Is Your Loved One Ready for Winter?

As the song goes, ‘Baby, it’s cold outside.’ The temperature has dipped below zero and there is snow on the ground. Whether or not the calendar says it is officially winter, it certainly feels like it.

This is the time of the year when kids might be outside building a snowman, sledding or having snowball fights. They, and you, have your winter gear out and ready to use.

But what about your senior loved ones? Along with the cold winter months come additional hazards, especially for older adults. Are they prepared?

Here are a few senior safety tips to make sure your loved ones have a safe and healthy winter:

• Accidents While Driving.

  This time of the year the roads are icy and it gets dark very early. Anyone could have a hard time stopping. If an older adult’s reflexes are slower or if their eyesight isn’t what it used to be, it makes them even more likely to have an accident when the weather is bad. According to the CDC, 600 older adults are injured or killed in vehicular accidents every day.

What can you do?

Suggest that they only drive during the day or when the weather is clear.

Make sure their vehicle is tuned up, and their brakes and tires checked (and replaced if needed).

If they have a cell phone, even just for emergencies, make sure they keep it charged and with them in the car in case of an emergency.

• Falls.

  If anyone steps on a patch of ice or snow the wrong way, you could fall. That is even more of an issue for older adults, especially if they are unsteady on their feet. According to the National Institutes of Health (NIH), more than one in three adults over 65 years old will fall each year, with more than 1.6 million older Americans having to go to the emergency room because of falls. Studies show that there is a high correlation between cold weather and falls in older adults.

What can you do?

If your loved one lives in a house, make sure their driveway and walkways are clear of snow and ice. If you or they can’t clear it, hire someone to do it for them.

Make sure they have proper footwear for winter – boots or shoes with non-skid soles to give them better traction on a slippery surface.

If they use canes or walkers, replace the rubber tip if it is worn out.

If they don’t have to go out in cold, icy weather, then they shouldn’t. They could be said for adults and kids too!

• Snow shoveling injury.

  If your loved one is capable and in a house, they might want to get out and shovel the snow or ice from their walkways and driveway. If you have shoveled wet snow, you know that it can become very heavy very quickly. This could cause a strained back, arms, or legs; a fall; or even a heart attack.

What can you do?

Shovel the snow for them. It’s a little extra exercise for you and it takes the burden away from your loved one.

If you can’t shovel for them and they, or you, can afford it, pay someone else to shovel the snow.

If they choose to shovel, make sure they have a good, ergo dynamic shovel or even a snow blower (if they are comfortable using it).

Ask them to take breaks when shoveling so they don’t get too winded.

Make sure they shovel correctly, bending from their knees, not from their back.

At Assisting Hands® Home Care, our goal is to provide our clients with the help they need to keep them safely in their own home for longer. We also provide a respite for a family caregiver who needs a break from their caregiving duties or who can’t manage all those duties by themselves any longer. We can be there for your loved one if they need to go out in the cold, icy weather so you don’t have to worry about them falling.

Whether you need someone to be with your loved one during the day, in the evening or overnight, our at-home care can accommodate your needs. You will have peace of mind knowing that they aren’t home alone when they need help with medication, fall prevention, personal care, eating or other needs.

Contact us today to schedule your free in-home fall prevention assessment at 630-305-9100. To learn more about our in home senior care, click here.

3 Tips to Prevent In-Home Falls

Falls are the leading cause of injury death among individuals over 65 years of age, according to the CDC. Illnesses, medications and environmental factors can all affect strength and balance contributing to a fall. If someone you love has fallen once, there is data to suggest that 75% of those who fall, do so again within 6 months. Beginning at the age of 63, the number of deaths from falls starts to increase with dramatic increases at the age of 70. But shouldn’t we expect seniors to fall as they age due to balance and strength conditions? In fact, falls are not a normal part of the aging process. They can be prevented.

Assisting Hands has some timely advice to help prevent in-home falls:

First: talk with your doctor about falls and about improving management of any medical conditions including reviewing medication types and amounts with your physician. Take your medications and follow medication dosages closely. Using medication incorrectly may lead to dizziness, so be especially aware of medication changes and talk with your doctor about symptoms. Most importantly, don’t stop medications without consulting your doctor!

Ask your doctor about exercise, vestibular and balance training and increasing physical activity, a good place to start is an evaluation by a Physical Therapist and Audiologist.

Second: Be sure your home is as safe as possible by changing adverse environmental factors.

Take some practical steps such as:

• Wear shoes with nonskid soles (not house slippers or sandals).
• Be sure your home is well lit in the kitchen, bathroom, bedroom and stairways so that you can see things you might trip over and use night lights in your bedroom, bathroom, hallways and stairways.
• Remove throw rugs and tack down loose carpet edges.
• Keep your floor clear, and remove electrical cords across pathways.
• Install grab bars in your bathtub, shower and toilet area.
• Install handrails on both sides of stairways.
• Don’t climb on stools and stepladders. Get someone else to help with jobs that call for climbing, such as a caregiver.
• Keep your floor clean of liquids and don’t wax your floors.

Third: Think about home care, especially if you have fallen before and have trouble getting out of bed or up from a chair. You may want to consider an in-home caregiver to help with transfers, climbing and walking (the cost of a caregiver is typically 1/3 the cost of a nursing home.) Or you may want to talk with a Physical Therapist about starting a strengthening program and home safety screen. All of Assisting Hands’ home aides are specially trained in fall prevention through the Fall Prevention Centers of America.

Illnesses, medications and environmental factors can all affect strength and balance contributing to a fall. The best predictor of a future fall is a history of falls. Talk with your doctor, begin exercising with professional guidance and consider hiring a caregiver from Assisting Hands to help with risky tasks.

Is Your Loved One Ready for Autumn?.

This is the time of year when parents load up their kids with the supplies they need to be successful in school. I may mean multiple trips to several stores. If you are a parent, you probably know what I mean! Classes, projects, after-school activities…binders, pens, paper, tablets, instruments, sports gear. The list goes on and on. But you make a list and check it off as you get your kids set for the year.

But what about your senior loved one? Even though they are not in school, you should take this time to make a list and be sure their needs are being met as well.

Here are 5 areas to check:

•  Food. It may be time to think about preparing some casseroles and soup that can be frozen for your loved one and ready for them when the weather turns colder. Even on a warm day a nice bowl of soup may be soothing. It is also time to go through the pantry and refrigerator/freezer to see what foods are old and/or expired. You don’t want your loved one to eat something that will make them sick. 
• Weight Loss or Gain. Has your loved one gained or lost weight recently? We think of weight loss as a good thing, but for an older adult sudden weight loss could point to other issues such as muscle loss, depression, medication side effects, medical conditions (like cancer or thyroid disorder), Alzheimer’s disease or even a dental problem. Some of these conditions could lead to a fall, and then there are a host of other issues to deal with! If their clothes are suddenly too tight or falling off, it may be time to schedule a doctor’s appointment to see if there is anything out of the ordinary. A little preventive care can go a long way. By the way, if they have lost or gained weight, make sure they have clothes that fit them properly. They may not ask about getting new clothes, but it is little things like that go a long way to keeping their dignity.
•  Safety. When was the last time you changed the batteries in the smoke and carbon monoxide detectors? Why not take the time to switch them now. If the detector starts to ‘chirp’ in the middle of the night, you do not want your loved one on a step stool trying to remove a battery.
• Rugs. Have you checked the kitchen, bathrooms or hallways lately? Remove any throw rugs as they can be trip/fall hazards. Instead, make sure your loved one has house shoes with traction on the soles to keep from slipping but will still keep their feet warm.
• Bath. Make sure the non-slip surface on the shower or tub has not worn off. Also check to see if the shower or tub is clean. A dirty base can become slippery and again create a slip/fall hazard. Determine if it is time to add a grab bar to the shower for added safety.

At Assisting Hands® Home Care, our skilled caregivers will make sure the seniors in our care are eating and exercising appropriately. Whether you need someone to be with your loved one during the day, in the evening or overnight, our at-home care can accommodate your needs. You will have peace of mind knowing that they aren’t home alone when they need help with medication, fall prevention, personal care, eating or other needs.

Contact us today to schedule your free in-home fall prevention assessment at 630-305-9100. To learn more about our in home senior care, click here.

Is your senior loved one safe at home?

In-home safety is the number one concern of adult children for their aging parents. “Will they be safe staying in their home?” It’s a question we hear all the time. The answer is usually ‘yes’ (with exceptions, of course), but there are things that the children need to do for their parents to make sure they can stay at home safely.

Since June is National Safety Month, we want to provide 7 tips for making your loved one’s home safe as they get older:

• Consider a medical alert system. You remember the commercial, “I’ve fallen and I can’t get up!” That could happen to your loved one. Make sure they can easily reach out for help if they need it.
• Get up slowly. When they get up from a sitting or sleeping position, make sure they do it slowly so they don’t get light-headed and lose their balance.
• Remove throw rugs. They may protect the carpet, but they can easily create a tripping/falling hazard. Your loved ones need an unobstructed path throughout their home.
• Remove items that can block their path. Following up to the point above, your loved ones need a clear path not just from removing throw rugs, but also from furniture, paper piles, cords, or other hazards. Their route should be free from all obstructions.
• Remove step stools. The risk of injury from a fall increases exponentially for every foot you are above the ground. If something is out of reach from your loved one, move it so it is within reach when they are on the ground.
• Install railings. If your loved ones are unsteady on their feet, install railings throughout the house, inside and out, including places like the shower. This will give them one more place to steady themselves if they need it.
• Consider a stair lift or have stairs with non-slip surface. If your loved ones live in a two story house and they need to access the upstairs often, you may want to consider a stair lift if they are not steady going up and down. At the very least, make sure the stairs have a non-slip surface.
• Use assisted devices in the home. Does your loved one use a cane or walker when they go out, but they don’t think they need to use it in their home? Most falls occur going from bedroom to bathroom. Make sure those devices are near their bed so when they get up they can easily reach them.
• Have lights on throughout the house. It may be well-placed nightlights, but make sure your loved ones have a little illumination at night so they don’t have to fumble for a light switch in the dark and they can see where they are going.

At Assisting Hands Home Care, it is important to us that your loved ones are in a safe environment. We can provide you with a free in-home fall prevention assessment so you know the best way to protect them while they are in their home. Our skilled in-home care associates can also provide your loved one with safe transportation to and from doctors and other appointments, grocery shopping or other errands.

Whether you need someone to be with them during the day, in the evening or overnight, we can accommodate your needs. You will sleep better knowing that they aren’t home alone when they need help with medication, fall prevention, personal care, eating or other needs.

Contact us today to schedule your free in-home fall prevention assessment at 630-305-9100.

Health Risks You Should be Aware of with Veterans

Chances are that your dad, uncle, grandfather or a female relative has served in one of the armed forces. My dad was in the Army, stationed in Key West during the Bay of Pigs invasion. It may have seemed like a prime place to be stationed, but not so close to Cuba during those trying times! On behalf of everyone here at Assisting Hands® Home Care, we thank all Veterans for their service. We hope that they were not killed in the line of duty – the reason for the Memorial Day holiday; to remember those who were died while serving in the military.

As we remember those who have died defending our country, we focus on those veterans who are still alive. Below we identify the added health risks they may face. Most of these factors are prevalent whether the veteran you know is young or old.

• Higher Risk of Heart Disease. Veterans who suffer from PTSD (post-traumatic stress disorder) may have blood vessels that don’t expand as much as non-veterans, leading to a higher risk of heart attacks and strokes. According to a researcher from the University of California, San Francisco, there needs to be more research into the relationship between mental health and cardiovascular disease.

• Suicides. Beginning in 2008, the rate of suicides in the Army outnumbered those of civilians. Almost one-third of suicides of military personnel involved alcohol or drug use. Depression and PTSD are suicide risk factors that should not go unchecked.

• ALS (Lou Gehrig’s Disease). U. S. veterans have almost a 60 percent greater risk of contracting ALS than the rest of the population, according to the ALS Association. Researchers are still looking for the link between military service and this incurable disease.

• Cancers and Other Health Problems Associated with Agent Orange Exposure.Veterans who served in Korea or Vietnam and were exposed to Agent Orange are at an increased risk for several diseases, including cancers, type 2 diabetes, Hodgkin’s disease, heart disease and more. It is even more important that these veterans and their loved ones take care of them in the hopes of preventing one of these diseases.

At Assisting Hands® Home Care we take pride in helping our veterans, as well as civilians. They have done so much for our country; we are honored that we can be with them when you can’t be there. Our caregivers are trained to look for these symptoms and can get help quickly. Whether you need someone to be with your loved one during the day, in the evening or overnight we can accommodate your needs. You will have peace of mind knowing that your loved one isn’t home alone when they need help with medication, fall prevention, personal care, eating or other needs.

Contact us today to schedule your free in-home fall prevention assessment at 630-305-9100.

Is Your Mother Okay?

This Sunday is Mother’s Day, a day to recognize and thank our mothers for all the hard work they’ve done throughout the years to raise us right. Whether or not you see your mother often, you may go to see her on Mother’s Day. There might be flowers, candy or a meal out. You will talk and laugh, letting her tell stories. With any luck, it will be a nice day so you can enjoy it together.

But will you really pay attention to your mother – not just listening to what she has to say, but watching what she does, how she moves and the condition of her house?

Is your mother okay? Here are 4 tips to make sure you understand her physical and mental condition when you are together:

• Watch Your Mother.  How is she walking? Is she moving slower than the last time you saw her? How does she look? Is she clean and groomed? We don’t mean that she has to be dressed like June Cleaver, but you’ll be able to tell a lot by her appearance.
• Listen to Your Mother.  When she speaks, is she as clear as she was the last time you saw her? Does she have a hard time remembering things that happened recently? Is she starting to repeat herself, even in the same conversation? The changes might be slight, but it is good to keep note of them to see a progression. One forgetful moment does not mean someone has dementia, but you will be able to see a pattern over time.
• Check out Your Mother’s Kitchen and Bathroom.  Is there healthy food in the refrigerator? Is the food that is there still fresh or should it have been thrown out weeks ago? In her medicine cabinet, what prescriptions are there? Are they pills that she should be taking? Based on the fill date, try to tell if they are being taken regularly. Also look to see if there are any rugs that could be a tripping hazard. Be wary of any rugs in front of sinks or even in hallways.
• Ask Your Mother How She is Feeling.  While you are talking, ask your mother how she is doing; there is nothing wrong with just asking the question. Sometimes a parent just needs a little encouragement to talk about things. She may say she’s fine and based on what you see, you believe her. You may also want to question things she says if it doesn’t match up with what you see. 

If your mother is still driving, ask where she has been and what time of day. Ask what route she takes to get there. She should know exactly how she gets around.

Ask about any medications she is taking as well. Hopefully she has a weekly pill case so it is easy for her to track which medications should be taken each day (or at certain times of the day). Make sure that case is full when you leave and she clearly understands what she needs to take and when.

You have been learning from your mother all your life; Mother’s Day is the perfect time to watch and learn some more from her, this time to help her!

At Assisting Hands Home Care we can provide your mother with safe transportation to and from doctors and other appointments, grocery shopping or other errands. Whether you need someone to be with her during the day, in the evening or overnight, we can accommodate your needs. You will sleep better knowing that your mother isn’t home alone when she needs help with medication, fall prevention, personal care, eating or other needs.

Contact us today to schedule your free in-home fall prevention assessment at 630-305-9100.

Risk of Daily Low-Dose Aspirin is Outweighed by Benefits to Prevent Heart Attacks and Strokes

A Senior Journal story related the fact that more than half of older Americans – those age 45 through 75 – take an aspirin every day, even though this use is not recommended by the Food and Drug Administration for most people who have not yet had a heart attack or stroke.

The American Journal of Preventive Medicine quotes a story that confirms that aspirin use is continuing to surge, especially among adults who are using it for "primary prevention."  Essentially seniors take aspirin in order to prevent an initial cardiovascular event, and in some cases to prevent cancer.

A national survey of more than 2,500 respondents aged 45-75, 52 percent reported current aspirin use, and another 21 percent had used it at some point in the past. The average age of respondents in the survey was 60. A different report found that aspirin use increased 57 percent between 2005 and 2010.

The downside of aspirin use is that it is essentially a blood thinner and can cause bleeding events, which is a primary reason some medical experts recommend caution in its use, even at the "baby aspirin" dose of 81 milligrams often used for disease prevention. The FDA has determined that in primary use to prevent a first heart attack or stroke, for every such event that's prevented, there's approximately one major bleeding event that's caused, such as gastrointestinal bleeding.

Despite the risks, the U.S. preventive Services Task Force recently issued a recommendation that men and women aged 50 to 69 consider taking low-dose aspirin if they are at a high risk for heart attacks and strokes.

Several cardiologists took exception to the recommendation due to the bleeding risks. They want to see the recommendations carry more restrictions.

However, the physicians do admit that for men and women aged 50 to 69 who are at an increased risk from cardiovascular disease, the benefits of low-dose aspirin outweigh the risks. As an added benefit, a low-dose aspirin regimen also helps decrease the risk of colorectal cancer.

   

Some other findings of the survey include:

• The strongest predictor of regular aspirin use was a patient having discussed aspirin therapy with a health care provider.
• About 35 percent of people who don't objectively have risk factors that might merit aspirin therapy still use it.
• About 20 percent of people who have already had a heart attack or stroke, and should be on aspirin therapy, do not use it.
• A majority of both current and previous aspirin users rated themselves as being somewhat or very knowledgeable about it.
• Among aspirin users, the reasons cited for its use by respondents was for heart attack prevention, 84 percent; stroke prevention, 66 percent; cancer prevention, 18 percent; and prevention of Alzheimer's disease, 11 percent.
• Significant predictors of aspirin use included people who were physically active, ate healthy foods, had achieved a healthy weight, managed their stress, tried to quit smoking, and/or had undergone health screenings.

Osteoporosis Drugs Are Effective but Be Wary of Side Effects

By Richard Ueberfluss

More than 50 percent of women and 25 percent of men over fifty will suffer from an osteoporosis-related fracture.

Osteoporosis occurs when bone breaks down faster than it is replenished, leaving the skeleton porous and brittle.  Women lose bone density more rapidly during menopause, so they are more susceptible to osteoporosis than men.

Multiple medications, poor vision and balance problems also make older people more likely to trip and fall — one of the most common causes of hip fracture.

A hip fracture almost always requires surgical repair or replacement, followed by months of physical therapy. Taking steps to maintain bone density and avoid falls can help prevent hip fracture.

The good news is that hip fractures have dropped by 30 percent since 1995, according to a recent story in The Wall Street Journal.

The drop in hip fractures is puzzling, according to experts, because fewer Americans are taking drugs that help control osteoporosis.

In fact, use of osteoporosis drugs has dropped by more than 50 percent in recent years.  One of the reasons is that the drugs often come with serious side effects, such as sudden bone fractures.

The New England Journal of Medicine has estimated that for every 1,000 women with osteoporosis who were treated up to five years with bisphosphonates (a class of drugs that treat osteoporosis such as Fosamax and Reclast), they prevented100 fractures, and only caused one.

Doctors are split on ways to treat osteoporosis.  The Journal for example, quoted orthopedic trauma surgeon at the National Institutes of Health, who recommended that while bisphosphonates are effective, until someone has been diagnosed with osteoporosis, they shouldn’t take the drug for at least five years.

Whether or not medications are used, men and women with osteoporosis should have a senior care agency look for potential tripping hazards in the home that may cause falls.

If osteoporosis patients live alone, many families are using caregivers to stay with the patient to help prevent falls and teaching seniors how to minimize the dangers from falls.

Contact us today to schedule your free in-home fall prevention assessment at 630-305-9100.