7 Common Flu Myths Debunked

Myths about the flu are everywhere. Is what you hear true, or is there too much misinformation floating around? Debunk the seven most common myths about influenza.7 Common Flu Myths Debunked

Myth #1: Getting Vaccinated Can Give You the Flu

According to the National Foundation for Infectious Disease, there is no way that the vaccine can make you sick. Vaccines only contain a weakened or inactivated form of the virus, which cannot infect you. The truth is that people often mistake the side effects of the vaccine for the illness itself. Side effects of inoculation may feel like mild symptoms of the flu, but soreness around the injection site is typically the only symptom people experience. Keep in mind that flu season (which generally lasts from October to March) coincides with a time of year when bugs causing colds and other respiratory illnesses are in the air. It is possible to get the vaccine and then get sick with a completely unrelated cold virus within a few days.

Myth #2: There Is No Treatment for the Flu

There are three FDA-approved antiviral drugs that are highly effective against the flu. Tamiflu (oseltamivir) is available in pill and liquid form, Relenza (zanamivir) comes in powder form, which is inhaled, and Rapivab (peramivir) is administered intravenously. While these antiviral medications do not cure the viral infection, they can minimize symptoms, reduce the amount of time you are sick by one or two days and make you less contagious to others. Furthermore, treatment can prevent complications of the flu, like pneumonia, which can be especially dangerous for older individuals. It’s best to take these drugs within 48 hours of getting sick, so do not hesitate to make a doctor’s appointment if you or a loved one have symptoms of the flu.

Myth #3: Antibiotics Can Fight the Flu

Antibiotics only fight bacterial infections. Since influenza is a virus, antibiotics have no effect. Furthermore, overuse and misuse of antibiotics can result in reduced effectiveness against the bacteria they are actually intended to kill and even “superbugs” that are entirely resistant to these treatments.

Myth #4: You Can’t Get the Flu More Than Once During Flu Season

You can certainly contract the flu more than once a year, because there are many different strains of the influenza virus. There are two main types of flu, Type A and Type B, and there are also different subtypes of each. It is possible that you could get infected with one strain and then another during a given season, especially if you have a compromised immune system.

Myth #5: If You’re Young and Healthy, You Don’t Need to Get the Vaccine

The Centers for Disease Control (CDC) recommends that everyone over 6 months of age get vaccinated each season. Healthy adults are just as susceptible to the virus as other demographics. If you are caring for an aging loved one, simply getting them vaccinated only provides some protection. You and other family members should also get the vaccine to avoid endangering their health.

Myth #6: Cold Weather Causes the Flu

The influenza virus is spread year-round. Contrary to popular belief, going outside during winter without a hat on does not directly increase your risk of getting sick. Influenza peaks in fall and winter for a few different reasons. Scientists speculate that the flu virus thrives in cooler, low-humidity environments. Of course, during the colder months, people tend to spend more time cooped up indoors, making it easier for the virus to spread from person to person. Furthermore, less time spent outside means that most people experience drops in vitamin D during winter that can weaken the immune system. All of these factors contribute to the timing of flu season, which is the same throughout the whole country, even in warmer states like Florida.

Myth #7: If You Haven’t Gotten a Flu Shot by November, It’s Too Late

Flu season often peaks between December and February, but the timing can vary. Some years heightened flu activity has lasted until May. No matter how late it is, if you have not been vaccinated yet, go get it done. You could spare yourself and your family a great deal of misery.

The Facts: How to Avoid Spreading the Flu

Influenza spreads from person to person, often through the air, and you can pass on the infection even before you begin feeling symptoms. An infected individual is also contagious for several days after the onset of symptoms. Infection can stem from a contagious person near you coughing, sneezing or talking, or even from touching a surface that the virus is on, like a telephone or doorknob.

To avoid contracting and spreading the virus, use the following tips:

  • Clean your hands regularly with soap and water or an alcohol-based hand sanitizer. This is especially important after you touch a sick person, common surfaces, used tissues or laundry.
  • Individuals with the flu should cover their mouth and nose with a tissue when coughing and sneezing to avoid spreading the virus to others.
  • Immediately throw away tissues and other disposable items used by an infected person.
  • Once diagnosed, talk to a healthcare provider about taking antiviral medication to prevent the virus from spreading to other family members, coworkers or friends.
  • Keep surfaces like bedside tables, bathroom surfaces, doorknobs and children’s toys clean by regularly wiping them down with a household disinfectant.
  • Do not share eating utensils, dishes or cups with a sick person. These items do not need to be cleaned separately, but they should not be shared without washing thoroughly first.
  • Wash linens (such as bed sheets and towels) by using household laundry soap and tumble dry on a hot setting. Use a basket to transport laundry prior to washing to prevent contaminating yourself.
  • Avoid touching your eyes, nose and mouth to minimize the likelihood of contracting the flu and other viral infections.

Source AgingCare  Marlo Sollitto

FEED YOUR BRAIN: TIPS FOR BETTER BRAIN HEALTH

FEED YOUR BRAIN: TIPS FOR BETTER BRAIN HEALTH

Spend some time with the 50-plus age group and it becomes clear that memory and brain function are hot topics.

With many baby boomers encountering changes in their brain function—causing concern, and, let’s face it, amusement, at times— it is not surprising that boomers are looking for ways to hold on to their memory and increase cognitive ability.

Being vital until the end of life is something that everyone wishes for but not all of us are lucky enough to experience. According to the Alzheimer’s Association (alz.org), 44 percent of Americans between the ages of 75 and 84 have dementia or Alzheimer’s disease, and by age 85 that number goes up to 50 percent. Those numbers are driving a whole new market of brain-enhancing health products, from supplements to video games, all aiming to increase cognitive ability. But will this do us any good? Are there proactive steps we can take to stop the deterioration of the brain as we age?

According to mounting evidence in the field of neuroscience, the answer appears to be yes. Research is revealing that the aging brain actually has more capacity to change and adapt than was previously thought. According to Sandra Bond Chapman, PhD, founder and chief director at the Center for Brain Health in Dallas, Texas, it appears that the brain continues to develop neural pathways to adapt to new experiences, learn new information, and create new memories.(1) In fact, studies show that the brain can actually get smarter as we age: the more new learning experiences we have, the more neural pathways we create, which means we can actually stockpile a larger network of neurons that can markedly slow down the process of cognitive decline. The more we develop in the brain now, the fewer years of decline we experience down the road.

Research conducted by the Center for Brain Health shows that older brains can be more receptive to pattern recognition, judgment, and accumulation of knowledge and experience, giving those over 50 an advantage over younger brains if—and that is a big if—the physical structure of the brain is not in decline.(2) Physical decline of the brain, meaning the actual shrinkage and deterioration that begins in our forties, corresponds with cognitive decline. All of this is to say that brain health needs to be a priority for those heading into their forties and fifties to reap the most significant rewards.

The goal is to decrease stress on the brain, which breaks down brain function, and to build new neural pathways through mental stimulation. The good news is that building better brain health in your everyday life is easier than you might think.

  • Reduce multitasking to help preserve brain function. Practice focusing on the most important thing at the moment instead of trying to cover everything all at once. This higher level of thinking actually means less dementia as we age.
  • The brain does not like routine so avoid robotic, automated behavior and take initiative to learn new behaviors. Simple things like changing your morning routine or learning to eat with your left hand will stimulate the brain.
  • Repetitive mental stimulation such as learning a new language or a new word every day, can improve performance of other tasks. Just think: improving your bridge game may actually improve your ability to drive a car.
  • While “brain games,” video games, and subscription websites are flooding the market, there is no evidence that these things are more effective than learning new skills on your own. The key concept is new: branch out into new languages, sports, and other novel skills to stimulate to the brain.

All the information we are learning about how significant a role basic life functions—the way you eat, sleep, and move—play in maintaining brain health and preventing chronic health conditions like diabetes and heart disease emphasizes the value of living a healthy lifestyle.

6 Tips for Brain Health
Here are six lifestyle factors that can have an impact on brain health.

  1. Diet. Many foods have been linked to brain health, and new information about the role of diet continues to emerge. Some of what research is revealing includes the benefit of the anti-inflammatory properties of a plant-based Mediterranean diet, which includes healthy fats such as olive oil and high-fiber grains, in preventing cognitive decline;(3) the impact of vitamin E, found in nuts and seeds, on the development of dementia; and the importance of decreasing the consumption of refined sugar and eating a limited amount of high fiber carbohydrates because research shows that dementia and Alzheimer’s may be due to “diabetes of the brain,” meaning insulin resistance in the brain that may cause loss of brain cells.(4,5,6)
  2. Weight control. An increasing body of evidence shows that being overweight in midlife increases risk factors for lower and faster decline in cognitive ability.(7) Weight control aids in blood pressure control, which affects brain function. Slow, steady weight loss that is sustainable has great benefit to brain health.
  3. Sleep. The brain actually does a lot of smart things while you sleep, so getting adequate sleep (seven to nine hours for the majority of us) can boost learning, attention, and memory. While sleeping, your brain practices new skills, sorts out memories for the future, and problem-solves, which is one of the reasons why “sleeping on it” often brings answers to problems.
  4. Exercise. Cardiovascular exercise is vital to brain health; it increases blood flow, delivering more nutrients to the brain. Most important, it increases brain derived neurotropic factor (BDNF), a protein that aids in the survival of brain cells. Any exercise helps, but the real benefit shows up when one is active at least three hours per week.
  5. Stress management. Stress and anxiety are associated with memory disorders. Stress can interfere with the function of neurotransmitters in the brain and create toxins that cause cell damage and shrinkage of the brain. Meditation, prayer, and other relaxation techniques along with more-intense therapies may be necessary to control stress. Downtime and relaxation improve higher level thinking and brain health.
  6. Supplements. Dietary supplements that have flooded the market have not been proven effective in slowing cognitive decline. It is not about one nutrient but the diet as a whole. An aspirin per day and however, has been shown to be effective due to its anti-inflammatory properties. Statin medication that is prescribed to prevent heart disease has been shown to provide the same benefit, and there is increasing evidence that a multivitamin a day keeps the brain in tip-top shape.(8,9,10)

That’s right—supplementing with a daily multivitamin can improve cognitive function, according to a series of studies published by researchers from the United Kingdom.

Several teams of British neuroscientists studied the effects of multivitamin supplementation on mood and cognitive functioning among adults and children. In each study, healthy men, women, and children took the daily supplements for four to twelve weeks and then were tested for attention span, memory, accuracy, multi-tasking and other cognitive functions. The researchers also assessed participants’ mood and stress levels.

The results of the studies indicated that multivitamins improved cognitive function—even after only a few weeks of supplementation. In fact, men who took high doses of vitamin B-complex supplements showed improvements of cognitive function and also reported less mental fatigue and higher energy levels. Women also benefited from the daily supplements, as evidenced by an improvement in the ability to multi-task. Children between the ages of 8 and 14 performed well on attention-based tasks.

A multivitamin isn’t a magic bullet and certainly cannot serve as a substitute for a healthy diet—but it can be one component of a healthy lifestyle. It’s one of those things that falls into the category of “can’t hurt, might help.” So, if you needed another reason to add a multivitamin to your daily health regimen, add cognitive function to the list. If you want to give your brain a boost, start by swallowing your vitamins.

Source: Age Gracefully America  Charles H. Weaver, MD

Bidet Attachments: The Toilet Tweak That Can Keep an Older Adult Clean

Bidets are commonplace in bathrooms across Europe, Asia, Latin America and the Middle East, but this plumbing fixture has never really caught on in the United States. For some reason, Americans prefer to use toilet paper and wet wipes to cleanse themselves instead of water.

However, more and more people—myself included—are beginning to embrace the bidet. In fact, many seniors are finding that bidets offer a safer and more efficient method of freshening up after toileting.

Bidet Attachments: The Toilet Tweak That Can Keep an Older Adult Clean

Bidet Attachments vs. Freestanding Bidets

To clarify, I’m not talking about traditional freestanding bidets. They take up lots of bathroom space, and older users would likely have a great deal of trouble transferring from the toilet to straddling the bidet.

What I’ve found very helpful are toilet bidets. These devices simply attach to the existing toilet in your home and require no remodeling, plumbing work or additional floor space. Essentially, the attachment is a small wand underneath the toilet seat that moves into position and sprays water over the perineal area.

I don’t remember how I first learned about toilet bidets, but when I found a cheap one that could be easily installed on my toilet without major plumbing expense, I decided to try it. The Blue Bidet—now a feature on every toilet in my house—retails for just $37. There are countless models, each with different features on the market. Simpler electric models allow for adjustable water temperature and pressure, while so-called “intelligent” cleansing seats offer features like a nightlight function, a heated air dryer and remote-control access (at a hefty price).

When I installed my cheaper toilet bidet several years ago, I became an instant fan. As I age (and as my symptoms of Parkinson’s disease worsen), I am more and more disgruntled when I have to use a standard toilet and toilet tissue. After returning from a recent short trip, I told my housemates I had missed them almost as much as I had missed my bidet!

Bidets Help with Better Hygiene, Safer Toileting

“As people get older and frailer, it’s harder for them to do good personal hygiene, particularly if they have arthritis,” Dr. Mary Tinetti, Chief of Geriatrics at Yale School of Medicine, explained to New York Times blogger Paula Span via email. Maneuvering around to wipe and wash becomes surprisingly difficult for people as they age. In fact, attempting to do so can even lead to a dangerous fall from the toilet.

For many older adults, a bidet toilet could mean the difference between independence and needing assistance with toileting. Many seniors refuse help with personal care because it comes with a loss of privacy and often dignity. However, this can jeopardize their safety, and poor personal hygiene can lead to an increased risk of urinary tract infections (UTIs), skin breakdown and general irritation. Prompt and thorough cleansing of the genitals, perineum and anal areas after toileting is crucial for maintaining skin integrity, especially for elders living with incontinence. Bidets can provide a higher level of cleanliness, safety and modesty while toileting.

For caregivers who must assist with toileting and personal hygiene, bidets can help immensely with this delicate task. It may take some practice to get the hang of using a bidet seat or attachment, but it can be easier, cheaper, more hygienic and less awkward than assisting with toilet paper or wet wipes. Better yet, adequate cleansing after toileting can help maximize cleanliness between the shower or bath days that caregivers and seniors alike typically dread.

Explore toilet bidets and other senior assistive devices in AgingCare’s Senior Product Guide.

Source: AgingCare by Joh Schappi

Emergency Planning: Is Your Loved One’s Long-Term Care Facility Prepared?

Each year, nature pummels the United States with various natural disasters. Americans find themselves contending with tornadoes, hurricanes, earthquakes, blizzards, wildfires, floods and heat waves that only seem to be increasing in frequency and intensity.

Individuals who are elderly, disabled or have special needs are particularly at risk during and after these events. Preparedness is crucial for those who are still living in the community and for those who reside in residential care communities like assisted living facilities, memory care units and nursing homes. When disaster strikes, long-term care facilities are responsible for ensuring the safety of all their residents and staff on site. In some cases, evacuation and transportation to another care facility out of harm’s way may be necessary.

Securing the safety of frail elders is a huge undertaking. Many long-term care residents are unable to walk on their own, connected to life-sustaining medical equipment or have severe cognitive impairments due to Alzheimer’s disease and other types of dementia. Every senior living facility should have a comprehensive disaster preparedness plan in place that establishes protocols for both evacuating and sheltering in place.

It’s beneficial for family members who have relatives in senior living to learn about how these communities handle potential emergencies. This will help families understand exactly what the plan of action is for their loved ones and how it may or may not mesh with their own emergency preparations and plans.

Questions to Ask a Long-Term Care Facility About Disaster Preparedness

The following list highlights crucial information on emergency planning and evacuation procedures provided by The National Consumer Voice for Quality Long-Term Care. You can print these questions out and use them to help guide your discussion about emergency procedures with the administrator at your loved one’s long-term care facility.

General Emergency Planning

  • What is the facility’s emergency plan for evacuation and for sheltering in place? (Plans will be different for hurricanes, tornadoes, etc.)
  • How are these plans coordinated with community resources, the city, county and state emergency management?

Emergency Training for Staff Members

  • What staff training procedures are in place for emergency evacuations?
  • Are evacuation drills practiced with both staff and residents?
  • Are there enough staff available to execute emergency plans during all shifts? For example, if a fire breaks out in the middle of the night, will the skeleton crew be able to handle the emergency?

Family Communication

  • How does the facility discuss emergency planning with their residents?
  • How and when will families be notified about a loved one’s status and whereabouts?
  • Is there a phone number for out-of-town family members to call for information before, during and after an emergency event?

On-site Emergency Resources

  • Does the facility have an emergency backup power system or generators? If so, how long can this back-up system provide power? What parts of the facility will have electricity?
  • Are extra medical supplies, equipment and medications (at least a 7-day supply for each resident) stored on-site?
  • How much emergency oxygen is available in portable cylinders?
  • Is the facility prepared with enough potable water and nonperishable food for residents and staff?
  • If the facility is multi-level and the elevators cannot be used, what is the procedure for evacuating physically impaired residents quickly and safely down the stairs?
  • Do residents have emergency supplies and first aid kits in their rooms? (Kits should contain clothing, toiletries, a flashlight, ID and other critical items.)

Evacuation Procedures

  • How will residents be evacuated? Are there contracts in place with transportation providers to relocate residents?
  • Where will residents be evacuated to? Are there contracts in place with other facilities to provide temporary housing for displaced residents?
  • Do family members have the right to evacuate their loved ones on their own if they choose? How would this decision affect a senior’s residency in the facility and associated costs?
  • How are elders who are on life-support or receiving hospice care transported?
  • If the building must be evacuated quickly, what procedures are in place to ensure that no residents are misplaced or left behind?
  • How will residents be identified during and after an evacuation?
  • If the facility is evacuated, how are residents’ charts, medical information, medications and other supplies transported and when?
  • Can family members meet residents at a designated location? Can they assist loved ones at the facility to prepare for evacuation?
  • Will a trained employee ride with residents on each vehicle to oversee their care as needed?

Source: AgingCare by Marlo Solitto

Caregiving is the Greatest Teacher for Future Planning

Our Guest Author this month will help many who are facing aging alone once their family caregiving role comes to an end. Carol Marak is the founder of CarolMarak.com, the Elder Orphan Facebook group, and @Carebuzz Facebook Live events. She is an expert about everything aging. Herself a former family caregiver, Carol is personally equipped with aging alone expertise.

No matter what stage of caregiving you’re in, if you’re past it, in the middle of it, or it’s a paying job, the lessons learned will equip you for your own older life.

That’s what happened to me.  After caring for both parents, I realized, “There’s no one here for me to do all that I’ve done for them.”  A thought like this will quickly jolt anyone into scrambling for a plan. I’ve always been the independent sort, and now I face growing older without a spouse, partner, or adult children.

Like me, there are many women, and men, who find themselves in the similar circumstances. Growing older alone. And most of you, I bet, are caring or have cared for a relative as well.


          Carol Marak,
      Aging Alone Expert

The lessons learned give insights into what’s ahead.  At first it’s scary, but soon you’re grateful because you know so much and feel prepared, sort of. You know how to respond in an emergency, what’s needed when making serious medical decisions and legal matters, how to prepare for a medical treatment, the out-of-pocket costs of medical and other necessities, what to expect when you ring a doctor at 2:00 AM, and how to arrange for extra help.

Above all, you know that one day you will need help!  That’s wisdom you cannot buy.

But what people like me, aging alone, don’t learn from helping parents is, who do we count on for assistance, to help us respond to an emergency, make medical decisions, bring us a cup of soup, take us to the doctor, run errands, and more.

We learn what’s to come. But we don’t know where to start when planning for it or even thinking about it.

Growing older for my parents was totally different than what it is for me. They didn’t feel the need or urgency to prepare.  Growing older was part of life and they had no doubts about knowing who would step up for them.

Caring for an older person is hard. Period. No ifs buts or maybes. And making a plan for that is even more difficult. Period.  It’s takes time, effort, and patience. But making a plan when aging alone, well, that’s titanic. We question:

  • Will my money outlast me?
  • Who do I call in case of an emergency?
  • Who will be my health care proxy?
  • What if I’m all alone and lonely, who will come over?
  • What if I’m sick, who will look in on me?

That’s the short list.

Future Planning

These are the tough questions and they’re the reason I started working on my future plan soon after my dad passed away.  I’ve created a FREE starter kit for people who have the urgency to prepare. It’s yours for free to download here.

The thing about planning, it’s not meant to be a once and done deal. Instead, it expands our understanding of the kind of world we want and shows us a path we’d need to take to get to a better place–or, at minimum, the paths we need to avoid.

I believe we all need to have a sense of what’s next, and a vision of the kind of world we want. Planning for the future should deal with tomorrow’s problems–which if not addressed will inevitably leave us weakened, vulnerable, and blind to challenges to come.

Source: Senior Care Corner

10 Farmer’s Market Foods That Are Senior Approved

10 Farmer’s Market Foods That Are Senior Approved

Spring is finally in the air! If you’re like most people, you and your loved ones may have fallen off the health and nutrition bandwagon this winter. With the harsh weather and indulgent holiday gatherings, it’s common to slip up and make poor diet choices that you normally wouldn’t.

If you’re looking for ways for your family to kick off spring on a healthier, more wholesome note, buying groceries at a farmer’s market is an affordable and fun way to incorporate more fruits and vegetables into your diet. The produce sold at these markets is usually locally grown, more likely to be organic and can even reduce your carbon footprint.

Healthy Springtime Produce Options for Caregivers and Seniors

  • Fava Beans
    Your loved one may remember eating fava beans boiled with a dollop of butter or margarine, but this method of cooking completely strips them of all their nutrients. Instead, try quickly sautéing the beans in a little olive oil. You can even mix cooked fava beans with steamed basmati rice, chopped dill and freshly minced garlic for a savory whole-grain dish that will surely wake up your elder’s taste buds.
  • Asparagus 
    Asparagus is another great spring vegetable that is naturally rich in glutathione, an antioxidant that fights aging and can potentially lower one’s cancer risk. Asparagus is usually harvested in the spring, making it a perfect pick for the farmer’s market this time of year. Try chopping the stalks into bite-sized pieces and adding it raw to salads. For a healthy alternative to French fries, you can also roast asparagus spears in the oven with a little olive oil, garlic powder and salt. Unlike roasted potatoes, asparagus won’t cause spikes in blood sugar.
  • Mint
    Many herbs flourish in spring, thanks to milder temperatures and plentiful rain and sunshine. Mint is a popular springtime herb that is not only refreshingly tasty, but it also has medicinal properties. Mint is a natural digestive aid that can soothe nausea and upset stomachs, which can be common in seniors as they age. Try adding fresh mint leaves to a salad. If you’re feeling adventurous, you can mix mint, garlic, salt and diced cucumbers into plain Greek yogurt for a tangy tzatziki sauce to serve with chicken or beef or to use as a dipping sauce for fresh vegetables. Additionally, steeping fresh mint leaves in boiling water with a few slices of lemon is an easy way to make a caffeine-free herbal tea that can be served hot or cold.
  • Radishes
    Usually root vegetables like carrots and potatoes are harvested in the fall, but radishes have a crisp bite to them that makes them perfect for spring. They are versatile, fiber-rich vegetables, packing pack up to two grams of dietary fiber per cup. Increasing a senior’s fiber intake can help ease constipation and improve digestion. Radishes are often an acquired taste, so try introducing them into your loved one’s diet gradually. They can be served raw, roasted or sautéed, and the peppery green tops are edible and nutrient dense as well!
  • Peas
    Green peas are no longer the vegetable you hated as a child. In fact, they are actually legumes that are low in calories and contain an impressive amount of vitamins, minerals and fiber. Peas are one of the best foods for reducing dangerous inflammation in an elder’s body that can contribute to conditions like indigestion, heart disease and even Alzheimer’s disease. Garden peas are also relatively high in protein and can be served as a side dish or added to salads, soups and pastas. My personal favorite use for peas is tossing them into a hearty chicken salad!
  • Strawberries
    Strawberries are one of the sweetest fruits to feed your loved one during spring. Loaded with vitamin C, they contain antioxidants which can help with all sorts of health problems and ailments. If your elder bruises easily, the high vitamin C content in strawberries is thought to alleviate their severity and aid in faster healing. Don’t be afraid to get creative with strawberries, as you can easily add them to oatmeal or cereal, layer slices of strawberries in a delicious yogurt parfait, blend them into a nutritious smoothie, or dice them with red onion, cilantro, jalapeno and some lime juice to create a zesty strawberry salsa.
  • Green Onions
    Also known as scallions, green onions add a punch of freshness to any dish. Unlike white onions, which can be rather pungent and acidic, scallions are much milder in flavor and texture. Topping a bowl of chili or soup with a handful of chopped scallions is an easy way to instantly elevate the dish. While most people usually use scallions as a garnish, keep in mind that the heartier white bottoms of the stalks can be used in the same way as white onions in a variety of recipes. Try sautéing green onions in a tomato sauce, adding them to an omelet, or incorporating them into Asian entrees like stir-fries, noodle dishes, and salads for subtle yet distinguished flavor.
  • Arugula
    As seniors age, their sense of taste and smell are likely to diminish over time. Instead of bland lettuce mixes like iceberg and romaine, opt for a bitter, leafy green like arugula. Arugula is rich in selenium, which is what gives it its peppery flavor. It’s also rich in a crucial B-vitamin called folate, making it a great base for spring salads. You can also use arugula in sandwiches and wraps, as a pizza topping, wilted into pasta dishes, and even as the main ingredient in a bright pesto sauce (in lieu of basil).
  • Artichokes
    Artichokes are one of the most overlooked veggies available in the spring and summer months. They are high in vitamins C and K and pack plenty of dietary fiber, but most people buy them canned or jarred because they aren’t sure how to prepare them fresh. Surprisingly, these large, intimidating looking flower buds aren’t all that difficult to cook. After washing, simply trim off the tight tops of the buds, trim and lightly peel the stalk, and carefully snip off the sharp thorns on the tips of the remaining petals. Prepared artichokes can be boiled, steamed, baked, grilled and even microwaved with your seasonings of choice. (Lemon juice, olive oil, garlic and herbs are popular accompaniments.)
    The cooked petals don’t yield much flesh, but the tender, sought-after artichoke hearts can be used in pastas, dips, spreads and sandwiches. Just be sure to avoid eating the hairy-looking choke! Everyone loves a warm spinach and artichoke dip, so why not use fresh artichokes when they’re in season? If your loved one enjoys sandwiches and wraps, try adding artichoke hearts to roasted red peppers and low-sodium turkey for a healthier take on an Italian cold cut.
  • Apricots
    These bright, sweet fruits are high in vitamins A and C, potassium, antioxidants, and dietary fiber. The nutritional value of apricots makes them an excellent dietary choice that helps to prevent eye diseases and promote cardiovascular health. Their small size makes them perfect for snacking, but they can also be made into jams, butters and other condiments. Another surprising use for apricots is grilling or roasting them alongside lean protein like chicken to produce an entrée with balanced sweet and savory notes.

Use the start of spring as an opportunity to wake up your taste buds and reestablish healthy eating habits. A farmer’s market is a great place to seek culinary inspiration, and attending one can be a fun outing idea for caregivers and their aging loved ones. Keep these ingredients and recipe ideas in mind the next time you hit your local farmer’s market!

Source: AgingCare  by Taji Mortazavi

How to Motivate Without ‘Bullying’ During Caregiving

How to Motivate Without ‘Bullying’ During CaregivingDuring my caregiving years, my mother and I had many tense moments about rousing her from bed to get ready for medical appointments. I’d pop into her bedroom and wake her, then remind her a few minutes later that she really needed to get up, then cajole her, plead with her, and ultimately use my sternest, I-mean-business tone. I thought I was helping motivate her in those instances. She’d say she felt like I was bullying her.

I never liked being called a bully and denied it was so. After all, we were always in a rush. If I pressured her, I reasoned, then it was for her own good. But in retrospect now, 20 months after her death, I wonder if I was in the right. What really mattered to her during those times? Was she clinging to the comfort of her pillow because she was still tired or even depressed? Was it more important for her to have control over her own life and sleep in than submit to another routine exam with a doctor who couldn’t help her much anyway? Instead, I overruled her and expected her to “obey” me.

I don’t think I’m the only family caregiver to transgress the blurry line between supportive guidance and arm-twisting. Sometimes when tired or frustrated or impatient — or when there really is a situation of dire urgency — many caregivers are prone to pressure care receivers too hard to conform to schedules and regimens. We rationalize the approach we’ve taken on the basis of practicality and expedience. But many of us second-guess ourselves later about whether it was necessary.

Certain things do have to get done. Otherwise, family caregivers might feel that they are guilty of irresponsibility and neglect. But how can we manage to be coaches, not bosses, and effective motivators, not feared bullies? Here are some ideas.

Rarely put tasks over the relationship: There are few caregiving tasks so crucial that they warrant trampling a care receiver’s feelings in the process of accomplishing them. Rather, there are what I think of as front- and back-burner issues. On the front burner are mostly issues having to do with safety, such as taking medications appropriately or driving capably, for which the caregiver should be firm and persuasive. However, most other issues are on the back burner of importance and need for action. For these items, caregivers should allow care receivers to exercise as much choice as possible and shift plans accordingly. That means being more flexible and accommodating, as well as respectful. In retrospect I could have scheduled my mother’s doctor’s appointments later in the day, even if it was less convenient for me, or canceled them altogether.

Develop a range of approaches and strategies: Great coaches are attuned to the moods of their players and apply the right touches at the right time to encourage maximum effort and performance. Great caregivers, too, can sense what care receivers are feeling at a given moment and tailor their requests — for instance, appealing to reason, resorting to silly humor or changing the subject entirely — to the approach that will motivate.  In general, I found that a gentler style was more apt to work with my mother, but there were also times that she wouldn’t agree with me at all. That’s when I would turn to my wife, who, with a smile and an even softer tone, could somehow win my mother’s cooperation making the same request she’d already rejected from me.

Solicit and heed feedback: We can sometimes get so wrapped up in the hectic pace of caregiving life that we lose a sense of how we are coming across to others. But we can listen to feedback from family members about how we are conducting ourselves. Take a moment to say to the care receiver, “We are having to work together more closely nowadays than we ever have before. Am I treating you the way you want to be treated?” Regard the answer seriously.

Beware of creeping bullying: No caregiver sets out to be the sort who pushes others around. But if he finds that applying pressure to the care receiver is the most efficient way of completing his many tasks, then he may slowly tend toward using sheer force. Caregiving isn’t about efficiency, however; it’s about caring. And nothing could be less caring than bending people to one’s will. We need to be aware of the excesses of our own styles and never convince ourselves that the ends justify the means.

by Barry J. Jacobs

Source: AARP

Getting Compensated for Caregiving Can Change Family Dynamics

Getting Compensated for Caregiving Can Change Family DynamicsYou can be paid for your work and treated fairly

Does money change everything, as the old saying goes? If Alicia had won the lottery, then she might understand why her siblings were now treating her a little differently. But all she’d done was become certified as a home health aide so she could receive a modest hourly wage from her county for dressing, grooming and feeding her Parkinson’s disease-stricken mom. Nowadays, however, her sisters seemed less interested in pitching in with caregiving tasks since family caregiving had officially become her “job.” Even her mother seemed to be asking more of her, as if she were now the hired help and not her youngest daughter.

More states are allowing care recipients to hire and pay family members as their home health aides under what is sometimes called consumer-directed care. These are popular programs for obvious reasons: Family members — some of whom had to quit or cut back on work to take care of a loved one — are now being paid at least a little money for all the care they provide. No one is getting rich, but at least they are better able to cover some bills. More importantly, receiving an hourly wage gives them a feeling of being publicly acknowledged and valued rather than (as is too often the case) feeling invisible and underappreciated.

In my clinical practice, I’ve also worked with many families in which a parent’s decision to leave a house or the bulk of an inheritance to the primary caregiver roils family dynamics like nothing else. The caregiver who will receive money becomes immediately suspected by others of playing the Altruistic Child to cash in. Anger and conflict frequently result.

How can family caregivers earn some compensation for their devoted efforts but not be regarded as mercenaries by other family members? Here are some ideas:

Demonstrate transparency: Many of us are inclined to keep our financial affairs private, even when among family members. But because caregiving is inherently a family enterprise, it is vital that we are aboveboard about monetary transactions, especially if we are profiting in some way from a parent’s need for assistance. Let other family members know about the opportunity to earn an hourly wage for providing hands-on care. Tell them exactly what you’ll make. Communicate plainly that this money is going to offset costs incurred by caregiving activities — e.g., expenses for medication copays, lost salary, the price of fuel for driving to the doctor.

Keep in mind what others think is fair: It may seem fair to you to receive money for the many sacrifices you are making on behalf of someone you love. (I agree with you.) But there are other family members who may believe they are also making sacrifices — though, admittedly, not as many as you are — and deserve to be compensated to some degree as well. For them, it may seem patently unfair that you get glory and money and they get neither. Don’t begrudge or disagree with their feelings. Empathize with them instead and tell them that you greatly value their participation in caregiving. You don’t have to fork over some of your newly earned cash to prove that. Just express your appreciation that the two of you are part of a cohesive caregiving team whose sole mission is to help Mom.

Preserve your parent-child relationship: Care recipients can become increasingly demanding over time even when money is not involved. But when a family member has been hired for a caregiving job, there is a greater tendency for the care recipient to treat even close relatives with impatience and barked orders. Even when you’re on duty, though, you’re not just an employee. Complete the necessary tasks but let your parent know that you’re there for love, not money, and that you expect that your personal rapport with one another is not going to be suddenly altered by changed economics.

Weigh the money’s worth: For some families, receiving a caregiving salary will be an unmitigated boon about which everyone is thrilled. For others, there will be no end to the resentment, jealousy and sniping. Judge for yourself whether working as a loved one’s home health aide is worth it. If it isn’t, then don’t be resentful in kind. Instead, be consoled that peace in the family may ultimately be of greater value than any amount of money in the pocket.

by Barry J. Jacobs

Source: AARP

New Study Shows Benefits of Person-Directed Care in the Home

New Study Shows Benefits of Person-Directed Care in the HomeA new study shows the positive impact of person-directed care on people who need assistance with activities of daily living.

A randomized clinical trial published in JAMA Internal Medicine recently found that, “The findings suggest that disability may be modifiable through addressing both the person and the environment.”

Let Me Explain

A person-directed approach to care is one in which the decisions belong in the hands of the person receiving the care. The focus is on an individual’s abilities—rather than on their disabilities or what they can no longer do for themselves—and their unique preferences. When using this approach, an individual is encouraged to participate in activities that support their well-being. For example, instead of doing the grocery shopping, cooking the meal, serving it, and cleaning up, a caregiver would find out if the person in need of care and assistance would like to write up the shopping list or be a taste tester in the kitchen during the cooking or other activities in the meal preparation—especially if this is someone who finds joy in this.

Statistics show that 1 in 3 older adults in the United States need help with at least one daily activity. The Family Caregiver Alliance addresses who needs long-term care on their website, citing data from AARP that, “The lifetime probability of becoming disabled in at least two activities of daily living or of being cognitively impaired is 68% for people age 65 and older.”

Details, Details

The study looked at 300 low-income “community-dwelling” adults who are living with a disability, age 65 or older, “cognitively intact,” and who self-reported difficulty with one or more Activities of Daily Living (ADLs) or two or more Instrumental Activities of Daily Living (IADLs) over a four-year period. The majority of study participants were women who have multiple chronic conditions such as heart disease, arthritis, and COPD (chronic obstructive pulmonary disease).

The study applied a program called CAPABLE (Community Aging in Place—Advancing Better Living for Elders) for one group or a choice of sedentary activities for the other group. Those in the CAPABLE group had visits, as needed, from a nurse, a handyman and an occupational therapist depending on the goals of the participant.

Over the course of five months, participants in this part of the study experienced 30% fewer difficulties with ADLs such as showering or bathing, getting dressed, transferring in or out of bed and moving easily around their home.

The reason for this study was, “Disability among older adults is a strong predictor of health outcomes, health service use, and health care costs,” the study author explained in the abstract. “Few interventions have reduced disability among older adults.”

Yet they saw with a person-directed care approach that there was a “substantial decrease in disability” for these people.

The conclusion was, “Disability may be modifiable through addressing both the person and the environment.”

Click here to see our infographic about quality care with tips on “This, Not That” when it comes to person-directed care.

Source: Homewatch Care Givers

WHEN IT’S TIME TO SEE A GERIATRICIAN

If you’re in your 60s or 70s, you may have wondered if you should start seeing a geriatrician instead of, or in addition to, your primary care provider. These are family doctors or internists with special training in the health needs of older adults. About 30 percent of people over age 65 need one, according to the American Geriatrics Society.

But you might not need to book an appointment at the same time you sign up for Medicare. “Geriatricians specialize in the care of people with multiple chronic medical conditions that cause challenges with their day-to-day physical and mental functioning,” explains Michael Steinman, a geriatrician at the University of California San Francisco. And so the reason for using this specialist is not determined by just age. “A 65-year-old with high blood pressure, high cholesterol and type 2 diabetes may benefit, but an 80-year-old who walks five miles a day and is only on one or two medications doesn’t need one.”

Usually, you see a geriatrician  for an initial consult, with follow-up as needed, says Mary Tinetti, M.D., chief of geriatrics at the Yale University School of Medicine. Most geriatricians work in centers and have a team-based approach; for example, besides meeting with the doctor, you’ll see a social worker, hearing specialist, nutritionist, and even physical or occupational therapists in the same visit. You’ll still see your primary care physician for day-to-day matters, like blood pressure checks or visits when you’re sick. If there isn’t a geriatrician near you and it’s hard for you to travel, Tinetti suggests seeing if a geriatric center will do a telemedicine consult. (You can check the American Geriatrics Society’s online locator serviceto find out if any of the nation’s 7,000 certified geriatricians practice near you.)

Reearch shows that it’s best to make an appointment sooner rather than later. Adults who see a geriatrician are less likely to end up in the hospital, possibly because these physicians are more likely to be on the lookout for warning signs such as frailty and appetite loss, and also are more likely to avoid prescribing potentially risky medications.

Here are four signs that you may need a geriatrician.

  • You’re on multiple medications. More than a third of adults over age 62 are taking at least five prescription drugs. Over 60 percent use some type of herbal or dietary supplement. But the more meds you’re on, the more likely you are to experience side effects, have cognitive problems or even end up in the hospital. “The older you get, the harder it is to metabolize and clear medicines from your body,” says Steinman. “And the more drugs you’re on, the more likely you are to experience drug-drug interaction.” A geriatrician can review all your meds and determine which ones you really need and which you can shelve.
  • You’re having trouble with your memory. Almost 60 percent of people over age 65 with probable dementia are undiagnosed or unaware that they have it, according to a Johns Hopkins University School of Medicine study published last year in the Journal of General Internal Medicine. A geriatrician can screen you for mild cognitive impairment (MCI), which is a precursor to dementia, as well as for depression, which can be more subtle in older adults, says Veronica Rivera, a geriatrician at the Icahn School of Medicine at Mount Sinai in New York City.
  • You’re less mobile. If you don’t feel as steady on your feet as you used to or are having trouble getting around, it’s a good idea to see a geriatrician who can assess your balance and gait, says Tinetti. (Falls are the leading cause of injuries and death from injuries among adults over age 65, according to the Centers for Disease Control and Prevention). A geriatrician can also give you balance-strengthening exercises to do at home and/or prescribe a course of physical therapy, as well as send a physical therapist or occupational therapist to your home to do a fall-risk assessment. All these steps can help keep you independent — and in your home — longer.
  • You’re hospitalized. Research shows that older adults who get care from a geriatrician in the hospital do better once they’re discharged. People over age 65 who got a geriatric consult while hospitalized for a traumatic injury such as a broken rib, head injury or fracture were able to resume about two-thirds more of their daily activities (like shopping, walking across a room, managing finances and self-care) than those who didn’t, according to a University of Michigan study published in JAMA Surgery. 

Written by: Hallie Levine, AARP

Source: agegracefullyamerica.com