Self-Renewal Tips for Caregivers

| Jan 1, 2023 | Giving Care, Jan - Feb 2023

Caregivers are some of the most selfless people you will find, constantly putting the needs of others before their own. In Hawai‘i, over 65,000 people are family  caregivers for almost 30,000 loved ones living with Alzheimer’s or another dementia. In my seven years of experience working with family caregivers, I’ve seen caregivers who make many sacrifices, sometimes neglecting their own health and often postponing vacations for years. If this is you, it’s time to focus on self-renewal.

Benefit of Live Music in Nursing Homes

| Jan 1, 2023 | Giving Care, Jan - Feb 2023

Much more than just a time-filler, live music holds therapeutic benefits for nursing home residents. According to a 2016 study, live music has been shown to reduce cortisol levels in the body, allowing for a stronger immune system, reduction in depression, better memory and many other benefits. It’s no wonder that nursing homes schedule in a healthy dose of live music!

The Best Type of In-Home Care for You

| Nov 3, 2022 | Giving Care, Nov - Dec 2022

It is important that seniors and their families understand their choices when it comes to in-home care, so they can decide what will best fit their needs. For some folks, traditional time-based in-home care services are the best option, while others will find task-based in-home assistance to be less intrusive, more affordable and an effective way to continue to live well at home independently.

The Gift of Holiday Presence

| Nov 3, 2022 | Giving Care, Nov - Dec 2022

Every year at this time, The Caregiver Foundation witnesses and acknowledge the “extras” caregivers provide for individuals who would otherwise not benefit from any holiday spirit. Cleo, a caregiver for a 100-year-old bed-ridden client with dementia, brought in a dazzling Christmas tree. Lights danced in our client’s eyes; a smile in remembrance of holidays past softened her face.

Perspectives on Aging

| Nov 2, 2022 | Giving Care, Nov - Dec 2022

The average life span has increased more in the past century than in all the years humans previously existed. As approximately 10,000 baby boomers (those born  between 1944 and 1964) are turning 65 every day, it would appear that we will have a large influx of aging people over the next couple decades who may need services appropriate for “old people.” But is 65 really old?

How To Choose an Assisted Living Facility or Nursing Home

| Sep 1, 2022 | Giving Care, Sept - Oct 2022

Finding the right place for Mom or Dad is both an art and a science. You have to do your research and trust your gut. Assisted living facilities are widely available to help take care of older adults who need help with bathing, dressing or other daily activities. When that is no longer enough, a nursing home can provide 24/7 healthcare. Either way, it is important to research facilities to determine which one seems to give the best care.

Does Dad Need More Help?

| Sep 1, 2022 | Giving Care, Sept - Oct 2022

How do family members prepare for the day their senior needs more help — the kind of help that requires loved ones to re-prioritize their lives? If only there were a date set aside for this change in everyone’s life. Planning on change at this level has never been easy because a plan may not be in place. A sudden fall or illness could change everything and it could happen anytime.

Talk Story: A Favorite Senior Pastime

| Jun 25, 2022 | Giving Care, July - August 2022

Talk story is a special and cherished activity among seniors at Roselani Place. Our activities  director conducts a talk story twice a month and I also offer them from time to time. Talking story with our residents allows us to not only engage with them, but also encourages them to reminisce about the good old days, and learn more about one another.

Gimme A Break! Care for Caregivers

| May 5, 2022 | Giving Care, May - June 2022

The woman in line in front of me was tending to her father who apparently suffered from dementia. Suddenly, she completely lost it and was yelling at him. I thought she was going to hit him! He looked frightened, dazed and confused. When I tried to console the woman, she yelled back at me, ‘YOU DON’T KNOW WHAT I’M GOING THROUGH!’”

Is Task-Based Home Care Right for Me?

| May 5, 2022 | Giving Care, May - June 2022

You may think that in-home assistance is only for people who are very old, very ill or recovering from a severe injury or surgery. But nowadays, capable and self-reliant seniors are employing a new kind of assistant to provide task-based in-home care. A task-based assistant can help you with those burdensome chores that are becoming challenging or that you just don’t like to do anymore.

The Long Goodbye

| May 5, 2022 | Giving Care, May - June 2022

Usually, events that necessitate a goodbye are seen as sad… or at least poignant. In our younger years, we expected these goodbyes to be temporary — we knew we were going to see them again! As we get older, we start to understand that a goodbye may mean moving so far away that visiting will be unlikely and the relationship we loved may be permanently changed. And then come the goodbyes we know are final — the farewells at the end of a life that leave us with only memories of a loved one.

Humility Meets Compassion

| Jan 1, 2022 | Giving Care, January - February 2022

Twenty years ago, I was hired as the assisted living director for a Jewish community, where I learned about their culture, faith and life experiences. Some of the residents I cared for were Holocaust survivors and I listened to their stories. One survivor, who I will call “LL,” lost his mother and sister during this horrific time in history. He showed me a photo of his mother and sister, as well as the number tattooed on his forearm that served as a constant reminder.

Create a Safe Home Care Environment

| Jan 1, 2022 | Giving Care, January - February 2022

When planning for the in-home care of  their kupuna, family caregivers may have difficulty looking at the home environment and adapting it to provide proper care. For example, a room layout that worked well when the loved one was mobile may not be ideal when circumstances change and bed-bound care is required. Back injuries, sprains and  preventable falls can have significant consequences that can adversely affect quality-of-life. Here are some tips to ensure the care environment is safe…

Common Misconceptions About Hospice

| Jan 1, 2022 | Giving Care, January - February 2022

Despite hospice care’s increasing popularity, there are still widely held misconceptions regarding end-of-life care. This article by members of the Society of Certified Senior Advisors (www.csa.us) seeks to dispel many myths about hospice care and to present accurate information on this growing segment of our healthcare system. By doing so, it is hoped that hospice benefits will be accessed more widely.

Caregivers Can Help Seniors Downsize

| Jul 29, 2021 | August - September 2021, Giving Care

When the time comes for Mom and Dad to move or downsize for safety reasons, they may find it difficult to decide what to do with what they consider to be their precious heirlooms. Designating items to friends, family or charities in a will or trust will ensure their destination, while passing on these items before the inevitable occurs can give both the giver and the receiver tangible pleasure in the here and now.

Should I Become a Full-Time Caregiver?

| Jul 29, 2021 | August - September 2021, Giving Care

Every year, an increasing number of seniors are needing 24/7 care, whether it is due to a fall, heart condition or old age. Some have prepared for this, determining in advance who will be their power of attorney and who will care for them at home. Others may have already decided to go to a care home or nursing home when they can no longer care for themselves.

When Mom Falls, What Happens Next?

| Jul 28, 2021 | August - September 2021, Giving Care

The unexpected can occur at any time, no matter how prepared we think we are. A crisis will bring families together in an instant. If you are distanced from the area, there are ways to manage the situation. Working as ‘ohana with strong communication will help coordinate what is needed. Recently, I experienced a crisis when my mother fell and broke the head of her femur — otherwise known as a hip fracture.

Home Cleaning Help for the Elderly

| Apr 4, 2021 | April - May 2021, Giving Care

Home cleaning might be a simple activity for some of us. However, this could be the opposite to our elderly family  members and friends. Even daily upkeep might require tremendous effort on their part. That is why, as ‘ohana, it is our duty to help and share the spirit of aloha. If you are involved in your elderly family’s home’s upkeep, these four tips could save you time, effort and money.

To Place or Not to Place, That is the Question

| Apr 4, 2021 | April - May 2021, Giving Care

The decision to move to senior living involves a variety of factors based on several circumstances, including finances. Professionals across the country have different answers to the question of whether “to place or not to place” a loved one in senior living. Some feel that older adults should stay in their home with paid caregivers. Others think that older adults would receive enhanced care and retain a higher quality of life if they were with others their own age, with more activities and socialization.

Creating Smooth Transitions for Seniors

| Jan 31, 2021 | February - March 2021, Giving Care

Transitioning from living at home to a community that offers independent living, assisted living or skilled nursing care can be challenging for both seniors and their families. Kūpuna may need special care, but may be hesitant to make the big move because they prefer the familiarity of their own home. Many Hawai‘i families also struggle with the change.

Safe Family Activities for the Holidays

| Nov 28, 2020 | Dec 2020 - Jan 2021, Giving Care

Amid all the COVID-19 restrictions, there is a bright spot — the opportunity for families to celebrate the holidays together by engaging creatively in a way that’s enjoyable and safe for everyone.
While younger members of the family are on the go and ready to run around the house, seniors (especially those with dementia) will prefer quieter, more structured activities.

Managing Complex Care at Home

| Oct 9, 2020 | Giving Care, October - November 2020

An increasing number of family caregivers are performing more complex medical care for their family members at home. According to Home Alone Revisited: Family Caregivers Providing Complex Care, a report prepared jointly by AARP and the United Hospital Fund, there is an increase in the number of family caregivers performing tasks that would, in the past, have been provided under the direct supervision of a medical professional.

Dementia Patients, Caregivers & COVID-19

| Oct 7, 2020 | Giving Care, October - November 2020

The COVID-19 pandemic has affected everyone in some way. But our most vulnerable population, our senior citizens — especially those with dementia — are being particularly challenged. Our normal routines have been altered during the pandemic. This can be devastating for dementia patients, who thrive on the consistency of a regular routine.

Caregiving During COVID-19

| Oct 7, 2020 | Giving Care, October - November 2020

The COVID-19 pandemic has all of us dealing with additional stressors in life, and many of us may
find that our abilities to deal with conflict and issues are short-fused. People living with dementia (PLWD) rely on their care partners to provide assistance with activities of daily living with kindness and compassion. PLWD also require mental stimulation, socialization and a reason to live just as much as you and I do. COVID-19 has changed our world into a place where we no longer feel safe, and social distancing has left many people feeling lonely, depressed and isolated.

Dementia & the Power of Music

| Oct 7, 2020 | Giving Care, October - November 2020

Music is often the background of many of our memories. We grow up hearing it on the radio, on TV and in concerts. We sang in school and at special events. We often associate certain songs with our relationships, happy memories, sad memories, growing up and different seasons of life. Because of its constant presence in our lives, music is deeply woven into our memories, and can offer hope and helpful tools to those whose memories are fading.

When’s the Right Time for Memory Care?

| Aug 4, 2020 | August - September 2020, Giving Care

Memory care communities that first began appearing in the 1990s are an important care option today for the growing number of families caring for a person living with Alzheimer’s disease or other dementia. When considering memory care, look for a community with a rich and lively activity program, and staff who are well-trained in dementia care, and exemplify a caring and kind spirit.

Reflections on a Caregiving Journey

| Aug 3, 2020 | August - September 2020, Giving Care

Having been exposed to what it takes to be a care manager at a very young age as I watched my mother tend to disabled clients in our home, I followed in my mother’s footsteps. I pursued a social work degree from the University of Hawai‘i at Mānoa and eventually worked at HMSA as a care coordinator, supervisor and manager. After nearly 20 years at HMSA, I realized that my husband and I had become members of the “sandwich generation,” caring for three children and aging parents.

Dementia: Compassionate Communication

| Mar 28, 2020 | April - May 2020, Giving Care

As a dementia educator, I am often asked why people living with dementia (PLWD) ask the same question over and over again. My reply is, “Because their brain is failing.” Every day, PLWDs are going through chemical and physical brain changes. Due to brain failure causing multiple problems with short-term memory, a PLWD can get themselves caught in a loop of asking the same questions. Here are some suggestions for the next time you recognize the start of another loop of questions.

Addressing Seniors’ Spiritual Care Needs

| Mar 28, 2020 | April - May 2020, Giving Care

Compassionate care involves addressing the needs of the individual as a whole — their physical, emotional, social and spiritual needs. While providers dedicate themselves to managing the physical symptoms of aging and disease, seniors may experience other pain as well, on a mental and spiritual level. Why is this happening to me? What will happen when I die? Will my family survive my loss? How will I make it through this? The time has come for us to find other avenues to help our family members cope.

The Pearl State of Dementia

| Feb 2, 2020 | February - March 2020, Giving Care

In previous articles that I’ve written for Generations Magazine, I mention the GEMS® states of dementia. There are six GEMS®: Sapphire, Diamond, Emerald, Amber, Ruby and Pearl. The last state, Pearl, signifies that the end of life is nearing. In the Pearl state, bodily functions are shutting down, the person is likely to spend most of their time in bed and may have muscle atrophy or contractures.

Affordable Adult Day Care

| Dec 7, 2019 | Dec 2019 - Jan 2020, Giving Care

Often, families don’t know where to turn when a loved one suddenly needs constant care. Insurance and Medicare plans may cover very few long-term care expenses — or none at all. In the past, nursing homes were the only option for care outside of the family home. However, now there are many home- and community-based services that help support aging in place.

Dementia Activity Ideas

| Sep 30, 2019 | Giving Care, October - November 2019

Planning activities for a Person Living With Dementia (PLWD) isn’t easy. I’ve found it challenging to identify activities that peak and maintain the interest of a PLWD. The Positive Approach to Care philosophy states that PLWD need a balance of activities that include leisure, productivity, restoration and self-care.
There are variations of engagement for everyone in any GEMS® state of dementia. GEMS® is a dementia characteristic and ability model. Providing activities that the person is able to do mentally and physically is the key.

Senior Exercises for the Mind & Body

| Sep 30, 2019 | Giving Care, October - November 2019

Through daily exercise, seniors can combat illnesses such as arthritis and osteoporosis, which can afflict them in their golden years. And as physical health declines, untreated depression can decrease the quality of life. So seniors must remain, mentally and physically active for optimum health. For example, strength training is useful to combat the loss of muscle mass associated with aging, and helps to maintain flexibility and range of motion.

Repetitive Questioning in Alzheimer’s

| Sep 30, 2019 | Giving Care, October - November 2019

In home care, a question I often get asked is how to care for someone with Alzheimer’s who asks the same questions over and over again. To better understand and manage what’s going on, it helps to first know a bit about Alzheimer’s disease and dementia. Alzheimer’s is a type of dementia that affects memory, thinking and behavior. It’s a progressive disease, where brain cells deteriorate and eventually a person can’t make sense of the world. When short-term memory is affected, it can lead to repetitive behaviors, like talking or asking about the same things over and over. In essence, your loved one can’t recall having already asked a question because of their memory loss.

Positive Physical Approach to Dementia Care

| Aug 2, 2019 | August - September 2019, Giving Care

People living with dementia need guidance, human connection and a sense of independence. In my professional practice, we use the Positive Physical Approach. This innovative modality developed by Teepa Snow teaches family caregivers more effective ways to understand and communicate with their loved ones and all people with dementia.

Caregivers: Remember to Breathe

| Aug 2, 2019 | August - September 2019, Giving Care

Almost one-third of the adult U.S. population is currently caregivers for an ill or disabled relative. The majority are female and 60 percent are employed part- or full-time. Caregivers need to take time to care of themselves so they stay well enough to care for others. Realize that your own health and well-being could suffer if you don’t take care to be well before tending to others needs.

Begin a Journey of Compassion & Hope

| Aug 2, 2019 | August - September 2019, Giving Care

Do you know anyone who has cancer? Do you know what to say or do? We know — and we are bringing that skill set to the workplace. Typically, we all work hard, provide for our families, plan for the future of our children and look forward to retirement someday. However, with one phone call from your doctor, all of that is put on hold, an unplanned journey begins, priorities and perspectives change — and it can all be overwhelming. Compassion for Cancer Caregivers trains volunteers to step up and step in to provide hope through compassion for coworkers and their families who are battling cancer.

A Medicare Miracle

| Aug 1, 2019 | August - September 2019, Giving Care

I have spent a decade conducting educational workshops and meeting with individuals transitioning to Medicare or already there. I encourage everyone to explore resources at www.socialsecurity.gov and www.medicare.gov to become knowledgeable before services are needed. I also stress the importance of keeping Medicare cards, medication lists, the names of your physicians and any ongoing health conditions on hand.

Dementia: Helping Your GEMS® Shine

and | May 25, 2019 | Giving Care, June - July 2019

GEMS® is a staging system for dementia. Teepa Snow, OTR and founder of the Positive Approach to Care® philosophy, recreated the Allen Cognitive system of staging dementia with a positive twist. We can now view our Person Living With Dementia as one of Teepa’s GEMS® rather than on a scale of 1 to 7 or on a scale of mild cognitive impairment to profoundly demented.

What Does Aging Mean?

| May 25, 2019 | Giving Care, June - July 2019

After gaining years of experience working and caring for the elderly, I can imagine many ways to describe what “aging” means. There are multiple factors that determine if one is considered old. In other words, a high number of years someone has been on this Earth does not define them as being old. In today’s world of medical technology, health products and smarter lifestyles, it may be hard to identify our kūpuna.

Redirection Using Humor

| Apr 5, 2019 | April - May 2019, Giving Care

Do you know a Person Living With Dementia (PLWD) who repeatedly asks the same question? Does your loved one obsess about leaving the house so that they can go home? Maybe you know of a grandmother who blames everyone in sight for stealing her items. Challenging behaviors are common among PLWD and care partners are burning out trying to address these problems.

Having Help Close at Hand if You Fall

| Feb 1, 2019 | February - March 2019, Giving Care

Every 13 seconds, an older adult is seen in an emergency department for a fall-related injury. Lower-body weakness, difficulties with walking and balance, and vision problems can make a person more likely to fall. Other causes include home hazards and clutter. Having a medical alert system can reduce a person’s risk of not being able to receive timely treatment, by obtaining immediate medical assistance in the event of a fall or emergency.

MemorC: A Free Memory Aid

| Feb 1, 2019 | February - March 2019, Giving Care

One of the challenges for caregivers of those with Alzheimer’s and other forms of dementia is finding ways to engage their loved one or patient in tasks that strengthen the ability to recall who people are and what their relationship with them is. Dr. Warren Wong, a local geriatrician with decades of experience working with such patients, took on that challenge and has developed a free iPad app to fill that need: MemorC.

Dementia and Vision Changes

| Feb 1, 2019 | February - March 2019, Giving Care

Human beings use five ways to take in data: sight, touch, smell, taste and sound. From the time we are born, we prefer to take in data first by what we see, then hear and finally through touch. Vision, our primary source for processing new information, is controlled by an area in the back of our brain called the occipital lobe. Dementia attacks and damages the occipital lobe resulting in skewed vision, poor depth perception and diminished peripheral vision.