Common Traits of Longevity

What do the longest living people

in the world have in common?

They say that it is the little things that matter most in life.  That is true especially when talking about the secrets of longevity.  Apparently it is the small details of daily living that add up to a healthier and longer life.  That is what the people at National Geographic discovered when they tried to explore the secrets of longevity among various people and cultures.  While looking for the common traits in lifestyle among the longest living people on the planet, they discovered certain similar practices which could be considered a formula to living a longer life. 

There are areas of the planet where people tend to enjoy longevity.  People there reach the age of 100 at extraordinary rates and reach these ages enjoying   amazing health  and strong cognitive capabilities.  The places have been geographically and demographically defined as the Blue Zones.  Blue Zone places like Greece, Nicaragua and Japan can teach the rest of the planet how to live a long and healthy life.  In the book, “The Blue Zones: Lessons for Living Longer from the People Who’ve Lived the Longest”, Dan Buettner maps out some common traits shared be these groups of people.

Lifestyle of Food

Diet is key to longevity.  Those who live in the Blue Zones share the same foundation in their diets. They all get the bulk of their protein from beans rather than meat.  High consumption of proteins from animal products can increase mortality levels by 70% and greatly increase the risk of getting cancer.  The Blue Zone centenarians eat beans, grains, fresh fruits and vegetables on a daily basis and enjoy small amounts of meat only a couple times a month.  They also drink a little wine daily which brings high levels of polyphenols and antioxidants into their diets. They live much longer than average with just a fraction of the current rate of dementia in their elderly years.

Lifestyle of Motion

People who live to the age of 100 and older are engaged in physical activity throughout their lives.  They don’t actively take part in exercise like per se but their lifestyles are set up so they are constantly in motion either through walking, gardening or doing household chores, mostly without the aid of modern conveniences.  Their daily chores keep them fit because they do them the old fashioned way: walking to the stores instead of driving, kneading bread instead of buying it sliced and packaged, planting, watering and weeding a vegetable garden…. These daily tasks create unconscious physical activity which carried out over a lifetime leads to a fit and healthy body.

                                                                                         

Lifestyle of Purpose

Having a sense of meaning or purpose in your life can add up to 7 years to the average lifespan.  The people living in the Blue Zones focus on family and relationships.  They live with or near their adult aged children and help raise their grandchildren.  They are deeply involved in the daily lives of their family because they all live, work, eat and play together.  Having a deep sense of purpose and involvement with the people you love adds years to a lifespan. 

Lifestyle of Community

Those living in the Blue Zones have a real sense of belonging to their community.  They share a commitment to social network that they have built over a lifetime.  Most live in a village setting with people they grew up with and have known for years.  The concept of being lonely, which can take 8 years off average life expectancy, would be hard for them to understand.  In addition the bulk of the centenarians are involved in a faith based group of some kind. A deep religious faith and connection to other faith based people can add up to a decade in life expectancy.

Taking a lesson from lifestyles found in the Blue Zones and adapting them to our daily lives can be a challenge but is well worth the effort.  Aging cannot be helped but how you live as you age can make an amazing difference in the quantity and quality of the years you enjoy.

www.homeaidhealthcare.com

www.prairiehomeassistedliving.com

Kate McCarthy is Director of Operations for HomeAid Health Care which provides services for the elderly who wish to remain safe and independent at home.  HomeAid is sister company to Prairie Home Assisted Living which has served the physical, spiritual, mental and health needs of their residents since 1999.  Together the two companies provide comprehensive care for the elderly in the Fox Valley area of Wisconsin.

Sources:

“Here are the Secrets to a Long and Healthy Life” by Simon Worrall, National Geographic. April 12, 2015.

“The Blue Zones: Lessons for Living Longer from the People Who’ve Lived the Longest” by Dan Buettner.

National Geographic, 2009.

“Top Lifestyle Changes for Older Adults to Live a Longer, More Enjoyable Life” by Derek Jones, April 4, 2016.

Living with Urinary Incontinence

The loss of bladder control can be embarrassing

 and is a common problem among the elderly.

Joe tends to avoid company.  His peers think of him a crotchety old man and usually  give him his space.  His demeanor discourages close contact.  But all that is a guise Joe maintains to keep people at a distance.  Joe suffers from urinary incontinence and is embarrassed by his condition. 

A cough, sneeze or just laughing out loud can trigger it.  Urinary incontinence is a common problem for many people, not just the elderly, although it becomes more of an issue with age.  It is a topic which is difficult to talk about with family, friends or even a doctor.  The wetness, odor and the constant need to change clothing can be very embarrassing. 

What is Urinary Incontinence?

Defined as loss of bladder control, the term urinary incontinence covers anything from the occasional leaking of urine to the inability to make it to the toilet in time. These incontinence episodes can occur any time, even when asleep in bed. 

There are five types of urinary incontinence.

• Stress Incontinence – Pressure on the bladder from coughing, sneezing, exercising, or lifting heavy objects.
• Urge Incontinence – an urge to urinate is followed by involuntary loss of urine.  This is often caused by infections or more serious conditions such as neurologic disorders or diabetes.
• Overflow Incontinence – a constant or frequent dribbling of urine due to the bladder not being able to completely empty. 
• Functional Incontinence – a physical impairment, such as limited mobility or severe arthritis, which prevents getting to the toilet in time. Mental impairments, such as inability to recognize the need to get to the toilet are also considered in this category.  
• Mixed Incontinence – a combination of two or more types of insentience.

Factors which increase development of Urinary Incontinence

There are several factors which play a role in developing an incontinence problem.

• Gender – Women are more likely to have Stress Incontinence due to the physical effects of pregnancy, childbirth and the female anatomy.  Men with prostate gland problems have an increased risk for Urge and Overflow Incontinence
• Age – Unfortunately age causes the muscles around the bladder and urethra to lose strength.  With age the bladder reduces the amount it can hold and increases the likelihood of incontinence.
• Being Overweight – Carrying extra pounds can increase the pressure on the bladder.  The muscles surrounding the bladder can weaken and allow the urine to leak when coughing or sneezing.
• Diseases – Neurological disease or diabetes may increase risk of incontinence.  In addition a Urinary Tract Infection (UTI) and constipation can also aggravate the problem. 
• Diet – Temporary incontinence can be caused by certain drinks, foods or medications.  The diuretic stimulants which can increase the volume of urine in the bladder are alcohol, caffeine, decaffeinated coffee or tea, carbonated drinks, artificial sweeteners, corn syrup, foods high in spice, sugar or acid (especially citrus fruits).  Heart and blood pressure medication, sedatives and muscle relaxants also are diuretic stimulants as well as large doses of vitamin B or C.

Complications of Chronic Urinary Incontinence

Incontinence can greatly affect a person’s personal life by its negative influence on social, work and personal relationships.  Skin problems such as a rash, infections and sores can also develop from constantly being wet with urine.  Incontinence also increases the change of repeat UTIs and can aggravate constipation.

Overcoming Urinary Incontinence

It is important to seek medical advice if urinary incontinence is a frequent concern or is having an effect on the quality of life. Before speaking to a physician:

• Start a journal to track symptoms and frequency of incontinence.  Keep notes about what was happening at the time of the incident, i.e. laughing, lifting groceries, or sleeping.
• Make a list of all medications being taken.   Multiple physicians may prescribe medications and there is always a possibility of negative interactions from various pharmaceuticals.   Be sure to including over the counter pills.  The doctor will be able to look at all the medications being taken to see if there if incontinence is a side effect from one or a combination of medications.
• Track the kind of foods being eaten and how much fluid is consumed daily.
• Provide a brief health history and compile a list of questions to ask the physician.  It is sometimes helpful to bring along a friend or family member to take notes and help remember what the physician said.

Giving as much information as possible to the physician helps with getting the correct diagnosis and making a plan of action to correct the problem.

What to expect from the physician

The physician will review the information provided and ask questions to get a complete picture of the problem.  Possible questions that could be asked are:

• How long has urinary incontinence been a problem?
• Are there any issues when trying to empty the bladder?
• When is the problem most noticeable?

The physician will do an examination, order blood work and/or radiology testing and could recommend a specialist called an Urologist.  Those who suffer from urinary incontinence often experience different symptoms and may receive a variety of treatment plans.

For most people simple lifestyle changes combined with some medical treatment can ease the discomfort and stop the problem of incontinence.  It is a difficult topic to speak about but gathering information and taking steps to control the problem can lead to a happier and healthier life.

www.homeaidhealthcare.com

www.prairiehomeassistedliving.com

Deb Hintz is Assistant to the Director for HomeAid Health Care. HomeAid provides services for the elderly who wish to remain safe and independent at home.  HomeAid is sister company to Prairie Home Assisted Living which has served the physical, spiritual, mental and health needs of their residents since 1999.  Together the two companies provide comprehensive care for the elderly in the Fox Valley area of Wisconsin.

Hoarding Troubles

What looks like clutter to us, represents

 memories, travels, friends and love to seniors.

Charlie was a young boy during WWII and like many of his peers he remembers how it was to make do.  He tended to keep things just in case he might need them down the road.  Yet a lifetime of storing things became something far more than being frugal when his wife passed away.   After Marge’s  death the stuff accumulating around the house grew into more than just piles of clutter.  There were newspapers, old pill bottles, and empty food containers covering every flat surface, heaps of dirty laundry on the bed and floor and no clear path to move from room to room.  Clutter took over Charlie’s home and started to have a negative effect on many aspects of his life.

The hoarding of objects among the elderly is a serious problem.  Piles of hoarded objects can be a sign of a serious cognitive disorder and present a safety concern which requires immediate intervention.

Hoarding as a disorder

We all keep things.  For some, the item has sentimental value and for others it is about a possible need in the future, but often times the elderly keep things because they suffer from a cognitive disorder.  Diogenes Syndrome is a type of obsessive-compulsive disorder which is prevalent among the elderly.  It often presents itself in those suffering from dementia or frontal lobe impairment.  According to the American Geriatrics Society, Diogenes Syndrome is usually characterized by extreme self-neglect, household squalor, social withdrawal, apathy, compulsive hoarding of rubbish and a lack of shame.  This syndrome is usually found in people who lack social interaction and cognitive stimulation, have suffered a traumatic event or have a genetic predisposition to the condition. The elderly are prime candidates for hoarding prevalent in Diogenes syndrome. 

Those who suffer from elderly hoarding tend to use their possessions as a coping mechanism.  The onset of this condition can be triggered by an emotional trauma, like the death of a spouse.  The elderly person has a hard time dealing with their loss and so fixates on something they can control.  The disorder is also associated with those suffering from fear of loss, anxiety and depression.  In some cases hoarders just don’t know how to get rid of their unwanted possessions.  In other cases the collected items are kept out of sense of loyalty to the past or a compelling need to conserve.  No matter what is the underlying cause of hoarding, the accumulation of things over time combined with the daily bombardment of junk mail, bills, newspapers, dirty dishes and laundry can very easily become too overwhelming for the elderly to deal with. 

Risks of Hoarding

Having clutter around the house is risky for the elderly. Piles of newspaper and old books not only represent a potential fall risk but can add fuel to a fire.  Old clothes lying about on the floor invite damp, mold and mildew into the home.  Dirty dishes and expired food in the cupboard lure mice, rats and insects.  Piles of mail could hide important documents, unpaid bills or checks that need to go to the bank.

 

Hoarding not only creates anxiety, stress, guilt and embarrassment for the elderly but often destroys relationships with family members.  Adult children have a hard time trying to convince their elderly loved ones to allow them to sort through things and throw the junk away.  Relationships are strained and isolation becomes more of an issue when family stays away due to the unhygienic state of the home. 

What to watch for

Sometimes it is hard to recognize and label the problem as Diogenes syndrome.  Since confronting this issue can be difficult for family members, it is helpful to know what signs indicate a real problem. 

• Piles of clothes, newspapers, mail and unpaid bills
• Difficulty navigating safely through the house
• Frustration with sorting and organizing
• Difficulty managing activities of daily living
• Expired food in the refrigerator and cupboards
• Closets and drawer crammed with things
• Compulsive shopping
• Difficulty with discarding items
• Stroke or signs of dementia
• Loneliness

Helping an elderly loved one who is struggling with hoarding requires a lot of patience.  Bombarding the home with a ‘get this done today’ attitude or secretly clearing out things behind the hoarder’s back can only aggravate the stress in their lives.  It is important to remember that the house didn’t get this way because of poor housekeeping skills.  A hoarder is suffering from a disorder and needs emotional help before they are ready to toss anything. 

What to do to help

Experts suggest taking on small areas at a time.  Help an elderly loved one clear off a table and then praise the results.  Suggest donating items to a local charity or thrift shop.  Remind that safety in the home is important to being able to remain independent at home.  Work out an agreement of not keeping unused things for more than 6 months.  Clutter is about control and hoarders have a hard time letting things go, but allowing them to decide where things go can be very helpful.  Don’t think that once the house is clean, the problem has gone away.  Hoarders will continue keeping things and the place will slowly fill up again unless the underlying emotional issues are dealt with and there is practical help in keeping the clutter at bay.

www.homeaidhealthcare.com

www.prairiehomeassistedliving.com

Kate McCarthy is Director of Operations for HomeAid Health Care which provides services for the elderly who wish to remain safe and independent at home.  HomeAid is sister company to Prairie Home Assisted Living which has served the physical, spiritual, mental and health needs of their residents since 1999.  Together the two companies provide comprehensive care for the elderly in the Fox Valley area of Wisconsin.

Vulnerable Seniors - Substance abuse among the Elderly

The most common forms of elderly addiction are

alcoholism and painkiller dependency.

It's not something you often hear about, but the elderly of America are increasingly at risk of becoming addicts [1]. Our notion of seniors doesn't tend to fit with our viewpoint of addicts - I'm willing to bet that you raised an eyebrow at the first sentence - but the problem exists nonetheless, and is growing. The most common forms of addiction are alcoholism and painkiller dependency - both of which can be just as devastating for seniors as younger people.  

Stereotypes

Stereotypes can be a major obstacle in all areas of drug rehabilitation [2], but it's particularly relevant when it comes to seniors. Typically seniors aren’t what is pictured when we think about addicts. In fact, if asked to describe the stereotypical antithesis of an addict, a nice old lady is probably what you'd come up with. This kind of attitude frequently leads people to miss the warning signs of a growing substance dependency.  It may even lead them to unwittingly encourage substance-abusing behaviors.

"Oh go on, Granny, have another glass of wine!"   Well meaning people often encourage addictive behavior with the belief that they are not likely to be adding to an existing problem or it can’t do their elderly loved one any real harm anyway. There is also a prevailing belief that seniors should be allowed to indulge their taste for alcohol, or pop an extra pain pill if they want to. The general attitude is that the elderly are old enough to have 'earned it’.   There is also the misconception that the elderly are too old for an addiction to really damage to their lives.

For seniors themselves, there is an attitude that they don't have to worry too much about their bodies any longer, so indulging a bit really won’t hurt them.  Relying on a former self-image of living a sober lifestyle may cause some Elderly to miss the signs that an addiction has taken hold.  The belief that they are not the kind of people who abuse substances makes it all the easier to 'let themselves go'[3].  

Loneliness and Boredom

As we age, many of us may find ourselves more isolated than we used to be. Too many seniors find themselves living excruciatingly lonely lives.  Loneliness is incredibly bad for anyone's mental health, but it can be especially damaging to an older person who may need human stimulation to keep their mental faculties active. Coupled with grief, which often affects seniors as they lose friends and loved ones, the recipe for a slide into depression-related addiction is a potent one. Loneliness has been proven to have a strong association with alcoholism in many studies [4] - particularly when, as is often the case with retirees who live alone, it is coupled with an excess of free time and boredom. Grief and depression may also trigger comfort drinking, or encourage a growing reliance upon the emotional numbing effects of opioid painkillers.

Opportunity

Older people are a lot more likely to be on medication than younger people, which unfortunately gives them a lot more opportunity to become addicted to prescription drugs. Prescription drug addiction is an enormous problem within the United States, taking more lives on an annual basis than heroin and cocaine combined. Many of the painkillers prescribed to our seniors are opioids, just like heroin, or benzodiazepines, which affect the central nervous system. They're powerfully addictive, and a vast swathe of our population is currently in the grip of prescription drug dependency, to which many lose their lives [5].

Most addicts stumble accidentally into addiction, assuming that pills given to them by a doctor can't be bad.  The often get hooked by upping their doses by increments in order to help them 'get by' on 'bad days'. In the case of seniors with cognitive impairment, a dependency can be developed by forgetting having taken the medication and accidentally repeating dosages. Alternatively, even non-addictive prescription medication can interact poorly with alcohol, thus contributing to other dependency issues. And the fact that the symptoms of addiction often mimic symptoms which we generally associate with old age [6] and its related illnesses means that often these addictions are not recognized until it is too late.

What Can We Do?

So how can we help our ageing loved ones to steer clear of the addiction trap? If you have concerns about an elderly loved one's inclination towards addictive substances, keeping an eye on worrying behaviors is the best way to confirm any suspicions. One excellent way to help is to remove the burden of loneliness, boredom, and grief by providing emotional support, visiting regularly, and providing them with plenty of human stimulation.  Keeping an eye on drinking habits and any medicines they're taking is also a good idea. Taking an interest in their health and emotional state can work wonders in preventing a problem from developing!

A home health Caregiver can also be an enormous boon in this situation. Not only will a medically trained Caregiver keep track of what your loved one is taking and when, they'll also be on hand to pick up on any worrying symptoms and trends within their lives.

Addictions can ruin a person's golden years - but good health, both physical and mental, will make the elder years a time of joy.

www.homeaidhealthcare.com

www.prairiehomeassistedliving.com

Mel Higham is a writer and editor with a special interest in mental health and wellness.  As a guest writer for HomeAid Health Care’s Elder Topics, Mel brings her expertise to our audience.

HomeAid is sister company to Prairie Home Assisted Living which has served the physical, spiritual, mental and health needs of their residents since 1999. Together the two companies provide comprehensive care for the elderly in the Fox Valley area of Wisconsin

[1] American Osteopathic Association, "Substance Abuse in Senior Citizens - A Serious Problem"

[2] Bruno Gnaneswaran, "Shattering Society's Stereotypes Of Drug Users", Concrete, Jan 2013

[3] Rita Milios, "Seniors and Substance Abuse: The Invisible Epidemic", Recovery.org, Sept 2015

[4] Igemar Akerland, Jan Olof Hornquist, "Loneliness and alcohol abuse: A review of evidences of an interplay", Journal of Social Sciences and Medicine, Feb 1992

[5] Centers For Disease Control And Prevention, "Injury Prevention And Control: Prescription Drug Overdose"

[6] Medical News Today, "All About Addiction"

Sibling Troubles Revived

Caring for aging parents can revive

relationship troubles between siblings.

You grew up together.  You learned, played and fought together as children and were the best of friends and the worst of enemies all at the same time. You know your brothers and sisters well but now that your aging parents need their children to actively help them, you may find working with your siblings to be far more difficult than you ever imagined.

Martha‘s mother recently passed away.  When looking back at the whole experience, Martha could say she was now at peace with it but deeply regretted the relationship damage that took place with her brother and sisters during the months leading up to her mother’s death.  Conflicts over large and small issues drove a deep wedge between the siblings.  There was bickering over medications and doctor appointments.  There was squabbling over spending time with mom.  There was quarreling over who was to help with specific tasks.  There were out and out fights over expenses. It was like all the adults in the family reverted back to childhood battle lines and no one was fighting fair.

United in crisis

Ideally, siblings will unite and work together to care for their parents when they are ill or become too frail to care for themselves.  Yet in real life it is often a crisis that suddenly forces siblings to unite to provide care for an aging loved one.   These crisis situations trigger a lot of family friction.   Conflicts are made worse by brother and sister’s fine-tuned ability to push each other buttons and relive childhood rivalries.  Arguments over care sap the strength out of the family at the time when their parents need them to work together.  It is also very upsetting to the aging parents who depend on their children for help. 

To avoid conflicts siblings need to face the fact early on that they will someday be called on to care for their aging parents.  Preventing disputes over how best to provide that care is ideally done long before any care is needed.  Sitting down with parents before any care issues arise and discussing the realities of aging is the first step to keeping the family intact and working together through the care years later on.

Talk it out ahead of time

Long before the need exists, when the adult children are in their 40’s and the aging parents are roughly in their early 70’s, have a serious talk about the future.  Gather the family and openly discuss the possible scenarios of the parent’s future care needs.  It may feel premature and a bit morbid to discuss your loved one’s mortality, but it is foolish to pretend they will not age or face health issues someday.  Most people avoid this uncomfortable discussion and wait until a crisis forces the issue and then they must make quick decisions which often lead to mistakes, conflicts and frustration.  It is wise to talk about the parent’s wishes and how they could be honored so the entire family has a framework for the future.  Having a general care plan in place will go a long way if a crisis hits and also will serve to lay the ground work for future long term care. 

Figure out who will do what

Recognizing off the bat that the division of labor will never be perfectly fair, discuss among the siblings who could do which tasks and how much money each would be willing to pitch in to pay for care if necessary.  Try to roughly divide up the responsibilities according to ability.  Sketch out a game plan that all members of the family can theoretically agree to. Don’t assume that since you were all raised in the same family that you naturally agree on what is best for mom and dad.  There will be some emotionally intense moments when you will not agree at all and these will test your bond as siblings, so try to define roles and rules ahead of time to ward off extra conflict.

Gather all the important documents

The sibling(s) with strong organizational and finance skills should be appointed the Power of Attorney for finances by the parents.  Everyone in the family should have a clear understanding of under what situations that power would be activated and what tasks the Power of Attorney will take care of.  This sibling should know where all the money and accounts are kept as well as all the insurance and investment paperwork. Once activated, the POA of finance should gather the titles to the house and cars, safety deposit boxes, keys and passwords for all accounts. They should review any long term care insurance and all other insurance policies your parents have set up and understand the fine print about what is covered and how it will be covered.  The sibling in charge of finances will take care of organizing all the important paperwork, arrange the payments for all bills and should keep the rest of the family informed.  The POA of finances will become knowledgeable about their parent’s financial details and be able to manage the available money to cover care and end of life costs.  They will be responsible for exploring public assistance options if the funds run short. 

Health Care Decisions

As parents age, their health care becomes an increasing concern.  From managing their medications and doctor appointments, to helping with mild cognitive issues to working out end of life care, the amount of decisions can be overwhelming.  The sibling who has been appointed POA of health care will have their hands full once their power has been activated.  If the aging parents were clear about their health care directives and where they wish to be when full time care is needed, then the many decisions will not be such a major source of stress.  Yet even with clear guidelines in place there will be many health care issues where conflicting opinions between siblings cause stain.  One family set a rule that the sibling present at the moment gets to make the decision and, once made, it cannot be second guessed.  Even though all agreed to this rule in the beginning, the siblings found it quite difficult to abide by.  Again, it is having a clear understanding of the roles and rules between siblings that make the care years easier to manage. 

With long term family ties, a little grace will go a long way, especially when stressful situations demand a unified working cooperation.  Know ahead of time that all decisions regarding the aging loved ones will not be unanimously accepted but agree to disagree nicely for the sake of the parents and future family relationships. 

www.homeaidhealthcare.com

www.prairiehomeassistedliving.com

Kate McCarthy is Director of Operations for HomeAid Health Care which provides services for the elderly who wish to remain safe and independent at home.  HomeAid is sister company to Prairie Home Assisted Living which has served the physical, spiritual, mental and health needs of their residents since 1999.  Together the two companies provide comprehensive care for the elderly in the Fox Valley area of Wisconsin.

What you need to know when you are the family Caregiver

Knowing what to expect can make it easier.

Providing care for an elderly loved one feels like the right thing to do.  Often family members grow into the role of Caregiver as their aging parents need more and more help.  A bit of yard work in the fall, help with spring cleaning, driving to doctor appointments and weekly trips to the supermarket are easy to accommodate and most families are happy to have the opportunity to help.   It is when the need for help becomes daily or reaches a point when your elderly loved one isn’t safe living on their own any longer, that families need to make some hard decisions.  Families will often slide into becoming their loved one’s full time Caregiver and then they find themselves providing care for their own young family and their aging parents. 

The Sandwich Generation

A term coined by Carol Abaya in the early 1990’s, the Sandwich Generation describes those in their 50s or 60s who are sandwiched providing care for their aging parents and their adult children and grandchildren. It is a challenging time period for these people as they have demands on their energy and resources from everyone in their family.  Many start out enthusiastic and excited about being able to give back to the one who had raised them, only to become burned out and bitterly disappointed at how their relationships, quality of life and energy levels have been destroyed.

For those who decide to take on the many responsibilities and demands of becoming the Caregiver for their aging loved ones, there are some basic tips which might make providing care easier

Know that you will have to make hard choices

Many don’t realize when they start out as family Caregivers that they are now have taken on the responsibility to make another person’s decisions.  Many times this makes the Caregiver the least favorite person in the family.  Having to decide on an endless list of health care issues, finances and quality of life decisions can be exhausting, but it is often compounded by your loved one not agreeing with what you think is best.  Siblings often add their 2 cents, making basic decisions a multi-leveled negotiation. Many elderly will resist getting input into major decisions believing their independence is being infringed on.  Often they are slow to consider the options and will put making any type of choice permanently on hold.  It is frustrating for those who provide care to be patient and respectful especially when deadlines are looming.

It is wise to have major decisions already determined before they become an issue.  Sit down with your aging loved one and discuss how they want their affairs handled long before they can no longer manage themselves.  Your loved ones can set up directives early which will take the pressure off of you to decide for them later in life.  Life is much easier when medical directives are in place, the will has been made, Power of Attorney for finances and health are set up and end-of-life choices have been decided.

Know that caring for an elderly parent is not like caring for a child

Remember that your aging loved one has lived an entire life before you even came into existence, so treating them as if they were another child is disrespectful and demeaning.  Expect there will be times when their behavior is as stubborn as a toddler’s, but do not respond as you would to a child.  Instead try to find out what is going on and give them the time to discuss their concerns and fears.  Do not expect your loved one to easily adapt to your schedule and ways of doing things.  They are probably pretty set in their ways and have every right to be so.  Also remember that they crave adult interaction and need to be included in your family’s normal life and activities, even if doing so requires a lot of extra effort on your part.  The last thing you want is to have them feel as if their presence is a burden and that they are isolated and lonely and just taking up space in your home.

Know that providing care can be uncomfortably embarrassing

Understand that as your loved ones continue to age, their need for assistance with personal care will increase.  This can cause embarrassment for both generations.  Helping with showering, dressing and toileting can be weird for the adult children of aging parents, but after a few times it will feel less awkward.  Trouble with incontinence and loss of body functions can make everyone cringe and for some it is just easier on relationships to have a professional Caregiver come in a couple times a week to help with personal cares.

Know that providing care will affect your other relationships

Being a Caregiver is a very demanding job.  It requires a servant’s heart at all times and usually without any recognition or thanks.  Most often it is the women in the family who take on this role in addition to all their other duties and responsibilities.  Being stretched to the limit, the family Caregiver will find relationships on all sides bearing the brunt of frustrations, exhaustion and weariness. Interaction between the aging parents and adult children can become strained, as well relationships with everyone else in the family.  People often imagine having multiple generations under the same roof will be wonderful, especially for the younger children.  They fail to realize that the aging have limited tolerance for noise and commotion and would prefer some space from the younger members of the family. 

Know that doctors are interested in prolonging life, not the quality of life

Doctors will be a primary source of information and help as your loved one’s health needs increase.  They are kind, caring and committed to your loved one’s well being, but their main concern is dealing with the physical concerns that prolong life.   This most likely will result in more and more prescriptions for medications, endless office visits and lots of tests.  As the family Caregiver, your job will be to facilitate the doctor orders, to manage the medications and interface between physicians.   It will fall on you to become your loved one’s advocate for health care concerns.  Yet your primary concern should be about making the final years and months comfortable and enjoyable.  Most elderly are far more concerned about quality of life over longevity and if often falls on the family Caregiver to ensure the quality of life through social interaction, conversation, easy projects and just being there to listen. 

Know that you will need help

Being a family Caregiver can be difficult and stressful, especially when providing care for an aging loved one is sandwiched in with all the other demands of life.  While in the midst of providing care, life can get so busy that it is difficult to see the toll that it takes on your energy, relationships and family.  Most families eventually realize that they need help.  Finding a professional Caregiver to come into the home a couple times a week makes an enormous difference.  Respite Care is another option that allows family Caregiver to get away and unwind. 

Families often naively believe that they can provide care for their aging loved ones with minimal stress or stain on their lives.  Since the end goal is enjoying a close and loving relationship with their aging loved ones, knowing what to expect can make it easier to avoid stressful problems for the entire family. 

www.homeaidhealthcare.com

www.prairiehomeassistedliving.com

Kate McCarthy is Director of Operations for HomeAid Health Care which provides services for the elderly who wish to remain safe and independent at home.  HomeAid is sister company to Prairie Home Assisted Living which has served the physical, spiritual, mental and health needs of their residents since 1999.  Together the two companies provide comprehensive care for the elderly in the Fox Valley area of Wisconsin.

Hydration for Health, Water for Life

Drinking water is a key element in

 maintaining health for the elderly

Wise up on water

Water is often overlooked as one of the six basic nutrients (along with carbohydrates, fats, vitamins, proteins and minerals) needed for positive well-being and better quality of life for the elderly. Water can make a valuable contribution to health in old age. As we get older our body’s receptor for thirst decreases. To stay hydrated do not depend on feeling thirsty. Thirst may not be a reliable guide to tell you when you're becoming dehydrated, especially for older adults.

Evidence for drinking water

Medical evidence shows that good hydration can assist in the management of diabetes, urinary tract infections, incontinence, constipation, kidney stones, heart disease, low blood pressure, cognitive impairment, falls, poor oral health, skin conditions, help prevent pressure ulcers, and many other illnesses.

Proper hydration will increase blood circulation to all vital organs including skin which will prevent and help heal pressure ulcers.  Drinking water will stimulate urination and help the body flush out bacteria. Drinking extra water will help stimulate the bladder for healthy bladder function; experiencing fewer incontinent episodes is one effective way to prevent urinary tract infections.  

Dehydration lowers blood pressure which causes confusion and dizziness. Dehydration is the leading cause of falls.  Balanced hydration is essential for the safety and efficacy of some medications. One class of medications affected by hydration status is the non-steroidal anti-inflammatory drugs NSAIDs (Aspirin, Ibuprofen, Ketoprofen, and Naproxen) which has the potential to cause kidney damage in response to dehydration.

Tips for Water Consumption

• A glass of water five minutes before standing will help stabilize blood pressure and prevent fainting.
• Drink a glass of fresh water when you get up in the morning.
• Have a jug of water readily available with thinly sliced oranges,  limes, lemons, and ice cubes. 
• Drink small quantities throughout the day. Drink water at mealtimes and also between meals.
• Eat  foods high in water content, such as fruits and vegetables
• Substitute hot caffeinated beverages for hot water with pieces of  fruit in it.

Questions

Is tap water safe to drink?

Yes. The United States water supply is completely safe to drink and of high quality.

Do I need to filter or treat my tap water before I serve it to drink?

No. The tap water you receive is carefully monitored, tested and is supplied ready to drink straight from the tap. Sometimes filters will polish the taste slightly, but the same effect can normally be achieved by leaving the water to chill in the fridge this will help take away any chlorine taste.

If I drink more water, will I have increased bladder function?

Yes, for a while, and that’s a very positive change. People will use the toilet more often if they drink more, and while there are perceived problems in the extra effort of more frequent visits, people also need to be aware of the serious ill-effects of not drinking enough and not going to the toilet often enough. Evidence shows, however, that the restriction of overall fluid intake does not reduce urinary incontinence frequency or severity.           

Start drinking early with a fresh glass of water. Promote the fact that water ‘flushes through’ the system and helps to prevent kidney stones, UTIs and constipation. Increased bladder function may also help reduce the need for additional medication.

What are the immediate benefits of hydration? 

Water is an essential nutrient and dehydration is a common problem for the elderly population. There is evidence that improving water intake:

• Reduces constipation and subsequent medication
•  Reduces confusion (with reduced risks of falls and fractures)
• Reduces headaches
• Reduces urinary tract infections
• Improves skin integrity and reduces the risk of pressure sores
• Improves blood pressure
• Reduces consumption of unhealthy caffeine, alcohol, soft drinks and sparkling drinks
• Reduces the cost of providing other commercial beverages. 

www.homeaidhealthcare.com

www.prairiehomeassistedliving.com

Susan Sherriff, CNA and an Occupational Therapy Assistant student, is a contributing writer to Elder Topics as part of a Marketing Internship.  As a member of the HomeAid Health Care team, Susan uses over 10 years of Caregiver experience to assist our elderly and disabled Clients who wish to remain safe and independent at home.  HomeAid is a sister company to Prairie Home Assisted Living which has served the physical, spiritual, mental and health needs of their Residents since 1999.  Together the two companies provide comprehensive care that meets the needs of the elderly and disabled in the Fox Valley of Wisconsin.

Sources:

http://my.clevelandclinic.org

http://www.mayoclinic.org/diseases-conditions/dehydration/basics/definition/con-20030056