IMPORTANT INFORMATION ABOUT THE PREVENTION AND TREATMENT OF OSTEOPOROSIS

When you think about staying healthy, you probably think about making lifestyle changes to prevent cancer and heart disease. But, keeping your bones healthy is just as important. Here are some important facts.

We have 206 bones in our body. And it’s important to keep them strong by getting enough calcium, vitamin D and weight-bearing and muscle-strengthening activity. However, that might not be enough. Talk to your doctor about your risk factors and how you can prevent osteoporosis.

44 million Americans have low bone density or osteoporosis. In fact, about one in two women and up to one in four men over the age of 50 will break a bone due to osteoporosis. By 2020, half of all Americans over age 50 are expected to have low bone density or osteoporosis.

Osteoporosis is considered a pediatric disease with geriatric consequences. Up to 90 percent of peak bone mass is acquired by age 18 in girls and age 20 in boys, which makes youth the best time to build strong bones to last a lifetime.

There are many reasons people get osteoporosis. Some of these include having a family history of broken bones, smoking, not getting enough physical activity, unhealthy eating habits, drinking too much alcohol, taking certain medicines and having certain medical conditions.

Osteoporosis can sneak up on you. You can’t feel your bones becoming weaker. You could have osteoporosis now or be at risk without realizing it. A bone mineral density test can tell if you have osteoporosis before you experience symptoms, such as breaking a bone.

Osteoporosis isn’t just a problem for older Caucasian women. While osteoporosis is common among white women, men and women of all races and ethnicities can develop the disease. It can also strike at any age.

These are just a few facts about osteoporosis.

National Osteoporosis Foundation

1150 17th Street, NW Suite 850

Washington, DC 20036

800.231.4222 T | 202.223.2237 F

www.nof.org

Taking care of your feet is an important part of overall health for seniors. Healthy feet allow you to maintain balance, prevent falls and remain mobile. Feet can show early signs of health issues such as poor blood circulation, diabetes and some neurological conditions. Avoid foot problems by following some of these techniques:

• Do a daily check of your feet. Check for decreased sensation, redness, swelling, cuts, blisters, ulcers or toenail problems. If you cannot reach your feet, ask someone to help.
•  Keep your feet clean. Wash with soap and pat dry rather than rubbing, especially between toes which can harbor fungal infections.
• Trim your toenails straight across and never the corners or cuticles. If this is difficult to maintain, schedule a visit with a licensed podiatrist. Sanitize your clippers and do not share with other family members.
•  Use unscented, alcohol-free foot cream daily avoiding between the toes. You can use foot powder in the warmer months if sweat or odor is a problem.
•  Avoid tight-fitting socks and change them on a daily basis. Keep your feet elevated to keep swelling at bay and don’t cross your legs for an extended amount of time. If you are diabetic, buy specialized diabetic compression socks.
• Wear proper foot wear. Shop for shoes late in the day when feet are the largest. Wear closed toe shoes with a large box toe. Get properly fitted for insoles and rotate your shoes to prevent foot injury.

Consult your doctor immediately if you experience loss of sensation, open sores, wounds or change in color of your toes or nails. Home & Hearth Caregivers can assist in bathing and maintaining cleanliness of your feet and can transport you to your medical appointments. Give us a call today at 800-349-0663!

Bathing and personal hygiene of their loved one has long been a struggle for caregivers. If their loved one has dementia, this issue may further become one riddled with fear and trepidation. While bathing can be difficult for the elderly, it is necessary for skin cleansing and infection control as well as providing an opportunity for the caregiver to inspect the senior’s skin. Socially, a bath controls body odor, enhances social interactions and provides positive touch.  But the question remains, “How can we make shower time less of a strain on your personal relationship?”

§         Communicate Tell your loved what you are going to do before proceeding. “Mom, I am going to help you get undressed for the shower.” Approach from the front and maintain eye contact. If he/she becomes violent, back off and try another time.

§         Schedule Set up a bath schedule and use a calendar. Find a time of day where he/she is less likely to have outbursts. Use incentives to get him/her to bathe, such as telling your loved one that they must bathe before a favorite TV show or a favorite dessert. Once or twice a week is sufficient for seniors if they are not incontinent and keep the genital area clean.

§         Atmosphere Make it like a spa experience. Dim the lights and play relaxing, instrumental music. Use scented soaps/lotions, heated towels (use heated towel bars/containers or pluck them from the dryer) and a warm fuzzy bathrobe.

§         Temperature Turn up the heat one to two hours before the bath to keep the bathrooms warm. Seniors are often cold when we are wearing short sleeves. If there is tile in the bathroom, cover them with a plush bath rug or carpet (watch for falls). If you have an overhead heater, turn that on. Wear a t-shirt so you’re not overheated!

§         Safety Make sure the bathroom is safe - use bath chairs, non-slip mats/appliqués and grab bars. If the senior doesn’t feel safe, he or she will not agree to bathe.

§         Equipment Install a hand-held shower. The water spray in the face is distressing as often happens when sitting in a shower chair. The hand-held shower also allows the warm water to pour over them as they wash resulting in a greater sense of control.

§         Modesty Allow your loved one to do as much bathing independently as possible. Keep the doors closed and curtains drawn. Always cover the genitals with a washcloth or keep a light gown on the body that is not being bathed.

If your loved one still refuses to bathe, use alternative methods. Use no-rinse washcloths and dry shampoo. Try a “weekly bath” with everyday washing one part of her body using washcloths. For example, Monday wash her arms, armpits and back, Tuesday, feet and legs. Ask her to take that body part out of her clothes one at a time to wash, dry and then switch. It takes longer but your loved one may be more open to this. Sometimes you could time it during a trip to the washroom and use that as an excuse to clean the genitals. Use powders, body sprays, etc to help cover the body odor when you just can’t get them to bathe.

And lastly, many home care agencies offer a bathing service so that you don’t have to do the “dirty work”. Hire them and then go out for a cup of coffee to de-stress. Home & Hearth Caregivers offer a variety of packages that include bathing. Call us at 800-349-0663 for your complimentary, no obligation home assessment.

During this holiday season, we spend countless hours wrapping, addressing, baking, cleaning and spending time with our loved ones, many of them seniors.  As you visit with your loved ones, take a look around for signs that they may need help:

Inside the Home

1. The kitchen is filled with dirty dishes, burned pots, food and possible infestations. Mom has always been a great cook but occasionally forgets to turn off the stove or gets too tired to wash the dishes.
2. The refrigerator has expired or moldy food and possibly non-food items inside. Cleaning out the refrigerator is not a fun task, but Mom has found it overwhelming to throw away food and/or may not remember where to put items.
3. The clutter is piling up. Mom and Dad may not want to admit that maintaining their home is becoming an overwhelming task.
4. The mail is stuffed with bills and late notices. Dad used to pay the bills two weeks ahead of time but is now faced with possible shut-offs or late fees.

Personal Care

1. Your parents have body odor. Perhaps Dad is afraid to bathe because he has fallen in the bathtub. Mom may not remember when she last bathed but insists that she does not need an incontinence product.
2. They wear the same clothes or inappropriate seasonal attire. Mom is wearing the sweater with the large coffee stain on the front that she got during the last visit you had. Dad goes out to get the mail in December without a coat or shoes.
3. Mom’s clothes are baggy. She just doesn’t want to cook now that Dad has passed or the shopping can be too much trouble for one so she eats a bowl of soup and nibbles on crackers.

Health Care

1. They forget their medications and doctor’s appointments. Mom always reminded Dad to take his medications but the pill boxes are now unorganized or full when you visit.
2. Dad has unexplained bruises or skin tears. He has fallen but refuses a cane or walker and Mom thinks it’s a natural progression of skin as she ages.
3. Noticeable cognitive decline. Dad has forgotten his granddaughter’s name but still remembers his best friend from elementary school. Mom can’t remember how to work the microwave.
4. Increased hospitalizations. Mom can’t control her blood sugar levels and Dad has been dizzy since he started his new blood pressure medication.

If you do notice significant signs like these, sit down with your loved ones and have a conversation about their needs. Home care agencies like Home & Hearth Caregivers are able to relieve the burden of caregiving from adult children and allow the seniors to remain in their home. We accept private pay, veteran’s benefits and long-term care insurance. Please contact us at 800-349-0663 to schedule a complimentary, no-obligation assessment.

World’s First Electronic Medical Bracelet!

 Home & Hearth Caregivers has partnered with CARE™ Medical History Bracelet to offer the world’s first electronic medical bracelet to their clients.

Imagine all of your Medications, Physician and Emergency information at your fingertips wherever and whenever you need.  The bracelet can be plugged into any computer providing instant access for emergency medical responders taking the guess work out of your care.

·         Easy to use and update

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·         Waterproof

·         Portable

·         Durable

·         And all the software is included 

Call us today to see how you can

get yours for free!

1-800-349-0663

While we still have a couple of months away before the filing deadline, somehow it always seems to sneak upon us and before you know it April 15 is here. Here are some tips for seniors that will help filing taxes run easier.

• Collect all your records early. Start by gathering all your documents, records and receipts that you may have that will help with your return.   

• Contact your current/past company to make sure you are getting your W2s. Follow up with your statements from any investments that you may have i.e. Roth IRA’s, 401k etc. 

• Consider E-File. Filing electronically will lessen the math mistakes, the software will handle all your math calculations for you.  

• Get your refund quicker and hassle free by considering direct deposit.

• Educate yourself, know your tax credits. Be aware of all the tax code changes. Seniors may qualify for the credit for the elderly or disabled if you are 65yrs. old. There is a certain income requirement to be eligible and the long form 1040 or 1040A has to be completed.   

•  Don’t rush! Be thorough… One of the most common mistakes that seniors make is overlooking  something and they end up missing out on a credit that they were entitled to.  

• Make sure it’s legible, if you aren’t able to write because of a disability ask someone to help you. 

•  Double check everything.  A simple mistake on your social security number can slow the process of getting your refund quicker. 

•  Know that you have options. If you don’t feel comfortable filing your own taxes contact a professional. There are many different establishments that seniors can go to. H & R Block,  Jackson Hewitt to just name a few. If it’s a simple return you might be able to get a discount of the processing fee. Also consider TCE Tax Counseling for the Elderly. They provide free tax help to people over the age of 6o years old.   

• Visit IRS.gov for a FREE file. If your income is limited you may be eligible for free tax preparation software and free electronic filing.

Caring for your parents when you are far away can be quite a task to manage. It is even harder when you don’t live in the same city, let alone the same state. There are caregivers that can do it all from a distance and ones who are eager to lend a hand even when they aren’t the ones that are in charge.

Below are some helpful tips for the caregivers that live long distance who wants to try to do it all:

• Avoid the relocation reaction.  Before moving your elder to your home allow extra time for them to consider other options.
• Do an on-site comprehensive assessment of your elder’s situation.
• Arrange for home health care providers and special programs like Meals on Wheels and transportation services for the frail elderly.
• Ask for help from family members, friends and even neighbors.
• Ask neighbors, friends, or relatives to visit your elder regularly to spot problems that are impossible to know over the phone, such as mail or newspapers piling up outside the home.
• Contact the local post office, informing the local letter carrier that a frail elder is on his/her route and to report any worrisome signs on the property.
• Tell the local police department that an elder lives alone in the community. This may encourage officers to give a little extra attention, especially during heat waves, cold spells, earthquakes and any other natural disasters.
• Check with local utility companies as they may have “elder watch” programs

Tips for the far-away caregiver that isn’t quite the one in charge but nevertheless wants to help:

• Save vacation days and personal holidays for emergency visits.
• Set aside emergency money for those unexpected travels.
• Call often and visit often, don’t wait until the last minute.
• Offer the primary caregiver a welcome break. 
• Be diplomatic. Offer your help and let the primary caregiver know that you are there to lend a helping hand. Don’t overstep your boundaries, the primary caregiver knows the situation more than you do.

Article provided by Rachele Zukerman

 As your elders get older, it gets harder and harder for them to maintain any kind of friendships. Friends move away, or end up in nursing homes and yes of course some pass away.  It has been said that friends are “good medicine”. New friends and old friends have the potential to enhance the quality of your elders life. Here are six reasons why:

A friend makes an excellent audience to reminisce about past experiences and relationships, which help your loved ones come to terms with their lives. Sharing such pastimeswith friends is easier than sharing it with family members who often have a vested interest in denying their loved ones past or avoiding sensitive issues.

A friend can bring fun again to your loved ones life. Family members are often consumed with providing care and financial assistance, they forget that distractions can be a good thing .  Friends just want to have a good time.

An old friend helps an elderly person maintain a sense of continuity. Friends who have known each other for decades look at each other’s faces don’t see old people.  They see each other as they were when they met. Your loved one can look at their friend and remember their first meeting whether it was in high school, college or their first roommate.

Having a friend forces an older person to be less self-absorbed and more altruistic. Friendship  compels an older person to forget about their own worries and instead worries about their friends well being.

A new friend will provide an opportunity to explore new things. There’s no need to maintain an old image with a new friend. Because there’s no common past to share, exploring new things with a new friend can be more exciting.

Having a friend to confide in helps an older person cope with problems more effectively.  When you have someone that shares the same issues, little things don’t seem so bad.  Friends can offer support, encouragement, new ideas and often just a different perspective.

Information provided by Rachel Zukerman

Growing up is never easy and without our parents most people would agree that we wouldn’t be where we are without their support.  They have been there to help us through our awkward years and even through our adult life guiding us to be who we are today.  As a child the thought doesn’t come to mind that you have to take care of your parents. As we get older, so do our parents and it is when we realize that we have to be there for them too.  While it’s never easy to discuss when a good time for your parents to get help it is a conversation that needs to be discussed.  We owe it to them to look out for their best interest.

Signs that your parents may need help:

• Forgetfulness
• Household chores have been neglected, house is messy
• Has a hard time moving around, loss of balance i.e. walking, going up the stairs
• Decrease or increase in weight due to poor malnutrition
• Financial problems, missed payments
• Excessive spending habit
• Loss of social skills, alienating friends & loved ones  
• Change in mood, erratic behavior
• Disregards medications or forgets
• Hygiene becomes a problem
• Loss of speech
• Inability to perform basic skills such as eating or drinking

Elder abuse has always been an issue but has increased over the last decades.  We can only guess at the number of elders who are being abused every year. The cases that are being reported are making a difference, it means that more people are aware of the issue.  But for every case that is reported there are many that go unreported.  Caregivers need to be diligent in their role as a caregiver. Take initiative, speak up.. so that you can take care of your client and yourself….

Ways to protect yourself from being charged with :

• Follow your client’s care plans making sure all their request and needs are met
• Report any signs of abuse or neglect immediately, if you don’t, you might be charged for neglect
• Listen to your clients carefully especially when your client is of a different culture. A slight misinterpretation might cause problems for your client’s needs. 
• Take care of yourself  and if the work becomes too much, seek help right away. You are no good to your client if you aren’t fully rested.
• Stay calm & relax. Your client is relying on you to take care of them. Take a deep breathe and count to ten. Repeat the exercise if you have to.
• Communicate with your Supervisor if you don’t feel comfortable with the task.  If you feel that you need more training tell your supervisor so that proper training can be given.
• If a client refuses to do anything i.e.  eating, bathing drinking report it to your supervisor right away.  If you don’t you might get charged for neglect abuse.
• Be professional don’t take personal issues to work
• Treat your clients with respect and kindness.  Patience goes a long way when working with a difficult client.   

Don’t forget what is important…taking care of someone is a very important job.  Your client needs you!!