makes it difficult for stop and snack up. You, therefore, have to do with the food reserves stored in your body. The problem with this, however, is that the body can only store a limited amount of food reserves. This reserve is depleted way before you complete the marathon and it is at this point that the “wall” appears.

The wall.

To provide you with the energy to run, food is broken down to supply you with this energy. The primary food item that broken down to generate energy is carbohydrates since it requires very little oxygen to do so. When you are running, you let in very little oxygen into the blood stream and that is why carbohydrates are broken down first. The body can hold about 2000 calories of carbohydrates at any given time and this reserve can only last up to the 20^th mile. From this point, the body turns to the fat deposits in the body for energy generation. Breaking down fats to produce energy generates a lot of waste products and this contaminates your interior. It also requires a lot of oxygen but since you are not taking in enough air, the body resorts to burning your muscles to generate the needed oxygen. This has the effect of making you feel like you are pulling a heavy load with your feet. Since your body is concentrating on generating energy, your focus shifts from running to this activity. You, therefore, find it difficult to concentrate on running and those who are not of strong will find it easy to give up.

Marathon caring and ‘The Wall”.

Aging brings with it a lot of challenges and at some stage in life, we would be expected to take care of our loved ones. It could be our parents, grandparents or other family members. Most would think that it will only be for a short period of time but the truth is that it usually stretches several years and this is what makes it a marathon. Taking care of another person is very challenging and it will overwhelm even those claiming to be strong willed. It requires that you feed, clothe as well as clean up the person under your care. You are in charge of their medication as well and this means that you have to monitor their pills to make sure they never run out. See how overwhelming that can be?

When compared to a marathon, all these responsibilities represent the various stages of a marathon. It is easier at the beginning since you are all psyched up and full of energy. It gets difficult with time as your ‘energy reserves’ are depleted and your enthusiasm fades. At this point, it is only a matter of time before you ‘hit the wall’.

The wall of a marathon caregiver.

The wall to a marathon caregiver represents that point when you see your dependent as a burden. This is that point when you are no longer excited to see those in your care. The wall is a very difficult point since it could see you neglect those in your care.

Keeping the wall at bay.

There are a few things that you can do to keep the way at bay. The first thing is to understand the course and this entails understanding your dependents better. If they have any illnesses, get to understand them as this will make it easy for you to manage them. Learn how to take care of old people and you can do that by checking out care homes near me. This will make you a better care giver and better equipment to avoid the wall.

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What is assisted living (AL)?
A Scandinavian model for senior care, now known as assisted living, made its way into America’s care system in the 1980’s. According to a 2012 report by AARP, there is no standard definition for assisted living (AL). Although individual states and residential facilities can give their own definition of AL, the term most often means that help is provided with meals, social support, medications, dressing and/or bathing and the like with 24-hour per day supervision. The Assisted Living Federation of America (ALFA) (2013) defines assisted living as “a long-term care option that combines housing, support services and health care, as needed”. The focus of AL is on maintaining dignity, respect, and independence of older residents.

In 2010, there were more than 51,000 licensed residential care settings (including assisted living) that reported more than 1.2 million beds (AARP, 2012). A study published by the National Center for Assisted Living (NCAL) cited 31,100 assisted living facilities serving 733,400 persons in 2010.

What is the typical assisted living resident like?
The average age of those in assisted living facilities is 86.4 years (MetLife, 2012). According to the National Center for Assisted Living (2013), the typical resident needs help with at least one activity of daily living (ADL), and most are over the age of 85. More females (76%) live in assisted living settings than males (26%). Thirty-seven percent of persons in AL receive help with more than three ADLs (NCAL, 2012). More than half of persons in AL facilities have some type of cognitive impairment (Alzheimer’s Association, 2009). A growing percentage of persons in AL facilities have Alzheimer’s disease.

What types of services are provided?
Some of the usual services provided in a licensed AL include:
• Assistance with eating, dressing, bathing, toileting
• Access to health services
• Medication management
• Dining services
• 24 hour staffing and security
• Emergency call systems
• Exercise and wellness facilities
• Social and recreational activities
• Housekeeping and laundry
• Transportation
• Access to banking
• Chaplain or religious services
• Memory care

How do I know if I need assisted living?
There are a variety of reasons why persons might choose an assisted living setting. Some people move to AL because they want more socialization than living alone, they want to be nearer to their adult children but do not reside with them, or because they can no longer manage at home. The person in an assisted living facility generally needs some help with activities of daily living, but does not need skilled nursing care. So, AL might be right for you if you wouldn’t be able live at home any longer without help, but you still don’t need to be in a nursing home or need the help of a nurse around the clock. You may be able to do many things on your own but maybe you have difficulty with dressing, meal preparation, or managing your pills.

How do I decide which senior living community to choose?
There are a variety of senior living options, of which assisted living is but one. Often, family members will help you decide which option is best for you, but you should look at all your choices. You should pick a place that offers the services that you need. Cost and location are additional considerations. It is also good to ask about the staffing ratios, what nursing care is available, and what happens if you later need a higher level of care than the AL provides. ALFA provides a Guide to Choosing an Assisted Living Community. This includes a helpful checklist that can be downloaded from their website.

How much does it cost to live in an AL facility?
The cost of AL depends on where you live. Keep in mind that most assisted living is paid for privately, meaning out-of-pocket, and not by insurance. According to MetLife’s Market Survey of Long-term Care Costs (2012), the national average base rate for assisted living was $3,550 per month. This means that a person who lives in an assisted living facility can expect to pay an average of $42,600 per year. Of course this also varies depending on the number of extent of services with which the resident needs help. The base rate generally includes specific services, but each additional service beyond that may add an extra monthly fee. Compare this to an average nursing home rate for a shared room at nearly $84,000 per year for a person needing Alzheimer’s care (MetLife, 2012) or a national median cost of $270 per day in a nursing home that provides 24-hour per day nursing care (Genworth Cost of Care Survey, 2013).

Are there alternatives to assisted living facilities?
So, are there other options besides going to an assisted living facility if you are an older adult who needs a little help? The answer is yes. Adult day services are one community option. Also, many home care agencies offer companions, homemaker aides, or nursing assistants to help people age in place at home. Most of the time, getting these services means a minimum number of hours per day must be paid for. The national average hourly rate for home health aides was $21 in 2012. Homemaker or companions who provide “hands-off” care such as running errands, shopping, housekeeping made a median of $19-20 the same year (Genworth, 2013).

This is where unique options for assisted living services at home are needed and can save consumers money. Senior Care Central offers persons needing assisted living in the home the opportunity to have more control over their care situation at a much lower cost while getting professional, quality care. Imagine that you could set the hours that you want to have a caregiver in the home, and that caregiver could be a nursing student who has a higher level of education than most home health aides. This care option may cost you half the price charged by a home health care agency. SCC’s model promotes aging in place on your own terms and lets you link with caregivers online, browse profiles to choose caregivers you want to contact, and make your care arrangements directly with them.