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Fall Issues, Physical Therapy, and More

Fall Issues, Physical Therapy, and More

On this segment of “Caring for Seniors” Judy and Rich talk about fall issues, physical therapy, and more. Judy has been a licensed physical therapist for 32 years. She’s also the owner of Seniors Helping Seniors NH for 5 years. She often uses her knowledge from physical therapy to teach clients about fall prevention.

Fall Issues, Physical Therapy, and More

Fall Issues, Physical Therapy, and More

 

Judy talks about some simple things to add to homes when a loved one is still living at home. Adding grab bars, railings, ramps if possible, and places to sit scattered throughout the house can significantly lower the chance of falling.

Of course there is always a chance of falling. The sad fact is that people fall whether they are in the hospital, at home, or in a community. But listening to Judy’s suggestions can help minimize this fact.

Judy goes on to discuss the importance of physical therapy for seniors. It’s been assumed that we just weaken as we grow older. This is somewhat true, but physical therapy can help regain and maintain strength.

It’s not the perfect solution but it is a good start when paired with exercise. Many of Judy’s clients would be covered by insurance or Medicaid so they wouldn’t even have to pay for it, despite whether they have a new or old condition.

Physical therapy can offer ways to relearn how to move the body and how to properly exercise. For example, it’s been discovered that the idea of smaller weights and more sessions is now outdated and it’s better to have heavier weights and less sessions.

You can listen to the whole segment here.

Mindfulness and Resiliency in Seniors

Fall Issues, Physical Therapy, and More

On the latest segment of “Caring for Seniors” on Girard at Large, Judy and Rich discuss mindfulness and resiliency in seniors. This topic was inspired by Judy meeting two women at a recent charity event that Judy attended for The Alzheimer’s Association. One woman is coping with her husband’s younger onset Alzheimer’s, in addition her sister passed of breast of cancer a couple months ago. So even though she has every right to be miserable, she was there at the fundraiser mingling. The other woman has been on the journey of her husband having Alzheimer’s for a while now and she has been staying strong and trying to make the best of it.

Mindfulness and Resiliency in Seniors

Mindfulness and Resiliency in Seniors

 

Resilience can come in all shapes and sizes. This makes Judy think about what brings a person to this point of resilience? How is it important to not only senior care, but the seniors themselves? Aging can create a great amount of stress because we are living longer and facing more difficulties.

Judy goes on to surprise Rich and say that resiliency wasn’t even studied until after World War II. Psychologists noticed there were many orphans after the Holocaust that were doing better than other children and they wanted to know why.

There was a huge study in Hawaii of 700 children whose parents were extreme alcoholics. What they found was a third of them were doing exceedingly well than the other kids. Scientists wanted to know what makes one more resilient than another and can we change our ability to be resilience.

We can teach resiliently. If we go down a fear based path, meaning always asking “Why me?” and “What if?” then that strengthens those pathways, causing us to be less resilient. MRIs can see how our brains work and how blood flows as our brain changes.

Another study was done on Navy SEALS, found that the SEALS will move more quickly from the prefrontal cortex, where cognition and planning is housed, to the amygdala, where are emotions are stored, and then back. People with depression and anxiety tend to be slower.

This brought up mindfulness, it’s estimated that 40% of the time we are thinking about something other than what we are working on. A study showed that Marines who use mindfulness training for four weeks found their stress response to be much lower and performed better.

Mindfulness is staying in the moment, and is easily connected to resilience because we can change our brain. We can learn how to be resilient.

Obtaining Home Care Services

This segment of “Caring for Seniors,” Judy and Rich talk about obtaining home care services. Many people asked about the process of getting home care and the costs. It sounds straightforward, but it can be a long and confusing process if you are under pressure. You can be hurried and overwhelmed if you are in the hospital. So Judy decided to go through the process step by step.

How to get home care services

Obtaining Home Care Services

 

Let’s say Mom or Dad is in the hospital for three days due to a fall or illness and Medicare is paying for their visit. Now towards the end of the stay, the hospital is talking about rehabilitation or home health services.

Rehabilitation usually involves loss of functional ability, how well you are able to take care of yourself or how well your body takes care of itself. Rehab helps build the strength and is also paid by Medicare.

Or you don’t go to rehab and you are supposed to go home the next day while not feeling a hundred percent. This can put a lot of pressure on not only Mom and Dad, but the adult children who are looking after them.

Maybe they are overwhelmed. Maybe they have to be at work tomorrow and can’t get the day off. Maybe their parent needs more care than they can give.

What social workers most talk about is a referral to home health services. This means a nurse might come twice a week to help with a bath, maybe a physical therapist or speech therapist comes to help build strength and this is also covered by Medicare.

To qualify for home health services you need to: one, have a goal to work towards; two, the parent is participating and not refusing care; and three, you truly need to be home-bound.

What’s been confusing for adult children is that they might not know the difference between home health services and home care. As discussed, home health involves your health and building up strength. Home care is someone spending the night, helping around the house, meal prep, taking you for errands.

Home care is not considered medical. It can catch a lot of people off guard. Then they are confused about how it is paid. Most of the time it’s out of pocket, though there is a state program called Choices for Independence which helps pay for care. Also long term insurance can help pay for home care if you need help with two out of the six daily living activities.

Check out the whole segment here.

Seniors Helping Seniors Origins and The Conversation Project

Seniors Helping Seniors Origins and the Conversation Project

On this segment of “Caring for Seniors,” Judy spoke with guest hosts Hal Shurtleff and Ed Naile about Seniors Helping Seniors origins and The Conversation Project. Hal and Judy hadn’t met before so Judy explained what Seniors Helping Seniors does and the origin story. Judy talked about her own struggles caring for her parents and how it gave her the idea for the business.

Seniors Helping Seniors Origins and The Conversation Project

Seniors Helping Seniors Origins and The Conversation Project

 

Judy then moved onto The Conversation Project, continuing the discussion from the last segment. About 90 percent of people say having the conversation is important but only 27 percent actually have that conversation.

The Conversation Project goal is that they can help jump start the conversation while everyone is cognitively able to. Judy, Ed, and Hal talk about how other cultures seem to value elders, they come with wisdom, while our culture doesn’t value them as much.

The Conversation Project helps with that reverence because then the loved ones know what the person wants. Do they want to live and die at home? Would they like to go to a community? Who would be a healthcare proxy. What is a healthcare proxy? As a person, it’s the same as the durable Power of Attorney for healthcare, and it’s also a document.

Check out the whole segment here.

Should the City Allow the Elderly to Stay in Their Homes?

Should the City Allow the Elderly to Stay in Their Homes?

Judy is back and this week on Girard at Large, Judy and Rich talk about should the city allow the elderly to stay in their homes? This discussion is sparked by a clip of Democratic Alderman and State Representative Chris Herbert concerning the removal of the elderly from their homes to make way for those who are able to higher tax rates. Judy points out the consequences of removing the elderly and the benefits of letting them stay.

Should the City Allow the Elderly to Stay in Their Homes?

Should the City Allow the Elderly to Stay in Their Homes?

 

The clip in question was the Alderman talking about removing an 83 year old neighbor from her 350,000 dollar house because she couldn’t afford the taxes. Apparently there is no such extravagant house in Herbert’s neighborhood as discovered by Rich and his loyal listeners.

The clip really upset Judy because she knows that 93 percent of the elderly don’t want to leave their home. Also most of the elderly that Judy helps will tell her they can’t afford a loaf of bread when sitting on a million dollars.That’s because they got to this point by living frugally, so Herbert, if such a woman existed and spoke with him, could have been mislead.

Judy also knows about the trauma that moving can cause for the elderly as she spoke about in a previous segment.

Plus the state would pay for move through hospitalization. The smaller the part the elderly play in the transition, the more trauma they face. If someone truly need to move because they are no longer safe then the transition must be done carefully.

Even if a program that removed elderly from their home existed, there aren’t enough beds in communities. That’s why Seniors Helping Seniors provides care for people on Medicaid through the program called Choices for Independence.

The programs helps people who can’t afford to stay in their home, stay in their home. Seniors Helping Seniors can come in just for 15 hours a week to help with errands, bathing, and meal prep so they can stay.

Plus no matter what, staying home helps improve their quality of life, it’s their home. They have created a life here, they raised their family here, and they are most comfortable here.

Caring for Seniors in Malawi

Judy was away this week, so Ben hung out with Rich on Girard at Large. He brought two guests, Carolyn and Tom Mambo from Malawi. They discussed caring for seniors in Malawi.

Caring for Seniors in Malawi

Caring for Seniors in Malawi

 

Tom and Carolyn also take care of seniors in Malawi. Malawi is a small peaceful country in Southeast Africa. Though where Tom and Carolyn are from they are dealing with extreme poverty and hunger.

Tom created a ministry to help his community, especially the widows. There are lot of widows and it becomes difficult to feed the widow and her children when her husband passes. The ministry tries to help ease that burden. They split the widows into two groups because they are a significant amount of widows under the age of 60.

With the younger women, the ministry tries to teach them skills and empower them to run small businesses so they can sustain themselves. With the older women, they can’t work and really rely on others for help. Tom and his ministry come in, they find a caregiver to help them, love them, and make them feel less alone. By having the caregivers, it helps ease the burden on the community while helping their elderly, that way everyone wins.

They are looking for donations to keep this program running and to build the first church in the area! The church would provide shelter for services, for people in need, and as a general meeting space while they expand their businesses. If you want to learn more and donate check out their GoFundMe Page!

Story Time with Judy

Story Time with Judy: Take My Hand

This week’s segment is story time with Judy. Judy shared a story she wrote and read at the first annual Storytelling Festival at New Hampshire Institute of Art. The story titled “Take My Hand” was about caregiving and the power of helping out.

Story Time with Judy

Story Time with Judy

 

It opens about Danny, Judy’s son, going to college in Montana. Judy had no idea that he had applied to any colleges. Before you think Judy not involved enough, she was there with Danny every step of the way. She cheered for him, cried for him, did the parental threatening.

When Judy and Randy went to visit Danny in Montana. There was a small dusting of snow but that didn’t stop them from bouldering. Judy was the third in line of their group and right when she was near the top, she got stuck.

She couldn’t go up or down. Danny reached down and said, “Mom, take my hand.” Judy realized that her son is all grown up.

In 2013, Judy became her parents primary caregiver. She went with them to the doctors, ran errands, held their hands. Similar to Danny, Judy encouraged and cheered for her parents with every sign of independence.

Her parent’s were thankful for the assistance. Knowing when the right time to extend a helping hand is key. Too early and it’s rejected, too late might result in not getting to the top of that mountain.

When you are ready to accept the responsibility of becoming a caregiver for a senior, remember that timing is everything. And, don’t forget the power of offering a helping hand.

Probiotics, Antioxidants and Abdominal Fat

Probiotics, Antioxidants and Abdominal Fat

This week Judy and Rich talked about more about National Nutrition Month, more specifically probiotics, antioxidants and abdominal fat.

Probiotics, Antioxidants and Abdominal Fat

Probiotics, Antioxidants and Abdominal Fat

 

Like what is already been discussed, diet can vastely improve your brain function and reduces risk factors that comes with Alheimzers.

Foods that are good is anything fermented or that is filled with probiotics or prebiotics. Probiotics are the things that create good bacteria in our stomach and foods that are considered as such are bananas, onions, garlic, asparagus, and artichokes.

Prebiotics is what preps the stomach to receive the good bacteria. Probiotics include aged cheese, yogurt, pickled foods, and sauerkraut. They work best together, which is called a symbiotic. You can also add leafy greens, but if you have blood thinning medication, you want to be careful with how the two interact. Leafy greens have vitamin K which interacts with the blood thinners.

Learn more about vitamin K here.

We all need to be more aware of abdominal fat, it can not only cause diabetes and heart problems but it can also contribute to Alzheimer’s disease. There are molecules that contribute to the plaque building up in our brains.

Judy talks more about how a good diet can help you in her video tip 10.

National Nutrition Month

National Nutrition Month

This week on “Caring for Seniors,” Rich, Judy discussed the brain and National Nutrition Month. Most people who will develop Alzheimer’s will do so twenty years before symptoms start to show. Plaque and inflammation on the brain is what creates Alzheimer’s and Judy goes over what food you can eat to help lessen the plaque.

National Nutrition Month

National Nutrition Month

 

Lifestyle changes can minimize symptoms or even prevent any cognitive abilities from being lost. Diet wise, there is a lot you can do, even just cutting back and not completely cutting out can help.

Sugars, for example, causes a lot of inflammation, so just cutting that down will improve our diet greatly. An a easy way to remember is that what is good for your gut is good for your brain. Red meat, sadly, is not good for your gut and it has a bacteria that can lead to the plaque.

Darker berries like blueberries and raspberries are filled with antioxidants which will help reduced oxidated stress. Oxidated Stress is the things we take into our bodies that we are not prepared to fight and is the build up of those things.

Antioxidants help remove them and fight them. Antioxidants is good for preventing cancer and helping preserve memory. Dark chocolate, sixty percent and up, is also full of antioxidants, helps with blood pressure as well. So people with a sweet tooth can cheer!