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Should I take my parent out of assisted living during COVID-19?

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Assisted living can be a wonderful way to ensure that loved ones get the care they need as they age.

Many assisted living and skilled nursing centers offer a robust level of care while also doing what they can to ensure that those who live there are able to retain some independence and live life as “normally” as possible.

However, the COVID-19 pandemic has radically altered how assisted living facilities can operate. State and federal guidelines regarding the management of care centers have severely restricted visits with family members and even hampered how much residents can see and talk with each other within the facilities.

In fact, these restrictions have led many families to think about removing their mom or dad from long-term care to help ensure that loved ones aren’t isolated and lonely while they wait out the pandemic.

Is removing a loved one from assisted living during COVID-19 something you have been considering? Or maybe you’ve been thinking about placing mom or dad in assisted living, but during the pandemic you’re not certain it’s a good idea?

Here are a few questions you might want to ponder:

  • If you take a loved one out of long-term care, how will he or she receive the necessary care? Regular visits from an at-home care provider could be one way to ensure that your loved one’s daily needs are met during COVID-19. Or perhaps you will be providing the care yourself. Either way, you’ll want to have a plan in place before you decide to move mom or dad — and one that includes where your loved one will stay.
  • Are you worried about your loved one’s state of mind? Loneliness can have drastically negative consequences for older adults. If you fear that your loved one spends too much time alone due to COVID-19 restrictions, bringing them home — where kids and grandkids can pop by any time for a socially distanced visit — might be a good choice.
  • What are your long-term care facility’s policies? If your loved one is currently in assisted living, check to find out what policies and procedures are currently in place regarding visitation, infection prevention and other issues. This article from NextAvenue includes other great questions to ask a current or prospective long-term care facility.
  • Do you have a long-term lease set up? If you’re locked into an agreement of any kind, you’ll want to think about the potential costs of leaving early. You’ll also want to consider whether your loved one can be readmitted to the assisted living facility down the road.
  • What will you do when the pandemic is behind us? When COVID-19 has run its course, or when governments allow the return of some of the freedoms of yesteryear, will your loved one continue to live at home? Will you need to line up a long-term home or apply for admission to assisted living? Will you continue to make use of at-home care to provide for your loved one in the comfort of home?

The pandemic and its related lockdowns haven’t had nearly the effects on at-home care that they’ve had on assisted living centers. Here at Take My Hand At-Home Care in Lynden, we certainly are being cautious to avoid spreading COVID-19, but we’re generally able to continue as before, caring for people in their homes and helping them conduct essential duties throughout Whatcom County. Government restrictions on health care facility operations, on the other hand, have forced larger changes.

Are those changes big enough to cause you to consider caring for a parent or loved one at home? The choice is yours, and we hope this post has given you a few good considerations to ponder.

Related: What are the differences between communal living and at-home care?

How to visit loved ones during the COVID-19 pandemic

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It’s natural to want to visit our elderly loved ones. We do love them, after all, and thus we want to spend time with them. Plus, we know that loneliness and social isolation are unhealthy for older adults, so we want to ensure our elderly moms and dads aren’t neglected during the COVID-19 pandemic.

However, the disease does more strongly affect older adults. While the overall hospitalization rate for COVID-19 is quite low (121 people per 100,000, according to the Centers for Disease Control and Prevention), the rate is nearly triple for people 65 and older. Thus, we want to do what we can to ensure that our elderly loved ones aren’t affected.

In an era of physical distancing, mask wearing and constant sanitization, how can we spend time with loved ones while also helping to ensure their health and safety?

It’s possible to visit elderly loved ones here in Whatcom County, but it takes a little extra caution and care. Below are a few essential ways to show care for your mom or dad while visiting.

Remember that the virus can be spread by people without symptoms. Even if you feel perfectly fine, it’s possible that you’re infected with the novel coronavirus and thus can spread it to an elderly loved one. Think about where you’ve been recently and what interactions you might have had through which you could have picked up the virus. It’s probably best not to visit mom or dad if you’ve been all over the place out and about.

Wear a mask. Feel free to smile and wave without a mask from a safe distance away, but if you’re going to be having a conversation close to your loved one, it would be a good idea for both of you to mask up and play it safe. Person-to-person spread via respiratory droplets is thought to be the primary way that the virus spreads.

Meet outside. Given how the virus spreads, the likelihood of the virus spreading outdoors is much lower than it is inside, according to research. If you have the opportunity to visit on the porch, in the yard or in a public park, take it. The weather is beautiful in the Pacific Northwest this time of year, so it’s a great time to spend time outside chatting or playing a brain-boosting game with your loved ones.

Don’t stay too long. According to the CDC, the risk of spreading COVID-19 increases the more closely people interact with each other and the longer that interaction lasts. Planning what you want to talk about before you arrive at mom or dad’s house can be one good way to keep visits short. Breaking up visits over several days — a few minutes today, a few minutes tomorrow — can be another option (plus, spreading out your visits gives loved ones something to look forward to).

When visiting an elderly loved one in Lynden, Bellingham or elsewhere in Whatcom County, a few simple actions can help decrease the chances of spreading COVID-19.

Providing care to elders at home during COVID-19

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Dear clients, family members and loved ones,

During this time of distancing, we at Take My Hand At-Home Care wanted to let you know that you’re on our minds, even if we’re not able to see some of you in person right now.

We are still caring for our wonderful clients in their own homes, of course, and it’s to that end that we wanted to share important information about limiting the spread of COVID-19 in our vulnerable communities.

Everyone has a part to play in managing public health threats such as this one. Older populations are particularly at risk from this new coronavirus — and from many other viruses as well.

According to the Centers for Disease Control and Prevention, older adults and people who have severe chronic medical conditions such as heart, lung or kidney disease appear to be at higher risk for more serious COVID-19 illness.

That is why Take My Hand has outfitted all of our caregivers with gloves and masks to wear while they are providing care. We also are carefully monitoring staff for potential signs of illness and ensuring that those who are feeling sick are staying home.

When TMH representatives drop off supplies for clients and caregivers, we are leaving them at the door to minimize physical proximity.

Take My Hand caregivers continue to work as hard as possible to meet all client needs in light of the current healthcare crisis, which is affecting everyone not only here in Whatcom County but around the world.

We ask that you continue to keep us in your thoughts and prayers as we fight the spread of this disease together. If you would like to help in other ways, too, we would appreciate donations of thermometers, gloves and masks. If you would like to make a donation, please reach out to us at 360-543-5777 or sue@takemyhandathome.com. Thank you so much!

In light of the ongoing COVID-19 situation, here are some things you can do to connect with your loved ones even during times of physical isolation:

  • Conduct video chats. For those who are familiar with the technology, a face-to-face video chat via FaceTime, Hangouts or Facebook could be a wonderful way to stay connected. You could share a virtual meal, hold an online book club or play a game together. Think outside the box!
  • Make phone calls. Consider setting up a schedule in which various family members are assigned certain days or times to pick up the phone and call elderly loved ones. These moments can be precious personal times that everyone is able to look forward to.
  • Have packages delivered. During the current “stay at home” order in Washington state, online ordering is still an option. Consider having packages of gifts or home essentials delivered via Amazon or some other service.
  • Visit through the window. As long as you are observing social distancing guidelines, it’s still OK to go outside. Consider dropping by your loved one’s house and visiting through the window. Maybe tape a note or photo to the outside of a window for your loved one to read. Sing a treasured song or hymn, play a musical instrument, juggle… there are so many possibilities!

Thank you for trusting Take My Hand At-Home Care with your needs! It is an honor to serve you. We will get through this together if we all continue to do our part.

How to help widowers connect with others and find new purpose in life

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Elderly man in a sailboat on the water

Imagine one day losing the spouse you’ve had for decades.

Having lived with the same person for most of your life, the loss would be phenomenal. Not only would you lose the love of your life, you’d also need to start doing everything on your own — cooking, cleaning, grocery shopping, visiting the doctor… the list goes on.

Elderly man in a jacket sitting and looking at the camera

You’d also lose a social connection and a major reason to stay involved with others in your community. Without your spouse at your side, you’d be less likely to attend events, go out for meals and travel.

Here at Take My Hand At-Home Care, we have come across numerous situations just like this. Losing a spouse later in life happens quite frequently to senior citizens in the Whatcom County community.

Not only must widows or widowers deal with the loss of a loved one, but they also must cope with major lifestyle changes. They lose the person with whom they used to watch TV or go on walks. They lose the person who used to remind them to take their medications; they lose the person who used to help them plan fun things to do. They lose their social connections.

These are all real consequences of losing a long-time partner, and the effects can be drastic.

Loneliness after the death of a spouse

According to the National Institute on Aging, social isolation and loneliness are linked to increased risks for high blood pressure, heart disease, obesity, a weakened immune system, anxiety, depression, cognitive decline, Alzheimer’s disease and even death.

“Losing a sense of connection and community changes a person’s perception of the world,” according to the NIA. And it’s not just perception. Biological defense mechanisms are activated in those who experience chronic loneliness because they feel threatened and mistrustful.

While older women are more likely than men to report being lonely, the effects of loneliness can be more drastic in older men, who are more likely than women to be depressed and suicidal when lonely, according to a recent study published in the American Journal of Men’s Health.

How to help people stay connected to life after loss

What can change someone’s outlook after loss?

Being social provides an enormous benefit, as does having another person around to provide support and motivation or to offer assistance with daily tasks of living. In particular, men benefit from having purpose in life, according to the AJMH study, which notes that improvements in mental health and purpose in life can help reduce loneliness — and thus reduce many of its negative consequences — in older men.

Elderly man taking photos outdoors, with mountains in the background

Pursuing hobbies and other passions is one great option for combating the consequences of loneliness. Joining a senior center, too, can help the elderly make new friends and find new hobbies. Those who have experienced recent loss might also benefit from having their family and friends take them to activities and events, or even just pick up the phone and invite them to dinner.

Mindfulness meditation: What it is, and how it can help the elderly

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Have you ever considered meditation as a way to improve aspects of your health?

There are many reasons why older adults in Bellingham, Lynden or throughout Whatcom County might want to start practicing meditation. Meditation can enhance memory, slow cognitive decline, improve digestion, boost circulation, reduce stress, lower disease risk and even decrease loneliness.

At its core, meditation is a way to calm the mind and body. There are various styles of meditation, but most involve either concentration, mindfulness or both. Concentration meditation is that classic example in which we focus our minds on a single, specific thing — a sound (perhaps the ringing of a bell), an image (perhaps a flickering candle flame), an action (perhaps the repetition of a specific word) or some other focal point.

Mindfulness meditation, on the other hand, is the practice of being mindful of thoughts as they occur. Essentially, it is attentive awareness of the moment. To practice this form of meditation, we simply sit, relax and pay attention to the thoughts we have, trying not to react to them but just to observe. For a brief explanation of mindfulness meditation and how it can integrate with everyday life, watch this short video from the Western Washington University Counseling Center in Bellingham.

Let’s take a look in more detail at some of the ways that mindfulness meditation can improve the lives of older adults here in Whatcom County:

  • Less stress and worry: According to Bob Linscott from the Center for Mindfulness at the University of Massachusetts Medical School, meditation can help older adults tamp down worries associated with growing older. “Meditation is like a pause button that breaks the cycle of worry,” he said in an article in NextAvenue. “It can help older adults better accept their changing bodies or chronic pain. It puts them more in control of their lives.”
  • Cognitive improvements: According to research published in the Annals of the New York Academy of Sciences, “meditation may be able to offset normal age‐related cognitive decline or even enhance cognitive function in older adults.” The research noted preliminary improvements in attention, memory, executive function, processing speed and general cognition as a result of meditation practices.
  • Digestion enhancements: The calm, deep breathing associated with meditation boosts circulation and increases the oxygen content of the blood, both of which are important factors for digestion. What’s more, meditation can have the long-term effect of improving our mindsets, limiting the likelihood that we will overeat.
  • Decreased loneliness: A study from Carnegie Mellon University that tested older adults over an eight-week period showed that participants reported lower levels of loneliness after just 30 minutes of mindfulness meditation each day, in addition to a daylong retreat and weekly two-hour meetings. “We know that loneliness is a major risk factor for health problems and mortality in older adults,” said one of the researchers involved in the study. “This research suggests that mindfulness meditation training is a promising intervention for improving the health of older adults.”

If you’re interested in getting started with mindfulness meditation in Bellingham, Lynden, Ferndale or elsewhere in Whatcom County, there are several professional services in the area that offer courses and training in meditation, including Mindfulness Northwest, Bellingham Insight and Red Cedar Zen Community.

The value of a little help at home

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An elderly woman looks at a large collection of flowers under a green and white tent.
At-home care can free us up to do the things we love, like browse the gorgeous flowers at the farmers’ market.

As we age, it can be common for us to start to scale back our activities.

After all, many of the things we’re used to doing — whether the activities we do for fun or the stuff of daily life — can become more difficult as our bodies and minds start to slow down.

Driving is harder, doing laundry is harder, gardening is harder, walking from point A to point B is harder, finding the motivation to exercise is harder, shopping is harder…

None of these things is impossible, of course — they’re all just a bit more difficult than they have been. Under these circumstances, our worlds can get smaller and less active.

That’s where a little at-home assistance really can be a great service. A little help around the house can be an enormous relief; having a caregiver companion stop by two to three times per week can really help seniors LIVE their lives.

Learn more: How Take My Hand helps Lynden senior Bernadette Millar live a full life.

In essence, having a little help around the home can actually increase a elderly individual’s independence.

That’s an important point to note, because one concern we hear occasionally here at Take My Hand At-Home Care is that caregivers can be limiting for an elderly person’s lifestyle. In fact, the eldery sometimes think that when their family recommends a caregiver, the goal is to take away their independence.

In truth, your family is not trying to take your independence away, they are trying to help you LIVE and enjoy what you have. If your loved ones are resistant to care, here are a few tips to help continue the conversation.

Learn more: How to tell whether your mom or dad is ready for at-home care.

A part-time caregiver at home can help you pursue your passions. A caregiver can help give you time, energy and drive to pursue health long into the future. In-home support can be an activity companion, working with you on fun activities that help maintain brain health. And with the holidays coming up soon, don’t overlook the many ways a caregiver can help with the Thanksgiving and Christmas prep and festivities.

To learn more about how Take My Hand At-Home Care can provide help for you or an elderly loved one, just give us a call or send a message online. Our experienced care providers are standing by to help!

‘We all need others in our lives’

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[ Editor’s note: Originally published in the Lynden Tribune ]

Bernadette Millar, center, gets everyday help and also socializing with Heidi Sorensen and Sue Sorensen. Photo by Laura Place/Lynden Tribune.

For Lynden senior Bernadette Millar, meeting with her caretaker Heidi Sorensen each week not only helps her with her everyday tasks, but provides a sense of companionship. Sometimes the two go shopping together, or Heidi helps Bernadette with her bills and appointments.

Bernadette has been meeting regularly with Heidi for three years now, after being connected to the in-home care service of Take My Hand of Lynden following a visit from her son and daughter-in-law. Those relatives made the initial connection to Take My Hand, and owner Sue Sorensen (Heidi’s mother-in-law) reached out to Bernadette directly.

“I didn’t call her — she called me,” Bernadette recalled. “It came right at the right time.”

Bernadette stopped being able to drive herself around a few years ago after a bad fall that resulted in nerve damage. She said the loss of the ability to drive a vehicle was devastating, but now being able to go to the places she needs to go and get out of her condo every once in a while with Heidi gives her something to look forward to.

The care service offers assistance to seniors with various tasks based on their needs, such as taking medication, scheduling appointments and going on errands. Or, as in Bernadette’s case, the client and caretaker will just go and enjoy coffee together.

“We do everything, from companionship to end-of-life care,” Sue Sorensen said.

For Bernadette, it’s a gift to be able to get out of the house with Heidi and know all of her appointments and bills are organized. Just as important, Sue points out, is having someone to laugh with. Sitting in Woods Coffee at Bender Plaza on a Friday outing, Bernadette and Heidi laugh together about Bernadette’s favorite saying, “Can’t be bothered.”

“I thought it was ‘think positively’?” Heidi asks.

“I’m always positive!” Bernadette says back, smiling.

This companionship from a caretaker can help to combat some of the isolation and loneliness experienced by many senior citizens, making it one of the most important aspects of the service offered by Take My Hand, Sue Sorensen said. Even just going on outings a couple of times a week gives clients something to look forward to.

“It’s a big deal for them, to get out of the house,” Sorensen said of the clients who are assisted by Take My Hand. “We all want to be independent, but we all need others in our lives.”

Take My Hand At-Home Care can be reached at 360-543-5777 and online at takemyhandathome.com.

Why work in at-home care?

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The home care industry continues to see astounding growth. In 2016, there were roughly 2 million personal care attendants in the United States, and that figure is expected to grow by 40 percent over the next decade. This projection is attributable to the fact that a record 50 million people aged 65 and older currently live in the U.S., and by 2030 this number is expected to increase by 20 million.

Simply put, at-home care is in demand.

That’s not the only reason to consider a position in at-home caregiving, however. At-home care offers a wonderful opportunity for caregivers to truly make a difference in the lives of the elderly.

Let’s look in more detail at some reasons why people would work in at-home care:

A caregiver in a red jacket pushes an older woman in a wheelchair down a concrete ramp.

Build friendships and provide comfort to those who need it. Isolation can be hazardous to seniors’ health, and as many as one in six seniors faces the repercussions of loneliness in their daily lives. At-home care offers CNAs, licensed nurses and other caregivers an opportunity to combat elder loneliness by building meaningful friendships with seniors.

Work at a slower pace and with more flexible hours. Providing care in the home can be less demanding than working in an assisted-living facility or hospital. Hours are generally more flexible, and care is slower-paced. Supporting one person is a much different experience than rushing from bed to bed serving numerous patients each day. With the slower pace, caregivers also find that they have more time to get to know their clients through the sharing of stories and experiences. Clients are often full of wonderful life advice!

Help maximize health and wellness. At-home caregivers typically are involved in helping the elderly remember medications, providing good communication with doctors and assisting in such daily tasks as bathing, walking, cooking and shopping. Thus, caregivers play critical roles in the ongoing health of their clients. Plus, at-home care affords the opportunity to see all aspects of a person, not just their medical conditions or daily needs. In the comfort of home, caregivers can get to know clients on a deeper, more personal level.

A caregiver stands in a grassy field with her elderly client as they watch the sunset together.

Make a difference in someone’s life. Take My Hand At-Home Care often is mentioned in obituaries when a person passes. Why? Because our caregivers tend to make huge impressions in seniors’ lives, whether it’s through expert assistance, kind compassion or genuine friendship. We’re proud of our reputation for kind, compassionate care that makes an impression on the elderly and their loved ones.

Take My Hand At-Home Care has been providing personal, professional support for the elderly in Whatcom County since 2012. Our eldercare options include daily shifts and even 24-hour live-in assistance, which allows seniors to age-in-place instead of moving to a long-term care facility. We are fully licensed, bonded and insured. Our professional caregivers have been trained and certified to provide compassionate care to elders in Washington state.

Work for your health: Five things to do now for a happier future

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As caregivers, we often find ourselves in the role of helping people whose health is failing. We get called in to provide needed support to elders whose bodies and/or minds just aren’t working like they used to. It’s a fulfilling line of work, and we enjoy it.

We also enjoy offering tips and advice for seniors to maintain their good health, and for younger people who want to ensure that their minds and bodies are in top form as they grow older.

With that in mind, here are five important things to do throughout your life to ensure that you stay strong and health for as long as you can:

Eat well. The value of eating well cannot be overstated. For a great look at what different foods are good for and how various nutrients are used by the body, check out this comprehensive overview from the University of Minnesota or this brief look at how nutrients affect the body. Why do we need Vitamin A, and where do we get it? How can eating more whole grains help us reduce weight gain? What are beneficial fats? Spend some time researching the value of good nutrition, and make changes in your diet today to maximize the benefits of great food.

Learn more: Are the loved ones in your life
eating healthy? Here’s how to help.

Sleep well. You might have heard that people can go longer without food than without sleep. Good sleep is incredibly important — critical — to good health. And not only that, it’s important to be consistent. Here are some easy ways to improve your ability to sleep well: Avoid caffeine and alcohol late in the day, keep your room dark and quiet, stay off of screens just before bed, and get plenty of exercise during the day.

Learn more: Sleep is important for caregivers, too!
Here’s how to ensure you’re getting what you need.

Get moving. Simply put, staying independent almost always requires staying fit. Good regular exercise can keep your heart strong and prevent such problems as arthritis and diabetes. It’s good for your brain and can help stave off depression, and it’s good for your heart and can prevent heart disease. There is no substitute for an active lifestyle. If you love your body, make use of it and get moving! As a fun way of getting started, connect with a local walking group. You might find one on this list from the Washington Trails Association.

Make friends. All those friends you make on the trail — or at the senior center, at the park, at church, at your favorite volunteer activity — also are important to your long-term physical and mental well-being. Social isolation is a risk factor for depression, and loneliness may be a preclinical sign for Alzheimer’s disease. What can help? Friends.

Challenge your brain. Stimulating social and mental activities can help keep brains sharp, improve memory and help with daily life skills. Here are seven fun ways to ensure you’re getting plenty of great brain exercise.

If you need help with any of these tasks, please feel free to reach out to us here at Take My Hand At-Home Care. We provide non-medical companion and home care services throughout Whatcom County, in daily shifts or even 24-hour live-in assistance.

Activities to support brain health and memory in seniors

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Stimulating social and mental activities can help keep brains sharp, improve memory and help with daily life skills. They can also be an enjoyable and fun way to spend time with the beloved elders in your life.

Two older men play a game of chess at an outdoor table.The following seven activities can help support brain health and memory while providing companionship, conversation and pure simple fun:

  1. My father works in the grocery store. This is a delightful guessing game that works for two players or a group. The first person thinks of an item sold in a grocery store and says, “My father works in the grocery store and the product he sells begins with the letter P.” (This letter is the first letter of whatever the product is. In this case the answer is pomegranate.) The other player(s) ask questions that can be answered with a simple yes or no, such as: Is it in the produce section? Is it edible? Is it green? The game continues with questions leading to guesses of what the product is until someone gets the right answer. Then the winner thinks of the next item and the game begins again.
  2. Shopping list game. In this memory game one person begins with, “I went to the store and bought some fish.” The next person repeats the line and continues by adding an item, “I went to the store and bought some fish and some rice.” With each turn the list grows and the game continues until no one can remember all of the items. Everyone may experience some good laughs with this game.
  3. Name two words for each letter in your first name. A simple version is to come up with any two words, or the focus can change to qualities, or objects.
    For example: MARY
    Marvelous, merciful
    Artistic, adventurous
    You get the idea. This can be creative and loads of fun.
  4. Trivia games. Choose topics that are of special interest to your elder such as music, art, history, sports or geography. Trivia games are wonderfully stimulating to the minds of older people.
  5. Learn a new language together and practice using the newly learned words. You can keep it simple with just a few words or phrases such as “Hello,” “Good evening,” “How are you?” in French or Spanish or any language of interest. Enjoy using these words and phrases in simple conversation, then learn more as it feels comfortable and manageable.
  6. Closeup of a pile of jigsaw puzzle pieces.Jigsaw puzzles can be stimulating to the mind and also provide a calm and comforting companionship as you work on them together. This activity can help quiet the mind, which may be especially helpful for seniors with busy minds.
  7. Try the serving tray game to enhance short term memory. This game is great for visual folks. Place a selection of different objects from around the house on a tray. Let those who are playing have a look, then cover up the objects with a cloth. Then ask the seniors playing to recall what items they remember.

There are many possibilities for games to play with elders that may also have beneficial results. Some that are more familiar include bingo, chess, card games, Sudoku, logic puzzles, online interactive games, and also arts and crafts projects. Find out what your loved one enjoys and build from there.

The National Institute on Aging offers a helpful article on Cognitive Health and Older Adults. It gives tips on the following steps that help elders with day-to-day functioning and independence. These steps have been linked to cognitive health, as well.

  • Take care of your health
  • Eat healthy foods
  • Be physically active
  • Keep your mind active
  • Stay connected

Engaging companionship with someone who cares can provide many benefits for elders. To learn more about home companion services by licensed caregivers, contact Take My Hand At-Home Care, which provides elder care for senior citizens in the following communities: Lynden, Bellingham, Ferndale, Blaine, Everson, Nooksack, Sumas and Birch Bay.

How to help older loved ones sleep better

Good sleep is critical for people of all ages, given its importance to weight loss, concentration, heart health, healthy metabolism, mental health and more.  As we age and our health needs change, a good night’s sleep remains a critical need, as proper sleep has significant positive impact on concentration, memory and immune health among the elderly. In addition, a poor night’s sleep can … [Read More...]

ABOUT US

Sue Sorensen became involved with Whatcom County eldercare and aging-in-place services in 2009. She launched Take My Hand At-Home Care in January 2012 … Read More...

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Phone: 360-543-5777
Fax: 360-255-7564
*If you need immediate assistance for a loved one please contact us by phone.