For more information about the author, click to view their website: Visiting Angels Wayzata
If you live in the upper Midwest, you’re no stranger to the harsh reality that comes with the change from fall to winter. The sun sets before 5:00. The bitter cold stings your lungs as you step outside. Huge amounts of snowfall can make venturing out of your home quite a challenge. Winter months bring increased safety concerns, especially for older adults in our area. Seniors face high susceptibility to developing depression due to isolation. There are more concerns with dangerous temperatures, keeping them isolated inside.
SAD (Seasonal Affective Disorder), typically develops late fall through spring/summer. SAD is a specific type of depression that comes and goes with the seasons and affects millions in the US. Symptoms can include anxiety, poor appetite, and social withdrawal, among others. When you compound these symptoms with factors such as loss, declining health or mobility challenges, mental health is at risk. Oftentimes seniors live alone, with limited resources. This can leave them isolated and unaccompanied for months at a time.
Isolation is one of the leading causes of depression for the elderly population. They don't have anywhere to go, so options to get out of the house are limited. When families live miles away, visitors can be few, leading to limited socialization. This, combined with cold Minnesota winters, leave many seniors feeling lonesome and distraught. It is imperative that we check in on our senior loved ones during these times. Help them find ways to cope with the winter blues. Encourage them to find ways to stay mentally and physically active, and to find joy in each day. Here are 5 easy tips to help our elderly community navigate this challenging season.
1. Maintain a Balanced Diet
A healthy diet can have a profound effect on mental health. If done consistently, it will provide a natural mood and energy boost that is easy to obtain. The required amount of proteins, carbohydrates, vitamins, and minerals changes as we age. It becomes even more important to get the right amounts of what our body needs. One key nutrient is Vitamin D. Limited daylight and less time in the sun reduce the amount of Vitamin D we absorb. Supplements are an option to combat this deficiency, but real, healthy food is best. Eating fatty fish (like salmon), mushrooms, eggs, some cheeses, and a limited amount of fortified cereals, milk or yogurt is a great Vitamin D source. A consistent, balanced, and colorful diet boosts your mood and can help prevent sickness and injury. Be sure to check with your physician before making any changes to your diet if you are taking prescription medications or have other illnesses.
If you have a home care service, ask your caregiver to develop a balanced meal plan and prepare meals with you. This will ensure you’re set up for success. It takes the burden of the work off of you, with the added benefit of personal companionship. At Visiting Angels®, our caregivers are here to help find a diet that works for you. We can take care of your grocery shopping, meal planning, and preparation so you don’t have to do it on your own. If you would like more information, contact us and we will answer any questions you may have, or check out our FAQ page for insight as well.
2. Seek Out the Sun
If Mother Nature doesn’t allow you to be outside, try to spend a majority of your day in the brightest areas of your home. Open your blinds and sit in the sun with a good book; bask in the warmth and daydream about warmer days to come.
Another option is to try artificial light therapy (aka bright light therapy) using a light box. A light box mimics outdoor light. Some believe it can cause a chemical change in the brain that lifts your mood and eases other symptoms of SAD. Even 30 minutes a day can make up for the lack of sunlight during the dreary winter months. Though this isn’t the best method for getting sunlight, it is an effective alternative. The National Institutes of Health have shown that light therapy can ease seasonal depression symptoms by as much as 70%. You can find lightboxes online at a range of sizes and prices to suit your needs. As with any changes to your health routine, it is best to talk with your healthcare provider about choosing and using a light box. If you're experiencing SAD and bipolar disorder, the advisability and timing of using a light box should be carefully reviewed with your healthcare provider.
3. Exercise the Mind
We know that exercise is important for the physical body. Mental exercise is also important for an active, healthy brain, especially as we age. Our brain changes over time. These changes can cause cognitive decline and will influence our mental state. Engaging in daily mental exercise will keep the mind alert and sharp, and helps seniors to remain independent. In order for the brain to work at its best, you should challenge the mind, in some way, every day. Thankfully, exercising the mind can be fun and there are a variety of options for everyone. Enjoy reading? Find a good book and read by the fire or in the sun - a great way to get your mind active and soak up Vitamin D at the same time! A word puzzle such as a word finds or crossword puzzle, will keep the brain engaged. You don't need to figure out every answer, your brain gets a workout either way. Logic puzzles are another great mental exercise as they allow for lateral thinking. This type of puzzle engages pathways that often have gone dormant after retirement. Logic requires you to use given information to come up with an answer to a specific problem.
Not into word games? Take out a jigsaw puzzle. Assembling puzzles can help reduce blood pressure and slow respiration rates. This mental exercise becomes a form of meditation and relaxation. What a great bonus for seniors with busy minds! Jigsaw puzzles are great for cold, blustery afternoons. Turn on your favorite music, put on your comfy clothes, and enjoy the challenge.
4. Get Moving
Physical activity is an important piece of a healthy body. In the winter months, exercise can be key in improving one’s mood. It has also been shown to prolong memory loss and cognitive decline, like mental exercise. A great option for older adults to get low-impact exercise is through yoga. Yoga's progression of fluid movement and stretching helps joint movement as well as increased blood flow to the entire body. Daily physical activity will fight off the winter blues by raising your heart rate. It will improve both immediate and long term mental and physical health. Taking a walk isn't always possible. You may not have access to exercise machines or a swimming pool, turn up the tunes and get a couple chores done. You will get your daily exercise in and also feel a sense of accomplishment.
For those who have mobility challenges, there are options. Some simple, low-impact exercises can be done from a seated position. These movements will help reduce joint pain and improve your overall strength.
At a minimum, seniors should strive to get 30 minutes of physical activity 3 times per week.
5. Socialize
Seniors who maintain social connections report having improved mental health. Face-to-face connection with another adult can be the highlight of someone’s day. It is the perfect remedy for loneliness or despair on a gloomy day. Not sure how or where to engage? Seek out an exercise class. Pick up the phone and call a friend or family member. Attend a social activity at your local senior center or within your living facility. If you have access to technology, use it as a way to stay connected with others. Video chat can be a great way to be face-to-face with family and friends, especially those who live far away. The smiling faces of your children and/or grandchildren can brighten your day any time of year!
If you thrive on the physical presence of others, consider hiring a caregiver. Having someone to help make meals, share stories, or be available for stand-by assistance can bring peace of mind and happier days. Visiting Angels® provides a flexible schedule and trained, compassionate caregivers to keep you safe and happy through the winter months.
The winter blues are a common struggle in the upper Midwest. If you or someone you love suffer from SAD or struggle with feelings of loneliness and isolation, Visiting Angels - West Metro is here to help. Our caregivers strive to help you remain in your home, where you are comfortable and feel the most secure. The companionship and personal assistance from a caregiver help to keep you safe. Contact us today or give us a call at 952-935-0789 to set up a free, no obligation consultation. Seek out other local resources as well - most communities offer support groups, activities , and ways to stay connected.
Navigating Hospital Stays and Rehabilitation for Parkinsons Patients. This article is part of The Parkinsons Care Compass: A Caregiving Roadmap Guiding Families Through Every Stage, an educational series presented by At Your Home Caregiving of Texas. We are honored to walk beside families, offering specialized in-home care solutions to support every step of the Parkinsons journey. Hospital stays are a stressful experience for any family, but for individuals living with Parkinsons disease, hospitalization poses unique challenges that can significantly impact recovery and long-term health. When a Parkinsons patient requires surgery, treatment for complications, or recovery after a fall, family caregivers must act as advocates, organizers, and partners in care. Being prepared and informed is the key to ensuring a safe hospital stay and a smooth transition back home.At Your Home Caregiving of Texas understands these complexities and stands ready to help families through every step of the journey, providing expert support for rehabilitation and home-based recovery.Unique Hospitalization Challenges for Parkinsons PatientsParkinsons disease complicates hospital care in several critical ways: Medication Management: Parkinsons medications must be administered on a strict schedule to manage symptoms effectively. Delays or missed doses can lead to severe motor symptoms, confusion, and even hospitalization complications. Mobility and Fall Risks: Hospital environments are unfamiliar, and Parkinsons patients face an increased risk of falls due to balance issues and muscle rigidity. Cognitive Changes: Hospitalization can sometimes trigger or worsen confusion, memory problems, or delirium, especially in older adults with Parkinsons. Communication Difficulties: Some patients experience soft speech (hypophonia) or facial masking, making it difficult to express needs clearly to hospital staff unfamiliar with Parkinsons care. Being aware of these risks allows families to take a proactive role during the hospital stay, minimizing complications and ensuring the best possible outcome.Preparing for a Hospital Stay: Advocacy and PlanningIf hospitalization is scheduled (for surgery or planned treatments), preparation can make a significant difference:1. Create a Hospital Parkinsons PlanPrepare a simple one-page document outlining your loved ones: Current medications and exact times for administration Mobility limitations and fall risk status Communication needs Cognitive changes or dementia symptoms Preferences for therapy, rehabilitation, and home care after discharge Provide this information to the hospital staff immediately upon admission.2. Bring Medications to the HospitalBring a full list and ideally the actual medications in their original containers. In some hospitals, families can administer Parkinsons medications if theres a risk of delays.3. Assign an AdvocateDesignate a family member or professional caregiver to be present as much as possible, especially during medication times, shift changes, and physician rounds. Having a consistent advocate can prevent critical mistakes and advocate for the patients specialized needs.The Importance of Medication TimingOne of the biggest risks for Parkinsons patients in the hospital is missed or mistimed medications. Parkinsons medications like carbidopa-levodopa must be administered exactly as prescribed, sometimes multiple times a day, to prevent a sudden worsening of motor and non-motor symptoms.Tips for ensuring proper medication administration: Clearly document the medication schedule and insist it be incorporated into the hospitals care orders. Politely but firmly remind nursing staff of the critical importance of on-time dosing. Advocate for medication self-administration if allowed by hospital policy. Watch for any substitutions generic or alternate medications can sometimes affect symptom control. Families should feel empowered to respectfully advocate for their loved ones medical needs. Delay in Parkinsons medication can lead to avoidable setbacks in recovery.Understanding Rehabilitation OptionsAfter hospitalization, rehabilitation is essential for helping Parkinsons patients regain strength, balance, and function. Depending on the situation, rehabilitation may occur in: Inpatient Rehabilitation Facilities (IRFs): Specialized centers offering intensive physical, occupational, and speech therapy. Skilled Nursing Facilities (SNFs): Short-term stays focused on medical monitoring and therapy. Home-Based Rehabilitation: Therapy provided at home, which may be the best option for patients with significant mobility challenges or those at high risk of hospital-acquired infections. At Your Home Caregiving of Texas partners with rehabilitation therapists to support continuity of care at home, ensuring that exercises, safety measures, and care plans are followed consistently.Key Rehabilitation Goals for Parkinsons Patients Improving strength and flexibility Reducing fall risk through balance and gait training Enhancing fine motor skills (handwriting, eating, dressing) Improving swallowing and speech if affected Maintaining independence as much as possible Early rehabilitation after hospitalization is crucial for Parkinsons patients. Without it, the risk of decline, injury, and readmission significantly increases.Transitioning Safely Back HomeThe transition from hospital to home is a vulnerable time. Planning ahead is critical to prevent setbacks.Steps for a Successful Transition: Arrange Home Care Services Early: Schedule in-home caregiving services to assist with mobility, medication reminders, and personal care. Conduct a Home Safety Evaluation: Adapt the home environment to minimize fall risks remove tripping hazards, install grab bars, ensure proper lighting, and use assistive devices. Coordinate Medication Management: Update prescriptions, confirm medication supply, and create a clear medication schedule. Schedule Follow-Up Appointments: Ensure post-discharge physician and therapy visits are scheduled before leaving the hospital. Implement a Rehabilitation Plan: Continue physical therapy and exercise routines at home, guided by professional caregivers and therapists. At Your Home Caregiving of Texas specializes in providing comprehensive transitional care for Parkinsons patients. Our caregivers work alongside families and healthcare professionals to ensure that recovery continues safely and effectively at home.How At Your Home Caregiving of Texas Supports RecoveryFamilies managing Parkinsons care dont have to do it alone. Our services are designed to ease the burden of post-hospitalization recovery by providing: Personalized Care Plans: Tailored to the individuals stage of Parkinsons and rehabilitation needs. Medication Reminders and Assistance: Helping maintain the critical medication schedule. Mobility Support: Assisting with walking, transferring, and exercises to rebuild strength and prevent falls. Nutrition and Meal Support: Preparing nutritious meals that support energy and healing. Companionship and Emotional Support: Reducing anxiety, confusion, and isolation during the recovery process. Coordination with Healthcare Providers: Keeping families informed and ensuring therapy recommendations are carried out at home. We work hard to create an environment where patients can heal comfortably, maintain dignity, and reduce the risk of hospital readmission.Final ThoughtsHospital stays are never easy, especially when Parkinsons disease adds another layer of complexity. But with the right preparation, strong advocacy, and a smooth rehabilitation plan, families can help their loved ones achieve the best possible recovery.At Your Home Caregiving of Texas stands beside you every step of the way from hospital bedside to a safe and healing home environment. Our specialized Parkinsons care services ensure that patients get the compassionate, expert support they need to regain strength, confidence, and independence.When its time to transition home after hospitalization, trust At Your Home Caregiving of Texas to be your partner in care and recovery. At Your Home Caregiving of Texas is proud to support families living with Parkinsons disease through compassionate, expert care. For more resources and personalized caregiving solutions, explore the full Parkinsons Care Compass series or contact us today at 469-830-8414. Together, we can create a safer, stronger path to recovery one step at a time. If someone you care about is facing the challenges of Parkinson's, know that you're not alonewe're always here to help.
By Faith Protsman, MD, Regional Medical Director, VITAS HealthcareTwo recent studies highlight how sepsis impact often extends well beyond the acute event that led to a patients hospitalization. The studies emphasize two particular points that should inform physicians and clinicians as they consider referring these patients to specialized care: Medicare patient data gathered between 2012-2017 shows that sepsis patients face considerably poorer health outcomes following hospital discharge when compared to non-sepsis patients, including elevated risk for death and increased use of advanced healthcare services. Sepsis survivors exhibit strong indicators of persistent inflammation and immunosuppression for up to a year after hospital discharge, increasing their risk of readmission or death. Both studies indicate a significantly elevated risk of death among sepsis patients after they have been discharged and ostensibly cured. Of course, sepsis patientsparticularly those of the Medicare cohort, who are largely of advanced agerarely leave the hospital in better condition than they entered.The Yende study, in particular, shows that neuroendocrine and inflammatory responses to sepsis can continue long after the patient survives a septic episode. For patients with advanced or chronic diseasesas was the case with nearly 78% of participants in the studythese biomarkers are associated with decline.Post-sepsis Discharge: A Critical JunctureIn many cases, these individuals life expectancies upon discharge will be less than six months. This is a critical juncture: While comfort-focused hospice care could provide an ideal source of support for the eligible patient, their family, and their caregiver(s), most sepsis patients are simply sent home without even a discussion about palliative end-of-life care and its benefits.Frankly, such an oversight is a disservice to everyone involved. The sepsis patient is left with physical and/or cognitive dysfunction, often without significant options for symptom management. Their partner or family will either need to assume caregiving duties or turn to costly private services. And the physician and hospital staff will likely see the patient again following another acute event, a readmission that impacts performance scores, strains resources, and unnecessarily fills beds.By no means do I intend to lay the blame for these unfortunate circumstances on physicians. Timely hospice referrals require ongoing education about end-of-life care, and open, ongoing communication between hospice providers and referral sources.More Help: How to Talk About Hospice Care >Those of us in hospice are working hard to bridge the gap, but even as our healthcare system transitions to a value-based model, the mentality of fee-for-service still permeates our nations acute-care facilities, and many hospitalists see a discharge home as a success.Hospice: A New Way Of Judging SuccessIn hospice, we judge our successes on the patients quality of life and the fulfillment of their goals and wishes near lifes end. Usually, that means going home with 24/7 support from an interdisciplinary hospice team. Whether home is a traditional residence, an assisted living facility, or nursing home, the hospice team will assist caregivers (and/or facility staff) with direct clinical care and education, integrative services, bereavement support, and delivery of medication, equipment, and supplies.In other cases, improving quality of life means remaining in a general inpatient setting with hospice support, taking the burden off hospital staff until the patient is able to transition home or until the patient dies. Hospice offers complex modalities in any setting, so patients who would otherwise be confined to an ICU can usually return home to be among loved ones.With support from hospice, a sepsis patient and their family are more likely to report higher satisfaction of care and greater quality of life. The patients emotional and spiritual needs can be met alongside their physical needs, thanks to care from chaplains, social workers, music and massage therapists, and other integrative specialists. Finally, the patient is more likely to die at home, surrounded by loved ones, rather than in the hospital.Because sepsis is most common in patients with advanced or chronic diseases that indicate hospice eligibility, acute incidences of sepsis should always trigger a hospice eligibility assessment. We owe it to our patients, their loved ones, and our colleagues in healthcare, all of whom can benefit from the support that timely end-of-life care offers.
Maintaining proper nutrition is a crucial aspect of healthy aging, especially for seniors who wish to continue living independently and enjoying their golden years. By stocking your pantry with the right combination of nutrient-dense foods, you can empower yourself to prepare wholesome, energizing meals that support your overall well-being. In this article, well explore the top pantry essentials that should be on every seniors radar.The Importance of a Well-Stocked PantryA thoughtfully curated pantry is the backbone of a balanced diet. When you have a variety of healthy ingredients on hand, it becomes significantly easier to whip up nutritious meals on the fly, without the need for multiple trips to the grocery store. This not only saves you time and money but also helps you avoid the temptation of less-than-ideal food choices that can compromise your health.Pantry Essentials for SeniorsNow, lets delve into the specific pantry items that should be on every seniors radar. These versatile and nutrient-dense foods will serve as the foundation for countless delicious and nourishing meals.Whole GrainsWhole grains, such as brown rice, quinoa, and whole-wheat pasta, are powerhouses of fiber, vitamins, and minerals. These complex carbohydrates provide sustained energy and can help regulate cholesterol levels and blood pressure, reducing the risk of chronic conditions. Oatmeal, a classic breakfast staple, is another excellent whole-grain option that can be easily customized with fresh fruit, nuts, and a touch of honey.Beans and LegumesBeans and legumes are true nutritional superstars, offering a potent combination of protein, fiber, and antioxidants. From kidney and black beans to chickpeas and lentils, these versatile ingredients can be incorporated into soups, stews, and even meatless chili, providing a satisfying and filling base for your meals.Nuts and SeedsNuts and seeds are nutrient-dense snacks that can also be used to enhance the flavor and texture of various dishes. Almonds, pistachios, walnuts, and pumpkin seeds are all excellent sources of healthy fats, protein, and essential minerals. Keep a variety of these on hand for quick and nourishing between-meal bites or to sprinkle on top of salads, oatmeal, and yogurt.Canned GoodsCanned goods, such as tuna, salmon, and a variety of fruits and vegetables, are convenient and cost-effective pantry staples. These items often have a long shelf life, making them ideal for seniors who may not have the time or energy to frequent the grocery store regularly. When selecting canned goods, opt for low-sodium or no-added-salt options to keep your sodium intake in check.Spices and HerbsElevating the flavor of your meals is not only enjoyable but can also encourage healthier eating habits. Spices and herbs, such as garlic, ginger, turmeric, and basil, are not only packed with antioxidants but can also help reduce the need for salt, sugar, and unhealthy fats in your cooking. Experiment with different flavor combinations to keep your taste buds engaged and your meals exciting.Healthy Fats and OilsIncorporating healthy fats into your diet is crucial for maintaining overall health. Olive oil, avocado oil, and coconut oil are excellent choices for cooking, dressings, and marinades. Additionally, consider keeping a bottle of apple cider vinegar on hand, as it can be used to add a tangy twist to a variety of dishes, from salads to stir-fries.Dried Fruits and NutsFor a quick and satisfying snack, keep a selection of dried fruits and nuts in your pantry. Raisins, apricots, and cranberries provide a natural sweetness, while nuts like almonds, walnuts, and cashews offer a crunchy texture and a boost of healthy fats and protein. These shelf-stable items can also be used to add texture and flavor to baked goods, oatmeal, and trail mixes.Honey and Maple SyrupWhen it comes to satisfying your sweet tooth, opt for natural sweeteners like honey and maple syrup. These alternatives to refined sugar can be used in baking, drizzled over yogurt or oatmeal, or even incorporated into marinades and dressings. Not only do they provide a touch of sweetness, but they also offer additional health benefits, such as antioxidants and anti-inflammatory properties.Whole-Wheat Flour and Baking EssentialsFor any of your baking needs, keep a supply of whole-wheat flour, baking soda, baking powder, and spices like cinnamon and nutmeg. These ingredients can be used to create healthier versions of your favorite baked goods, from muffins and breads to cookies and scones. Experiment with natural sweeteners like honey or maple syrup to reduce your intake of refined sugars.Putting It All TogetherBuilding a well-stocked pantry takes time and effort, but the benefits are well worth it. Start by gradually incorporating these essential items into your shopping routine, and dont be afraid to try new recipes and flavor combinations. Remember, healthy eating is a journey, and by embracing these nutrient-dense pantry staples, youre taking a significant step towards nourishing your body and supporting your overall well-being in the golden years!