Choosing the Right Home Care Provider
With so many options available, its hard to know if you chose the right home care provider for your loved one. Here are four essential questions to ask when you’re evaluating your home care partner…
Positive Physical Approach to Dementia 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
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
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
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.
Advocating for Someone With Cancer
At some point in our lives, most of us will be given the opportunity to care for someone with cancer. Even though our experience with cancer may be limited, we may have learned enough to ask initial questions of the patient after the diagnosis is made.
Dementia: Helping Your GEMS® Shine
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?
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.
Caregiving From Afar
As parents age, many adult children step into the role of caregiver. However, for those who live far from their parents, caregiving presents different challenges. Planning, communication and a team approach can significantly improve the process.
Senior Day Care Offers Valuable Benefits
As our parents or loved one get older, they may need help or supervision during the day while caregivers are at work, school or other activities. Sending seniors for care during the day may be a difficult decision due to the cost and concern that they may not have “fun” or may be neglected.
Support and Resources for Family Caregivers
Because of the often debilitating nature of heart disease or stroke, the effects of those diseases often impact not just the patient, but family members who are placed in the role as caregivers.
Redirection Using Humor
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.
Does Mom Need More Help?
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 everybody’s life. Planning on change at this level has never been easy because a plan may not be in place.
Having Help Close at Hand if You Fall
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
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.
A Decade of Service to Veterans
The only state veterans home in Hawai‘i, Yukio Okutsu State Veterans Home, celebrated its 10th anniversary of serving veterans from across our nation in 2018. From celebrating our seniors’ accomplishments to bringing the community to our residents, we know the importance of ‘ohana.
Dementia and Vision Changes
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.
Don’t Take Breathing for Granted
Breathing is something most of us take for granted. But for those folks with respiratory issues like asthma, breathing can be a struggle. Studies show that a healthy adult will take an average of 12–15 breaths per minute. For those with respiratory issues like asthma,...Memory Loss & Aging
At some point we’ve all had times of forgetfulness or misplacing things. Our keys get lost or we draw a blank trying to remember where the car is parked or what we just ate for breakfast. We can usually sort it out and remember things with some time and patience. But when is forgetfulness or memory loss of concern?
Preparing for the Unexpected
An unexpected life-changing situation can happen in an instant. One minute you’re at a friend’s home, getting ready to enjoy watching UH football, then you slip and fall, and feel excruciating pain. Hours later, on a trip to the emergency room, you learn that you fractured your hip or, even worse, your spine.
It is Okay to Ask : ‘How Are You Doing?’
As caregivers we reap the benefits of being of service, in a very personal way sometimes, to those that we love. But as the disease/disorders/illnesses rob our loved ones of the spontaneity, intimacy, and active partnership we once had, it also robs us as the caregivers. Our world changes differently than those that we are caring for.
About Transitional Care
Today, more seniors are receiving care in their homes for medical conditions. Many receive it following a hospitalization or discharge from a rehabilitation center and have complex needs. Seniors who require them may have difficulties adjusting to their care and can benefit from transitional care during this period.
Keeping Seniors Happy, Healthy & Strong
When a senior member of your family is in need of 24/7 care, it is fortunate that Hawai‘i has many professional, caring and dedicated homes and facilities to welcome them. What every family wants to know is: “Will my mom or dad be happy living in someone else’s home, eat right, and stay mentally and physically strong?”
From a Patient’s Point of View
People living with dementia (PLWD) have challenges with verbal communication: language comprehension, speech production, and vocabulary. But they are not unconscious to what is going on around them. Even as the brain declines, emotional intelligence is preserved. PLWD take in data visually rather than auditorily and react to what they think is happening. As caregivers we must remember that PLWD are really doing the best they can with the abilities they have left.
Being a Better Caregiver
Home healthcare providers are often asked what makes a better caregiver. The answer is that, while many factors come to mind, an interest in learning is high on the list, and essential to a caregiver’s progress. For example, an important role caregivers have is recognizing when an individual’s health condition is changing. Those who can reflect and learn from these changes often develop into better caregivers.
Caregiving in the Cycle of Life
Former first lady Rosalynn was a caregiver herself and she believed that family caregiving is a cycle of life that touches everyone. Here, four people, each at a different point on the cycle, share their care stories from the heart, offering words of wisdom and points of caution. As you read, consider your journey on the Cycle of Caregiving. Where are you? Are you prepared?
Don’t Let the Vog Bring You Down
I visited Kīlauea several years ago with my hula sisters for the Merrie Monarch Festival. Walking toward the crater to bear ho‘okupu (offering) for Tutu Pele, my lungs suddenly tightened up and I was literally gasping for air.
A Five-generation Caregiver Team Challenge
I don’t know if anyone is really prepared for family caregiving — it all happens so suddenly,” says Terri Jorgensen of Maui. She became a family caregiver in 2016, when Maui Memorial Hospital discharged her 101-year-old Grandma.
Repetitive Questioning in Alzheimer’s
In home care, a question I often get 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 on Alzheimer’s disease and dementia.
Respiratory Care: Breathing Exercises
In the last issue we discussed how people diagnosed with chronic respiratory failure and chronic obstructive pulmonary disease (COPD) are at higher risk for infection. This issue, we focus on ways to ease their breathing problems.
Family Caregivers’ R & R
It’s a mistake for family caregivers to forget about their own well-being while caring for their loved ones. Many feel guilty for taking time off for a spa day or a staycation. I encourage them to accept it’s perfectly OK to get away and return reinvigorated and refreshed.
Is Assisted Living a Negative?
Despite the great advancements in retirement community resident care in recent years — some through government involvement, but most through business owners seeking to create a better quality of life for seniors — one of the challenges faced when discussing senior living options is the negative stigma that immediately comes to mind about “assisted living.”
Seniors and Technology
Technology is ever-advancing these days with information on new devices everywhere. For early adopters this is seen as helpful and even normal. However, for some seniors, adapting to new devices can be challenging due to physical limitations. Vision loss is one of the...GrandGrace: Multigenerational Support
Providing seniors care for their body, mind and spirit is critically important. Simply spending time with seniors can improve their emotional well-being and outlook. Palolo Chinese Home, in partnership with Common Grace, a nonprofit organization, recently launched a...Respiratory Care: A Specialty Service
Being unable to breathe on our own is very scary. Spinal cord injuries, pneumonia, stroke, injury to the chest, muscular dystrophy and chronic obstructive pulmonary disease (COPD) can all bring on respiratory failure. Spinal cord injuries often happen when we least...My Memory Box
Memory boxes can help seniors, especially those with Alzheimer’s or with dementia, recall events and people from the past. The contents represent a life they once knew and now have difficulty remembering or have forgotten entirely. Memory boxes help stimulate their...Essential Support for Family Caregivers
Every morning, 85-year-old Thomas puts on his aloha shirt and heads to “work” at an adult day care center located near downtown Honolulu. Going there gives him a sense of purpose to get up every morning. His family needs to remind him each day where he is going since...Self-Care Tips for Caregivers on GTV
Earlier this year, Generations Magazine publisher Percy Ihara interviewed a national speaker on caregiving, Dave Nassaney, for the Generations Radio Show. This is an edited transcript of the short Generations TV interview Percy did after the radio show aired. GTV: Can...Aging and Muscle Loss
Throughout our youth, most of us will experience muscle growth up until the age of 30. Thereafter, we begin to lose some muscle mass, strength and performance. This steady decline is called sarcopenia and is the “use it or lose” part of the natural aging process. It...Caregiving Overseas
Many family caregivers come home to Hawai‘i to assist aging parents. But how about caregiving overseas? When my mother died, Dad was 93 and slipping into dementia. His younger brother had retired to the Philippines, with his wife and insisted on providing care for his older brother, who had done so much for his family.
FUN ’N GAMES: Think Outside The Box
How does one keep the interest of the elderly? It can be challenging. Nature walks, painting, board games, puzzles, word and picture games are among the typical activities of the elderly.
You Need Skilled Nursing … What?
If you’re like most of us in Hawai‘i, you have no clue what “skilled nursing” means unless you have spent time in a Skilled Nursing and Rehab Facility (SNF). Some think it is the last stop, a depressing place where sick people go when they can no longer take care of themselves.
Kūpuna Travel Tips
Last November, my mother’s side of the family flew to Las Vegas to see my cousin get married. Family trips usually include everyone, from newborns to our wise elders. So, of course, grandma came along for the trip!
Ruby: A True Gem
As a handpicked Labradoodle, Ruby is highly trained and recognized by the American Kennel Club (AKC) as a certified therapy dog. She loves her time visiting children and adults in hospitals or in their homes, and she enjoys the special relationships she has meeting and greeting everyone.
WARNING: ‘Aging in Place’ Homes
Many seniors are aware of the Long-Term Care Ombudsman Program and its role as their advocate if they have a problem or concern regarding a nursing home, adult residential care home, assisted living facility or community care foster family home. What they may not...The Many Facets of Dementia
Alzheimer’s Disease and dementia — isn’t that the same thing? The simple answer is no. Dementia is an umbrella term for the different types of diseases that affect the brain. Alzheimer’s Disease is only one form of dementia. Also on the list we have Lewy body...Coping with Holiday Sibling Strife
The search for holiday perfection can set the bar high for caregivers. Starting as early as Thanksgiving, they’re flooded by images of families happily enjoying one another. And why not? As a home healthcare provider, we know family support goes a long way for parents...Unexpected Turn of Events
In March, during a mainland trip to visit our college daughter, I started receiving phone calls from old family friends whom I haven’t heard from in years. What I thought were surprise hellos were concerned calls. My mother, Kimiko Suzuki, 88, had reached out to them...When Seniors Choose Solo Living
As home healthcare providers, we’re often asked if a senior can live alone at home. While each situation is different, seniors who are alone can have additional risks that affect their health and well-being. In 2016, the Administration on Aging reported 29 percent, or...Resources to Help Aging Loved Ones
By Dan Ihara, RA, CAPS, CLHMS, Senior Real Estate Specialist, RS-65892 As we all age and watch those around us get older, concerns about the safety of our loved ones may increase. Whether it is memory loss, falls, a decrease in appetite and hygiene, or the absence of...Home Healthcare: Buyer Beware
By Eileen Phillips, RN, Attention Plus Care Life is full of choices as a consumer. We try to make informed choices but sometimes getting there takes a bit of experience and know-how. Online product or service reviews are helpful at times but can mean different things...Living in a Community of Caring
Ever think about growing old? Even when we become caregivers for aging loved ones, or start to feel pain in our joints, or experience the “where did I leave my keys?” and “what was I gonna say?” moments, we may still not attribute them to aging.
National Patient Safety Goals
Most seniors I meet say they prefer to age in place and live at home for as long as they can. Who wouldn’t want that, right? But living out your life safely at home may require a bit of help and experience. Home healthcare is particularly suited here; clients can manage their care with medical professionals to help make safer and more informed decisions.
Hospice Hawaii Lāna’i Hope House
by Generations Magazine Staff Hospice Hawaii Lāna’i is celebrating the one-year anniversary of Hope House, a home-away-from-home for many patients and their families. “We’re so excited to celebrate this milestone with our friends at Hospice Hawaii Lānai,” said...Caring for Ku¯puna with Chronic Disease
In 2014, the Hawai‘i Department of Health, Chronic Disease and Health Promotion Division reported that 82 percent of the state’s adults have at least one of the following chronic diseases or conditions: heart disease, heart attack, stroke, diabetes, asthma,...A Lesson in Patience and Gratitude
My mother had always been a healthy, determined and spirited woman who was guided by her faith. With a high degree of humor and a strong work ethic, my mother, Tokiko Suda, along with my father, Sakae, raised four children and operated several restaurants in Honolulu....Making Mindful Choices for Memory Care
When a loved one shows the first signs of dementia or is diagnosed with Alzheimer’s disease, it can feel overwhelming. Getting early, quality care is crucial for maximizing their well-being, but knowing where to start is a challenge for many families. A support system...Medical Aid in Dying: Is Hawai‘i Next?
Ten thousand people die each year in Hawai‘i. For some terminally ill, the medical care they receive is insufficient to ease their pain, loss of autonomy or feelings of indignity as they begin the dying process. In Hawai‘i, these individuals have limited options to...Aging in Place: a Workforce Challenge
The in-home care business is one of the fastest and largest growing industries nationwide, and the demand for services will continue to grow into the foreseeable future. In fact, over the next 15 years, the entire baby boomer generation will pass the age of 65;...A Stairlift Can Help
Do you know someone who has fallen and experienced detrimental effects on their physical health, confidence and emotional state? A “stairlift” is a viable solution for those who want to stay in their homes and it provides peace of mind for the family. Wearing the...A Labor of Love
Every year, 60,000 Americans are diagnosed with Parkinson’s disease (PD). Of those, many will rely on their families for support. We often define illness as a term relevant only to the one suffering from a particular disease, yet PD reaches far beyond the individual....The Unexpected Blessings of Caregiving
I’ve been a volunteer caregiver for about 25 years now and know well that it is undoubtedly the most difficult and underappreciated job on the planet. However, in caring for my own father, I found that it is also a privilege and a sacred trust, sharing the most...Gold Standard for Safe & Quality Care
The Joint Commission’s Home Care Accreditation program provides certification for more than 6,000 programs that provide home healthcare services directly or through contracted individuals or organizations. An independent, not-for-profit organization, The Joint...Senior Wellness Centers: Caregiver Option
As our loved ones grow older, they often want to live at home for as long as possible. But many seniors who live alone are often unable to manage their daily needs. Senior wellness centers, also referred to as adult daycare centers, offer services to those who are...A Legacy of Caring for Aging Parents
According to a state Department of Health report, 82 percent of adults have at least one chronic disease and over half (53 percent) have two or more chronic diseases. “We find that like the foundation of a family, experienced home healthcare agencies form a structure...Serving Senior Veterans
Serving Senior Veterans by Eileen Phillips, RN, Attention Plus Care from the Oct-Nov 2016 issue of Generations Magazine, Hawai‘i’s Resource for Life
Senior Travel Assistance
Senior Travel Assistance by Eileen Phillips, RN, Attention Plus Care from the August-September 2016 issue of Generations Magazine, Hawai‘i’s Resource for Life
Animal Assisted Therapy
Animal Assisted Therapy by Eileen Phillips, RN, Attention Plus Care from the June-May 2016 issue of Generations Magazine, Hawai‘i’s Resource for Life