How COPD Affects Aging And What Caregivers Can Do

how copd affects aging and what caregivers can do

Chronic obstructive pulmonary disease (COPD) affects roughly 11 million people in the United States and is now the third-leading cause of death by disease in this country. In a recent AJMC post (March, 2019), researchers stated, “It could be strongly argued that, due to the production of constant stresses that induce cell damage and eventual senescence, COPD might be directly responsible for accelerating aging, with all in untoward effects, rather than being a consequence of aging.”

This is important information for both patients with COPD and their caregivers to know, allowing care for those with COPD to follow a trajectory that is more closely in alignment with someone older than themselves, in order to provide the best quality of healthcare – and improved quality of life.

In addition to following medical recommendations for respiratory therapy, medication support, routine checkups, and various treatments, attention to diet, exercise, sleep habits, and social-emotional wellbeing can help combat the accelerated aging process associated with COPD.

A Shift From Hospital Care to Homecare Seems Inevitable for Those with COPD

In another study, targeting how to support home care for those with COPD, authors write:

Healthcare systems should support patients with COPD in achieving an optimal quality of life while limiting the costs of care. As a consequence, a shift from hospital care to home care seems inevitable. Therefore, patients will have to rely to a greater extent on informal caregivers. Patients with COPD as well as their informal caregivers are confronted with multiple limitations in activities of daily living. The presence of an informal caregiver is important to provide practical help and emotional support. However, caregivers can be overprotective, which can make patients more dependent. Informal caregiving may lead to symptoms of anxiety, depression, social isolation and a changed relationship with the patient. The caregivers’ subjective burden is a major determinant of the impact of caregiving. Therefore, the caregiver’s perception of the patient’s health is an important factor.

In most cases, informal caregivers (spouse, partner, child, grandchild) are the primary supports for those with COPD, and this dynamic relationship requires a thoughtful and diligent long-term health plan to optimize health and quality of life for the patient, while simultaneously supporting and facilitating strong, healthy relationships between patient and caregiver(s).

Improving Quality of Life and Health

Of course, the primary tenet in caring for someone with COPD is to ensure s/he observes:

  • Routine doctors’ appointments
  • Occupational or physical therapy appointments (including respiratory clinics and exercise classes offered by your local healthcare agencies to support respiratory health)
  • Taking prescription medications as prescribed

However, there are plenty of things you can do at home to promote better physiologic wellbeing, which directly translates to better mental and emotional wellbeing

Focus on an anti-inflammatory diet

Systemic inflammation is a byproduct of COPD, the result of respiratory tract agitation as well as declined respiratory function. Susceptibility to respiratory illnesses takes its toll on the immune system, which can further activate chronic inflammation.

Multiple studies have shown a correlation between specific diets and improved lung function in those with COPD. Diets that seem to have the best impact on preventing COPD, or improving lung/respiratory after a COPD diagnosis are those that emphasize:

  • Lean proteins
  • Lots of fruit and vegetables
  • Complex carbohydrates
  • Potassium-rich foods
  • Healthy fats
  • Minimal intake or elimination of processed foods and sugars

Researchers found anti-inflammatory diet models have multi-fold benefits for those with COPD and their caregivers.

Prevent dehydration (and focus on water)

Dehydration thickens mucus, which taxes the respiratory system. The Lung Institute states, “…drinking enough water can thin mucus and make mucus easier to clear out from the lungs.”By making water the hydration beverage of choice, those with COPD help to wash excess or thickened mucous through the system, rather than having to cough it up and get it out. And, it thins the mucus produced in the lungs and sinuses, making it easier to drain.

Read, Encourage Fluids to Keep Hydrated, for more information.

Keep moving – even if you’re house- or chair-bound

It’s hard to be motivated to exercise when shortness of breath or coughing are attached to physical exertion. Homebound patients with COPD can find ways to keep moving, even when more standard modes of exercise are no longer possible. Visit, Exercises For Homebound Seniors, for ideas on how less mobile seniors can safely exercise.

Provide independent access to activities, outings and social engagement

If COPD forces your spouse, parent or family member into early retirement, or requires a retirement from formerly-favorite activities, do all you can to support independence on your end. From creating more accessible living spaces that optimize safe mobility to setting up driving services or transportation options so your loved one can get around – the more engaged and active the person is in their own right, the better mental and emotional outlook they’ll have.

Respite Care is Key For Spouse and Family Caregivers

Finally, it’s essential that you create a respite care plan so your relationship as a caregiver doesn’t negatively impact your personal relationship. Get friends and family involved as much as possible. Don’t forget that respite care is also available from professional home care agencies, allowing you a day or two off per week – or a few hours off each day – so everyone gets the much-needed breaks they deserve.

HomeAide Home Care, Inc. is a licensed and experienced home care provider here in Alameda and the greater Bay Area. We have decades of experience supporting a positive and sustainable homecare plan for clients with COPD and their families. Contact Us to learn more.

Reducing Anger In Those With Dementia

reducing anger in those with dementia

Reducing anger can quickly become the number one issue for caregivers because while some individuals with Alzheimer’s or dementia remain content and amiable for the rest of their lives, others can seem as if they’ve experienced a personality transplant. After short-term memory loss, excessive anger, frustration, and even violence may be some of the most notable signs or symptoms of dementia. And, emotional outbursts may exacerbate over time. This is heartbreaking for spouses, family members and loved ones, as well as their immediate caregivers.

5 Tips For Reducing Anger & Aggression In Those With Dementia

Reducing anger and aggressive episode in those with dementia improves quality of life for the patient, as well as those who love them and are involved in their care plan. In cases where anger results in more serious aggression or violence, it is essential for the safety and wellbeing of all involved that you find a way to provide safe, 24-hour care.

Try to identify the root cause

Sometimes, it’s not dementia that causes the anger, but the inability to verbalize other triggers or factors. Knowing some of the most common triggers can help identify them – or avoid them –reducing anger as well as the frequency and intensity of angry episodes.

Some of the most common triggers leading to an angry outburst include:

Identifying and addressing these issues can go a long way towards soothing your loved one.

Remain as calm and compassionate as possible

Not easy to do, this tip is one of the most important. Your calm, slow and reassuring voice, gestures and actions (moving them to a quieter space, turning down loud volume controls, dimming the lights, etc.) de-escalate the situation. If you are unable to do this, take some deep slow breaths, or a time out (assuming the patient is safe/secure where s/she’s at), and see if someone else can relieve you for a bit.

Re-think your relationship

Often, caregivers do a great job of soothing – or not triggering – their clients. This is because they meet the individual where they are, and form a relationship accordingly. This is quite different from the experience of a spouse, child, grandchild, etc. In your case, you knew your loved one as they were, and the person you knew may no longer be actively present as often (or ever).

One of the best things you can do for yourself and a loved one with your loved one is to meet him/her where s/he’s at at the moment. This frees them from the stress of “do you remember…” or your own hurt/anger if you aren’t recognized – even as that may vacillate from one day to the next.

Read our post, Connecting With and Caring For a Loved One With Dementia for heartfelt recommendations on how to create new pathways of acceptance and connection.

Seek support when reducing anger is a necessity

For some, this may involve the help of a professional therapist who can listen to you vent in a neutral space, and who can provide tailored recommendations to “arm your toolkit,” as you learn how to manage both the one who is venting their anger, along with your own complex web of emotions – including stress, frustration, anger, and even grief.

We also recommend joining an Alzheimer’s/dementia support group. In addition to commiserating (as well as laughing, crying and celebrating) with those who can personally identify with your experience, these groups offer invaluable advice and recommendations.

Prioritize Safety

It’s easy to prioritize your loved one’s wellbeing and ability to remain at home at the expense of everyone’s safety. However, this doesn’t do anyone any favors. Safety for the one you love or care for – as well as your own safety – must always come first.

Have a list at the ready of “first-responders,” who are willing to come at a moment’s notice if needed. If physical safety is at risk, call 9-1-1, and let the dispatcher(s) know that the individual has dementia and is acting aggressively. They will alert the professional first-responders, who are trained in how to de-escalate these situations with the least amount of threat or harm.

We Can Help You With Reducing Anger

Are you having a hard time managing the care required for your loved one with dementia as a result of his/her anger, aggression or violence? Contact us here at HomeAide Home Care online, or give us a call at 510-247-1200. We have decades of experience providing compassionate care for memory care patients.

Volunteer Opportunities For Seniors Are A Win-Win For Everyone

volunteer opportunities for seniors are a win win for everyone

The ability to participate in volunteer opportunities for seniors in the local community, making a difference in the lives of others, is one of the best ways seniors can feel wanted, needed and loved. Whether your senior loved ones still live at home independently or have a regular caregiver who helps them out (double the volunteer impact!), there are countless ways Bay Area seniors can volunteer in our community.

Volunteerism supports seniors’ overall health and wellbeing in multiple ways:

  • It keeps them socially engaged
  • They receive a renewed sense of inspiration, connection with their community and purpose
  • Getting out and about almost always means more physical/mental activity, resulting in more exercise
  • Additional stimulation can support some of the common issues faced by seniors, such as lack of appetite, interrupted sleep, loneliness, and depression

A bonus of activating your senior loved one’s volunteer commitment? It might be just the thing to get him/her to take advantage of a licensed, caregiver in the guise of driving assistance. Once that relationship is forged, it paves the way for adding additional, essential caregiving services your parents or aging loved ones are resisting otherwise.

We also recommend reading, Outing Ideas for Seniors and Their Caregivers for additional ideas to get seniors out and active in the community.

Volunteer Opportunities For Seniors In The Bay Area

Here are some of the volunteer opportunities and where to look for those opportunities available right here in the Bay Area.

Connect with the RSVP program

The Retired and Senior Volunteer Program (RSVP) in San Francisco was designed to streamline seniors’ ability to volunteer for programs that align with their interests, talents, and abilities.

Visit the RSVP Website and sign up. Then you can review relevant volunteer opportunities for seniors and determine which ones are the most appealing and that coordinate with your schedule.

Community Gardens

Does your loved one enjoy gardening? Backyard gardening is enjoyable and beneficial, but putting that passion to work in a community garden has exponential benefits, including growing nutritious produce for food banks, to increase the nutritional benefits (and enhance the flavor/interest) of their own meals, or to share with lesser-privileged members of our community.

In Alameda, community gardeners enjoy working in the Alameda Bay/Eagle Community Garden. Use your search engine and type, “community gardens in “your area,” to find nearby examples, like The Edible Garden Program in Berkeley.

Community Education Partnership

Stability and a sold home life are considered integral to academic success. Unfortunately, the Bay Area has far too many children who find themselves homeless, moving around frequently, and unable to thrive in school.

The Community Education Partnership (CEP) partners volunteer adults with motivated students in multiple formats – all designed to foster healthy relationships and sustainable learning for students who are homeless.

You can also contact local schools in your area, many of which offer reading and tutoring programs ideal for retired adults with the desire to help our youth improve literacy and critical thinking.

Share love with animals at a local animal shelter or SPCA

There’s no doubt fostering a relationship between seniors and animals is beneficial for both parties. While pet ownership is a reality for some, many seniors find themselves unable to own a pet due to rental or housing restrictions or unwilling to take on the responsibility- regardless of their desire.

Volunteering at the SPCA or a local animal shelter could be the answer, providing homeless and starved-for-attention pets the opportunity to be loved until they find their right “forever home.”

Be a kind voice on the other end of The Friendship Line

The Friendship Line was created to help lonely seniors or others find companionship without leaving their homes. If your senior loved one is homebound or more reticent to leave the house, volunteering for The Friendship Line is a great way to do good from home.

Don’t forget to check in with your local senior center

Sometimes, individuals, groups or organizations seeking volunteers advertise at Senior Centers. Check in with your local senior center and ask if they’re familiar with volunteer opportunities suited to seniors.

We Can Help

Would you like to learn more about the ways licensed home care aides can support senior independence and wellbeing? Contact us here at HomeAide Home Care and schedule a consultation.

Outing Ideas For Seniors And Their Caregivers

outing ideas for seniors and their caregivers

Tired of being cooped up in the house all day? So is your senior client. And, let’s face it, even the same series of weekly errands and appointments get boring after a while. Let us help you with some simple but fun outing ideas.

5 Outing Ideas To Break Up The Day

The following ideas will help shake you both out of the routine rut and bring a little spring back into your steps.

Join an exercise class

Between yoga and Pilates classes, gyms and the recreation centers in your area, there are plenty of senior-specific exercise classes available. Exercise has a myriad of benefits for seniors, including improving appetites and sleep habits, slowing the progression of Alzheimer’s and other dementia-related diseases and elevating moods.

Most senior-centric exercise classes offer modifications for chair-bound seniors, but you can always call ahead to verify. As long as you’re at it, you might as well join in or attend a class in the same location so you’re on the workout path together.

Hit the movies

In an effort to garner more business during the slower times of the day, many theaters offer specific senior day discounts that go beyond the normal matinee pricing. In addition to showing box office hits, they may also re-show some of those classics your client loved back when they were young adults.

Here is a link to Cinemark’s Senior Day Discounts – just type in your zip code to find participating theaters near you. If you aren’t a Cinemark moviegoer, check in with your favorite local theater next time you’re there to see if they have special senior offerings.

Get involved with animals

Animals provide a wonderful way for seniors to express their love and feel that love returned. While owning an easy-to-care-for pet is certainly an option, there are plenty of other ways to enjoy the human-animal connection if pet ownership isn’t possible.

Examples include:

  • Visiting a local bird sanctuary or an easy-access spot at a local nature reserve or park to picnic and observe nature
  • Volunteer together at a local animal shelter or SPCA
  • Put up ads to walk a neighborhood dog for free at a certain day/time each week (perhaps for a new mom or a busy single parent who can’t afford a dog walker)
  • Get something hot or cold to drink and sit at the local dog park to watch the dogs romp
  • Find the best pet store in town and browse their animal collections
  • Head to a local zoo and enjoy their senior discounts

Let’s face it; animals are entertaining and heartwarming, so it’s hard to be anything other than happy in their presence.

Visit your local senior center and community event’s website

Most Bay Area senior centers are bustling centers of organized activities. Whether you choose to attend one of their events, or check-in about the most senior-friendly events and venues this time of year, odds are you’ll learn about compelling opportunities you weren’t aware of before.

For example, Alameda’s Mastick Senior Center is incredible. Membership is free (but required to attend/participate in events) and the activities they offer seem endless. Workout rooms, bocce ball courts, arts and crafts classes, sewing/handwork sessions, and off-site day trips and excursions are all available. It’s a wonderful way to get out and connect with other seniors and caregivers in the area.

Similarly, most communities, towns and/or cities have event websites advertising all the great goings-on from month-to-month. For example, here’s the Special Events page for Alameda; perusing it each month with your clients allows you to learn more about their interests – letting them guide the way to the events, shows, fairs and activities you both attend.

Treat yourselves to delicious foods via Farmer’s Markets and Food Trucks

Phase One of adding support often begins via in-home aides that offer driving services and/or meal preparation services. Both are important, but since seniors are so prone to malnutrition, the latter is a top priority.

Farmer’s Markets can be instrumental in not only getting seniors out and about once in a while but also allowing them the sumptuous experience of eating fresh, seasonal fruits and vegetables, which are much more flavorful than their grocery store counterparts. Food trucks (have a food truck park nearby?) are another fun alternative to restaurant dining and often involve creative, artisanal foods and drinks that aren’t your average chain restaurant fare.

We Can Help With Outing Ideas

Wish your senior loved one could get out and about more often? Licensed caregivers, in the form of companions, can be hired as minimally as once a week or as much as needed, and often pave the way for experienced, compassionate home care services as seniors need it along the way.

Contact HomeAide Home Care, Inc. to learn more about how to ensure your senior loved one can get out and about more often – with the assistance of our outing ideas and heartfelt caregivers who provide personalized assistance tailored to our clients’ needs and interests.

Reminiscence Therapy And Dementia

reminiscence therapy and dementia

There are no words to describe the grief, the worry, the frustration and – yes – even anger as loved ones seem to fade away into the land of dementia. The increasing success of reminiscence therapy, however, may help to ease the way as you navigate smoother ground for more connected relationships with your spouse, parents, grandparents and other senior loved ones with Alzheimer’s or dementia.

Finding them good care to ensure their day-to-day needs are taken care of helps to alleviate much of the worry, but it’s nearly impossible for loved ones to avoid feelings of loss and sadness as dementia takes a stronger hold. Fortunately, reminiscence therapy introduces a way to keep their personal spark alive.

We also recommend reading, Connecting With and Caring For Those With Dementia, for more tips on how to emotionally connect with individuals in the mid- to later stages of the disease.

Keeping the past alive helps loved ones in the present

It becomes clear very quickly that as dementia and dementia-related diseases (Alzheimer’s, Lewy Body dementia, advanced Parkinson’s, a stroke or repeat TIAs, etc.) that the present and recent past fade away – while past memories and recollections can remain quite strongly anchored in the mind.

This is the foundation that reminiscence therapy is built upon; encouraging seniors to look at photographs, tells stories, listen to music, watch movies from their past and spark recollections from their history supports cognitive and emotional well-being in the present.

What is Reminiscence Therapy (RT)

Reminiscence therapy (RT) is often used in memory care centers or in group home settings specializing in memory care. In a therapy setting, this type of work usually takes place in chronological order, helping a senior with dementia piece together their life from the start to the present – using sensory stimulating cues. Activities, such as special movie nights or dances with period music may be utilized. Often, visual and/or textile arts and crafts, recorded narratives or voice-to-text apps can be implemented to document a senior’s history and create some type of “Life Book” or a memoir of sorts.

However, varying versions of RT can also take place right at home, used individually with the ones you love, or in family settings. In fact, family settings are some of the best mediums for this type of activity because it helps those with dementia remain part of the event in a more positive and connected way – making them feel important, needed and loved.

Typically, RT starts with a physical, visual or sensory-specific stimulus, such as photographs (pull out those old albums!), a verbal prompt (What’s one of your favorite stories from your childhood?) or even a piece of music (invest in CDs or MP3 files of their favorite music). Perhaps it involves a stroll through your own garden, or a local botanical garden, smelling the roses and enjoying the scenery – seeing if it sparks memories of past events or situations.

Ultimately, the idea is to use small prompts that engage the historical memory archives of the mind, helping the individual with dementia feel more confident and secure. However, there are multiple benefits to making RT a part of your life with your loved one.

There Are Numerous Benefits of RT

In addition to feeling more confident in themselves, and connected to the ones they love, RT can also:

  • Improve their ability to communicate
  • Help to slow down or improve signs of aphasia, giving seniors their voice back
  • Stimulate brain pathways, stirring up more memories that may not have been shared otherwise
  • Give seniors the time and space to talk about things that are meaningful to them
  • Alleviate symptoms of depression, loneliness and/or social withdrawal
  • Make spending time with loved ones more comfortable and pleasurable for everyone present
  • Preserve priceless and unique stories and memories for future generations

While reminiscence therapy may be designed largely for those with dementia and Alzheimer’s, you can feel how beneficial these same strategies are for cultivating deeper and more satisfying connections with any of the seniors in your life.

Simple Prompts to Begin Using Reminiscence Therapy at Home

Here are ideas for using simple prompts or sensory stimulation to use elements of RT at home or when you visit your loved one in an assisted living or memory care center.

BONUS TIP: Be aware of your own discomfort with silence. Do you tend to feel anxious or nervous and rush your loved one along? Instead, take deep breaths and give him/her time to recollect, put their thoughts together and then give words to those thoughts. Patience is, truly, a virtue when connecting with dementia and Alzheimer’s patients.

  • Get out the photo albums or boxes of old photos and start looking through them together
  • Ask about a favorite movie and then stream/watch them together and then discuss them
  • Talk about the cost of items now compared to “then,” “I bought a gallon of mild today for $X.00. How much was milk when you were growing up…?” and you’ll be delighted to hear stories of fresh cold milk from the milkman…and other surprising tidbits.
  • Find a knick-knack or two from the shelves and ask about it (the longer you’ve seen it around their home, the more likely they are to remember where it came from)
  • Ask, “Where were you when….” (Neil Armstrong landed on the moon? When Kennedy gave his Cuban Missile Crisis speech? When you got your first TV? When Kennedy was assassinated? When you learned to drive a car? When you had your first kiss?)
  • Ask about past travels or places s/he wishes s/he’d traveled

Verbal memory prompts can also be helpful when you live far away from your senior loved one and can only connect via phone or Skype. In these cases, licensed home care aides help you by providing knick-knacks or images to support your long-distance connection.

Ready to enlist the support of experienced, licensed and compassionate caregivers who believe firmly in utilizing the latest dementia research to enhance their clients’ quality of life? Schedule a consultation with HomeAide Home Care, or give us a call at 510-247-1200.

Guns And Dementia: Keeping Seniors Safe

guns and dementia keeping seniors safe

Typically, senior safety concerns around dementia include things like taking away the keys, making a home safer and more accessible and ensuring qualified adults are keeping a caring watch 24/7.

However, a recent NPR feature reminds us there’s another safety issue to consider – guns and dementia.

Does your senior loved one own a gun?

According to NPR, researchers estimate that more than half of seniors 65-years and older either own a gun, or live in a home with a gun. Over the next 20 years, the Alzheimer’s Association expects about 14 million of those seniors to have a dementia diagnosis.

Those with dementia are more prone to firing a gun because:

  • They become angry, violent or more agitated quickly
  • They can mistake loved ones as strangers and “defend” the house
  • They may not really be aware of what they’re doing an accidentally fire a gun they’re cleaning, holding or trying to handle responsibly
  • They may use a gun as a toy and accidentally fire it

Guns and dementia safety tips

It’s critical that families and caregivers prioritize gun safety and the safety of everyone involved.

Consider removing guns completely

The best and most guaranteed method for preventing gun violence is to remove the guns from the home completely. Have a conversation with the family first. If it feels like your senior loved one will notice the absence of the gun/s and be upset, then you’ll need to have a conversation with him/her as well.

If the family supports removing the gun, or a trusted authority feels clear it’s a safety issue, but your loved one is completely opposed, you may need to remove the firearms against his/her will. Experts recommend this is done when s/he is out of the home to make it as easy and safe as possible.

Understand that locking or disabling a gun(s) may not work

According to the Alzheimer’s Association:

“People living with dementia sometimes misperceive danger and may do whatever seems necessary to protect themselves, even if no threat exists. These actions can include breaking into gun cabinets, finding ammunition and loading guns. Preventing a gun from firing may not prevent the person living with the disease or others from being harmed.”

You must take notable safety measures if you choose to live in a home where there are guns and dementia, Alzheimer’s or other conditions causing cognitive decline.

Use a high-quality combination lock on cabinet or safe

If getting rid of the guns isn’t an option, use a gun cabinet or safe that requires a combination lock. If one is already in use, change the combination and only give it to those who understand the risk, are familiar with guns and gun safety and who promise they will not ever allow the individual with dementia to access the cabinet or the guns.

Speak about who inherits what now – and pass them on

If the guns weren’t included specifically in a will or trust, this can be a good opportunity to determine who will inherit what from the gun/firearms collection and pass them on now. If your loved one is still doing well, this can be a very special way to honor the collection and those who receive it, and it can make the transition easier on your loved one.

Enlist the help of law enforcement

If your loved one was the gun expert, and nobody else is familiar with guns and gun safety, enlist the help of local safety officers to unload the cabinet, ensure the guns aren’t loaded, to lock/disarm them, dispose of ammunition, etc., so nobody is harmed in the process.

Familiarize yourself with local/state gun laws

If nobody wants the guns, enlist help from a hunting friend or someone knowledgeable about guns and firearms before selling or giving them away to ensure you do so in compliance with the law.

Honor their feelings about having to say goodbye

For someone who values their guns and the role they’ve played in the person’s life, getting rid of them is another major loss of self and independence. These are valid feelings and they deserve to be honored and spoken to. It’s important to address this understandable anger or grief, and then work to re-direct the feelings in a positive and productive way because ultimately guns and dementia don’t mix.

HomeAide Home Care has provided licensed and expert care for seniors since 1998. In the past two decades, we have provided compassionate assistance to individuals, couples and families around the Bay Area. Our companion and in-home services can help keep your senior loved one safe and sound in the comfort of his/her home. Contact us to learn more.

Pets For Seniors: How About A Low-Maintenance Fish?

pets for seniors how about a low maintenance fish

Multiple studies show that seniors benefit from pet ownership. However, owning a pet isn’t always that easy – and it can even be dangerous.

The most common pets for seniors – dogs and cats – require daily brushing and feeding, not to mention regular exercise, and senior pet owners may not be able to accommodate those needs. Plus, dogs and cats also pose trip and fall hazards for their senior owners, meaning the pet winds up doing more home than good.

The solution? Consider getting a pet fish!

Fish that can live in a bowl or very small tank

There are a range of fish that do quite well living in a fish bowl or very small tank. These include:

  • Bettas. Bettas (also called Japanese fighting fish) are beautiful, small and have flowing tails. They’re available in variety of colors but remember to keep them solo as they will fight their bowl companion to the death. Bettas are very clean so water changes and bowl cleaning is required less often.
  • Goldfish. These are America’s most common pet fish – and fancy tailed goldfish are the most attractive variety. They can live in groups but you want to make sure the bowl is large enough for the number of fish you’ve purchased. Be aware that goldfish are messy eaters and their water gets cloudy quickly so these aren’t a great option unless the senior, a family member or a caregiver clean the bowl regularly.
  • Guppies. Wild-type guppies are about as hearty as it gets – being known to thrive in minimal amounts of water (although a full bowl is optimal). They come in diverse color varieties – including metallic colors – and are happiest with company. Just make sure you purchase the same sex or else you’ll have guppy babies before too long.

Other fish that do well in bowls or small aquariums include:

  • Regal white cloud minnows
  • Blind cave tetras
  • Salt and Pepper Corydoras
  • Zebra danios

Taking your senior loved one to the pet store is a fun outing, and you’ll enjoy looking at the array of freshwater fish available – as well as the store employees’ professional opinions and input.

Fish are low-maintenance pets for seniors

Often overlooked, and undervalued, fish make wonderful pets. The average, bowl- or tank-housed fish never needs to be exercised and only requires feeding once a day (in most cases). They often come right up to the bowl or tank sides when an owner approaches or talks to them (more on that later) and fish are less likely to argue or disobey their owners than most furry critters.

Here are some of the reason why low-maintenance fish make great pets for seniors:

They’re affordable pets for seniors

The total set-up costs for a bowl or very small tank, some rocks, the food and a fish or two is less than $50. A single container of fish food lasts for months, and the rocks and bowl never need to be replaced. Thus, fish are the cheapest pets around, making them affordable for seniors no matter how small their fixed income may be.

Fish don’t trip you or cause you to fall

Fall-related accidents are devastating for seniors – often leading to broken bones, hip replacements, costly hospital stays and traumatic brain injury. Unfortunately, dogs and cats (particularly small dogs) pose a significant tripping risks because they can get underfoot and cause seniors to lose their balance.

If you’re concerned about fall hazards and are working to create a senior-friendly home, pet fish are the perfect pets for seniors and will fit right into your plan.

Feeding requirements are basic (even for those with dementia)

Even seniors with memory issues can enjoy the company of a fish because most pet stores have “vacation feeding” options available. If the senior isn’t able to feed the fish once a day on their own – and there’s no in-home care provider available – vacation feeding tablets can be placed in the tank once a week, bi-monthly or once per month.

Fish are smarter than they get credit for

Odds are your senior loved one will be surprised how much pleasure s/he derives from the new pet fish. Fish are smarter than humans give them credit for. As this article on PetMD points out, “…fish actually have very good memories. Even the most basic fish tank inhabitants will start to show anticipation of meals on a regular basis.” Studies also show that pet fish can learn to complete mazes for food and can be trained to respond to a bell or a signal.

Other animals that can live in a small bowl or tank include certain species of freshwater snails, shrimp and African dwarf frogs.

Does your senior loved one need assistance with pet care or basic daily activities? Contact HomeAide Home Care and schedule a free, in-home assessment. We’ve provided high-quality, part- and full-time senior care services for hundreds of families around the Bay Area.

Medication Reminders Are Lifesavers For Seniors With Dementia

medication reminders are lifesavers for seniors with dementia

Worrying about a loved one with dementia often revolves around some of the bigger picture items; are they safe to live at home alone? Should they be driving? Are they eating, bathing and sleeping well? However, medications are one of the first things to fall by the wayside when seniors begin experiencing memory loss.

Even very competent seniors struggle to remember what to take when/if there are more than two or three medications needed per day, so you can imagine what it’s like for a senior required to take all that or more in the wake of a dementia or Alzheimer’s diagnosis.

Medication Reminders For Seniors With Dementia

Here are some creative ways to ensure seniors take their medications as prescribed each and every day.

Set up clear lines of communication with their doctor

Unless you live close by, it isn’t easy to assess how well your loved ones are managing daily life or how much help they may actually need (Read, 7 Signs Your Loved One Requires Additional Help). That’s why it’s so important to develop a rapport with their primary caregiver and specialists (if possible) before their memory loss progresses. Online healthcare portals and messaging make this easy – even from a distance.

Being in touch with the doctor will give you a better idea of which level of medication reminder is required from one month to the next.

Provide visual cues and reminders

In the beginning, seniors with dementia may be highly-functional with a little extra support. Organize pills in trays, cups, mediset or whatever makes sense and then leave notes in obvious places or set alarms on their smartphone or gadgets.

This method isn’t permanent, but it will work in the beginning stages of memory loss as you and other family members work with them to provide a long-term care plan. You’ll also need to enlist someone else to check in regularly and make sure the system is working – whether that be a trusted neighbor, friend or weekly home care aide.

Set up a phone tree (Skype and Facetime are helpful too)

When you’re afraid that visual cues and reminders may not be enough, set up a phone tree. Each day, a different member of the family can check in and chat on the phone while the senior takes his/her meds. Spread out over the web of caring family and friends – people may find they’re only “on call” a few days each month. Using Skype, Facetime or other video call software can be better than the phone since you can see that they’re taking their right meds. Plus, they make for more personal connections and allow you to gain more visual cues about how the senior is going in terms of physical and mental well-being.

Eliminate unnecessary medications and/or supplements

This is a good time to schedule an appointment with your loved one’s primary physician and review all the meds and supplements taken each day. With progressive memory loss on the horizon, the doctor may feel comfortable eliminating some or decreasing doses for others to make it easier for the senior to take fewer pills, only once or twice a day.

Meal services or homecare-based meal preparation, focusing on nutritious ingredients, diminishes the need for nutritional supplements.

Use a physical wall calendar

Short-term memory is tricky so seniors may have a hard time remembering if they took their pills in the morning or only in the evening. Create a calendar system located right where the medications are stored/sorted and have seniors check off the calendar with a pen as they take their meds (divide days in half if there are two separate doses). This makes it easier for seniors to keep track of whether they took a particular dose or not.

Enlist the help of a home care provider

Homecare providers specialize in medication reminders. Having a licensed caregiver check in each day yields multiple benefits. While medication reminders may be the initial need, establishing a caring and trusting relationship between two or three aides means it’s easier to augment your loved one’s memory care as needed down the road when housekeeping, driving, and errand running, meal preparation, basic grooming, and hygiene needs, need to be addressed.

Are you worried your loved one isn’t taking his or her medications as needed? Schedule a free, in-home assessment with the experienced homecare team at HomeAide Home Care. We have decades of experience taking care of senior loved ones in and around the Bay Area. In addition to providing medication reminders and regular wellness checks, we can also help you establish a long-term care plan.

7 Signs Your Senior Loved One Requires Additional Help

7 signs your senior loved one requires additional help

Sometimes, seniors experience abrupt shifts that require the implantation of additional help or support – such as a broken hip or a major illness. Other times, the road from “completely independent” to “needing assistance” occurs so gradually, it’s easy to miss the key warning signs until you become a family in crisis.

The best long-term care plans are those that are set up to provide minimal or part-time assistance in the form of driving, errand running, housecleaning, etc., and then scale up as age/health requires it.

Read, Helping Independent Elderly Loved Ones Stay Independent, for more along those lines.

7 Signs It’s Time To Acquire Additional Help

In the meantime, here are 7 key indicators it’s time to rally the troops, bring in outside support and/or create a more focused long-term care plan.

S/he’s more forgetful than usual

At first, forgetfulness is blamed on “senior brain,” and of course, there is some logic to this. However, repeat missed appointments, birthdays, bill payments, prescription refills, hair appointments, etc. are signs that something more is going on.

In addition to pursuing dementia screening by a professional healthcare provider, these 7 signs indicate that someone else (or multiple people) need to be brought in to support and provide additional help with the daily ins-and-outs.

Notable weight loss

Often, elders (with or without dementia) simply stop eating like they used to. Those who live alone can find it laborious to prepare meals every day or may not be able to drive to – or navigate – grocery stores anymore. Sometimes, underlying depression or other health conditions cause a decrease in weight and/or an appetite. Try to identify the cause of the weight loss and then move forward from there.

If shopping or meal preparation is an issue, support can be brought in. If a relative or friend isn’t able to help out with grocery shopping, it might be time to enlist support from senior meal services or a home care provider who can prepare nutritious “ready to heat/eat” meals and snacks.

Visit, Preventing Malnutrition in the Elderly, for ideas on how to support healthy, senior nutrition.

The house is unclean and/or a flat-out disaster

Like meal preparation, housekeeping becomes laborious for those who are weaker, are experiencing vision loss, have mobility issues, are afraid to stand on stepladders, etc. Having a neat, clean and orderly home is essential to senior health. In addition to sanitation issues, a cluttered, messy and/or unmaintained home poses safety risks.

First, do all you can to make the home safer and more accessible for seniors, focusing on steps to make the bathroom safe (it’s the most dangerous room in the house!). Find a reputable housecleaner in the area and help seniors connect with licensed professionals who can perform automatic, routine home maintenance. If you feel cognition is an issue or sense this is the beginning of a decline, a part-time care provider can handle most basic housekeeping and maintenance tasks.

There are notable hygiene issues

Is your once well-coiffed mother now looking more unkempt? Do you notice unpleasant body or poor hygiene-related odors? Feel sure clothing hasn’t been laundered in weeks? Do bed linens and towels appear grungy?

These are all signs that something is amiss – and that “something” can range from general loneliness and depression to full-blown health and/or cognition issues. All are worth a gentle discussion and the sign to look for outside support, assistance, and additional assistance via their physician’s assessment and/or a consultation with a home care provider.

The fridge and pantry contents are minimal to nonexistent

Take a peek into the fridge and pantry contents. If you consistently notice a lack of the basics, fresh fruit, and veggies or tasty, nutritious drinks and snacks – take action. If friends and family aren’t able to do regular grocery runs – and/or you’ve assessed meal prep is an issue – a homecare provider can take up the slack by shopping and preparing meals.

Bills aren’t being paid and/or notable discrepancies in financial statements

Forgetting to pay bills on a consistent basis is a dangerous sign; so, too, are notable discrepancies on financial statements. The former is easy to prevent, establishing automatic bill pay, etc. The former is often a sign of financial elder abuse – ranging from scams to nefarious relatives and “friends.”

Read, Protecting Seniors From Financial Abuse, to learn more about how to prevent, detect and handle signs of financial abuse. Additionally, this is a good time for you and family members to discuss things like Power of Attorney options and advanced directives.

Inexplicable and/or repeat dings, dents and automobile scrapes

Oh, boy. This one is often the most difficult to navigate at all because giving up the keys can seem impossible for many seniors. That being said, their safety – and the safety of others – is a top priority. If you suspect your senior isn’t a safe driver – schedule an appointment with the optometrist. A new prescription may be all s/he needs. If, however, it’s time to give up the keys, visit our post titled, How to Convince a Senior to Give up Driving.

Let Us Supply The Additional Help

Having a difficult time discerning whether or not your parent or senior loved one needs support or additional help? Schedule a consultation with a local home care provider. These no-obligation consults are instrumental in providing experienced, professional assessment, much-needed advice or tips, as well as the creation of a thoughtful, long-term care plan.

Preventing UTIs (Urinary Tract Infections) In Seniors

preventing utis urinary tract infections in seniors

Urinary tract infections (UTIs) are painful and can morph into more serious kidney infections if they aren’t caught and treated in time. However, in the senior population, UTIs are even more serious because they can be atypical in how they show up and can even cause dementia-like symptoms that lead to false diagnosis and unnecessary treatment plans.

Preventing UTIs through hydration, proper diet and close attention to how symptoms differ for older adults can make a big difference in the life of both seniors and their caregivers and families.

Preventing UTIs With Hydration, Hygiene And Easy Bathroom Access

Preventing a UTI is quite simple in most cases and requires just three simple steps:

Keep seniors hydrated with plenty of water and other fluids

According to the Cleveland Clinic, the presence of bacteria in the urine doesn’t necessarily indicate a severe UTI or the use of antibiotics. In fact, the presence of elevated bacteria levels, “…occurs in about 6 to 16 percent of women over age 65, 20 percent of women over age 80, and 25 to 50 percent of women living in nursing facilities.”

This last statistic is an important one. If your loved one lives in an assisted living facility, it’s easier for subtle UTI symptoms to be missed. Providing them with a companion or caregiver from a home care agency means they receive more personalized and attentive care.

Should a loved one test positive for elevated bacteria levels, without additional signs of a UTI (fever of 100.5 or more, worsening urinary frequency or urgency, pain with urination, tenderness in the lower abdomen above the pubic bone), speak to the doctor about increasing hydration for a bit and then retesting. When seniors are dehydrated, their bladder and urinary tract can’t flush bacteria out of the system. Drinking more water and fluids consistently for a few days – and developing healthy hydration habits – will help to support a healthy urinary tract.

Maintain healthy hygiene habits, particularly with toileting

Hygiene is so important for human health, yet it’s one of the first things to “slip” as we age, particularly if mobility and/or cognitive decline is an issue. If bodies aren’t regularly cleaned, clothes and bedding aren’t routinely laundered and changed, the urinary tract is inundated with higher levels of bacteria. Combined with a weakened immune system, dehydration and/or malnourishment and you have a recipe for a urinary tract infection.

If seniors are incontinent and relying on adult underwear and/or others to change and cleanse them, they have an even higher risk of developing a UTI. Proper toileting care is critical, particularly around the rectal area and urethra in women since improper wiping or cleansing will introduce bacteria from fecal matter into the urethra.

Proper toileting care for preventing UTIs includes:

  • Wiping from front to back, beginning at the urethra and moving back towards the anus.
  • Properly cleansing the perennial area with a mild solution designed specifically for that purpose.
  • Using a clean section of cloth (by folding it over in sections) for each wipe.
  • Checking adult diapers or briefs at least every 2-hours and never sitting for longer than necessary in soiled or dirty adult diapers for any length of time.
  • Wearing a fresh pair of underwear each day, or a fresh adult diaper at all times.

For many seniors, particularly those with cognitive or mobility issues, or for whom it’s difficult to get to the store for fresh adult diapers, assistance is a must when it comes to safe toileting and maintaining healthy hygiene habits on a daily basis.

Never make a senior wait if s/he has to go to the bathroom

The urge to go to the bathroom should be greeted with immediate and easy action to a bathroom facility or bedpan whenever possible. The longer senior women have to wait to go to the bathroom, the more likely they are to develop a UTI. Not only does it give bacteria more chance to increase in population, but it also creates bladder and urethral irritation that weakens the urinary tract. Having to wait to use a restroom also puts seniors at higher risk for sitting in soiled clothing or underwear, elevating their risk of infection.

Taking these basic precautions can go a long way towards preventing UTIs (urinary tract infections) in seniors, particularly senior women, and improving their health and well-being.

Let Us Help

Have a senior loved one who’s struggling to take care of him/herself, doing the laundry or getting to the store on a regular basis? Schedule a free, in-home consultation with HomeAide Home Care. We’ve provided a range of senior-friendly services and in-home caregiving for more than a decade.