The Aftermath of Long-Term Caregiving: Is Stress the New Normal?
Often long-term caregivers wonder if their lives will ever return to normal. The short answer is no; at least for most of us. There will be changes in your personality, both positive and negative, so what you view as normal will change. Each day as a caregiver (to some degree) hinges on the health and welfare of our care receivers. After months or years of caregiving, stress can become a daily companion. I believe caregivers often recognize one or more triggers that symbolize this stress. For me it was the blinking message light on the home phone. Though the multiple elders I cared for are now deceased, to this day...
Source: Minding Our Elders - August 18, 2022 Category: Geriatrics Authors: Carol Bradley Bursack Source Type: blogs

An Older Adult Skip ’s Bathing? Maybe there’s a Reason
A common complaint about older people, especially those who have health challenges, is that they “smell” or have other signs that they don’t shower or bathe often enough to stay fresh. Some of this may be driven by ageist stereotypes, but some of it can be based in truth. If you have a parent or other older adult in your family and you feel that poor hygiene is a realistic issue, the first thing you should do is try to determine why the person isn't keeping up with self-care.  Understand that we aren’t talking about someone who wasn’t smelling too fresh one day when you stopped in. There could be many rea...
Source: Minding Our Elders - August 17, 2022 Category: Geriatrics Authors: Carol Bradley Bursack Source Type: blogs

Bringing hospital care home: virtual wards and hospital at home for older people
This report explores the potential benefits, limitations, and current scientific evidence to be considered when providing a safe, effective, and person-centred alternative to hospital inpatient care for older adults. This publication highlights how ‘virtual wards’ are being funded and implemented. It explains the various definitions of the term ‘virtual wards’ as used in different parts of the UK and describes the face-to-face care delivered by a multidisciplinary team, combined with some remote monitoring.ReportMore detail  (Source: Health Management Specialist Library)
Source: Health Management Specialist Library - August 17, 2022 Category: UK Health Authors: The King ' s Fund Library Tags: Digital health and data Source Type: blogs

An Older Adult Skips Bathing? Maybe there ’s a Reason
A common complaint about older people, especially those who have health challenges, is that they “smell” or have other signs that they don’t shower or bathe often enough to stay fresh. Some of this may be driven by ageist stereotypes, but some of it can be based in truth. If you have a parent or other older adult in your family and you feel that poor hygiene is a realistic issue, the first thing you should do is try to determine why the person isn't keeping up with self-care.  Understand that we aren’t talking about someone who wasn’t smelling too fresh one day when you stopped in. There could be many rea...
Source: Minding Our Elders - August 17, 2022 Category: Geriatrics Authors: Carol Bradley Bursack Source Type: blogs

People Living with Dementia May Fight Bathing: Compassion, Education Can Help
Many older adults may not bathe as often as younger people think they should, but what about people living with dementia? Here lies a much greater challenge. People living with Alzheimer’s, or another type of dementia will often refuse or even physically lash out when pushed to shower or bathe. This behavior frustrates well-meaning family caregivers to no end. They worry that their family member may have increased urinary infections or even skin infections when regularly bathing doesn’t happen. Understandably, too, they would like their loved one freshened up, not only for themselves but also for others. Making...
Source: Minding Our Elders - August 16, 2022 Category: Geriatrics Authors: Carol Bradley Bursack Source Type: blogs

Spouse Criticized for How He Cares for Wife with Dementia
Dear Carol: My wife was diagnosed with Alzheimer’s eight years ago. While it hasn’t been easy keeping her home with me, it’s been her choice – and mine. Neither of us is young, but I’m healthy and strong so I see no reason why people keep criticizing my decision to keep her in our home. The criticism’s gotten worse since she became incontinent. I’ll be the first to admit that there are extra challenges when you add incontinence to the already substantial job of caring for someone with dementia, but we make do. How do I respond? - KR   Dear KR: Most family caregivers do their best. Of ...
Source: Minding Our Elders - August 15, 2022 Category: Geriatrics Authors: Carol Bradley Bursack Source Type: blogs

Adult Child with Snowbird Parents Worries about Long-Distance Care
Photo credit Maller Lotte Meijer  Dear Carol: After my parents retired, they moved south to enjoy the year-round heat. Dad’s since had a heart bypass and mom had a hip replacement, but otherwise, they seem well enough. Still, these are red flags. We’ve tried to convince them to move back home, but they say they are home. They take care of each other now, but with worsening health, or when one of them passes, things will need to change. How do we prepare for that time? – PF Continue reading on Inforum for tips on planning for potential parent care when they live far away: Minding Our Elders: Caregivers Share ...
Source: Minding Our Elders - August 14, 2022 Category: Geriatrics Authors: Carol Bradley Bursack Source Type: blogs

People Living with Dementia May Fight Bathing: Compassion, Education Can Help
Many older adults may not bathe as often as younger people think they should, but what about people living with dementia? Here lies a much greater challenge. People living with Alzheimer’s or another type of dementia will often refuse or even physically lash out when pushed to shower or bathe. This behavior frustrates well-meaning family caregivers no end. They worry that their family member may have increased urinary infections or even skin infections when regularly bathing doesn’t happen. Understandably, too, they would like their loved one freshened up, not only for themselves but also for others. What to do...
Source: Minding Our Elders - August 13, 2022 Category: Geriatrics Authors: Carol Bradley Bursack Source Type: blogs

Cohabitation with Parent Working Except for Incontinence Battles
Dear Carol: My mom has lived with us for several years and it’s been going pretty well up to now. Her dementia is worsening, which we expected. What we didn’t expect was to have so much trouble managing incontinence. This seems like a small thing when we consider the many challenges of dementia care, but with help from a geriatrician, I’ve learned how to respond to most situations in the recommended manner (most of the time). Except for the incontinence problem. Mom’s ruining the furniture with her need to be “independent” and none of the tricks that I've learned are helping. If the mess were confined to ...
Source: Minding Our Elders - August 12, 2022 Category: Geriatrics Authors: Carol Bradley Bursack Source Type: blogs

A caregiver ’ s love story [PODCAST]
Subscribe to The Podcast by KevinMD. Catch up on old episodes! “Dying and introspection happening at the same time were a dual reality that I found impossible to ignore when Bill was not doing well. As Bill’s poor prognosis and impending death began to reflect on our life, it was getting harder to respond to Read more… A caregiver’s love story [PODCAST] originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - August 11, 2022 Category: General Medicine Authors: Tags: Podcast Geriatrics Source Type: blogs

Coping with the Stigma that Accompanies Dementia
Photo credit Angels Vicente People stare. Most are not unkind; they are just curious. But when someone "different" from the norm becomes part of their environment, they often gawk without thinking about or understanding how this affects others. Anyone who has cared for a disabled child or has a visible disability of their own knows this. However, people who care for an elder with dementia may have more difficulty coping with the stares of the public because the person they are caring for was once their dignified father or charismatic mother. The pain of seeing others stare, not knowing how this person was robbed of his or...
Source: Minding Our Elders - August 11, 2022 Category: Geriatrics Authors: Carol Bradley Bursack Source Type: blogs

Second-Guessing Ourselves: A Caregiver Obsession
Photo credit Karolina Grabowska Like most adults, I’ve second-guessed many of my own decisions. While most were made with my own future in mind, that all changed when I became a family caregiver for an ever-increasing number of older adults – a time that also coincided with raising two young children, one with health challenges. A dying aunt, a budding son: My aunt Marion, who had no children of her own, was in the hospital dying of cancer. While my parents visited her much of the time, I’d been close to her since I first learned to walk, so I tried to see her as much as possible. One afternoon, it had become evid...
Source: Minding Our Elders - August 10, 2022 Category: Geriatrics Authors: Carol Bradley Bursack Source Type: blogs

Caregiving As Our Legacy: We Can Be Proud of Our Contributions
Have you thought about what you'd want your obituary to say about you? I hadn't until I was recently asked to write an article on the topic. I enjoy a challenge and thought, "why not?" How would I want my life to be summed up after I'm gone? As I considered this article, the natural starting point for me was with my parents' obituaries, since I wrote them.  Each of my parents suffered a long slow decline, so I had plenty of time to ponder their lives and the words that could encapsulate who they were. Dad's obituary was fairly easy to compose, though I needed to dig for some documentation. He'd gotten international...
Source: Minding Our Elders - August 9, 2022 Category: Geriatrics Authors: Carol Bradley Bursack Source Type: blogs

Siblings Who Feel Shut Out of Caregiving: Yes, It Happens
This article offers a glimpse into another perspective on caregiving: that oft maligned long-distance siblings may actually be excluded by primary caregivers. Continue reading on Agingcare for discussion about why some caregivers would (sometimes legitimately, other times not) rather go it alone: Minding Our Elders: Caregivers Share Their Personal Stories. “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 Discover the Difference. EGOSAN - the Top-Rated incontinence brand from Italy. Now Available on Amazon. **...
Source: Minding Our Elders - August 8, 2022 Category: Geriatrics Authors: Carol Bradley Bursack Source Type: blogs

Fight Aging! Newsletter, August 8th 2022
In conclusion, aging research will benefit from a better definition of how specific regulators map onto age-dependent change, considered on a phenotype-by-phenotype basis. Resolving some of these key questions will shed more light on how tractable (or intractable) the biology of aging is. Does Acarbose Extend Life in Short Lived Species via Gut Microbiome Changes? https://www.fightaging.org/archives/2022/08/does-acarbose-extend-life-in-short-lived-species-via-gut-microbiome-changes/ Acarbose is one of a few diabetes medications shown to modestly slow aging in short-lived species. Researchers here take a...
Source: Fight Aging! - August 7, 2022 Category: Research Authors: Reason Tags: Newsletters Source Type: blogs