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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.

 

Caregiver Stress

Stress3

Managing Caregiver Stress

For people caring for a loved one, stress can be overwhelming to the point of debilitation.

Read this information to learn:

  • * Who a caregiver is
  • * What caregiver stress is
  • * How to know if you have caregiver stress
  • * How you can help manage caregiver stress
  • * Who to call if you need help

Who is a Caregiver?

A caregiver is anyone who gives care and help to someone else. A caregiver may support a spouse, parent, sibling. Child or another family member or friend. A caregiver may be giving support to someone else because of health conditions, age, disability or injury.

Caregiving can include many different types of activities, such as:

  • Cooking, cleaning, shopping and helping someone with their household chores/needs
  • Helping someone with their day-to-day needs, such as dressing and bathing
  • Driving or going with someone to health care appointments
  • Helping someone who needs you in many other ways

You may not see yourself as a caregiver… but if you are giving care and assistance to someone else, it is important to recognize the caregiving work you do.

I’m caring for a loved one. Is it normal for me to feel stressed?   Yes it is normal

This stress is called caregiver stress. Sometimes caregivers can feel more stress than the person being cared for. You may be so busy caring for your loved one that you forget to care for yourself. This can be tiring and stressful.

You may not want to take time away from your loved to deal with your own challenges… leading to more stress. Overwhelming levels of stress can affect your loved one too. They start to see and feel your stress as well. To help your loved one, you need to take care of yourself.

How can I tell if I have caregiver stress?

Sometimes, it’s hard to tell how stressed you feel.

Ask yourself if you are feeling these ways:

  • I can’t get enough rest
  • I don’t have time for myself
  • I don’t have time to deal with other family members
  • I feel guilty about my situation
  • I don’t do other things anymore, beyond taking care of my loved one
  • I have arguments with the person I care for
  • I have arguments with other family members
  • I cry often about the situation I’m in
  • I worry about finances
  • I don’t know the best way to care for my loved one
  • I feel my health is declining

If you usually or always feel these ways, you may have caregiver stress.

What are the different kinds of caregiver stress?

You might have one or more of these kinds of stress:

Physical:
Taking care of a loved one can be tiring. You may not have time to eat well and exercise. This can affect your own health. Helping your loved one move around or move from bed to chair can also be hard on your own body.

Financial:
It can be expensive to provide care to your loved one. Trying to manage all these costs can cause stress.

Environmental:
You may have gone through many changes to help care for your loved one. How you spend your day or where you live may have changed. These kinds of changes can cause stress.

Social:
You may be spending so much time with your loved that you don’t have for other family members and friends. Not having family and friends around for support can be stressful.

Emotional:
Different kinds of caregiver stress can cause to feel:

  • Helpless
  • Depressed
  • Lonely
  • Self-doubt
  • Embarrassed
  • Frustrated
  • Afraid

Sometimes, you may also start to feel angry or resentful towards the person you’re caring for. These feelings are completely normal, and they can cause you to feel guilt and stress. Knowing the kinds of stress you feel can help you make the right kinds of changes.

What can I do to reduce caregiver stress?
Here is a list of things you can do to help reduce the stress you may be feeling:

Take care of your physical needs

  • Make sure you east at least 3 healthy meals a day.
  • Try to exercise for at least 2 or more hours each week. Even a brisk walk can make a difference on how you feel.
  • Try to get at least 7 or 8 hours of sleep each night.
  • Make sure you keep your medical and dental appointments.
  • Talk to your family doctor or another care provider for help if you are having physical symptoms of stress.

Look into financial and work place support

  • Speak to your employer to let them know you may need to go to more appointments than usual. It may help let them know what is happening in your life. Also find out if your employer has any family caregiver benefits or flexibility, such as a caregiver time-off program.
  • Financial help may be available. Talk to your social worker about programs through the government or other agencies that can help you manage all the costs. (See bottom of article for some links)

Daily living

  • Try to get help with some of your daily chores/routines.
  • Be realistic about what you can and cannot do. Don’t try to everything – no one can do it all.
  • Ask for help when you need it and accept help if others offer. Even small things, like someone offering to shovel the walk or pick up groceries, can make a big difference in your day.

Stay connected with others

  • Talk with others who have had similar experiences, like a friend or a neighbour. Knowing you are not alone can help you feel better. You can also try a support group. This is a group of people in a similar situation who meet regularly to share their experiences. There are also online discussion groups or other ways to connect with people if you can’t easily go somewhere outside your home.
  • Talk to you friends and family regularly, and share your feelings with them.
  • If you’re a member of s cultural or religious community, find out if any programs or support is available through these groups.

Accept your emotions

  • Don’t be too hard on yourself. Accept how you’re feeling
  • If you can’t find the time to do things that you need or want to do while your one needs care or company, consider respite care. Respite care, which is short term relief for caregivers, is available to give caregivers some time away to rest or attend to other issues. For more information on respite care (see below).

Where can I get more help if I need it? 

Below are some general, Toronto based links… they can redirect your enquiry to your own region.

Family Services Toronto:            416-595-9618   

www.familyservicetoronto.org
Family services offer workshops on senior and caregiver support services, and also has counselling services, a caregiver support group and mindfulness seminars to help caregivers adjust to their new role.

Caregiver Connect:          

http://www.von.ca/caregiver-guide/default.aspx
A valuable source for caregiver information and support services. Visit the website and click on “Locations” to find contact numbers, programs and services available in your area

Respite Services:              

www.thehealthline.ca
Respite care gives short term, temporary relief to caregivers. It can range from a few hours to a few weeks. There may be a charge for respite care. To find respite programs and contact numbers in your area, enter your postal code on the website shared. Select people with disabilities.

Community Care Access Centre (CCAC)          

www.healthcareathome.ca     310-2222 (no area code required)
CCAC connects people and caregivers with health services and resources to support them at home and in their community. CCAC may also offer respite care. To find the nearest branch, use this website and enter your postal code and click on the map.

 Telehealth Ontario:         

1-866-797-0000        (TTY 1-866-797-0007)
Telehealth Ontario is staffed by registered nurses who can provide non-emergency advice or information. This service is open 24 hours a day. It’s confidential and is available in many languages. You do not need a health card to call.

Social Assistance in Canada http://www.servicecanada.gc.ca/rng/lifeevents/caregiver.shtml
This link will help you find information on various forms of assistance such as the compassionate care benefit or the caregiver tax credit.

Canada Revenue Agency, Tax Credits and Deductions for Persons with Disabilities www.cra-arc.gc.ca/familycaregiver/
Use this website to see if you qualify for the Family Caregiver Tax Credit

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

Senior Care: Personal & Home Safety

Panic Alarm Bracelet

Personal and home safety, for people with alzheimer’s disease and dementia.

Seniors can still remain in their homes, as long as safety measures are put in place to ensure their safety.

As Dementia and Alzheimer’s progresses, a person’s abilities change. But with some creativity and problem solving, you can adapt the home environment to support these changes.

How Dementia affects safety

Alzheimer’s disease causes a number of changes in the brain and body that may affect safety. With creativity and flexibility, you can create a home that is both safe and supportive of the person’s needs for social interaction and meaningful activity.

Depending on the stage of the disease, these can include:

  • Judgment: forgetting how to use household appliances
  • Sense of time and place: getting lost on one’s own street; being unable to recognize or find familiar areas in the home
  • Behavior: becoming easily confused, suspicious or fearful
  • Physical ability: having trouble with balance; depending upon a walker or wheelchair to get around
  • Senses: experiencing changes in vision, hearing, sensitivity to temperatures or depth perception

Home safety tips

  • Assess your home: Look at your home through the eyes of a person with dementia. What objects could injure the person? Identify possible areas of danger. Is it easy to get outside or to other dangerous areas like the kitchen, garage or basement?
  • Lock or disguise hazardous areas: Cover doors and locks with a painted mural or cloth. Use “Dutch” (half) doors, swinging doors or folding doors to hide entrances to the kitchen, stairwell, workroom and storage areas.
  • Home Safety Checklist: Contact us at “In Or Care – Home Care Services to conduct a safety survey and discuss measures to correct findings. The process is easier than you think and solutions need not be cost prohibitive.
  • Be prepared for emergencies: Keep a list of emergency phone numbers and addresses for local police and fire departments, hospitals and poison control helplines.
  • Make sure safety devices are in working order: Have working fire extinguishers, smoke detectors and carbon monoxide detectors. Routine inspections, testing and replacing back-up batteries on applicable devices as just as important… Don’t assume because you have then, that they’re functioning as they should.
  • Install locks out of sight: Place deadbolts either high or low on exterior doors to make it difficult for the person to wander out of the house. Keep an extra set of keys hidden near the door for easy access. Remove locks in bathrooms or bedrooms so the person cannot get locked inside.
  • Keep walkways well-lit: Add extra lights to entries, doorways, stairways, areas between rooms, and bathrooms. Use night-lights in hallways, bedrooms and bathrooms to prevent accidents and reduce disorientation.
  • Place medications in a locked drawer or cabinet: To help ensure that medications are taken safely, use a pillbox organizer or keep a daily list and check off each medication as it is taken.
  • Remove tripping hazards: Keep floors and other surfaces clutter-free. Remove objects such as magazine racks, coffee tables and floor lamps.
  • Watch the temperature of water and food: It may be difficult for the person with dementia to tell the difference between hot and cold. Set water temperature at 120 degrees or less to prevent scalding.
  • Support the person’s needs: Try not to create a home that feels too restrictive. The home should encourage independence and social interaction. Clear areas for activities.

Six in 10 people with dementia will wander

A person with Alzheimer’s may not remember his or her name or address, and can become disoriented, even in familiar places. Wandering among people with dementia is dangerous, but there are strategies and services to help prevent it.

Who is at risk of wandering?

Anyone who has memory problems and is able to walk is at risk for wandering. Even in the early stages of dementia, a person can become disoriented or confused for a period of time. It’s important to plan ahead for this type of situation. Be on the lookout for the following warning signs:

Wandering and getting lost is common among people with dementia and can happen during any stage of the disease. 


  • Returns from a regular walk or drive later than usual
  • Tries to fulfill former obligations, such as going to work
  • Tries or wants to “go home,” even when at home
  • Is restless, paces or makes repetitive movements
  • Has difficulty locating familiar places like the bathroom, bedroom or dining room
  • Asks the whereabouts of current or past friends and family
  • Acts as if doing a hobby or chore, but nothing gets done (e.g., moves around pots and dirt without actually planting anything)
  • Appears lost in a new or changed environment

 Tips to prevent wandering

Wandering can happen, even if you are the most diligent of caregivers. Use the following strategies to help lower the chances:

  • Identify the most likely times of day that wandering may occur:
Plan activities at that time. Activities and exercise can reduce anxiety, agitation and restlessness.
  • Reassure the person if he or she feels lost, abandoned or disoriented: If the person with dementia wants to leave to “go home” or “go to work,” use communication focused on exploration and validation. Refrain from correcting the person. For example, “We are staying here tonight. We are safe and I’ll be with you. We can go home in the morning after a good night’s rest.”
  • Ensure all basic needs are met: Has the person gone to the bathroom? Is he or she thirsty or hungry?
  • Avoid busy places that are confusing and can cause disorientation: This could be shopping malls, grocery stores or other busy venues.
  • Place locks out of the line of sight: Install either high or low on exterior doors, and consider placing slide bolts at the top or bottom.
  • Camouflage doors and door handles: Camouflage doors by painting them the same color as the walls, or cover them with removable curtains or screens. Cover knobs with cloth the same color as the door or use childproof knobs.
  • Use devices that signal when a door or window is opened: This can be as simple as a bell placed above a door or as sophisticated as an electronic home alarm.
  • Provide supervision: Never lock the person with dementia in at home alone or leave him or her in a car without supervision.
  • Keep car keys out of sight: A person with dementia may drive off and be at risk of potential harm to themselves or others.
  • If night wandering is a problem: Make sure the person has restricted fluids two hours before bedtime and has gone to the bathroom just before bed. Also, use night-lights throughout the home.

Make a plan

The stress experienced by families and caregivers when a person with dementia wanders and becomes lost is significant. Have a plan in place beforehand, so you know what to do in case of an emergency.

  • Keep a list of people to call on for help: Have telephone numbers easily accessible and update them every six months.
  • When someone with dementia is missing: Begin search-and-rescue efforts immediately. Ninety-four percent of people who wander are found within 1.5 miles of where they disappeared.
  • Ask neighbors, friends and family to call if they see the person alone.
  • Keep a recent, close-up photo and updated medical information on hand to give to police.
  • Know your neighborhood: Pinpoint dangerous areas near the home, such as bodies of water, open stairwells, dense foliage, tunnels, bus stops and roads with heavy traffic.
  • Keep a list of places where the person may wander:
This could include past jobs, former homes, places of worship or a restaurant.
  • Provide the person with ID jewelry: Medical alert bracelet and or electronic wander guard device preferably with GPS capability.
  • If the person does wander, search the immediate area for no more than 15 minutes: Call “911” and report to the police that a person with Alzheimer’s disease — a “vulnerable adult” — is missing. A Missing Report should be filed and the police will begin to search for the individual. Make a point of knowing what they’re wearing for a more accurate description.

Many people with dementia want to live at home for as long as possible. Often, this is with support from others. However, it can be difficult managing everyday situations if you have dementia, particularly as the dementia progresses and you get older. As a result, some people may not be as safe at home as they used to be. This factsheet looks at how a person with dementia can stay safe at home and in the surrounding environment. It identifies some risks in the home environment and suggests ways to manage them.

 It is important to find the right balance between independence and unnecessary harm. The person with dementia should, where possible, be involved in decision-making and their consent sought and given about changes. If this is not possible, it is important that those making the decision do so in the person’s best interests.

Many of the issues in this factsheet are related to the normal ageing process. However, having dementia can place a person at higher risk of experiencing some of these issues. Everyone will experience dementia in their own way. The type of risks they face, and strategies to manage these, will depend on the individual and their situation.

Avoid falls

Falls are a common and potentially serious problem affecting older people. The risk of falls increases with age. This may be because of a range of factors: medical conditions (such as stroke), medication, balance difficulties, visual impairment, cognitive impairment and environmental factors. Falls can have detrimental effects on people, including injuries, loss of confidence and reduced activity.

For some people with dementia, the condition can also increase the likelihood of falling.

There are a number of things that can be done at home to reduce the risk of falling:

  • Home safety: Check the home for potential hazards such as rugs, loose carpets, furniture or objects lying on the floor. An occupational therapist may be able to help with identifying hazards and suggesting appropriate modifications.
  • Exercise: Regular exercise can improve strength and balance and help to maintain good general health. A referral to a physiotherapist may also help. Speak to your GP to find out more.
  • Healthy feet: Foot problems, including foot pain and long toenails, can contribute to an increased risk of falls. Seeing a podiatrist (a health professional who specializes in feet) can help. Contact your doctor to find out more.
  • Medicines: Medication can have side effects, including dizziness, which could increase the risk of a fall. Changes to medication or dosage, as well as taking multiple medicines, can increase a person’s risk of falling. Speak to the doctor about a medicine review if the person with dementia is taking more than four medicines.
  • Eyesight: Regular eye tests and wearing the correct glasses may help to prevent falls.
  • Keep objects in easy reach: If something is going to be used regularly, keep it in a cupboard or drawer that is easy to access.
  • Try not to rush: Do things at an appropriate pace; many people fall when they are rushing.

Improve lighting

As people get older they need more light to see clearly. This is because of age-related changes to the eyes. These changes include:

  • Pupils becoming smaller
  • Increased sensitivity to glare
  • Reduced amount of light reaching the retina.

Dementia can cause damage to the visual system (the eyes and the parts of the nervous system that process visual information), and this can lead to difficulties. The type of difficulty will depend on the type of dementia. Problems may include:

  • Decreased sensitivity to differences in contrast (including colour contrast such as black and white, and contrast between objects and background)
  • Reduced ability to detect movement
  • Reduced ability to detect different colours (for example, a person may have problems telling the difference between blue and purple)
  • Changes to the visual field (how much someone can see around the edge of their vision while looking straight ahead)
  • Double vision.

Improved lighting can reduce falls, depression and sleep disorders, and improve independence and general health. The following tips may help:

  • Increase light levels and use daylight where possible.
  • Minimize glare, reflection and shadows. Glare can be distracting and can reduce a person’s mobility.
  • Lighting should be uniform across any space, and pools of light and sudden changes in light levels should be avoided. This is because when a person gets older, their eyes adapt slowly to changes in light levels.
  • Remove visual clutter and distractions such as carpets with floral patterns.
  • Use colour contrasts to make things clearer, ie: a light door with a dark frame.
  • Leave a light on in the toilet or bathroom during the night. A night-light in the bedroom may help if someone gets up in the night.

Store dangerous substances safely

Dangerous substances, including medicines and household cleaning chemical should be stored somewhere safe. If the person with dementia is unable to administer their own medication safely, arrangements should be made for someone else to do this. A dosette box could be helpful. These have separate tablet compartments for days of the week and/or times of day such as morning, afternoon and evening.

Adaptations to the home

As people get older they may experience difficulties in managing everyday activities such as cooking or bathing, for a variety of reasons. People with dementia may experience additional challenges as their dementia progresses, because of memory problems or a reduced ability to carry out tasks in the correct sequence.

Adapting the home can help people with dementia to maintain their independence and reduce the risk of harm. It can also help to adapt some everyday tasks slightly. The following tips may help:

  • Label cupboards and objects with pictures and words so that they can be identified.
  • Where possible, use devices that only have one function and are easy to identify, for example a kettle.
  • Place clear instructions that can easily be followed somewhere visible.
  • Make sure the kitchen is well lit.
  • If there are concerns about using gas or electrical appliances inappropriately, contact the gas or electricity company and ask for the person to be put on the priority service register. This means that they will be eligible for free regular safety checks and will be able to get advice about safety measures such as isolation valves (advice is also available for care givers).
  • Fit an isolation valve to a gas cooker so that the cooker cannot be turned on and left on. Devices are also available for electric cookers.
  • Look into products that may help to maintain independence and safety such as electric kettles that switch off automatically.
  • If the person’s ability to recognize danger is declining, consider removing potentially dangerous implements such as sharp knives, but place other items for everyday use within easy reach.
  • Create a “wander loop” in your home, a safe pathway that allows the patient to safely roam.
  • Use reflector tape to create a path to the bathroom.
  • Cover radiators and electrical outlets with guards.
  • Lock doors that lead to places like basements and garages.
  • Install safety locks and alarms on exit doors and gates.
  • Cover smooth or shiny surfaces to reduce confusing glare.
  • Eliminate shadows with a lamp that reflects off the ceiling.
  • Cover or remove mirrors if they are upsetting to a person with hallucinations.
  • Store car keys in a locked container; disable the car.
  • Do not allow unattended smoking.
  • Make sure an I.D. bracelet is being worn at all times.
  • When selecting home care, make sure to hire an aide who has been trained to deal with dementia and Alzheimer’s patients, and is under the supervision of a skilled home care nurse.
  • And, most importantly, constantly re-assess your parent’s abilities with the help of a nurse or physician.

Avoid fire

There are ways to minimize the risk of fire in the home, including fitting smoke alarms and carbon monoxide detectors, and checking home appliances.

Local fire and rescue services can provide free home safety visits. They offer advice about how to make the home safer, as well as fitting smoke alarms and planning escape routes. Electric and gas appliances can be dangerous. It is important to check appliances to make sure they are working safely. Some appliances will have built-in safety features. Consider placing safety devices on stoves so that they are not accidently placed, or left on the on position.

Stay safe outdoors

Being outdoors is important for people of all ages and has many benefits. It is good for mental and physical health, including wellbeing, sleep and appetite Being outdoors can have psychological benefits such as reduced depression and agitation. Activity can also enhance a person’s independence and wellbeing. A garden, balcony or outdoor space can help to bring these benefits to people with dementia. It is important to manage any risks that may come with being outdoors.

The Following suggestions may help:

  • Make sure the area is well lit. This could be done with a sensor light, so that if a person is outside and daylight is fading they are still able to see adequately.
  • Put a rail on any stairs to help the person get up and down them. It can also help to highlight the edges of each step.
  • Avoid trip hazards such as loose paving slabs or uneven surfaces.
  • Have seating areas so that the person can take a rest or enjoy being outside if they are unsteady on their feet.
  • Use shelter to protect people from the elements if they want to spend a long time outside – a parasol or hat to minimize sun exposure.

Ensuring your home is adequately assessed for safety concerns is you first step in assuring that your love one enjoys their decision to remain in their home for as long as possible.

We can help. From an initial assessment to providing the home care services you need to meet your needs.

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

Therapeutic Touch & Sensory Quilt

“Busy Hands & Mind”

Sustain a clients natural need to keeps hands engaged and active

Sustain a clients natural need to keeps hands engaged and active

Pre-amble: Market and Economic Impact

As of 2013, there were an estimated 44.4 million people suffering with dementia worldwide. This number is expected to increase to an estimated 75.6 million by 2030, and 135.5 million by 2050. Alzheimer´s Disease will be one of the biggest burdens of the future society showing dramatic incidence rates: every 69 seconds someone in the US develops Alzheimer´s Disease, by mid-century someone will develop Alzheimer´s Disease every 33 seconds. In 2013 44 million people will be affected with the disease worldwide  In the US Alzheimer´s Disease is now the 6th leading cause of death across all ages. It was the fifth leading cause of death for those aged 65 and older. Since the incidence and prevalence of Alzheimer´s Disease increase with age, the number of patients will grow dramatically with our society getting older. By 2050 we need to expect that patient numbers have tripled to 135 million Alzheimer´s Disease patients worldwide.

The Alzheimer´s Disease market is currently estimated at $ 5 billion annually with projections that show the market potential will surpass $ 20 billion by 2020.

The global economic impact of Alzheimer´s Disease is shown by the worldwide cost of $ 640 billion, which exceeds 1% of gross world product. It can be seen as the most significant health crisis in the 21st century. 

The 2010 annual costs of treating and caring for patients worldwide was an estimated US$604 billion and in the the US alone was $183 billion. This figure is expected to increase to $ 1.1 trillion in 2015. Alzheimer´s Disease is becoming the third most expensive disease counting for 30% of the US healthcare costs. The medical costs for Alzheimer´s Disease patients are three times higher than for other older patients. There is also a big financial impact for the individuals and their families as the out-of-pocket-costs for the Alzheimer´s Disease patients are higher than for any other disease. As expenses for assisted living or nursing homes can often not be afforded, 70% of Alzheimer´s Disease patients live at home resulting in high impact of family’s health, emotional well-being as well as their employment and financial security.

Cost of Treatment
Currently there is no disease-modifying treatment for the Alzheimer´s Disease on the market. The disease usually is diagnosed late when already 70% of the nerve cells in the brain are dead. Several high-impact nutritional and supplementary treatment products are being developed and should particularly impact on prevention. Five drugs are approved and marketed which treat the symptoms. Better understanding of the underlying biology will lead to several new axes of treatment in different stages of clinical testing. The impact of a disease-modifying treatment can be huge: Delaying the onset of Alzheimer´s Disease by 5 years starting 2015 could result in a prevalence reduced by 5.9 million (43%) in 2050 in the US alone. Expressed in money, a delay of onset of 5 years would could result in savings of $ 447 billion of the total expected costs of $ 1.078 billion in the US alone.

Costs of informal care (unpaid care provided by families and others) and the direct costs
 of social care (provided by community care professionals and in residential home settings)
 contribute similar proportions (42%) of total costs worldwide, while direct medical care costs
are much lower (16%).

So how can WE help?
We cannot claim to be able to mitigate nor have a direct impact on the projected ageing population growth and relevant Dementia/Alzheimer’s statistics. However, we can offer a number of Home Care Services solutions to help families who are caring for a loved sufferingwith Dementia/Alzheimer’s? To review our full line of services, please visit our home page… under Services. For the purpose of this article we are offering a tool to help the family caregiver gain some control and management over their loved one who may be suffering with these deceases… A Therapeutic Touch and Sensory Quilt. This is not a typo… “QUILT”.

According to the College of Nursing at the University of Arkansas for Medical Sciences, Little Rock 72205 – U.S.A.

Abstract
Agitated behaviour in persons with Alzheimer’s disease (AD) presents a challenge to current interventions. Recent developments in neuro-endocrinology suggest that changes in the hypothalamic-pituitary-adrenal (HPA) axis alter the responses of persons with AD to stress. Given the deleterious effects of pharmacological interventions in this vulnerable population, it is essential to explore non-invasive treatments for their potential to decrease a hyper-responsiveness to stress and indirectly decrease detrimental cortisol levels. This within-subject, interrupted time-series study was conducted to test the efficacy of therapeutic touch on decreasing the frequency of agitated behavior and salivary and urine cortisol levels in persons with AD. Ten subjects who were 71 to 84 years old and resided in a special care unit were observed every 20 minutes for 10 hours a day, were monitored 24 hours a day for physical activity, and had samples for salivary and urine cortisol taken daily.

The study occurred in 4 phases:

    • Baseline (4 days),
    • Treatment (therapeutic touch for 5 to 7 minutes 2 times a day for 3 days),
    • Post-treatment (11 days), and
    • Post – “wash-out” (3 days).

An analysis of variance for repeated measures indicated a significant decrease in overall agitated behaviour and in 2 specific behaviours, vocalization and pacing or walking, during treatment and post-treatment. A decreasing trend over time was noted for salivary and urine cortisol. Although this study does not provide direct clinical evidence to support dysregulation in the HPA axis, it does suggest that environmental and behavioral interventions such as therapeutic touch have the potential to decrease vocalization and pacing, 2 prevalent behaviors, and may mitigate cortisol levels in persons with AD.

Alzheimer’s patients, particularly those in the more advanced stages can get quite tense and fidgety. To help relieve stress and tension in these special people, we have developed our own line of fidget quilt. As the disease worsens, hands become more restless and fidgety. These quilts offer something tangible to occupy their hands… providing gentle yet constant therapeutic stimulation for the mind and soul. Resulting in an enhanced quality of life for both the patient and the caregiver.

So how do our quilts work?
They help to stimulate curiosity, memories and awareness, provide a sense of purpose and of “doing something”, and this having a calming & soothing affect on the user.

Active Hands & Mind Quilt - Engaging, calming and soothing those clients suffering with Alzheimer's

Active Hands & Mind Quilt – Engaging, calming and soothing clients suffering with Alzheimer’s

Our quilts are more than just a “tangible repository of memories.” 
They are user-friendly, functional, induce comfort and warmth… providing a constant reminder of a family that loves them. Whether it’s the combination of textures used (softly contoured corduroy, faux fur, textured linens,,, etc) this quilt will provide the kind of tactile stimulation that will calm and soothe your loved one. It keeps their anxious hands engaged, mind occupied and their legs warm. Great for anyone, this is a must for anyone with progressive dementia or alzheimer’s.

Because people with Alzheimer’s and other dementia experience an ongoing decrease in their brain’s functions, simple, repetitive movements and sensory experiences become more important. That’s where our lap quilts come in. With their intentional variety of textures and extra accessories, fidget quilts provide comfort through the hands and the eyes. For a men’s quilt, you might want to personalize with items of a past hobby or interest (nuts, bolts, golfing or fishing items). We safely fasten the items or string them so that the patient will fidget with the items from one end of the lace to the other. Our quilts are handy & conveniently sized (24”X 30”) made from colourful patterns to entertain the eyes and with a warm backing to keep the lap warm. Attached to the quilts are buttons of various sizes to captivate the fingers and the eyes, a zipper, strips of cloth, and shoe laces, which can be tied or manipulated in a number of ways (over and over again). There’s a plush toy, shapes, a pocket with things in them, jingle bells and anything else that may be of significance to your loved one. Our quilts can be a Godsend to a caregiver while bringing significant relief to the patient… through it’s calming and soothing therapeutic affect.

We take extreme care to ensure that all items are safely secured so that they cannot become free or removed (unless cut out) to avoid any potential choking hazard. The laces, fabric strips or anything that dangles are also cut to lengths whereby they cannot be used as a means of restraining, or become a ligature capable harming your loved one.

Our quilts are easy care for and washable… of course anything that cannot be washed, is fastened so that it can be easily unclipped and reattached after washing.

The quilt will give the family a feeling of joy watching their loved one’s restless fingers occupied with all the different activities and textures that gives them that soothing and calming disposition.

They make wonderful birthday, Christmas, anniversary, or any special occasion gift, or to simply say “I Care and I love you”

We engage the family’s input when creating a custom quilt or you can opt for a generic quilt already pre-manufactured, incorporating a number of therapeutic sensory activities and items.

Our core business is providing Home Care for seniors in their homes or wherever home may be. However, we also understand that although you may not yet require our assistance, you can still benefit from something that we can offer… like our “Busy Hands & Mind Quilt”.

Our quilts are inexpensive, provide such rewarding results and delivered for free anywhere in Toronto, Mississauga, Oakville and Brampton. Outside of these areas there “MAY” be an additional charge for shipping… but we can discuss it. Of course outside of Ontario, national and international orders shipping costs are extra.

Please contact us today, to discuss the order of one of our Quilts, or 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 

 

 

 

 

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

 

Living Longer, Healthier & Happier

Women Wearing Colorful Bathing CapsPrepare Yourself – To live longer, healthier and happier

If I’d known I was going to live this long, I’d have taken better care of myself.” So said Eubie Blake, the great ragtime composer and pianist who was still performing at the age of 99, the year before his death. Let’s face it: old age is what lies ahead. If you’re 40 or 50 or even 60, you might not give much thought to the health challenges of aging. But just as planning for future financial needs is important, so is planning for optimum health in our later years.

 

What should you prepare for, and how?

Medical experts express about the major health issues that may lie ahead. While some diseases, such as Alzheimer’s and certain cancers, continue to confound researchers, a great number can be prevented, forestalled, or minimized with a healthy lifestyle and regular health screenings. Sharon Brangman, MD, AGSF, spokeswoman for the American Geriatrics Society, says, “The more you do in middle age to prepare yourself for successful aging, the better.”

Obesity and Metabolic Syndrome

About three-fourths of adults aged 60 and older are overweight or obese. Obesity is related to type 2 diabetes, cardiovascular disease, breast and colon cancer, gall bladder disease, and high blood pressure.

More than 40% of adults 60 and older have a combination of risk factors known as metabolic syndrome, which puts people at increased risk for developing diabetes, cardiovascular disease, and certain cancers. It is characterized by:

  • Waist measurement greater than 40 inches in men, 35 inches in women (apple-shaped body)
  • Triglyceride level of 150 mg/dL or higher
  • HDL “good” cholesterol level less than 40mg/dL in men, 50 mg/dL in women
  • Blood pressure of 130/85 or higher
  • Fasting glucose level of 110 mg/dL or higher

“Women in, and post-menopausal stages tend to accumulate fat around the waist and hips, and men get the gut,” says Brangman. “The best way to fight it is with increasing exercise, reducing alcohol intake — because a lot of alcohol calories go right to the gut — and reducing calorie intake. Also, increase your healthy fat intake — omega-3 fatty acids and unsaturated fats. And eliminate trans fats completely because there’s no safe amount of those.” She also advises avoiding foods sweetened with high-fructose corn syrup. The common sweetener is found in everything from sodas to breakfast cereal to low-fat yogurt. “In middle age, we should eat foods as close to naturally prepared as possible.”

Arthritis

Arthritis affects nearly half the elderly population and is a leading cause of disability. “Old injuries from playing weekend warrior or high school football, and years of wearing high-heeled shoes catch up with us,” says Brangman. “And arthritis in the knees is the price we pay for walking upright on two legs.” The keys to prevention: avoid overuse, do steady, regular exercise rather than in weekend spurts, and stop if you feel pain. “The adage, ‘no pain, no gain,’ is not true.” And managing your weight is just as essential for joint health as cardiovascular health. The Framingham osteoarthritis study showed that a weight loss of just 11 pounds could reduce the risk of developing osteoarthritis in the knees by 50%.

Osteoporosis and Falls

Osteoporosis and low bone mass affects almost 44 million adults age 50 and older, most predominantly affecting women. According to the National Osteoporosis Association, osteoporosis is not part of normal aging. Healthy behaviours and treatment, when appropriate, can prevent or minimize the condition.

In a given year, more than one-third of adults, age 65 and older experience a fall. Twenty percent to 30% of those who fall suffer injuries that decrease mobility and independence; falls are the leading cause of death from injury in this age group.

“Stop smoking, watch your alcohol intake, get plenty of calcium, and limit foods with high acidic content,” says Brangman. “Avoid sodas. They encourage loss of calcium. Our bodies always maintain calcium, and when there’s not enough coming in from our diet, it comes out from our bones. One reason women are especially at risk for osteoporosis is that if they’ve had children; it takes a whole lot of calcium to develop a baby, and that calcium is taken from the mother’s bones if she’s not getting enough in her diet.” Adults in middle age need 1,000 to 1,200 milligrams of calcium daily.

Vitamin D, “the sunshine vitamin,” is also important. Using sunscreens to protect against harmful UV rays is wise, but sunscreens also blocks the same ultraviolet rays the body needs to make vitamin D.

Furthermore, with age our bodies become less efficient at making vitamin D from sunlight. There is a move to get the FDA to increase the minimum requirement for vitamin D to at least 800, or maybe even 1,000 units. Most multiple vitamins contain 400 units. Make sure you’re getting enough from low-fat dairy products, or take a supplement.”

Weight-bearing exercise also helps to keep bones healthy. “If you’re not exercising, starting at any age is beneficial. It’s never too late, but the sooner the better.

Cancer

Risk for developing most types of cancer increases with age.

As women age, the rate of cervical cancer decreases, and endometrial cancer increases. Sometimes women slack off gynecological exams after their childbearing years, but I still think it’s important for women to get regular exams.”

The risk of prostate cancer increases with age, and black men have a higher rate than white men. Screening should start in your 40s, and at the very least should involve a digital rectal examination.

Lung cancer accounts for more deaths than breast cancer, prostate cancer, and colon cancer combined. “Stop smoking.”

Cardiovascular Disease (CVD)

Younger baby boomers take heed: cardiovascular disease (CVD) affects more than one-third of men and women in the 45- to 54-year age group, and the incidence increases with age. Cardiovascular diseases, which are diseases of the heart or blood vessels, are the leading cause of death in the U.S. and Canada. They include arteriosclerosis, coronary heart disease, arrhythmia, heart failure, hypertension, orthostatic hypotension, stroke, and congenital heart disease.

A healthy lifestyle can reduce the risk of heart disease by as much as 80%, according to data from the Nurses’ Health Study, an extensive research effort that followed more than 120,000 women aged 30 to 55 starting in 1976. Looking at data over 14 years, the researchers showed that women who were not overweight, did not smoke, consumed about one alcoholic drink per day, exercised vigorously for 30 minutes or more per day, and ate a low-fat, high-fibre diet had the lowest risk for heart disease.

If you have high blood pressure, get it under control. It reduces the rate of stroke and heart attacks. People say the medicines have bad side effects, but there are enough medications to choose from that you and your physician should be able to find one that’s right for you.

Prepared foods are loaded with salt. Limit salt intake to control high blood pressure. The minute food comes out of a can or frozen food package or from a fast-food environment you lose control of the ingredients. This is another reason to eat foods as close to naturally prepared as possible.

Vision and Hearing Loss

Age-related eye diseases — macular degeneration, cataract, diabetic retinopathy, and glaucoma — affect 119 million people aged 40 and older, according to the 2000 census. And that number is expected to double within the next three decades.

“Eating foods with high antioxidant content may be helpful in reducing vision loss due to macular degeneration,” says Brangman. “And taking vitamin supplements for eye health may help. A lot of my geriatric patients are taking them now, which may not be as helpful as taking them when you’re younger.”

It also appears that smokers are at higher risk for macular degeneration, so that’s another reason to stop smoking. Regular eye exams should include screening for glaucoma, which is called “the sneak thief of sight” for the fact that the first symptom is vision loss. The disease can be arrested, but vision lost to glaucoma cannot be restored.

The incidence of hearing loss increases with age. Twenty-nine percent of those with hearing loss are 45-65; 43% of those with hearing loss are 65 or older.

Hearing loss takes a toll on the quality of life and can lead to depression and withdrawal from social activities. Although hearing aids can help, only one out of four people use them.

High-frequency hearing loss is common in old age and made worse by a lifestyle that includes exposure to loud sounds. The 40- and 50-year-olds who went to the rock concerts that were so loud they were pulsating in their chests are starting to pay. Another factor is working or having worked in a noisy environment, such as airports or factories.”

Her advice to people at any age: Don’t use earbuds! Any source of sound that fits in the ear canal, such as using Walkmans or iPods, really puts your hearing at risk. If you’re going to use an iPod, don’t put it directly in your ear, and lower the volume.”

She says hearing aids are not an ideal solution for hearing loss. “My patients complain that they magnify the wrong sounds. They keep their $3,000 or $4,000 hearing aids in the nightstand.”

Teeth

The good news is that you’ll probably keep your own teeth, and implants and bleaching can make your teeth look years younger than the rest of your body. Only about 25% of people over age 60 wear dentures today.That’s because of a lifetime of good dental health and diet. Unfortunately, the people who haven’t had a lifetime of good health care and healthy practices are at risk for losing their teeth.The US and Canadian Dental Associations advises brushing twice a day with fluoridated toothpaste, flossing daily to remove plaque, and visiting your dentist regularly.

Mental Health: Memory and Emotional Well-being

Forget what you think you know about memory loss and old age. It is not inevitable. So why do so many people say, “My memory isn’t what it used to be,” or “I’m having a senior moment?” Stress, anxiety, and mental overload are most likely responsible. “Stop multitasking,” says Brangman, who is professor and division chief and geriatric medicine director at the Central New York Alzheimer’s Disease Centre, SUNY Upstate Medical University in Syracuse, N.Y. “Our brains are made for us to do one thing at a time. Multitasking overloads the brain so people aren’t remembering things and get concerned they’re having memory problems.”

Doing the things that keep your heart healthy will also keep your brain healthy. The same blood vessels that go to the heart branch off and go to the brain. Exercise, control your blood pressure, quit smoking, and if you have diabetes, keep it under control.

Staying mentally active is as important as staying physically active. Join a book club, stay up on current events, engage in stimulating conversations, and do crossword puzzles. “The new rage is Sudoku puzzles. They’re absorbing and require a tremendous amount of concentration, and there’s a lot of satisfaction in getting it right.”

One of the perplexing problems of aging is Alzheimer’s disease. About 3% of men and women aged 65 to 74 have Alzheimer’s disease, and nearly half of those aged 85 and older may have the disease. We’re not aware of anything people can do to prevent Alzheimer’s or dementia, but we’re learning new things about the brain every day.

Among all age groups, depression is often an under-diagnosed and untreated condition. Many people mistakenly believe that depression is a natural condition of old age. Of the nearly 35 million Americans aged 65 and older, an estimated 2 million have a depressive illness and 5 million more may have depressive symptoms that fall short of meeting full diagnostic criteria.

When you get older, you’re dealing with life-change issues. Kids leaving home, health problems, loss of parents & friends, and advanced ageing related issues (financial, caregiver arrangements, physical challenges, etc). We notice that all the basketball players are younger than us, and the music and ads are for a younger demographic. He advises anticipating and preparing for the changes to come.

One of the biggest life changes is retirement. Many people have their sense of worth tied up with work. In retirement, depression and suicide rates rise.

Prepare for retirement by thinking about what some call “the second act”. What would you have wanted to do if you hadn’t done your career? Jimmy Carter is a perfect example. After his presidency, he went on to become a humanitarian, working on behalf of international human rights and Habitat for Humanity.”

Recognize that some physical abilities will decline, but giving up sports altogether isn’t the answer. People who are active in sports such as basketball or football should think ahead to activities such as golf or water polo that put less stress on the joints.

Also recognize in your 40s and 50s that parents and grandparents won’t be around forever. In anticipation of their getting old and dying, making contact and tying up loose ends can be useful.

Nurturing your spiritual side may be in order as you get older and face mortality. For many people who have drifted away from religion or spiritual practice, it’s sometimes comforting to reassess that. Do I need to connect with my religion or spend time becoming the spiritual person I want to become? Pay attention to it if it’s important to you.

Finally, just the way you figure out your finances, figure out what you need to make you happy, and if you have a medical problem or mental health problem, how will you deal with it. Make some strategic decisions about how you want to live your life.

Do Your Part

according to the Centre for Disease Control (CDC)Much of the illness, disability, and deaths associated with chronic disease are avoidable through known prevention measures, including a healthy lifestyle, early detection of diseases, immunizations, injury prevention, and programs to teach techniques to self-manage conditions such as pain and chronic diseases . While the future will undoubtedly bring medical advances in treatments and cures… but if you can keep all your parts original, they are the best.

Of course, this is not a road that you must commute alone. You can benefit through a service partnerships with In Our Care – Home Care Services to maximize your independence, mobility, safety and engagement in social and community events.

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 

 

 

The Most Common Age Related Issues

The Most Common Age Related Issues

Healthy Aging

Thanks to new medications and surgical techniques, people are living longer. However, the body we had at 55 will be a very different body than the one we have at 75. Many issues, both genetic and environmental, affect how we age. The most widespread condition affecting those 65 and older is coronary heart disease, followed by stroke, cancer, pneumonia and the flu. Accidents, especially falls that result in hip fractures, are also unfortunately common among the elderly population. Numbers and statistics are climbing as the aging population continues to escalate.

 

Many of our elders are coping with at least one of the following conditions, and many are dealing with two or more of the following

 

  • Heart conditions (hypertension, vascular disease, congestive heart failure, high blood pressure and coronary artery disease)
  • Dementia, including Alzheimer’s disease
  • Depression
  • Incontinence (urine and stool)
  • Arthritis
  • Osteoporosis
  • Diabetes
  • Breathing problems
  • Frequent falls, which can lead to fractures
  • Parkinson’s disease
  • Cancer
  • Eye problems (cataracts, glaucoma, Macular Degeneration)

As our body changes, other things to be aware of are:

  • A slowed reaction time, which is especially important when judging if a person can drive.
  • Thinner skin, which can lead to breakdowns and wounds that don’t heal quickly
  • A weakened immune system, which can make fighting off viruses, bacteria and diseases difficult
  • Diminished sense of taste or smell, especially for smokers, which can lead to diminished appetite and dehydration

The list can seem daunting. However, with proper care, elders have a life filled with joy.

Please browse our many other articles relating to specific topics.

Our aim is to ensure that seniors are protected, kept safe and well cared for. For those individuals who wish to continue living in their own homes, we offer a variety of services to support that very goal and serve you in ways you did not think possible: For example, we also offer a complete home maintenance plan so that you or your loved never has to deal directly with contractor in order to access services. We take care of that and minimized any risk of fraud or sub-standard services. Your golden years are your to enjoy and we want to ensure you do.

Please contact us today, to discuss any of the above mentioned 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