Saying Goodbye To A Parent Or Loved One

caregiver holding handsHuffington Post is running a great article entitled “Saying Goodbye To A Parent” by Betty Londergan.  Many of us won’t have the privilege of saying goodbye because many times death can be acute, immediate and sadly… surprising.  For the lucky ones, being able to say-your-peace, and receive the same back can be incredibly fulfilling.

My husband was able to experience this with his grandfather many years ago.  His “Grandpa Joe”, a WWII veteran was dying of cancer that had spread extensively throughout his body.  He had been in and out of the VA in Spokane Washington… On and off chemotherapy…  And finally in his late 80′s he had had enough.  Weeks before he went into the VA (his final visit) my husband and his brother drove up to Spokane to spend some time with Grandpa Joe.  It was unlike any other visit they’d ever had.  The normally rough-and-tough Joe was extremely frail but still relatively lucid.  On this visit, Joe would open up about the war (he rarely if ever spoke of his year of grueling service as a medic in the war overseas), and Joe even initiated a discussion about what each grandchild had meant to him during his adult life.  Joe knew this was indeed the last visit he’s have with his grandsons.  Though I’m told the tears were at full flood stage, each of the boys (then in their 30′s) were able to share their favorite memories and thank Joe for being such a wonderful grandfather and friend over the years.  They also both (literally) said goodbye to Grandpa Joe one last time…

Being able to say goodbye, can be an incredible rewarding and fulfilling experience.  In her article, Betty Londergan calls being with a parent while they’re leaving this world “the great privilege”, and I must say I totally agree.  As a social worker, I’m around families dealing with these issues on a regular basis.  Some are good at it, and some not so much.  Most people know that in life there are no guarantees, so it’s important to take the opportunity to tell your loved ones how much they mean to you.  Tell them you love them while you have the opportunity to do so in this life.  It will eliminate (or at least minimize) the “I wish I would have” notions, or the “I should have told them what they meant to me” regrets.

Have you had the “privilege” to say goodbye a loved one before they passed on? How did it go?  What would you do differently?  -Share your thoughts in the comments below

VN:F [1.9.22_1171]
Rating: 10.0/10 (2 votes cast)

Lack Of Sleep Could Speed Up Aging Process

sleep and heart healthWe all know we need to sleep, but recent research has underlined the importance of getting a good night’s sleep.  This is critically important for caregivers who aren’t sleeping well because of the demands made on them (by their loved ones), or those who can’t sleep well because of stress.

For starters, research coming out of Sweden indicates that the six-to-eight-hour rule needs to be ditched in favor of more hours of sleep (like seven-to-ten).   This was based on studies that showed a five percent spike in heart attacks during spring when clocks are set ahead and we lose an hour’s sleep.  People at risk can be pushed over the line into a cardiac event by the loss of that one hour.  Clearly, sleep is important to our overall health.

A new study from University College London School of Medicine indicates that people who aren’t getting enough sleep have brains that age faster than their well-rested counterparts.  The study, which was conducted over five years, was reported in a recent edition of AARP Magazine.  Researchers first conducted a baseline survey, asking participants how much sleep they get normally.  They came back to the group five years later and asked the same question.

Those whose sleep had decreased over the study period “showed an accelerated mental decline during cognitive testing,” the magazine reported.  That decline was “equal to an extra four to seven years of aging.”  “Sleep regenerates neurons that enable the brain to function optimally,” explained lead author Jane Ferrie, PhD.  Oddly, those who reported increased sleep also exhibited cognitive decline, though researchers indicate that declin (and the increased sleep) may be due to depression or some other illness.  More research on that issue will likely be forthcoming.

As a caregiver, pay attention to your sleep patterns.  If you’re not getting the uninterrupted hours you need at night, take action.  Talk to your doctor, even if the issue is stress related.  Talk to your loved one’s doctor if their inability to sleep keeps you awake!   You can make up a small sleep deficit with a mid-day nap, but be mindful that you need your sleep to stay at your best in giving care.

Blessings, Joanne

VN:F [1.9.22_1171]
Rating: 10.0/10 (2 votes cast)

Successful Aging In Place begins with the Right Partners

America is aging and our life expectancy is increasing.   By the year 2030, there will be more than twice as many people aged 65+ years than there are today.  AARP surveys repeatedly indicate that people would prefer to reside in their existing homes.  However, only 16% of survey respondents have done home modifications.

The primary goal of a successful aging-in-place remodel is to gain or maintain the client’s independence over time.  This goal is best accomplished when an occupational therapist and a remodeler work as a team.

It is best to have an occupational therapist available at the beginning stages of a remodeling project because an occupational therapist brings a medical perspective and helps determine what will meet the client’s needs for now and in the future.  Occupational therapists are skilled at recognizing how the home environment affects the ability to participate in activities.   An occupational therapist evaluates balance, endurance, safety awareness, vision, and many other functional areas such as taking a shower or climbing the stairs.

The occupational therapist collaborates with the remodeler whose expertise is needed to determine the structural integrity regarding the installation of the modifications.  The remodeler has knowledge of building codes and specifications.  A remodeler who has a certified aging in place specialist (CAPS) designation understands universal design concepts and customizes the renovations based on the individual’s needs.  Together, the occupational therapist and remodeler create a much better outcome that will meet the client’s needs over time.

To learn more about partnering an occupational therapist with a remodeling professional, contact:

Nancy Dillinger, OTR, SCEM, ATP
AOTA Environmental Modification in SCEM
liveLife@Home, LLC
303/775-4984 (cell)
nancy@denverhomemodification.com

VN:F [1.9.22_1171]
Rating: 9.7/10 (3 votes cast)

Home Modification to Reduce Falls?

On the surface, home modification appears to be a straightforward solution to reducing falls.  Free home safety audits are offered by many businesses and organizations at no cost to the consumer.  However, the effectiveness of home safety audits as a valid tool for reducing falls has been controversial and inconclusive.

To address this confusion, Clemson et al. (2008) conducted a systematic review of the highest quality studies that investigated the effectiveness of environmental interventions in reducing falls.  The authors concluded that there is evidence that home visit interventions that are comprehensive, focused, and incorporate an environmental-fit perspective can be successful in reducing falls when targeted to high-risk older adults.

Home Modification reduces falls when interventions include Occupational Therapy

This study also found that the highest reduction in falls was achieved when the home interventions were provided by an occupational therapist.  Occupational therapists are skilled at recognizing the fit between a person and the environment.  A home assessment by an occupational therapist goes beyond hazard identification to an analysis of the environmental-fit.  The occupational therapist problem solves,  identifies solutions, and bases recommendations on many factors including medical conditions, history of falls, daily activity patterns, balance, strength, vision, cognition, and other functional skills.

Fall reduction is further achieved when the older person is willing to change risk-taking behavior.  An occupational therapist teaches behavioral strategies to raise older adults awareness about their environment and how to negotiate it safely.  A follow up visit is vital to the home modification process to ensure the recommendations have been carried out according to the client’s needs and desires.

To learn more about occupational therapy and home modification contact:
Nancy Dillinger, OTR, SCEM, ATP
liveLife@Home, LLC
303/774-4984
nancy@denverhomemodification.com

Source.  Clemson, L., Mackenzie, L., Ballinger, C., Close, J. Cumming, R. (2008). Environmental interventions to prevent falls in community-dwelling older people:  a meta-analysis of randomized trials.  Journal of Aging and Health, 20, 954-972.

VN:F [1.9.22_1171]
Rating: 9.3/10 (3 votes cast)

Why Involve an Occupational Therapist When Adapting Your Home?

With the rising costs of senior housing and the downturn in the housing market, many boomers and seniors are turning to home modification as a long-term solution for aging in place.  Modifying an existing home can be challenging and frustrating without the right tools in place.  One of those tools is an occupational therapist.

There is a tremendous advantage to having an occupational therapist involved in the home adaptation process because an occupational therapist uses their medical background and clinical experience to determine what will meet the client’s needs for now and in the future.

An occupational therapist is a health care practitioner whose sole purpose is to help people participate in the activities that are meaningful to them.  Occupational therapists are skilled at recognizing how the environment affects the ability to perform desired activities.

Occupational therapy is a client-centered practice in which the client is an integral part of the process.  The occupational therapist provides an individualized evaluation during which the client/family and occupational therapist determine the individual’s goals.  The occupational therapist evaluates balance, coordination, endurance, safety awareness, attention, problem solving, vision, communication, and many other functions while the client performs daily tasks.   Through this process, a customized plan is developed to improve the ability to participate in activities safely and independently.  The intervention plan may include adapting the environment, modifying a task, teaching a skill, and educating the client/family in order to maximize safety and independence.

Home modification is very much a team process in which each player on the home modification team provides valuable information on the client’s behalf.  The occupational therapist collaborates with the builder/remodeler to ensure the recommendations are carried out according to the client’s goals.  The builder/remodeler determines the structural integrity regarding the installation of the modifications and has expert knowledge of building codes, specifications, and resources.  When an occupational therapist and the remodeler work together, they create a much better outcome for the client and family.

To learn more about the role of an Occupational Therapist and Home Modification contact:
Nancy Dillinger, OTR, SCEM, ATP
AOTA Environmental Modification in SCEM
liveLife@Home, LLC
303/775-4984
nancy@denverhomemodification.com

VN:F [1.9.22_1171]
Rating: 10.0/10 (2 votes cast)

Aging Redefined: A Conversation with Ken Dychtwald

JWT might be one of the best-known marketing communications brands you never heard of… Their blog JWT Intelligence is a “center for proviactive thinking”, and is indeed an intelligence hub for brands looking to find their way.  On January 18th, author Will Palley interviewed Ken Dychtwald, founder of AgeWave (and boomer marketer extraordinair) to discuss aging and how aging is different today than it was a generation ago.

Do you think there are fewer prescriptions about how one should act at a certain age?

Absolutely. One of my favorite examples of that changing was when John Glenn announced he was going back up into space at 77. People said, “Wait, 77? He’s supposed to be in a rocking chair.”  -Exerpt from Will Palley’s interview with Ken Dychtwald

To learn more about what drives Boomers and Seniors AND about future trends, we highly recommend reading Will Palley’s interview thoroughly.  You’ll be glad you did!

VN:F [1.9.22_1171]
Rating: 10.0/10 (1 vote cast)

Quality Neighbors Make The Best Soup!

A recent article in the NY Times entitled, “The Caregiver Next Door” illustrates the power of love and support close by… Even if it’s just a neighbor!  Author Paula Span’s father lives 125 miles away, but her dad’s great neighbors help ease her mind.  I’d encourage you to read it, and let me know what you think…

My folks are younger (in their 70′s) but it’s not lost on me how much support my parents receive from their neighbors, and also give back in return.  The power of emotional support from friends and family is a huge factor when it comes to aging in place.  Often times we focus on technology and home improvements that enable people to stay in their homes longer… But I think key, close relationships are equally important.

I would love to hear other stories about neighbors helping neighbors.  Very refreshing indeed.

 

VN:F [1.9.22_1171]
Rating: 10.0/10 (2 votes cast)

What Does Aging In Place Mean?

What is Aging In Place?

Aging in Place is all about using resources (technology, equipment, caregivers, and knowledge) to stay at home as long as (safely) possible.  There are many ways families are utilizing technology to assist loved ones at home.  Let’s examine a few here…

Today boomers and seniors are finding ways to stay in their homes longer and longer.  Technology is a huge driver of this trend, but safety is still the rule of thumb.  The Senior List has showcased both cell phones and improvements in medical alert systems as examples of technology that assists seniors (and their kids).  We’ll continue to showcase other items, and ask you to participate in the conversation as well.  Some other items that are helping seniors “age in place” are;  home modifications, sophisticated home monitoring systems, telehealth, senior focused transportation services, home care, and home health care (just to name a few).

VN:F [1.9.22_1171]
Rating: 10.0/10 (2 votes cast)