Breast Cancer in Older Women

Cancer is a nasty word that draws gasps from everyone who hears it, yet even with the many advances we have found over the last 20 years in both diagnosis and treatment of this often deadly disease, controversy still rules the roost when it comes to question of should we or shouldn't we perform certain tests. For example, although 40,000 cases of breast cancer are detected annually in women over the age of 75, treatments in older women tend to be less aggressive (possibly because of their life expectancy or possibly due to the costs/benefit ratios or even doctor bias).

Even though study after study indicate that early diagnosis and subsequent treatment of breast cancer in women over the age 85 reduces the rate of death due to cancer (researchers at the MD Anderson Cancer Center in Houston in their study from 1980 – 2007 found that "rate of breast cancer death decreased only 1.1 percent in women over age 75," a slower rate of increase than in early aged women), breast cancer treatment is still lagging behind that of younger women. Most doctors tend to see the benefits vs. the risks from tests for breast cancer as leaning towards the risk side of the equation. For example, older women may be less tolerant of chemotherapy for various reasons and this same age group of women may not be eligible for many clinical trials due to their age alone, thus putting into question the value of beginning a potentially long battle with breast cancer in the elderly patient. So, the possible success of treatment of breast cancer in younger women vs. that same possibility of success of treatment in older patients may move doctors away from prescribing the same level of diagnostics for older patients.
The question then comes down to one of morality: do we as a society place more value on the future life span of a younger woman than the pure quality of life of a woman at any age? Should diagnostic tests (i.e., mammograms) proven to find cancer in a women's breasts and offer life saving or life extending opportunities be performed selectively simply due to a women's age?
Medical advances have greatly reduced the death rates caused by breast cancer at all age levels of women. Should those advances in successful treatments be put aside so that more and more younger women have the focus of these medical benefits? Or, do we simply acknowledge that life is valuable at any age and performing these diagnostic tests can save lives (regardless of the age of the patient)? Maybe we should do everything possible to save every life that needs medical intervention and not consider the age of the person; unless of course that particular patient refuses that test or treatment.
Clearly, more medical research needs to be conducted to find better diagnostic tests and more successful treatments at any age and for any cancer, whether the patient is female or male. But until those breakthroughs occur, we are stuck with a system that forces us to make difficult choices for our loved ones, or even for ourselves.

Losses for Our Elderly According to a study commissioned by Clarity and The Fear Foundation, entitled Aging in Place in America, "Senior citizens fear moving into a nursing home and losing their independence more than they fear death." For example, "Death was cited as the greatest fear for just 3% of seniors." When we consider our elderly citizens we often think they can handle nearly anything, primarily due to the fact that they have lived so long and experienced so much. Well, to some degree, part of that statement is true – they have experienced so much loss. Yet, that wealth of experience, even though offering much learning, also presents a very real amount of loss that our elderly often find overwhelming; especially when it comes to grief and depression. Kathleen C. Buckwalter, Professor of Nursing at the University of Iowa College of Nursing, states "The elderly are less likely to cope as well as young people because of the added years of meaning behind the loss, and the fewer years with which to move on." As we age, all those life experiences and the many, many years of living, offer little hope for successfully coping with the most recent losses, such as the death of a spouse or close friend, the voluntary or involuntary nullification of one's driver's license, moving from one's primary home, etc. Again, as we age, significant life changes are more and more likely to occur – just part of life. With those life changes come greater opportunities to experience grief and depression. This doesn't mean all older citizens will be depressed or experience significant grief at some point in their later years, however it does offer a greater potential for grief and depression. The aging process, in general, works at preparing us for loss by exposing us to issues that involve our social, physical, and psychological make-up. For example, www.helpguide.org in a recent article entitled Depression in Older Adults and the Elderly, lists the following causes and risk factors that could lead to depression/grief in older adults: Health problems – illness and disability, chronic or severe pain, cognitive decline, damage to body image due to surgery or disease Loneliness and isolation – living alone, a dwindling social circle due to deaths or relocation, decreased mobility due to illness or loss of driving privileges Reduced sense of purpose – feelings of purposelessness or loss of identity due to retirement or physical limitations on activities Fears – fear of death or dying, anxiety over financial problems or health issues Recent bereavement – death of friends, family members, and pets; the loss of a spouse or partner A number of facts come into play when considering how our elder folks view their aging world (from www.marketingcharts.com, November 12, 2007): 89% of seniors want to age in place 53% are concerned about their ability to do so Half of seniors are open to some sort of new technology to enable more independence With so many seniors wanting to remain at home and deal with their losses in familiar surroundings, Professor Buckwalter suggests the following general ideas to assist our elders in coping with these inevitable losses: Give them a sense of choice and mastery over their environment and lives Offer pre-retirement counseling, activity planning, and volunteer work to reduce the potential for identity crisis Help the adjustments to losses go more smoothly by asking your elder how they feel about the loss (listening can offer comfort and support) Developing strong relationships with our elder folks is a good beginning to helping them get through the losses that will eventually come their way. Life doesn't get easier as we age, but it doesn't have to more difficult. You can make a difference! .... Jeffrey Johnson

When is Old Too Old?

It seems simple and clear cut regarding when you can obtain a driver’s license – you reach a certain age, pass a test or two, and viola, you’re now licensed by your state to drive a 4,000 lbs. speeding machine down a highway towards a destination in hopes of not hitting anything on your way. Well, as simple as it is to obtain that privilege, it is equally difficult to have any type of regulation that says it is now time for you to give up that right to drive.

Nearly 20% of all drivers are elderly, as per recent government statistics. That's one heck of a lot of drivers! And, as we also know, not all old drivers are bad drivers, just as not all younger drivers are good drivers. The difficulty comes in when we need to decide who should be behind the wheel and who should not.
It may be labeled a form of ageism to require Motor Vehicle Administrations to have mandatory testing at certain ages, though mandatory testing is required of young folks to obtain their licenses; but not again unless they move to another state. And yet, the Insurance Institute for Highway Safety keeps hoards of stats that indicate that elders clearly do have difficulty with certain aspects of normal, everyday driving, (ex., managing intersections).
Certain aspects of aging do obviously come into play: diminishing eyesight, increase in confusion (ex., driving the wrong way down one-way streets), and slowing of reflexes. Certain tests might help to monitor those areas, yet as that saying goes, "on any given day..."
It seems the controversy is not going to be resolved anytime soon. With that in mind, below are 20 things to look for in elder drivers that might be a warning that it is time to consider hanging up the keys:

• Decrease in confidence while driving.
• Difficulty turning to see when backing up.
• Easily distracted while driving.
• Other drivers often honk horns.
• Hitting curbs.
• Scrapes or dents on the car, mailbox or garage.
• Increased agitation or irritation when driving.
• Failure to notice traffic signs or important activity on the side of the road.
• Trouble navigating turns.
• Driving at inappropriate speeds.
• Uses a "copilot."
• Bad judgment making turns.
• Delayed response to unexpected situations.
• Moving into wrong lane or difficulty maintaining lane position.
• Confusion at exits.
• Ticketed moving violations or warnings.
• Getting lost in familiar places.
• Car accident.
• Failure to stop at stop sign or red light.
• Stopping in traffic for no apparent reason.

Knowing when to hang up the keys is a tough decision and, oftentimes, one that requires the help of a loved-one. Help your loved-ones stay safe when the time comes.
(Reference: www.aol.com/article/when-are-you-tto-old-to-drive-a-car/)

.... Jeffrey Johnson

How to Handle Chronic Complainers

"Life ain't easy!" And with this sentiment comes permission to complain ... and complain we do ... about everything from the weather to our weight. The issue is not that we have the right to complain and that life is not always fair, but that some of us (and I think we are all guilty of this from time-to-time) complain constantly with no apparent understanding of how our complaining is affecting those around us. Sometimes life isn't fair, and yes, sometimes we come across people who are simply unhappy in life, yet the question here is how best do we handle those situations? Let's take a look at some solutions to dealing with chronic complainers ...
It is important to understand the nature, or motivation if you will, of a chronic complainer. Some people can be identified as either pessimists or optimists; however, chronic complainers are neither. Rather, they are folks who, generally speaking, are seeking validation for their situations or their emotions.
As Guy Winch, Ph.D. puts it in his article, The Squeaky Wheel, on www.psychologytoday.com, July 15, 2011: "Optimists see a glass half full – pessimists see a glass half empty – a chronic complainer sees a glass that is slightly chipped holding water that isn't cold enough, probably because its tap water when I asked for bottled water and wait, there's a smudge on the rim too, which means the glass wasn't cleaned properly and now I'll probably end up with some kind of virus – why do these things always happen to me?!"
Dr. Winch offers three suggestions:

1. Try not to convince the chronic complainer that things are not as bad as they think, as this will only conjure up multiple other complaints
2. Validate the chronic complainer's feelings
3. Don't offer advice.

In addition to Dr. Winch's suggestions, Sherri Kruger in her www.excelle.monster.com article, "How to Handle Chronic Complainers," suggests:

1. Think before you speak. Don't complain to hear yourself complain. Rather, understand why you need to tell others about your situation and determine, before you speak, if the situation is truly unique or are you simply complaining.
2. Have a plan. Complaining can be legitimate and not necessarily for selfish reasons. However, if it is legit, how will it get resolved? Make a plan to fix the situation.
3. Change your perspective. Learn to be empathetic towards others' situations (those you may be complaining about) rather than complaining about that person or their actions.
4. Be grateful. Learn to enjoy where you are in life and not get caught up in the "I need to have more than my neighbor syndrome."

Chronic complainers can be a pain in the "you know what!" Yet, with some forethought and careful dialogue, you can probably diffuse most negative situations and, although not totally change the person, you should be able to handle any discomfort you are feeling when you are around the chronic complainer.

.... Jeffrey Johnson

The Effects of Stress on Memory in Older Adults

  Studies suggest that stress—both short-term and chronic—play a negative role
  in the memory performance of older adults. Moderate amounts of stress, such
  as driving to an unfamiliar location to take a memory test, can produce test
  results similar to those of a patient with Alzheimer’s. A recent study
  carried out by Sophia Lupien’s team at the Centre for Studies on Human Stress
  (CSHS) of the Louis-H. Lafontaine Hospital, in affiliation with Université de
  Montréal, demonstrates that when seniors are tested under stressful
  circumstances, the release of stress hormones (cortisol) causes a rapid
  decline in memory performance. In the study, seniors took memory tests in
  both inconvenient locations, and familiar locations. Interestingly, when
  these same exams took place in familiar locations, their memory performance
  rivaled that of young adults. 

  Long-term stress can have a negative impact on memory performance, and may
  play a role in the development of age-related disorders such as Alzheimer’s. 
  During stressful periods, the adrenal glands secrete cortisol, which travels
  to the memory and learning centers of the brain (hippocampus) and to the
  amygdala (emotional gateway for memory). Exposure to high levels of
  glucocorticoids (the main class of stress hormones) throughout life can damage
  brain cells. As we age, our biological systems slow, causing cortisol levels
  to remain higher longer, and the effects of stress to last longer. Recent
  studies by Finnish researchers have found that the long-term effects of stress
  may be the biggest cause of Alzheimer’s disease. Those with both high blood
  pressure and high cortisol levels are more than three times as likely to
  develop Alzheimer’s as older adults without those symptoms.   

MEDITATION - Anit-Aging Medication

A Natural Healer

March 19, 2012

Let's hope you're reading this in the middle of the day so that you've had many good things happen to you already, and that after read this you have time to readjust to a happier mood by night time. The rather blunt fact is that every day we are getting older and from a physiological perspective, that means our bodies are deteriorating every single minute; especially if we are over the age of 30 (which many of us are). There's no stopping this process and there's no denying it . . . In the vernacular of today's world: "It is what it is!"
So why keep reading, especially with such a doomsday intro? Well, there is a light at the end of this tunnel and one that is easy to achieve at no cost to you other than a little bit of time on your part.
I'm talking about MEDITATION. Meditation originated from the Sanskrit time and means "becoming" or "being." That's right, we've all heard the endless jokes about "being one with yourself," but there really is some truth and value to that statement. Of course, our image is of some scantily glad, skinny, frizzy long-haired, man from India sitting crossed-legged and chanting mantras. Well, ok, there is some truth to that image, but for different reasons than you might suspect.
Let's explore the healing nature of meditation.
As we age, our bodies visually become older (no need to remind us all of the physical signs of aging as we see them everyday in the mirror). Yet, what we don't readily acknowledge is the unseen, internal signs of aging – "cardiac, pulmonary, musculoskeletal, and brain functions are also declining as you become older. The primary reason we deteriorate as we age is due to the degeneration of the endocrine system." Examples of this can be detected through the reduction in the growth hormone HGH (very important in retaining our energy and youthful immunity; the decline of the pineal gland "which produces the sleep hormone melatonin," and the decline of DHEA, which "helps protect the body from stress." The hypothalamus, which helps to balance our system, also becomes far less effective in its work causing many of the functions of the endocrine system to function improperly. It clearly becomes a vicious circle of decline for our body's functions, or more commonly known as "the aging process."
"Meditation is the true anti-aging medicine because it activates our body's own natural anti-aging healing force. Medical meditation directly rejuvenates the hypothalamus, the pituitary, the pineal, and other endocrine glands. Medical meditation is the single most effective counter measure against stress."
Below are just a few of the benefits from meditation:

• Reduction of anxiety
• Reduction of chronic pain
• Lowered levels of cortisone
• Increase cognitive function
• Reduction of substance abuse
• Lowered blood pressure
• Improvements in post traumatic stress syndrome
• Reduction in the use of medical care and hospitalizations

Many of us are aware that our mind exists in different states of consciousness: wake state, sleep state, and dream state. Those who are true believers in the healing powers of meditation also believe there is a fourth mind state: healing state. This is a state where the anti-aging effects of meditation begin and where your life can develop a healthier and happier existence. Some of you must be saying to yourself, Jeffrey clearly has too much time on his hands, or, Jeffrey is becoming a bit of a freaky recluse . . . well, maybe, yet with time comes the availability to read and study and what better to study than becoming a happier person before we leave this world.
I think meditation is a safe and personally rewarding compliment to our western medicine. This is not the place to be going into a lengthy step-by-step rendition of the latest meditation process, but more a forum to let you know that although you can't completely stop the aging process, you can lead a healthier and happier life And believe it or not, it doesn't require a drastic lifestyle change on your part – just 15-30 minutes per day of some quiet time where you allow yourself to re-balance your system, where you can re-boot your personal/internal computer, and where life's worries gain perspective. Relax. Try it. Meditate about it.
(Source: Meditation As Anti-aging Medicine; Turn Back The Clock Naturally by Dharma Singh Khalsa, M.D.)

.... Jeffrey Johnson

Eat Yourself Smart!

Brain Boosting Foods

 

My subscription to Eating Well is up for renewal and it crossed my mind, “Is this worth the money and do I really use it?” I went back to a few old copies to reread them and see if I did indeed truly use any of those delicious looking (and sounding) recipes. Well, fortunately for me, I did find that I have used many of the ideas from that magazine, especially those that relate to brain and heart healthy eating. As a result, today’s Weekly Message topic: Brain Boosting Foods (and for the record, if any of you think you don’t need these types of foods, think again).

We all know that eating the right foods can be good for your heart health (i.e., reduced high blood pressure, lowering of bad cholesterol, etc.), yet you may not think about food for your brain. That’s right, certain foods can actually aid in the positive functioning of our brain, or, in short, develop brain power. Many of the foods that are good for your heart are also good for your brain, yet some of the foods on the list below may come as a total surprise.

Read on and incorporate into your life style … it will do your body and your brain a lot of good. As always, if there is any question as to whether you can eat certain foods, check with your physician and consume foods of any type in moderation.

Brain Healthy foods (from a CNN Health article, 10 Foods To Help Boost Your Brain Power, by Karen Anzel, Sept. 8, 2011):

• Blackberries: These delightful little berries allow our brain cells to talk to each other by offering up antioxidants which reduce inflammation.
• Coffee: A Finnish study revealed that folks who sipped 3-5 cups of coffee per day, and who were in their 40’s and 50’s, “reduced their odds of developing Alzheimer’s disease by 65 percent.”
• Apples: Apples contain quercetin, “an antioxidant plant chemical that keeps your mental juices flowing by protecting your brain cells.” Quercetin fight off free radicals which can damage the outer lining of your neurons and “eventually leading to cognitive decline.”
• Chocolate: You have all probably heard that dark chocolate can help with maintaining good blood pressure, well, as little as one third of one ounce of chocolate can help with increasing blood flow to the brain, essential to a healthy brain.
• Cinnamon: Research has found that two compounds in cinnamon can counteract certain proteins (tau protein) that may have much to do with Alzheimer’s disease.
• Spinach: Dark, leafy greens are wonderful for all sorts of heart healthy reasons, yet they can also help prevent dementia through the ingestion of vitamin E and Vitamin K, both found in abundance in spinach.
• Extra virgin olive oil (as Rachael Ray would say, “EVOO!”): ADDL’s are proteins that attach to brain cells and make them unable to communicate with each other, those causing brain function to deteriorate (i.e., dementia). EVOO contains olecanthal which disables ADDL’s.
• Salmon: My favorite fish, rich in omega-3 fats which are good for your heart, but also vitamin D. Both components help to fight off cognitive disease.
• Curry: Mmmmmm. One of the main spices in curry is curcumin, found to fight brain inflammation associated with Alzheimer’s, but it also works at lowering cholesterol.
• Concord grape juice: Red wine lovers have know for years that a moderate amount of red wine consumed regularly is good for your heart, well it seems those same grapes offer your brain some needed help in the form of improved “spatial memory and verbal learning skills.”

Of course there are many more foods that we could add to this list, however, if you were to slide these few foods into your diet on a regular basis you would be improving your chances of living a healthier life – what do you have to lose?

Sleep Apnea

If someone said to you that while you’re asleep, your breathing is stopping anywhere from 5 to 25 times per minute, you might freak out, right? Well, that exact situation is plaguing millions of people in this country. It is called sleep apnea and it comes in three forms:
1. Obstructive sleep apnea
2. Central sleep apnea
3. Complex sleep apnea (a combination of the two forms above)
For simplicity sake, we will lump all three forms into the same general category called, sleep apnea; which is a breathing disorder that starts and stops during your sleep period. Some of the symptoms of sleep apnea are:
• Excessive daytime sleepiness
• Loud snoring, which is usually more prominent in obstructive sleep apnea
• Observed episodes of breathing cessation during sleep
• Abrupt awakenings accompanied by shortness of breath, which more likely indicates central sleep apnea
• Awakening with a dry mouth or sore throat
• Morning headache
• Difficulty staying asleep
In general, sleep apnea is caused by either your brain failing to transmit the proper breathing signals to your breathing muscles or, more likely, the muscles in the back of your throat relaxing which causes your airway to close as you take in a breathe, then causing you to gasp for breath.
With causations in mind, it is important to be aware of the potential risk factors for sleep apnea. They might be:
• Excessive weight
• Neck circumference greater than 17 inches
• High blood pressure
• A narrowed airway
• Being male
• Being older than 65
• Family history of sleep apnea
• Use of alcohol, sedatives, or tranquilizers
• Smoking
• Prolonged sitting
• Heart disorders
There are certain tests that a physician may perform to evaluate your situation/condition, such as:
• Nocturnal polysomnography – electronic equipment monitors your heart, lungs, brain activity, breathing, leg and arm movements, and blood oxygen levels.
• Potable monitoring devices – a halter monitor that is worn while you sleep and performs other regular functions during the day.
Treatments for sleep apnea may include:
• Continuous positive airway pressure (CPAP or SEE-CPAP) – you wear a mask that provides air pressure to keep your airway open during potential periods of sleep apnea.
• Adjustable airway pressure devices – devices that offer fluctuating air pressure to meet your particular needs.
• Oral appliances – devices that keep your throat open, i.e., by moving your jaw forward.
• Surgery – several various methods all designed to “remove excess tissue from your nose or throat that may be blocking upper air passages and causing sleep apnea.”
Please don’t take this condition lightly. Pay attention to yourself or your partner whenever you detect any of the following conditions:
• Snoring loud enough to disturb the sleep of others or yourself
• Shortness of breath that awakens you from sleep
• Intermittent pauses in your breathing during sleep
• Excessive daytime drowsiness, which may cause you to fall asleep while you work, watching television or even driving
If you do notice any of these symptoms in yourself or your partner, you should seriously consider consulting your physician for a sleep apnea evaluation … it could save a life – maybe your own.

Find out more information by visiting Sonesta Sleep Centers at www.sonestasleep.com . Locations in Tarpon Springs and Largo, FL.  

February is Low Vision Awareness Month

Low Vision Awareness Month

February is low vision awareness month, sponsored by Prevent Blindness America, located in Chicago, Illinois. “Low vision is a term commonly used among eye care professionals to mean partial sight, or sight that isn’t fully correctable with surgery, medications, contact lens, or glasses,” said Mark Wilkinson, O.D., Director of Vision Rehabilitation Services at University of Iowa Hospitals and Clinics.
There are a number of causes of low vision, such as:

•  “Cataracts:  causes vision to be lazy.”
•  “Macular Degeneration:  effects center vision.”
•  “Diabetic Retinopathy:  causes distorted or blurred vision.”
•  “Glaucoma:  Loss in peripheral vision and difficulty seeing at night.”
(Source: www.uihealthcare.com/kxic/2009/02/lowvision.html)
Macular Degeneration is the leading cause of vision loss affecting 1.6 million Americans over the age of fifty. The National Eye Institute estimates that by the year 2020, 17 million people will be affected by low vision.
Currently, we are most aware of the obvious treatments for low vision; glasses, contact lens, surgery, and to some degree, medications. However, other alternatives do exist and often follow tried and true treatments methods for other disabilities. For example, someone with low vision that is untreatable with the typical methods just mentioned might be sent to a rehabilitation facility to learn alternative ways to perform once familiar tasks, i.e., brushing one’s teeth, using the shower, etc.. These new methods may include the use of high tech equipment or even the enhancement of another sense, such as touch.
It is important, just as in any other area of our medical condition, that we pay very close attention to changes in the status quo. Don’t discount any minor change to your or your loved ones’ vision.
Although this change may be temporary, it could mean the beginning of some significant deterioration of vision that might be correctable before it impacts your ability to function on a daily basis.
As with many other medical illnesses, low vision is being researched all the time with many new and positive results coming regularly. For example, “there are some injections that not only stabilize vision, but enhance vision. There’s a great deal of work on genetic therapy, as well as gene-directed therapy, to help people function better. There’s a variety of new electronic magnification devices and computer software programs that can help people function better despite reduced vision.” (Source: www.uihealthcare.com/kxic/2009/02/lowvision.html)

SAFETY FOR SENIORS AT HOME!

What May Not Be An Obstacle To You May Be To Your Elder Loved One.

The next time you visit an elder loved one, take a few minutes to make sure that their home is suited to the mobility and agility limitations we can all experience as we age.

Take A Walk Through The House

* Keep all areas of the house, including hallways and stairs, well-lit.

*Remove scatter rugs, or attach a non-skid backing to them.

*Reduce the risk of falling by making sure floors are not slippery. 

*Use night lights in the bedroom, hallways, kitchen, and bathrooms.

*Keep the stove area in the kitchen free of towels, paper towels, and napkins.

*Remove all newspapers and magazines from the kitchen counter area.

*Keep a fire extinguisher in the kitchen, and teach everyone how to use it.

*Inspect electrical cords for fraying or cracking; be sure they are placed away from walking.

*Make sure electrical cords are placed away from walking paths, but not under carpet or furniture.

*Set the hot water temperature at 115 degrees or below on the water heater.

*Use slip-resistant decals or non-skid mats in the tub or shower.

*Install grab bars in the bathtub and by the toilet that are securely anchored into the wall studs.

*Check to be sure that extension cords are not overloaded  and are clear of walkways.

*Install smoke detectors on every floor of the home and test them.

*Destroy out-of-date medications and those which are no longer being used.

*Place a telephone in the bedroom and post emergency numbers by all telephones.

*Keep space heaters away from flammable materials, and be sure the room is well ventilated.

*A three-pronged plug should be used in a three hole outlet, or an adapter should be used.

*Always turn off heating pads before an older person goes to sleep.

*Have an emergency exit plan and an alternative plan in case of fire.

Talk With Your Loved Ones About Any Safety Issues
After walking through the home of your loved ones, you should discuss with them any safety issues you found in their home.  If you have questions about how to make the home of an elderly loved one safer, please contact us today. 

Visiting Angels® Can Help!
Here in the Tampa Bay area of Florida, let us demonstrate that Visiting Angels is "America's Choice In Home Care!"  If you would like to set up a free no-obligation assessment for your loved one, or just want to speak with one of our friendly and knowledgeable Angels, just give us a call at 813-909-2550, or, 727-841-8440.  If you prefer, you can send us an email at wecare@visitingangelstampabay.com and we'll get right back to you.

Should You and Your Loved One Consider a Respite Care Program?

If you’re responsible for providing most of the caregiving for an older adult, family member, elderly parent, or loved one, you may want to consider taking advantage of available respite care services. Respite care is short-term, temporary relief to those who are caring for family or loved ones at home, whose relatives would otherwise require treatment at a facility elsewhere. Without respite care, elderly or sick individuals would live in institutions or health care facilities.

Though families appreciate being able to keep their family members or loved ones in the comfort of home, the physical, mental, emotional, and financial burden they carry can often be overwhelming without respite or support. If you’re feeling exhausted facing the challenges of caregiving duties, a Respite Care Program may offer much needed temporary relief. Without valuable respite care programs, caregiving family members may suffer emotionally and financially as they face health problems, social issues, and stress associated with continual caregiving.

Respite Care Programs:

•Sustain family caregiver health and well being

•Allow family members and loved ones to remain at home

If you or someone you know is facing the challenge of caring for a loved one alone, Respite Care Services can offer a break, stress relief, and balance to your life. Providing care every day for family or friends may be difficult, but there are Respite Care Service options and care strategies you may not be aware of. It’s good to consider all options to provide the best care for your loved ones and yourself.

Analyze your needs and the needs of your loved ones.....Figure out which area you need help most:

Have I allotted enough free time for myself?

Does my loved one need help with walking, eating, or other basic tasks?

Does my loved one need help taking daily medication?

Is my loved one getting a proper amount of exercise?

Is my loved one getting enough mental stimulation?

These questions will help you figure out what further steps to take. Once you assess the type, frequency and location of your needs, discover what a Respite Care Program can do for you and your loved one. Anticipating regular relief from Respite Care Services can be lifesaving; share the responsibility of caregiving with another individual and get help and support for yourself.

Contact Us!

Supporting those who help others is very important to Visiting Angels, and we applaud the mission of Aging Solutions.  Here in the Tampa Bay area of Florida, let us demonstrate that Visiting Angels is "America's Choice in Home Care!"  If you would like to set up a free no-obligation assessment for your loved one, or just want to speak with one of our friendly and knowledgeable Angels, give us a call at 813-909-2550, or, 727-841-8440.  If you prefer, we can be contacted by email at wecare@visitingangelstampabay.com

Elderly Care for Today's Seniors

Elderly care is becoming more and more of a need in this fast paced world. As adults become busier each year with work, children, and activities, the need for someone outside the family to provide elderly care for aging family members and friends is growing. If you are in this situation, you can take comfort in the many agencies that offer elderly home care or elderly companion care.

Elderly care allows the aging adult to continue to live in the comforts of their own home while receiving assistance from a qualified care giver. Many older people are still capable of living in their own home, but may require non-medical assistance for every day chores and errands. That’s where an elderly care service can really help. Hiring an agency to handle the elderly care eliminates the stress and worry family members experience over the care of their elderly loved ones. Seniors are also comforted and feel at ease knowing that a caring, experienced caregiver will be there to assist any time, day or night. Most importantly, the caregivers adapt to their client’s routine.

Studies have shown that seniors thrive more when living in their own home than in a nursing home. Help your elder relative maintain their independence by looking for an elderly care agency that fits their needs.

Contact Us!

Supporting those who help others is very important to Visiting Angels, and we applaud the mission of Aging Solutions.  Here in the Tampa Bay area of Florida, let us demonstrate that Visiting Angels is "America's Choice in Home Care!"  If you would like to set up a free no-obligation assessment for your loved one, or just want to speak with one of our friendly and knowledgeable Angels, give us a call at 813-909-2550, or, 727-841-8440.  If you prefer, we can be contacted by email at wecare@visitingangelstampabay.

Warning Signs of Dementia

The onset of the psychiatric and cognitive symptoms of dementia can vary depending on what is causing it, and the location and number of damaged brain cells. Some types of dementia progress slowly, while others cause a sudden onset of symptoms; warning signs will be observed. In elderly care, Alzheimer’s disease is the most common cause of dementia, but it can also be caused by a blockage of blood supply to the brain, sustained use of alcohol, head trauma, as well as some other causes.

Dementia refers to a group of symptoms caused by the damage or death of the brain’s nerve cells. Warning signs can include when an individual has trouble with new memories, relies on memory helpers, has trouble finding words, and/or struggles with completing familiar actions. There can be confusion about time, place, or people, and the misplacement of familiar objects. Depression, irritability, and even personality changes can be seen in a person with the onset of dementia. The loss of interest in important responsibilities may be a warning sign, as well as bad decision making. Other psychiatric symptoms which are warning signs are seeing or hearing things, or expressing false beliefs. An individual is likely to need elder care services if they are exhibiting these warning signs in order for them to be safe.

Warning signs and symptoms should be observed closely in order to communicate well with physicians for proper diagnosis and treatment. A patient should be seen by a doctor who is an expert in dementia, and should have complete medical tests as well as neuropsychological tests.

Visitingangels.com provides non-medical elder care home services, and their staff is trained and qualified to care for individuals with dementia. This allows for the individual to remain in the familiar surroundings of their homes, while providing respite care fortheir families.

Contact Us!

Supporting those who help others is very important to Visiting Angels, and we applaud the mission of Aging Solutions.  Here in the Tampa Bay area of Florida, let us demonstrate that Visiting Angels is "America's Choice in Home Care!"  If you would like to set up a free no-obligation assessment for your loved one, or just want to speak with one of our friendly and knowledgeable Angels, give us a call at 813-909-2550, or, 727-841-8440.  If you prefer, we can be contacted by email at wecare@visitingangelstampabay.com

Holidays are a wonderful time when children return home to visit their parents, in-laws, and loved ones. If you’re visiting your elderly loved ones this year and notice a few warning signs, consider senior care as an option!

Are You Visiting Your Parents for the Holidays? 

Adult children of parents who are aging may not always look for changes that are happening to their parents, and often overlook them as they’re painful to see.  In these instances, spouses may be the ones to prompt this conversation and point out something out of the ordinary that may be worrisome. 

It’s typical of siblings who live closest to parents or those who visit most frequently to disregard warning signs (majority are gradual and easily unnoticed).  When other adult children or siblings visit during the holiday months, they’re the individuals who are alarmed by their parent’s condition.

Here are several warning signs to look out for.  If your loved one or parent is has experienced any of the following, it may be a safer option to consider at home senior care.  These signs include:

• General Cleanliness of the Home:  If you witness mildew, mold, insects, or other health concerns, this is an indication of a problem.  Rotten leftovers in the fridge, milk long past its expiration date, etc…

• Personal hygiene (or lack thereof) and personal cleanliness is also an indicator.

• Your loved one is failing to take medication regularly, or misusing their prescriptions.

• You notice that finances have been mishandled.

• Your parents, relatives, or loved ones have become unsafe drivers, or you notice driving issues, including car dents, erratic habits, etc…

• Your loved ones are displaying signs of forgetfulness (signs out of the ordinary).  Occasional forgetfulness is normal (and can be effected by different types of medication).  Menopausal hormonal changes also result in forgetfulness for women.  Frequent memory lapses do indicate the onset of dementia and Alzheimer’s disease and are warning signs not to be ignored.

• Your relatives, parents, or loved ones are not as social as they once were—you notice a decrease in their activity level. 

Senior care is one option for aging parents and loved ones as it allows them to remain safely in their homes as long as possible—caregivers visit as needed and take care of everyday tasks and services, including cleaning, running regular errands (cleaning and stocking the refrigerator), managing doctor’s appointments, and accident proofing your loved one’s home—this includes checking rugs to prevent slips, adding safety bars to the shower, and anything else to prevent falls and ensure a safe living environment.  These small steps of senior care can really ease the burden on your loved one and make a big difference in their quality of life. 

Most individuals aren’t sure if they need help or don’t know the next steps to finding senior care.  Proper planning is one way to alleviate future stress. 

Visiting Angels, the nation's leading, network of non-medical, private duty home care agencies providing senior care, elder care, personal care, respite care and companion care to help the elderly and adults continue to live in their homes across America.

Contact Us Today

Don't hesitate to contact us to receive further information or arrange for a free no-obligation assessment.  Our friendly and knowledgeable staff is available to walk you through any questions or concerns you might have. Call us at either 813-909-2550 or 727-841-8440, or, if you prefer, send an email to wecare@visitingangelstampabay.com and we'll get in contact with you.

HOW VISITING ANGELS CAN MAKE A DIFFERENCE

TESTIMONIAL

Kimberly,

Just wanted to mention if I haven't already that my mother's doctor said on her last visit to him that she was doing wonderful.  She seems very happy and her spirits were up.  This has everything to do with Visiting Angels!  She is practically a new person.

Karen

Please contact Visiting Angels for more information about Home Care Services for your loved one. You can email us at wecare@visitingangelstampabay.com or call 727-841-8440 or 813-909-2550.

There's No Place Like Home!

Nursing homes or retirement centers seem like the only options for care.  VISITING ANGELS® non-medical home care services allow people to maintain the independence of their daily routines and familiar surroundings.  We can help your loved ones avoid the emotional trauma  of leaving their cherished home.  We believe that you and your family should have a choice about where and how to live, as well as who will provide your care.

You Choose Your Caregiver
We know it isn't easy to make the decision to invite a caregiver into your home to provide home care.  That's why our personalized screening system is designed to maximize your peace of mind.  You'll have the opportunity to interview any caregiver that we refer to you.  We let you choose the caregiver you trust.

You Are In Charge
You are in charge of everything.  Because we are a non-medical agency, we will not dictate to you what your schedule is to be.  You are the boss.  Your schedule is our schedule!  It is our job to adjust to your schedule and to keep you comfortable in your home.

You Can Afford The Best
Our philosophy of home care is to never compromise on providing high quality services to your family.  Our system allows you to afford a top quality caregiver.  We keep our overhead low to avoid passing high costs to you.  In addition, we believe that our caregivers should be paid and treated with respect.  For this reason, we can attract and maintain the best quality caregivers available.

No Minimum Number Of Hours
Some home care service providers require that you agree to a certain number of hours per visit or they will not provide assistance.  We don't think that's right. We understand that you may have needs from time to time that don't require large blocks of hours.  That's why we don't require that you give us a certain number of hours per visit.  Instead, we give you options!

We're Proactive
You won't get "lost in the shuffle" with us.  Some agencies simply react to calls from clients rather than anticipating your needs in advance.  We begin by reviewing your needs through discussions with family members and when necessary, with healthcare providers.  Our service coordinator carefully selects the caregiver with the necessary experience and personality that is best suited to the needs of each client.  Next, we arrange for the caregiver to visit your home so that you can participate in the selection process.  After services begin, we implement our system of ongoing personalized contacts with your family to insure that the care recipient is receiving the best possible care.

15 Minute Response Time
If you call a home care agency in the evening or on weekends, nothing is more frustrating than to receive an answering message and wait long periods of time for a return call.  If you receive a voice message when you call us, we'll call back within fifteen minutes.  We're committed to serving your needs in the way that's most convenient to you!

We're America's Choice
When you need care for a loved one, you'll want the agency you choose to be deep in home care experience.  Visiting Angels franchised home care agencies serve thousands of client families from hundreds of Visiting Angels office locations in more than 40 states across the USA.  Here in the Tampa Bay area of Florida, we are proud to be among them. 

Contact Us Today
Don't hesitate to contact us to receive further information or arrange for a free no-obligation assessment.  Our friendly and knowledgeable staff is available to walk you through any questions or concerns you might have. Call us at either 813-909-2550 or 727-841-8440, or, if you prefer, send an email to wecare@visitingangelstampabay.com and we'll get in contact with you.

Approaching That Difficult Subject...Your Loved One May Need Home Care

The Family Plan
How do you help your elderly loved one get past their family customs and cultural beliefs to accept assistance in the home?  How do you tell a loved one that you and your siblings are concerned about them living alone at home?  How do you help them keep their independence without interfering in their life or making decisions for them?

These are issues that will not go away with time.  To the contrary, everyone involved should be very proactive about such difficult topics.  With advance planning, and straight forward discussions, the problem-solving process actually can work well, but it will take some concentrated effort by you, your siblings, and your loved one.

The first thing to know is that many of the conversations you will be having on your loved one's behalf could very well be emotional, and must be handled carefully.  Setting up a family meeting can be a great place to begin to have discussions about the care they should be receiving.  It may seem obvious, but in most cases, remember that they are the one who will be making choices about their life, not you or other family members.  Your loved one should always be a central part of every discussion.  If not, it could be difficult for you to find solutions that are acceptable to your loved one.

Family meetings should be positive and supportive.  Many times, this support alone may be enough to convince the elder family member that they should begin to consider some form of home care before their health deteriorates.  However, even with the most thought out and well planned family meeting, initial resistance is normal.  Remember, you are touching upon a very important topic for them, their independence.

If your loved one shows signs of resistance, and would like to put the family meeting off for awhile, don't push them into having the meeting.  Realize, they may need some time to prepare for such a discussion.  Approach them again in a week or two, and suggest to have another time for the meeting.  If they continue to resist, be a bit more assertive.  Make sure they understand that both you, and other family members, want this meeting because you care about them, and are concerned about their well-being.

Some suggested methods to deal with resistance are:

*  If your loved one's health and/or safety are at issue, say so, and push the discussion forward. 
*  Involve others, such as clergy, physicians, or a geriatric care manager.
*  Use community resources to help everyone ease into the "care at home" process.

Make sure you have focused on what they feel are their issues, not just what you or others think are the concerns.  They will be much more accepting of your concerns and wishes if they tie into their own concerns.  If you suspect that resistance will be an issue, then it is wise to have an initial family meeting, prior to the one held with the loved one.  This will give the family an opportunity to unite in their thoughts, which will help show your loved one that all of you are concerned about similar issues.  The statement "strength in numbers" certainly does apply here.

After having the initial family meeting with your loved one, and everyone has had the opportunity to express their feelings and thoughts, gently suggest that they make an appointment with their physician to have a thorough evaluation.  This professional evaluation can go a long way in helping them decide that they could use some assistance in their home.  Don't nag them about this evaluation.  Simply plant the seed and water it from time to time.  Eventually, most elders realize that they cannot care for themselves as they once could.  Seeing a doctor seems to make this decision easier.

Finally, be direct and speak with them about having a home care agency come out and meet with them.  This will allow your loved one to get a sense of exactly what such an agency can do for them.  Focus this meeting on what a caregiver from an agency will and won't do.  It is important to be specific about the tasks the caregiver will perform and won't perform.  Let them know that they are still in control, and that the home care process can add significantly to everyone's peace of mind.

Talking To Your Loved One

As a recap, when talking to your loved one, keep all discussions with them positive.  Treat them as an equal and don't parent them!  And remember, let your loved ones make their own decisions.  Your job is to help them make those decisions, not to make the decisions for them.

Visiting Angels® Can Help!
Here in the Tampa Bay area of Florida, let us demonstrate that Visiting Angels is "America's Choice In Home Care!"  If you would like to set up a free no-obligation assessment for your loved one, or just want to speak with one of our friendly and knowledgeable Angels, just give us a call at 813-909-2550, or, 727-841-8440.  If you prefer, you can send us an email at wecare@visitingangelstampabay.com and we'll get right back to you.

Show Your Loved One You Care Today!

Recognizing the Signs Your Parents Need Home Health Care

The well being of your parents is a concern for every child, especially as they age. If you’re concerned for the health or safety of your loved ones, the first solution that comes to mind may be bringing your parents to live at home with you. This scenario doesn’t work for all families. It’s up to you to determine whether your aging loved one would benefit from outside assistance such as Home Health Care.

There is no one special sign that indicates your parents are struggling to care for themselves—sometimes all it takes is a gut check. The two main indicators that your parents are struggling are the condition of their house or home, and their own personal health.

Home Health Care may be a good option if you notice a decline in the condition of your parent’s home—a sure sign they need help. Check for cleanliness and upkeep—is your loved one’s house in the same condition it’s always been in? Check the fridge to ensure there’s enough food and it’s unspoiled. Look over the house for unsafe spaces—are all handrails secure, are rugs worn and sliding, are there any areas of the bathroom, kitchen, or bedroom that could cause a fall?

Home Health Care should could also be an option if you notice a physical decline in your parent or loved one’s health—how he or she is moving around the house. You don’t have to be a doctor to realize that your loved one’s health may be failing. If it is, you should be concerned and consult with your loved one’s physician.

Also consider the home layout—stairs can be a hazard for older folks. If you have the opportunity to install or remodel or repurpose your home to include a full bathroom and bedroom on the first floor, do so. Other simple changes include changing door handles to levers, making it easier to get in and out.

Despite difficulties, most elderly folks prefer to stay in the comfort of their home as they age. Home care is an excellent alternative. House cleaning, meal preparation services are provided by home care aides. These caregivers are available to provide in elderly care 24 hours a day to allow elderly individuals remain in their own homes and improve the quality of their lives. Learn more about how an individualized elderly care program can improve the life and health of your loved one.

Contact Us!

Supporting those who help others is very important to Visiting Angels, and we applaud the mission of Aging Solutions.  Here in the Tampa Bay area of Florida, let us demonstrate that Visiting Angels is "America's Choice in Home Care!"  If you would like to set up a free no-obligation assessment for your loved one, or just want to speak with one of our friendly and knowledgeable Angels, give us a call at 813-909-2550, or, 727-841-8440.  If you prefer, we can be contacted by email at wecare@visitingangelstampabay.com

Visiting Angels Home Care Services Can Provide an Alternative to Long-Term Care

"When it comes to your care there are so many choices-nursing homes, assisted living facilities, home health agencies (nursing agencies), home care agencies and more. However, only you can choose what's right for you."

At Visiting Angels, we realize that it is never easy bringing someone into your home to provide care. So we strive to make staying at home a positive experience. We do this by allowing you to select your caregiver from a group of experienced caregivers, allowing you to maintain your schedule and providing you or your loved one with personalized care.

You Are In Charge – We’re On “Your” Schedule:

You are in charge of everything. Visiting Angels will not dictate to you what your schedule is to be (i.e. what time to get up, when to bathe, meal schedules etc.). It is our job to adjust to your schedule and to see to it that you remain comfortable in your own home. Visiting Angels - senior home care at its best!

Bonded, licensed and insured

All Visiting Angels senior home care agencies are required to be bonded and insured. This can give you the peace of mind that a trustworthy caregiver will be in your loved one's home.

Monitoring is essential:

Visiting Angels home care agencies are trained to continuously monitor their caregivers through our unique system of continued personalized contacts through telephone check-in and home visits. We want to ensure that care recipients receive the best possible care.

Tailor your care to your needs

No two people are the same. Therefore their needs are going to be very different. Whether you need respite care, in home care, part time or full time care or care at an assisted living facility, Visiting Angels can provide an experienced caregiver that is right for you. Our agencies tailor your program of care based on your needs and we are flexible to change the program as different needs arise. We will also work along with any home health agency or nursing agency that may be assisting your loved ones after a recent hospital stay.

Contact Us!

Supporting those who help others is very important to Visiting Angels, and we applaud the mission of Aging Solutions.  Here in the Tampa Bay area of Florida, let us demonstrate that Visiting Angels is "America's Choice in Home Care!"  If you would like to set up a free no-obligation assessment for your loved one, or just want to speak with one of our friendly and knowledgeable Angels, give us a call at 813-909-2550, or, 727-841-8440.  If you prefer, we can be contacted by email at wecare@visitingangelstampabay.com

Visiting Angels Home Care Services Can Provide an Alternative to Long-Term Care

It can be wrenching to see the independence of a loved one or family member decline. Simple tasks that used to be effortless, such as cooking a meal or keeping a house tidy, can become impossible for someone who is recovering from a hospital stay or whose strength is declining with age.

As the population ages, more and more people will face the reality of an older adult who may need assistance to live independently. For many in this group, a nursing home or retirement center is more than they need; and yet complete independence isn't realistic, either.

One option that is becoming increasingly available across the nation is home care services. These services allow many people to remain in their homes and enjoy the independence of their daily routines and familiar surroundings. Home care services typically provide non-medical help with daily living tasks including meal preparation, light housekeeping, errands or even simple companionship.

Visiting Angels focuses on building relationships with each client.  Visiting Angels is unique among home care services in that the care recipient and involved family members actually choose the caregiver who best suits them and their needs. .

The first step we take is a face-to-face meeting in the client's home to get acquainted and determine what needs exist. We will only recommend care givers who have experience with the client's needs. For instance, if the client has Alzheimer's disease, we'll assign a caregiver who has experience with similar disorders.

 Our caregivers will not dictate what the client's schedule should be. If someone is used to having breakfast and bathing at 7 a.m., our caregivers will accommodate that. It is our job to adjust to the client's schedule and see to it that they remain comfortable in their home.

After a caregiver has been placed with a client, the agency continues to monitor service through telephone calls and in-home visits to make sure the client is satisfied with the caregiver and the services provided.

Visiting Angels provides a range of non-medical services including assistance with hygiene, meal preparation, light housekeeping, errands and shopping, weekend or holiday care, live-in or live-out care, temporary or long-term, and respite for family care givers.

Contact Us!

Supporting those who help others is very important to Visiting Angels, and we applaud the mission of Aging Solutions.  Here in the Tampa Bay area of Florida, let us demonstrate that Visiting Angels is "America's Choice in Home Care!"  If you would like to set up a free no-obligation assessment for your loved one, or just want to speak with one of our friendly and knowledgeable Angels, give us a call at 813-909-2550, or, 727-841-8440.  If you prefer, we can be contacted by email at wecare@visitingangelstampabay.com