Physicians, nurses, social workers and others who assist elderly patients daily are guided by the ethical principles of their professions. These codes of ethics share a similar purpose: to provide a set of values, principles and standards for decision-making and professional conduct. A code of ethics holds medical professionals accountable for providing safe and compassionate care in the best interest of their patient or client.
Occasionally, however, conditions such as dementia and other cognitive impairments can create conflicts for medical professionals as they attempt to make decisions in their patients’ best interests.
While all slightly different, the codes of ethics for doctors, nurses, and social workers share many of the same principles. These include fairness and justice, beneficence (doing good), non-malfeasance (doing no harm), and preservation of the autonomy and self-determination of the patient or client.
Those who care for patients with cognitive disorders can be challenged by seemingly conflicting ethical principles. For example, how do you preserve the autonomy and self-determination of a patient who has diminished decision-making ability or is unable to advocate for themselves?
A physician or medical social worker, for example, might believe that a patient is receiving insufficient care from a family member. The logical decision might be to recommend that the patient move to an assisted living or memory care community. However, the professional may fear that a cognitively-impaired patient would reject the recommendation and fire their doctor—leaving a vulnerable elder without a physician altogether.
It can also be challenging to present complex medical options to patients who have impaired decision-making skills while still respecting their autonomy. Medical professionals should ensure patients have ample support from their partners, friends, or family members. When possible, patients should empower a trusted loved one at the time of diagnosis. This person should attend appointments and play an active role in the patient’s care by communicating issues and advocating for the patient when they can no longer advocate for themself.
End-of-life issues can also present significant challenges for health care professionals that serve patients with dementia and similar cognitive or memory disorders. What are the best practices when palliative care is advised, but families want to seek curative care? What issues can occur when the patient does not have advance directives?
To assist professionals in navigating these ethical situations, Oasis Senior Advisors is happy to announce that we are sponsoring a live interactive webinar for continuing education credits for Social Workers & Certified Case Managers through Jenerations Health Education.
Stephanie Goldstein, LBSW, of Jenerations Health Education will present “Ethically Handling End of Life Issues with Alzheimer’s Disease & Dementia” on Thursday June 23, 2022, from 2pm-3:15pm EST/1pm-2:15pm CST.
Oasis Senior Advisors sponsors live interactive webinars like these on a quarterly basis, and professionals are welcome to attend at no cost. We hope that you’ll be able to join us for this upcoming program on healthcare ethics. Seats are limited and advance registration is required at https://www.jenerationshealth.com/OSAJune.
When temperatures rise, so do the risks associated with heat, especially for older adults.Older individuals may not adjust as well to sudden changes in temperature, and with possible chronic health conditions or certain medications, extreme heat may cause negative health outcomes.Kavod Senior Life is well aware of these potential issues, sharing four best practices to protect people in the second half of life against the heat. Here are some tips we've learned from our 50+ years of housing and supporting older individuals in aging well!Stay HydratedWhy It Is Important: Older adults are at a higher risk of dehydration because they may not feel thirsty as often as younger people, and as mentioned above, certain medications can increase the risk of dehydration.Tips:Drink water even if you dont feel thirsty.Eat water-rich foods like fruits (e.g., watermelon, cucumbers) and vegetables.Avoid alcohol and caffeinated beverages, as they can lead to dehydration.How Kavod Responds: Hydration stations are set up in the lobbies of each building during the hottest days to give residents, staff and visitors easy access to ice cold water (with lemon and cucumber, even!)Create a Cool EnvironmentWhy It Is Important: A cool living space is crucial to preventing heat-related illnesses.Tips:Use fans or air conditioning. If air conditioning is not available, consider spending time in public places like libraries, shopping malls, or community centers that are air-conditioned.NOTE: Do not rely on fans as your main cooling source when temperatures are extreme for heat.Keep blinds or curtains closed during the hottest parts of the day to block out the sun.Use light-colored, loose-fitting clothing made of natural fibers like cotton, which are more breathable.Try to avoid using the stove or oven to cook it will make your home hotter.Take cool showers or baths to cool down.How Kavod Responds: A cooling center is set up on campus where the temperature stays at 72 degrees. Residents can get out of their apartments and socialize there without having to go outdoors, helping abate social isolation. Dietary AdjustmentsWhy It Is Important: Certain foods can help keep the body cool and hydrated.Tips:Encourage smaller, more frequent meals that are easier to digest.Include hydrating foods like soups, smoothies, and salads.Limit heavy, hot foods and opt for lighter fare like yogurt, salads, and chilled fruits.How Kavod Responds: Kavod staff serves residents cold lemonade and fresh watermelon over the weekend in the cooling center, both terrific ways to stay hydrated.Educate and EquipWhy It Is Important: Knowledge and preparation are key to preventing heat-related issues.Tips:Educate yourself about the risks of heat and the importance of staying cool.Be aware of the signs and symptoms of heat-related illnessHave access to emergency numbers and know what to do in case you experience these symptomsHow Kavod Responds: The management team reviews, prepares and hand-delivers updates to residents to best ensure everyone is educated and can take appropriate actions against the heat.ConclusionBy following these four important steps, older individuals can stay healthy and safe while enjoying all the good things summer has to offer. If you know an older person who would benefit by living in our community, please contact us for a tour, or check out our website for more information. Stay cool, everyone!Resources used in article:Center for Disease Control: https://www.cdc.gov/extreme-heat/risk-factors/extreme-heat-and-older-adults-aged-65.html#:':text=Older%20adults%20do%20not%20adjust,control%20its%20temperature%20or%20sweatNational Institute on Aging: https://www.nia.nih.gov/health/safety/hot-weather-safety-older-adultsHarvard Medicine: https://magazine.hms.harvard.edu/articles/effects-heat-older-adultsChat GPT
Caring for a loved one with dementia presents unique challenges that can be overwhelming. It means coping not just with the loved one's illness and the huge life changes that will come, but with the caregiver's own feelings and struggles too. Keeping a detailed journal is an organized way to record the progress and effects of the patient's dementia helpful information for their doctors. But it can also provide emotional and psychological benefits for caregivers themselves. Whether you're caring for someone with dementia or another illness, here are some things to consider when keeping a journal. What To Track in Your Journal Why record what the dementia patient is experiencing? Two reasons: because it will help their doctors and because it will help the caregiver understand and adapt to the effects of the disease. Daily activities and behaviors: Note any changes in mood, unusual behaviors, or shifts in routine. This can help identify triggers for agitation or anxiety and reveal patterns or changes over time. Medications and side effects: Record the times and doses of medications. If their medications change, note any side effects or noticeable changes in the person's condition. This can be crucial for managing the drugs' effectiveness and any potential drug interactions. Eating and drinking habits: What and how much is your loved one eating and drinking? Tracking this information can help prevent malnutrition and dehydration, which are common issues in people with dementia. Physical health and symptoms: Record any physical symptoms, such as coughs, changes in mobility, or signs of discomfort. This information can be vital for detecting emerging health issues that may not be directly related to dementia. Sleep patterns: How much and how well are they sleeping? Do they wake up during the night? Sleep disturbances can exacerbate the symptoms of dementia and affect the health of both the caregiver and the patient. Falls: Research shows that falls are not only more common among people with dementia, but they can also accelerate cognitive decline. Details about any falls-where, when, and how they occurred-are important information for the doctors. Journaling: A Safe Space and a Helpful Tool Keeping a journal helps the caregiver process the complex emotions they're likely experiencing. A journal is a private, safe space where the caregiver can express frustrations, celebrate successes, and acknowledge hardships. Journaling can help them protect their mental health stability, which in turn can help them feel better able to support their loved one effectively. A journal can also be a place for the caregiver to track the effectiveness of care strategies and treatments. For example, the caregiver may notice that the timing of dinner is causing their loved one distress. Their notes can help them adjust their caregiving as needed. The caregiver may even decide to keep two separate journals-one for themselves and the other journal (or calendar) about their loved one's condition. "There is something about recording what is happening to us and our emotional reactions that enables family caregivers to stand apart from the onrush of tasks and crises they're immersed in," said Barry J. Jacobs in an article for AARP. A caregiver himself, Jacobs noted that journaling can help the writer "feel more in control." How the Journal Can Help Doctors A detailed journal is a valuable resource during medical appointments. It provides data and examples that help doctors understand the patient's current state beyond what a memory recall or short visit can reveal. This is crucial in diagnosing issues, adjusting medications, or changing treatment plans. Doctors rely on accurate, detailed information to make informed decisions about treatments and care strategies. For example, if the journal shows that the patient has fallen repeatedly, the doctor may use that information to assess the patient's need for mobility aids, physical therapy, or further neurological evaluation. The doctor may end up identifying a treatable condition, such as an inner ear disorder or vision problems. Moreover, the journal can help identify early signs of complications or side effects of medications that the patient might not be able to express because of their cognitive condition. This helps the doctor make a change before the complications cause a potentially serious health issue. Write for Them and for Yourself Keeping a journal is a simple yet effective tool that can greatly improve the caregiving experience for those managing the care of someone with dementia. You'll help not just your loved one, but yourself as well. Do it in whatever way works best for you. "This is not a school assignment," Jacobs reminds other caregivers. "No one is grading you. Just empty the contents of your mind without judging yourself." If you have any questions, please call Right at Home at 970-494-1111.
Experiencing the pain of arthritis is something many of us understand, especially if weve watched a parent or grandparent struggle with osteoarthritis.This pain, often severe and sometimes even crippling, typically comes from the normal wear and tear of cartilage as we age, a process often just due to the rigors of daily life.The intensity of the pain varies, presenting good days and bad days unique to each person. Its important to note that arthritis is one of the leading causes of disability in America, emphasizing its prevalence and impact.However, its not all doom and gloom! There are practical steps that elderly individuals can take to help alleviate this pain, especially with the support of a robust senior home care plan.Here are some enhancements you can make to your senior home care strategy to effectively manage arthritis:Embrace Regular Exercise: It might seem counterintuitive given the pain, but exercise is crucial. Inactivity only worsens arthritis symptoms, leading to increased swelling and pain. Activities range from swimming to simple weight lifting can make a difference. Dont forget endurance exercises, great for heart health, which can also reduce joint swelling.Consider Weight Management: If possible, shedding a few pounds can relieve significant pressure on your joints, subsequently reducing arthritis-related pain and swelling.Indulge in Comforts: Little luxuries like massages, warm baths, or using arthritis-friendly products can make a big difference. These not only ease the pain but also prepare you for a good rest. Tools like jar openers, reachers, and button fasteners are small additions that can greatly improve daily living.Stick to Your Medications: Its crucial to follow your doctors prescription regimen. Managing arthritis symptoms often requires consistent medication intake.Stay Informed: Keep up-to-date with the latest arthritis research and treatments. Knowledge is a powerful tool in managing your symptoms.Create a Supportive Living Environment: Make small adjustments in your living space to accommodate your needs, like installing safety handles or organizing a living space on the first floor.Arthritis, while challenging, doesnt spell the end of a happy, active life. Remember, its all about learning to manage the condition effectively. As you adjust and respond to the changes it brings, youll find that you can continue to live, laugh, and enjoy life just as vibrantly as before! And perhaps, this journey might remind you of the resilient words:Life isnt about waiting for the storm to passIts about learning to dance in the rain. Embrace each day, and keep dancing!