” My wife Barb and I are currently on the HCG diet, it seems to be working great for us and everyone we talked to seems to be interested in learning more about it. So we thought we would share what we have learned so far and our experiences with you, our readers. The following article is an overview of the HCG diet which we hope you will find useful.We will be sharing our experience on the diet and its results with you soon”-Tom

What is the HCG Diet?

The HCG diet was designed nearly 50 years ago by a British physician whose belief that a hormone found in pregnant women would help people lose weight rapidly and reduce fat. This diet demands that a person’s caloric intake be no more than 500 calories a day along with a daily injection of HCG. HCG is also known as human chorionic gonadotropin. It is also available in pill form or drops.

HCG has proven to be an acceptable diet program that millions of dieters have reaped benefits from. It can help a dieter lose up to a pound a day with some people losing even more, as well as keeping the weight off after returning to a normal lifestyle. The HCG diet is different from other diet programs. Whether you want to lose 10 or 100 pounds, this diet is considered a great way to go; However, consulting your physician before starting any diet program is a must.

However, there are pros and cons about this diet program.

Some of the pros include:

• Rapid weight loss
• Minimal hunger
• Fat reduction
• Targets problem areas
• Metabolism is reset
• Normal eating can resume when the diet is completed
• You will learn healthier eating habits
• You will learn to make better food choices

Some cons about this diet include:

• Few food choices
• Must adhere strictly to the diet plan to achieve success
• This diet is subject to much controversy
• Diet requires daily hCG injections, pills or drops
• Must drink a lot of water
• Eating out is difficult
• Extremely structured

The hCG diet does have short and long-term effects. Some people have reported that they feel have no energy and feel fatigued. Others report being cranky and irritable. Staying on the diet for a long period of time can result in malnutrition. At 500 calories per day this diet does not meet the U.S. nutritional dietary guidelines.

While this diet does promise quick and easy weight loss at first, it is because you are eating fewer calories than you are burning off.

HCG Diet Menu

The diet plan is simple and straight-forward. The following is an example of a typical day on this diet:

• Breakfast includes tea or coffee in any amount without any sugar. Saccharin or stevia may be used, however, only one tablespoon of milk in a 24 hour period is allowed
• Lunch includes 3 oz of veal, chicken, beef or fish with all visible fat removed. The meat must be weighed raw before cooking. It should be grilled or boiled only.
• Only one vegetable with lunch is allowed from the following: green salad, spinach, chard, chicory, tomatoes, celery, fennel, onions, red radishes, cucumbers, asparagus, cabbage.
• One breadstick or melba toast
• An apple, orange, or a handful of strawberries or one-half grapefruit.
• Dinner is the same as your lunch choices.
• Tea, coffee, plain water or mineral water are allowed in any quantity at any time. The juice of one lemon daily is allowed for all purposes. Salt (minimal), pepper, vinegar, mustard powder, garlic, sweet basil, parsley, thyme, marjoram, etc., may be used for seasoning. But NO OIL, BUTTER or DRESSING.

Counting The Cost

Any diet is tough to follow. Controversy encompasses just about any diet plan found on the market today. Most diet fads have their zealous followers and success stories. However, it all comes down to the commitment you make with the diet you choose. There are those that have been very successful on this diet, and there are those who have not. If you decide to try this type of diet make no mistake that it does require a very strong commitment, but it very well could change your life.

This diet program requires a bit of effort, but people generally get immediate results. This factor alone makes continuing with the program worth it and the realization that the end result is only 20-40 days away makes completing this program extremely reachable even for the most defeated of dieters!

Homeopathic Diet Drops

If you don’t like needles one of the best ways to utilize hCG is homeopathic hCG drops. They are inexpensive as compared to injections of hCG. You don’t need to make a doctor’s appointment and can carry it with you when traveling. An internet search will provide a host of companies that sell homeopathic drops, but you should only buy it from a licensed practitioner. Impostor hCG products are sold every day on the internet. these pills, powders, and oral drops are imitations of the real deal and contain unknown dangers. Furthermore, it is illegal to buy and/or sell hCG without a prescription. Some of the dangers and side effects are: headaches, depression, mood swings, anxiety, sluggish mobility and weakness, insomnia, burning muscle instead of fat, metabolism shutdown, and lost weight boomeranging very quickly.

What about Exercising?

Do not exercise while doing this diet plan. Exercise is strictly forbidden while you are on the plan. While consuming a low-calorie diet plan, exercise is simply unnecessary and will just tire you out.

Necessary Preparations

Preparing for your new diet requires smart grocery shopping. Having the right foods and spices you’ll need readily available in your kitchen will help you stick to your goals. Dieters who do not plan ahead or try to change their normal lifestyle simply cannot stick with the plan for any length of time.

The following list is just a sampling of what you should have readily available:

Lemons, oranges, strawberries, lettuce (iceberg and romaine), apples, grapefruit (red), cucumbers, celery, asparagus, sweet onions, green onions, bag of spinach, tomatoes (cherry, Roma, etc.), melba toast (wheat and garlic), no sugar salsa, real sea salt, Tony Chachere’s seasoning, fresh chicken breast or tenders, Jennie O turkey burgers, 93% lean turkey, beef and chicken, shrimp, lobster, crab, lean steak, white fish, lean roast.

HCG Diet Recipe

Cooking steak or chicken tonight? Here is a great marinade recipe:

• 2 tsp lemon juice
• 1 tsp fresh cilantro
• 1&1/2 tsp spice blend
• 3/4 tsp chili powder

Sticking to the above approved food items will ensure that you have the approved, fresh foods on hand to supply themselves with meals necessary to do the diet successfully. Learning how to prepare healthy, fresh meals is a benefit of the diet.

When grocery shopping, strict adherence to a pre-planned shopping list will ensure that the ingredients are available when preparing your meals and following a recipe under the meal plan. Successfully following the recipes on the diet creates long term knowledge and retention with regards to preparing healthy meals. This helpful knowledge will permit the dieter to maintain a healthy weight and move forward to a healthy new lifestyle with better eating habits.

Reward Yourself

Dieters who reward themselves as they lose weight are very likely to stick with this plan until they have reached their goal. Some examples of rewards include: a manicure and pedicure; new clothing; or a great mini-vacation.

Get Educated

There is an enormous amount of information for anyone looking to follow this diet. A great resource to both learning about the Diet and to help you if you choose to go for it is the HCG Weight Loss Cure Guide. The diet has been the subject of much media attention recently. Those in the medical industry are concerned by the many aspects of this diet, and many doctors who do the injections will only do so in cases of health-threatening obesity. The long-term effects of HCG usage are not known or documented as of yet. Keep in mind that following a very low caloric diet can be dangerous and lead to various health complications.

As this diet fad continues to gain popularity, expect to pay around $140 per month for the hCG drops and additional costs for recipe guides, books, and meal plans. Costs could be significantly higher for those that go to a private doctor or clinic for their injections and consultations.

While many dieters are lured in by the this diet’s claims of fast weight loss without exercise, people are still being warned to steer clear from the diet as it is not a healthy way to lose weight. The 100′s of testimonials being promoted on the internet are more than likely from people who did, in fact, experienced weight loss, but did so because of the extreme Calorie restriction and the high protein diet which promotes ketosis. When the body is in Ketosis, it has no choice but to burn fat.

Lastly, hCG in itself is not considered risky or unsafe when used properly and under a doctor’s care and guidance. It is a natural substance present in every male and female; however, something to consider with your decision to start this diet is that the Food and Drug Administration has stated that hCG has not shown or proven to be effective in treatment of obesity and that weight loss is achieved only due to the very low calorie intake required on this diet. With so much concern over hCG being supplied to consumers via on-line pharmacies, the FDA warns that a consumer make sure that any web site they decide to do business with is a state-licensed pharmacy located in the United States and is a member of the National Association of Boards of Pharmacy.

Moreover, each person has their own preference of dieting methods. Always discuss your options with your personal physician before starting any diet plan. Together you can be certain of choosing the best option available.

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The decision to become a caregiver of a loved one is not an easy one to make. If it’s a spouse or child, there is no question. However, when it’s a parent, there’s a feeling of anxiety. If you have siblings, then anxiety may be accompanied by resentment for having to be the one to make the decision. Then guilt sets in. Your parent took care of you, and now you just feel obligated.

Guilt is debilitating and doesn’t just affect you, but also your family and your loved one. Eventually, your initial decision to do something hopeful will lead to destruction. Even when relatives praise you or your loved one thanks you, you will still feel a sense of guilt.

Oftentimes, you feel guilty simply because you are in good health and your loved one is not. Your loved one is elderly, and that is a circumstance out of your control. Feeling guilty about it only distracts you from your task.

What is Caregiver Guilt?

Caregiver guilt is sometimes an emotion that conceals resentment, anger, or simply exhaustion. Taking care of a loved one is not an easy task. It can drain you of all your patience, eat away at your personal life, and occupy your life completely. You may resent your siblings for not doing their part, and you may resent your loved one for needing you. Resentment leads to anger, and ultimately these negative emotions fester into guilt. It is important that you recognize the underlying emotions that cause the guilt, in order to move on in peace.

Know When To Ask For Help

If you resent the fact that you have no life, get a life. Taking care of a loved one should not hinder your needs. Just like having children, parents may feel they need some time alone, and when this is the case, they call in a helper for some relief. As a caregiver, you can do the same thing. And if you feel guilty for taking time away from your loved one, make sure you give him or her some fun time too. Create a balance. Your loved one might feel resentful and angry too if they sense you are burdened by them.

Put Yourself In Their Shoes

A parent suddenly feels like the child, and this can cause resentment and anger. They don’t want to feel like a burden, but if you, as a caregiver, are retaining all these negative emotions, you may inadvertently reveal your true feelings to your loved one. It could be in the tone of your voice, a gesture, or a look. With so many negative emotions flying around, animosity will grow and fester, and only bad things can come out of the situation.

Losing the guilt means understanding the situation and reminding yourself that you had a choice, even if the other options were not to your liking. Don’t be a martyr. You are a good person for taking on the burden, but if you reveal your burden to others as a complaint, the good becomes soiled. Find an outlet, like an online forum where other caregivers share situations and feelings. When you realize that you’re not alone, care giving will be easier to bear.

Give Care To Yourself Too

Caregivers need to be well in mind and body. You cannot be a good caretaker if you don’t take care of yourself. Consider relaxing or meditative outlets, such as yoga, Tai Chi, hiking, or long walks. Look to your faith for strength. You must have a strong mind and body to be the best caregiver that you can be. It starts with you. If you are well, your loved one will be well, and your family will be well. No pressure!

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Caring for a loved one in the end stages of Alzheimer’s disease can be a very trying and difficult time for family members, friends, and caregivers. While the patient may become increasingly unaware of their mental and physical deterioration, those left tending and supporting the individual are charged with the heartbreaking task of keeping the patient comfortable and secure during their end-of-life struggle with Alzheimer’s.

Progression of Alzheimer’s disease

Alzheimer’s disease progresses in a rather uncommon fashion. While some patients stricken with the disease seem to follow a steady pattern of decline, others may spend years of slow deterioration of their mental and physical faculties. Regardless of the speed of decline, Alzheimer’s care for late stage and end-of-life is a struggle shared by countless caregivers.

While the patient’s condition advances to the end stage of life, there are many things to consider when planning for appropriate care and support. Alzheimer’s disease does not seem to follow a consistent timetable in respect to measuring the length of end-of-life support. Some Alzheimer’s patients may enter this last phase of the disease with only days to live, while others may linger on, requiring months of end-stage care. Caregivers, physicians, and family members should develop an outline of the necessary arrangements that must be made on behalf of the patient during this stage of the disease.

In general, most Alzheimer’s sufferers will require a high level of physical assistance and care as the disease progresses toward the end of life. A plan of action regarding the likelihood of supplying 24 hour care for the patient will be necessary. Orchestrating such intense support and supervision can be quite complicated. Enlisting the help of family and friends, along with the use of home health aides if applicable to the individual situation, can be of great assistance to the primary caregiver(s) who may be over-wrought with the burdens of tending to an Alzheimer’s patient.

Initial stages of Alzheimer’s

During the initial stages of Alzheimer’s, patients may present with a variety minor deficits in memory and possibly physical coordination problems that seem to be of little significance to the daily living of the individual. However, as the disease presses on, minor regressions in memory and functioning increase to such an extent to which a loss of independence becomes inevitable. Dealing with the emotional upsets of a loved one who cannot care for themselves properly due to the disease can be a very trying task. Many Alzheimer sufferers are still aware enough to recognize that things are no longer as they were before the illness. This can create a duel problem for caregivers who, on one hand, are finding it difficult to maintain a balance between their own individual lives and caring for their loved one, and the sadness of helplessly watching their loved suffer from this disease.

Late stage Alzheimer’s

When Alzheimer’s disease reaches its last stage, new problems and concerns begin to surface. The patient will undoubtedly be unable to communicate with loved ones in a comprehensible manner. At this unsettling stage of the disease, loved ones responsible for the majority of care will be tending to tasks such as bathing, feeding, toileting, and dressing. Once the end-of-life stage commences, the realization of the finality of this disease may begin to weigh heavily on the caregiver(s).

Caregiver Burnout

A common issue that most caregivers face during a loved one’s battle with Alzheimer’s disease is caregiver burnout. Learning when to ask for help in the caring for the patient as well as knowing where to seek it out is vital. Setting time aside in order to regain focus and well-needed rest is essential for the caregiver. It is unfortunate that many feel guilty when taking a day or two off from caring for their loved one. Seeking out a moments reprieve from the seemingly endless responsibilities that involve tending to an Alzheimer’s patient in the last stages is highly recommended. Many caregivers come down with physical ailments due to the fact that they concentrate soley on their loved ones needs, neglecting their own. Planning down time is vital to remain an efficient caregiver.

An important facet of caring for an individual with Alzheimer’s is time management. Caregivers may find themselves frustrated at the increasing amount of assistance their loved one requires once the disease begins to progress. Caring for an individual with Alzheimer’s is best accomplished by adhering to a strict schedule in order to maintain a sense of normalcy, not only for the patient, but for the caregiver(s) as well. Establishing a set routine will make the transitioning between alternating caregivers much smoother. Setting clear times and responsibilities for each member of a caregiving team is essential.

Once a clear schedule of caregiver duties has been made, it will become important to pay attention to subtle signs of pain and discomfort that the patient may be experiencing. Communication in the end stages of Alzheimer’s becomes mostly nonverbal. Close attention must be made to the patient’s comfort level at this time due to the fact that the individual will not be able to express their needs verbally. Facial expressions, bodily movements, and overall demeanor of the patient will allow the caregiver(s) some clues as to the comfort and state of being of their loved one during this difficult time.

Home Care Assistance

In the event that home care is a viable option, the caregiver will need access to various equipment in order to make the last moments of the individuals life as comfortable as possible. A hospital bed and wheelchair may be needed. The likelihood of the patient becoming incontinent during the end-of-life stage increases as well. Physical limitation may require the caregiver to seek out assistance in keeping up with daily hygiene issues for the patient. Consideration should be taken as to the possibility of having to lift or move the patient in order to maintain their comfort level.

The Emotional Tole For Caregivers

Late stage Alzheimer’s disease brings along with it many conflicting emotions for caregivers. Dealing with the grief, sadness, and possible depression during these last moments of the patient’s life can come in many forms for caregivers. Each person has their own unique way of handling such emotions. Often times, caregivers will try to push the grief to the side in order to avoid upsetting others during this difficult time. Understanding that these feelings are a normal part of the grieving process can help the caregiver move through this stage effectively.

There are several places a caregiver can turn to for help in making the transition into the end-of-life phase of Alzheimer’s disease. Aside from rendering the assistance of family and friends, hospice services can provide much needed help to caregivers. A hospice team of professionals are available in home and at nursing facilities to support the patient and loved ones during such a difficult time of loss. Respite care is also an option for providing short-term care in the event that a caregiver needs some time off or is unable to care for their loved one for brief period of time.

Nursing Home Care

Most often, Alzheimer patients in the late stages of the disease require nursing home care. In this event, loved ones who previously were in control of administering direct care and support may still take part in their care, yet on a more limited basis. Healthcare professionals at the nursing home facility are usually very willing to follow family instructions as to the type of care given to the patient.

The end-of-life care does not necessarily cease with the passing of the patient in many cases. Support groups, hospital and nursing staff, as well as social service administrators can offer much support to the family members and caregivers following death. Caregivers who take full advantage of the services that are provided for them tend to fare better in the long run and are more readily able to return to some form of normalcy once their loved one is gone.

Do you have any experiences or helpful info to share about end of life care for late stage Alzheimer’s? Leave a comment below…

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Exercise has been shown to be beneficial to people of all age groups. As we age, the benefits of exercise increase and help keep the body and mind healthy. Seniors who exercise are happier, less likely to fall, reduce their chance of getting serious health disease and can more easily perform day to day life activities. Despite the numerous benefits of exercise, many seniors are reluctant to start an exercise program. They worry that they are not healthy enough or that they will fall and get hurt. Almost everyone can do some type of exercise. Even small amounts of exercise can have noticeable positive affects and help seniors live longer and better.

Understanding Types of Exercise

It is important to understand the different types of exercise and how a person can benefit from them. Exercise can basically be broken down into four categories: endurance, strength, balance and stretching. Each type of exercise focuses on different aspects of a person’s life. Some types of exercises work together to bring about the desired health goals. By combining different types of exercise, seniors can develop an effective exercise plan.

Endurance exercises work several large muscles groups at a time and increases the flow of oxygenated blood and the body’s ability to use it. The most common type of endurance exercise is walking. Other endurance exercises include swimming, hiking and dancing. Endurance exercises can help decrease fatigue, or feeling tired, and shortness of breath.

Strength exercises strengthens muscles, bones and joints by using weights. As the muscles, bones and joints are strengthened, back and arthritic pain are decreased along with the risk of falls. Strength exercises can start with little or no weight at all and then build up to lifting several pounds of weight.

Balance exercises help reduce a person’s posture and reduce the risks of falls. Some types of strength exercises are also balance exercises. In addition, posture exercises and yoga help increase a person’s balance.

Stretching exercises increase a person’s range of motion and ability to do normal activities of daily living by giving them flexibility. Joints and muscles that are flexible are less likely to be damaged or hurt. Flexibility gives people the freedom to do everyday tasks such as turn their heads to see something or bend down to tie their shoes.

Getting Started

The first step a senior should take in before beginning an exercise program is to see his physician. Most people can exercise without any negative effects, but a physician who is familiar with a senior’s medical history can recommend which exercises would be most beneficial and which should be avoided. The physician should also be able to advise the senior if he is on any medications that would require special precautions such as avoiding sunlight.

After receiving medical clearance, it is time to develop an exercise plan. Many community centers and gyms offer exercise programs geared to seniors, but with a little planning and minimal expense you can create your own program. The National Institute on Aging offers good advice and some samples of exercise for seniors. Anyone looking for information on exercise for seniors will benefit from visiting their website at http://weboflife.nasa.gov/exerciseandaging/toc.html.

Start Slow

Someone who has not been on a regular exercise program should begin slowly. In the beginning, you should not expect to be able to do as much as someone who has been exercise regularly. There are some important tips to remember as you begin: begin with a few minutes of exercise twice daily and build up to longer periods of time, if you cannot comfortably carry on a conversation you are exercising too hard, you should not experience dizziness or chest pain, you should not exercise if your joints are red or swollen. If you experience any of these symptoms, stop exercising.

How Long and How Often Should I Exercise

Many people wonder how long and how many days per week they should exercise. Make a schedule and try to stick with it every week. Your initial exercise schedule should be only what you can tolerate. As you build up stamina and tolerance, increase the amount of time you exercise. It is important to do a variety of each type of exercise to reap the maximum benefits of exercising. The National Institute on Aging gives two good examples of an exercise schedule. The first schedule is for seniors beginning an exercise plan, while the second represents the maximum amount of exercise a senior should do.

A Good Starting Exercise Schedule

The Maximum Amount of Exercise Recommended for a Senior

• Sunday-Endurance, Stretching and Any Time Any Where Balance
• Monday - Endurance, Strength and Balance of the Upper Body, Stretching, Any Time Any Where Balance
• Tuesday - Endurance, Strength and Balance of the Upper Body, Stretching, Any Time Any Where Balance
• Wednesday - Endurance, Strength and Balance of the Upper Body, Stretching, Any Time Any Where Balance
• Thursday - Endurance, Strength and Balance of the Upper Body, Stretching, Any Time Any Where Balance
• Friday - Endurance, Strength and Balance of the Upper Body, Stretching, Any Time Any Where Balance
• Saturday - Endurance, Strength and Balance of the Upper Body, Stretching, Any Time Any Where Balance

Examples of Different Types of Exercise

Endurance Exercises

Walking is the most common type of endurance exercise. Begin walking slowly and for five to ten minutes at a time. As your stamina increases, increase both the pace and length of your walk. As your endurance builds, you should walk at a moderate pace that increases your heart rate and breathing. Your goal should be walking at least thirty minutes a day, five days a week. Increasing to thirty minutes a day, seven days a week will give you the maximum benefit. You do not have to walk outside. Many malls and community centers offer free, air-conditioned walking tracks that are perfect for a relaxing walk.

Swimming, hiking, tennis and dancing are other examples of endurance exercises. Basically, any activity that uses a lot of muscle groups and increases your breathing and heart rate can be considered an endurance exercise.

Strength Exercises

Strength exercises involve lifting or pushing weights. You can start out with no weights or use a can of food as a weight and then gradually increase the amount of weight you use. Resistance bands, that can be found at sporting goods stores, are a good alternative to weights. Below is a list of strength exercises:

• Arm Raises - Sit in a chair with both feet flat on the ground. Begin with your arms at your side holding a weight in each hand. Slowly raise your arms up until they are parallel to the floor. Hold your arms in this position for one second. Slowly bring your arms back to your side. Begin by doing this eight times. Rest and then repeat another set. As this becomes easier, increase the times you raise your arms to fifteen per set. When you can raise your arms fifteen times per set increase the amount of weight you are using.
• Biceps Curl – This is another strength exercise that is performed in a chair. Sit in the chair with your feet flat on the ground, the same distance apart as your shoulders. Have your arms at your side with a weight in each hand. Using one arm at a time, slowly raise the weight to your chest and hold it there one second. Slowly bring the weight back to your side. Repeat with the other arm. Begin with eight curls for each arm. Rest and then repeat. Work your way up to fifteen curls per arm per set, and then increase the amount of weight you are using.
• Planter Flexion – Stand behind a chair with your fleet flat on the floor and your hands holding on to the back of the chair. Slowing raise up as far as you can on your toes. Hold this position for one second. Slowly place your feet back on the floor. Begin by doing this in a set of eight. Rest, and then repeat. As you become stronger alternate legs during the set. You can also add ankle weights as your strength increases.

Balance Exercises

Any of the strength exercises that work on the lower body is considered a balance exercise. As you become more comfortable with the strength exercises, begin doing them with one hand on the chair instead of two or with your eyes closed. There are other balance exercises.

Any Time Any Where Balance Exercises

• Walk Heel to Toe
  Walk by putting one foot directly in front of the other, with the heel of one foot almost touching the toes of the other foot.
• Stand on One Foot
  Stand on one foot while standing. This can be done almost anywhere and almost at any time.
• Sitting Up and Down
  Sit up and down without using your hands to balance you. You can incorporate this into your day any time you rise from a sitting position or sit down.

Stretching Exercises

Stretching exercises should be done every time you do endurance or strength exercises. If you are not doing other types of exercise, make sure you do stretching exercises three times a week for twenty minutes a time. Stretching can be as simple as rolling your neck from side to side or standing with your feet slightly apart and then bending and reaching for your ankle.

All of these and additional exercises can be found at http://weboflife.nasa.gov/exerciseandaging/toc.html.

If you are a senior, begin planning and preparing to begin an exercise program today. Regular exercise will lead to a healthier and happier life. Remember to always check with your doctor before attempting any exercises.

References:

http://www.helpguide.org/life/senior_fitness_sports.htm

http://weboflife.nasa.gov/exerciseandaging/toc.html

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Dehydration is a common condition that afflicts many people over the age of 65. Because the symptoms of dehydration are masked by the aging body, patients and caregivers typically overlook the warnings signs until it is too late. But, dehydration can be avoided if you are careful and know what the symptoms are.

What is dehydration?

Dehydration is a condition when the body is losing more water than it is taking in. Loss of water can be due to medications, illnesses, inability to move around easily, diminished sense of thirst, or reduced kidney function. At times, seniors are dependent on caregivers who may not realize they are not taking in enough fluids.

A factor in elderly dehydration is the increased risk of contracting illnesses such as the common cold and influenza. These illnesses cause fluid loss that is not easily replenished. If possible, it is a good idea to take extra precautions during cold and flu season so your loved one does not get sick.

Another reason elderly persons become dehydrated is because of their medication. With the various health conditions that develop in the senior years, it is not uncommon for people over the age of 60 to be taking multiple medications. Medications to monitor and control heart disease, hypertension, kidney disease, and liver disease are common diuretic medications prescribed for seniors. While the patients realize that these medications are diuretics, they often overlook their need to add more fluids to their daily diet as they take their prescribed medications, and this causes many of them to become dehydrated.

Sometimes people in advanced years who live on their own do not drink enough water or other fluids to maintain their health. This can be for a variety of reasons, but a common reason is that deteriorating muscles make it more difficult for them to get up and move around, which discourages them from simply going into the kitchen for a glass of water. Some of them also find it difficult to regularly get up to go to the bathroom, so they purposely reduce the amounts of fluids they consume so they do not have to urinate as frequently. Friends and family who regularly visit with their loved one may not realize that the person is dehydrated until they are in an emergent situation.

What are the symptoms of dehydration?

Usually, the first symptom of dehydration to present is a dark or malodorous urine. This is closely followed by decrease in urine output and chronic constipation. Urinary tract infections could develop over time. When the body is not properly flushing itself of toxins, these toxins can cause infections. So, if the person is not getting enough fluids, they are not voiding the toxins regularly.

Some of the first symptoms of severe dehydration include chronic fatigue and lethargy. Many times the person will nap for a couple hours once or twice a day. As the dehydration develops, the muscles will become weak and sometimes the person will develop muscle cramps. Too often people excuse these symptoms as signs of aging, but more often than not it can be corrected by re-hydrating the person.

Dehydration can also cause confusion and weakness. If your elderly charge is otherwise sound in mind and body, but suddenly displays confusion and/or weakness, they may be experiencing dehydration. Typically, an increase in their fluid intake will relieve these symptoms. However, these two symptoms can be indications of a number of different conditions. So, if the symptoms persist after increasing their fluids, you may want to consult a doctor to determine if there is another condition presenting itself.

Headaches are also a common symptom of dehydration in younger people, as well as wrinkled or sagging skin. However, these symptoms may not be evident in elderly patients. Headaches alone do not necessarily indicate dehydration, but combined with any other symptom could identify possible dehydration. Checking the skin for proper elasticity also can help identify early stages of dehydration. Pull up the skin on the back of the hand, and if the skin does not return to its normal state within a second or two, the person is likely suffering from dehydration.

More symptoms to look for include: dizziness, dry mouth, sudden problems with mobility, low blood pressure or severe change in blood pressure when standing up, rapid resting heart rate, irregularity in body temperature (too cold or feeling hot without producing sweat), inability to produce tears, or “sunken” eyes. Patients who are bed-ridden experience bedsores more readily when dehydrated than those who are able to get up and move around frequently.

How can dehydration be prevented?

Humans can only survive approximately four days without fluids. The goal is to not allow that to happen. Unfortunately, each person’s hydration level is different. Where one person may need 6-8 glasses of water every day to stay hydrated, someone else may only need 4-6 glasses of water. Simply monitoring body weight daily can indicate if a person is entering a dehydrated state. If the person loses two or more pounds from the previous day and feels thirsty or has a severe headache, they are probably dehydrated. Prolonged dehydration can cause other health issues, such as cardiac or renal problems. Patients who already have cardiac or renal conditions will have more severe reactions to even slight dehydration.

If your loved one has trouble walking or getting to the kitchen, consider keeping a water bottle or two next to their chair or bed. If they are not able to lift a full one liter bottle, then leave three 12 ounce bottles beside them. Also, water is not the only liquid they can consume to stay properly hydrated. Coffee, tea and lemonade are water based and will provide your loved one with a variety of fluids to consume, which will keep them from becoming bored with their fluid intake. In moderation, the caffeine in coffee and tea and the sugar in the lemonade should not adverse affect their metabolism or blood-sugar levels.

Some of the things we eat, such as fruits, vegetables and soups, contain water and are good sources of hydration. If a glass of fluid is added to the daily meals, we can ensure that our loved ones are getting fluids regularly. According to information found on the MEDLINEplus website, some fruits and vegetables which are comprised of 90% or more water are: cooked asparagus, raw bell peppers, cooked or raw broccoli, raw cabbage, cantaloupe, cooked or raw cauliflower, raw celery, raw cucumbers, grapefruit, honeydew, raw lettuce, raw strawberries, raw tomatoes, and watermelon. Adding one or two of these items to every meal provides more fluid in the diet and satisfied the daily recommended serving of fruits and vegetables, which also provides vitamins and minerals the body needs.

One of the most important ways to avoid dehydration is to be educated about the medications your loved one is taking. There are many medications that are diuretics, which means that more fluids will need to be consumed daily to avoid dehydration.

Dispelling the Myths:

MYTH: If they are dehydrated, they will be thirsty.

TRUTH: As people age, they lose some of their basic senses. They can lose their sense of smell, sense of taste, and ability to identify when they are hungry or thirsty. Along with making sure your loved one eats properly, you also need to make sure your loved one is drinking enough fluids.

MYTH: Every elderly person needs to be weighed every day to insure they are not losing too much weight and possibly dehydrating.

TRUTH: While it is a simple method to identify possible dehydration, it is not necessary to weigh the patient daily in every instance. An active elderly person who is mobile and does not require constant care would not need to weigh themselves every day to make sure they are not dehydrating. However, a patient in a nursing home – especially if they have already experienced dehydration – should be weighed at a minimum every two days to make sure they are not in danger of dehydration.

MYTH: Using a scale that also measures body mass and hydration levels can help prevent dehydration.

TRUTH: Don’t believe the marketing on every product. Unfortunately, these scales have not proven to be accurate. Until the manufacturers can perfect the technology for these products, watch for other signs that your loved one is dehydrating.

MYTH: The caffeine in coffee and tea will cause further dehydration.

TRUTH: 1-2 cups of a caffeinated beverage will not be enough to cause dehydration in a person. However, large amounts of caffeine could trigger the diuretic properties of the substance. As with their food consumption and vigorous exercise, everything should be done in moderation.

Because it is difficult to diagnose dehydration in elder persons in its early stages, severe dehydration frequently results in hospitalization. If left unchecked long enough, it can be life-threatening and can even result in death. It is important for caregivers and even elderly patients to be watchful of the symptoms and seek medical assistance if the symptoms persist beyond one or two days.

If you have any other important information to share please leave a comment below!

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Who Will Care for the Caregiver?

For most people, caring for their loved one is only the logical thing to do. There is no second thought when it comes to providing that extra care that they need. Many think to themselves “why wouldn’t I do it?”

Usually, it begins with one or two things. Quick trips to the grocery store or that necessary driver for doctor’s appointments. These are such simple tasks that can easily be added to the schedule. But the tasks multiply. As the task list grows, the caregiver just adds them to the daily routine. Too soon the caregiver starts structuring their schedule around the caregiving.

As caregivers fill their “free” time with chores and other tasks for their loved one, they start to separate from everything they used to do: go out with friends, exercise, maintain memberships to clubs and other activities. They become isolated from everyone else because their time is spent caring for this other person. Feelings of being trapped in the situation are not uncommon, and that can lead to depression.

Caregiving not only affects the caregiver mental and physically, many times it also greatly affects them financially. Since most caregiving services are not covered under health insurance, caregivers are forced to take care of family members themselves, sometimes taking a lesser position so they are available for their loved one, or taking leaves of absences from their work or quitting their jobs altogether. This adds to their stress levels because it sometimes infringes on their ability to adequately pay their own bills.

And, because their attention is constantly on their charge, they neglect their own mental and physical health. Physiological evidence has shown that caregivers have a higher elevation of a chemical linked to chronic inflammation, which increases their risk of arthritis, Cancer, diabetes, heart disease, and other diseases.

When Diane cared for her husband, Emil, after his by-pass surgery, she ignored her own growing symptoms of illness. Emil had recovered well and was almost back to full health. So, he was willing and able to take over as caregiver when Diane was diagnosed with Lung Cancer. As he drove Diane to her many treatments and specialist appointments, Emil failed to keep his follow-up doctor appointments. Since he wasn’t properly taking care of his health, his condition became serious again.

This scenario is repeated in thousands of households every year by caregivers and their charges. Sometimes it is the spouse neglecting their health; sometimes it is a middle-aged child who is caring for their parent. So, who will care for the caregiver?

Asking for Help:

A common question is “why do caregivers not ask for help?” Sometimes, the caregiver is so busy taking care of their loved one that it does not occur to them that they should ask for help. Some do not know how to ask for help or where they could turn for help.

There are several agencies in the United States that were developed to do just that: provide desperately needed support to caregivers. They not only assist in arranging respite for the care recipient, they also organize support groups for the caregiver to attend meetings and discuss their feelings and be reminded that they, too, need to care for themselves.

Some of the organizations available to assist caregivers are:

• The National Alliance for Caregiving, 301-718-8444, www.caregiving.org

• National Family Caregivers Association, 1-800-896-3650, www.thefamilycaregiver.org

• Local Groups, such as senior centers, Meals on Wheels, and community transportation services can help ease your daily chores list by providing some services you would otherwise have to do.

• There are also many groups on the Internet who have regular chat sessions scheduled, message boards and websites that can be a great help to caregivers so they understand they are not alone.

Beware of Burnout:

Even with occasional help, a long-term caregiver is prone to burnout. Feelings of being overwhelmed by the situation and feelings of frustration can send the caregiver into a deep depression. Once burnout happens, it is no longer safe for either party to continue the caregiving situation as it presently stands. However, burnout can be prevented if the caregiver follows some simple steps while they are caring for their loved one.

• Do not do this alone – While caregiving usually starts out gradually, as noted above, once it starts to become a regular occurrence, you should seek the assistance of others. Talk to family and friends to see what they can and will do to assist in caring for the loved one. If further assistance is needed, look for agencies and groups in your area that will provide respite or other services that will help remove some of the work from your schedule.
• Learn about the illness – This is an important part of caregiving. If you understand the illness your loved one has, then you will be properly prepared to care for them and watch for danger signs while they are under your care. Knowing you are prepared removes much of the stress and frustration you would normally feel if you were dealing with an unexpected complication from the illness.
• Everyone has limits, know yours - Caregivers have a tendency to give more than 100% of their time and energy to the person for whom they are caring. You should be realistic with yourself and the doctors and other people involved. Set clearly defined limits and make sure everyone knows what those limits are.
• Take care of yourself – Do not neglect your own health by putting off doctor appointments or other activities to be a caregiver. Most likely you are feeding your charge a well-balanced meal, so why not enjoy that meal with them? Take time out to exercise, even if you are using a pre-recorded exercise routine or taking a short walk every day. Remember to pamper yourself and find some time to enjoy something you like each week.
• Feelings are okay to have - Caregiving is a difficult job, and you are likely to feel many emotions, including fear, grief, helplessness, then anger and resentment, followed by guilt for feeling these emotions. You are allowed to feel all of these things, and you will. Sometimes keeping a journal is a good way to let your emotions flow and avoiding bottling them up. As long as it does not hurt the mental or physical well being of the care recipient, let yourself feel.
• Talk to others - Keeping your emotions and thoughts bottled up inside does not help your overall health. Talk with a friend or family member about what is going on, what you are feeling, and what you need. There are also support groups that can help you work through your emotions and provide an outlet for you. If your emotions are so overwhelming that you are having difficulty functioning, it may be time to consult a counselor or therapist.

Books to Help You:

There are many more resources available to caregivers today than there were even 20 years ago. Many of them can be found online or in book stores. Some good titles to start with are:

• The Emotional Survival Guide for Caregivers: Looking After Yourself and Your Family While Helping an Aging Parent (Guilford, 2006).
• Share The Care: How to Organize a Group to Care for Someone Who Is Seriously Ill, (Revised and Updated) (Fireside, 2004)
• Caring for Your Parents: The Complete Family Guide (AARP) (Sterling, 2005)
• How to Care for Aging Parents

Tips to Follow:

1. Caregiving is a full-time job and you need regular breaks. Don’t forget to pamper yourself – you deserve it.
2. Depression can hit you when you least expect it. Keep a watchful eye for the signs and seek professional help when you need it.
3. People offer help, but rarely know what they can do. Take their offer and let them know what they can do to assist you.
4. Learn about your loved one’s illness, and learn how to communicate with the doctors caring for your loved one.
5. Caring and doing are two different things. There is a world of technologies and ideas that allow your loved one to have their own independence.
6. Your instincts are there for a reason. Trust them.
7. Caregivers use their back to do a lot of pushing, pulling, and lifting. Take good care of your back.
8. Grieving your losses is okay, but don’t forget that you can dream new dreams.
9. You are not alone. There are other caregivers who understand what you are going through.
10. You have rights as a citizen, and you have rights as a caregiver. Don’t give either up.

Caregivers need to be very careful that they are looking after themselves just as diligently as they look after their loved ones. Unless they are careful, they could face many of the same health problems they are helping others cope with. There are many reasons why people become caregivers, and they are an important part of our society. Taking care of others should not impede a caregiver’s health and well being. Take care, Caregivers.

Do you have more suggestions or a story you would like to share to help caregivers care for themselves?

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If you are caring for an aging parent or other elderly loved one, this book could be a wonderful and valuable resource for you and your family. The task of being a caregiver can be extremely difficult, especially when you may be second guessing your decisions and actions. Fortunately Virginia Morris has written this wonderful, practical, and easy to read guide to help you with every aspect of caring for your aging parent, taking care of yourself, and you family.

How to Care for Aging Parents by Virginia Morris, with a foreword by Robert N. Butler, M.D.

This guide, aimed at the “Sandwich Generation,” provides a road map to assist adult children in caring for their aging parents. Combining personal experience with expertise in healthcare and social and political issues, Morris has produced a thoroughly researched, well-organized, and comprehensive manual. Chapters follow in logical progression, yet they can stand alone and be read on an “as-needed” basis. The topics covered include the concrete, practical areas such as home care, finances, nursing homes/hospitals, legal issues, and medical/safety concerns as well as the psychosocial areas of handling emotions, dealing with death and dying, sibling conflicts, and spiritual needs. In her discussions, Morris adds useful details such as a suggested list of things to pack for the hospital. Support for the caregiver as well as to the elderly person is covered. Sprinkled throughout the text are agencies, phone numbers, and other reference information.

Reader Review by TRay:
“As we venture into this new and unknown territory – taking care to those whom we always depended on to take care of us – this is the first, second and only book you need. In a gentle and humorous way, Ms. Morris guides you through all of the aspects of this unknown road including the medical, legal, mental, physical, etc. Maybe my favorite chapter is the one in which Ms. Morris insists that you make sure of taking care of yourself first. I saw Ms. Morris on “Oprah” and bought the book for my “first parent”. Now the book comes out “bigger, better, and improved” for my second parent. Strange to think that a book can be such a gift to our real lives. I can not recommend this book more strongly.”

How to Care for Aging Parents: A Complete Guide

has been featured on:

• The CBS Morning Show
• CNN
• NPR
• Good Morning America
• Ladies’ Home Journal
• Oprah Winfrey Show
• Also Winner of the Best Books for Life Award Selection of the Rodale Book Club

To find more information or to purchase this book click the following link:

• “Indispensable!” — AARP
• “One of the most insightful books on this subject.”— Chicago Tribune
• “Full of insight and great coping strategies for any situation.”— New York Daily News
• “A thoroughly researched, well-organized, and comprehensive manual.”— Library Journal
• “A well-written, sensitive, comprehensive guide . . . A book you can refer to again and again.“— Burlington Free Press
• “The best resource manual of its kind . . . it touches on reality, not just cold information. Facts are brought to life by the author’s compassion and wisdom.”— Providence Journal-Bulletin
• “Brimming with useful advice.”— New Choices magazine
• “A compassionate guide of encyclopedic proportion.”— The Washington Post
• “A work of great value, written with sensitivity and wisdom . . . it fulfills an obvious need better than anything I’ve seen.”— Sherwin B. Nuland, M.D., Author of How We Die
• “This is a tremendous work . . . truly excellent. It will be a great help to many people.”— Ronald Miller, M.D., medical director, Geriatric Assessment Center at Yale New Haven Hospital
• “How to Care for Aging Parents is well-researched and comprehensive . . . a practical resource that can be of enormous assistance to contemporary older persons as well as to Baby Boomers and the generations that follow.”— Robert N. Butler, M.D., Founder National Institute on Aging

How to Care For Aging Parents

FOREWORD

INTRODUCTION

CHAPTER 1 — GET READY, GET SET
Talking to Your Parents about Tough Issues
Gathering Essential Documents
Organizing Your Own Life
Caring from Afar

CHAPTER 2 — YOUR PARENT AND YOU
Adapting to New Roles
Knowing When to Intervene
Resolving Old Struggles
Managing Day-to-Day

CHAPTER 3 — CARING FOR THE CAREGIVER
Setting Limits
Emotional Minefields; Guilt, Anger and Depression
Support Groups
Gaining a Healthy Mindset: Friends, Laughter and Tranquillity

CHAPTER 4 — DOCTOR DO’S AND DON’TS
Rx for the Elderly
A Geriatric Assessment
Finding a Good Doctor
Being an Informed Advocate

CHAPTER 5 — THE BODY IMPERFECT Part 1
Vision and Hearing
Insomnia
Overmedication
Alcohol
Temperature Regulation
Dehydration
TLC for Skin, Legs and Feet

CHAPTER 6 — THE BODY IMPERFECT Part 2
Osteoporosis and Arthritis
Incontinence
Digestive Disorders
Depression
Delirium
Anxiety

CHAPTER 7 — ON THE FIFTH FLOOR
Entering the Hospital
Questions about Tests, Treatments and Surgery
Dealing with Hospital Staff
Your Role as Advocate
Preparing for Discharge

CHAPTER 8 — TIPS FOR DAILY LIVING
Steps to a Safer Home
Bathing and Dressing
Eating Right
Setting Up the Bedroom
A Question of Driving
The Importance of Exercise
Quality of Life

CHAPTER 9 — GETTING HELP
Community and Home-Care Services
What’s Available and How to Find It
Companions
Meal Programs
Transportation
Senior Centers
Adult Daycare
Home Health Aides and Nurses
Geriatric Care Managers
Hiring and Overseeing Workers
Respite Care

CHAPTER 10 — HOME AWAY FROM HOME
When It’s Time to Move
Should Dad Move In?
Shared Housing
Senior Apartments
Assisted-Living Homes
Continuing-Care Retirement Communities

CHAPTER 11 — A GOOD NURSING HOME
Making the Decision
What to Look for in a Nursing Home
Getting In
A Plan of Care
Moving Day and Beyond
Your Role as Visitor and Advocate
Getting Adjusted

CHAPTER 12 — THE INNER CIRCLE
Sharing the Care with Siblings
A Family Meeting
Spouses
The Sandwich Generation: Aging Parents and Young Children
Balancing Career and Caregiving

CHAPTER 13 — PAYING THE WAY
Talking About Money
What Medicare and Medicaid Really Cover
Medigap and Long-Term-Care Insurance
Financial Planning
Homes as Collateral
Tax Tips
Hiring Financial and Legal Counsel

CHAPTER 14 — THE LEGAL ISSUES
Wills
Power of Attorney
Advance Directives
Guardianship
Estate Planning
Probate
Dividing the Estate

CHAPTER 15 — THE AGING BRAIN
What Is Normal?
Dementia
Getting Tested
Alzheimer’s Disease: What to Expect
Mini-Strokes
Treating Dementia
Planning for the Future

CHAPTER 16 — LIVING WITH DEMENTIA
Helping Yourself: A Clear Perspective and a Little Humor
Helping Your Parent: Simplicity, Routines and Diversions
Tips for Eating, Dressing, Communicating and More
Coping with Special Problems

CHAPTER 17 — IN THE END
Broaching the Subject of Death
Caring for Your Parent in the Hospital
Choosing Hospice Care
Medical Treatment: When Enough Is Enough
Making Advance Directives Stick
Saying Good-Bye
The Face of Death

CHAPTER 18 – CODA — GOOD GRIEF
The Necessity of Mourning
The Surviving Parent
Growing from Grief

APPENDIX A
State Units on Aging and Long-Term-Care Ombudsmen

APPENDIX B
Yellow Pages of Useful Organizations

APPENDIX C
A Patient’s Bill of Rights

APPENDIX D
The ABCs of Diet

APPENDIX E
Catalogs: Where to Find What

APPENDIX F
Checklist for Touring a Nursing Home; A Resident’s Bill of Rights

APPENDIX G
Funerals and Burials

If you have already read this book please leave your comments below and tell us what you thought.

• Did it help you?
• Would you recommend it to others?

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What is Geriatrics?

Geriatrics is a field of medicine that encompasses only the elderly, and unlike common misconception, geriatrics simply refers to the maintaining of a healthy quality of life for the elderly. Geriatrics is a medical branch in its own right, as it is a different variety of medicine. Most Geriatrics consist of assessment tests that are aimed at determining the ability of a senior citizen to live independently. These assessment tests will look at health, physical ability, and mental health.

There is no minimum age for geriatric care, as individuals age differently. Geriatric care also differs greatly from adult health care. Due to the changes in the physiology of the elderly, special medicine is needed, as regular doses would do more harm than good. Also, this medicine needs to be administered in a certain way, so only one trained in Geriatrics should be giving the doses. There are several different fields of Geriatrics, much like other medicinal fields. Seeking the right doctor is something that a Geriatric Assessment test can help with.

Special care for the elderly has been a main stay in the field of medicine for centuries. Scientifically, Geriatrics helps millions of senior citizens lead comfortable lives, and sometimes independent lives. The special care administered will prolong life and allow the Senior to live alone, or with minimal help. However, there comes a time when all senior citizens require some form of aid. Luckily, there are several facilities that offer Geriatric Care Managers, giving the senior’s family peace of mind that their loved one is being looked after properly. Deciding to get a Geriatric Assessment for a loved one can be a difficult decision for both, but it would be a wise one. Geriatrics will enhance the life of both parties, and will ultimately lead to happiness for bother the senior, and the rest of the family.

The Geriatric Assessment Test

The Geriatric assessment test will consist of several steps, all leading to a final plan that will address the specific needs of the patient, and include avenues in which the patient can attain this treatment. There are several areas covered in the assessment test, including:

• An overall health examination. The assessor will begin by conducting several tests to determine the physical health of the patient. There will also be tests that will gauge the mental health of the patient. Both of these will determine the ability of a senior to function independently.
• A social and family outlet review. All aspects of the senior’s life will be taken into consideration. This particular test will determine the amount of outside help available to the senior, should any emergency occur that the senior is unable to handle independently.
• A genealogical review of family history. This will allow the assessor to foresee future problems, and take appropriate precautions to help prevent them. This is a major section of the test, as the anticipation of what lies ahead is crucial for the maintaining of an independent lifestyle for senior citizens. The results of this test will better help doctors create specialized treatment plans for the patient, and the senior can also alter their lifestyle based on these results.
• The development of a comprehensive care plan. After all of the previous tests are completed, the assessor will contact others in the Geriatric field, where necessary, to create the best plan possible for that individual. The plan will consist of treatment schedules which will include preventative measures, such as disease screenings and the administering of prescription drugs.
• The development of a social plan. After the medical aspects have been covered, the living situation that the senior is in will be taken into consideration. Should the senior pass the physical aspect, chances are they will be able to live independently. However, if the test found that they were unable to perform tasks required for comfortable living, or a lack of social support, then it may be recommended that they be moved into a retirement home. If the senior is near family, then it would be suggested that they move in with other family members.
• Dedication to the patient. The plan will also make it clear that the Geriatric care manager who administered the tests will follow up with the patient. This includes making sure that they are receiving the medical attention that was outlined in the plan, and that their living arrangements are in order. This will assure the family and the patient that they will never be alone, and there will always be an outlet in which they can pursue help.

Signs that Indicate a Need for a Geriatric Assessment Test

Unfortunately, many seniors do not get the care that they should be getting. This is largely due to a lack of knowledge, and to stubbornness. It is very important that a Geriatric assessment test be sought after if any of the following symptoms should occur:

1. A lack of interest. Should your loved one exhibit signs of depressions, or to be putting off the things that they once enjoyed, then it would be wise to get them a Geriatric assessment. This symptom can be a precursor of a number of conditions, and a thorough geriatric assessment will help to determine if it is serious or not.
2. Memory loss or general confusion. Memory loss can be a disheartening symptom for the loved ones of the elderly. Most often associated with Alzheimer’s disease, memory loss can be a serious symptom. However, many seniors who experience memory loss benefit greatly from Geriatric medication, which should remedy the symptom. If your loved one also exhibits confusion then an assessment test should be pursued. This confusion can be the result of them not understanding simple sentences, directions, or other previously understandable concepts.
3. Dementia. Dementia is a serious symptom, and should be looked at immediately. Unlike normal memory loss, Dementia is a sharp decline in one’s ability to perform simple tasks, and their ability to remember.
4. A decrease in physical ability. If your loved one has trouble standing up, or reaching to get something off a shelf, then chances are they need a Geriatric test. The main concern is that they will injure themselves when alone, and will not be able to seek help. The first signs of physical decline warrant an assessment test.

What is a Geriatric Care Manager?

Typically, a Certified Geriatric Care Manager has the qualifications of a medical doctor. The only difference would be that their expertise is geared toward the elderly, rather than the younger populace. Geriatric Care Managers hold advanced degrees, and are well trained to optimize the living conditions of senior citizens. If a senior or a loved one has any questions about living arrangements or general health, then a Geriatric Care Manager is the best available resource to find an answer.

Not only are Geriatric Care Managers medical doctors, but they also serve as a psychological guide for senior citizens and their families. Should there be any questions regarding the living conditions or mental health of the patient, then the care manager will be there every step of the way, offering guidance and alternatives. The care manager will also ensure that you and your loved ones receive all the care and benefits for which they are eligible for. This includes the options available with their health insurance, and the benefits offered by local homes and hospitals.

Just How Valuable is a Geriatric Care Manager?

The value of a Geriatric Care Manager cannot be measured. The care manager will oversee the entire care plan, making sure that the senior is comfortable and receiving appropriate care. They will also be able to help the family and the senior communicate, and to help the senior become involved in the area that they live in. The Geriatric Care Manager can also help the family with major decisions, such as legal issues or an unexpected emergency. The Geriatric Care Manager will also remain in contact with doctors and others involved in the care of the patient, making sure that everything in the Geriatric Assessment Plan is being covered, so the family doesn’t have to worry about it.

Other benefits include:

1. General guidance regarding the current status and living conditions of the senior.
2. Constant care for the senior resulting in better long term health.
3. Assistance in decisions regarding financial matters, such as legal fees or health care bills.
4. Psychological services for the senior or their family.

What is the Cost of Geriatric Management and Where can I Find a Geriatric Care Manager?

Bear in mind that the advice Certified Geriatric Care Managers provide will save you money, but with that being said, you can expect hourly rates for their service to be in the low hundreds. Geriatric Care Managers provide health care and psychological aid to the patient. This will save doctor visits and help prevent other expensive health issues, thus warranting their high wages. Geriatric managers are available in most cities, and in order to find one you can simply call the local retirement home or hospital to get a referral.

Helpful Resources:

How to Find a Certified Geriatric Care Manager near you

The FHA Physician Referral Service

What is Geriatrics?

What does a Geriatric Care Manager (GCM) do?

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3 Products to help you care for your elderly parent at Home

There are so many products out there today for elder care at home that I though it might be helpful to share some of my favorites with you, my readers. These three elder home care products have proven to be really helpful for us, when my wife and I were giving care to our aging parent in our mother in law suite. I hope they will be of help to you and your family too.

1) Airgo Navigator Rollator and Transport Chair

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Mobility is a major priority in helping your aging parent to be as independent as possible and enjoy a high quality of life. With so many walkers, rollators transport chairs and other products out there, it can be a challenge to find the right one. We chose the Airgo Navigator because it is really light weight at only 21lbs and folds to a very small size for easy transport. Its ability to convert to a transport chair is a real benefit in case your loved on needs to take a rest while you are out with them. It also has a convenient place to sit down in case they need to take a break when moving around in the home and your not around.

2)Sliding Seat Transfer Bench

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The bathroom is the most dangerous place in the home for an elderly person. More injuries occur there than any other room of the house. When it come time to help your loved one into or out of the shower it can be extremely difficult and dangerous for both of you. This transfer bench has a sliding seat function that make this potentially hazardous activity much easier and safer for both the aging parent and the caregiver. It’s light and easy to install too.

3) Bed Wedge or Acid Reflux Pillow

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This may seem like an odd thing to have on the list for elderly home care products but its actually really useful. Not only does it help to ease acid reflux symptoms but it is really great for reading in bed, watching TV, or any other activity that would be better in a comfortable raised position. They come in several different heights to suit your needs, though you may want more than one. You will definitely want to grab one for yourself too, I did and I use mine every night and have totally stopped taking my acid reflux medication.(always consult your physician before making changes to your medications) My daughter even used a wedge pillow throughout the last few months of her pregnancy and it helped her too.

So that’s my top three products for elder care at home. They are simple and low tech, but very helpful and practical. If you have some products that you think should be on the list or other suggestions please leave us a comment below.

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Pet Therapy for Seniors: Puppy Love for Caregivers and Patients

For loved ones suffering from Alzheimer’s and dementia, studies show that pet therapy offers emotional, cognitive and social benefits. Pet therapy is a proven, practical and alternative way to relieve depression, calm anxieties, and contribute to an enhanced fullness of life.

Many with Alzheimer’s and dementia, especially those who lived life as animal lovers, feel a sense of calmness and peace when petting an animal. Dogs are the most commonly used animals for this type of work, but some outlets do feature cats and rabbits. Professionals say the breed isn’t as important as the individual disposition of the animal.

Animal Assisted Therapy For Home Care

Companies and volunteer groups featuring pet therapy, sometimes called animal assisted therapy, are cropping up all over the country. These resources provide trainers and docile, people-orientated animals available to come to your home and provide therapy right in your in-law suite.

Unfortunately, depression and anxiety often go hand and hand with Alzheimer’s and dementia. It’s an emotionally devastating fact that caregivers battle. Adding a pet to an environment can lighten the mood for a patient and settle restlessness. This is especially helpful during the early evening hours where restlessness tends to peak. Stroking and comforting an animal also gives the patient a feeling of “giving back” and self worth. The pets revel in the added love and attention. Witnessing these moments are often a nice reminder to family caregivers of the parent or grandparent they remember.

Pet therapy can also alleviate confusion, inspire clarity and open windows of memory. Spending time with an animal may take these seniors back to times in their life spent nurturing animals or remind them of long-forgotten pets. The tactile feeling of the soft fur or innate nature of petting a dog can be powerful triggers.

Socially, this alternative therapy can be an ideal way to draw your loved one into social settings with other loved ones and grandchildren. With the animal as a common bond, the therapy session provides an activity and topic of conversation to be shared. This is a great way for youngsters and teenagers to interact with Grandma or Grandpa in a natural, enjoyable setting. Interacting with the pets can bring seniors out of their shell, into the present, eliciting smiles, laughter and a twinkle in the eye.

Getting Started With Pet Therapy

If you have a loved family pet, suitable to the job, you’re more than halfway there. Encourage your loved one to spend more time with your furry family member. Create more opportunities for these interactions and make them a regular part of the caregiving routine. This is an ideal assignment to delegate younger family members or visiting family and friends looking for a way to contribute.
For those without pets, research the pet therapy resources in your area. You may need to introduce the senior to a few different animals to find the proper connection. Once a match is made, your family may find a whole new way to relate to one another.

RESOURCES:

SNAP for Seniors Thesis:Pet Therapy and Dementia Study by Grant Milne

Neurology Now March/April 2007

Photo Credits ; Cat-Enid Yu, Dog-mikebaird

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