Everything You Need to Know About Sundowner’s Syndrome

everything-you-need-to-know-about-sundowners-syndromeSundowner’s Syndrome, also called Sundowning, is a clinical phenomena that occurs in approximately 20% of senior citizens with Alzheimer’s or dementia. It is a state of agitation or confusion that begins as the sun sets. For many patients, this upsetting state of mind will last through the night. While it is obviously disturbing for the person experiencing Sundowning, it can be equally or more disturbing for caregivers who have to watch a person they love in distress, and who become exhausted from lack of sleep and constant worry.

Unfortunately medical science does not know exactly what causes it. It is thought that the cognitive physiological changes that cause Alzheimer’s and dementia may also damage the area of the brain that controls our circadian rhythm – the internal clock each of us has that maintains a certain rhythm to our waking and sleeping cycles.

What are the symptoms of Sundowner’s Syndrome?

As the sun begins to set adults affected by Sundowning may become:

  • agitated
  • forgetful
  • confused
  • anxious
  • restless

As a result, they will have difficulty sleeping, which can further exacerbate their Alzheimer’s or dementia symptoms during daytime hours. It can also cause them to wander, yell, become delirious, angry or combative.

There are also factors that seem to increase Sundowner’s symptoms. If a person is already tired or fatigued they can experience more dramatic Sundowning. Low-lighting, a disruptive or noisy sleeping environment, and poor nourishment are also factors. It has also been linked to certain medications, severe constipation, or a disruption in daily sleeping and waking patterns.

Is there a way to avoid or mitigate Sundowning Symptoms?

Because the exact cause of Sundowning has yet to be known, there isn’t a specific fix. However, there are things that can help to prevent it and/or ease the symptoms.

Adequate Lighting. Nighttime lighting is already important in senior housing as it improves sight for seniors with poor vision, and prevents trip and fall accidents. However, lighting is even more important for those with Alzheimer’s and dementia. Shadows and dark places can intensify their agitation and anxiety. The more you can prevent shadowing, the more it will help the senior feel secure.

A Healthy Diet. As mentioned above, malnutrition and constipation seem to trigger more Sundowner’s Symptoms. Make sure your senior loved one is eating a well-balanced diet to remain nourished. A high-fiber diet and adequate hydration will help as well. Have dinner early and then offer a light snack before bedtime. Limit caffeine and other stimulant intake during the afternoon and evening hours.

Be Active. Keep your senior busy and active during daylight hours so they begin to feel tired at night. A sedentary lifestyle causes sleep troubles at any age, but seniors and those with Alzheimer’s or dementia are especially prone. Daytime exercise, hobbies and mental stimulation will help to trigger a healthy sleep response.

Familiarity. Use night lights in the bathroom and bedroom at night so they can orient themselves when they wake up. If they are in the hospital or away from home, bring pictures as well as favorite and familiar objects that will lend a sense of security to a new location.

Melatonin. Ask the senior’s healthcare provider about melatonin supplements. Recent studies have shown low doses of melatonin can inhibit the development of Sundowner’s Syndrome, decrease its symptoms, and help patients sleep. In turn, this has seemed to slow down their general cognitive decline.

If your loved one is experiencing Sundowner’s Syndrome, speak to a healthcare professional immediately so you can begin to find what works for your client or loved one.

How to Help a Client or Loved One Avoid the Holiday Blues

While television ads and societal cues tell us the holidays are full of cheer, the reality is that depression rates increase this time of year. Senior citizens are especially prone to holiday blues. Whether your loved one lives alone, or in a senior living community, this season presents several depression triggers, ranging from the biological to psychological.

Decreased sunlight and shorter daylight hours can have a naturally depressive effect on the body. Combined with cabin fever, loneliness, and memories of days gone by, seniors can feel they are the only cheerless humans in a sea of holiday-crazed happy people.

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The following tips can help prevent your senior client or loved one from succumbing to the holiday blues.

  1. Light therapy. The first step is to battle the biological triggers for depression that occur around the season and time changes. Our bodies can become depressed when deprived of natural sunlight. This condition has been given a name, Seasonal Affective Disorder, with an appropriate acronym – SAD. Light therapy has been proven to help combat SAD by triggering the same biochemical response caused by natural sunlight. A small light therapy box can sit on the table during breakfast, or while reading the paper. Just 15 to 30 minutes a day is usually sufficient. Talk to the senior’s healthcare provider before starting treatment.
  2. Diet and exercise. Make sure your senior client or loved one is eating well and getting enough exercise. If their exercise routine used to involve daily walks outside, start looking for indoor alternatives. Senior living communities usually offer exercise classes, dance classes, or indoor aquatic exercises. Otherwise, speak with your local senior center to inquire about other options.
  3. Ask and listen. The holidays can bring a mix of feelings for all of us. Many seniors hide their negative feelings because they don’t want to distress their family and friends. If you feel comfortable, ask the senior to share their feelings, sad or otherwise. Let them know you feel holiday nostalgia as well. Then patiently listen. The more you are willing to listen and support their feelings, the more comfortable they will feel opening up.
  4. Bring out the albums. Another way to help seniors process their feelings is to let them tell stories triggered by photos. Take an afternoon or evening to sit down and pour over old photo albums. It’s a wonderful opportunity to spend time outside of the holiday rush and learn more about your clients or relatives interesting lives. We all have stories to tell, and allowing seniors to share theirs can help them process sad or lonely feelings, while they are being kept in good company!
  5. Call more frequently. There is a good chance that you live far away from your aging relatives, in which case their loneliness may be more poignant. Make an effort to call more frequently, send card or flowers, or send your holiday gifts in small batches over the course of a few weeks. This can help them to feel more connected and cherished.
  6. Volunteer. We often think of volunteering for senior citizens. However, able-bodied senior citizens make wonderful volunteers in their own right. They have time on their hands, and there are plenty of community outlets that need help this time of year. Contact organizations like Senior Corps, homeless shelters, or local food banks where you and your senior loved one can lend a helping hand.

These tips can help seniors to remain in better spirits before, during, and after the holidays, allowing them to find the peace and joy this season is all about.

What You Need to Know About Advance Directives

Advance care planning is something that every adult should undertake, regardless of age. Unfortunately, too many adults put it off, assuming they can do it tomorrow, or next week, or in 10 years. The reality is that an unforeseen medical emergency, terminal health diagnosis, or an accident can occur at any time. Advance care planning, which includes an Advance Directive, is a vital step in protecting your family, as well as your own well-being should you become incapacitated or unable to speak for yourself.

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Your own advance directive is a very personal and legally binding document (or set of documents) that is set in place to act as your voice when your voice can’t be heard. Situations considered and addressed in an advance directive include:

  • Whether or not you want to be resuscitated and by what means. This may include a form regarding which scenarios you want to be resuscitated, and in which scenarios you do not (requires a DNR order).
  • Do you give permission for your organs and tissue to be donated?
  • The types of life support you are or are not interested in using to sustain your life.
  • The length of time you would want extreme measures to be taken to sustain your life.
  • How you feel about blood transfusions or dialysis.
  • What is your stance on artificial nutrition and artificial hydration?
  • What do you want in terms of comfort care?
  • End-of-life care?
  • Alzheimer’s and dementia care?

While these scenarios are never easy to contemplate, it is significantly easier on your loved ones if you have made this choice before they are faced with very stressful decisions in the event that something should happen to you.

A second part of the advance directive is called a durable power of attorney. This document identifies one person whom you have decided to be your spokesperson at the point where the advance directive would come into play. Choose this person very carefully, and make sure she or he has assured you your wishes will be respected.

How do I create and advance directive?

The first step is to learn all you can about advance directives and the types of information you want included in yours. Once you have decided, it is important that you communicate your wishes with the ones closest to you, such as your spouse, children, and siblings, to ensure they are aware of your wishes and will (hopefully) agree to abide by them.

Once you are ready to draw up the legal advance directive, you can work with an attorney, paralegal, or you can fill out pre-printed advance directive forms yourself. Here is a link to the Advance Healthcare Directive Form for the State of California. When you have completed your advance directive forms, make multiple copies. Unfortunately, if you are in a car accident, medical personnel aren’t going to have access to your advance directive unless or until a loved one provides it. You may want to keep a copy in your glove compartment, purse, briefcase, etc. Also give one to your attorney, family members, and your primary healthcare providers.

If you are living in a retirement community of any kind, provide copies to the administration and/or management personnel. If you use the assistance of a home health care provider, it is a good idea for him or her to have a copy, as well as their employer.

The sooner you take the time to get your advanced care plans in order, the sooner you can rest assured that your wishes will be honored in the event of an unforeseen accident or medical crisis. It can provide peace of mind to you and the ones you love.

The Benefits of Yoga for Seniors

Did you think Yoga was a new, hip workout trend for the young folks? Don’t be too hasty to judge. In fact, many active living communities offer regular yoga classes as a part of their physical recreation programs. Why? Because in addition to being a low-impact form of exercise, yoga has been shown to increase strength in bones and joints, increase balance, boost mental function, help with pain management and alleviate stress and depression. We could go on! There are seemingly innumerable ways that yoga for seniors can be beneficial.

the-benefits-of-yoga-for-seniors

What is Yoga?
Yoga comes to us from the east, via India. In fact, the word Yoga means “union”. The type of yoga we are most familiar with in the west is called Hatha Yoga, and it is comprised of breath work, sustained body postures, and meditation. This triad seems to be a perfect union, pun intended, for holistic well being.

In a typical yoga class, students will use mats, straps, and a few postural aids. These are often supplied by the hosting facility, although students may be responsible for bringing their own mats. The instructor will lead the class through a series of stretches and poses, all designed to work on specific areas of the body. Throughout the postures, students will be reminded to focus on their breath, keeping it deep and regular. They are also encouraged to keep their mind anchored in the feeling of the posture. When the mind wanders, you simply guide it back to the task at hand. Over time, this practice of exercising both the body and the mind can have a profound effect on the mind-body connection.

What benefits can I expect from my yoga practice?
Yoga is being prescribed by many doctors and therapists as an alternative, or supplement, to medication. Why? Because its effects on overall health can no longer be disputed. It is an especially good entry-level activity for older adults because it meets you where you are at. You do not have to have good balance, or be flexible, to do yoga; rather, yoga will make you flexible and will improve your balance as you deepen your practice.

Here is a list of common medical conditions that have been improved by Yoga:

  • Type 2 Diabetes
  • High Blood Pressure
  • Back Pain
  • Sleep Disorders
  • Anxiety
  • Depression
  • Arthritis
  • Fibromyalgia

Yoga practitioners routinely site an improved quality of life by practicing it on a regular basis.

How do I get started?
There are a wide variety of yoga styles and classes. If you are just starting out, you will want to find a beginners yoga class. Start by looking at your local senior centers, or within your active living community, to see if there is a senior-specific yoga class in the area. If not, any beginning yoga class will do. Discuss any physical conditions you may have to help your instructor tailor certain exercises to meet your needs, or explain alternative poses when necessary.

Let go of any common misconceptions people have about yoga:

  • I have to be flexible. People taking Yoga are flexible because they take yoga. Your muscles and connective tissue will become more supple and flexible over time.
  • I have to have good balance. Just as above, students hone their balance through their yoga practice. Your improved balance will help to prevent falls.
  • I’ll have to stand on my headYou won’t ever have to do any postures you don’t want to, least of all one you aren’t ready for.

Find a friend to take with you and give yoga a try. The benefits of yoga for seniors will be well worth your efforts. Namaste!

The Benefits of Art for Senior’s with Parkinson’s Disease

Senior centers and active living communities have always included art classes or seminars as an option for seniors to pass the time, or to learn a new hobby or skill set. However, over time, medical professionals have witnessed how the arts, including art, music, and theater, have seemed to improve the mindset and emotional health of their patients, in addition to positive physical benefits. Now, research is beginning to prove these observations correct as more data links art therapy and the improvement of common side effects from aging such as depression, physical ability, and cognitive function. Parkinson’s disease patients are one population for whom art therapy has proved to have major benefits.

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Art, Music and Drama Can Help Parkinson’s Disease Patients Both Physically and Emotionally

Senior living facilities, medical clinics, and research programs are beginning to partner up with art and music professionals to work with Parkinson’s disease patients as they use art therapy as a means for physical therapy, as well as an emotional outlet.

One example of this takes place at Northwestern Memorial’s Prentice Women’s Hospital in Chicago. The hospital has created a special program called Creative Arts for Parkinson’s. Specially trained professionals from the local Institute for Therapy Through the Arts lead jam sessions, poetry readings, and sing-a-longs. Depending on the schedule for the day, and the group’s interests, the participants may learn to play simple instruments and make music as they sing songs together. Sometimes, they are handed scripts and each of them chooses a character to read as they learn how to project their voice and emote using well-known or relevant script material.

The goal of programs like these are multi-fold. They gather individuals together who have been given an unwelcome diagnosis, and teach them that they are not alone. Singing and playacting helps to exercise mouth muscles, vocal chords, throat muscles and the diaphragm, all of which can become weaker and less productive as the disease progresses. Perhaps, even more importantly, the arts provide a medium through which Parkinson’s disease patients can begin to emote their anger, frustration, and sadness in a way their daily life may not accommodate. Says Diane Breslow, the center’s coordinator, “Very often with Parkinson’s disease there is a fear of the future and the unknown; we want to give these patients a better way to live with their disease in the present.” In addition to music and theater, the physical arts can also provide therapy for patients with Parkinson’s disease.

In 2010, medical clinicians and health professionals from all over the world gathered in Scotland for a World Parkinson’s Congress. While there, they were able to attend a presentation by Deborah Elkis-Abuhoff, a faculty member in the Counseling, Research, Special Education and Rehabilitation Department’s Creative Arts Therapy program at Hofstra University. Elkis-Abuhoff shared her research regarding clay manipulation and its ability to tame tremors, soothe agitated emotional states, and provide a sense of accomplishment for individuals with Parkinson’s disease. In fact, many patients find that by working with physical artistic mediums, they are able to control their movements in a much more focused way than in their normal day-to-day activities.

And, in a rather amazing coincidence, it seems that dopamine-stimulating drugs used to combat the side effects of Parkinson’s disease might give rise to increased artistic capacity, as has been witnessed by experts from around the planet.

If you or someone you love has been diagnosed with Parkinson’s disease, art and music programs can provide a welcome relief and improvement in Parkinson’s disease effects, in addition to providing a support network.

Fall Prevention: Be Proactive and Prevent an Accident

The majority of our time is spent at home, especially during the retirement years, so it’s no wonder that 60% of all falls occur in the home. Falls are also the leading cause of hip replacement surgery and traumatic brain injury in seniors. The safer you can make your home, the better.

Fall prevention in the home can be done over the course of a weekend. While a few suggestions may require some tools and the assistance of a local handyman, most of the changes are easy to do on your own, or with the assistance of a friend, family member, or companion.
Fall-Prevention-HomeAide-Home-Care
7 Simple Steps to Fall Proof A Home

  1. Remove obstructions. This may seem like an obvious step, but you’d be surprised. We get used to our homes the way they are and forget that the corner of the area rug by the couch sticks up, or the lamp cord in the living room forms a barrier between the couch and the television. As eyesight begins to dim, steps grow less steady, and balance wavers, the obstructions we have become used to can cause a fall.
  2. No-slip mats for area rugs. Ideally, surface rugs should be removed completely in a fall proof home to prevent the edges from becoming trip hazards. However, if you won’t budge with a favorite rug on your hard surface flooring, make sure you have no-slip mats underneath to keep it in place.
  3. Widen the space between furniture. Make sure there is ample room to navigate around tables, chairs, and couches. You may want to eliminate an end table or chair in order to create more space.
  4. Adequate lighting. The more well lit an area is, the better you will be able to see. If you are experiencing vision loss, increase the wattage on your lights to provide a brighter interior. Replace light bulbs as soon as they go out. Consider using motion-sensitive exterior lighting fixtures so you don’t have to remember to turn them on/off, but will always have ample lighting at night when you need it. Use night lights in bathrooms, bedrooms, hallways, and the kitchen. Make sure to have a bedside light within reach of your bed.
  5. Clear stairways and hallways. It is often a habit to place things on the stairs, or in the hallway, with the intention of “putting them away later.” This is a dangerous habit. Put things away immediately and keep all walkways free of objects that can trip you up.
  6. Attach carpet on stairways. Make sure any carpet on your stairways is securely fastened on every stair. Otherwise, remove the rug/carpet and attach slip-proof tape for added security.
  7. Handrails and grab bars. There should be easily accessible hand rails and grab bars on all stair ways, in your tub and shower, and next to the toilet. The bathroom is the most dangerous room in the house, so give extra special attention to fall prevention measures here.

The sooner you fall proof your home, the less likely you will be to suffer unnecessary pain and injury. For more information about home health safety, contact Home Aide Home Care.

The Dangers of the Elderly Living Alone

You know the familiar expression, “you can’t see the forest for the trees?” The same can be true of the way we view the people who are closest to us. Sometimes, the aging process happens so quickly that children and grandchildren don’t realize how vulnerable their aging parents and grandparents really are.Don’t let a tragic incident, or unnecessary injury, take place before you acknowledge the dangers of the elderly living alone. The more proactive you can be to allow your loved ones to age safely in their home, or move them to the appropriate facility, the better quality of life they will have.

elderly living aloneThe Dangers of Elders Living Alone

Falls. The greatest danger of elders living alone is their susceptibility to falls. Balance begins to decline throughout the aging process. Poor vision and weakening muscles and bones decreases balance even further. What might have been a small stumble before, resulting in a bruise or a bump on the head, can result in a major injury for the elderly.
Here are some alarming facts and statistics:

  • The bathroom is the most dangerous room in the house for senior citizens.
  • Adults who are 75 years and over account for the largest percentage of Traumatic Brain Injuries (TBIs) that result in hospitalization and death.
  • Falls are the leading cause of injury-related death in adults 65-years and older.
  • Senior citizens are more susceptible to hospital-, surgery-, and anesthesia-related delirium that can last for weeks. This has been linked to other complications and higher mortality rates.

If your aging loved ones have refused to be moved into an assisted living or retirement facility, make sure their home has been adapted for safety. Contact a professional home health care provider who can help make the necessary adaptations, and who can provide health care and/or companion services as needed.

Depression.  The dangers of elders living alone aren’t always visible on the physical level. When seniors live alone, they are much more likely to become lonely, disinterested in normal day-to-day activities, and depressed. This is a very real concern because depression has been linked to more rapid onset and/or progression of other age-related mental conditions such as dementia and Alzheimer’s.

If you have family members who insist on living alone, make sure you know how to recognize senior depression. You may need to be equally insistent that they join a local senior center, participate in a local retirement facility’s day care program, or hire a companion who can visit them weekly, or daily, if you aren’t able to do so yourself. Not only will s/he have access to activities, entertainment, and exercise classes specifically designed for seniors, s/he will be a part of a community, which can help to keep depression and loneliness at bay.

General Health and Well-being. Even without the onset of dementia or Alzheimer’s, seniors are prone to be forgetful. One of the dangers of elders living alone is they can forget to take important medicines, or can overtake them. Meals, exercise, and basic day-to-day hygiene routines can begin to slip. A home health caregiver is one way to ensure your loved one is taken care of. House cleaning, basic hygiene care, meal preparation, and medication reminders are all well within the scope of a well-trained home health aide. This will allow your aging loved one to remain in his/her home without you having to worry about their day-to-day care.

Not sure if your senior relatives should be living alone? Read this article on “What’s Right for You” to determine the right level of care for your loved one and ensure they age as safely as possible.

The Importance of the Elderly Staying Hydrated

Now that we’re headed into the summer months, it’s important to remember the importance of hydration. Senior citizens are particularly prone to becoming dehydrated. In many cases, they are less active than they once were, which prevents them from noticing their thirst until dehydration has set in. For others, medical conditions, kidney issues, and/or medications can cause them to be more susceptible to dehydration.

The following information will educate you about the seriousness of dehydration in the elderly, how to recognize its signs and symptoms, and tips on how to keep elderly relatives properly hydrated when the weather heats up.

The Importance of Hydration in the Elderly Population

The bottom line: every single cell, tissue, and organ needs water in order to function properly. Usually, when we feel thirsty, dehydration has already begun. However, as we age, our brain doesn’t always send the necessary “signal” to our body that it needs water. Ideally, adults need six to eight, eight ounce glasses of water everyday. This can differ between individuals.

Signs and Symptoms of Dehydration in the Elderly

Signs and symptoms of dehydration run from the mild to the severe.

Mild symptoms of dehydration:

  • A feeling of thirst or hunger. Sometimes our bodies signal that we are hungry when we are actually dehydrated. Fruits and vegetables that have a high water content can satisfy both urges. Keep sliced melon, oranges, apples, cucumbers and carrots handy for quick healthy and hydrating snacks.
  • Dry or sticky mouth.
  • Thick or gummy saliva
  • Smaller quantities of urine
  • Darker colored urine, it might even have a brown tinge
  • Muscle cramping
  • Headaches
  • Lethargy
  • Sleepiness
  • Irritability

More severe symptoms of dehydration:

If a loved one experiences any of the following symptoms, you should have them transported to a hospital, or their primary care doctor, immediately. Severe dehydration can become fatal and usually requires intravenous fluids to get fluid levels back in balance.

  • Low blood pressure
  • Severe cramping that can result in hyper-contracted leg, back, and stomach contractions
  • Convulsions
  • Rapid, weak pulse
  • Sunken eyes
  • Dry eyes
  • Flaccid skin
  • Rapid breathing

Tips for the Elderly Staying Hydrated

Besides the obvious, hydration is also beneficial for other reasons. When the elderly are hydrated they are less constipated, suffer fewer falls, and also have a lower chance of developing colorectal cancer.

If your loved one suffers from dementia, Alzheimer’s or a generally “foggy brain” it might be necessary to hire a caregiver to ensure they are taking their medications, eating, and getting enough liquids. They may have to be physically reminded to drink. Otherwise, the following tips can help them remember to drink enough water.

  • Keep a glass of water on the nightstand and on the end-table so it’s in sight. This can help them to remember to drink it.
  • Buy a large, marked container with a straw. This can help them to keep track of how many ounces they drink a day. For example, a 16 ounce container should be emptied approximately three times throughout the day.
  • Buy a variety of liquids. Although water is the best, lowest calorie, and healthiest liquid to drink, drinking liquids is the priority here. Make sure there are a variety of juices, flavored teas, etc. so they are more inclined to drink.
  • Try adding a squeeze of lemon or fresh cucumber slices to a glass of water to enhance the flavor.
  • Set a timer to go off each hour. If they haven’t had anything to drink, they should take some sips.
  • Use a straw. This often causes people to drink more water than they do if they sip from the rim of the glass.

Hydration is important everyday, but especially when the temperatures go up. Keep a close eye on your loved ones to make sure they stay hydrated and healthy.

Senior Centers: More Than Just a Place to Grow Old

As the average life expectancy of seniors continues to increase, so does the need for caring, dependable, and experienced senior care providers. So many of our clients are children of aging parents, bereft at the thought of “putting mom/dad in a home.” Perhaps a parent or grandparent made you promise that you would never make them live in, or visit, a senior center or retirement facility.
Senior CenterHowever, the benefits of senior centers far outweigh the negatives when families work to find the right fit for their aging loved ones. Here are some of the greatest benefits of senior centers for both seniors and their families.
  1. A sense of community. While it’s understandable that many seniors want to remain at home as they age, it’s also true that this can become an incredibly isolating experience. Multiple scientific studies show a dramatic correlation between aging, loneliness, and depression. Even with the benefit of an hourly or live-in caregiver service, this is not the same as a community of like-minded peers. Joining in a community can help your senior develop new friendships, find solace in others who are mourning similar losses such as the death of loved ones, health issues, or loss of mobility. After a visit or two to a senior center, you may be surprised when your parent or grandparent looks more forward to their visits every week.
  2. Keep the mind active. In addition to community and physical well being, brain boosting activities also help to keep seniors interested and excited about life. The more mentally active we are, the longer we can keep age-related conditions like dementia and Alzheimers at bay. One of the benefits of senior centers is the classes, activities, and entertainment they offer. Your local senior center may also provide free copies of crossword puzzles, Sudoku, educational magazines, daily papers, and other mentally stimulating formats your loved one might not take advantage of in his/her own home.
  3. Physical activities. Senior Centers are specifically designed for one sector of the population: seniors. This means all of their activities, from yoga and Tai Chi, to aerobics and team sports, are designed with the physical needs of seniors in mind. Seniors who spend the majority of their time at home have a tendency to be more sedentary than those who participate at local senior centers. Physical exercise can help to mitigate depression, reduce pain associated with arthritis/health conditions, and keep off unwanted weight.
  4. Respite Care. Many family members opt to take care of their senior relatives, rather than bringing in outside help. Unfortunately, this can cause caregiver burnout, which is unhealthy for both the senior and his/her caregiver. If you, or someone you love, is suffering from caregiver burnout, it’s a good idea to learn about respite care options. Many senior centers provide senior day care. This allows your relative to enjoy the company of others in a safe environment while you get a much needed break. If your local senior center doesn’t offer senior daycare or respite care opportunities, they will be able to refer you to a local respite care provider who can help.
  5. Free or low-cost health screening. Some senior centers offer free or low-cost health screening services to their members. This can make it easy for seniors to receive check-ups, seasonal flu shots, etc. without having to make another appointment.
  6. Free or low-cost hot lunch. Most senior centers also offer free or low-cost hot lunches to those interested 4-5 days a week. These lunches are designed to be nutritious and well balanced. Not only can this be a great help to seniors, but it can also be a good time to socialize and get to know other seniors.

 These are just a handful of examples of the benefits of senior centers. Don’t let your guilt, or resistance from a loved one, prevent you from trying one out. The first visit could be the best gift you give your aging family member.

Incontinence: Convincing an Elderly Parent to Wear Adult Diapers

 

While growing older can bring a wonderful sense of wisdom and the satisfaction of a life well lived, there are not-so-desirable situations that can accompany the aging process. For some seniors, incontinence is (understandably) the thing they dread most. As such, they can be in denial about needing adult diapers as an important, sanitary and healthy next step for their day-to-day life.

If you suspect your elderly parent, or a senior you love, needs to take that dreaded next step, here are some things you can do to help ease their transition.
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5 Steps to Convincing a Parent/Client to Wear Adult Diapers

  1. Do NOT call them diapers. One of the best things your family and team of caregivers can do is to scratch the word “diaper” from the vernacular. These are not diapers. Diapers are for babies. These are “disposable underwear or briefs,” “adult briefs,” or whatever term you all decide upon. The word diaper can be very offensive and insulting to a senior who is having understandable resistance to losing control of his/her life.
  2. Have samples available. Many seniors are so abhorred by the idea of wearing disposable underwear that they envision huge, bulky, baby-like diapers that will be obvious through their clothing. This is simply not the case anymore. Absorbent materials have come a long way and disposable underwear is thinner than ever. The best products pull up and down, just like regular underwear. By having some samples on hand to show him/her how thin, comfortable, and completely un-noticeable they are, you may eliminate a major part of the battle. Visit the websites of various disposable underwear companies. Most of them will have a place you can click to request free samples.
  3. Gently tell them you have noticed. Many seniors aren’t able to smell as well as they used to, or they have become used to the smell and don’t realize how prevalent it is. If you are comfortable enough to have a gentle conversation, making them aware their incontinence is noticed by others, this may be enough to get them over the initial hurdle. Many seniors are much more embarrassed by the idea that they smell like urine around family and in public than they are about wearing disposable underwear. If that is not an option, and you feel it would be impossible for you, move on to #4.
  4. Enlist the help of a doctor or other health care provider. Remember when you were a child? It was always easier to follow instructions or hear constructive comments from other adults, rather than your own parents. Convincing an elderly parent or loved one to wear adult disposable underwear is a flipped version of that. If a doctor, caregiver, or home health provider is the one to suggest or prescribe them, explaining the unsanitary and unpleasant side-effects of untreated incontinence, the transition might be made easier than you think.
  5. Be Pro-active. If you feel conversation is completely out of the question, it may be time to get pro-active and see what happens. We have clients who simply opened the drawer, replaced some of their loved one’s underwear with a stack of disposable underwear, and didn’t say a thing. A few days or a week later, they find the disposables have been used and they simply continue to replace them without ever having a conversation. Eventually, you can begin leaving the package in their bathroom or bedroom where they will have an ample supply.

Incontinence is something that many senior citizens and their families dread, but the more respectful, gentle, and creative you are, the more likely seniors are to be receptive.