Showing posts with label Helpful Hints. Show all posts
Showing posts with label Helpful Hints. Show all posts

Caregiving and Weight Gain

One of the downsides with being a caregiver is the possibility of weight gain. In fact, caring for an older patient is potentially stressful, and stress is one of the reasons attributed to weight gain. However, this doesn’t mean weight gain is imminent when working as a caregiver. So, how can you fight against weight gain?

First, it’s imperative that you make good food choices. Stop yourself from eating out, snacking on store-bought food, and eating just because you feel stressed. You have to remember, as humans, we need to eat for fuel, and that’s the only reason you should eat. So, limit yourself to three meals a day, and make those meals well-balanced. Plus, use the people in your life for support. You don’t have to do this alone, and having extra support will help you stay on track and prevent you from gaining any unwanted weight.

Second, try working on your self-image. In fact, a lot of care professionals who look after seniors get depression, which leads to a poor self-image, which then leads to over eating. The goal is to feel better about your body because if you have low self-esteem you’ll have feelings of guilt and guilt makes slip ups more imminent. So, try going to support groups, either weight loss groups or care professional groups will suffice. Also, as before mentioned, use your friends and family members to increase your self-esteem. Once you learn to like yourself, staying healthy will get easier.

Third, make sure you get plenty of exercise. This step is common sense, but still a lot of care professionals forget about it. A lot of health care workers argue their days are full because of their older patient, but there is always time for your own health. Buy a treadmill and exercise either in the morning or at night for at least one hour. Or, you can always just get out of the house and go for a walk every now and again. Every bit helps when you’re trying to keep your weight under control.

Finally, simply find hobbies you enjoy. In fact, simply doing things that bring you joy will significantly lower your chances for weight gain. This is because when you’re not so focused on the negatives you’re able to handle the strain that comes with this kind of job. Exercise is of course a great hobby, try bringing a weight with you to lift in your down time, while watching your patient. Also, try using crossword puzzles to reduce your need for snacking. Your new hobby will replace your constant snacking, and you’ll feel a lot better about yourself and a lot less guilty.

Being a caregiver for an elderly patient, whether they are family or not, is a hard job to have. But, it’s a job that brings with it just as much pride, as it does strain. All you have to do is learn how to deal with the strain in a constructive way.

How to Care for a Parent With a Disability

from wikiHow - The How to Manual That You Can Edit


As the elderly and disabled population grows, many children take on the responsibility of ensuring their parents have adequate care as they age. According to the Family Caregiver Alliance, the number of unpaid family caregivers has risen 85 percent since the year 2000. This can be a daunting task for children, because it requires money, organization, technology and medical care. While each disability requires different care, there are some ways you can prepare to care for your parents ahead of time. Learn some guidelines on how to care for a parent with a disability.

Steps

Disability Care Preparations
  1. Speak with your parents before disabilities begin. Let them know that you are willing to take over care when their disability or future disabilities make it impossible for them to live completely independently. Set up a plan of care with them, if possible.
  2. Recognize when a disabled parent is in need of help. Some disabilities are gradual, especially those associated with aging. The following are some ways that disabilities can appear:
    • Watch for signs that parents can no longer handle their daily routines. Failure to shower, wash clothing, brush teeth or eat well is usually a sign of mental or physical problems. Also, look for signs that they are unable to keep up with housework may show that they need assistance in the home.
    • Evaluate how your parents are driving. Look for signs of confusion, failure to see or motor vehicle accidents. Failing sight, dementia and loss of muscle or nerve control will dictate when it is time for them to stop driving.
    • Look for signs that your parents risk injury at home. Stairs, icy conditions, slippery showers and other hazards can give you warning that a parent is losing some mobility. A change in living conditions, aides or living situation may be necessary.
    • Keep track of memory loss. Disabilities can be mental as well as physical. If your parent forgets appointments, has trouble speaking or cannot follow directions, then assistance in a daily routine may be necessary.
Financial Care Plans
  1. Meet with your parent and a lawyer to update or start a will, durable power of attorney and advanced directives. A durable power of attorney gives you the ability to make long term care decisions for your parent, should they be unable to do so. Advanced directives are instructions given by the parent to family members and medical staff, which give instructions on what medical treatment they would like to receive during hospitalization and end-of-life care.
  2. Speak with your disabled parent about the money needed to handle their disability. Experts estimate that it can take $40,000 to $80,000 per year to care for someone who is ill or disabled. Ask your parent how they desire for the money to be used, and see what financial decisions you should make for your parent in the short term.
  3. Gather financial information from your parents as they grow older. Ask questions about what benefits they receive from the government, and which benefits they take care of themselves. Being familiar with their assistance can save you from losing your financial safety because of family member's disability.
  4. Help your parent to apply for social security disability or another government funded disability program, especially if they are too young to receive a pension. Gather all the necessary financial, medical and personal details and submit it to the government. Applying for disability benefits can take months or years, so begin when you know your parent's disability is permanent.
    • Hire a lawyer to help your parent with an appeal, if they were turned down for disability coverage and you believe the case is valid. The lawyer can help follow the protocol of the appeals process and improve your chances of success.
  5. Contact local aging services. Many cities and counties provide meals, transportation and community activities to people who are older and have disabilities. These services can ease the burden of some caring from your shoulders.
  6. Learn about your parent's Medicare or Medicaid benefits. Health insurance benefits are extremely important in getting your parent high-quality medical care. Keep a list of all providers that are covered under their plan.
  7. Learn about the services offered by the Department of Veteran Affairs. If your parent served in the military, then they may be due for a pension or medical coverage.
  8. Read about agencies that can help your parent at www.Govbenefits.gov. This will acquaint you with state or federal programs that your parent may not have applied for.
Home Care Plans
  1. Overhaul your parent's house to ensure it is safe and accessible. Follow your parent around during their daily routine to see what problems come up. You may also choose to hire an occupational therapist to visit the house and suggest possible aides for installation.
    • Install ramps for your parent outside the home, if he or she is confined to a wheel chair. Make sure the rooms and hallways are wide enough to move around in while in a wheel chair.
    • Create a safer bath room. Install a walk-in shower if your parent has mobility issues. Place a seat inside the shower to remove the risk of falling. Install grab bars along the walls and shower to reduce the risk of falling. You can install an elevated toilet seat with bars to make using the toilet easier.
    • Install safety devices in the home. Buy carbon monoxide and smoke detectors, if they are not installed already. A disabled parent may not be able to call in case of emergency, so these devices can alert neighbors or caregivers.
  2. Invest in technology that will keep you close in contact. Buy your parent a cell phone that is easy to use and buy a membership in a medical alert company. Some companies, such as QuietCare, can call you if something is out of the ordinary by employing motion sensors.
Health Care Plans
  1. Consider hiring a health care professional. If you are unable to administer the necessary medication and health care, then you can seek the help of a full-time nurse, part-time nurse, caregiver, physical therapist or occupational therapist. Begin with part-time care and increase in the future if necessary.
    • Professional carers can be expensive. However, it may be your parent's preference if they want to live as long as possible at home, instead of in a facility.
  2. Go to medical appointments with your parent. If you are devoting time to caring for your parents, then you should make sure you are getting the most value out of their medical care. Parents with memory loss or mental disabilities may not remember or ask the right questions, so go to the appointments and take notes.
  3. Communicate with your parent's pharmacy. Make sure all the prescriptions are filled at 1 place. Losing track of medication can result in an unforeseen drug interaction, causing further illness.
  4. Discuss a nursing home facility with your parent. If your parent's disabilities are large or their home is unsafe, then relocation may be the best option. Discuss their concerns and look for a place that you can visit often.
Social Care Plans
  1. Arrange activities for your parent. Avoid letting your parents be home bound as long as possible. Regular social activity can improve their mood, avoiding depression.
  2. Plan regular meals with friends and family. Your disabled parent may no longer be able to cook, so a homemade or restaurant meal may improve their quality of life. If your parents are seniors, you can also research community meals at the local Elk's Club, Senior Citizens Center or other clubs.
  3. Look at assisted care facilities that act as communities. If your parent can still live somewhat independently, they may be able to take up residence in a community environment. Assisted living facilities provide a space where people of similar age and health can eat, talk and do activities on a daily basis.

Tips

  • For more tips, buy a book like "Caring for Your Parents: The Complete AARP Guide." Since not all disabilities are the same, an instructional book can help you anticipate the care your parents will need and give you advice as your parent's situation changes.
  • Ensure that you get quality time to yourself when caring for a disabled parent. Being a carer can be emotionally and physically draining. To avoid feeling overwhelmed, treat yourself to a favorite activity every day and a larger session every week.

Things You'll Need

  • Will
  • Durable Power of Attorney
  • Advanced directives
  • Social security disability information
  • Pharmacy
  • Medicare/Medicaid
  • Aging services
  • Senior Citizens Center
  • Assistive devices
  • Professional carers
  • Cell phone
  • Medical alert bracelet
  • Nursing home facilities

Sources and Citations


Super Stress Busters

Who doesn't want to be a super caregiver? 8 ways caregivers can manage stress just like Wonder Woman is a great article that has some really good advice and useful tips for handling stress like a superhero .
"Stress isn't something you get rid of, it’s something you manage  A good day isn't a day without stress; A good day is one where you manage stress as it comes your way."
Understanding and accepting stress, self talk, stress busting snacks, and listening to music are just some of the helpful tips for keeping yourself in control and becoming a superhero caregiver. Check it out here and have a great day!


Winter Safety for Seniors

As we get older, falling can be pretty scary and it can be downright dangerous for our seniors.  Below are a couple of great articles with some helpful tips on keeping our elderly loved ones safe.  From keeping the car full of gas and preparing for a blackout, to installing carbon monoxide detectors and eating healthy, there are many things we can do as caregivers to keep our older folks safe and healthy this winter.

The safety and security team at SecuritySystemReviews.com created a list of safety tips specifically for elderly individuals during the winter months. Click here for the tip sheet. Also, check out the article 7 Winter Safety Tips for Seniors and Seniors: Brush up on winter safety

Vital Winter Safety Tips for the Elderly - Tip Sheet

Good Caregivers Must Learn To Say NO!

Saying no can sometimes be very hard for caregivers. As a rule, caregivers are nurturers who put others before themselves, so when its time to say no, caregivers often feel guilty or feel like they are being selfish. So how do you set limits for yourself and others?

According to When and How To Say "No" to Caregiving, setting emotional limits involves a process of change with five key steps.
  • The caregiver must admit that the situation needs to change in order to sustain a meaningful relationship. Without change, the caregiver risks poor health, depression or premature death.
  • The caregiver must reconsider personal beliefs regarding what it means to be a good caregiver. Since the caregiver generally has moral expectations of his or her own behavior, redefining what “should” be done to what is reasonable and possible to do can be a liberating moment.
  • The caregiver needs to identify key people (friends, family or professionals) who can support and guide the caregiver through this change process. 
  • The caregiver needs to develop communication tools to express the need for boundaries. 
  • The caregiver must be able to sustain this new approach while allowing the elder time, to react and express his or her feelings about the changes. Readjusting the balance in any relationship takes time, especially when both members have competing needs. 
If you are a caregiver who has taken on more than you can handle, learn to say no NOW. Letting things get too far out of control can cause great harm to you and everything you are trying to do.  Saying no to loved ones can be hard, but not as hard as having a breakdown or losing relationships that are important to you. The first priority for any caregiver is to take care of yourself first! Don't let yourself down.  Get help if you need it. Get involved in local caregiver support groups, talk to supportive friends and family and read good caregiver resource articles like the ones below for tips on how to say no and not feel guilty.  

Read more...


How to Say ‘No’ to Caregiving


Dealing with Agitation and Aggression

We know some of the common signs of Alzheimer's patients are confusion, memory loss, and odd behavior, but what do you do when your loved one becomes aggressive? How does a caregiver handle situations that may become dangerous?

The National Institute on Aging (NIA), has issued a tip sheet for Alzheimer’s caregivers called Coping with Agitation and Aggression.

“Most of the time, agitation and aggression happen for a reason,” the NIA explains. “When they happen, try to find the cause. If you deal with the causes, the behavior may stop,” the NIA tip sheet counsels.

Some examples of common causes for aggressive behavior or agitation, include:
  • Pain, depression, or stress
  • Too little rest or sleep
  • Constipation
  • Soiled underwear or diaper
  • Sudden change in a well-known place, routine, or person
  • A feeling of loss—for example, the person may miss the freedom to drive
  • Too much noise or confusion or too many people in the room
  • Being pushed by others to do something—for example, to bathe or to remember events or people—when Alzheimer’s has made the activity very hard or impossible
  • Feeling lonely and not having enough contact with other people
  • Interaction of medicine
“A doctor may be able to help. He or she can give the person a medical exam to find any problems that may cause agitation and aggression. Also, ask the doctor if medicine is needed to prevent or reduce agitation or aggression,” the NIA advises.

Here are the NIA’s tips for the caregiver on how to deal with agitation and aggressive behavior:
  • Reassure the person. Speak calmly. Listen to his or her concerns and frustrations. Try to show that you understand if the person is angry or fearful.
  • Allow the person to keep as much control in his or her life as possible.
  • Coping with changes is hard for someone with Alzheimer’s. Try to keep a routine, such as bathing, dressing, and eating at the same time each day.
  • Build quiet times into the day, along with activities.
  • Keep well-loved objects and photographs around the house to help the person feel more secure.
  • Try gentle touching, soothing music, reading, or walks.
  • Reduce noise, clutter, or the number of people in the room.
  • Try to distract the person with a favorite snack, object, or activity.
  • Limit the amount of caffeine, sugar, and “junk food” the person drinks and eats.
  • Slow down and try to relax if you think your own worries may be affecting the person with Alzheimer’s.
  • Try to find a way to take a break from caregiving.
“If you have to, stay at a safe distance from the person until the behavior stops. Also try to protect the person from hurting himself or herself,” the NIA’s tip sheet concludes.

Too often caregivers can neglect their own safety because they are overwhelmed by the needs of the patient or loved one. Always remember to keep yourself and other safe first, THEN deal with the situation.

Click on the links below for the tip sheet and other articles on this subject.

Tax Tips for Caregivers

It's tax time again and I decided to look around to see if I could find some articles to help answer some common caregiver questions about taxes. Below is a list of links I found with some great information.

2012 Tax Tips for Family Caregivers  - Up to date tax information for caregivers.

The 10 Most Overlooked Tax Deductions  - From mileage to artificial limbs, deductions your probably didn't know you could claim.  

Answers to Tax Questions Caregivers Ask Most

IRS - Tax Information for Caregivers - Straight from the IRS.  Questions like "My parent is suffering from dementia. As a result, I must cash his/her monthly social security check and use the proceeds for his/her care. What are the resulting tax consequences?" and "My parent signed his/her home over to me. Does this transaction have to be reported to the IRS?"

IRS - Family Caregivers and Self-Employment Tax - Answers to questions about caregiving and filing self-employment taxes.

Free Tax Preparation For Seniors - Links to a few nationwide agencies that offer free tax preparation for seniors.  

Bonus Tip:  Use our Expenses Form to keep track of expenses and make filing next year's taxes easier!  

Caregiver Negotiations and Checklist

This is a repost from last year.  I am posting it again because the Negotiation Checklist is this month's free form.  Click here to get yours and have a wonderful day!

Caregiver Negotiations 101 - How to Get the Job You Want or the Care You Need

Having worked as a caregiver for more than 30 years in private care, adult care homes, and owning my own residential care facility, I have participated in the hiring process many times.  I have been on both ends of the hiring spectrum.  As an owner I hired employees and managed their work.  As a worker in various facilities, I have done hands on care under the supervision of my employers.  I have been self-employed and I have been employed by others.  In every case, the process of hiring or being hired was vital to my satisfaction in the partnership established.  This was due in large part to agreements  I negotiated ahead of time.

The tempting thing to do when hiring or being hired is to go with the emotions of how we feel about the person we are interviewing or being interviewed by.  Sometimes just having a job or hiring a worker seems like the most important goal.  A quick decision without much forethought or preparation will often quickly lead to misunderstanding and dissatisfaction.  This in turn leads to a continuous turnover of workers or another job search.  The time taken in initiating and training is wasted and must be done again and again with new workers or jobs.  The frustration and stress level increase with each failure to get it right.

Preparation ahead of time is invaluable when entering into a contract for caregiving.  Whether the position is for a relief caregiver, an hourly worker, a shift worker, or a full-time live-in companion/ caregiver there are many things to consider before entering into an agreement.  Negotiation ensures both parties are satisfied when the process is finished.  Working out all the details and answering all the pertinent questions ahead of time, guarantees a smoother working relationship with all parties involved.

Just the word “negotiation” can be intimidating for people who aren’t sure how to do it.  I have learned over time that the whole process can be simplified by taking the time to prepare for and anticipate as many areas as possible that need discussion and negotiation ahead of time.  An employer often wants the most work possible from an employee, for the least amount of output of resources and wages.  On the other hand, a person applying for work wants the most pay for a manageable amount of work done.  Often the gulf between expectations is very wide apart.  Many times only a fraction of the important issues are discussed. The mindset is usually that when the actual working relationship begins, these issues will be ironed out on the job. From experience I have found this to be a huge mistake.  It is much easier to establish ahead of time what you are able to do or allow, and what you absolutely will not give in on.  It’s a type of boundary and limitation setting that should take place in all relationships, personal and in employment situations.  Many problems can be avoided on the job when they have been discussed beforehand, in detail, with agreements made and understanding clarified.

A list of topics, issues, question, and expectations to check off during the interview will ensure every area is covered.   This will make you feel much more efficient and professional.  The process can actually be very satisfying when you know your future is being decided as you proceed.

You often hear advice given on how to dress and present yourself for an interview.  Those things are very important, but the art of negotiation will have a longer lasting impact on your ability to work in a friendly environment, with a staff that is considerate of each other and who all have consistent expectations.  Of course, one thing to remember is, the actual negotiations can only begin when you are confident you will be hired.

The Negotiation Checklist 

This form is invaluable when entering into a contract for caregiving. Whether the position is for a relief caregiver, an hourly worker, a shift worker, or a full-time live-in companion/caregiver there are many things to consider before entering into an agreement. Negotiation ensures both parties are satisfied when the process is finished. Working out all the details and answering all the pertinent questions ahead of time, guarantees a smoother working relationship with all parties involved. This checklist includes some of the most important things to consider and discuss during the initial interview. It’s easy to use; just put a check mark in the box in front of the topic you want to address. Make notes of details to consider later and any agreements made. At the end of the form is an area to put points of interest and other questions to consider. There are three pages in these negotiation worksheets. This form is a real confidence builder!  Get yours here.

Pets as Caregivers

I read a couple of great articles today: Pets as Caregiving Instructors - A Look at the Healing Power of Pets and Animals as Caregivers and it made me think of my grandmother's little dog, Casper.

I never really appreciated little dogs until I became a caregiver for my grandmother. We used to joke that Casper, her dog, was only good for being a lap warmer. But he was much more than that to my granny. He WAS the best lap warmer ever, but he was also her best friend. He knew how to comfort her when no one else could and even when her health really started to decline and she was dealing with a lot of pain, she never forgot about Casper. He made her feel needed when a lot of people would feel helpless. His cute little face and happy little spirit kept her from getting depressed when faced with Leukemia. When she went to bed, he went to bed and snuggled up with her every night and kept her warm and safe and made her feel special. He was my co-caregiver and he took his job seriously. He was always by her side and if he wasn't, I knew to go check on her. He never got tired, irritated, stressed out or overwhelmed. When we knew that she didn't have much longer to live, he never got sad or depressed or looked into her eyes with pity. He knew what she needed. A happy spirit and lots of love.

Dogs, and pets in general, are natural caregivers and we need to give them more credit and more jobs. If you are a caregiver and don't have a pet, consider getting one. They can help you and your loved one more than you can imagine and they are well worth the extra cost and effort. Many shelters now will waive the adoption fees for the elderly.

I started a Pet Caregiver photo gallery and added a picture of Granny and Casper. If you have some pictures of pets who are caregivers, we would love to see them. Click here to see the gallery and upload your photo. Have a great day!

How-to Series: Caregiver 101 - Bedsores

Bedsores are injuries to skin and underlying tissues that result from prolonged pressure on the skin. They are also called pressure sores, pressure ulcers or decubitus ulcers.   People most at risk of bedsores are those with a medical condition that limits their ability to change positions, requires them to use a wheelchair or confines them to a bed for prolonged periods.

Bedsores can happen very quickly and if not noticed right away can lead to very serious problems.  In fact, Christoper Reeves died of complications brought on by bedsores.  According to news reports, toxins from the infected ulcer entered his bloodstream, quickly causing organ failure.

Elderly people have thinner skin, which is more vulnerable to damage from minor pressure.  If a very elderly individual is underweight, there will be less "meat" around their bones.  Another common problem among very elderly patients is poor nutrition, which may affect skin and blood vessel quality, resulting in slower healing.

I found a couple of great articles that really goes into detail explaining everything caregivers need to know about bedsores.  The first one is from Medical News Today.  Another good one:  Why Bed Sores in the Elderly Should Concern Caregivers

Helpful Hint: My mom suggests using Diabet-X. She has used it for years and has had better results with it than anything the doctors have used. You can probably get it at any major drugstore or you can get it at Amazon using the following link:  Diabet-X

If you want even more information or want to know what bedsores look like, watch the following videos.  Warning:  The second video is pretty graphic and shows actual images of bedsores.

http://www.youtube.com/watch?v=HGpJWK0T28Q

http://www.youtube.com/watch?v=m1fBcVfVY1Y


Article links
http://www.medicalnewstoday.com/articles/173972.php
http://www.ecarediary.com/viewblog.aspx?BlogID=528

A Fun Alternative for Keeping Small Cards and Documents

As a caregiver, keeping track of small cards and documents was always a struggle for me. Should I keep them or should my client or loved one keep them? Who had them last? At the doctor’s office, when they would hand them back to me, I would throw them in my purse with the intention of putting them away when I got home. When I got home, I would forget about them only to start the hunt again when it was time for another appointment.

My mom came up with a great idea...

Buy a small, one picture per page (I think they also call them pocket albums) photo album to keep insurance, business and other cards in one place. You can view information without having to take the card out and risk misplacing it. It keeps all of your information in one place and you can take it with you to doctor visits and other appointments. I've always carried wallets that hold standard business cards. The problem I have is that many doctors are using extra-large business cards. When I leave the office, I have to store away these larger appointment/business cards, as well as prescriptions. Having the extra space makes it much easier to keep track of everything.

Most small photo albums even have a little view window that lets you see the first picture, which is great if you are a caregiver for more than one person. Just stick a picture of your client or loved one in the first page and you will know at a glance who the book belongs to.

Caregiver Relief Fund

The Caregiver Relief Fund is a fairly new charity that awards family caregivers a one-time voucher for professional at home care. Caregivers fill out an application form, share their caregiving story and go through an interview. They select and match the available relief funds with the needs of the caregiver.

Vouchers for professional at-home care services are donated or purchased on behalf of the Caregiver Relief Fund. They award these vouchers to caregivers who have been in a caregiving role for a chronically ill individual, elder or disabled person for 12 months or longer. Applicants must not have an annual income that exceeds $80,000.

I don't know what the process entails, if there is a waiting list or even how much they actually help, but if you are in a desperate situation and need some time off, its probably worth applying for.

Caregiver Resource - The Caregiver Relief Fund Website