Delirium

Delirium – Information for patients, families and Friends

 

It is our hope that this article will help you learn more about:

What is Delirium?

  • The signs and symptoms
  • How it can be prevented and
  • What families, friends and caregivers can do to help
  • Where to find more information

What is Delirium?

Weaving Secret Riddle Confusion Thread Patterns

Delirium is a condition that causes a person to be confused. It is a physical problem (a change in the body) that can cause temporary change in the person’s thinking. Delirium usually starts over a few days and often get better with treatment.

Delirium can happen to anyone, anywhere. But, it often happens when someone is in the Hospital

 

Once identified, delirium is often treated as a medical emergency. Treatment is put in place right away because it can be a risk to patient safety.

 

Delirium can cause patients to slip and fall or to feel a lot of emotional and spiritual distress. A person with delirium may not be able to understand when people are trying to help them. They may become angry with family and hospital staff. They may start to think that everyone is against them or are trying to harm them. Some people with delirium may want to call the police to get help.

Delirium is like being in the middle of a very strange dream or nightmare, but the person is having these experiences while they are fully awake.

 

What is the risk of delirium?

  • About 20 out of 100 patients admitted to hospital will experience.
  • About 70 patients out of 100 admitted to the intensive care unit will experience delirium. 

 

What causes delirium?

Delirium can be caused by:

A Physical illness (that brought someone to the hospital)
  • Someone who is ill can have changes in their body chemicals, become dehydrated (not enough water in the body) or get an infection, such as a bladder infect or urinary tract infection. These kinds of problems can cause delirium.

 

Medications

  • The medications the hospitals use to treat illness or control pain can cause delirium

 

Is delirium the same as depression or dementia?

No. Delirium can happen more often in people who have dementia or depression, but it is different.

Delirium happens quickly. It can come and go at any time. This does happen with dementia and depression.

Patients with delirium cannot focus their attention. This is different from patients with dementia and depression.

 

Types of Delirium

There are 2 types of delirium:

  1. Hypoactive delirium

This type of delirium happens most often in elderly patients but can affect anyone at any age.

Patients with hypoactive delirium may:

  • Move very slowly or not active
  • Not want to spend time with others
  • Pause frequently when speaking or not speak at all
  • Look sleepy
  1. Hyperactive delirium

This type of delirium is easier to recognize.

Patients with hyperactive delirium may:

  • May be worried and afraid
  • Be restless (not able to stay still or have trouble sleeping)
  • Repeat the same movement many times
  • Experience hallucinations (seeing something or someone that is not really there).
  • Experience delusions (believe something that is not true).

At times a patient can have both hypoactive and hyperactive symptoms.

 

What are the signs and symptoms of delirium?

A check list:

Disorganized thinking                                                      YES                NO

Saying things that are mixed up or do not make sense

Difficulty concentrating                                                   YES                NO

Easily distracted or having difficulty following what is being said

Memory changes                                                                YES                NO

Not able to remember names, places, dates, times or other important information

Hallucinations                                                                     YES                NO

Seeing or hearing things which are not real

Having delusions                                                                YES                NO

Thinking or believing things which are not true or real

Feeling restless .                                                                 YES                NO

Not able to stay still, trouble sleeping, getting out of bed

Changing energy levels                                                     YES                NO

Changes from being restless to being drowsy or sleepier than usual

 

How can delirium be prevented?

All patients should be carefully screened (checked) for these factors that may cause delirium:

  • Hearing problems
  • Vision problems
  • Not enough water in the body (dehydration)
  • Not being able to sleep or other sleep problems
  • Dementia, depression or both
  • Difficulty getting up and walking around
  • Medication being taken
  • History of alcohol or recreational drug use
  • Chemical changes or imbalances in your body
  • Low oxygen in your body
  • Other health condition or illness

Having trouble:

  • Thinking clearly, reasoning, remembering and judging
  • Concentrating
  • Understanding
  • Express ideas

 

How is delirium be treated?

  1. The health care team helps the patient stay safe and calm
  1. They will try to find the cause of the delirium. Often, there is more than one cause. They also make sure any factors they find are not caused by another medical condition
  1. Then they will address the factors or ease the symptoms.

This could include:

  • Reviewing and changing medications
  • Provide fluids to rehydrate
  • Correcting chemical problems in the body
  • Treat infections
  • Treating low oxygen levels

 

What can family and friends do to help?

Family and friends and caregivers can all help to prevent delirium for their loved ones in hospital.

 

Keep a careful watch for the signs and symptoms of delirium

  • If you see any signs that could mean delirium talk with your health care team right away. Family members are often the first to notice these small changes.
  • Use the signs and symptoms check list and factors list listed on this article to guide your findings.

 

Help with healthy eating and drinking while at the hospital

  • Ask what is right for your loved one before they eat and drink.
  • Make sure they have their dentures (if needed).
  • Encourage help with eating. Feel free to bring their favourite foods from home, check with the health care team about foods they should not eat.
  • Encourage them to drink often, if that is right for them.

 

Keep track of medications

  • Share a complete list of their prescriptions and any over the counter medications they take with the health care team… including the dosage.

 

Help with activity

  • Ask what is right for your loved one before starting any activities.
  • Talk to the team about helpful and safe activities.
  • Help them sit, stand and walk.

 

Help with mental stimulation

  • Make a schedule for family and friends to visit. This will help your loved one feel safe and comforted.
  • Speak to them in a calm, reassuring voice.
  • Tell them where they are and why they are there throughout the day. If possible, place a large sign in their room or write information on it.
  • For example, you could write: Today’s date, weather, where they are and their room number… this will help them stay connected.
  • Give them instructions one at a time. Do not give too much information at once.
  • Bring a few familiar objects from home, such as photo albums and their favourite music. If your loved one needs special care to prevent the spread of infection, check with the care team first.
  • Open the curtains during the day time.
  • Talk about current events.
  • Read the newspaper out loud or use talking books

 

Help them with eyesight and hearing

  • Make sure they wear their hearing aids or glasses, if they need them.
  • Make sure there is enough light in the room.
  • Help them use a magnifying glass, if they need one.

 

Help them rest and sleep

  • Reduce noise and distraction.
  • Soothe them with handholding, a massage, a warm drink or music.
  • Bring a night light, but check with the health care team first.
  • Use comfort items like their favourite pillow and blanket.
  • Limit the number of visitors who come to see your loved one until the delirium goes away.
  • The health care team may not give your loved one sleeping medications because it could make delirium worse.

 

Take care of yourself

It is not easy to be with a person with delirium, even though you may understand the problem

  • Make sure to look after yourself and get some rest. Go out for short walks, remember to eat and drink fluids to keep up your energy levels.
  • It may help to share your thoughts and feelings with someone. Feel free to speak with the health care team.
  • Try not to become upset about the things your loved one may say during their delirium state. People with delirium are not themselves. In many cases, they will not remember what they said or did.

Who can I talk to if I have more questions or concerns?

There are many members of the health care team who can offer help and support. Talk with your doctor or nurse and any member of the health care team, including a Psychiatry, Spiritual Care or Social Work departments. They will answer any questions or concerns you may have about delirium.

 

Delirium should go away or be greatly reduced with the right kinds of treatment… although in some cases some of the symptoms may remain for an extended period of time.

More information can be found on these helpful websites:

Delirium Mayo Clinic                     www.mayoclinic.com/health/delirium/DS01064

Delirium MedlinePlus                   www.nlm.nih/gov/medlineplus/delirium.html

 

Videos:

Youtube – How to recognize Delirium             www.youtube.com/watch?v=hwz9M2jZi_o

Many other videos choices will be available when you log on to this site.

 

Things you need to know about talking to your ageing parents

Having the Talk? Here’s a few tips.

If you have not had “the talk” with your ageing parent/s, don’t put it off any longer. While mom and dad are cognitively intact the process is pretty straight forward… albeit, it can be somewhat uncomfortable for both parties. It needs to be approached from the same angle as if the conversation was to be had with you by your own grown children.

IOC The talk1Talking about the future can be hard. Such discussion will invoke anxiety in even the most calm of us when we start to think about all the unknowns in our futures and those of our loved ones. These discussions can get even harder when it’s not our future we’re talking about, but rather someone else’s. However, as difficult as it may be, there are some questions that we need to have answers to when it comes to our ageing parents and it is wise to have these conversations sooner rather than later. On that note, here are 7 basic questions that you should include in the “talk” with your ageing parent/s… as soon as you can.

1. How do they feel about getting older or having to get help to sustain their independence?

A parent/s can have all the legal stuff taken care of, but that doesn’t tell you how they feel. To really understand your ageing parents, it’s important to talk about how they feel about the situations that might happen.  Allow them to talk about their fears, their wishes, how they envision things unfolding in the event of a medical situation, and so on.  This is the type of conversation that will tell you if they have made decisions based on what they think will be easiest for others or what they really want.  This is the type of conversation that will allow you to make sure that the legal documents accurately represent your loved one’s wishes.  Most importantly, it is the type of conversation that will allow your ageing parent/s to know how much you support and love them and want what is best for them.

2. Do they have a will? Is the Will is safe keeping and up-to-date?

Bringing up a will can seem like you only care about what you’re getting, but a will contains so much more than just ‘who gets what’ and is essential to the process of handling matters when a loved one passes. This is your parent’s opportunity to dictate how they would like their affairs to be handled and who they want to handle things.  It is equally important for our parent/s to ensure their will is up-to-date so that loved ones don’t end up in bureaucratic chaos trying to simply execute the wishes of a loved one while simultaneously trying to mourn. Importantly, the same questions pertain to life insurance, which is separate from a will and requires the beneficiaries to be named to the life insurance company directly.

3. Do they have a living will?

Although many people plan for their deaths, many forget to also plan for any situation that might render them incapable of making their own decisions while still living.  Your parent/s may assume that the “right” decision will be made for them, by those in charge. This is not always how it plays out. Taking the time to decide what they want and making sure those wishes are legally noted is the only way to ensure your parents will be cared for in that way.

4. Do they have a Power of Attorney?

This can be one of the trickier topics to discuss if there are multiple children or individuals who might expect to be “chosen”.  Parents sometimes put this off because they simply don’t want to be seen as picking favourites, but it’s an essential document to have.  For this reason it is important that children (and any other interested individual) are respectful of whatever decision the elder makes.  No offense should be noted to the parent/s and if there are concerns about a selection, it would be wise to make sure all parties are involved in discussing this instead of trying to quietly bring it up to the parent. By involving everyone, the right decision for your aging parent can be made.

5. Do you have long-term care insurance?

Not all people have invested in long-term care insurance and with the costs of long-term care. This is something your parents may want to consider if it’s not too late to invest. If they have invested, being aware of what is covered, who to contact to initiate the insurance claim, and what services your parent will want to take advantage of is important to know ahead of time and can save money and hassles if/when the time comes.

6. What kind of care situation do you want?

Does your parent have a retirement or assisted living home in mind?  Do they want to stay at home as long as possible, focusing on ageing in-place (Home Care)? What nursing homes are they comfortable with if the situation were to become necessary? Having these discussions before a decision needs to be made ensures that people can look for the right care, make any needed arrangements, and not scramble at the last minute and have to take whatever is available.

7. What are your wishes for a funeral/memorial?

IOC-The talk2Sometimes there’s a lot of pressure to do things in a “traditional” way when it comes to how we remember our loved ones, but that’s not always what they want.  Although funerals/memorials need to reflect both the person that is gone and those who are left behind, having a discussion ahead of time can mean that all sides get their voices heard.  When a decision is reached beforehand, our loved ones know their wishes will be respected and those of us left behind can know we’re memorializing our parents in a way that they accept as well. This means no guilt for anyone and that’s a much-needed relief at a time of sorrow.

However hard it may be, please take the time to talk to your loved ones about these issues.  It’s also not too late to start thinking about them for yourself as well. The more prepared you are, the easier it is for those around us and the more open we are, the more likely we are to respect everyone’s wishes and know that ours will be respected too.

5 Things you should know about dementia

Dementia21 – Dementia is not a natural part of ageing

When someone becomes forgetful or confused, friends are often quick to reassure them that this is just ‘what happens when you get older’. Some of us do struggle with our memory as we age or during times of stress or illness. But dementia is different. Lots of people momentarily forget a friend’s name – someone with dementia may forget ever having met them. They usually experience a range

of other symptoms alongside memory problems and will begin to struggle with daily life. Dementia is not a normal part of ageing. It’s caused by changes to the structure and chemistry of the brain.

Dementia doesn’t just affect older people. Younger people are also susceptible have dementia. This is called early-onset or young- onset dementia.

The chance of developing dementia increases with age. One in 14 people over 65 – and one in six people over 80 – has dementia. It’s more common among women than men.

Help and support:  If you are worried about your memory, or about someone else, the first step is to make an appointment to see the GP. The GP can help rule out other conditions that may have symptoms similar to dementia and that may be treatable. These include depression, chest and urinary infections, severe constipation, vitamin and thyroid deficiencies and brain tumours. The earlier you seek help, the sooner you can get the information, advice and support you need.

2 – Dementia is caused by diseases of the brain

The word dementia describes a group of symptoms that may include memory loss, difficulties with planning, problem-solving or language and sometimes changes in mood or behaviour.

What causes dementia? Dementia occurs when the brain is damaged by a disease. There are many known causes of dementia. The most common is Alzheimer’s disease. This changes the chemistry and structure of the brain, causing the brain cells to die. The first sign is usually short-term memory loss.

Other types of dementia include vascular dementia, mixed dementia (Alzheimer’s disease and vascular dementia), dementia with Lewy bodies and frontotemporal dementia (including Pick’s disease). Each of these diseases affects the brain in slightly different ways. For example, Alzheimer’s disease tends to start slowly and progress gradually, while vascular dementia following a stroke often progresses in a stepped way.


Everyone’s dementia is different:
Whatever type of dementia a person has, everyone will experience the condition in their own way. How it affects a person over time is also unique to the individual – their own attitude, relationships with others and surroundings will all have an impact.

People often associate dementia with memory loss. And it does often start by affecting the short-term memory. Someone with dementia might repeat themselves and have problems recalling things that happened recently – although some people easily remember things from a long time ago. But dementia can also affect the way people think, speak, perceive things, feel and behave.

Common symptoms: Dementia often causes difficulties with concentration, planning and thinking things through. Some people will struggle with familiar daily tasks, like following
a recipe or using a bank card. Dementia also makes it harder to communicate.
For example, a person with dementia might have trouble remembering the right word or keeping up with a conversation. Many people have problems judging distances even though their eyes are fine. Mood changes and difficulties controlling emotions are common too. Someone might become unusually sad, frightened, angry or easily upset. They could lose their self-confidence and become withdrawn.

As dementia progresses: Dementia is progressive, which means that symptoms gradually get worse over time. How quickly this happens varies from person to person – and many people stay independent for years. Dementia is a condition that can affect anyone regardless of background, education, lifestyle or status.

There’s no known cure for dementia, but there are ways to help with symptoms and make life better at every stage. The more we understand about the condition, the more we can do to help people stay independent and live the life they want for as long as possible.

4 – It’s possible to live well with dementia

Scientists and researchers are working hard to find a cure for dementia. In partnership with people with dementia and their families, they are also looking into its causes, how it might be prevented and diagnosed earlier, and how to improve quality of life for people living with the condition.

Until we find a cure, there are drugs and other therapies that can help with some of the symptoms, so people can lead active, healthy lives and continue to do the things that matter to them most.

Drug treatments: There are medications available that may help with some types of dementia and stop symptoms progressing for a while. This is one reason it’s important to go to the doctor as soon as you suspect there’s a problem. It can feel like a big step to take, but a diagnosis can open up many opportunities to help overcome problems and find better ways of coping.

Non-drug treatments: People with dementia can also benefit from approaches that don’t involve drugs. For example, life story work, in which the person is encouraged to share their experiences and memories, or cognitive stimulation, which might involve doing word puzzles or discussing current affairs. Keeping as active as possible – physically, mentally and socially – can really help. It can boost memory and self-esteem and help avoid depression.

Dementia35 – There’s more to a person than the dementia

Living with dementia is challenging. When someone is diagnosed, their plans for the future might change. They may need help and support with everyday tasks or to keep doing the activities they enjoy. But dementia doesn’t change who they are. With the right support, it is possible for someone with dementia to live well and get the best out of life.

‘It’s important to carry on doing the things you enjoy, and not sideline yourself from your friends and family. We still go to the pictures and to the theatre.
We keep in touch with family and friends. We still go on holiday. We still go out together and do the things we always did.’ Brenda, whose husband has dementia

‘The art classes, choir and Memory Café are all brilliant for boosting my confidence. I’ve come away from my art classes and choir practice feeling like I’ve really achieved something. The choir has helped with my speech and memory too – I’m amazed that I can remember all the songs.’ Linda, living with dementia

‘Mum still does the things she used to do regularly – she still takes the dog to the woods like she used to. If she does something regularly and carries on doing it, she doesn’t normally forget it. Routine is really important.’ Pip, whose mother has dementia

Loneliness & Isolation

The eyes do speak

The eyes do speak

Feelings of loneliness & isolation can lead to serious consequences for senior health. Understanding the causes and risk factors for senior isolation can help us prevent it.

My 30+ years of Healthcare Administration experience, particularly the 26 years of Geriatric Care, has taught me much above caring for older adults. However, researching for this article made me realize that although I wanted to focus on how Loneliness & Isolation is pertinent to older adults… it is equally applicable to all age groups. For the sake of relevance and theme of Eldercare, this article reviews the context of loneliness and social isolation in later life is that of “successful aging” and “quality of life”. The term “quality of life” includes a broad range of areas of life.

There is little agreement about a single definition of the term. Models of quality of life range from identification of “life satisfaction” or “social wellbeing” to models based upon concepts of independence, control, social and cognitive competence. However, regardless of how the concept of quality of life is defined, research has consistently demonstrated the importance of social and family relationships towards the achievement of “successful aging” and “quality of life”.

No one relishes the prospect of aging without a spouse, family members at their side or without friends to help them laugh at the ridiculous parts & support them through difficult times. Yet, that is just what many North American seniors face. As the baby boomer generation crosses the over-65 threshold and the overall population of older adults skyrocket many of our aging loved ones are still feeling alone in the crowd.

While living alone does not inevitably lead to social isolation, it is certainly a predisposing factor. Yet another important consideration is how often seniors engage in social activities. Statistics Canada reports that 80% of Canadian Seniors participate in one or more social activities on a frequent basis (at least monthly) – but that leaves fully one-fifth of seniors not participating in weekly or even monthly activities. Social contacts tend to decrease as we age for a variety of reasons, including retirement, the death of friends & family or lack of mobility.

Regardless of the causes of senior isolation, the consequences can be alarming and even harmful. Even perceived social isolation – the feeling that you are lonely – is a struggle for many older people. Fortunately, the past couple of decades have seen increasing research into the risks, causes, and prevention of loneliness in seniors.

Below are the major documented facts about senior isolation to help you stay informed:

Senior isolation increases the risk of mortality
According to a 2012 study in the Proceedings of the National Academy of Sciences, both social isolation and loneliness are associated with a higher risk of mortality in adults aged 52 and older.

One possible explanation: “People who live alone or lack social contacts may be at increased risk of death if acute symptoms develop, because there is less of a network of confidantes to prompt medical attention.” Efforts to reduce isolation are the key to addressing the issue of mortality, said the study’s authors.

Feelings of loneliness can negatively affect both physical & mental health
Regardless of the facts of a person’s isolation, seniors who feel lonely and isolated are more likely to report also having poor physical and/or mental health, as reported in a study using data from the National Social Life, Health, and Aging Project. Connecting seniors with social resources, such as senior centers, home care agency and meal delivery programs, is one way to combat subjective feelings of isolation.

Perceived loneliness contributes to cognitive decline and risk of dementia
Dr. John Cacioppo, a neuroscientist and psychologist at the University of Chicago, has been studying social isolation for 30 years. One frightening finding is that feelings of loneliness are linked to poor cognitive performance and quicker cognitive decline. We evolved to be a social species, says Dr. Cacioppo – it’s hard-wired into our brains, and when we don’t meet that need, it can have physical and neurological effects.

Social isolation makes seniors more vulnerable to elder abuse
Many studies show a connection between social isolation and higher rates of elder abuse, reports the National Center on Elder Abuse. Whether this is because isolated adults are more likely to fall victim to abuse, or a result of abusers attempting to isolate the elders from others to minimize risk of discovery, researchers aren’t certain. A critical strategy for reducing elder abuse is speaking up: abuse, neglect and exploitation often go unreported. As for prevention, maintaining connections with senior loved ones helps us ensure their safety.

LGBT seniors are much more likely to be socially isolated
LGBT seniors are twice as likely to live alone, according to SAGE (Services & Advocacy for GLBT Elders); they are more likely to be single and they are less likely to have children – and they are more likely to be estranged from their biological families. Stigma and discrimination are major roadblocks to support for LGBT seniors, but there are more and more community groups and online resources devoted to helping these elders avoid isolation.

Social isolation in seniors is linked to long-term illness
In the Proceedings of the National Academy of Sciences study, illnesses and conditions such as chronic lung disease, arthritis, impaired mobility, and depression were associated with social isolation. Ensuring appropriate care for our loved ones’ illnesses can help prevent this isolation. For homebound seniors, phone calls and visits can be a critical part of connecting with loved ones. Others may find that moving to an assisted living community or obtaining home care arrangements mitigates both issues – the need for ongoing care, empathy and the desire for meaningful companionship.

Loneliness in seniors is a major risk factor for depression
Numerous studies over the past decade have shown that feeling loneliness is associated with more depressive symptoms in both middle-aged and older adults. One important first step is recognizing those feelings of loneliness, isolation and depression and seeking treatment – whether it’s on your own behalf or for the sake of a loved one.

Loneliness causes high blood pressure
A 2010 study in Psychology and Aging indicated a direct relationship between loneliness in older adults and increases in systolic blood pressure over a 4-year period. These increases were independent of race, ethnicity, gender, and other possible contributing factors. Early interventions for loneliness, say the study’s authors, may be key to preventing both the isolation and associated health risks.

Socially isolated seniors are more pessimistic about the future
According to the National Council on Aging, socially isolated seniors are more likely to predict their quality of life will get worse over the next 5-10 years, are more concerned about needing help from community programs as they get older, and are more likely to express concerns about aging in place.

The National Association of Area Agencies on Aging says community-based programs and services are critical in helping ward off potential problems and improving quality of life for older people.

Physical and geographic isolation often leads to social isolation
“One in six seniors living alone in the Canada & US faces physical, cultural, and/or geographical barriers that isolate them from their peers and communities,” reports the National Council on Aging. “This isolation can prevent them from receiving benefits and services that can improve their economic security and their ability to live healthy, independent lives.” Referring isolated older adults to senior centers, activity programs, and transportation services can go a long way toward creating valuable connections and reducing isolation.

Isolated seniors are more likely to need long-term care
Loneliness and social isolation are major predictors of seniors utilizing home care, as well as entering nursing homes, according to a 2004 report from the Children’s, Women’s and Seniors Health Branch, British Columbia Ministry of Health. The positive angle of these findings, says the report, is that using long-term health care services can in itself connect seniors with much-needed support. Particularly for seniors in rural areas where home care may not be viable, entering a care facility may provide companionship and social contact.

Loss of a spouse is a major risk factor for loneliness and isolation
Losing a spouse, an event which becomes more common as people enter older age, has been shown by numerous studies to increase seniors’ vulnerability to emotional and social isolation, says the same report from the British Columbia Ministry of Health. Besides the loneliness brought on by bereavement, the loss of a partner may also mean the loss of social interactions that were facilitated by being part of a couple. Ensuring seniors have access to family and friendship support can help alleviate this loneliness.

Transportation challenges can lead to social isolation
Life expectancy exceeds safe driving expectancy after age 70 by about six years for men and 10 years for women. Yet, 41% of seniors do not feel that the transportation support in their community is adequate.

Having access to adequate public transportation or other senior transportation services is key to seniors’ accessing programs and resources, as well as their feelings of connectedness and independence.

Family Caregivers of the elderly are also at risk for social isolation
Being a family caregiver is an enormous responsibility, whether you are caring for a parent, spouse, or other relative. When that person has Alzheimer’s disease, dementia, or a physical impairment, the caregiver may feel even less able to set aside his or her caregiving duties to attend to social relationships they previously enjoyed. This can trigger loneliness and depression. Seeking support, caring for yourself, and even looking for temporary respite care can help ward off caregiver loneliness and restore your sense of connection.

Loneliness can be contagious
Studies have found that loneliness has a tendency to spread from person to person, due to negative social interactions and other factors. In other words, when one person is lonely, that loneliness is more likely to spread to friends or contacts of the lonely individual. Making things even worse, people have a tendency to further isolate people who are lonely because we have evolved to avoid threats to our social cohesion. It’s a complicated situation, and simply telling seniors to engage in more social activities may not be enough. Considering our loved ones’ needs as individuals is a valuable first step to figuring out how to prevent or combat isolation.

Lonely people are more likely to engage in unhealthy behavior
A 2011 study using data from the English Longitudinal Study of Ageing (ELSA) found that people who are socially isolated or lonely are also more likely to report risky health behaviors such as poor diet, lack of physical activity, and smoking. Conversely, social support can help encourage seniors to eat well, exercise, and live healthy lifestyles. Living in a community situation can be an effective barrier to loneliness, and most senior communities specifically promote wellness through diet and exercise programs.

Volunteering can reduce social isolation and loneliness in seniors
We all know that volunteering is a rewarding activity, and seniors have a unique skill set and a richness of life experience to contribute to their communities. It can also boost longevity and contribute to overall mental health, wellbeing, and it ensures that seniors have a source of social connection. There are many opportunities tailor-made for seniors interested in volunteering

Feeling isolated? Take a class
A review of studies looking at various types of interventions on senior loneliness found that the most effective programs for combating isolation had an educational or training component: for instance, classes on health-related topics, computer training, or exercise classes.

Technology can help senior isolation – but not always
Even though modern technology provides us with more opportunities than ever for keeping in touch, sometimes the result is that we feel lonelier than ever. The key to finding technological interventions that really do help, says Health Quality Ontario, is matching those interventions to the specific needs of individual seniors. One simple strategy that does help: for seniors with hearing loss, simply providing a hearing aid can improve communication and reduce loneliness. Phone contact and Web-based support programs were less consistent in their effectiveness, but for some, they might provide a lifeline.

Physical activity reduces senior isolation
Group exercise programs, it turns out, are a wonderfully effective way to reduce isolation and loneliness in seniors – and of course they have the added benefit of being great for physical and mental health. In one study, discussed by Health Quality Ontario, seniors reported greater wellbeing regardless of whether the activity was aerobic or lower-impact, like stretching.

Loneliness & Isolation is neither inevitable nor irreversible. Getting the facts can help us better understand and prevent loneliness in the lives of our older loved ones, as they face the life changes of aging.

In reference to the beginning of the article, one can easily relate how this article is not to simply to understand, intervene and mitigate loneliness & isolation as it pertains to affecting the lives our older loved ones. Loneliness and isolation affects individuals in all age categories and the above points will go a long way in staving off those affects and achieving “successful aging” and “quality of life”.

In Our Care – Home Care Services, understand that care is not simply based on the physical support your older loved one may need… there are a broad spectrum built-in service components to achieve our overall goal… Enriching the lives of those we love and deliver care to.

Your loved one may not be direct family, but they’re part of the In Our Care family… therefore they are.

Please contact us today, to discuss any challenges you may be facing and how our services can help you remain independent, protected, safe, and in you home / community.

You got questions, we have answers: (905) 785-2341 or email us at 

Myths & Facts About Aging

elderly-womanThis article delves into ageist stereotypes dressed-up in the garb of myth that biases perceptions and experiences of being old. The article argues current ”mythmaking” about aging perpetuates that which it intends to dispel: ageism. It considers how traditional myths and folklore explained personal experience, shapes social life, and offers meaning for the unexplainable. The current myths of aging perform these same functions in our culture; however, they are based on half-truths, false knowledge, and stated as ageist stereotypes about that which is known. Recent studies in the cognitive sciences are reviewed to provide insight about the mind’s inherent ability to construct categories, concepts, and stereotypes as it responds to experience. These normal processes need to be better understood, particularly regarding how social stereotypes are constructed. Finally, the article argues that ageist stereotypes when labeled as ”myth” even in the pursuit of the realities of aging, neither educate the public about the opportunities and challenges of aging nor inform social and health practitioners about the aged.

Think you know the facts about growing older? Think again.

Take a brief quiz to determine your knowledge on myth versus fact as it relates to aging:

Myths of Aging QuizAnswer true or false to each statement.

  1. Polypharmacy (administration of many drugs together) can lead to a change in mental status.
  2. Aging is a universal phenomenon.
  3. Older adults may present with atypical symptoms that complicate diagnosis.
  4. The body’s reaction to changes in medications remains constant with advancing age.
  5. If the rehabilitation nurse observes a sudden change in mental status in an older adult, medication side effects should be investigated as a likely cause.
  6. Primary causes of delirium in older adults include medications, dehydration, and infection.
  7. Dehydration is not common in older adults.
  8. Older adults experiencing a decline in daily function will show no benefit from early rehabilitation.
  9. A decline in functional ability for a person residing in a long-term care facility may indicate the onset of a new illness.
  10. Urinary incontinence is so common in older adults that it is considered a nor- mal part of aging.

Answers: 1. True; 2. True; 3. True; 4. False; 5. True; 6. True; 7. False; 8. False; 9. True; 10. False

In no particular order… what are the common 20 myths that are often associate with Aging

Myth: Dementia is an inevitable part of aging
“Dementia should be seen as a modifiable health condition and, if it occurs, should be followed as a medical condition, not a normal part of aging. In other words, if you or your loved one becomes forgetful, it could be related to medication, nutrition or modifiable medical issues, she said. Don’t assume Alzheimer’s.

Just consider that when doctors examined the brain of a 115-year-old woman who, when she died, was the world’s oldest woman, they found essentially normal brain tissue, with no evidence of Alzheimer’s or other dementia-causing conditions. Testing in the years before she died showed no loss in brain function.

Not only is dementia not inevitable with age, but you actually have some control over whether or not you develop it. “We’re only now starting to understand the linkages between health in your 40s, 50s and 60s and cognitive function later in life. Studies find that many of the same risk factors that contribute to heart disease—high blood pressure, high cholesterol, diabetes and obesity… may also contribute to Alzheimer’s and other dementias.

For instance, studies on the brains of elderly people with and without dementia find significant blood vessel damage in those with hypertension. Such damage shrinks the amount of healthy brain tissue you have in reserve, reducing the amount available if a disease like Alzheimer’s. That’s important, because we’re starting to understand that the more brain function you have to begin with, the more you can afford to lose before your core functions are affected.

Myth: Creaky, Achy Joints are Unavoidable
Not exercising is what makes achy joints inevitable. When Australian researchers at the Monash University Medical School looked at women ages 40 to 67, they found that those who exercised at least once every two weeks for 20 minutes or more had more cartilage in their knees. It suggests that being physically active made them less likely to develop arthritis.

In Fact – You may actually dodge the dementia bullet… Exercise your body and your brain. Physical activity plays a role in reducing the risk of diseases that cause Alzheimer’s. It also builds up that brain reserve. One study found just six months of regular physical activity increased brain volume in 59 healthy but couch-potato individuals ages 60 to 79. Other research finds people who exercised twice a week over an average of 21 years slashed their risk of Alzheimer’s in half.

Then there’s intellectual exercise. It doesn’t matter what kind, just that you break out of your comfort zone. Even writing letters twice a week instead of sending e-mail can have brain-strengthening benefits. That’s because such novel activities stimulate more regions of the brain, increasing blood flow and helping to not only build brain connections, but improve the health of existing tissue. 

Myth: If you didn’t exercise in your 30s & 40s, it’s too late to start in your 50s, 60s or 70s
It’s’s never too late! In an oft-cited study, 50 men and women with an average age of 87 worked out with weights for 10 weeks and increased their muscle strength 113 percent. Even more important, they also increased their walking speed, a marker of overall physical health in the elderly.

Myth: Your Bones Become Fragile And Your Posture Bends
Remember, only death is certain when it comes to aging. Osteoporosis is definitely more common in older people, but it’s also very preventable. 

A study of females over 100 years of age found that only 56 percent had osteoporosis, and their average age at diagnosis was 87. Not bad, given these women grew up before the benefits of diet and exercise on bone were understood. Thankfully, you know better.

Myth: Old Age Kills Your Libido
Impotence and reduced libido are related to normally preventable medical conditions like high blood pressure, heart disease, diabetes, and depression. The solution is keeping yourself in shape. Something as simple as lifting weights a couple times a week can improve your sex life. Sexual desire might decline a bit as you age, but that doesn’t typically occur until age 75A survey of 3,005 people ages 57 to 85 found the chance of being sexually active depended as much if not more on their health and their partner’s health than on their age. Women who rated their health as “very good” or “excellent” were 79 percent more likely to be sexually active than women who rated their health as “poor” or “fair.” And while fewer people ages 75 to 85 had sex than those 57 to 74, more than half (54 percent) of those who were sexually active had intercourse two or three times a month. emember – Sexually transmitted diseases do not discriminate based on age. If you’re not in a monogamous relationship, you or your partner should use a condom.

Myth: Getting older is depressing so expect to be depressed
No way! “Depression is highly treatable. If older people could just admit to it and get help, they could probably live a much more active and healthy life.” That’s because studies find that older people who are depressed are more likely to develop memory and learning problems, while other research links depression to an increased risk of death from numerous age-related diseases, including Parkinson’s disease, stroke and pneumonia.

Myth: Genes Play The Biggest Role In How You’ll Age
Even if you’re born with the healthiest set of genes, how you live your life determines how they behave over your lifespan. Your genes can be changed by what you eat, how much physical activity you get, and even your exposure to chemicals.

Myth: Women fear aging more so than men
Not so! A survey conducted on behalf of the National Women’s Health Resource Center found that women tend to have a positive outlook on aging and to be inspired by others who also have positive attitudes and who stay active as they grow older. Women surveyed were most likely to view aging as “an adventure and opportunity” and less likely to view it as depressing or a struggle.

Myth: You Lose Your Creativity As You Age
Creativity actually offers huge benefits for older people. A study found that older adults who joined a choir were in better health, used less medication, and had fewer falls after a year than a similar group that didn’t join. The singers also said they were less lonely, had a better outlook on life, and participated in more activities overall than the non-singing group, who actually reduced the number of activities they participated in during the year.

Myth: The pain and disability caused by arthritis is inevitable, as you get older
senior in the poolWhile arthritis is more common as you age, thanks to the impact of time on the cushiony cartilage that prevents joints and bone from rubbing against one another, age itself doesn’t cause arthritis. There are steps you can take in your youth to prevent it, such as losing weight, wearing comfortable, supportive shoes (as opposed to three-inch spikes), and taking it easy with joint-debilitating exercise like running and basketball. One study found women who exercised at least once every two weeks for at least 20 minutes were much less likely to develop arthritis of the knee (the most common location for the disease) than women who exercised less.

Myth: Your Brain Stops Developing After Age 3
This developmental myth was overturned in the 1990s, and ever since, researchers no longer look at the older brain as a static thing. Instead, studies show your brain continues to send out new connections and to strengthen existing ones throughout your life — as long as you continue to challenge it. It really is your body’s ultimate muscle.

Myth: Your Brain Shrinks With Age
This myth began with studies in 2002 showing that the hippocampus, the part of the brain that controls memory, was significantly smaller in older people than in younger people. This never sounded right to Dr. Lupien, particularly after she conducted groundbreaking research in the late 1990s showing that chronic stress shrinks the hippocampus. 

Was it age or stress that was responsible for the shrinking brains of older people? Probably stress. When she examined brain scans of 177 people ages 18 to 85, she found that 25 percent of the 18- to 24-year-olds had hippocampus volumes as small as those of adults ages 60 to 75.

Myth: Seniors Are Always Cranky And Unhappy
When researchers from Heidelberg, Germany, interviewed 40 centenarians, they found that despite significant physical and mental problems, 71 percent said they were happy, and more than half said they were as happy as they’d been at younger ages. Plus, when the researchers compared them to a group of middle-age people, they found that both groups were just as happy. Most important: Nearly 70 percent of the centenarians said they laughed often. What does it all mean? It means there is no universal definition of aging. How you’ll age is entirely up to you – and the time to begin writing that definition is today.

Myth: When you get older, you don’t need as much sleep
You may need as much sleep as when you were younger, but you may have more trouble getting a good night’s sleep. “It is not so much that there is a decline in the number of hours needed, but rather that sleep patterns may change with a tendency to more naps and shorter nighttime periods of deep sleep.

Myth: If you live long enough, you’re going to be senile
The odds are against it. “The probability of senility at age 65 is only about five percent. It rises to about 20 percent by age 85.

The term “senility” is no longer used to describe dementia. Alzheimer’s disease is the most common type of primary progressive dementia. Alzheimer’s is linked to age, Dr. Gorbien says, and older people worried about it should seek an assessment with a geriatrician, neurologist or psychiatrist.
“Early detection of Alzheimer’s disease is so important,” he says. New medications may slow the progression of the disease and help keep people independent.

Myth: Older adults are always alone and lonely
In proportion the number of older people living alone are greater than their younger counterparts, but they are not necessarily lonely. Relationships may grow more intense in old age, Dr. Schaie says. More people live alone as the population ages, Dr. Gorbien says. And Dr. Schaie says gender differences in average life spans leave many more women than men widowed. Widowed men are more likely than women to remarry, Dr. Schaie says, “because of the availability of a larger pool of eligible partners.”

“Most seniors are active,” adds AARP spokesman Tom Otwell. Many have paying jobs, regularly volunteer, garden or help care for grandchildren, for instance.

Myth: Old age means losing all my teeth
If you’re not worried about losing your mind when you’re old, you might fret about losing your teeth. Periodontitis, or late stage gum disease, is the primary cause of tooth loss in adults. This condition commonly begins as gingivitis where gums turn red and begin to swell and bleed, a situation experienced by too many people. Fortunately healthy gums and avoiding false teeth are both reasonable goals.

The elderly of today are much more likely to keep their teeth than previous generations. Even so, dental disease is prevalent. The New England Elders Dental Study found the beginnings of periodontal disease in over 3/4 of the 1150 persons examined. Part of the problem, said these investigators, was that education and dental care for this population are overlooked by both dentists and the patients themselves. The sad part of this situation is that proper dental hygiene and regular cleanings by the dentist are usually enough to stave off infection. Healthy people should replace their toothbrushes every two weeks; those with a systemic or oral illness more often. Everyone should use a new toothbrush when they get sick, when they feel better and again when they completely recover.

Myth: The older I get, the sicker I’ll get
It’s true that as we age, our physiology changes. These changes can lead to poor health if not addressed. But old age doesn’t have to mean feeling sick and tired. An important part of staying well into the older years is keeping your immune system operating at its peak. Aging is generally associated with lagging immunity and consequently more infections especially of the respiratory system. However, John Hopkins’ Professor Chandra discovered that when independent, apparently healthy, elderly people were fed nutritional supplements for a year, their immunity improved. Immunological responses were so marked that those who were supplemented (versus the placebo group) were plagued with less infections and took antibiotics for less days. Besides taking care of your immunity with supplementation, diet, exercise and other measures, you can prevent many age-related diseases with specific health precautions. For example, there is evidence that smoking and low plasma levels of vitamins C and E, and beta-carotene contribute to cataracts.

Calcium and magnesium supplementation helps some individuals with hypertension. Most are helped by high potassium foods (fruits and vegetables), salt restriction and weight maintenance. Keeping blood pressure under control can also decrease the risk of a stroke.

Adult-onset diabetes is usually treated best with dietary measures such as reducing simple sugars, consuming a lot of fiber and taking chromium supplements. It’s estimated that half of all types of cancer are linked to diet. This explains why less fat, lots of fruits, vegetables and fiber, vitamins A, B6, C and E and zinc and selenium all appear to play a role in cancer prevention.

Myth: Urinary incontinence is considered a normal part of aging
Although urinary incontinence (UI) occurs more frequently among older adults (10%–42% of hospitalized elders), it is not considered a normal part of aging and is highly treatable. A new onset of UI can signal problems such as urinary tract infection, electrolyte imbalances, mobility limitations, or medication side effects. Before beginning any rehabilitative interventions for incontinence, all possible causes should be investigated to rule out reversible factors. Bladder retraining for those with urge or stress incontinence is still highly effective for older adults. Behavioural management is the first line of treatment for incontinence.

Myth: Growing older means accepting the loss of independence and a Home for the Aged
There is absolutely no evidence to support that as we age we accept loss of independence or going into a nursing home as part of the aging process. In fact today’s older adults enjoy a more vibrant and vigorous lifestyle. Remaining active, engaged and enjoying a more robust social life. An ever-increasing number of older adults are adopting home care in order to preserve the very things that the myth depicts. However, older adults do share common fears… in fact the 5 greatest noted fears among older adults are:

  • Loss of independence
  • Loss of loved ones
  • Loss of friends
  • Going into a Nursing Home
  • Death

In Our Care supports the aging process so effectively that you never have to ever see the inside of Nursing Home, unless you’re visiting friends and family. We are fully equipped to handle all your care needs – Effectively, Efficiently & Affordably.

Please contact us today, to discuss any challenges you may be facing and how our services can help you remain independent, protected, safe, and in you home / community.

You got questions, we have answers: (905) 785-2341 or email us at homecare@inourcareservices.com

Final Plans – Pre-paid Funeral Services

We have often heard the term – In Life there are two only things that are for certain – Death & Taxes. 

Money Wise – Tax Advantages of Prepaid Funeral Certificates

You have Kapriva Taylor Funeral Homedied. Over the next few days what will that look like for your loved ones? Your family is grief stricken and they must decide what to do with your body. They love you and want to honor your life. They go to the funeral home to make the arrangements and it is here they learn just how much their ideal tribute to you will cost.

We caught up with Katherine (Kat) Downey, Funeral Director and expert in Funeral preplanning who shared with us the benefits of investing in a prepaid Funeral plan.

According to Katherine Downey, the average funeral in Ontario costs approximately $8,800, but the range can vary from $1,600 to $15,000, and more. “The cost is influenced by the level of service people choose, and the type of casket, urn, vault or container selected; this can vary significantly,” says Downey. “Direct Disposition is the least expensive Service and adheres to the minimum requirements of Provincial law. A Memorial Service is an additional cost, followed by a full funeral including visitation and the body present being the traditional service.”

The average age that people consider their own funeral arrangements is 68 years. “I recommend people begin looking at this investment in their higher earning years of 40, 50 or 60,” says Downey. “Investing sooner one can contribute to the costs over a longer term with earned income rather than retirement income.”

As of July 1 2012 all Funeral Homes in Ontario must guarantee prepaid funeral contracts. This means that everything chosen today is priced from a current pricelist, including applicable taxes, and locked in and guaranteed from the date of the contract, until the funeral is required.”

There are also tFuneral Homesax advantages associated with an EFA (Eligible Funeral Arrangement). The Federal Government permits any amount to be paid into a prepaid funeral certificate, and the first $15,000 earns tax-exempt interest.

Downey further states, “The purchaser’s money is invested in an insured guaranteed certificate earning up to 2.0% interest annually. These funds remain in a tax sheltered escrow account during the investor’s lifetime. When the funeral is required, it is paid for from the guaranteed certificate and any extra money is returned to the estate.”

“When I speak with people about the benefits of prepaid funeral arrangements, they are often surprised at the financial gains. This ignites my passion to do what I do. There are financial benefits to families and this gives them a sense of relief that their funeral expenses will not be a burden on their loved ones.”

People with life insurance often say they will use this to pay for the funeral.   Though the key difference is that there is no guaranteed funeral cost. “In my opinion there is room for both prepaid funerals and life insurance,” says Downey. “With life insurance, usually the spouse is the beneficiary and they can use this money in any manner they see fit, and it is tax free. The money may be required to maintain one’s lifestyle or cover unexpected expenses. Taking care of the funeral costs ahead of time is in everyone’s best interest.”

The emotional and financial benefits of prepaid funerals are truly invaluable and provide families with a sense of accomplishment and peace of mind.

 

Kat- DowneyKatherine Downey is a professional educator and licensed funeral director specializing in prepaid funeral planning.
For further information contact (905) 717-9197 or at (905) 399-5341

Email: katdowney@legacymatters.ca
Website: www.legacymatters.ca

A Summary of Canada’s Aging Population

Group of SeniorsA Summary of Canada’s Aging Population

An aging Canadian population is expected to present significant social, economic and political challenges over the next decades. Understanding the needs of seniors and addressing the barriers they face can promote successful aging and ensure that Canadian society benefits from the numerous contributions seniors can provide as engaged citizens and voters.

This research note is the first in a two-part series on seniors, defined as those aged 65 and older. This note provides a demographic profile of this age group, including information about their geographical distribution, lifestyles and socio-economic status. It also addresses some of the challenges that they face in various areas of life. The second note will focus on the electoral participation of seniors, including turnout in federal elections, barriers to voting and initiatives that can be put forward to reduce these barriers.

The qualifying age for seniors is generally 65 in developed countries. However, seniors do not represent a homogenous group, and there is significant variation in the circumstances of those aged 65 to 74, 75 to 84, and 85 and older. Therefore, each one of these three age categories will be treated as distinct where possible.

The Aging Population
A sustained decline in mortality and fertility rates during the twentieth century has resulted in a shift towards older populations worldwide. Canada, while somewhat younger than the average among developed countries, still has an all-time high proportion of seniors. According to Statistics Canada, between 1981 and 2011, the number of Canadians increased significantly amongst the three age groups:

  • For those aged 65 to 74, from 1.5 million (6% of the total population) to 2 million (8%)
  • For those between 75 and 84, from 695,000 (2.8%) to 1.6 million (4.9%)
  • For those aged 85 and older, from 196,000 (0.8%) to 492,000 (2%)

The number of seniors in all age groups is expected to continue to rise, and by 2041, seniors are projected to comprise nearly a quarter (24.5%) of the Canadian population, as compared to 14.8% today. Those aged 85 and over are expected to nearly triple to 5.8% of the total population by 2041.

The chart below illustrates the growth of the older population since 1921.

Aging Population Chart-CanadaGeography
Canada’s senior population is distributed unevenly across the provinces, with the highest concentration in the Atlantic provinces. Nova Scotia has the highest proportion of seniors, at 16.6% of its population, followed by New Brunswick (16.5%) and Prince Edward Island (16.3%). Alberta has the lowest proportion of seniors at 11.1% of the population, while Nunavut has the youngest population overall, with only 3.3% over 65. Some regions are aging more rapidly than others. The Atlantic Provinces are expected to see the highest increase in their proportion of seniors by 2026, while Ontario has the lowest projected increase. Most older seniors (61%) live in metropolitan areas, reflecting the overall trend towards urbanization in Canada, while 23% reside in rural areas.

Gender and Ethnicity
Since women have a longer life expectancy, the majority of seniors are women, with the gender discrepancy increasing with age. In 2011, women made up 52% of seniors aged 65 to 74, 56% of seniors aged 75 to 84, and 68% aged 85 or older. This gap is narrowing, however, and the next decades are expected to see a relative increase in the number of older men as they catch up in terms of life expectancy.

Approximately 28% of seniors are immigrants, the majority of whom were born in Western Europe and Asia. Most immigrant seniors moved at a relatively young age and have been living in Canada for several decades. The proportion of Aboriginal seniors is low, with only 5% of the Aboriginal population over 65, and 1% over 75.

Living Arrangements
As shown in table 1: Most people over 65 reside at home, either with a spouse or alone. According to a study released in 2002 by Health Canada, three quarters of seniors enjoyed housing considered to be affordable, adequately sized and in good condition.

A small percentage of seniors live in institutions, including long-term care facilities and hospitals, though rates of institutionalization rise sharply with age. Reasons cited for institutionalization include increasing frailty and care needs that exceed the capacity of family or friends. In many cases, family and friends continue to provide care even after institutionalization.

Table 1: Where Seniors Live

Living Arrangements
% Of Seniors
Aged 65–74
% Of Seniors
Aged 74–85
% Of Seniors
Aged 85+
Institution
2.2
8.2
31.6
With Spouse
54.4
39.9
16.2
With Children or Grandchildren
18.9
16.0
15.8
Alone
21.5
33.0
33.7
Other
2.9
2.8
2.6

Employment and Income
As of 2006, nearly 15% of men and 5% of women over 65 were participating in the workforce. A smaller percentage of seniors in the 75+ age group were still working, with labour force participation rates of 7.5% for men and 2.4% for women. Self-employment and higher levels of education are associated with a higher likelihood that a person will continue to work after 65.

Post-retirement sources of income among retired seniors include transfers (such as CPP/QPP, OAS, EI, GIS), pensions, RSP withdrawals and investment income. Older seniors are often mischaracterized as impoverished. While they generally have only half the income of working-age households, they are often able to support a similar standard of living. This is likely due to lower expenses (for example, no mortgage or expenses related to child provision) and higher savings from which to draw.

Consumption and spending remain steady through the working years up to age 70, and then begin to decline. It is likely that this decline is voluntary, as gift giving and savings remain unchanged. Older seniors may be less willing or able to spend money; they may be saving for anticipated health care costs or to leave money behind for relatives.

Income aside, work is also important in defining personal identity. The loss of full-time employment, therefore, may present challenges to retired seniors, including lowered confidence, loss of perceived prestige and loss of purpose. Participation in various groups or organizations can ease the transition, and new challenges like volunteer activities may restore a sense of purpose.

Health and Quality of Life
Improved medical technology and public health measures have provided Canadians with a longer life expectancy and quality of life than in the past. Nonetheless, chronic health conditions are widespread among seniors, with four out of five seniors residing at home having a chronic health condition of some kind. The most common of these conditions are arthritis or rheumatism, hypertension, (non-arthritic) back pain, heart disease and cataracts. Alzheimer’s disease and other forms of dementia also affect significant numbers of older seniors and are expected to present a major social and public health problem as the population ages. In 2008, 480,600 people, or 1.5% of Canada’s population, suffered from some form of dementia. This number is expected to rise to 1.13 million (or 2.8% of the Canadian population) by 2038. Most dementia sufferers are 75 years of age or older.

Many seniors also have a disability or activity restriction that requires them to seek assistance with various activities. One quarter of older seniors require help with housework, while one in ten need help with personal care activities, such as washing, dressing or eating. Most assistance is provided by immediate family members, although friends and professional caregivers may help as well. Limitations increase sharply after 85, with mobility, sight, hearing and cognition becoming more restricted.

Despite the prevalence of chronic conditions and activity limitations, seniors generally perceive themselves to be in good health. As of 2011, 46% of men and women over 65 rated their own health as very good or excellent. Higher levels of educational attainment are strongly related to better self-reported health, as are greater independence, the absence of pain or barriers to communication, and the presence of strong social networks. Even seniors residing in long-term care facilities generally rate their health fairly highly, suggesting that they adjust their expectations for health relative to their circumstances and those of their peers.

Victimization, Abuse and Ageism
Elder abuse is gaining increasing recognition as an important issue. Abuse can be physical, psychological/emotional, sexual or financial in nature, or involve intentional or unintentional neglect. A random survey of seniors in Canada found that 4% reported experiencing maltreatment since turning 65. Older women and sponsored immigrant seniors are particularly vulnerable to elder abuse. This could be due to increased financial dependency, social isolation, cultural norms, familial status, disadvantage or disability.

Fraud against older people is also common. Seniors may be particularly vulnerable due to isolation and, in some cases, cognitive decline. Types of scams may include mail or telephone fraud, charity or lottery scams, or fake business opportunities.

Older seniors may also experience a type of discrimination referred to as ageism, defined as a “process of systematic stereotyping or discrimination against people because they are old, just as racism and sexism accomplish with skin colour and gender.” Ageism may be positive (for example, the belief that all seniors are wise or caring) or negative (one study shows that younger Canadians overwhelmingly assume that most seniors reside in an institution, suffer from dementia and are responsible for a large proportion of traffic accidents). Ageism can have implications for individuals whose competencies and merits are not acknowledged, and for society as a whole, which, operating under the assumption that everyone is young, fails to meet the varied needs of all of its citizens.

What Older Seniors Fear The Most
A recent study looked at some of the fears that seniors experience as they age. Losing their personal independence and going into a Nursing Home were among the their greatest fears… more so than death.What Seniors Fear Most

Social and Civic Participation
It is important for seniors to remain active in social networks, as this fosters a sense of belonging and connectedness, and is associated with better health and quality of life outcomes. Seniors who are socially involved are less isolated and tend to have more close friends.

As of 2003, 54% of seniors were involved in groups or organizations, such as social clubs, service clubs, sports leagues and religious organizations. This proportion is similar to that of adults under 65. For seniors over 75, the rate of group involvement dropped to 46%. Seniors with higher levels of education and those with a previous history of involvement are more likely to participate in a group or organization.

Many seniors also volunteer for charities or non-profit organizations. While they are somewhat less likely to volunteer than younger retirees or working people, they tend to contribute more hours when they do volunteer. In 2004, 39% of seniors between 65 and 74 volunteered, contributing an average of 250 hours of volunteer work – 100 hours more than the average for adults between 25 and 54. Volunteering decreases somewhat after age 75, health being the most widely reported reason for non-volunteering seniors.

Conclusion
The role of seniors in society warrants increased consideration as their share of the population grows. Currently, seniors have a good quality of life in Canada. Most enjoy good living conditions, adequate financial resources, and generally rate their health highly. While the majority of seniors are retired, many remain socially involved through participation in organizations or volunteer work. Nonetheless, seniors continue to face certain challenges and barriers. These include physical and cognitive health conditions, a lack of independence and negative attitudes.

Understanding the needs of seniors and addressing the barriers they face can promote successful aging and bring benefit to Canadian society from the numerous contributions older people can provide, including their participation in the electoral process.

Please contact us today, to discuss any challenges you may be facing and how our services can help you remain independent, protected, safe, and in you home / community.

You got questions, we have answers: (905) 785-2341 or email us at homecare@inourcareservices.com