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April 2017

Is Mom Being Over-Medicated In a Nursing Home?

Medication8Dear Carol: My mother has had bipolar disorder for most of her life, though medications have helped her stay fairly balanced. She also has diabetes and severe breathing problems so she’s recently entered a nursing home. Mom knew that the move was necessary for her safety and started out quite happy. The staff is great and the home offers a lot of activities for when she’s felt up to it. Lately, though, she’s been so lethargic that I’ve inquired about her medications. It seems that the doctor, who is a geriatrician, has changed them significantly. I realize that Mom has a tricky combination of health problems that require medicating, but I’m wondering if they are purposely overmedicating Mom to make her easier to care for. I don’t like being suspicious, but I’ve read so much about this. What’s your take?  - Rob

Read full article on Inforum about medications, nursing homes, and how much is necessary:

Purchase Minding Our Elders: Caregivers Share Their Personal Stories – paperback or ebook

The stories in this fine book showed us how others have gone through similar things with their families and that is somehow reassuring. There are some helpful suggestions but mostly there is the recognition that others went through the same thing. All we can do is our best. That is greatly reassuring during these difficult emotional times. If you are a caregiver, this is a must read. - Delores Edwards


6 Potentially Reversible Conditions That Can Mimic Dementia

Comfort9When dementia symptoms appear it’s natural to fear that the person affected has an incurable form of dementia. Rather than reacting with panic, however, it’s far better to try to remain calm and have a specialist make the determination. Many forms of dementia are incurable, of course, but other conditions can present symptoms that resemble those of dementia but are in fact reversible.

View slideshow on HealthCentral to learn more about the potentially reversible conditions that can mimic Alzheimer's or other types of dementia:

Support a caregiver or jump start discussion in support groups with real stories - for bulk orders of Minding Our Elders e-mail Carol


8 Entertaining Summer Excursions for Elders and Their Caregivers

ParkWalkSummer is a time when it’s generally easier for elders to be out and about than when snow and ice are an issue. Even if our loved ones have dementia, severe arthritis, lung issues or a combination of ailments, there are things we, their caregivers, can do to relieve a sense of being left out of life that can affect people in their situation.

Think about the personality of your ailing elders and consider excursions or entertainment that they may enjoy. A short outing of some type can leave a lasting memory, or it can simply mean that there were some enjoyable moments, but either way, you’ve done something positive for them. Remember to take into account the fact that heat can be dangerous to elders, so prepare for outside activities by educating yourself about how to keep elders safe in the heat.

Read full article on HealthCentral about summer excursions that can be fun for elders:  

Support a caregiver or jump start discussion in support groups with real stories - for bulk orders of Minding Our Elders e-mail Carol


8 Dementia Activities Targeted toward Unique Interests

Memories3Finding activities for people with dementia can be challenging. For example, my dad’s dementia was caused by failed surgery during his 70s. He was always interested in archaeology, science of any type, space exploration and a variety of human cultures. I focused his activities on those things he loved. The music of his youth was another priceless tool to help him get through the days. What activities or topic of interest would work for your loved one?

View slide show on HealthCentral to learn about activities for fun:

Support a caregiver or jump start discussion in support groups with real stories - for bulk orders of Minding Our Elders e-mail Carol


Health Care Decisions: Will Your Wishes Be Known During End-of-Life Care?

DocumentIn my view, everyone over the age of 18 ought to have appropriate health care and financial documents that will assign a trusted person to speak for them should they, for whatever reason, be unable to speak for themselves. But most people wait until they’re well into middle age before taking care of this important legal work. For those who die young, or are disabled because of an unexpected event such as a car accident or ill-fated dive into an unfamiliar lake, it’s too late. Their families may have to fight in the courts and in hospital wards in order to carry through with the decisions that they believe this young person would have wanted them to make.

Read full article on HealthCentral about the need to assign financial and health proxies no matter what your age: 

Purchase Minding Our Elders: Caregivers Share Their Personal Stories – paperback or ebook

“I hold onto your book as a life preserver and am reading it slowly on purpose...I don't want it to end.”  Craig William Dayton, Film Composer


Could Loneliness Be a Symptom of Preclinical Dementia?

LonelinessManLoneliness as a dementia risk, particularly Alzheimer’s disease (AD), has long been considered solid science. It’s hard to quantify loneliness, as it’s not as simple as whether a person has opportunities to interact with others. Yet, the difficulty of defining loneliness has not kept researchers from studying its impact on health. For example, the National Institutes of Health (NIH) reports study results showing that "After adjustment for other risk factors, older persons with feelings of loneliness were more likely to develop dementia” than people without such feelings.

Read full article on HealthCentral about which comes first - loneliness or dementia:

Purchase Minding Our Elders: Caregivers Share Their Personal Stories – paperback or ebook

An amazing book of stories that will touch your heart and encourage you, especially if you are a caregiver. Carol  Bradley Bursack also has an excellent website devoted to the elderly and their caregivers. - Carol Heilman


The Importance of Eating Your ABCs as You Age

Vitamins“There is a great deal of focus today on nutrition and eating well,” says Kim English, BScN, MN, professor at the Trent/Fleming School of Nursing in Peterborough, Ontario. “We hear about no carb vs. whole carb, low fat vs. full fat, and ketogenic diets vs. paleo diets. However, what is often missing from this discussion is the necessity of vitamins in our body, particularly as we age.”

Read full article on Agingcare about eating well as we age:

Purchase Minding Our Elders: Caregivers Share Their Personal Stories – paperback or ebook

An amazing book of stories that will touch your heart and encourage you, especially if you are a caregiver. Carol  Bradley Bursack also has an excellent website devoted to the elderly and their caregivers. - Carol Heilman


Delirium and Even Death Following Physical Trauma Not Unusual for Elders

DepressionthinkstockDear Carol: My mother, who was in her early 80s, was doing well except for arthritis and high blood pressure. Then she fell and broke her hip. After surgery, she seemed not just foggy but completely irrational. The doctor said that this wasn’t unusual for someone her age considering what she’d been through and that she’d get better. Mom spent several days in the hospital and was then moved to a nursing home to recover and receive physical therapy. The staff was terrific with Mom. When I asked them if Mom would recover mentally, they were non-committal. They didn’t want to say that she wouldn’t but they seemed less sure than the doctor. As the weeks went by she didn’t improve mentally, though she was doing okay physically. The, five weeks after the surgery, she suddenly died. It’s hard to accept. How common is this? – Terri

Read full column on Inforum about the effects of hospitalization on elders:

Support a caregiver or jump start discussion in support groups with real stories - for bulk orders of Minding Our Elders e-mail Carol


Making Life More Fulfilling for Older Adults with Low Vision

LowVisionMany people would consider losing their sight one of the worst potential losses that they could encounter. While most of us will not suffer from complete blindness, millions currently suffer from some form of visual impairment, with numbers growing rapidly as we age. According to the National Eye Institute (NEI), older adults represent the majority of the visually impaired population, with visual impairment included among the 10 most prevalent causes of disability in the U.S.

Read full article on Agingcare about making life easier for those with low vision:    

Support a caregiver or jump start discussion in support groups with real stories - for bulk orders of Minding Our Elders e-mail Carol


Are Your Caring for Parents Who Didn't Care for You?

Family10...Now her parents are getting frail. Nancy had been through a lot of therapy so she could learn to cope with her childhood issues. She's come to terms with the fact that her father did what he thought he was supposed to do. She rightly felt, as a child, that he should recognize and stop the abuse her mother was doling out. Through therapy, she has learned to forgive her father for his lack of involvement and the fact that he didn't stop the abuse.

She's learned that he likely didn't know about a lot of it. She's also learned that he probably was in denial about what he did suspect, because he really didn't know what to do. He was wrong, but she's managed to forgive him for what he didn't know, and for what he didn't do about what he did know. Part of this is that her father recognizes where he failed. As he ages – and he's the one who is showing the need for care at this point – she feels she is capable of caring for him, in some "hands-on" capacity.

Read full article on Agingcare about caring for parents who we not good parents to you:

Support a caregiver or jump start discussion in support groups with real stories - for bulk orders of Minding Our Elders e-mail Carol