The Way Up When I Feel Down

By Faith Protsman, MD, Regional Medical Director, VITAS HealthcareVietnam War veterans face unique obstacles throughout the twilight of advanced illness. For hospice care providers to tailor care to meet the needs of veterans who have served in this theater of war, they must consider the tribulations these patients face as they reach the end of their lives.The Vietnam War era was a very tumultuous time to be a soldier. The United States' prolonged involvement in a war of questionable motivation left society with disdain toward the government and its institutions, especially the military.Coupled with horrific images shown on television, constant controversy was a new reality and negative public opinion formed around this conflict, of which those serving the nation were not spared.Careful consideration is necessary when treating patients facing these traumas.Tours of duty proved to be traumatizing in many ways. Young soldiers, some having just turned 18, were drafted into a war that many of them did not believe in. They were not fighting for love of country and God; rather, they were fighting for survival and out of fear for their lives.Intimate battles in the dense jungle led many to be subjected to the horrors that come with fighting in a foreign land that was only familiar to the elusive guerilla enemy soldiers.Servicemembers did not receive a warm welcome when returning home from Vietnam, often being judged and labeled as cruel and even inhumane.Moral Injury Can Impair Mental HealthThis perfect storm of trauma led to lasting moral injury that plagues many veterans for their entire lives. Veterans returning from the war were marginalized and pushed into isolation, often turning to alcohol and substance abuse, which worsened their anxiety and exacerbated their strife.Questions like Ive never spoken about the war, can I now? Was the war moral or immoral? and Was I a good soldier? come bubbling to the surface later in life as their illnesses intensify and their defenses weaken.Careful consideration is necessary when treating patients facing these traumas.The restlessness that can result from post-traumatic stress disorder (PTSD) is often treated with benzodiazepines. In most cases, these medications can bring relief through calming the patient.Yet, there is a common trend amongst veterans who cope with trauma that results in the opposite effect.Benzodiazepines can lower the walls that Vietnam veterans have built up throughout a lifetime of suppressing trauma and negative memories. This class of medications can exacerbate the symptoms of PTSD as traumatic experiences and feelings of regret resurface. Benzodiazepine-induced inhibition of neurotransmission can even lead to agitated toxic psychosis, increased anxiety, hostility, and rage.1The Value of Compassion Along with Clinical CareRemaining considerate does not end with simply staying mindful during the planning of clinical solutions. Providing care for Vietnam veterans requires a high level of empathy.A key to an empathetic approach is taking the time to listen nonjudgmentally. Though seemingly simple, practicing nonjudgmental, open communication with patients facing trauma from war can help avoid the all-too typical responses of Its okay and You did what you had to do.These patients do not need sympathy, because they have been judged enough throughout their lives. When care teams approach them without judgment, they honor the sacrifices these heroes have made.VITAS hospice care provides compassionate care approaches that are tailored to meet the distinctive needs of Vietnam veterans. With the Veterans Administration (VA) offering hospice care as part of its medical package, VITAS team members can provide empathetic psychosocial support, while utilizing clinical solutions that help manage symptoms.The qualifications for veterans to receive hospice benefits include: A life-limiting illness Treatment goals that focus on comfort, rather than curative treatments A life expectancy of 6 months or less, if their illness runs its normal course Veterans also benefit from the option to receive concurrent care through the VA. The VA can provide curative treatments as the patient simultaneously receives symptom-managing comfort care administered by the hospice care provider of their choosing.Offering solace, while remaining compassionate when patients need it most, is too often overlooked in the busy practice of healthcare. Acknowledging the adversity that Vietnam War veterans have had to face throughout their lifetimes and adapting care approaches to meet their needs is the best way for healthcare providers to give back to those who have sacrificed so much for the preservation of freedom.1Paton, C. (2018, January 2). Benzodiazepines and disinhibition: A review: Psychiatric bulletin. Cambridge Core. Retrieved November 2, 2022, from https://www.cambridge.org/core/journals/psychiatric-bulletin/article/benzodiazepines-and-disinhibition-a-review/421AF197362B55EDF004700452BF3BC6

The shorter days and cooler months may leave many seniors feeling down. While this could be the blues, it could also be seasonal depression. Seasonal mood changes can greatly impact seniors and affect their enjoyment of life and daily activities. Addressing these mood changes is important to ensure good health and happiness. Senior Helpers offers a guide to help seniors cope with seasonal depression and manage its effects.What Is Seasonal Depression?Seasonal depression, also known as Seasonal Affective Disorder (SAD), is a type of depression that comes and goes with the seasons. Symptoms can include low energy, difficulty concentrating, changes in sleeping patterns, and loss of interest in activities seniors usually enjoy. A significant factor is the lack of sunlight during the fall and winter months. It can affect the body's internal clock and serotonin levels, contributing to mood changes.Coping Strategies for SeniorsFinding effective ways to cope with seasonal depression can make a big difference. Here are some strategies that may help:Routine and Structure Establishing a daily routine provides stability and predictability. It can be comforting and help combat feelings of uncertainty.Physical Activity Regular exercise is a great mood booster. Simple activities like walking or stretching can increase serotonin levels and improve mood. Always consult with healthcare providers before starting any new exercise regimen.Light Therapy Special light boxes mimic sunlight and can help regulate mood. Using one for about 20 minutes each morning can be incredibly beneficial.Social Connections Staying connected with family and friends is one of the best ways to beat SAD. Regular phone calls, video chats, or socially distant visits can help combat loneliness and isolation.Lifestyle Adjustments for Emotional Well-BeingSmall, manageable lifestyle changes can also support emotional well-being. Here are a few to consider:Eat Balanced Meals Nutrition plays a crucial role in mood stabilization. A healthy diet of fruits, vegetables, and omega-3 fatty acids can boost overall mood.Stay ActiveSeniors should engage in activities that bring joy and help keep their spirits lifted. These could include painting, crafting, gardening, or reading.Practice Mindfulness Relaxation techniques like meditation, deep breathing, or gentle yoga can reduce stress and improve mood. Mindfulness allows you to live in the moment and avoid negative thinking.Create a Bedtime RoutineEstablishing a bedtime routine can help improve sleep quality and boost energy levels. A good night's sleep is vital for mental health.When to Seek Professional HelpSometimes, seasonal depression requires more than self-care strategies, and it is wise to know when to seek professional help. Talking to a counselor or psychologist can be beneficial if symptoms are overwhelming or persist. These professionals can offer guidance and treatment options, like talk therapy or medication. Seniors can take advantage of local resources, including support groups and mental health services, that specialize in treating seasonal depression. Reaching out for help is a sign of strength and a step toward feeling better.Senior Helpers Can Help Manage Seasonal DepressionSenior Helpers offers comprehensive, in-home senior care services designed to address the specific needs of our community's seniors. If you live in Cheyenne, Laramie, or the surrounding areas, don't hesitate to contact us today at Senior Helpers Cheyenne. We are here to help you, or your loved ones navigate these seasonal challenges with care and compassion. To learn more please call Senior Helpers at 30

Seniors Helping Seniors In-Home Services Offers Advice for Rekindling Purpose and Joy After the HolidaysSeniors Helping Seniors owners C.J. Girod and Travis Hudson are placing a spotlight on advice and insights for how seniors can find meaningful ways to stay engaged and motivated in the new year.Seniors Helping Seniors in-home care services, a franchisor with over 115 franchise partners and more than 300 territories nationwide, has grown rapidly in recent years. The company attributes its success to its skilled team of caregivers who foster meaningful connections with their senior care receivers. While the holiday season is often filled with joy and activity, the weeks that follow can be particularly challenging.According to a study by the American Psychological Association, 89% of U.S. adults report feeling the holiday blues. For older adults, this emotional slump can be even more pronounced. The shift from the holiday seasons energy to a quieter, more isolated period can lead to sadness and make it difficult to maintain an active lifestyle.After the excitement of the holidays, it can be especially tough for seniors to stay active, particularly in colder climates, said C.J. Girod, President of Seniors Helping Seniors Southwestern PA, which serves southern Allegheny County and northern Washington County. We see every year how the post-holiday season can bring unique challenges for our elderly friends, family and neighbors.The key to staying active once the holidays have passed is to find meaningful ways to stay engaged and motivated as the new year begins, said Travis Hudson, Owner of Seniors Helping Seniors Pittsburgh Northeast, which serves northern and eastern Allegheny County and western Westmoreland County.We work closely with our senior care receivers and their families to cultivate routines and activities that inspire a sense of purpose and fulfillment throughout the year, but especially during the holiday season, Girod and Hudson said.Some of Girods and Hudsons tips for seniors looking to shake off the post-holiday doldrums include:Set small goals for the new year.Maintain social connections.Stay physically active.Look for opportunities to volunteer.Create a cozy, positive environment.Seniors Helping Seniors in-home services has grown rapidly in recent years, extending its reach into more than 30 U.S. states as well as international markets.Seniors Helping Seniors services stand out from other brands in the elder care space partly through its commitment to hiring senior caregivers, which provides employment opportunities for seniors and better cultivates meaningful relationships between caregivers and care receivers.What I truly appreciate about working with Seniors Helping Seniors network is that its commitment to improving health and well-being goes beyond just our clients, Girod said. Our whole team is deeply committed to making a positive difference in the community as a whole, and we are always looking for new opportunities to offer support and care to those who need it most, said Hudson.Caregivers are at the core of what we do, and their work is essential to the health and happiness of so many people around the world, said Seniors Helping Seniors President Namrata Yocom-Jan. Nearly half of all caregivers in the U.S. are over 50 and face their own health challenges. Thats why Seniors Helping Seniors in-home service prioritizes hiring caregivers over the age of 65 and provides comprehensive support to promote their mental, physical and emotional well-being.Over the past 25 years, weve put a lot of work into ensuring that Seniors Helping Seniors in-home care is not only the best option for our seniors but also for caregivers across the country, Yocom-Jan said. Thats something we are extremely proud of, but its not something we take for granted. We will continue to make sure anyone who has the passion and skills to be a great caregiver will find a great opportunity to grow and make an impact with Seniors Helping Seniors services. Our caregivers truly have a way to give and to receive.For more information on Seniors Helping Seniors in-home care, visit seniorshelpingseniors.com.