Dealing with anxiety

Dealing with anxiety

It’s only natural for family caregivers to worry. Understandably, we spend a lot of time thinking about “what’s next.” But if you are in a pattern of persistent worry and are starting to feel the stress in your body too—perhaps headaches, loss of appetite, or trouble sleeping—you may be dealing with anxiety.

Services at home: Medicare

Services at home: Medicare

Medicare is health insurance provided by the federal government. It covers adults 65 and older, as well as persons with disabilities. In terms of home care, Medicare pays for visits only by medically trained staff. In that light, there are two programs: Home health and hospice.

Coping with another person’s pain

Coping with another person's pain

When your family member is in pain, you are suffering, too. The “mirror neurons” in our brains are programmed to recognize pain in others. That’s good news in that it arouses compassion and spurs us to action. But it can be bad news, too. When you are highly attuned to a loved one’s pain, you are at higher risk of depression, burnout, and poor health yourself.

What is a daily money manager?

What is a daily money manager?

A financial advisor manages investments. A daily money manager (DMM) is someone who comes to the home once or twice a month to handle the mundane aspects of personal finances: Paying monthly bills (but your loved one signs the checks). Balancing the checkbook. Navigating health insurance claims. Resolving billing errors. Tracking donations. Organizing paperwork. Gathering documents for tax time. Their job is to catch unnecessary expenses while making sure important payments are made on time.

The decision to stop dialysis

The decision to stop dialysis

Dialysis is life sustaining yet also quite taxing for the patient. About 25% of people who choose dialysis later decide to stop. Typically, this is because the burdens of this kidney disease treatment have severely reduced their quality of life. The tradeoff becomes no longer acceptable.

Learning to forgive yourself

Learning to forgive yourself

According to psychologist Rick Hanson, PhD, we all have an inner critic and an inner protector. Together they help us maintain a balanced perspective. But too often as family caregivers, we have an overload of guilt, shame, and remorse, always feeling our performance is subpar, that we haven’t done enough. This is not healthy. The inner critic has an important role, but it’s not to pulverize our self-esteem.

The healing power of music

The healing power of music

Can listening to calming music actually ease pain? Can singing silly songs make you happier? Researchers say this isn’t just a folktale—it represents some of the measurable effects of music on the mind and body.

Although it’s not yet clear exactly how music works its magic, studies show that it is strong medicine, both in the moment and as treatment over time. Among the benefits, music

Dealing with criticism

Dealing with criticism

Receiving criticism is never a pleasant experience, especially from family members. Whether it is a sibling griping about how you care for a relative or complaints from the person you are caring for, you may feel suddenly flooded with difficult emotions. Perhaps anger, shame, or confusion.

We can’t stop others from giving criticism. But we can become wiser about how to deal with it. Try these tips:

What is a Medicaid spend down?

What is a Medicaid spend down?

There are two forms of government health insurance:

– Medicare. Basically, age-based insurance for older adults (age 65+), regardless of income and assets. (Assets include money and belongings, such as a house or car.)
– Medicaid. Income-based insurance funded with federal and state dollars. (The state where your relative lives may have a name different than “Medicaid.”) This insurance is for individuals who have very little means. The financial asset threshold is often set at $2000 or less.

Medicaid will sometimes pay when Medicare will not.
The most common expense covered by Medicaid is long-term care in a nursing home. Speaking very generally, Medicare pays for the first 100 days after a hospitalization. If a person needs to stay longer—permanently move into the facility—they must cover the cost from their own savings. Once nearly all their resources have been exhausted, they can apply for Medicaid, which will pick up the tab.

Bladder issues

Bladder issues

If making it to the bathroom in time is a frequent concern for your relative, they may have an overactive bladder. More than 33 million Americans contend with this condition, in which misfiring nerves cause the bladder muscles to contract involuntarily. Your loved one may be too embarrassed to bring it up with the doctor, or even with you. But it should be checked out. It’s not a “normal” part of aging. Overactive bladder (OAB) is a real and treatable medical condition. And you certainly want to be sure it’s not something else.

The basic symptoms of OAB include an urgent need to urinate more than eight times in a day and/or more than once or twice a night.

Many people let incontinence worries run their lives. They stay close to home for fear of accidents. They withdraw from social activities, dreading they have an odor from leaks. They may become anxious or depressed. And multiple nighttime trips to the toilet can result in insomnia and fatigue, bringing on more depression.

What’s involved in giving care?

What’s involved in giving care?

Perhaps you call regularly to offer emotional support. Maybe you handle finances. Perhaps you visit weekly. Or you may live with your loved one 24/7. Caring takes many forms. You may feel this is simply what a loving daughter/son/partner would do. But that doesn’t mean it isn’t time and energy from your day. Or night, if you skimp on sleep to create time to help.

Whether you provide hands-on care or assistance from afar, you ARE a family caregiver. And that means you need to watch for burnout. Use this list to take an inventory. Consider what is realistic for you. And think about options to help manage the load: Friends, family, community programs, paid help.

Explaining your needs to others

Explaining your needs to others

Are you worried that asking for help sounds like whining? You may believe you “should” be able to do it all without assistance. Or think you are “just” doing what any good or loving daughter (or son, or spouse) would do. Like many caregivers focused on family harmony, you may have become used to minimizing…

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Medical management without dialysis

Medical management without dialysis

Dialysis typically buys a person some time. But it rules their life—and possibly yours. It requires strict adherence to the schedule. Also, severe food restrictions. Your relative’s energy level will fluctuate. That makes planning for other activities difficult. There is an increased chance of infection because of the access port for dialysis. And there are side effects: Itchy skin, trouble sleeping, headaches, and dizziness. Cramps, nausea, weight loss, and fragile bones are not uncommon.

Giving “awesome” new meaning

Giving "awesome" new meaning

It turns out that feelings of amazement, marvel, and wonder are beneficial emotionally AND physically. Exposing yourself to an awe-inspiring experience twice a week can replenish your well and increase feelings of connection. Learn more about the science of awe and what you can do to bring it more regularly into your life. Check out our blog for family caregivers.

Signs of financial abuse

Signs of financial abuse

Older adults are frequently targeted for financial abuse. They typically have more funds than their younger counterparts do. They tend to be generous and naïve, not understanding all the ways they can be scammed. Some have memory and thinking problems. And even if they do realize they’ve been “taken,” they may be too ashamed or…

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Seeds of family resilience: Focus on rewards

Research on stress often involves family caregivers. No matter how much you love the person you care for, taking care of an ailing relative can be stressful! To offset the stress, consider the power of positive thinking. Studies show that people who “seed their lives” with moments of positive emotions are more resilient in the…

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How to get durable power of attorney

There may come a time when your loved one will need help handling financial matters. Maybe filing taxes. Or interacting with Social Security. Or signing a contract to move into a new residence. If your relative is unable to do these things because of illness or problems with dementia, you will need to show a…

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Transitioning from curative care

At some point, the burdens of treatment may just become too much for your loved one: The nausea of chemo. The rigors of dialysis. Wearying trips to the ER. Perhaps the person you care for is already having these thoughts, to let nature take its course and stop fighting for health that stubbornly eludes them….

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Managing arthritis pain

The most common arthritis is osteoarthritis, which occurs most often in the hands, knees, hips, lower back, neck, and feet. It affects roughly half of those age 65 and over. With osteoarthritis, the smooth layer of cartilage between the bones in the joints deteriorates, causing bone to scrape directly on bone. Ouch! If your loved…

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Should you take over Mom’s checkbook?

Money matters are often intensely private. And no one wants to infringe on a family member’s independence. Yet it is through (sometimes expensive) financial mishaps that you may learn of changes in your parent’s memory and thinking. Signs of a problem Diseases that affect memory also tend to impair arithmetic skills and reasoning. That’s why…

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Dementia dogs

Dog training organizations are looking toward a new challenge: Training highly skilled “dementia dogs.” These dogs are individually trained to meet the needs of persons with memory loss problems. They provide safety and companionship. They also relieve the anxiety of family caregivers. To support a person with dementia, dogs are trained to help with memory…

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Time for smart monitoring?

From sensors and cameras to remote alarm systems, today’s marketplace offers a plethora of technology to help older adults safely age in place. Those devices with monitoring features are particularly useful if your loved one lives on their own, whether near to you or far away. Indeed, many apps and devices can help you stay…

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Coping with vision loss

It’s common for those newly diagnosed with a vision-loss condition to feel anxious and depressed. Understandably so! They worry about losing their independence. Also, that they will need help with many activities of life. This in turn suggests a loss of privacy. Many newly diagnosed persons report a sudden lack of confidence and feelings of…

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What is “cremation authorization”?

With National Healthcare Decisions Day coming up on April 16, it’s good to review who your loved one has chosen as their healthcare power of attorney (sometimes called a “proxy” or “agent”). This is who will make decisions for them when they are no longer able to do so themselves. Often this occurs in end-of-life…

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Is Dad taking his meds “as directed?”

Did you know that nearly half of adults taking prescription medications for a chronic condition make errors in taking their meds? The most common problem areas: Memory. Forgetting to take a medication Organization. Failing to order a refill in time and running out Convenience. Being away from home and missing dose(s) Side effects. Experiencing unpleasant reactions…

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How to read an Explanation of Benefits

Before your loved one pays a medical bill, wait for the insurance’s Explanation of Benefits (from Medicare, this is called a “Medicare Summary Notice”). This document indicates what services were billed by which providers for what days. It is an important summary to help you catch errors, duplicates or, sadly, even identity theft or fraud….

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Maximizing your resources

When we think of “resources,” as family caregivers we might think of money. Or time. But there is another resource we’re using every day that is often overlooked: Emotional energy. Our emotions and mood contribute mightily to our ability to deal with challenges. When circumstances are difficult, it’s hard to generate enthusiasm or initiate projects….

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When kidneys fail: Dialysis?

If the person you care for has chronic or advanced kidney disease, dialysis will come up as a treatment option. This procedure mimics the cleansing function of the kidneys. It mechanically “rinses” the blood to take out toxins. Dialysis is not a cure for kidney disease. But it does buy some time. People often live…

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When high blood pressure goes untreated

Don’t confuse a lack of symptoms with a lack of risk. A person with high blood pressure usually feels “just fine.” And that makes it easy to also feel unconcerned. Your loved one may not be motivated to treat high blood pressure. Or may want to stop taking medications because they don’t notice any difference….

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Dementia communication: Speaking

Nearly every type of dementia compromises the ability to process language. It’s harder for the affected person to grasp words, to comprehend their meaning, and to track what’s being said. Communication with your family member may seem a frustrating struggle. Still, aim for interactions that maintain a positive relationship. Your emotional tone is key: Pay…

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Age-related macular degeneration

Age-related macular degeneration (AMD) is a very common condition affecting the retina of the eye. It causes blurry vision and dark spots in the center of the visual field. This makes it challenging to read, drive, and recognize faces. Although AMD typically gets worse over time, it does not lead to total blindness. It is,…

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“For better or for worse …”

Are you supporting a relative who is also a caregiving spouse? Many long-lived couples see it as both a duty and a privilege to walk that last mile with their partner, fulfilling vows of “for better or for worse.” That does not mean the journey is easy. Caregiving partners often experience physical challenges as they…

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Keeping blood pressure in check

Only 24% of people with high blood pressure have it under control. The remaining 76% are at very high risk for death or disability through heart attack, heart failure, or stroke. In fact, in 2018 high blood pressure was listed as a primary or contributing factor in nearly a half million deaths. With COVID-19, high…

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A robo-pet for companionship?

There is no doubt that seniors are suffering emotionally, and physically, from the social isolation of the pandemic. Those with dementia have been especially hard hit. Even elders who live on their own with no memory problems are struggling with loneliness, depression, and anxiety. How is your loved one doing emotionally? Want to introduce a…

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Slowing the progression of glaucoma

Glaucoma is a leading cause of blindness among older adults. It causes pressure in the eyeball to build up to a point that the optic nerve is damaged. There is no cure or repair. That’s a grim reality if your loved one has been diagnosed with this disease. Fortunately, glaucoma’s progression can be slowed and…

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Problems with hygiene

It’s not uncommon for a holiday visit to reveal that things with mom or dad are newly amiss, particularly in the area of personal grooming. Maybe mom has always been fastidious about her appearance, and now she’s disheveled. Or dad didn’t change clothes the entire time you were there, and maybe even had a strong…

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Repairing identity theft

It’s a fact that scam artists prey on older adults. Scammers steal identifying information and use it to obtain cash, make purchases, or open new credit card accounts. If your relative’s identity has been stolen, take action quickly. But be methodical! Keep track of every report you make. Log every call. Send any documents by…

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Montessori for people with dementia

Caring for a loved one with moderate-to-advanced dementia often leads to bewilderment. And sadness. Perhaps your relative seems withdrawn. Or is fidgety, pacing, or wandering. They may seem to recede each day. How can you connect with them now? How can you keep them engaged? Experts in dementia care are culling tips from pioneering educator…

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Add a dose of laughter to your life

Don’t you just somehow feel better when you laugh? It turns out, that’s not just fantasy. Laughter has physical benefits at the cellular level. Research consistently demonstrates that a good belly laugh engages many different systems in the body. And laughter delivers emotional health benefits as well. Studies show that laughter supports the heart. If…

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Leaving a legacy with StoryCorps

The desire to leave a legacy calls strongly to many older adults. Perhaps this is of interest to an elder in your family. A legacy does not have to be financial in nature. One way to leave a legacy is to record a personal story and bequeath its insight to future generations. StoryCorps, a project…

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“Should we delay that procedure?”

Should your loved one go ahead with cataract surgery? What about a hip replacement? Dental work? A cardiac stress test? In light of COVID, other health issues seem to pale. But putting off treatment or tests can result in tough consequences down the line. How do you know which procedures are worth the risk? Consider…

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What is high blood pressure?

High blood pressure is sometimes called “the silent killer.” This is because it is dangerous but has few outward symptoms. As the heart pumps, it pushes blood through the blood vessels, creating pressure on the artery walls. High blood pressure means that your heart is having to work extra hard to get the basics of…

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Dementia and communication: Listening

People with Alzheimer’s or other memory loss conditions often have trouble expressing themselves, sometimes right from the start of the disease. This can easily lead to confusion and frustration for both of you. Your willingness to exercise patience is key to successful communication: Patience and calm, over and over and over again. This is hard!…

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Video chatting for the “tech challenged”

Many older adults are embracing technology to stay connected with family and friends during the pandemic. Although some popular technologies—Zoom, FaceTime, and Skype—are relatively simple, they still require a computer, tablet, or smartphone. Plus some tech savvy. Your loved one may be challenged to learn new skills because of memory issues. Or perhaps arthritis or…

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“Should we bring Dad home?”

In the context of COVID, many families are wondering if an older relative would be better off moving out of their assisted living, memory care, or skilled nursing facility. It’s not an easy question to answer. The advantages of facility living. Facilities have staff on site 24/7 to assist with residents’ needs. They can provide…

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Health risks of Korean War vets

Close to 2 million American soldiers fought in the Korean War from 1950 to 1953. More than half of those who served in what is often called the “Forgotten War” are still alive. Most of these soldiers were born during the 1920s and 1930s. They are now in their 80s and 90s, with some cresting…

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Constructive criticism: When to speak up

Caring for a family member often involves collaborating with other relatives. Sometimes you will agree. Sometimes you won’t. Debating every item may not be the best use of family time. In some situations, the wisest course is to be quiet and let others do it their way. That said, there are times when you should…

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Would having a dog help? A fish?

Increasingly, research shows that older adults can benefit in myriad ways from the companionship of an animal. Physical health benefits Pets seem to help us stay calm in the midst of stress: Reduced blood pressure and heart rate. Some research shows improvement even when the “pet” is fish swimming in an aquarium! Strengthened immune system….

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When you can’t hold a funeral

Between travel concerns and restrictions on group gatherings, holding a traditional funeral can be challenging. Many families are turning to “virtual funerals” using video conferencing programs, such as Zoom. About 20% of funeral homes offer virtual services. And there are online companies that specialize in funerals. They assist with everything from sending out invitations and…

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Supporting a person with arthritis

Arthritis is a difficult condition to understand as an onlooker. The pain is invisible and unpredictable. Some days are good. Other days are not. Arthritis challenges the affected person’s ability to accomplish the basics—simple tasks, such as opening jars or walking up stairs. Such disability can generate feelings of frustration and low self-worth. The chronic…

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What is palliative care?

Life with a serious illness is not all dreary and glum. The condition and its symptoms can certainly take over. But daily life continues. And patients are more than their disease. Like everyone, they need to eat, walk, talk with friends and family, and enjoy pleasant activities. Palliative care is an extra layer of support. Its…

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What is “mindfulness,” anyway?

Many people confuse mindfulness with meditation and Eastern religions. Mindfulness is a skill gained by training your mind to observe life situations in a less emotionally charged way. It is a mental skill that gives you a less-cluttered perspective. It lowers daily stress and is particularly helpful when making important decisions under duress. Mindfulness is…

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Nonverbal signs of pain

Dementia itself does not cause physical pain. But people with dementia still encounter pain, just like anyone else: headaches, arthritis, tummy aches. They just can’t describe it. They might even deny having pain when you ask because they don’t understand the question. Learn the nonverbal signs of pain so your loved one doesn’t suffer. (Your…

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BPH: Weighing surgical options

Ever wondered why older men seem to need to urinate frequently? An enlarged prostate gland is likely to blame. The condition, benign prostatic hyperplasia, or BPH, is so common that it affects 90% of men by age 80. The prostate gland is roughly donut shaped and is located below the bladder. The urethra, the “tube”…

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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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