Todays post is part of our ongoing series, The Encompass Way. Here, we’ll go over many of the steps involved in setting up a comprehensive care plan, which helps us to provide seniors and their families a complete understanding of the available care options and helps them maneuver through the challenges of the system.

DIY hearing testA third of people older than 60 suffer from hearing loss, making it one the most common conditions affecting older adults (hearing loss in the elderly is especially common, affecting half of people 85 and older). Causes can come naturally with age or be an undesired side effect of excessive noise exposure, trauma or even medication.

If you suspect your elderly loved one is suffering from hearing loss, there’s an easy test you can conduct yourself to help determine if a professional examination is required. The test comes from an Oxford study investigating the reliability of simple free-field voice testing from the book Age Ageing:

Performing the Whispered Voice Test

1. Stand behind the patient’s field of vision. This eliminates the possibility of lip-reading.

2. Gently occlude and rub the external auditory canal of the non-tested ear.

3. Ask the patient to repeat a set of three different random numbers (e.g., 6, 1, 9) presented to the tested ear at four decreasing levels of loudness: conversational voice at six inches and at two feet from the ear, and whispered voice at six inches and at two feet from the ear. Exhale completely prior to testing with whispered voice.

Scoring

A passing score is given if the patient can repeat all three numbers correctly at each level of loudness or achieve greater than 50% success over three successive triplet sets.

Failure to pass at each level of voice testing is considered a positive test for hearing impairment. Failure to hear a whisper at two feet indicates hearing loss and may be the most discriminant test of the set.

Hearing loss diminishes a person’s quality of life, making it hard to understand phone conversations, hear above background noise, converse with more than one person at a time, et al. Just imagine how frustrating it must be to have to continually ask friends and loved ones to repeat themselves. However, if hearing loss is identified, there are treatments that can ease the symptoms, so the sooner you get your loved one tested for hearing loss, all the better.

Currently serving Omaha and surrounding areas, all Encompass services are directed by registered nurses or social workers with no long-term contracts. Contact us today for help with your senior care needs.

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“Physicians Choice Private Duty solves the challenges families face in caring for aging parents, with a focus on strategies that keep them in their homes. To learn more about our solutions, visit us today..”

home care omahaMalnourishment effects nearly 3.7 million elderly persons in the United States, according to the American Academy of Family Physicians. The reasons for this are many — from changing taste buds to dental problems to the physical demands of preparing meals. To help bring awareness to the issue, Dr. Lindsay Jones-Born, in conjunction with A Place for Mom, offers the following advice on combating senior malnourishment (via a recent article on Huffington Post).

Start with the basics

Check the food your loved one is eating (i.e., don’t be shy from raiding the fridge and rummaging through the pantry). Throw out any old food you may be suspect of. Other signs that your loved one’s diet lacks proper nutrition is unusual weight loss or weight gain and excessive bruises and wounds that take a long time to heal.

Offer help

Seniors struggling with malnourishment will benefit from education and encouragement, according to Dr. Jones-Born, helping to ensure each meal is packed with essential vitamins and nutrients.

    • Folic acid helps prevent heart disease and boosts red blood cell production. Foods that are rich in folic acid include spinach, asparagus and lentils. 

 

    • B12 helps synthesize protein and aids in mental function. Unfortunately, this process can become compromised with age. Consider adding a B12 supplement to your loved one’s diet or having plenty of foods like turkey, chicken, beef, eggs, milk and salmon in regular rotation on the menu.

 

    • Vitamins C and D are very important to the health of an aging body, so make sure your senior has at least five servings of fruits and vegetables a day (for the vitamin C) as well as foods rich in or fortified with vitamin D (oatmeal, egg yolk, sardines, etc.).

 

    • Essential fatty acids are key to reducing inflammation in the body. A good source is fish, which Dr. Jones-Born recommends seniors eat twice a week. Another rich source of essential fatty acids is flax seeds, which can easily be added to a number of dishes.

 

    • H2O is naturally the best way to keep your loved one hydrated. The article suggests seniors should have nine 8-ounce glasses of water a day.

 

Are there any other ways to help prevent senior malnourishment that we missed? Let us know in the comments or on Twitter.

Physicians Choice Private Duty currently serving Omaha, Eastern Nebraska and Western Iowa provides seniors and their families a complete understanding of the available care options and helps families maneuver through the challenges of the system. All Encompass services are directed by registered nurses or social workers with no long-term contracts. Contact us today for help with your senior care needs.

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“Physicians Choice Private Duty solves the problems families face in finding home health care providers they can trust. Providers who will focus on strategies that keep parents in their homes. To learn more about our health care services, visit http://www.encompass-home-health-care.com.”

3817638933_8f6cafda14In 2012, the Center for Disease Control (CDC) reported that one out of three adults 65 and over falls each year. The outcomes of these falls can vary, but they almost always result in decreased mobility for elderly adults and can cause other complications down the road. The CDC also reported that falls are the leading cause of injury death among seniors, so it’s vitally important to make sure your loved one’s home is adequately modified to prevent falls. Below is a checklist to help do this.

All Rooms

    • Use carpet with short dense pile.

 

    • Apply double-sided carpet tape to rugs that can slip.

 

    • Arrange furniture so you can walk easily around it.

 

    • Make sure electrical and extension cords are not in your walking path.

 

    • Make sure you can turn on lights without having to walk through dark areas. Use nightlights, especially in the bathroom.

 

    • Keep exits and hallways clear.

 

    • Use stable chairs with armrests to help you getup.

 

    • Provide bright, evenly distributed light.

 

    • Use window shades that reduce glare.

 

    • Make sure you can easily reach a light switch when you come into a room, and install nightlights.

 

    • Have more than one phone in the house.

 

Stairs

    • Put handrails on both sides of the steps.

 

    • Make sure steps are even.

 

    • Use non-skid contrasting tape, rubber stair treads, or coated skid resistant surface treatment on non-carpeted stairs. Apply tape to dry, clean surfaces at one-inch intervals. Use three long strips of tape on each step.

 

    • Check carpeting to make sure it is firmly attached along stairs.

 

    • Make repairs to worn or loose carpet promptly.

 

    • Select a carpet pattern that doesn’t hide the edge of steps, making you think steps have ended when they haven’t.

 

    • Don’t place throw or scatter rugs at the top or bottom of stairways. All rugs should be secured firmly to the floor.

 

    • Use good lighting (at least 60 watt bulbs) in the stairway. Install on/off switches at the top and bottom of stairs.

 

    • Never leave books, purses, packages, or other objects on stairs.

 

    • Watch out for a single step. People often trip when there is only one step.

 

Kitchen

    • Use sturdy step-stools — preferably with handrails.

 

    • Throw out any step-stools that have broken parts.

 

    • Clean spills immediately to avoid slipping.

 

Bathroom

    • Use rubber bathmats or strips in bathtubs and showers.

 

    • Install at least two grab bars in the bath.

 

    • Clean up water from the floor.

 

    • Use raised toilet seats and/or handrails, securely fastened, if you are at all unsteady.

 

Outside

    • Install handrails along any flight of outdoor steps.

 

    • Spread sand on icy walkways.

 

    • Clean spills or slippery surfaces in garage immediately, before walking on them (especially grease on cement floors).

 

Physicians Choice Private Duty “ currently serving Omaha, Eastern Nebraska and Western Iowa ” provides seniors and their families a complete understanding of the available care options and helps families maneuver through the challenges of the system. All Encompass services are directed by registered nurses or social workers with no long-term contracts. Contact us today for help with your senior care needs.

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“Physicians Choice Private Duty solves the challenges families face in caring for aging parents, with a focus on strategies that keep them in their homes. To learn more about our solutions, visit us today..”

As a person ages, it often becomes more difficult for them to maneuver through their home. The culprit may be stairs, excessive clutter, an outdated bathroom and/or kitchen, et al. There are basic home improvements that can enhance the quality of an elderly person’s life and allow them to live independently in their home for as long as possible. Below are some tips and ideas for keeping your loved one safe and comfortable in their own home.

    • Lever door handles and faucet handles that operate easily with a push

 

    • Adjustable closet rods

 

    • A night light in bedroom

 

    • No scatter rugs

 

    • Handrails on both sides of staircases and outside steps

 

    • Brighter staircase lighting

 

    • Large rocker light switches that turn on/off with a push

 

    • Electric outlets 27 inches above floor

 

    • Peephole or view panel in front door

 

    • Walk-in shower with grab bars and portable or adjustable shower seat

 

    • Hand-held adjustable shower head

 

    • Non-skid surface for both tub and shower floor

 

    • Grab bars by the toilet and tub

 

    • Tilting or full-length mirror in bathroom

 

    • Bathroom telephone that is reachable in case of a fall

 

    • Adjustable countertops or lower counter for work space in kitchen

 

    • Rounded kitchen counter tops

 

    • Sliding shelves in cupboards, lazy Susan in corner cabinet

 

    • First floor bedroom and bath allow living entirely on one level if necessary

 

General home safety tips for seniors

    • Consider a medical alert or a buddy system

 

    • Keep a fire extinguisher and smoke detector on every floor

 

    • Use extreme caution when smoking

 

    • Always get up slowly after sitting or lying down

 

    • Wear proper fitting shoes with low heels

 

    • Use a correctly measured walking aid

 

    • Remove scatter rugs and tack down all others

 

    • Remove electrical or telephone cords from traffic areas

 

    • Avoid using slippery wax on floors

 

    • Wipe up spills promptly

 

    • Avoid standing on ladders or chairs

 

    • Have sturdy rails for all stairs inside and outside the house

 

    • Use only non-glare 100 watt bulbs (or greater wattage)

 

    • Make sure that all staircases have good lighting with switches at top of bottom

 

    • Staircase steps should have a non-slip surface

 

Physicians Choice Private Duty “ currently serving Omaha, Eastern Nebraska and Western Iowa ” provides seniors and their families a complete understanding of the available care options and helps families maneuver through the challenges of the system. All Encompass services are directed by registered nurses or social workers with no long-term contracts. Contact us today for help with your senior care needs.

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“Physicians Choice Private Duty solves the challenges families face in caring for aging parents, with a focus on strategies that keep them in their homes. To learn more about our solutions, visit us today..”

incontinence care omahaWith incontinence comes many distressing problems. Aside from the extreme embarrassment, it’s a sensitive subject for family caregivers and health care professionals to address. Even so, there are ways to safely manage incontinence. Keep in mind, appropriate treatment often requires a thorough medical evaluation and understanding of multiple factors at play.

The National Institute of Medicine offers a free paper that can give you and your loved one a better understanding of the various types of incontinence and its causes. Below are some tips on how to best manage your aging loved one’s incontinence.

Start an honest conversation

A positive step to take is to let your loved know that they don’t have to deal with the problem alone. Acknowledge the problem and let them know there are ways to treat incontinence. However, this may be difficult with a senior suffering from Alzheimer’s or dementia or other cognitive difficulties.

Find the cause

Whether it’s urinary incontinence, bowel incontinence or both, your loved one should visit the doctor to identify the cause. This will ensure proper treatment is implemented. In some cases there are even incontinence remedies.

Allow easy access to the bathroom

Even if someone is suffering from incontinence, they’ll likely still choose to use the bathroom even if they’re wearing adult incontinence aids. Make sure the the path to the bathroom is free of obstacles such as furniture and clutter. Your loved one should also consider installing handrails in the bathroom and wearing clothing that is easy to remove so that using the bathroom is an easy experience.

Change in diet and routine

Be aware that certain foods and drinks — e.g., caffeinated beverages, alcohol and spicy foods — can trigger incontinence. Also, establishing a regular bathroom schedule for your loved one can often alleviate many of the symptoms of incontinence.

Physicians Choice Private Duty “ currently serving Omaha, Eastern Nebraska and Western Iowa ” provides seniors and their families a complete understanding of the available care options and helps families maneuver through the challenges of the system. All Encompass services are directed by registered nurses or social workers with no long-term contracts. Contact us today for help with your senior care needs.

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“Physicians Choice Private Duty solves the challenges families face in caring for aging parents, with a focus on strategies that keep them in their homes. To learn more about our solutions, visit us today..”

Although it’s uncommon, Alzheimer’s can strike people younger than 65. According to Glenn Smith, a neuropsychologist at the Mayo Clinic, only five percent of people who have Alzheimer’s disease develop early onset symptoms. This can be a scary thought for people in their 40s or 50s, supposedly in the prime of their lives.

For a real-life example of this, the Omaha World-Herald just published a profile about a husband and wife who faced Alzheimer’s together. The story really tugs at the heart strings as well as sheds light on how early-onset Alzheimer’s is especially taxing for those suffering from it and for their families. One of the biggest concerns, the article points out, is the difficulty in finding caregivers and appropriate help, as many services are typically catered to elderly people. Not to mention that the spouse is likely to still be in the middle of a career.

The article tells the story of Liz (the wife), who was diagnosed with early onset at the age of 57. She and her husband, Terry, decided to do whatever it might take to keep her dignity and to enjoy being husband and wife for as long as possible. Over the years, Liz’s symptoms gradually worsened as Terry took on more and more caregiving responsibilities. As sad as it may be, Alzheimer’s is a disease with no cure, and thus it eventually claimed Liz’s life. However, while Liz was still able, the couple remained active — joining Alzheimer’s support groups, traveling to Washington D.C. to share Liz’s story with Nebraska lawmakers, even embarking on a dream vacation to Egypt and Israel.

Related: Alzheimer’s patients giving thanks

Although rare, Liz and Terry’s story is similar to many others who must take on the burden of early-onset Alzheimer’s. But with the help and support of the ones you love, there couldn’t be any better way to share the load.

Do you have a loved one suffering from Alzheimer’s or dementia? Share some of your stories about the journey with us in the comments or on Twitter.

Physicians Choice Private Duty currently serving Omaha, Eastern Nebraska and Western Iowa provides seniors and their families a complete understanding of the available care options and helps families maneuver through the challenges of the system. All Encompass services are directed by registered nurses or social workers with no long-term contracts. Contact us today for help with your senior care needs.

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“Physicians Choice Private Duty solves the problems families face in finding home health care providers they can trust. Providers who will focus on strategies that keep parents in their homes. To learn more about our health care services, visit http://www.encompass-home-health-care.com.”