Showing posts with label Aging in Place. Show all posts
Showing posts with label Aging in Place. Show all posts

Wednesday, October 5, 2011

12 Steps to Chair Safety at Home

Many seniors who live in their homes often worry about being injured as a result of a fall.  This is a concern to their children too, especially in homes with staircases.  Falls are caused by a lack of balance, or an inability to recover when the senior loses his/her balance.  Poor balance can be related to side effects from medication, some physical or cognitive diseases, environmental hazards or impaired mobility or vision. 

Statistics show that falls present a significant health risk for seniors.
  • 1/3 of people aged 65+ typically fall once a year or more
  • falls are the most common cause of injury and the 6th leading cause of death in seniors
  • the Canadian health care system spends about $6-billion a year on injuries sustained by seniors because of falls
  • almost half of admissions to long-term care facilities are related to falls
  • most falls occur in seniors' homes, while they are doing normal daily activities
  • 40% of falls that require hospitalization involve hip fractures
  • women are 3 times more likely than men to be hospitalized for a fall
Seniors are at particular risk of falling on stairs, and more likely to suffer severe injury when they fall. In fact, seniors aged 65+ account for 70% of the deaths resulting from stair accidents.

The Public Health Agency of Canada offers 12 tips on how to improve your safety on stairs in your home. 
1.  Have well lit staircases.  Install lighs and switches at the top and bottom of your stairs.
2.  Make sure your steps are in good repair.  There should not be an uneven surfaces, cracks, bunched-up carpeting or protruding nails.  Hardwood stairs can be slippery when walking in stocking feet, and can cause more injury if you fall.  Consider adding a well secured runner down the staircase.
3.  Make sure all the steps are the same size and height.  Uneven steps are a hazard.
4.  Enhance the visibility of each step so you can clearly see the edges.  This can be done by painting the edges a contrasting colour or by applying special strips to enhance the visibility of the step.
5.  Make sure your carpeting or runners are well-secured.
6.  Have a solid, well-attached handrail that you can get your hand around.
7.  There should be a handrail on at lease one side of every staircase, and the height should allow you to comfortably hold it with your arm slightly bent at the elbow.
8.  Avoid leaving any clutter on the staircase.
9.  Remove throw rugs and loose carpeting from the landings.
10. Don't rush on the stairs.  Go slowly, holding the handrail.
11. Limit what you carry up or down the stairs.  You should be able to see the stairs, and have a hand on the handrail.
12. Remove your reading glasses when going up or down stairs.

For more information about the prevention of falls in seniors:
Injury Research in B.C.
Public Health Agency

Tuesday, September 13, 2011

Nutritional Risks: The Warning Signs

The following article appeared on the Caregiver Stress website.

There are many benefits for those older adults who are able to maintain their independence and remain in their homes for as long as possible.  From the point of view of the caretaker of these adults, there can be some worries and challenges, including the question about how well the loved one is eating.  This article presents some warning signs to alert the caregiver to the possibility that their loved one is not eating properly.

Elderly Nutritional Health Faces Multiple Challenges.

You’ve just arrived at your elderly mom’s house and, once again, the fridge is empty and your mother is eating toast for dinner. “Why cook,” she asks, “when I’m all alone?” Or, perhaps, Dad has quit eating altogether since Mom – the gourmet cook in the family – died last year.

Family caregivers know how difficult it can be to ensure older adults are eating properly. After all, seniors often face multiple challenges. Much can stand in the way of good nutrition and maintaining elderly health.

For instance, illnesses and diseases can dampen taste buds. Seniors on multiple medications or recovering from an illness may lose interest in eating. The conditions of aging sometimes make shopping and preparing food difficult. And then there’s loneliness. All of these issues can mean your mom or dad could fail to thrive like they should.

Two of five seniors who live alone (44 percent) have at least four warning signs of poor nutritional health such as eating alone, taking multiple medications and having an illness, according to research conducted for the Home Instead Senior Care® network.

“Nutrition is certainly a key factor to an individual’s overall health and well-being,” said Sandy Markwood, Chief Executive Officer (CEO) of the National Association of Area Agencies on Aging (n4a). “If someone is at risk, their health is impacted. When you see the warning signs, it’s indicative of a larger risk. Combine that with loneliness and you’re looking at increased mental and physical health risks.”

Following, from the Home Instead Senior Care network’s research and Markwood, are warning indicators that a senior could be in trouble.
  1. The loneliness. Who wants to eat alone? Not only are seniors at more risk of poor nutrition, loneliness can lead to depression, which could make problems worse. More than three-fourths (76 percent) of seniors who live alone eat alone most of the time, according to Home Instead Senior Care network research. Suggestion: Try to make sure your older loved one has companionship at home or in a congregate meal site.
  2. The multiple meds. Nearly three-fourths (71 percent) of seniors take three or more different medications a day, according to this research. Suggestion: Talk to your senior’s health care team about how medications might be impacting your older adult’s appetite and discuss with them what to do about it.
  3. The lack of healthy staples. For a number of reasons, important staples for a good diet are not always found in a senior’s kitchen. Nearly half (46 percent) of seniors who live alone consume few fruits, vegetables or milk products, this research revealed. Suggestion: In season, why not find an affordable, local farmer’s market? Talk with your older loved one about their favorite recipes – or yours – that incorporate healthy products.
  4. The illness. Many older adults are struggling with health conditions. Some don’t feel like eating as a result. Others – 31 percent in the Home Instead Senior Care research – say that an illness or condition has forced them to change the food they eat. Suggestion: Discovering favorite recipes from the recipe box and making mealtime a social event may help.
  5. The physical problems. 25 percent of seniors who live alone encounter issues getting to a grocery store, causing more stress on shopping or cooking for themselves. Suggestion: Your local Area Agency on Aging office has staff to help and your local Home Instead Senior Care office can arrange for a CAREGiverSM. Try, also, to tap into neighbors and compassionate friends. If you know of older adults who live alone, cook extra at mealtimes and take it to them.
  6. That smelly fridge. Check out expiration dates of food in the refrigerator when you’re visiting a loved one. Have you noticed an increase in spoiled food? Remember to check the freezer for outdated frozen items or foods that have not been packaged appropriately. Suggestion: Help a senior by packaging food in small portions and labeling in big letters with the date.
  7. The suspicious grocery list. If you go to the store for Mom, and the list is mostly sweets, then she may be headed in the wrong direction with her diet. Suggestion: Help her put together a grocery list, reminding her of all the wonderful foods she used to cook for you. Make it a happy time of memories. Why not buy the ingredients and make that recipe together?
  8. Those important details. When you’re visiting a senior, check out things like skin tone – it should be healthy looking and well-hydrated – as well as any weight fluctuations. A loss or gain of 10 pounds in six months could be a sign of trouble. Suggestion: A visit to the doctor can help ensure your senior is healthy.
  9. The empty cupboard. An emergency could trap a loved one home for days. Suggestion: Prepare by stocking back-up food, water and high-nutrition products such as Ensure® in case a trip to the store isn’t possible.
  10. The support. Isolation is one of the biggest threats to an older adult. Encourage your loved one to invite friends to dinner. If you can’t be there, develop a schedule of friends and neighbors who can stop by for lunch or dinner.

Resources:
www.CaregiverStress.com
www.homeinstead.com
www.n4a.org.

Monday, May 2, 2011

Aging In Place

Source:  October 2010 Newsletter from the Senior Real Estate Council

This Senior Real Estate Council Newsletter highlights a major September, 2010 study undertaken by the Mature Market Institute examining the very important issue of “Aging in Place”. Established in 1997, the Mature Market Institute (MMI) is MetLife’s research organization and a recognized thought leader on the multi-dimensional and multi-generational issues of aging and longevity.
“Aging in Place” is staying in one’s own home even when age- or health-related changes make it difficult to care for oneself easily and safely. Though almost everyone says they want to Age in Place, individuals or families trying to assist an older relative may find it difficult. Organizing, confirming, and managing care and services can be a daunting task because the delivery system is often fragmented, and needed services may be difficult to find or not always available in an individual’s local area. While acknowledging that steps are being taken by agencies, government, and businesses to make it easier to Age in Place, the real challenge is answering “What strides do we need to create a system that is good and easy enough for Aging in Place to reach its promise?”

Aging in Place has three goals.
1)  happier, more satisfied older citizens living in homes of their choice with control, dignity, and respect — essentially independence.
2)  better, more economical use of available resources to make it is less expensive for people to stay at home with services rather than move to residential care facilities if they do not desire to do so.
3)  the creation of a coordinated, comprehensive, and collaborative relationship between businesses and service providers to support Aging in Place. This would also enhance the creation of business opportunities and jobs to provide the services older individuals need to remain in their homes.

While the study identifies several things that homeowners can do to help themselves right now.  And that entails incorporating universal design in their homes. It's something everyone can do when contemplating renovations and upgrades. "One problem is that most home were not designed and built for the needs of aging residents or care giving," says the report. 
Moreover, most families don't consider upgrades for aging in place until a crisis hits. Then they're planning and building in a panic, which doesn't always yield the best, most efficient results.
Here's one way to prioritize projects.
1.  Falls Prevention - Remove throw rugs, especially in  bathrooms
- Install grab bars and grips in the bathroom
- Install sturdy handrails on both sides at steps
- Provide good lighting and switching, especially at stairs, halls, and entries
- Secure or remove carpets at stairs
- Install soft path lighting for nighttime mobility
2. Safe & easy flow of movement into, and around, the house- Remove or reduce the number and/or height of steps
- I
ncrease the width of steps for easy side stepping. Wider steps also allow the use of both hands on one rail
- Create clear and open paths to the bedroom and bathroom.
- Rearrange furniture, entertainment systems, and spaces to improve the ability to move easily.
3.  Substantial renovations - Install a no-step shower or bath lift mechanism
- Install
a sink that allows the adult to sit
- Create more space around the toilet to allow for a caregiver to provide assistance
- Provide seated and/or multi-level food preparation areas in the kitchen
- Create sun- and rain-protected outdoor areas
- Install backup power sources (e.g. a generator) in case of power outages
Links:

Wednesday, February 23, 2011

How PERSONAL CHEFS can help "aging in place"

Many, many members of Gen-50plus desire the opportunity to age in place. They prefer to stay in their homes as long as possible, and there are lots of benefits for the aging adult if they can continue to live independently in the comfort and familiarity of their homes.  Even when they are no longer able or willing to do all the chores involved in independent living, they may be able to afford to hire someone else to those jobs for them. As the 50plus population grows, many private entrepreneurs will begin businesses that cater to seniors who want to age in place, and in fact, we're already seeing that happen.  Home care, chauffeuring, yard work, housecleaning, personal care and a host of other services are becoming increasinly available in the community through private companies.  Another such business is the personal chef.  Personal chefs offer meal preparation services, and this may be something of value to those 50plus individuals who want to live at home, but who either cannot, or do not want, to cook for themselves.  Below is an interesting article about how roving, personal chefs are serving the aging population.

The Senior Real Estate Monthly Newsletter, April 2011, includes an article about roving personal chefs.

Roving Chefs Deliver Seniors' Daily Bread
By Elyse Umlauf-Garneau
Most personal chefs can turn out gourmet  fare, like Chilean sea bass and roasted pheasant or lemongrass shrimp pate, but the bread and butter of many such chef's repertoires are daily meals--stews, soups and meatloaf--for clients who can't or don't want to cook.
Increasingly, that clientele includes seniors. Daily food preparation is often the one aging-in-place stumbling block that seniors and their families can't leap, and hiring a personal chef often removes that roadblock.
Personal chefs Carol Wood of the Occasional Chef, Ft. Lauderdale, Fla., and Brenda Huard of Dinners Done, in Calgary, Alberta, both have elderly clients who simply can't cook for themselves and would be in assisted living without their services.
Better than take-out
Huard is often contacted by seniors' time-starved children, who are at wit's end trying to shop and cook daily meals for elderly parents and simultaneously tend to their own children and jobs.
In addition, many have found that other meal delivery strategies have failed, according to Huard. Some seniors end up not eating much at all, or they rely on salty, unhealthy boxed food or on pricey, calorie-laden take-out. 
Still others are managing parents' care from afar.  Michele Figueroa calls the personal chef she hired for her dad, living in Florida, a godsend. A couple years ago, he'd been hospitalized with a serious illness and returned home with a restricted diet in hand. Cooking for himself was impossible and Figueroa couldn't do it because she lives in Illinois.
The service works like this. The chef visits a client's kitchen on a regular basis--sometimes weekly, sometimes every couple weeks--and cooks a series of meals that seniors or their caretakers can warm up.
Huard, for instance, has a client for whom she cooks 20 meals at a time and then he's set for nearly a month.
The chefs also do all the shopping and prep work in clients' houses, and bring their own pots, appliances, and utensils. They also clean up.
Serving special needs
Before starting the relationship, chefs sit with clients to assess their likes and dislikes and dietary restrictions. Often doctors have told clients to swear off fat, salt, and so forth, and chefs develop menus based on those restrictions. Fiqueroa says her dad's diet was extremely specialized and entailed detailed measurements of certain ingredients and the elimination of others. "The chef was able to tailor the diet to my dad's needs. For me, it was great to know that he was eating the right food," she comments. 
They're also able to accommodate special requests, such as vegetarian, vegan, and Kosher diets, and they'll work clients' favorite family recipes into the meal rotation.
Pricing for personal chefs varies, depending on the location and level of service. Some, like Wood, will do extra shopping and pick up kitty litter, cleaning supplies, and so forth, for an extra fee.
And if someone wants gourmet fare, such as fancy cheese or lobster tails, costs tick up because such raw ingredients are pricier than routine staples.
But many regard the costs as small, especially when they compare it to having to move to an assisted living or nursing facility. "I have a client whose father is in assisted living, and he pays $4,400 per month," comments Huard.  Huard's price for 20 meals is $350.  Sure, that $4,400 tab includes numerous other services, but chefs would argue, "Why choose a costly institutional option, if a senior really only needs assistance with meals?"
"It's not inexpensive," acknowledges Fiqueroa. But without the service, she says her dad could have ended up back in the hospital.
Short-term solutions
Such chefs also do special events for seniors. That could include setting the table and  cooking a lunch for seniors' friends or preparing  a full Thanksgiving dinner so that a senior can host a holiday. "It allows them to continue having a social life," Wood comments, who has one client she helps every Thanksgiving.  "She can still have company and enjoy her beautiful china," she adds.
Sometimes, relationships with personal chefs are temporary. Chefs can step in during an emergency and cook for a few weeks or months for those in physical therapy or for people recovering from a medical event.
Broader safety net
There are subtle benefits too. Seniors look forward to chefs' visits and enjoy the social interaction. One of Wood's clients, for instance, likes to watch the preparation and to chit-chat with Wood. And often Wood prepares an extra treat or brings the lady's favorite tea and shares a cup with her. 
Such chefs also serve as something of a safety net, offering an extra set of eyes and ears to identify emergencies and any troubles that emerge with clients.
Just recall the February news story involving a Memphis, Tenn., pizza delivery person who saved an elderly woman's life. The Domino's employee called the police when she noticed that the client had veered from her normal ordering habits. It turns out that the woman had fallen and wasn't able to call for help.
That personal connection is one reason Huard says it's important for the chef and senior to meet and to relate to one another.
Beyond liking the chef and his or her food, there are several other considerations, including:
-Background and training-- Ask chefs about their culinary experience and whether they belong to a professional chef organization.
-Food safety--Has the person been trained and certified in proper food handling?
-Insurance--Is the chef insured?
-Due diligence--Given that a chef will be coming in and out of the house, it's wise to check references and do the same level of background checks you would do on other service providers.
Chef Finding
A number of organizations provide training and certifications to chefs, and they also offer ways to locate chefs and research their specialties. For more information, see: 
·         Canadian Personal Chef Association, www.cook4me.ca