Taking Charge of Your End-of-Life Care

End-of-Life Planning and Advanced Directives

End-of-Life Planning and Advanced Directives



Planning for end-of-life care is an essential part of managing senior health. Creating advanced directives, commonly known as living wills or advance decisions, ahead of time makes it easier for seniors to appropriately budget for palliative treatments or hospice services, reducing the burden on family and caregivers. Take advantage of how seniors are staying active longer, and use the time to take charge of your end-of-life care for greater independence and to ensure your wishes are respected when advanced directives are required.

Staying Active Longer

Seniors are more active than ever, and staying active longer enables those aged 65+ to take a bigger role in managing their end-of-life plans. This gives seniors the opportunity to seek out trusted advice on managed healthcare (debunking myths that can prevent informed decisions) and get realistic quotes to set expectations for expenses.

 

Technological advances in care for the elderly can keep seniors involved and able to enjoy active lifestyles. According to the University of Illinois at Chicago, internet usage is on the rise among seniors. Elderly patients can take advantage of online health monitoring tools, participate in social communities with others who share similar interests or health conditions and even get real-time wellness feedback using wearable devices. All of these advances make it easier to more accurately determine end-of-life needs.

Establishing an Advanced Directive

Advanced directives explain your wishes for care when you are unable to communicate them due to illness or injury. These directives are not always focused on life support, but can also include key decisions such as the types of treatments provided (surgical, nonsurgical, experimental, holistic) and set durations for treatment. Advanced directives can also establish proxies, transferring power of attorney over medical decisions to trusted family members or friends.

 

Doctors do not turn to advanced directives for momentary lapses or temporary conditions. Many states require terminal illness or permanent unconsciousness before physicians may allow advanced directives to trump standard practices. This ensures that patients are given every chance at recovery before doctors enact these planned decisions. State laws vary on the witness requirements for certifying advanced directives, but none require a lawyer or any additional fees for filing.

Preparing for Hospice

Hospice caregivers help assist those suffering from terminal illnesses with no known cure. Since heart disease, cancer and diabetes are such common causes of death, hospice services are typically available for sufferers who have a diagnosis that puts the end of life within six months. The major difference in this type of healthcare versus normal treatment is that pain management and ensuring quality of life takes precedent over recovery. Regular monitoring and attention to progression are hallmarks of such care. These services regularly include end-of-life counseling and advice for estate planning and are regularly extended to family members.

 

According to the University of Southern California, hospice services often offer respite care for family involved in caregiving. Respite plans include regular checkups by health professionals at home or in a managed-care environment and a specific amount of time spent taking the load off of those who normally attend to elderly or ill family members. This pre-arranged service helps relieve some of the stress and strain associated with ongoing caregiving.

Agreeing on When to Act

The best time to create advanced directives and decide on end-of-life care is as soon as possible. Illness and injury can strike at any time, and seniors are likely to face additional challenges over time. Falls pose a serious risk for elderly patients, leading to severe injury or even death, making it more important than ever to have such directives in place.

 

Caregivers should remain alert for the signs that a senior needs help and never shy away from important end-of-life discussions. Elderly patients may wish to avoid being seen as dependent on others, making it important for caring loved ones to reach out and assist as they can with getting advanced directives established. Agreeing on what signs should result in actively seeking end-of-life care from established providers and when to seek to enforce living wills can reduce stress when the unforeseen arises.

 

For more information, check out Bradley University’s Online Nurse Practitioner programs “The Aging Population: End-of-Life Planning and Advanced Directives” graphic.

How to Maintain Mobility in Older People

Mobility in older people

Mobility in older people

One common consequence of old age is a decrease in mobility. Where once you could spritely take yourself virtually anywhere, you may now find yourself struggling to even move up and down the stairs. This decline in mobility brings with it a loss of independence, which in turn could affect the self-confidence of an older person.

This video from Be Independent Home Care examines how older people can maintain plentiful mobility into their senior years. Some recommended actions are common sense, like obtaining daily exercise and maintaining a healthy diet. Others prioritize the enhancement of certain anatomical features. For instance, take special care of your eyesight and go for regular check-ups on your vision. If this starts to let you down as you get older, inevitably you will find it a lot harder to move about. Also, be good to your feet. Select your footwear carefully so that you can move around easily. If shoes feel uncomfortable, it’s time to switch to a different pair that fits you better.

In some cases, it may be a good idea to customize your home so that you can maintain mobility. This could involve the fitting of a stairlift to transport you up and down the stairs with ease, or perhaps adding grab rails and walk-in bathroom units. Essentially, if it will help you to remain mobile, it’s worth the investment of time, money and effort, as no price can be put on the importance of strong mobility in older age.

Sleep Deprivation in Elderly – The Common Causes, Effects, and Solutions

Sleep Deprivation in Elderly - The Common Causes, Effects, and Solutions

Sleep Deprivation in Elderly – The Common Causes, Effects, and Solutions

Getting the right amount of sleep is crucial towards maintaining a healthier existence during our physical and mental activities, however, as people grow older and age, sleep-related problems often start to crop up. As we age, we do experience some changes in our sleeping pattern and duration as compared to when we were young but we do still need our quality sleep.

Some common forms of treating sleep deprivation is to schedule your bedtime, make your room cozy and comfortable, make sure your room is the right temperature, relax, meditate and not indulge in caffeine related drinks just before your sleep, but these methods usually work on those whose sleep deprivation problems are due to an unhealthy or unnatural lifestyle. In the elderly, sleep related problems are often more complex than that and most of the time, it’s an underlying medical issue that’s causing the disturbance.

However, the medical conditions that can cause sleep disturbance in the elderly cannot be directly recognized as being the culprits because they seem to have no direct relationship with sleep, but the disturbance that they can cause is enough to make seniors feel uneasy throughout the night and make them lose out on quality sleep.

Uninterrupted sleep is necessary, it’s during the REM (Rapid Eye Movement) sleep stage, which we don’t reach if our sleep gets interrupted often, that the brain revitalizes its cognitive functionality. Already dealing with weakened mental and physical capabilities due to the process of aging, it’s important for the elderly to get proper sleep so that they can maintain proper brain and physical health and to do that, we need to know more about the common causes, their effects and how they can be neutralized.

Underlying health issues:

There are primary medical conditions which can cause sleep deprivation but what we often ignore are the secondary medical issues that disrupt sleep in the elderly. These secondary issues, which often occur during old age, are often hard to discern as the main culprits because their primary list of symptoms do not include the fact that they can cause an elderly to lose sleep.

Seniors can often experience sleep problems if they have lung or cardiovascular conditions which may cause excessive pain or discomfort during the night, bone or muscle related problems like arthritis, joint pain, muscular atrophy, neurological disorders like dementia and more.

Making sure that whether medical conditions like these are contributing towards sleep problems or not is immensely important and to do that, the best way is to take your senior to see a medical practitioner and get them checked. Additionally, do ensure that any of the prescription drugs that the elderly might be taking due to their medical conditions are not causing loss of sleep.

Sleep apnea:

The quality of breathing is important towards maintaining uninterrupted sleep but if a senior has sleep apnea, then they might not be able to breathe properly during sleep. Sleep apnea can cause breathing to stop intermittently and sometimes these pauses can be in the hundreds in a single night. Mostly, the elderly are afflicted by obstructive sleep apnea, which causes the airway to get blocked due to the collapse of a certain tissue in the throat.

Diagnosing sleep apnea is quite difficult because it can be mistaken for a clogged nose due to cold or flu and you might need to spend a night with your senior to check whether they have breathing difficulties similar to do that of sleep apnea by checking for certain symptoms like loud snoring and waking up often with a sensation of gasping for air.

The most effective solution for sleep apnea, are mouth devices like CPAPs (Continuous Positive Airway Pressure) which neutralize the problem of blocked airways and make the elderly breath normally during sleep.

Frequent Urination Problems:

Getting up multiple times to urinate will certainly cause a high amount of disturbance in the sleep cycle of the elderly, but certain conditions like enlarged prostate or bladder problems can certainly lead to excessive urination during the night.

The best way to counter this is the help the elderly drink fewer amounts of fluids during the day, which would help them, urinate lesser. Losing excessive weight and performing exercises like Kegel workouts will also help immensely with this problem. But for a long term solution, a visit to the hospital is necessary for a thorough check up.

Everyone knows about the importance of a good night’s sleep and how cranky and tired can we get if we don’t get it, but when it comes to elders, they often require support and care to overcome their problems and whether you are a professional caregiver or a daughter looking after her father, you need to be there for them and help them manage and navigate through this difficult phase of their lives. These sleep-related issues require your help and you should be there to help your father/mother, aunt, uncle or any other senior that you are taking care off to sleep deep, well and soundly.

Diets for older people

As we get older, it is inevitable that our health will gradually weaken at some point, irrespective of how well we looked after our bodies throughout our lives. However, we can continue to be full of freshness and vigor well into our pensionable years if we exercise adequately and get the nutrition that our bodies need. Malnutrition or an unhealthy diet will only quicken the onset of health problems once we surpass middle age.

People of all ages struggle to get the ideal nutrition for them, as evidenced by shocking child obesity figures, but the elderly often find it even more difficult to eat healthily for varying reasons. They may struggle to find the money to afford healthy meals every day, while they could also be physically unable to prepare proper meals. They could find it hard to get to a store to buy the foods that they need, or their appetite could be lacking if they suffer from loneliness or depression. As a consequence of failing to get adequate nutrition, elderly people are left increasingly susceptible to dietary-related diseases such as prostate cancer, osteoporosis, coronary heart disease, diabetes and cardiovascular disease.

It’s worth encouraging older people to try healthier diets that are best suited to what their bodies need. A TLC diet containing skinless poultry, fruit and vegetable salad, a roast beef sandwich and oatmeal is ideal for those with blood pressure or cholesterol concerns. If you’re trying to encourage better heart health, a Mediterranean diet with pasta noodles, sundried tomatoes, seafood and wholegrain toast will go a long way towards this. Whatever the nature of your elders’ dietary needs, it’s generally best to incorporate fiber, iron, unsaturated fats, calcium and vitamin D while eliminating salt, empty calorie foods, trans fats and red meat.

Of course, we shouldn’t merely tell our elders what is best for them. A degree of participation on our part can be massively helpful, whether it’s by doing our parents’ grocery shopping, cooking meals or them or turning one dinner a week into a family occasion to which they will really look forward. This not only enables them to eat healthier, but also offers a social platform that they enjoy immensely.

This infographic from Be Independent Home Care (https://www.beindependenthomecare.ie/our-services/private-home-care.html) offers further advice on how we can enable our elders to get the dietary requirements that will help them to a happier, healthier life.

Diets for older people

Diets for older people

Longer Life, Healthier Life? You will find this data shocking!

Giulia of the Medico website got in touch to tell us about a new infographic they have just released.

Frankly I found the statistics astounding!

Medico tell us “The average human being is living longer than ever before. Nearly every country on the planet has seen an increase in life expectancy since the beginning of the 21st century.

But though we are living longer, not all of us are living healthier.

Health Adjusted Life Expectancy (HALE), or healthy life expectancy, is a metric used by the World Health Organization to measure the number of years a person can expect to live in good health, taking social and economic factors into account alongside disease and disability rates.
When we deduct healthy life expectancy from actual life expectancy, we see the average amount of years someone can expect to live in bad health – or ‘Bad Health Years’.

This infographic takes a country-by-country look at the change in bad health years since 2000 to see where people are living a longer, healthier life.”

MEDIGO – Longer Life, Healthier Life