Shingles (Herpes Zoster)

Commonly known as shingles, herpes zoster is the reactivation of the varicella virus that causes chicken pox. Older persons may be infected with this latent virus after initial exposure to it in the form of chicken pox. The virus then lays dormant in the neurons until it is reactivated, often due to immunosuppression, when it appears in the form of painful vesicles or blisters along the sensory nerves. This reactivation tends to occur once in a lifetime, with repeat attacks occurring about 5% of the time (Flossos & Kostakou, 2006). Herpes zoster occurs in both men and women equally, with no specific ethnic variations, but is more common in the elderly.

Risk Factors

Risk factors for developing shingles are age over 55 years, stress, and a suppressed immune system. For many older women particularly, emotional or psychological stress can trigger recurrence.

Warning Signs

Signs and symptoms of herpes zoster include painful lesions that erupt on the sensory nerve path, usually beginning on the chest or face. They may appear as initially as a rash, looking much like chicken pox, often wrapping around the chest area in a band-like cluster. These weepy vesicles get pustular and crusty over several days, with healing occurring in 2-5 weeks (Kennedy-Malone et al., 2004; NINDS, 2013).

Diagnosis

Diagnosis is usually made by viewing the appearance of the lesions and a history of onset. A scraping will confirm some type of herpes virus. The most common complaint of those with herpes zoster is the painful blisters that usually subside in 3–5 weeks (NINDS, 2013). Postherpetic neuralgia, a complication of herpes zoster, may last 6–12 months after the lesions disappear and may involve the dermatome, thermal sensory deficits, allodynia (the perception of pain where pain should not be), and/or severe sensory loss, all of which can be very distressing for the patient (Flossos & Kostakou, 2006).

Prevention

Zostavax, a vaccine for shingles, has become available, and it is recommended for all persons age 60 or older who have already had the chicken pox. A person can still get shingles even after having the vaccine, but the symptoms and complications would be less severe. The vaccine has also been approved for persons age 50 – 59, and research has shown that receiving the vaccine significantly decreases the rate of shingles in the population (NINDS, 2013; PubMed Health 2012).

Treatment

Antiviral medications (such as Acyclovir) are used to treat shingles, but must be given within 48 hours of the eruption of the lesions. Topical ointments may help with pain and itching. Pain medications, particularly acetaminophen (Tylenol), are appropriate for pain management in older adults. If a fever is present, rest and drinking plenty of fluids is suggested. Persons with pain that lasts past 6 weeks after the skin lesions are gone and that is described as sharp, burning, or constant require re-evaluation by a physician. Postherpetic neuralgia may be a long-term complication lasting years (PubMed Health, 2012).

The person should be advised to seek medical attention as soon as he or she suspects shingles, in order to receive the best results from Acyclovir. The virus will run its course, but the person is contagious while vesicles are weepy. Persons should not have direct contact (even clothing) with pregnant women, people who have not had chicken pox, other elderly persons, or those with suppressed immune systems. The older person with shingles may experience concerns with pain management and feel a sense of isolation, particularly if they live alone. Arranging for a family member or friend who does not have a high risk of infection to check on the older person at home is advisable.

Visit the National Institute of Neurological Disorders and Strokes (NINDS) for an informational page on Shingles at: http://www.ninds.nih.gov/disorders/shingles/shingles.htm

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 Kristen Mauk|2023-09-30T17:19:47-05:00October 16th, 2023|Dr. Mauk's Boomer Blog, News Posts|Comments Off

Carbon Monoxide Poisoning

By Jim|2023-09-30T17:18:27-05:00October 10th, 2023|News Posts|Comments Off

Guest Blog: Money-Saving Tips for Senior Living and Care

Many people are looking for ways to save money these days, especially for senior living and care. Many seniors live on a fixed income that may not cover all their expenses at home or assisted living facilities. This article will provide you with some helpful tips to help you save money while also giving your loved one the best possible care.

Stay Informed about the Costs of Senior Living and Care

By staying informed, you can help to save money. For example, if your loved one is considering a care facility or an assisted living community, be sure that they have researched costs. If possible, try to get as many competing bids as possible before deciding where your loved one will live. This way, you will find the best care and living situation at a price that fits your budget.

Keep Track of All Essential Expenses Related to Senior Living and Care

A critical element of saving money is keeping track of all expenses related to senior housing services, such as meals, hygiene products, or other needs. For example, it might be helpful to create an excel spreadsheet with columns where essential items can be tracked so that there are no surprises when bills come in each month. Include sections for medicine since many seniors need prescriptions regularly. They may also have high costs attached depending on what medications your loved one requires for their health.

Do Not Overlook Small Necessities that are Often Forgotten about When Budgeting for Senior Care Expenses

Often, there might be small things like a magazine subscription or basic cable television service. Most seniors will not consider including them when budgeting their monthly expenses because they do not see them as necessary. However, these costs can add up over time, and you want your loved ones to have everything they need at an affordable price.

Supplement with Home-Delivered Meals and Other Services that can Help to Save Money on Senior Living Costs

Consider home-delivered meals or help with daily activities like bathing, cooking, and cleaning. These types of services might be too expensive for you. But if your loved one already has these items included in their monthly expenses, or they will pay extra. You can help them save money by having a local service come to the house instead of taking your loved one out for food each day. This way, they will not have additional transportation costs attached, which could cut into their budget. If possible, try looking around locally since it may cost less than other options depending on where you live geographically.

Find Additional Savings Opportunities by Volunteering at a Local Senior Living Facility

One way to save money is to find ways where you can help for free. One option might be to volunteer at local senior living facilities each week or month in exchange for helping the staff complete their daily tasks, such as cleaning rooms, organizing supplies in storage closets, or assisting with administrative work like filing paperwork. Thus, they may allow you access to amenities that would need an additional fee if paying customers were using them. This could include swimming pools, hot tubs, or other entertainment options that residents enjoy during some of their downtimes.

Ask About Additional Senior Living and Care Options to Save Money on Expenses

Another way of finding additional savings opportunities is to ask about senior living options beyond what your loved one currently has in their current budget. For example, if they are paying for meals but do not need them. Why? Because they have friends or family that come over every day that provide food, you could inquire with the staff at the facility about moving into a private room instead. Thus, your loved one can save money by having more space without needing another person sharing it with them all the time. Alternatively, if an assisted living environment is too expensive, your loved one needs help because of chronic pain or difficulty moving around. Then you could ask about having a private nurse come by to assist them instead of hiring someone on staff at the facility.

Make Sure Your Loved One is Receiving All Senior Care Benefits Which Are Available to Them

Even if they have already moved into senior living services. For instance, you can consult with an estate planning law firm in Los Angeles for assistance. Additional benefits may include property tax exemptions, energy assistance programs, and financial planning services available through local government agencies. This could help your loved ones save money on their monthly expenses, even if it’s not something that they need at the moment. You may take advantage of these benefits for them by helping with paperwork or verifying eligibility requirements before filing a claim form so that there are no delays in receiving assistance when needed later down the road.

Final Thought

One of the best ways to save money as a caregiver is by being proactive and continuing to look around. Whether asking new questions about their senior living options, check with local government agencies for additional financial relief programs. There are always more opportunities out there waiting to be discovered to allow them to live comfortably without breaking the bank.

By Jim|2023-09-30T17:18:11-05:00October 8th, 2023|Dr. Mauk's Boomer Blog, News Posts|Comments Off

Guest Blog: 5 Things You Should Never Expect From Assisted Living Facilities

Eldercare homes are all about the care and comfort of senior citizens. The best ones, like Whittier, assisted living offers physical and mental treatment to their elder residents, which is always lacking in other places.

Regardless, there are some things you should know before you consider visiting or living in assisted living facilities (ALFs). Here are five things that these facilities should never give you:

1) False promises

Most older people have a certain set of the idea when it comes to assisted living. They expect warm bedding, lavish meals, a luxurious atmosphere, expert doctors on call at any time of the day, 24/7 security services, along with so many other benefits. But in reality, ALFs can provide nothing more than regular nursing homes do.

The fact is that assisted living homes are not here to make false promises. They put down everything in writing, so you know what to expect from the place before moving in. Look for an ALF that has all its promises documented with legal documents.

2) Flowers and chocolates on your birthday

We all like flowers and chocolates on our birthdays, who doesn’t! But residents of ALFs don’t receive these things as often as they might like because it’s simply not practical. It does happen now and then, but nothing more than that.

ALFs provide basic amenities like food, water, electricity, clothes, etc., but they do not spend money on frivolous things like providing flowers and chocolates on your birthday. So if you are looking for a place that cares for the tiny details, ALFs might not be the best choice.

3) Luxurious furnishings throughout

Another misconception about assisted living homes is that they provide residents with luxurious furniture throughout the facility. But nothing could be further from the truth. It’s just not possible to have luxury furniture in all parts of an assisted living home. Some places might have it, but that’s just because their owners are very generous.

You should know that older people find it challenging to move around, so having luxury furniture everywhere in an ALF makes no sense. Leave expensive things like designer chairs, couches, etc., at home or buy them for yourself if you need them. ALFs provide basic amenities, and you must get the things you think are essential.

4) A daily visit from a doctor or nurse

When you check into an assisted living facility, one of the most significant benefits is round-the-clock security with trained staff members who can help whenever they are needed. But this does not mean that there will be a full-time medic on duty.

ALFs employ doctors who come in on a weekly or monthly basis, depending on their availability and the requirement of residents. So make sure to find out how often a doctor will visit before finalizing any place for yourself. If it isn’t made clear, ask questions till you get all of the answers.

5) 24-hour internet connection

The idea of ‘wired town’ cannot be implemented in ALFs because it’s simply not possible to do so. Some places might have a wifi facility, but it won’t work throughout the day; there will be certain timings when it works and times when it doesn’t.

Even if you get a place where the wifi does work, then you should know that there is no guarantee that everyone in your family will be able to use it at all times. So before you decide for yourself, make sure to ask these questions: What time of the day will I be able to use the internet? Will my children also be able to access the net? Will I be able to use it after 8 pm?

Wrapping Up!

The only important thing is that you should check every facility and promise through legal documentation. DO NOT take any verbal promises for granted; there might be a miscommunication that can cost you your money and peace of mind.

If you think about it, there’s no way that a care facility can be perfect all the time because they’re dealing with older adults who cannot always do things by themselves. Like we mentioned above, your loved one will probably never become a completely different person due to the aging process. However, even if they do, there’s still bound to be problems when it comes to them doing what they’re told (i.e., not eating when it’s time for dinner).

I’m not saying that every facility out there provides atrocious care – most of them do try their best to make life comfortable for their residents – but keep in mind that humans are only human. Mistakes will be made, accidents will happen, and sometimes they’ll be forced to cut corners when they can’t afford something – it’s just the way life is, so don’t expect perfection.

By Jim|2023-09-30T17:17:44-05:00October 6th, 2023|Dr. Mauk's Boomer Blog, News Posts|Comments Off

Why Companion Care is More Important than You Think

Many seniors admit that as they grow old, they prefer to settle down and stay rooted. Aging in place has its benefits, but some family members might be concerned about the state of their elderly loved ones in such cases. Concerns such as house chores, safety, and general isolation are a problem for these situations. In such cases, it may be time to consider companion care.

Companion care is a type of long-term care tailormade for seniors and tackles many of the challenges of living alone as an elderly person. Today, we’ll talk about the benefits provided by companion care, and why it’s so important for the elderly to have someone taking care of them.

Independence

A helping hand does not mean an elderly person becomes even more dependent. If anything, companionship actually enhances the feeling of independence. The fact is that as we grow old, we become less capable of doing self-sufficient activities such as driving or sports. Some family caregivers may also start losing their sense of freedom, as all their time becomes dedicated to their aging family.

A companion reduces all those worries. With a companion, the senior now has someone who can watch over them as they go about their daily life. They don’t have to be stuck at home because now, someone is around to watch them. Family caregivers also lessen their stress because they share the responsibility with a professional. In turn, this makes the elderly family member feel less guilty.

Strong social bonds ensure that an elderly individual continues to be happy and active, even in the twilight of their life.

Companionship

Unsurprisingly, something called companion care provides this benefit in spades. Social connections are important in raising the self-esteem of the elderly. A companion lets your senior loved one enjoy the big and small things with a friendly companion.

It’s a minor benefit to some, but people severely underestimate how much having someone with you improves one’s mental health. A companion assists your loved ones by teaching them important self-care rituals such as meditation, massage, and morning hygiene.

Validation

A lot of elderly people dread the fact that the world is passing them by. They operate under the false assumption that they are nothing but a burden, and for those suffering from diseases such as Alzheimer’s, this feeling is doubled in their moments of lucidity. The fear of being a burden only strengthens with every passing year.

A companion alleviates all those issues. In addition to helping the elderly’s quality of life, they also provide a comfortable presence for them. Depression in advanced age can be prevented by someone simply being in a home with the person. Companions communicating with your senior family member means they will always feel seen and heard.

For example, if a senior family member performs an accomplishment, such as succeeding at a difficult hobby or task, the companion is there to provide them with emotional support. Validation is a powerful thing because no person wants to feel alone.

Comfort

For the elderly, sudden change can be incredibly upsetting. Moving to a new place, their children leaving to start their own lives, and a plethora of other life stuff could be very detrimental to their mental state. Anxiety, fear, and depression are common for lonely senior citizens. Thus, most senior citizens prefer the comforts of settling down.

Companionship in a familiar place, such as a family home, leads to many benefits. Familiarity, comfort, and safety are only some of the benefits that come with staying in one place with a companion to care for them. Practically, it’s usually financially viable as there are no moving costs and also means they stay close to the friends they have made in the neighborhood.

Peace of Mind

Lots of family members may be concerned about leaving their elderly loved ones alone. Many senior adults do not like the idea that they make their children/younger family members feel “guilty” for leaving them. For the family who does choose to become caretakers, feelings of bitterness and depression may also ensue. Some cannot shoulder the anxiety of not having 100% of their time belong to them.

Hiring a companion fixes a lot of these issues. Some may balk at this idea as shoving responsibility of a loved one onto someone else, but that is simply untrue. Having your own free time is also important in caring for your loved one. They would not enjoy the idea of being your anchor (in the negative sense).

In addition, companions are trained exactly for this purpose. Certain things that you may struggle with are not a problem for a professional companion. They are trusted to give all of their focus to your loved one.

Conclusion

Companion care is a beneficial decision. The benefits above clearly outline why companion care should not be set aside as a “half-measure” in taking care of your elderly loved ones. Companions enhance your loved one’s life, and they are NOT a replacement for you. Make sure that you still visit your senior loved one regularly, and stay in contact with their companion for updates.

By Jim|2023-09-30T17:17:23-05:00October 4th, 2023|Dr. Mauk's Boomer Blog, News Posts|Comments Off

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