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Caring for Seniors with Parkinson’s


Parkinsons Care for Seniors Caring for Seniors with ParkinsonsCaring for Seniors with Parkinson’s

As a neurological disease, Parkinson’s disease (PD) affects movement, balance, and muscle control.   Parkinson’s is progressive with symptoms becoming more advanced over time.  Parkinson’s is diagnosed more frequent in men than in women and is more typically diagnosed in 55 to 75 year olds.  Due to this, Parkinson’s patients need added attention due to high fall risk.

With Parkinson’s patients, falls are a major concern.  It is beneficial to install home devices that can prevent falls and help stability. Examples of home improvements include:

  • Purchase electric bed or mattress. Sliding boards are beneficial for improving the patient’s ability to slide out of bed.
  • Install rails for added support in hallways, bedroom and bathrooms.
  • Remove floor mats and floor clutter so the walking path is clear and debris free.
  • Utilize chairs with arm rests, straight backs, and firm seats.

It is more common that the disease is diagnosed through symptoms, more obviously observed when starting initial movement.  Signs of Parkinson’s include slowness of motion, muscle rigidity, tremors in the arms, hands, face, and legs.  As PD advances, patients may suffer from depression, memory issues and thought process loss, speech problems, along with difficulty eating, swallowing, and digestive issues.

Since Parkinson disease has no cure, treatment is focused on improving the quality of life, and minimizing symptoms. Exercise is beneficial and can impact rehabilitation positively. Utilizing physical therapy is important and usually involves both passive and active exercise, gait training, and practice to improve daily functioning.

Mental training is also beneficial to improve the quality of life for a PD patient.  Encourage the PD patient to learn new hobbies to improve finger and hand mobility.  New hobbies can include: playing cards, sewing, fishing, to carpentry. Practice deep breathing and relaxation exercise to help reduce anxiety, improve speech, and control tremors.   Both the patient and family should consider therapy and support for loss of motivation and depression. Support programs can be beneficial for the patient and family. Also, speech therapy may be helpful for those who develop a monotone voice or suffer from a loss of volume. Therapy is needed to improve speech and to evaluate and monitor swallowing.

With early and mid-stage Parkinson’s, passive exercise is utilized to prevent muscles from shortening.  To help improve mobility, exercise starts out with gentle and slow movement to overtime increase more intensely.   Active exercises are used to help range-of-motion, speed, and improve coordination and balance. Patients need continual exercise and should make efforts to practice movement.  Helpful exercise includes making circular arm movements, marching in place, and raising the legs up and down while sitting.

Gait Training Practice exercises for turning, walking, and standing to improve balance.  Use the following tips:

  • Use small steps while turning.
  • When walking, take large steps, raising the toes at the forward step, and hit the ground with your heel.
  • Use a metronome or devices that keep a rhythmic beat.  This may help to take longer steps and walk faster.
  • Do not wear rubber shoes because they grip the floor and may cause you to trip and fall.
  • When turning or walking, spread the legs 12 – 15 inches apart to provide a wider base of support.

Muscle Freezing Reduction The patient should daily practice strategies to reduce muscle freezing.  Freezing occurs when a patient initiates movement or encounters a road block.  The following tips may be useful:

  • Raise the toes if the legs seem frozen, lifting of the toes may free spasm in some patients.
  • Rocking back and forth can reduce muscle freezing.
  • Humming tunes to a march when getting out of bed. In fact, music has shown to help people move.
  • Being touched by someone else can ease tension and sometimes can release the muscle freeze.
  • Divide actions into separate movements.  This may prevent freezing from trying to coordinate too many movements at once.  For example, if the door is an obstacle, divide the action in steps: approach the door, halt at the door, open the door, pause, and then walk through the doorway.

For help with your loved one suffering from Parkinson’s, call us at (972) 658-4001

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Approved In Home Care

Dallas, Plano, McKinney, Frisco, Richardson, Highland Park, University Park and 104 cities in North Texas.

Posted in: Elder Care Issues, Home Care News, Zack's Blog

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Time For Alzheimer’s Care?

Alzheimers Dementia Care TX Time For Alzheimers Care?Checklist:

When is it time for

Alzheimer’s Care?

As so many have experienced, Alzheimer’s is a progressive disease.  Symptoms vary with some people experiencing signs in their 40’s, however worsen unpredictably and gradually over time.  My mother started having signs of Alzheimer’s in her 60’s, and due to the slow progression, she was able to live alone at home until her 80’s.  Research has found that people with Alzheimer’s live from three to even 20 years, experiencing a gradual loss in different skills over time.

In early, stages of Alzheimer’s, when symptoms are milder, many people function well enough to live by themselves or with regular visits by family and friends, just as my mother lived.  However, eventually, the disease progresses and Alzheimer’s patients will need round-the-clock care in order to maintain their health, cleanliness and safety.

Has the time come for your family member to receive extra care?  This checklist can help:

  • · Can your family member prepare meals, buy groceries, and maintain personal hygiene? (Refusing to bathe?)
  • · Is the home disorganized and dirty? (Stockpiling newspapers?)
  • · Does she forget when take medications, eat, or to turn off the stove? (Cooking incidents?)
  • · What is her doctor’s assessment? (Go with Dr. visit to ask questions…)
  • · Can he or she still drive safely? (Or, can’t find the car at the mall?)
  • · Is the person able to evacuate home independently in case of a fire or other emergencies? (Strange sleeping habits?)
  • · Has your loved one expressed fear or anxiety about continuing to manage on her own or is asking for more help? (Dependent upon neighbors for rescue?)
  • · Are you and other family members worrying and becoming increasingly stressed about your loved one?

Each case is unique depending on the stage and family dynamic. Several factors to consider when creating a care plan include cost and feasibility for the person to continue living in her current home. Some families are able to move the relative into an extra bedroom to save money.  Others have an extensive support group nearby that can offer meals on wheels.  However, most families due to busy schedules turn to Approved in Home Care for an experienced caregiver to help relieve the stress and allowed their loved one to stay at home as the symptoms worsen.

Even when family is available, not everyone has the ability to cope emotionally and physically with an Alzheimer’s patient. Many adult children find it challenging to perform daily care like bathing a parent or helping with toileting. Also, many Alzheimer’s clients feel uncomfortable receiving personal care from their family members.

Call Approved In Home Care at (972) 658-4001 for help.

Posted in: Alzheimer's and Dementia, Elder Care Issues, Home Care News, Zack's Blog

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How Alzheimer’s Destroys the Brain

VIDEO

It very helpful to understand what is going on in the brain of someone suffering from Alzheimer’s. This informative and easy to understand three minute video is definitely worth you time and will benefit all those that are affected by this destructive disease.

Understanding that Alzheimer’s patients, past a certain stage, cannot store answers to questions will help you accept the problems that are associated with Alzheimer’s. Being able to understanding what is causing these problems in an Alzheimer’s patient is the first necessary step to effective Alzheimer’s caregiving. When you come to this understanding, you will stop “venting”, and you will find a comfort zone while caring for those with Alzheimer’s disease.

This video will increase your understanding of Alzheimer’s disease, and help you form the necessary frame of reference to deal with these problems effectively.

For more informaion about the care of elderly and seniors who suffer from Alzheimer’s or dementia, “Click Here”.

 

We provide Alzheimer’s and Dementia care, in home caregivers, sitters, CNA’s and help for seniors and the elderly in over 100+ cities here in North Texas: Dallas TX, Plano TX , Frisco, TX, McKinney TX, Allen TX, Fairview TX, Lewisvillle TX, Denton TX, Rockwall TX, University Park TX , Highland Park TX , Richardson TX, Carrallton TX, Farmers Branch TX, Irving TX, …see a full list.

Posted in: Alzheimer's and Dementia, Elder Care Issues, Home Care News, Zack's Blog

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6 Important Tips

6 Important Tips

Six Ways to Talk to Your Parents About Getting Help at Home

It can be difficult to realize the fact that your parents may need assistance and help with day-to-day activities, and it can be a struggle  hiring a professional caregiver for help. Your loved one may react to this decision with some reluctance. When you discuss the subject of an in home caregiver, use patience and tact. Following are some points to keep in mind that can help you have a more successful conversation with your parent.

Below are some tips, based on experience with families facing these struggles,  that will help guide you to a productive conversation with your parent:

1. List advantages.

Create an atmosphere that a quality in home caregiver is desirable to your loved one. List benefits  and the positive impact that hiring a caregiver for your parent may be: explain how living at home is more desirable than moving to an assisted living facility or nursing home.  When seniors remain at home; in-home care is often less costly; they will receive a higher level of attention whit in home senior care.

2. Independence should be a focus of the conversation.

Explain about the benefits of a in home caregiver, and how your loved one will continue to enjoy their independence in their own home. Has your loved one already fallen? Help them understand the consequences of a serious fall – how it could lead to hospitalization and surgery, followed by a lengthy recovery period and limited independence. The same process could be used if they forget to take their medications, forget important events or miss doctor appointments.

3. Try various approaches.

Try suggesting to your parent that in-home care would benefit their spouse. They may be more open to accepting the care for their loved one, even if in reality, it both parents will benefit from the care. If parent lives alone, discuss concerns or activities that are most important to them. Your parent express that they do not need help, however they may be consider allowing someone helping with housekeeping and meal preparation.

4. Make it about other family members.

Explain to your parent how much you worry about them. Or if you have been a caregiver explain that the additional time and responsibilities too much and that you are taking time away from your children and career duties. 55 percent of Americans say being a burden on their family is issue that weighs heavily on their mind. When approaching your parent about accepting in-home help, you might say, “I worry about you…and even if you tell me I shouldn’t, it is something that concerns me. Please consider  having someone come in once a week, even if it is just for me?”

5. Mitigate fear.

An senior can act negatively towards a caregiver at times, but this action is most likely out of fear. Prior to attempting to overcoming this fear, it is important to understand it. Senior often fear loosing their independence, lack of control and and financial worries. The presence of a stranger in the home will sometimes leave the senor feeling vulnerable. Take this into, do not respond with frustration, be  empathetic. Understand how your own emotions may be influencing the conversation. Make sure to choose an appropriate time and place for these discussions.

6. Test it out on a trial-basis.

Use a professional caregiver for in-home assistance on a short-term basis, or recovery care, after a hospital stay. This will show your loved one that having a caregiver is not something to fear.   This positive experience can often leads to them being open to ongoing care.

How to choose the best caregiver and receive important information that every family should have when considering Senior Care Services.

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Is your Mom or Dad in Pain?

Is your Mom or Dad in Pain?

zack3 300x199 Is your Mom or Dad in Pain?It is common for pain to be untreated or even unrecognized in seniors.  This can be exacerbated for elderly who have a limited ability to communicate. Up to 80% of seniors experience pain, for many this results in unnecessary suffering.

If you suspect pain, you notice changes in:

•Labored and noisy breathing.  When pain increases, breathing may become rapid with short breaths.

•You may notices  changes in body language such as sudden restlessness, pacing or sleeplessness. Hostility, aggressiveness and, lashing our physically is frequent sign of more severe pain.

•More intense or severe the pain the less likely your loved one will calm down with reassurance or comforting touch.

•Soft moans or groansis the most obvious signals and can escalate to yelling when there is intense pain.

•Facial expression-indicate your loved one is experiencing pain.

Caring for someone who is unable communicate well requires extra attention or awareness for all of us.

Approved In Home Care, provides non-medical care and support for seniors.  We provide compassionate care and assistance in a private residence, hospital, rehab, assisted living, retirement home or health care facility. We offer packages including: dependable and affordable in-home assistance, care, companionship, homemaking, and errand services.

If you have any questions, please give me a call. My direct number is (972) 658-4001.

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The 7 Stages of Alzheimer’s

The 7 Stages of Alzheimer’s

zack4 300x250 The 7 Stages of AlzheimersExperts have found that most Alzheimer’s patients go through seven stages of disease progression. The duration and symptoms might vary, but the general decline of Alzheimer’s remains the same.

1. No Impairment – Individuals at this stage show no marked decline in their cognitive function. No memory problems show up on a regular basis.

2. Very Mild Impairment – Forgetfulness begins. The patient begins to forget names and small details, like where they put their glasses or if they took their medication that morning.

3. Mild Decline – At this point, family and friends begin to notice the symptoms. Losing things is more common, and the patient might begin having performance issues at work.

4. Moderate Decline – The problems are now clear in medical interviews. The patient begins forgetting personal history, recent events, and how to handle complex tasks, such as planning dinner or paying bills. They could begin acting withdrawn or subdued in social situations.

5. Moderately Severe Decline – While the patient may remember their own name and the names of those important to them, they begin to forget basic information, such as the current date, time, or season. Day-to-day tasks like cooking may no longer be safe.

6. Severe Decline – Now, the patient needs more help with basic activities like dressing and using the toilet. They might also experience behavioral changes, such as feeling suspicious or experiencing hallucinations. Someone at this stage might engage in repetitive behaviors or wander away, only to become confused and lost.

7. Very Severe Decline – In this final stage, the patient may lose the ability to speak coherently. They may need help with general hygiene, and may eventually lose muscle coordination and the ability to control movement. Their muscles typically grow rigid, the reflexes become unpredictable, and eventually even swallowing could become impaired.

Caring for a loved one with Alzheimer’s can be exhausting and frustrating, but you don’t have to go it alone, we can help. If you have any questions, please give me a call. My direct number is (972) 658-4001. – Zack McConnell

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