A Bigger Picture for Palliative Care

For many of us, driving is just another part of our daily lives; however, for seniors, its more than that. Driving enables older adults to maintain a sense of dignity, mobility and freedomthings that can seem to slip further away during our twilight years. While we want our aging loved ones to stay independent, their risk of being injured or worse in a car crash increases with age. In this blog, well discuss a wide range of topics related to senior driver safety, including what factors affect elderly drivers, warning signs indicating when its time to hang up the keys, how seniors and their loved ones can help prevent an accident, and, lastly, how to approach the topic of driving retirement. How Aging Affects Elderly DriversWe want our loved ones to continue enjoying the hobbies they love and visiting their favorite places; however, more importantly, we want to ensure that they are doing so safely. Seniors have the second-highest crash death rate per mile driven.1 In fact, about 700 elderly drivers are injured in motor vehicle crashes, and 22 die because of their injuries.2 Oftentimes, these fatalities are due to increased frailty and underlying health conditions rather than recklessness, as seniors are some of the safest drivers on the road, taking precautions such as wearing seatbelts, no consumption of alcohol before or while driving, and not exceeding the speed limit.  What Factors are Involved?There are many factors that can affect your loved ones ability to drive, including changes in health, physical injuries and natural aging.1 Depending on the circumstances, a seniors driving ability may change suddenly at once or gradually over time. Here are a few things that may alter your aging loved ones ability to drive: Vision loss can affect senior drivers depth perception and peripheral vision, making it harder for them to see passing vehicles, identify unexpected hazards, or leave enough space between themselves and other cars. Hearing loss may prevent elderly drivers from hearing warning sounds like sirens or car horns. Mobility issues caused by health or cognitive conditionssuch as Parkinsons disease, stroke, Alzheimers disease and other types of dementiacan make it difficult for older adults to drive safely. Seniors may find it difficult to check blind spots, properly grip the steering wheel, or avoid making sudden movements.  Slower reflexes are a common part of aging. Drivers need to be able to react to unexpected hazards, such as sudden changes in speed, animals or pedestrians crossing the street, or erratic drivers on the road. Medications sometimes include warnings about driving, as they can make seniors drowsy, lightheaded, confused or less alert. Make sure your aging loved one takes their medicine at the right time of day and follows their doctors safety advice. When Should a Senior Stop Driving? Senior drivers should stop driving if they begin to show multiple warning signs indicating that there has been a change in health, cognitive function or mobility preventing them from driving safely. These warning signs can vary drastically between older adults. However, it might be time to have your aging loved one stop driving if youve noticed any of the following: They get lost or appear confused while drivingespecially in a familiar area. They have a difficult time seeing, hearing or reacting properly. Theyve been recently diagnosed with or experiencing health problems that can influence their driving ability.  They have had other passengers or neighbors complain about their driving. Theyve received multiple tickets or been involved in many crashes or near accidents. Theyve expressed anxiety or frustration while driving. They often repeat driving errors, such as missing stop signs, drifting into other lanes, or forgetting to check blind spots. How Senior Drivers Can Prevent an Accident Some elderly drivers are aware of their limitations and what driving conditions tend to give them the most trouble. Others may not have noticed. Either way, seniors can take the following precautions to help keep themselves safe on the road: Avoid driving during certain times of day and weather conditions. Seniors should limit driving in the dark as much as possible, especially if their vision is impaired. Those who are anxious in heavy traffic should avoid driving during rush hours. As for the weather, rain, snow, ice and sleet can be hazardous for all drivers, but seniors with slower reflexes are at an even higher risk of an accident. Plan a route beforehand. Being familiar with which roads or exits to take can help older adults avoid getting lost. Those who are uncomfortable with highways can find different routes, helping them feel more at ease during their drive. Limit distractions. Simple things like adjusting the radio, eating, or chatting with a passenger can distract drivers, increasing their risk of an accident. Set the radio to a favorite station before leaving the driveway, and use hands-free navigation options when possible.  Put on a seatbelt. While this wont necessarily keep drivers from being involved in a crash, it can help them stay safe in the event one happens. Seniors should always make sure everyone in the vehicle has their seatbelt on before leaving the driveway. Check hearing and vision annually. Its important for elderly drivers to have their eyes and ears checked regularly so they can be fully aware of their surroundings. Seniors with prescriptions should always wear them as prescribed, and those with hearing aids should be sure to wear them while driving.  Stay active. Seniors who are physically active tend to be more flexible and have better posture, which may strengthen their driving abilities. Family members can also help their aging loved ones stay safe on the road by researching different mobility plans, such as the CDCs mobility plan, on their behalf. Loved ones can also help seniors by scheduling an appointment with a rehabilitation specialist or occupational therapist to have their driving skills checked.Perhaps the most beneficial thing you can do for your loved one is to go for a ride along with them. During this drive, you can keep an eye out for any of the warning signs listed above while witnessing your loved ones driving habits and weaknesses firsthand. How to Initiate the Conversation Families often wonder how to take the keys away from an elderly driver without hurting their feelings or starting a fight. Its important to remember that many seniors view driving as a symbol of their independence and freedom. Some may be more reluctant to give up the keys than others. Nevertheless, its crucial that families have the conversation with their aging loved ones and establish expectations for moving forward. This conversation can either be about handing over the keys for good, or it can focus on everyone coming to an agreement on when its time for driving retirement.  Keep these tips in mind when you decide to initiate the conversation: Be gentle and positive. This discussion is difficult for both you and your loved one, so its important they know youre on their side. Avoid being impatient or confrontational by using I messaging rather than you messaging. Acknowledge their feelings and reassure them when they become flustered. You can try saying I understand that this is a lot for you, but Im worried about your safety, or Lets come to a decision together. Avoid sentences like You are no longer safe, or You cant be trusted. Pinpoint specifics. Before talking to your loved one, be sure that you have evidence and are not making assumptions. Point out which skills they struggle with, such as turning left or drifting into other lanes, and explain the potential repercussions. Above all, stay focused on their skillset not their age. Offer solutions and alternative options. Research what options are available in your area or organize arrangements with other family members before going into the discussion. Showing your aging loved one that there are other options and that you took the time to find them may have a significant impact. Revisit the subject. It can be helpful to bring the topic up multiple times over an extended period. Revisiting the topic gives your loved one time to think it over on their own schedule. How HomeWell Can HelpAt HomeWell Care Services, we understand finding alternative transportation options for your aging loved one can be difficult. But we also understand how important travel is for seniors physical and mental health, as well as their social lives. Let us help clear some time in your schedule by providing your senior loved one with safe and reliable transportation that can help them complete light errands, visit nearby friends and enjoy their favorite activities.  All you have to do is contact our office and schedule a consultation, where well discuss your specific requirements. From there, HomeWell will work with you to help navigate your loved ones transportation needs. Keep in mind that your loved ones drivers license may mean a lot to them, and the thought of having to rely on others may make them feel irritated or uncomfortable. Regardless of what you decide, reiterate to your loved one that this decision was made with their best interests in mind and that they can continue doing the activities they love even if they stop driving. Sources: 1. Senior Driver Safety and Mobility | AAA 2. Age Without InjuryStill going Strong Campaign | Center of Disease Control and Prevention 3. Safe Driving for Older Adults | National Institute of Aging 

For many, living life with a disability charts a unique path influenced both by the symptoms of their condition and determination to overcome its challenges. In the United States, a substantial population of adults navigate this path every day, with roughly 12.8% of adults struggling with cognitive issues, 16% with physical limitations, and 18.4% with visual impairments.1,2 As we shed light on the distinct experiences of these individuals, we explore how their daily lives are shaped by their abilities and the crucial role of compassionate, understanding care in supporting their journey. The wide spectrum of adult disabilitiesDisabilities come in many forms, each presenting its own set of distinct challenges. Cognitive impairments that impair memory and decision-making can make routine tasks at work and in daily life seem impossible. Can you imagine constantly forgetting important dates or struggling to stay focused at work? On the other hand, physical disabilities can make small everyday tasks like getting around the house or going to the store into undertakings that require much planning and support from others due to factors like walking difficulties or the need for wheelchair access. Likewise, people with visual impairments also need accommodations to safely and confidently interact with their surroundings, from reading signs to identifying faces. The role of holistic careHolistic care is imperative in the lives of individuals with disabilities. Its not just about helping them physically, but also about providing emotional support, taking care of their mental health, and helping them stay connected with others.  Engaging in activities that stimulate both mind and spirit is as vital as addressing physical needs. HomeWells Specialty Care, for instance, offers services that go beyond basic care. This includes companionship, activities that engage and stimulate, and support that is tailored to everyones emotional and mental needs. This approach fosters an environment where individuals can flourish, maintaining a sense of normalcy in their lives. Adapting living spacesCreating a disability-friendly home environment is crucial. For those with mobility challenges, this might mean installing ramps, lowering kitchen counters for wheelchair accessibility, or special bathroom fixtures to minimize fall risks. For individuals with visual impairments, using high-contrast colors for improved visibility, and installing safety handles can significantly enhance their ability to navigate their homes. These modifications not only ensure safety but also promote independence and empowerment. The power of a support systemA strong support system is key to effectively managing disabilities. This network often includes family, friends, and professional caregivers who provide emotional, social, and physical support. Professional caregivers, like those from HomeWell, are particularly important. They provide specialized care that respects the individuals independence, caters to the unique needs of their disability, and aims to improve their overall quality of life. They become an integral part of the extended family, offering not just care but also companionship and a feeling of security. Embracing new activities for disabled adultsLife with a disability often opens the door to exploring unique and enjoyable activities. Here are some ways individuals with disabilities can find enjoyment and fulfillment: Creative Arts: Engaging in arts and crafts, music, or creative writing allows for artistic exploration and self-expression. Technology and Gaming: Adaptive technology has made video games and virtual reality accessible, offering exciting digital experiences. Social Clubs and Events: Joining clubs or attending events is a great way to get social engagement based on shared interests. This can range from book clubs to cooking classes. Accessible Travel: Many destinations now provide accessible travel options which enable individuals to explore new places and cultures. Relaxation Exercises: Adapted yoga or meditation offers relaxation, stress relief, and a sense of achievement. These activities not only improve life quality for individuals with disabilities but also foster a sense of adventure and joy. Remaining independent at homeSupporting and understanding adults with disabilities goes beyond caregiving; its about empowering them to live with dignity, respect, and fulfillment. While home care agencies like HomeWell Care Services offer invaluable assistance, the essence of care lies in empowering each individual, acknowledging their unique needs, and assisting them in leading satisfying, independent lives. For those navigating disability complexities, seeking support can be transformative. At HomeWell, we provide a spectrum of services designed to enhance the quality of life of people with disabilities. Taking that initial step towards seeking care can be crucial in unlocking a more autonomous and enriching life. Contact us today to learn more. Statisticshttps://www.cdc.gov/ncbddd/disabilityandhealth/infographic-disability-impacts-all.html#:':text=12,or%20have%20serious%20difficulty%20hearing https://www.cdc.gov/nchs/fastats/disability.htm#:':text=Selected%20sensory%20problems%20Percent%20of,2022%20Difficulties%20in%20physical%20functioning 

As the senior demographic continues to growa trend underscored by the World Health Organizationthere has been an increased focus on the factors that lead to a more healthy and fulfilling life. From nutrition to physical activity, sleep patterns and more, lets uncover the daily habits that are key to thriving in your golden years.Nutritional HabitsGood nutrition is a foundational daily habit. The National Institute on Aging emphasizes the importance of incorporating a balanced diet that includes various fruits, vegetables, whole grains, and lean proteins.1 To make this habit easier, consider some simple food swaps that allow you to keep the nutritional value without sacrificing flavor. For example, lets take a look at some swaps you can start making today:Whole grain bread instead of white bread: Whole grains provide more fiber and nutrients.Olive oil in place of butter: Olive oil is a healthier fat option and beneficial for heart health.Greek yogurt instead of sour cream: Greek yogurt offers plenty of protein and probiotics, making it a nutritious alternative.Nuts and seeds over chips: These are great for snacking and rich in healthy fats and proteins.Leafy greens added to meals: Incorporate spinach or kale into salads, sandwiches, and side dishes for a nutrient boost.Herbal teas instead of sugary drinks: Teas are a hydrating choice that reduces sugar intake.Physical Activity and ExerciseStaying active has an abundance of benefits, and its a great activity to make a daily habit. Striving for the CDCs recommended 150 minutes of moderate-intensity activities per week can help ensure youre consistently getting the exercise you need to reap its benefits. This might include walking in a nearby park, joining a senior-friendly fitness class, or even simple stretching exercises at home. Just make sure that whatever exercises you perform to reach 150 minutes are enjoyable and can be incorporated into your daily routine.Mental and Emotional Well-beingDeveloping daily habits that foster mental and emotional health is just as crucial as physical activities. Engaging the brain daily through puzzles, reading, or learning new skills or hobbies keeps the mind sharp. Emotional well-being can be nurtured through regular social interactions, whether its joining local community groups, participating in family gatherings, or even virtual meetups. These activities provide a sense of belonging and purposeboth crucial to experiencing a fulfilling senior life.Sleep and Rest PatternsQuality sleep is a cornerstone of senior health. The National Sleep Foundations 78-hour sleep recommendation is a great starting point, but its also important to focus on sleep quality.2 Creating a bedtime ritual, such as reading or light stretching, can signal to your body that its time to wind down. A comfortable, quiet sleep environment free from distractions also plays a significant role in ensuring restorative sleep.Regular Health Check-Ups and Medication ManagementIncorporating routine health check-ups and medication management into your habits is vital for senior health. Regular screenings help in the early detection and management of health issues. Similarly, a well-organized approach to medication, like using pill organizers or digital reminders, ensures that treatments are followed correctly and effectively. Remember, staying proactive with health care is not just about preventing or managing illnesses; its also about empowering yourself to take charge of your health.Utilizing Technology for HealthAdding the conveniences of technology into a seniors daily habits can also help effectively manage their health. Whether its using fitness tracking apps, setting medication reminders, or engaging in social media to stay connected with loved ones, technology can be a valuable tool. Plus, its benefits dont stop there; utilizing innovations like telehealth services or smart home devices can also make life and everyday tasks safer and more manageable while allowing seniors to live more independently and stay engaged with the world around them.Creating Healthy Habits with HomeWellAdopting some or all of these daily habits can lead to a more active, enjoyable, and healthy lifestyle for seniors. Plus, its not a journey you or your loved one must go alone; HomeWell Care Services is here to help. From nutritional advice to fostering mental and emotional well-being, our holistic approach to in-home care is designed to enrich the lives of seniors in all aspects. Discover the positive impact we can make in your family or loved ones home by contacting your local HomeWell Care Services today.SourcesNational Institute on AgingNational Sleep Foundation