Empathy in Action: Best Practices for Listening and Understanding Senior Voices

Introduction: I felt strongly compelled to write this blog on heart failure as it is such a pertinent issue in the aging population today. Before I go into details on this, Id like to address the definition of this disease process. Heart failure occurs when the heart doesnt pump well and fails to deliver adequate oxygen to the body. As a result, fluid builds up in the body and vital organs dont get the blood that they need. This can make it harder for individuals to perform everyday tasks and can lead to eventual overall decline. Problem:Heart failure is the number one reason for hospital admissions in older adults, and often leads to multiple readmissions (Agarwal et. al., 2021). As a cardiac nurse for many years, I can attest to the fact that heart failure is the biggest reason for multiple hospitalizations in seniors. Patients come in and out for problematic symptoms, sometimes coming into the hospital as often as every month. The three biggest symptoms I see that result in hospital admissions are shortness of breath (particularly when lying flat), weight gain, and swelling in the legs.One reason for such frequent admissions is the complexity of heart failure itself. It is a complicated clinical syndrome and is notoriously difficult to manage. A lot is put on patients to manage their heart failure at home, and this can be a challenge. In addition, individuals may have some level of cognitive impairment or multiple other comorbidities, making it even more challenging to perform the extensive monitoring needed to prevent heart failure from worsening. The importance of education:Education is also important in the treatment of heart failure. Unfortunately, this often does not get done. When I first started working in acute care back in 2004, every patient received extensive education in managing their heart failure prior to discharge. Nurses would provide lengthy verbal education on the importance of medication adherence, daily weights, low salt diet, and other factors, in addition to providing the patient with a heart failure educational pamphlet prior to discharge. Over the years, however, hospitals have increasingly faced staffing shortages and high nurse turnover. As a result, a lot of important patient education is not getting addressed. A lack of awareness and understanding in patients on how to manage their heart failure is definitely a key reason for worsening heart failure and repeated hospitalizations. Management:From a clinician standpoint, the goal in addressing heart failure is twofold: we want to reduce symptoms and prevent mortality. The best way to do this is through patient/family education and implementation of a treatment plan. A proper treatment plan will include such lifestyle modifications as a low salt diet, quitting smoking, and getting regular physical activity. A low salt diet can be incredibly helpful in preventing further fluid build up in the body. The American Heart Association recommends that all individuals consume no more than 2,300 mg of sodium per day (AHA, 2024). In todays era of processed and packaged food, a majority of the American population consumes much more than that, and it comes in the food itself rather than the saltshaker. Maintaining a low sodium diet has one other priceless benefit that I often do not see emphasized enough in heart failure: it can help reduce blood pressure. Almost half of all heart failure patients have uncontrolled hypertension (Heart Failure, 2022). It is a major risk factor in the development of heart failure and managing it can greatly reduce heart failure symptoms and decrease stress on the heart. Current guidelines recommend maintaining a systolic blood pressure of less than 130. Medication management is another important factor in the management of heart failure. This often includes the use of diuretics, beta blockers, and other medication classes that I will not go into detail on. I wanted to discuss diuretics and beta blockers because these are the two medications in heart failure that I see non-compliance with the most. I witness individuals often not taking one or the other for two main reasons:  they either dont understand the importance of them or they dont like the side effects. Seniors can often have difficulty getting up to go to the restroom. Diuretics cause frequent trips to the restroom because their purpose is to get excess fluid off the body. Many individuals do not comply with their prescribed diuretic because of the hassle of frequent bathroom trips. Unfortunately, ineffective diuresis causes heart failure to worsen and puts further stress on the heart. I often see non-adherence to beta blockers due to their side effects. The two biggest symptoms that get reported to me are fatigue and dizziness. As in the diuretic, a beta blocker can also help reduce the stress on the heart, and heart failure symptoms can worsen if the prescribed dose is not adhered to. Its important to maintain prescribed medication regime and if any negative symptoms are experienced to discuss them with the doctor. One final thing:I wanted to touch on one final monitoring recommendation for heart failure because it so often gets missed: daily weights. Weighing oneself daily is of tantamount importance in heart failure and can identify early on if heart failure is worsening. This can lead to early intervention, thus decreasing potential hospitalization. Adherence to this all too often does not occur. I see patients come into the hospital for large amounts of weight gain often 20 or more lbs. Many patients report that they never stepped on the scale to assess for weight gain and often do not get admitted to the hospital until symptoms are severe such as severe weakness and shortness of breath. In heart failure its recommended to contact the doctor if weight goes up by more than 2 pounds in a day or greater than 4 pounds in a week. The doctor can make modifications in the treatment regime and hence reduce potential hospitalizations and mortality. Conclusion:Heart failure is complex but manageable. Early action can prevent hospital admissions, reduce mortality, and optimize quality of life. Having ongoing guidance from an experienced clinician can be of great benefit if you or your loved one is having difficulty managing heart failure and other disease processes. Please do not hesitate to reach out to me if you have any further questions. I want to help and make the process of aging as stress free as possible while promoting positive health outcomes.  My name is Laura Carson and I have been a Registered Nurse (RN) for over 20 years and have witnessed firsthand the challenges and complications that aging presents. It affects not only the aging themselves but also their families and loved ones. Health care is complex, and in this increasingly fragmented and overburdened system, it can be extremely helpful to have a professional oversee all aspects of care. As your eldercare manager, I will comprehensively assess the needs of your loved one and we will work together in establishing a care plan. I will assist you and your family with difficult decisions and help promote healthy communication on issues that are often difficult to address and navigate. Contact me for a 20 minute free consultation at 714-403-7040.  References:Blood Pressure and Glycemic Control Among Ambulatory US Adults With Heart Failure: National Health and Nutrition Examination Survey 2001 to 2018 (April 28, 2022). Heart Failure. Almost half of heart failure patients have uncontrolled hypertension and diabetesAgarwal, M., Fonarow, G., & Ziaeian, B. (February 10, 2021). National Trends in Heart Failure Hospitalizations and Readmissions From 2010 to 2017. https://pmc.ncbi.nlm.nih.gov/articles/PMC7876620/Weber, C. (May, 2023). Heart Failure Pharmacology.  How much sodium should I eat per day? (2024). American Heart Association. https://www.heart.org/en/healthy-living/healthy-eating/eat-smart/sodium/how-much-sodium-should-i-eat-per-day  

Caring for Aging Parents: Let FirstLight Lighten Your LoadWatching your parents age and begin to need help can be one of lifes most emotional and challenging transitions. As they require assistance with everyday tasksfrom getting dressed to grocery shoppingit can feel overwhelming to shoulder these responsibilities on your own. At FirstLight Home Care, were here to support you and your loved ones with compassionate care that makes a difference.The Challenges of Caring for Aging ParentsBeing a primary caregiver for your aging parents can be as rewarding as it is exhausting. Between managing your own responsibilitieswork, family, and personal needsit may feel like there arent enough hours in the day. Many caregivers find themselves stretched thin, sacrificing sleep, hobbies, and social connections to meet the needs of their parents.This cycle often leads to burnout. The constant physical, mental, and emotional demands can leave you drained, making it harder to provide the care your loved ones deserve. Its common to feel like youve lost your sense of self, but remember: you dont have to do it all alone.Supporting Your Aging ParentsThe level of care your parents need depends on their situation. Some may only require occasional check-ins, while others may need help with daily routines like showering, preparing meals, or managing medications.As health challenges grow, these responsibilities can feel like a full-time job. Its a heavy load for one person to carry, especially when trying to balance everything else in life. Thats where FirstLight Home Care steps in to help.How Companion Care Makes a DifferenceAt FirstLight, we offer a range of senior care services, including companion care, dementia care, respite care, and more. Our caregivers are carefully matched to each familys unique needs, bringing much-needed relief to those caring for aging parents.Companionship and Emotional SupportLoneliness is common among seniors, but our compassionate caregivers bring connection and joy to their daily lives. Whether its sharing stories, assisting with communication, or helping them stay socially active, our team is here to keep your parents engaged and happy.Daily Living AssistanceFrom light housekeeping to meal preparation, our caregivers ensure your loved ones home remains a clean, safe, and healthy space. They can also help with hygiene, toileting, and mobility, all while treating your parents with the dignity and respect they deserve.Relieving Family Caregiver StressHaving professional support means youll have more time and energy for yourselfand for your parents. Instead of being overwhelmed by caregiving duties, you can focus on strengthening your relationship with them and creating meaningful memories.Let Us Support Your FamilyCaring for aging parents is no small task, but you dont have to do it alone. At FirstLight Home Care, were here to share the load and provide expert care that brings peace of mind to you and your family.Whether your parents need help with daily activities, companionship, or more specialized care, our trained caregivers are ready to step in and provide the support they deserve.Reach out to FirstLight Home Care today to explore personalized care options near you.Ready to learn more?Discover how FirstLight can make life easier for you and your loved ones. Contact us for personalized pricing or visit your nearest location to begin. Together, we can help your parents live their best lifewhile giving you the space to thrive, too.  Call FirstLight Home Care in Bloomington at 612-473-3227.

In many ways, stress is a part of life for all of us. But for seniors, stress can have a larger affect on physical and mental wellness.Having worries and concerns is natural, but it is more important as we get older to practice stress-reduction techniques to manage these thoughts.The great news is that stress, and the techniques to manage it, are usually easy for most people to practice. Meditation, breathing exercises, physical movement and other tactics can help seniors continue to live the best quality of life and can even improve overall wellness.Stress destroys cells in the hippocampus, a brain site responsible for memory storage and retrieval.Why is it critical to manage stress?As we continue to keep our homes and families safe during COVID-19, its even more important to focus on the mental health needs of our seniors when it comes to stress.Several studies have shown that stress is linked to mental and physical problems, from anxiety and depression to hypertension and immune system complications. In fact, its estimated that stress increases the risk of heart disease by 40%, heart attack by 25%, and stroke by 50%. Not to mention the fact that stress can also exacerbate existing conditions which can be very impactful for those with less efficient immune systems.What can seniors do to manage their stress in a positive way?Finding moments of joy and focusing on activities and hobbies that bring meaning and purpose can help seniors manage their stress. Fortunately, there are many more stress relief techniques that seniors can follow to help improve their own personal wellbeing. What senior clients use to manage their stress today can help better prepare them for any future stress.Stress Relief TechniquesConnection can help relieve stress. Seniors can call a friend or family member, have a video chat or spend time with loved ones when possible.Meditate at the same time every day or whenever feelings of stress or anxiety arisePractice deep breathing and mindfulness exercisesReach out to friends and family to connect and spend time togetherFollow a consistent exercise regimen and healthy diet, upon physician approvalJournal or jot down thoughts and feelings at the end of each day and be sure to take a moment to reflect on all the positive things that happened throughout the dayFind a virtual volunteer opportunity to give back to the communityPut together and execute a to-do list to increase productivity, decrease feelings of restlessness, and combat procrastinationJoin a yoga class or practice it at home (with physician approval)Listen to soothing or relaxing music, especially before bedFind a way to laugh, whether its by watching a funny TV show/movie or listening to a comedy albumComfort Keepers Can HelpAt Comfort Keepers, we have spent the last twenty years perfecting the art of helping seniors and other adults maintain their peace, happiness, and joy. To us, every moment in a seniors life is a unique opportunity to foster positivity, going beyond daily tasks. Our approach to care is called Interactive Caregiving, a philosophy centered around four central aspects of life: mind, body, nutrition, and safety.Whats more, our trained caregivers are selected with one specific quality in mind: empathy. Care that is empathetic is care that starts in the heart, and it allows us to meet our clients exact needs.Learn more about our unique service offering by contacting a local Comfort Keepers office.