Monday, June 7, 2010
Living at Home Independently and Safely
The most important factor for senior’s living at home is maintaining independence through the ability to perform daily activities. Such activities would include washing, dressing, cooking, transportation, taking medication, housecleaning, etc. The most common activity that seniors over the age of 75 are unable to perform is housecleaning… a chore that requires physical activity at a time, when in most cases, the body is requiring rest. The key to maintaining independence is accepting your lifestyle needs are going to change and plan ahead.
Part of planning ahead is making changes within the home to ensure a safe environment. Falls are the second leading cause of hospitalizations, and the majority of those slips, trips and stumbles are within the home. A few tips for a safer home are:
1. Remove throw rugs
2. Ensure there is adequate lighting
3. Wear proper footwear according to flooring
4. De-clutter the pathways and stairways
5. Keep a close eye on the pet at your feet
A large determinant of feeling safe in the home is having someone close by when help is needed. Keep an open dialogue with your neighbors and ask them to check in on you. This also helps you avoid social isolation which increases dramatically as people age.
Lastly, it all comes down to MONEY. Whether you have it or not! And since it does not grow on trees, you need to look after what you have. It is important to know there are financial programs that assist seniors in remaining in their home. These programs include property tax deferrals, reverse mortgages and Home Independence Program for Seniors (H.I.P.S.). While all of these programs may not be ideal for everyone, they have been developed to assist seniors with aging in place.
Headlines would have us believe that everyone is trying to defraud you, but in most cases, financial fraud is committed against seniors by family members. Despite this, you need to be wary of people you hire to work on your home. It is important to check references, don’t be afraid to ask questions and if you feel the pressure tactics, just say ‘no’. After all, it is your hard-earned money.
For seniors living at home, your main focus for independence, safety and financial issues is being proactive and planning ahead. One of the certainties in life is change, and if you try to avoid it the person making the important decisions in your life may not be you.
Sunday, May 16, 2010
Home Adaptations for Seniors Indendence
H.I.P.S. is a program exclusive to Silver Lining Transitions that assists seniors in remaining in their home longer and safer. Our team pre-qualifies their senior clients in obtaining a $3,500.00 forgivable loan for home adaptations. As long as the recipient remains in their home for at least 6 months, the Canada Mortgage and Housing Corporation program will not request the loan to be paid back. Therefore, if an individual is over the age of 65, and earns less than $37,500/year (amount may change depending on the town and province of the home), they will qualify for funding.
Silver Lining Transitions assists in the paper work and the assessment required for qualifying. Our team of professionals will make adaptations in every room of the house and on the property for safety purposes.
Adaptations include:
1. non-slip floors,
2. senior friendly kitchens and bathrooms ie. lever type faucets and doors, lowering
counters and cabinets, handrails and walk in showers
3. adding or lowering rails and shelves in closets
4. increase lighting in all areas in the house
5. senior friendly windows and doors
6. lowering electrical outlets and light switches
7. etc.
The list of alterations is very extensive, but we have found that most home alterations include the above-noted.
Preventing the first fall is paramount for seniors who desire to remain in their home. H.I.P.S. is a program that assists in accomplishing those desires.
For more information, please visit silverliningtransitions.ca
Sunday, May 2, 2010
Hospital to Home Transitions
It is important to focus on the physical, psychological and spiritual foundations that an aging adult possesses to successfully recover when transitioning from hospital to home. Preparing for the physical element is crucial to providing safety and peace of mind once the front door to their home is opened. Home adaptations will certainly equip a house and personal support from a caregiver will assist the discharged patient with their changing lifestyle needs. The Home Independence Program for Senior’s is a service that provides such needed assistance. Once safety has been developed in the home, understanding the psychological demands will provide a basis for controlling ones emotional stresses. An aging adult must take control over their body and its ailments instead of the reverse. To accomplish this, it takes a positive attitude and a determined will to provide strength for a full recovery of an illness or accident. To cement the physical and psychological stressors, the senior’s spiritual foundation plays a role in a positive transition from hospital to home. Although some may argue they have done well in life without a faith, I would respond that faith is compatible with inner peace and provides that much needed rest during a time of pain and suffering. What is unique for each patient returning home from their hospital stay is their ability and response time to recover from their medical condition. Once the safety net of professionals is reduced dramatically when a senior leaves the hospital, they are ultimately left with the people who love them, others who care, and learned or innate abilities to live longer, safer and independent.
Debra Munro
Elder Planning Counselor
Wednesday, March 10, 2010
A Positive Attitude with Cancer
So here we wait at my mom’s final chemotherapy treatment and it has been an ordeal I would not want to go through again. (However, we have enjoyed befriending extraordinary people.) Having said that, I know full well the probability of eventually having cancer is extremely high with every woman in my family genealogy having it. You hear it from everyone, “I didn’t realize how many people had cancer until I was in it. It’s astonishing.” The numbers will only be growing in the next decade. Cancer is a growing epidemic that will affect the lives of millions of people.
I suggest having a positive attitude makes a positive difference. But then you questions how that could be? How can anyone be positive with such a killer diagnosis? Is it the result of chemotherapy causing exhaustion that consumes one’s body and makes it painful (metaphorically) to think about their situation? Just watching and listening to my mom’s positive attitude has had both of us questioning whether she has truly accepted the reality of her cancer. But we both know she has. And her strength comes from her faith in God, her confidence in the medical team and believing that living a healthy lifestyle accelerates the healing process. She’s a survivor… always has been… always will be.
I know she is ready to start enjoying her life, even though she still has five weeks of radiation and begins a full year of herceptin every three weeks. But she is discussing a trip back home this summer and including her family in the plans. She’s also looking forward to putting her arms around her grandchildren who have been kept at bay because of their little germ-carrying bodies. (As it was, after every treatment she has come down with a terrible cold in the second week). But most importantly, she is looking forward to just getting out of the house and taking her two sheltie dogs, Tori and Kola, for long walks. It has been a long winter but the spring is looking fine.
Sunday, February 28, 2010
Dementia Will Take Startling Toll as Baby Boomers Age
Dementia will take startling toll as baby boomers age – a recent study…an article by Canwest News Service from Jan. 5, 2010
A new study by the Alzheimer Society of Canada says the country urgently needs a strategy to minimize the impact of the baby boomers' march toward dementia.
The study, Rising Tide: The Impact of Dementia on Canadian Society suggests that 1.1 million Canadians will have Alzheimer's disease, or a related dementia, by 2038.
If not mitigated, dementia's prevalence will create a tenfold increase in the demand for long-term care beds and cost the Canadian economy a staggering $97 billion annually, the study found.
It also suggests the amount of time Canadians spend caring for parents and spouses with dementia will triple in the next three decades, to 756 million hours a year.
“If we do nothing, dementia will have a crippling effect on Canadian families, our health-care system and economy,” said Richard Nakoneczny, president of the Alzheimer Society of Canada.
About 500,000 Canadians are now living with dementia, a progressive disease that first attacks memory and then harms other brain functions. The disease eventually robs its victims of their personality and independence.
It is the leading cause of disability among seniors and already is responsible for about $8 billion annually in direct health-care costs.
The Rising Tide study is based on the work of RiskAnalytica, a Toronto consulting firm that specializes in risk management and analysis. It is part of a two-year research project sponsored by the Canadian Institutes of Health Research, the Public Health Agency of Canada, Health Canada, Pfizer Canada and Rx&D.
The Alzheimer Society hopes the project will offer a foundation for a national plan on dementia.
The report, being released Monday, says there are currently no cross-Canada standards for the care of dementia patients. What's more, it says, doctors and nurses receive limited training in the prevention, identification and diagnosis of the disease.
Some provinces, including Ontario, have a strategic plan in place to manage the approaching wave, but politicians continue to underestimate the problem, an Alzheimer Society of Canada spokesman said.
“People don't realize the challenge they're facing,” said David Harvey, a society executive. “Governments are looking to solve health-system issues, but they haven't identified dementia as the underlying cause of so many of them.”
Health-care officials are struggling to deal with overcrowded hospitals. But some of that overcrowding, Harvey contends, results from the system's inability to deliver health-care to dementia patients at home.
Other countries have already taken action to mitigate the impact of dementia.
The United Kingdom, France, Norway and the Netherlands have all developed national plans that focus on early diagnosis, specialized home care, research and prevention.
The Rising Tide study suggests that promoting an increase in physical activity among people over 65 would significantly reduce the number of people diagnosed with dementia. Exercise has been shown to promote brain health.
It also suggests that assigning a case manager to co-ordinate the home-based care of dementia patients would significantly reduce the strain on individual caregivers and lessen the demand for long-term care beds.
Age is the primary risk factor for dementia. The risk of developing the disease doubles every five years after the age of 65.
With the first of Canada's 10 million baby boomers about to turn 65, an enormous number of people will be at increased risk in the coming decades. It means that, if unchecked, about 257,000 Canadians will be diagnosed with dementia every year by 2038, or about one every two minutes, the study said.
Caring for them will be an enormous challenge
Based on growth trends, Canada is expected to have about 690,000 long-term care beds by 2038. But that still leaves a projected shortfall of 157,000 beds, according to the study.
Part of that shortfall will be alleviated by the fact that more people will be living at home with the disease. But that will place an increased burden on both family care givers and home-care agencies.
Harvey said caregivers need education and support, including the ability to drop out of the Canada Pension Plan for several years without a financial penalty.
“If we do this right,” he said, “we've already built the last long-term care bed we should need in Ontario.”
The Rising Tide study recommends that a national strategy include new investment in research; education and support for family caregivers; more focus on prevention; and incentives to increase the number of geriatricians, neurologists, psychiatrists and advanced practice nurses in Canada.
Monday, February 22, 2010
Know the Medical factors of Your Aging Parent.
Knowing medical and surgical history is also of great importance. With my mother's recent breast cancer surgery and the removal of the lymph nodes under her left arm, I am very much aware that even taking her blood pressure or withdrawing blood from the left arm could cause long term damage. Also knowing that she had a minor heart attack prior to her hip surgery makes me fully aware of the pre-surgery requirements for any future operation. If it isn't one thing, it is always something else.
So my humble advice for what it is worth... know and understand the medical factors of your aging parent. It could end up being very important to both of you.
Monday, February 15, 2010
Home Adaptations for Seniors Independence
The program offers financial assistance up to $3,500.00 for minor home adaptations.
For example;
1. installation of railings, lighting and non-slip floors for safety,
2. modifications in the kitchen and bathroom to improve physical activities, and
3. outfit organizers in closets and drawers for improved accessability.
There are qualifications for the HASI program that include the following:
1. must be over 65 years of age
2. own/rent and reside in the home
3. difficulty with daily living activities
4. income less than $37,500 / year
The application process is time-consuming and difficult for many seniors, but well worth the time and energy it takes to move forward. There are many benefits to being proactive and creating safety in your home, but preventing the first accident is most important.
Silver Lining Transitions will assist with the process to ensure peace of mind and recommend complete solutions to remain safe and independent at home.
Debra, Partner
Silver Lining Transitions
Helping Seniors and Their Families Move Forward
Thursday, February 4, 2010
Elder Abuse
Planning Checklist
It is important to protect your personal documents and think about what to do in case of an emergency. You may want to consider putting together an emergency kit that would include:
• Emergency phone numbers written out and stored in a safe place
• Emergency money (for a taxi, hotel etc). This should include quarters for phone calls or a phone card.
• Extra clothing
• A list of medications, name and phone number of pharmacy and at least three days worth of medications.
• Glasses, hearing aides and other assistive devices such as cane, walker, wheelchair.
• A safe place to go in the event of an emergency (in and outside the house).
• Escape route from the house.
• Copies of relevant documents including:
• Identification (i.e. birth certificate)
• Marriage certificate or record of commonlaw relationship
• Notice of assessment from most recent income tax return
• Cheque books and credit cards
• Lease, rental agreement, or house deed
• Bankbook and recent statements
• Health card
• Social Insurance Number
• Passport
• House, car, and safety deposit box keys
• Immigration Papers
For more information on elder abuse contact www.citizenship.gov.on.ca/seniors/index.html
or call toll-free 1-888-910-1999 (in Ontario).
Wednesday, February 3, 2010
Moving Without the Other Half
I was recently called to a home where it was evident that the aging husband was requiring greater medical assistance than his wife could provide. She was still a young at heart, beautifully energetic, delightful lady. He on the other hand was quickly deteriorating in mind and body. It was very difficult to hear how life had drastically changed for both of them. The time had finally come to discuss a senior's residence for them. As I retrieved my paperwork and began discussing 'their' options, I was quickly interupted and corrected by the sweet little lady sitting in the lounge chair. "Oh, I'm not going anywhere... he is. I'm very happy where I am. My friends are close by, our kids are in the neighborhood. All my activities are in the area. I just can't take care of him anymore." As she pointed to her husband, I was in disbelief. I apologized for the assumption and for probably the first time in my life, was speechless for the next 10 seconds. Well, what do you say to something like that??? They may as well have told me they were divorcing. The next words out of my mouth were not the most intelligent as I said, "And how long have you been married?" He finally spoke up and said "54 years" and went back into his slumber.
At the end of the day, she held true to her word and remained in the family home without her spouse. And in her words, "My life is finally back to normal".
Monday, February 1, 2010
Telemarketers Target Seniors
His family discovered the purchase a month later when his statement came in and questioned his purchase, which of course, he had no recollection of. After numerous lengthy calls with the telemarketing company, they relented to calling the credit card company. Months later they received results.
I can only imagine how many seniors this same scenario happens to and the worst part of it is when there is no one available to offer assistance or watch their back. I do know that in many cases, as would be mine, many people who would rather take the loss than let anyone know they had been duped. It's a no-win situation for many people.
Thursday, January 28, 2010
The Battle With Cancer
Monday, January 18, 2010
Seniors Residence - Team Players
I can honestly say the staff has proven their capabilities and compassion over and over again. They never miss a step and genuinly care about the well being of the residents.
As the saying goes, ' the fastest way to a man's heart is through his stomach', and the chefs at Clock Tower are wonderful cooks. I have never seen an older adult put on so much weight in such little time as my father has. But he eats plenty and enjoys the meals. What more can one say??
Being on Main Street definitely has its benefits for a blind man. It only takes minutes to stroll to Ferry Lake and any quaint stores one would need at his age. But most importantly, his new found friends bring joy and laughter to his days in darkness.
This seniors residence has removed the stressors involved with caring for an aging parent and provides me precious time for my children and a career I have a passion for. Thank You Clock Tower.
For a side note: Please pray for the people in Haiti and if called to help, in any way, please do.
Monday, January 11, 2010
Do Your Homework
As I reflect back on the savvy and professional medical team, I now realize the overwhelming, abundance of information delivered both verbally and book form were just pieces of instructions to a complicated cure for my mom's cancer. It is a classis case of a senior relying on, or having the expectation that professionals will give educated, proper and sound advise. Each medical professional has their area of specialty and as a metaphor, if you will, although each player was playing the same game for the same team, if the captain (being my mom) cannot put the pieces together after each player (the medical team) plays their position perfectly, it makes for an interesting game.
What I have learned over the years in a profession that helps seniors and their families move forward, is we have to take ownership of our life and what happens from one day to the next. So don't be lulled into the sense that you are expected to just understand, do your own homework and ask questions. It is, after all, your life.
Friday, January 8, 2010
Hospitals
I had my hair cut last night and my hair dresser is in a situation with the same hospital. This time they have a complaint in with an ER nurse who horribly treated her 80 year old father. Degraded and embarassed him to a point where he is afraid and very anxious to go home.
But the craziest story involves my mom and her mastectomy in October. She pre-admitted herself the day before surgery only to admit herself once again the following day (another waste of time). More tests had to be conducted and she ended up in a hallway and forgotten for over 1 hour, which of course made her late for her surgery time. On her way to the operating room, she and the surgeon had a conversation regarding her surgery. The surgeon requested to speak with us and was unable to, even though we had been given a pager by the hospital when we registered. The volunteers refused to use it because mom wasn't ready to be discharged and that was the only time they were allowed to use it. WHAT!!!! That is crazy. If a surgeon wants to speak with me, PAGE ME! Seems simple to me. When we finally saw my mom, the nurse couldn't even tell us if my mom had a lumpectomy or mastectomy. Of course, that was the last straw and my sister blew her top. I was there to applaud her.
At the end of the day, you get what you pay for. So sit back, laugh instead of cry, and hope noone dies.
Thursday, January 7, 2010
Family Matters
I must share with you how my holidays included both a merry Christmas and not so happy new year. It all started in September when my mom was diagnosed with breast cancer and was informed that after her surgery, chemo and radiation would begin in the new year. If that wasn't enough, my father was admitted into the hospital following a heart attack just before the new year. With both parents in and out of two different hospitals, I could not imagine how a senior would cope without family close by.
