Caring for a Loved One with Parkinson’s Disease at Home

More than 16 million Americans provide unpaid care for people with Alzheimers or other dementias.Caring for a loved one can be a rewarding experience, but its not without challenges. These challenges can be significantly more impactful for those caring for a senior with Alzheimers disease or other form of dementia. Changes in behaviors can occur for a variety of reasons, including over-stimulation, physical discomfort, confusion, exhaustion caused by sleep problems, medication, or changes in routine.Understanding the cause of behavioral changes is critical for caregivers, families and friends. And its helpful for caregivers to know how to manage behaviors that will allow them to provide safe and effect support and diffuse tense situations.These behaviors can include: Depression Anxiety Confusion Aggression or anger Suspicion Hallucinations Pacing or wandering The most important thing that caregivers need to remember is that challenging behaviors may not be entirely avoidable. Its also not the fault of the person with Alzheimers or dementia. These behaviors are sometimes a common product of the disease. And, there is specialized support a caregiver can use to help keep a challenging behavior from escalating.While there is no guaranteed approach that will work with every person or situation, there are some methods that can help caregivers manage trying times:Staying calm Its not uncommon for caregivers to feel attacked or helpless when they are caring for someone exhibiting difficult behaviors. Remembering that it isnt personal and that its a symptom of the disease, can help caregivers manage their emotions and avoid contributing to tense or difficult situations. Arguing or reasoning can often escalate an outburst, so its necessary for caregivers to stay calm and supportiveKeeping a schedule Seniors that suffer from Alzheimers disease and other dementias often find it reassuring to have a set schedule for meals, activities and daily tasks. Creating a schedule, and sticking to it as much as possible, can help prevent anxiety, confusion and anger.Exercise Exercise, with approval from a physician, is a great stress reliever for both seniors and caregivers. And participating in activities together helps foster important emotional connections.Participating in activities Whether its an enjoyable hobby, household chore or physician-approved exercise, participating in joyful activities has shown to help manage challenging behaviors. These can be pre-scheduled or introduced when difficult behaviors are recognized. For example, caregivers can ask for help folding laundry to ease anxiety or can play music or sing to calm someone feeling confused, angry or depressed. Mindful communication Caregivers shouldnt underestimate the power of communication. Caregivers can use soothing tones, speak in a friendly way and make eye contact to convey normalcy, understanding and compassion. This can help seniors experiencing anxiety or frustration to calm themselves.Comfort KeepersCan HelpAt Comfort Keepers, we provide specific training for our caregivers and individualized care plans to provide care and support to seniors with Alzheimers disease and to their families. Our specially trained Comfort Keepers engage clients in intellectual, physical and emotional interactions that complement medical treatment and improve the quality of life for everyone involved. And they can facilitate stress management activities, support for physician-approved diet and exercise plans, provide transportation to appointments and will evaluate a home for safety as part of an in-home assessment. For more information on how in-home caregiving can help those with Alzheimers disease or dementia, contact your nearest Comfort Keepers office today. References         National Institute on Aging. Managing Personality and Behavior Changes in Alzheimers. Web. 2017.         Verywell Health. Complete Guide to Challenging Behaviors in Dementia. Web. 2019.          Alzheimers Association. Stages and Behaviors. Web. 

People over the age of 65 are more likely to be readmitted than younger patients, and readmission can be more serious for seniors.Readmission after an illness or injury is a serious health issue for seniors. However, it is important for seniors and their loved ones to remember that in many cases, readmission is avoidable and can be prevented with a thoughtful post-hospital care plan.Nearly one-fifth of all Medicare patients in the United States who are discharged from the hospital end up returning within 30 days.  There are many reasons seniors may need to be readmitted to the hospital, but healthcare agencies are focused on finding ways to reduce these numbers and educate patients about how to have a healthier recovery at home.For many seniors, this means having a quality caregiver that can help them overcome some of the main preventable causes for returning to the hospital. Consider the following:Medication is critical: Some seniors need assistance taking medication in the right amount on the correct schedule. When you consider that, on average, seniors with chronic conditions fill 50 different prescriptions annually, it is not difficult to imagine how someone could get confused when a new medication is added to their regimen. Caregivers can not only remind seniors to take medications as prescribed, but they can also help seniors keep a list of those medications and their dosages so the information is readily available for healthcare professionals. Managing medications is one of the best ways a caregiver can help seniors during their recovery.Follow up visits prevent readmission: A full two-thirds of patients readmitted to the hospital would have avoided that trip if they had seen their physicians within two weeks for follow up. The reasons for not following up vary but can include transportation difficulties and forgetting to make or keep appointments. Hospital staff can aid the senior by setting up appointments for the individual before discharge, but getting to the appointment can still be a challenge. In addition to a host of uplifting care services, caregivers can provide transportation to appointments and keep track of any post-care visits.Discharge plans only work when implemented properly: Having a discharge plan for the patient before he or she leaves the hospital can be crucial for recovery, but it can be difficult for seniors and their family members to focus on the plan during the stress of the illness and discharge. Caregivers can help the senior follow the instructions and will connect with family or other approved individuals when there are problems or change in condition during recovery. They can also help explain the information or ensure that the appropriate person is notified if the older individual has questions about his or her course of treatment. This takes the stress off the family and the patient so he or she can focus on recovery.Having a helping hand during recovery can ensure positive outcomes and a return to an active, engaged life. Family members, friends and neighbors are often willing to serve as a post-hospital recovery caregiver, but there is professional help available for those that dont have someone nearby to assist them. For long-term recovery, those who have the assistance of friends and family can benefit from a professional caregiver to provide respite care and support.Comfort Keepers Can HelpComfort Keepers caregivers can help with encouragement, support and assistance with daily living. And caregivers can encourage overall health through meal planning, grocery shopping, meal preparation and activities. Our custom care plans focus on physical and mental health and wellness activities. Our goal is to see that clients have the means to find the joy and happiness in each day, regardless of age or acuity.To learn more about our in-home care services, contact your local Comfort Keepers location today.ReferencesRelias. What you need to know about readmission among seniors. Web. 2016.American Hospital Association. Examining the drivers of readmissions and reducing unnecessary readmissions for better patient care 2011 AHA Policy Research. Web. 2011.Robert Wood Johnson Foundation. Ten things you should know about care transitions. Web. 2013. 

Being a caregiver is a role that millions undertake out of love, dedication and necessity. Whether its an unpaid family caregiver or someone who has chosen a caregiving career, the role is critical to those who need help. Understanding some of the challenges caregivers face helps to appreciate their work. Emotional Weight - Caregivers often carry emotional burdens. They may experience feeling guilt, when they theyre not doing enough or when they take time for themselves. As a loved onesor a clientshealth fluctuates, the resulting emotional swings can cause stress and anxiety. Physical Toll - Physical demands of caregiving are often underestimated. Caregivers may do things like household tasks or keeping the care recipient comfortable. But if the care recipient has mobility issues, the caregiver may need to help them transfer from their bed to the toilet. Over time, these responsibilities can lead to physical strain and exhaustion. Financial Strain - Often caregivers provide care without pay, they will incur expenses related to the care of their loved ones - compounded if the caregiver has to reduce hours or even quit their job to provide care. Social Isolation - The time and energy demand often limit the caregivers ability to maintain social relationships, making them feel lonely and disconnected. Juggling Act - Many caregivers must balance the needs of the person theyre caring for, needs of the family while juggling employment. Recognition and Support - Caregiving is often not seen as real work, caregivers may struggle to find adequate resources, support and respite care. Right at Home of Mesa, Garfield, Eagle and Pitkin counties is here to help! Our trained caregivers can help with a range of services, from meal preparation and light housekeeping to assistance with hygiene and mobility.  Editors Note: This article was submitted by David McKendry, President of Right at Home Grand Junction. He may be reached at 970-697-1331 or by email at David@gjhomecare.com. See ad on page