Getting the most from doctor visits

Time with a doctor is precious—and that creates pressure to make the most of each visit. Whether your loved one’s next appointment is in person or through telehealth, a little preplanning will go a long way to making it a productive session. Here are some helpful tips: Identify the goal. Are you seeking a diagnosis…

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“But I wasn’t there when she died”

Many of us hold unconscious covenants with our kin. Among the most poignant, perhaps, is a commitment to “be there” when death is near. As adults, we may feel an obligation, and an honor, to be with our parents as they leave, just as they helped us enter. With our spouses, the ultimate commitment—’til death…

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Caregiving as a team

Millennials and Gen Xers are using strategies that might benefit family caregivers of all ages. Nearly half (47%) of adults in their 40s and 50s now find themselves “in the sandwich.” They serve as primary support people for an aging parent. Plus, they have children who are still at home or at least financially dependent….

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Repetitive questions

“When are we going out?” A reasonable question under normal circumstances. But if the person you care for has dementia, you may get this question multiple times in an hour. Aargh! Indeed, repetitive questions are one of the top irritants mentioned by family caregivers whose loved one has dementia. The repetitive questioning isn’t done intentionally,…

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Help prevent choking

Swallowing involves the coordination of many muscles in the mouth and throat. The action pushes chewed food down toward the stomach. At the same time, the throat needs to close off the windpipe to the lungs. Between 15% and 20% of older adults have trouble swallowing. Choking while eating or drinking is the fourth-leading cause…

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How to beat “decision fatigue”

Caring for an ill family member often requires taking on the role of “decision maker.” Sometimes it’s multiple mundane decisions (Should you ask your sister to do the shopping? Is this a good day to shower Mom? Now or after lunch?). And sometimes it’s several important health decisions, all in a short period of time….

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Osteoporosis: What you can do

If you are concerned about a loved one’s osteoporosis—brittle bones—it’s a good idea to bring this up with the doctor. He or she will likely discuss various medicines that can help. In addition, changes in daily life outlined below can go a long way to making stronger bones. Consider: Diet: There are two key nutrients….

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What’s in an Alzheimer’s test?

When symptoms of memory loss or confused thinking arise, it’s natural to wonder: Is it Alzheimer’s? There is no specific test for Alzheimer’s disease. To achieve a diagnosis, doctors typically order a variety of tests. Most of the tests are to rule out the many, many conditions besides Alzheimer’s that can cause similar symptoms. Some…

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The importance of staying connected

Staying connected is extremely important. Isolation and loneliness are not just sad situations. They have been shown to increase the likelihood of dementia, depression, and heart disease in older adults. Even early death. As a family caregiver, you may be struggling to find ways to have meaningful interactions. Especially if the person you care for…

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Talking with children about serious illness

Children are like sponges. They soak up whatever is around them. If Grandpa is sick, or Grandma has dementia, they’ll pick up on your emotional responses. If no one has explained the situation, they’ll make up their own ideas about what’s going on. As a result, they may feel unnecessarily scared and alone. Instead of…

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Is twice a night too much?

Many older adults complain of having to get up several times in the night to pee. Some of this is a normal part of aging. Our bladder capacity gets smaller, so we need to void more often. But frequent trips to the toilet can have a serious impact on sleep. Nocturia—the medical name for getting…

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Cooling down to make a decision

Our fight-flight-or-freeze reactions are deeply embedded in our body and brain. In intense situations, they take over. As a family caregiver, it’s easy to feel overwhelmed by the many decisions that must be made. And the responsibility. This is especially true in times of great stress and uncertainty. We become emotionally flooded and enter a…

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Coronavirus scams

Scammers thrive in crises. The Federal Trade Commission is reporting a surge in fraud complaints. Bad actors are leveraging fear and shortages to bilk consumers out of millions and to harvest information for identity fraud. Help your loved one avoid scammers by following these tips. Research requests for donations. Verify the nonprofit on Guidestar.org, the…

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Removing “junk stimulation”

If you were asked to name the stresses in your life, you might think first about all the tasks and responsibilities you are juggling. Or challenging relationships. Or financial difficulties. Less obvious are the stressors in your environment that can tax your nervous system behind the scenes. “Junk stimulation,” like junk mail, simply overwhelms the…

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Avoiding regret

Family caregivers are often thrust into the role of making decisions for a loved one. Some decisions are relatively small: Purchase a walker with wheels or one without? Others are large and may have life-changing ramifications. Approve that surgery? Initiate a move to assisted living or set up care at home? Rarely is there a…

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When broccoli is bad for you

“Kale smoothie, anyone?” Maybe not…. Good nutrition has always been a mainstay of good health. Indeed, there is growing awareness of the power of food to support healing for a wide variety of conditions. What is less well known is the fact that even very healthy foods can cause health problems when combined with specific…

Signs of osteoporosis

Does the person you care for seem to have shrunk a bit? Pants are too long? Can’t reach items on their regular shelf? You can see the top of their head? it could be that their bones have become more porous with age. This is called “osteoporosis.” With osteoporosis, bones are less dense and easily…

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Common misconceptions about hospice

Many families caring for a seriously ill loved one struggle alone unnecessarily. They miss out on vital support services because they don’t understand what hospice can provide. Home visits by a nurse to manage pain and other difficult symptoms. Home visits by a nursing assistant to bathe your loved one and shampoo hair. Free prescriptions…

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Harnessing stress

Stress has gained a dirty name during the past decades. It’s something we talk about needing to getting rid of, as if it were wholly bad. While chronic stress can be damaging to our health, recent research demonstrates that stress isn’t always a threat to our well-being. In fact, the very things that bring greatest…

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Return to a good night’s sleep

If your older loved one snores loudly, he or she likely has sleep apnea: A collapsing of the airways while sleeping that results in mini-suffocations 5–30 times an hour. And, left untreated, this serious condition is a strong contributor to heart-related deaths, type 2 diabetes, dementia, depression, and car accidents. It’s also a huge problem…

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Hallucinations in later life

“I don’t like that bear on my bed!” A visual hallucination such as this can occur in the later stages of dementia or near the end of life. Some people also have auditory hallucinations—hearing things that others don’t—or feel things that aren’t there, such as string in their mouth or ants on their arm. These…

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Doctors and advance directives

If your loved one and family have had the conversation about end-of-life wishes, kudos to you! In addition to writing down those wishes in an advance directive, your relative should also share them with his or her health care team. Even if your family member is in perfect health now, that could change at a…

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Are you pushing against reality?

We all quarrel with reality from time to time and wish things were different than they are. Especially now, when life seems unfair. All flights have been cancelled due to the coronavirus and you won’t be able to be with your Dad on his 80th birthday…. Your mom is in an assisted living facility that…

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Are generic drugs inferior?

If your relative is taking brand-name prescription drugs, a switch to generic could provide significant savings. Why are brand-name drugs so expensive? It takes a lot of money and time to develop a new drug. In particular, it must be tested to show it works and is safe for humans. Patent laws give an innovator…

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Keep calm and stay in balance

This is a time of great uncertainty. It’s natural to feel a wide range of emotions, including fear, anxiety, confusion, or loneliness. It is also a time to take extra care to address your feelings and keep them from paralyzing or overwhelming you. Get the facts. Our emotional responses come from the part of our…

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Does Dad “saw logs” all night?

If your loved one snores, this may be a sign of “sleep apnea.” All snoring jokes aside, sleep apnea is a serious condition that deprives the brain of oxygen. A person with sleep apnea goes without oxygen for at least 10 seconds, five to 30 (or more) times an hour. It happens because the soft…

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Caring for someone with COVID19?

What we know so far is that COVID-19 is spread much like the regular flu—through coughs and sneezes that put droplets in the air and on surfaces. It may be 2–14 days after exposure before a person has symptoms. That means people can spread the virus without knowing it. And many have symptoms that seem…

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Dad can’t brush his teeth

Is dementia making oral care difficult? Unfortunately, this isn’t a task to let go. Poor mouth care leads to cavities and gum disease, and then to toothaches, sore gums, and a disinterest in food. It can also contribute to a deadly infection, “aspiration pneumonia.” Even if the person you care for is no longer eating,…

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The myth of self-reliance

As a society, we value independence. The self-sufficient super-achiever. When it comes to family caregiving, however, this mind-set can backfire, resulting in stress and burnout for you, not to mention greater risk for your relative. (Imagine if something happened to you and no one else has really been part of the team, sharing the tasks!)…

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Early signs of heart failure

Too often, older adults assume that fatigue and trouble breathing are just a natural part of aging or being out of shape. They aren’t. In fact, these can be early signs of heart failure. Heart failure means the heart is having difficulty pumping effectively. As a result, fluids build up, especially in the lungs and…

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Caring for your marriage, also

With Valentine’s Day on the horizon, it’s a good time to consider strategies to prevent your partner from getting overlooked because of your caregiving. Caring for an aging relative definitely affects your ability to nurture your significant other. A poll at caregiving.com revealed that 81% of family caregivers say caregiving tested their marriage in ways…

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When is your loved one “too isolated”?

When caregiving draws us closer to a family member’s routines, we’re sometimes surprised by what we find. Perhaps you’ve noticed that Dad only leaves the house once or twice a week. Social isolation has been shown to be a risk factor for many conditions. Depression. Heart disease. Obesity. Dementia. Should you be concerned? Not necessarily….

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Immediately after a death

Upon a loved one’s last breath, you may find yourself a little disoriented. Respect that otherworldliness. Families often just sit in silence for a while. Or share chuckles and sweet memories, tears and hugs. There is no need to rush to call the funeral director. A body can safely remain at home—or in a facility’s…

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What is a “CCRC?”

A CCRC, or continuing care retirement community, answers the desire to “move just once.” Rather than relocate several times over the course of aging, your loved one can stay on one campus. Even as care needs change. Typically, residents start by moving in to an independent living unit with no support services. When help is…

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Adding meaning to your life

Each new year’s dawning seems like a nudge to check one’s personal compass. Are you headed in the direction you want to be going? Has life seemed just a frenzied dash through the to-do list? Or maybe your past year was dominated by feelings of frustration or futility. Perhaps you yearn for a sense of…

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What is a speech therapist?

For many of us, the words “speech therapy” make us think of a classmate in grade school who had trouble because of stuttering. In fact, speech therapists help with many problems that crop up later in life. Consider stroke, Parkinson’s, dementia, and brain injury. All these disorders can affect a person’s ability to find and…

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Dad lost weight!

A holiday visit sometimes reveals surprising changes, such as little food in the cupboard, a loved one’s loss of appetite, or his or her unexpected weight loss. Talk with the doctor first. A weight loss of 5% over 6–12 months is considered worthy of medical attention. (For a 130-pound woman, that would be seven pounds….

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Overcoming sadness

Whether you are caring for a loved one with dementia or helping a relative with cancer, sometimes the sadness of it all feels overwhelming. Especially at the holidays. The sadness is natural, of course. But you don’t want to get paralyzed by it. Pivoting from the sadness As family caregivers, we need to learn how…

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Visiting in the digital age

Today, there are many ways to stay in touch with the elders we love. That’s a good thing because research suggests that older adults who are socially engaged enjoy greater happiness and a sense of purpose. Those who are isolated and lonely are at a higher risk of depression, heart disease, obesity, and Alzheimer’s. But…

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