Should you take over Mom’s checkbook?

Money matters are often intensely private. And no one wants to infringe on a family member’s independence. Yet it is through (sometimes expensive) financial mishaps that you may learn of changes in your parent’s memory and thinking. Signs of a problem Diseases that affect memory also tend to impair arithmetic skills and reasoning. That’s why…

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Dementia dogs

Dog training organizations are looking toward a new challenge: Training highly skilled “dementia dogs.” These dogs are individually trained to meet the needs of persons with memory loss problems. They provide safety and companionship. They also relieve the anxiety of family caregivers. To support a person with dementia, dogs are trained to help with memory…

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Time for smart monitoring?

From sensors and cameras to remote alarm systems, today’s marketplace offers a plethora of technology to help older adults safely age in place. Those devices with monitoring features are particularly useful if your loved one lives on their own, whether near to you or far away. Indeed, many apps and devices can help you stay…

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Coping with vision loss

It’s common for those newly diagnosed with a vision-loss condition to feel anxious and depressed. Understandably so! They worry about losing their independence. Also, that they will need help with many activities of life. This in turn suggests a loss of privacy. Many newly diagnosed persons report a sudden lack of confidence and feelings of…

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What is “cremation authorization”?

With National Healthcare Decisions Day coming up on April 16, it’s good to review who your loved one has chosen as their healthcare power of attorney (sometimes called a “proxy” or “agent”). This is who will make decisions for them when they are no longer able to do so themselves. Often this occurs in end-of-life…

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Is Dad taking his meds “as directed?”

Did you know that nearly half of adults taking prescription medications for a chronic condition make errors in taking their meds? The most common problem areas: Memory. Forgetting to take a medication Organization. Failing to order a refill in time and running out Convenience. Being away from home and missing dose(s) Side effects. Experiencing unpleasant reactions…

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How to read an Explanation of Benefits

Before your loved one pays a medical bill, wait for the insurance’s Explanation of Benefits (from Medicare, this is called a “Medicare Summary Notice”). This document indicates what services were billed by which providers for what days. It is an important summary to help you catch errors, duplicates or, sadly, even identity theft or fraud….

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Maximizing your resources

When we think of “resources,” as family caregivers we might think of money. Or time. But there is another resource we’re using every day that is often overlooked: Emotional energy. Our emotions and mood contribute mightily to our ability to deal with challenges. When circumstances are difficult, it’s hard to generate enthusiasm or initiate projects….

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When kidneys fail: Dialysis?

If the person you care for has chronic or advanced kidney disease, dialysis will come up as a treatment option. This procedure mimics the cleansing function of the kidneys. It mechanically “rinses” the blood to take out toxins. Dialysis is not a cure for kidney disease. But it does buy some time. People often live…

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When high blood pressure goes untreated

Don’t confuse a lack of symptoms with a lack of risk. A person with high blood pressure usually feels “just fine.” And that makes it easy to also feel unconcerned. Your loved one may not be motivated to treat high blood pressure. Or may want to stop taking medications because they don’t notice any difference….

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Dementia communication: Speaking

Nearly every type of dementia compromises the ability to process language. It’s harder for the affected person to grasp words, to comprehend their meaning, and to track what’s being said. Communication with your family member may seem a frustrating struggle. Still, aim for interactions that maintain a positive relationship. Your emotional tone is key: Pay…

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Age-related macular degeneration

Age-related macular degeneration (AMD) is a very common condition affecting the retina of the eye. It causes blurry vision and dark spots in the center of the visual field. This makes it challenging to read, drive, and recognize faces. Although AMD typically gets worse over time, it does not lead to total blindness. It is,…

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“For better or for worse …”

Are you supporting a relative who is also a caregiving spouse? Many long-lived couples see it as both a duty and a privilege to walk that last mile with their partner, fulfilling vows of “for better or for worse.” That does not mean the journey is easy. Caregiving partners often experience physical challenges as they…

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Keeping blood pressure in check

Only 24% of people with high blood pressure have it under control. The remaining 76% are at very high risk for death or disability through heart attack, heart failure, or stroke. In fact, in 2018 high blood pressure was listed as a primary or contributing factor in nearly a half million deaths. With COVID-19, high…

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A robo-pet for companionship?

There is no doubt that seniors are suffering emotionally, and physically, from the social isolation of the pandemic. Those with dementia have been especially hard hit. Even elders who live on their own with no memory problems are struggling with loneliness, depression, and anxiety. How is your loved one doing emotionally? Want to introduce a…

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Slowing the progression of glaucoma

Glaucoma is a leading cause of blindness among older adults. It causes pressure in the eyeball to build up to a point that the optic nerve is damaged. There is no cure or repair. That’s a grim reality if your loved one has been diagnosed with this disease. Fortunately, glaucoma’s progression can be slowed and…

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Problems with hygiene

It’s not uncommon for a holiday visit to reveal that things with mom or dad are newly amiss, particularly in the area of personal grooming. Maybe mom has always been fastidious about her appearance, and now she’s disheveled. Or dad didn’t change clothes the entire time you were there, and maybe even had a strong…

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Repairing identity theft

It’s a fact that scam artists prey on older adults. Scammers steal identifying information and use it to obtain cash, make purchases, or open new credit card accounts. If your relative’s identity has been stolen, take action quickly. But be methodical! Keep track of every report you make. Log every call. Send any documents by…

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Montessori for people with dementia

Caring for a loved one with moderate-to-advanced dementia often leads to bewilderment. And sadness. Perhaps your relative seems withdrawn. Or is fidgety, pacing, or wandering. They may seem to recede each day. How can you connect with them now? How can you keep them engaged? Experts in dementia care are culling tips from pioneering educator…

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Accessible national parks

If the person you care for has trouble getting around, you can still go on a family vacation. Many of our national parks have special accessibility programs. Our parks are our treasures, and park staff are working to ensure that all Americans have access. To find a park with accessibility services, go to the National…

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When your passenger has dementia

Unbuckling the seat belt, grabbing the steering wheel, opening the door when traveling. These are not actions that make sense. But for a person with dementia, they seem like reasonable actions to stop a frightening or frustrating situation. When you are the driver, such actions can be dangerous. Your attention needs to stay focused on…

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Arthritis and Senior Fitness

May 30 is Senior Health and Fitness Day, and May is National Arthritis Awareness Month. Sounds like a great time to talk about the ways physical activity can help reduce joint stiffness and pain! Did you know osteoarthritis afflicts more than one-third of American adults over age 65? This arthritis comes on slowly with age…

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Safety tips for summer

For youth, summer is pure pleasure. As our bodies age, however, we become less able to maintain the physical “inner cool” that safeguards our health. To avoid heat-related health problems for your older relatives this summer, keep these words in mind: water, air, dress, rest. Signs of too much heat Sweating is our body’s natural…

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Make lemonade. Really?

“When life hands you lemons…” Well, you know the rest. While this adage can feel a bit trite, there is a certain grounded wisdom to it. In fact, researchers at the Mayo Clinic have been studying stress and coping strategies. It turns out there are coping skills that are effective, and others that are not….

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Mother’s Day without Mom

Mother’s Day was the brainchild of Anna Jarvis of West Virginia. In 1908, Anna held a memorial service to honor her mother’s deep commitment to love and compassion. Her mother epitomized kindness by caring for wounded soldiers. Far from a commercialized event, Anna envisioned Mother’s Day as a day to show profound appreciation through letters…

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Phones for every disability

Staying in touch with friends and relatives does a world of good for older adults. This is especially true for those who live alone. The ability to easily reach out is important for well-being. And it can make a life or death difference in emergencies. Limitations of aging, however, can make standard telephones difficult to…

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Advocating for a good night’s sleep

Sleep has been underrated. There is no doubt that miracles occur daily in hospitals. But in the race to vanquish disease, simple things like sleep can get short shrift. Choosing Wisely, a white paper by the American Academy of Nursing, has listed several common hospital practices that unintentionally get in the way of a solid…

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Memory loss and advance care planning

If the person you care for has received a dementia diagnosis, talk with them NOW about their wishes for medical care at the end of life. It’s a critical time to update their advance care directive. For both your sakes, the sooner you start this conversation, the better. Are you hesitant to bring up the…

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Red flags for COPD

Chronic obstructive pulmonary disease (COPD) is a lung condition that gets steadily worse over time. It frequently involves “flares,” or “exacerbations,” periods when breathing suddenly becomes more difficult. It can be very frightening and often results in a dash to the Emergency Room. It’s important to know the early signs of a flare and to…

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Is breathing difficult?

If the person you care for has a lung condition, there may be times when breathing is a challenge. Start by noticing patterns: is there a time of day, type of activity, or emotional state that triggers the difficulty? Is the person sitting, lying, or standing? Consider these options: Home environment Remove dust and replace…

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When family is paid for care

In many families, care of an elder relative falls predominately to one person. This typically begins with assisting occasionally for a few hours, and it can be a very loving connection. But as the needs increase, so do the hours. While the care may be given willingly, it does eat into the care provider’s personal…

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Empathy: Can you have too much?

Our brains are predisposed to feel the emotions of others. This capacity, called “empathy,” fuels our most altruistic acts as humans. And it fosters sweeter and deeper relationships. But it is possible to be overly empathetic. If the doorway to your heart is always open to feeling another’s emotions—pain, sadness, anger, fear—you are on a…

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Wheelchairs and your car

Transportation can be challenging when the person you care for uses a wheelchair. There are two ways to ease the situation. A transport wheelchair If your loved one does not need a wheelchair all the time, consider a special “transport wheelchair.” Transport chairs are easy to lift, fold, and store. They are ideal for running…

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Write your cares away—carefully

For centuries, journaling has been a tool for self-discovery. With reflective writing, your words do not have to be carefully arranged. It’s your private world and your private thoughts. You can ramble. Mention the unthinkable. Explore ideas with no worry about the consequences. Writing as personal therapy Journaling can help us turn a jumbled set…

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Walking your way out of the hospital

“The bed is not your friend.” This is the overall message concerning the benefits of walking when hospitalized. In one study, patients who walked frequently were able to go home an average of 36 hours earlier than those who did not walk very much. After staying in bed for just two days, an older adult…

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What does “prognosis” mean?

It’s natural to wonder how bad a serious condition is. Will treatment be effective? The prediction of recovery, in medical terms, is called a “prognosis.” Many conditions are difficult to predict. Cancers, on the other hand, run a fairly expectable course. A cancer prognosis, for instance, depends on the cancer. What type of cancer is it?…

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Who will care for Fido?

Pets often become members of the family. They provide companionship and love, especially for an ailing elder. Your relative may be worried about a pet’s future when he or she is no longer able to provide care. Consider what you can do to make arrangements ahead of time to ease that worry. Formal arrangements Formal…

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Signs of stroke or “TIA”

A stroke is a disabling, and potentially deadly condition. A blood clot gets lodged in the brain, denying blood and oxygen to those cells. In a very short period of time, that part of the brain can be damaged permanently. Depending on the location of the clot, a stroke can impair functions such as speech,…

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Drug misuse

Surprising but true: Adults over age 65 are candidates for drug overuse and abuse. Drug abuse is not common among elders. And it is often unintentional. But the misuse of prescription drugs poses exceptional dangers. Older adults are prescribed more drugs than any other age group. Roughly 80 percent of those over age 65 have…

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The role of humor in caregiving

“Laughter is the shortest distance between two people.” So quipped comedian Victor Borge. And indeed, studies bear him out. Laughter, especially when it’s a shared joke, creates a bond between people that generates a feeling of intimacy. Humor reduces tension and lowers stress. It also helps people to think more creatively and come up with…

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If your loved one becomes seriously ill while traveling

Taking Mom to visit family this holiday? You may rest more easily knowing there are options for getting home if she gets sick or injured on the trip. Air Ambulance If your family member becomes critically ill, hire an air ambulance. An air ambulance is a chartered plane or other aircraft outfitted with life-support equipment….

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Is a reverse mortgage appropriate?

If your loved one is worried about having enough money, he or she may be considering a reverse mortgage. A reverse mortgage enables a homeowner to turn some of the equity in a home into cash. You might think of it as an advance payment on the accrued value of the home. An approved lender…

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Cataracts can be corrected

Too often older adults assume that poor eyesight is a given. Indeed, half of us will have cataracts by the time we are 80 years old. But surgery is easier now and extremely effective. The importance of monitoring Cataracts involve a clouding of the lens of the eye. Cataracts develop slowly and require regular checking….

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Take a break: Options for respite

Go to bed when you’re ready, sleep without interruption, and do what you want all day. Ahhh… If you’re providing full-time care for your loved one, you may long for a night to call your own. Better yet, a few days and nights of R&R. An extended respite break isn’t indulgent, it’s smart. Providing care…

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When family comes visiting

If you have family coming to visit this season, you may be feeling both excited and concerned—excited about brightening your loved one’s life with family gatherings and holiday events, and concerned that your loved one may become tired or anxious with the extra activity. It is wise to think ahead about factors that could add…

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