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Posts Tagged ‘elderly’

As we age there are many important things to consider. One of those important considerations is living arrangements. With the aging of America, the retirement living industry has grown exponentially over the past decade providing the seniors of today and tomorrow a vast variety of housing and care options. Understanding the housing choices that are offered can make your selection easier.

The first option is continuing to live at home. As with any other critical decision, you should think about the benefits and challenges of living at home. Some benefits may include being surrounded by friends and family in a familiar setting. Some challenges may include needing outside help with everyday tasks and feeling isolated and lonely.

If you choose to stay at home, think about possible modifications that can be done around your house to make your later years of life easier. This concept of making the home more accessible and safer is called Universal Design. The Virtual Universal Design Tour can show you ideas on modifications that can be made to your home.

The next option is to move to an outside facility. There are various types of settings depending on your desires and needs. Understanding the various options is important to help guide your decisions. Here is a brief overview of housing options for older adults:

Active Adult Communities – offer services and amenities aimed at giving residents a more carefree lifestyle, while also providing social engagement opportunities of all kinds.

Independent Living -refers to a way of life in residential communities designed specifically for those who have reached or are nearing retirement age, but want to remain active and independent.

Assisted Living – is a communal way of life designed for seniors who need help with various daily tasks like grooming, bathing, and medication management, but still wish to remain as independent as possible.

Skilled Nursing Care – provide skilled nursing care, a level of care provided by a registered nurse who monitors a patient’s health and administers treatment around-the-clock.

Residential Care Homes – provide individualized service, often in a standard single-family home. These houses have been modified to accommodate the needs of seniors, and are generally licensed by the state for only two to six beds. Similar to assisted living, residents receive 24-hour care and assistance with activities of daily living, including medication management, housekeeping services, transportation to doctor’s appointments as needed, meals, and social programs.

Continuing Care Retirement Community (CCRC) – offers several different senior living options or care levels all on one campus. It provides a peace-of-mind guarantee of care to residents for the rest of their lives.

Long-Term Care – refers to any community that provides 24-hour care on a long-term basis. Assistance generally includes regular supervision, help with activities of daily living as needed, medication reminders, housekeeping, meals, and social activities.

Memory Care – long-term care that helps those with dementia of Alzheimer’s disease. Memory care is either offered at a stand-alone community, or as an add-on service at some assisted living facilities, Continuing Care Retirement Communities, and nursing homes.

Housing decisions are unique to everyone and will depend on personal preferences, financial resources, and care needs. The National Association of Area Agencies on Aging offers A Guide for Making Housing Decisions that provides more detailed information for housing options for older adults.

Written by: Kathy Tutt, Family and Consumer Sciences Educator, Ohio State University Extension, Clark County

Sources:

National Association of Area Agencies on Aging, Housing Options for Older Adults: A Guide for Making Housing Decisions, retrieved from: https://www.usaging.org/files/HousingOptions.pdf

Prosch, T. (2014). The Other Talk: A Guide to Talking with your Adult Children About the Rest of Your Life. United States: McGraw-Hill Education.

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For many, the holidays are filled with celebrations and festivities with family and friends, but it can be a worrisome time for those who have difficulty getting around, or are confined to their homes. Older adults might choose to forego family celebrations and festivities for fear of falling or being a burden on family members. By skipping family functions, older adults may have an increased feeling of loneliness and isolation during the holidays.

Unfortunately a day out with an older adult cannot be spontaneous. However, with a little pre-planning and modifications, holiday traditions and activities can be safe for older family members. This may require some changes to family plans, but having senior family members with you during the holidays is well worth the adjustments.

In order to make celebrations suitable for every family member, here are some things to consider during the planning process:

  • How far can the person travel?
  • Are the costs affordable to someone on a limited budget?
  • How much walking is involved?  Are there hills or other obstacles that would make it hard to navigate?
  • Is there wheelchair access?
  • Is there parking nearby?
  • Are restrooms easily accessible?
  • Are there benches or chairs that can be used?

Planning what you need to take with you is also important. Be prepared for the unexpected. Here are some considerations to keep in mind:

  • Make sure you have all the medications needed. Take an extended supply, just in case you are still out when the next dose is due.
  • Have clothing appropriate for the weather and the outing. Comfortable shoes and warm weather clothes are important.
  • Bring some snacks and plenty of water.

Once you get to the activity, the next step is to be alert to any hazards or problems that might occur. Holidays are a joyful time of year meant for get-togethers, memories, and a touch of nostalgia. However, the holiday season can be one of the most dangerous times for older persons. For example:

  • Holiday decorations may affect the ability of your loved ones to move freely throughout the home. Just because you can easily navigate the extra decorations, doesn’t mean that your loved one will.
  • Look for extension cords or floor rugs that can lead to a fall.
  • Make sure that walkways are clear of ice and snow.

Additional considerations are needed for family members living with dementia and Alzheimer’s disease. For instance, consider the effect of too much clutter: Too many lights, music and decorations can be overwhelming. The Alzheimer’s Organization provides additional tips on how to help family members with dementia enjoy the holidays. In addition, the Healthy Aging Network Telecast on Managing Family Members with Dementia Over the Holiday Season provides additional tips to help you and your family.

The holidays give older adults something to look forward to, provides a stimulating change of scenery, and create pleasant memories to carry with them. So, even though it may take a little extra planning and work, involving your older family members in holiday celebrations can improve the meaning of the holiday season.

Written by: Kathy Tutt, Family and Consumer Sciences Educator, OSU Extension Clark County, tutt.19@osu.edu

Reviewed by: Michelle Treber, Family and Consumer Sciences Educator, OSU Extension Pickaway County

Sources:

Reducing Loneliness: How to Help Seniors During the Holidays, https://www.mayoclinic.org/healthy-lifestyle/caregivers/in-depth/alzheimers/art-20047715

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Good Mental Health is a Precursor to Good Physical Health

It’s no secret that our society is living longer.  Based on the U.S. 2017 Census Report, by 2040 the number of individuals 85 years old and over are projected to increase by 129%.  The thought of my friends and family living longer is certainly appealing to me.  However, with the aging process comes added physical and mental health concerns for caregivers.

According to the Office of Disease Prevention and Health Promotion, the most common chronic physical conditions aging adults experience include:

            Health Disease

            Cancer

            Chronic bronchitis or emphysema

            Stroke

            Diabetes mellitus

            Alzheimer’s disease

Many of us are familiar with the physical conditions but did you know, mental conditions can be just as debilitating if not treated?  Mental health issues are often overlooked or viewed as a “normal” part of the aging process.  Let’s be clear, mental health problems are not a normal part of aging and should not be overlooked!  One in four (6 to 8 million) older adults age 65 or older experiences a mental health disorder and the number is expected to double to 15 million by 2030.  The most common conditions include anxiety, severe cognitive impairment, and depression/bipolar. 

Good physical health is a precursor to good mental health and good mental health is a precursor to good physical health.  To age at our full potential, we must place the same value for treatment of mental conditions as we do on physical.  Recognizing the warning signs and seeking treatment can improve quality of life.  Signs and symptoms can vary but examples include:

            Noticeable changes in mood, energy level, or appetite

            Feeling flat or having trouble feeling positive emotions

            Difficulty sleeping or sleeping too much

            Difficulty concentrating, feeling restless, or on edge

            Increased worry or feeling stressed

            Anger, irritability or aggressiveness

            Ongoing headaches, digestive issues, or pain

            A need for alcohol or drugs

            Sadness or hopelessness

            Suicidal thoughts

            Feeling flat or having trouble feeling positive emotions

            Engaging in high-risk activities

            Obsessive thinking or compulsive behavior

            Thoughts or behaviors that interfere with work, family, or social life

            Unusual thinking or behaviors that concern other people

If you notice any of these warning signs in yourself or a loved one, please make an appointment to discuss these concerns with your doctor.  Treatment works and the earlier the intervention the better the outcome for recovery and improved quality of life. 

Please remember if you or someone you know is in crisis, call the toll-free National Crisis Hotline at 1-800-273-8255 (TALK) or text the Crisis Text Line by texting TALK to 741741.  Both hotlines are available 24 hours a day, 7 days a week and all calls/texts are confidential! 

Written by: Lorrissa Dunfee, M.S., Extension Educator Family and Consumer Sciences, Ohio State University

Reviewed by: Emily Marrison, Extension Educator Family and Consumer Sciences, Ohio State University Extension

References:

Older Adults Living with Serious Mental Illness – The State of the Behavioral Health Workforce. store.samhsa.gov/system/files/new_older_adults_living_with_serious_mental_illness_final.pdf.

“Older Adults.” Older Adults | Healthy People 2020, http://www.healthypeople.gov/2020/topics-objectives/topic/older-adults.

“Behavioral Health for Older Adults: Mental Health.” NCOA, http://www.ncoa.org/center-for-healthy-aging/behavioral-health/.

“Older Adults and Mental Health.” National Institute of Mental Health, U.S. Department of Health and Human Services, http://www.nimh.nih.gov/health/topics/older-adults-and-mental-health/index.shtml.

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Staying hydrated is important to us all, but even more so as we age. As we get older, body water content decreases which can lead to increased risk of dehydration and serious consequences. In fact, dehydration in older adults is one of the ten most common causes of hospitalization in the United States. Dehydration in older adults can lead to such issues as impaired cognition, confusion, falling and constipation.

Why are older adults more susceptible to dehydration?

The amount of water in the body decreases as we age. Because of this, the body becomes more susceptible to dehydration from the loss of only a small amount of water. Additionally, our sense of thirst tends to decline as we age which can lead to decreased fluid intake.  The National Institute on Aging shares other factors that can contribute to decreased fluid intake in older adults. These can include

  • The loss of sense of thirstbottled water
  • Medication side effects
  • Difficulty in getting to or in using the toilet
  • Fear of being unable to control one’s bladder

What are some of the signs that you aren’t drinking enough water?

  • The first sign of dehydration is thirst, which occurs after your body has lost 1% to 2% of body water. This is alarming for older adults due to the diminished sense of thirst. Often when they feel thirsty, they are already well on their way to dehydration.
  • Another indicator of inadequate hydration is the color of a person’s urine. It should be clear or pale yellow. Darker urine may indicate the need for more fluids.
  • Dry mouth, flushed skin, headache and fatigue, dizziness, poor blood circulation, muscle spasms, increased body temperature and rapid breathing are also signs of dehydration.

What can you do to stay hydrated?

A minimum of six 8-ounce glasses of water per day is the recommendation for adults.  There are a few tips to help you meet this goal.

  • Get in the habit of drinking water. You should drink water first thing in the morning, at every meal and between meals. If you use a cell phone, there are free apps that remind you to drink your water.
  • Carry a water bottle with you when you are on the go. That way there is no excuse to not drink.
  • Choose hydrating snacks such as watermelon, cucumbers, citrus fruits, applesauce or yogurt.

Water is a key nutrient and serves many essential functions. It serves to help the body function, playing a role in such things as joint lubrication, temperature regulation, digestion and elimination of waste. Watching out for older family members and friends is essential especially during warm weather.

Written by: Kathy Green, Extension Educator, Family and Consumer Sciences, Ohio State University Extension, Clark County, green.1405@osu.edu

Reviewed by: Shannon Carter, Extension Educator, Family and Consumer Sciences, Ohio State University Extension, Fairfield County.

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familyDoes the rush of the holiday season leave you feeling as if you might be missing something? With so many things to do and places to go, it is important not to overlook elderly family members. For many, the holidays are filled with celebrations and festivities with family and friends, but it can be a difficult time for those who have difficulty getting around, or are confined to their homes. Many seniors report feelings of loneliness and isolation, and these feelings can be exaggerated during the holidays. Seniors might choose to forego family celebrations and festivities for fear of falling or being a burden.

Unfortunately a day out with an elderly person cannot be spontaneous. However, with a little pre-planning and modifications, holiday traditions and activities can be made easier and safer for senior family members.  Contemplate ways to include older relatives who may have difficulty getting around.

First, consider the activity. Is it suitable for elderly family members?  When planning, some factors to think through are:

  • How far can the elderly person travel?
  • Are the costs affordable to the senior?
  • How much walking is involved?  Are there hills or other obstacles that would make it hard to navigate?
  • Is there wheelchair access?
  • Is there parking nearby?
  • Are restrooms easily accessible?
  • Are there benches or chairs that can be used?

It is also important to think about what you need to take with you on any outing. You will want to be prepared for anything. For example:

  • Make sure you have all the medications needed. Take an extended supply, just in case you are still out when the next dose is due.
  • Have clothing appropriate for the weather and the outing. Comfortable shoes and warm weather clothes are important. Bring along extra clothes in the case of an accident.
  • Bring some snacks and plenty of water.

Once you get to the activity, the next step is to be alert to any hazards or problems that might occur. Holidays are a joyful time of year meant for get-togethers, memories, and a touch of nostalgia. However, the holiday season can be one of the most dangerous times for seniors. For example:

  • You may be perfectly capable of navigating the string of Christmas lights sprawled across the living room floor, but an elderly person may trip over them and experience a severe fall.
  • Be aware of how decorations may affect your loved ones ability to move freely throughout the home without increasing the risk of falls. Just because you can easily navigate the extra decorations, doesn’t mean that your loved one will.
  • Look for extension cords or floor rugs that can lead to a fall.
  • Consider the effect that too much clutter can have on a loved one with dementia or Alzheimer’s. Too many lights, music and decorations can prove to be too overwhelming.
  • Make sure that walkways are clear of ice and snow.

The holidays give seniors something to look forward to, provide a stimulating change of scene, and create pleasant memories to carry with them. So, even though it may take a little extra planning and work, involving your senior family members in holiday celebrations can improve the meaning of the holiday season.

Sources:

http://www.ncoa.org/

http://aging.ohio.gov/home/

http://www.gmhfonline.org/gmhf/consumer/factsheets/depression_holidays.html

Writer: Kathy Green, Extension Educator, Family and Consumer Sciences, Ohio State University Extension, Butler County

Reviewer:  Cheryl Barber Spires, SNAP-Ed Program Specialist, Ohio State University Extension, West Region

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