Resources for senior citizens

Is your mom or dad ready for care? A TMH client profile

March 6, 2019 By Take My Hand

We often hear from concerned sons and daughters that their parents might be ready for some at-home assistance, but they’re not sure. Sometimes the kids are hesitant to suggest the idea to parents, and sometimes parents aren’t keen on accepting care.

It can be hard to know when is the right time to suggest care. To offer some assistance, consider this sample profile of a TMH client. Not every client will look like this, certainly, but this is one good example of the type of people who can benefit from at-home care.

Mom and dad are both in their 80s, living in a small, one-floor home in Birch Bay. They have two children, but neither lives close enough to provide regular assistance. The daughter lives in Seattle, and the son lives in Sedro-Woolley. Both of them are married with children, and their days are full and busy.

Dad still drives, which has been helpful for making the extra doctor’s appointments lately that have arisen from mom’s advancing dementia. He has gotten into a couple minor fender-benders in the last couple of months, though, and that’s beginning to be a worrisome trend. Some family members have questioned whether dad should still be driving. He already has stopped driving at night, because it can be so hard to see, and that has placed a few limitations on he and mom. For example, they don’t go out to bingo nights or dance events at the senior center any more, and those used to be beloved hobbies.

Even without going to dances, the couple is still pretty active. They try to walk every day. Dad had a fall last week, though — slipped on a stray magazine in the living room — and that left him with some painful bruises on his right hip. Nothing is broken, thankfully, but the experience reminded him that getting around isn’t as easy as it used to be.

There’s a small grocery store about four blocks from their house, but they’re not walking there as much anymore, and even less so with dad’s fall. They could probably use a few groceries to stock up the fridge and pantry.

This couple is the perfect candidate for two or three half-day shifts per week. They’re pretty active and healthy, and they’re far from needing 24-hour care. However, they would really benefit from assistance getting to the doctor’s office and help with the weekly grocery shopping. They could use someone to tidy up the house once a week and ensure that everything is in its proper place. They could also use some help communicating with doctors and ensuring that medicines are taken on time, and it would be good to have someone around to monitor mom. (Her dementia isn’t far along, but it would be good to have someone checking in on her now and again and looking at how it’s affecting dad, too.)

The 12-hour shifts would take a lot of pressure off of dad and would allow the couple to relax a bit, worrying less about the details and spending more time enjoying each other’s company.

Does any of this sound familiar? If so, perhaps your mom or dad — or someone else in your life — could benefit from having a licensed caregiver helping out on half-day shifts. Just give us a call and we can talk about your options.

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

February 6, 2019 By Take My Hand

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.

Important documents to set up with an elderly loved one

January 9, 2019 By Take My Hand

As our loved ones advance in age or dementia, it becomes increasingly important to establish procedures that will make dealing with health or medical issues much easier in the future.

A person in a blue Oxford shirt signs a document. — There are four types of documents to consider creating for aging parents, grandparents and other loved ones: advance directives, physician orders for life-sustaining treatment, standard wills and living trusts.

In particular, there are four types of documents to consider creating for aging parents, grandparents and other loved ones: advance directives, physician orders for life-sustaining treatment, standard wills and living trusts.

Advance Directive: An advance directive is a legal document that provides guidance about what types of treatments your loved one may want to receive in the event of a medical emergency, and who they would like to make decisions on their behalf regarding medical treatment. This person is called a surrogate.

NOTE: Depending on where your loved one lives, an advance directive might instead be called a living will, health care power of attorney or something else.

Every adult should have an advance directive in place so that if something happens, the surrogate can ensure that the patient’s wishes are respected and carried out.

In Washington state, care providers like Take My Hand At-Home Care are required to ask whether patients have an advance directive.

NOTE: As with the rest of the documents on this list, it’s important to put an advance directive in a place where it can easily be found. Make sure your surrogate knows where it is, and have it added to your medical record, if possible.

Physician Orders for Life-Sustaining Treatment: This is another document we’re required to ask about at Take My Hand At-Home Care. Physician orders for life-sustaining treatment (POLST) forms are specific to each individual. In the event that your loved one has a medical emergency, this form describes the specific medical treatments he or she would like to receive. While all adults should have an advance directive, a POLST form only becomes necessary upon diagnosis of a serious illness or when health begins to deteriorate near the end of life.

NOTE: While an advance directive is a legal document, a POLST is a medical order. Only an advance directive can legally designate a surrogate to make healthcare decisions on behalf of a loved one.

A will sets out instructions for how assets should be distributed in the event of death.

Standard will: A will sets out instructions for how your parents or grandparents would like their assets distributed in the event of death. The will also designates the person who will be in charge of that. It’s a good idea to establish a will as soon as possible and then to review it once a year to ensure that it’s an accurate reflection of your loved one’s wishes. When a person dies with a will in place, the person’s estate goes through probate court to, among other things, determine the will’s validity, total up the assets and distribute those assets according to the will’s instructions. Without a will in place, that process gets a lot more complicated.

Living trust: A living trust places a person’s assets into a separate entity that allows for the avoidance of probate court. It explains who will manage that entity upon your loved one’s death and who will distribute its assets — and to whom and how much. A living trust can be more expensive to prepare than a standard will, but it can save the costs associated with probate court.

If you have any questions about what documents might be necessary in your family’s case, consult an attorney who specializes in elder law. There are a number of options in Bellingham, Lynden and throughout Whatcom County for lawyers who specialize in situations regarding the elderly.

Activities to support brain health and memory in seniors

December 5, 2018 By Take My Hand

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:

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.
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.
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.
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.
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.
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.
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.

Tips for managing sundown syndrome

November 7, 2018 By Take My Hand

Late afternoon and early evening can be an especially challenging time for seniors with dementia or Alzheimer’s disease. The confusion, restlessness, and irritability that can occur at this time of day is known as sundown syndrome. It can continue into the night, making it difficult for your dad to fall asleep and stay in bed, which is hard on him and on his wife or family caregiver.

If you’ve noticed your parent or spouse is experiencing symptoms of declining memory, it’s important to be with them in the late afternoon and early evening to see if they are having sundowner symptoms, are increasingly agitated, suspicious and even pacing and yelling. They may need some additional care, someone to be with them to help during that difficult time.

Tips to help manage sundowning

During the day:

Provide a regular routine, with activities and appointments earlier in the day.
Daily exercise also can be helpful, along with time outside or by a window in bright daylight.
If your loved one needs a nap, make sure that it’s not too long and that it ends at least four hours before bedtime.

In the late afternoon and evenings:

Stay calm and reassure your dad that everything is okay. Ask if he needs anything.
Keep the area quiet and pleasant, with soothing music, and make sure the temperature is comfortable.
Try reading, playing cards or going for a walk.
Turn on lights and close the curtains or blinds to avoid shadows and the confusion they may cause.
Make sure living areas are safe, with locks on doors and windows and with dangerous items such as kitchen utensils put away.

Closing the blinds near sunset can help mitigate confusion caused by long shadows.

All of us feel better and can function more easily when we sleep well. Helping your loved one avoid caffeine and alcohol, sweets, and a large meal late in the day can help with getting a good night’s sleep.

The National Institute on Aging recommends seeking medical advice if sundowning continues to be a problem. An exam by a doctor may identify a cause contributing to sundowning, such as pain, illness, a medication side effect or a sleep disorder.

Hope for the future — finding effective treatments and searching for a cure

The Alzheimer’s Association is a valuable resource for up-to-date information. Their website confirms, “Researchers are conducting studies to find new interventions and treatments that can prevent Alzheimer’s, diagnose the disease earlier, slow its progression or stop it in its tracks.”

If you or your loved one needs information, advice and support from trained and knowledgeable staff, you can call the Alzheimer’s Association 24/7 Helpline at 1-800-272-3900.

Here in Whatcom County, Take My Hand At-Home Care’s licensed caregivers provide memory care services that help seniors live in the comfort of their own homes in Lynden, Bellingham, Ferndale, Blaine, Everson, Nooksack, Sumas, and Birch Bay.

Fun ways caregivers can help during the holidays

October 3, 2018 By Take My Hand

One of the most important things a caregiver offers is companionship — someone to be there, to listen, to share a smile, a laugh, a hug.

In addition to personal care services, at-home caregivers can also help in some pretty fun ways. With the holidays coming up, caregivers can be like Santa’s elves in Whatcom County and provide help with:

Holiday decorating to create a festive feeling at home: helping set up a small Christmas tree with lights and cherished ornaments, or putting up Christmas lights and setting out nativity scenes, favorite table cloths and other decorations.
Shopping for holiday supplies and gifts.
Baking or cooking favorite holiday recipes — old classics or finding new ones to share. Who doesn’t love the smell of fresh-baked cookies or a pumpkin pie in the oven? We all know how warm and cozy the delicious smells of baking and cooking makes a home feel. These foods can be enjoyed at home or brought to a gathering to share with family or friends.
Writing and mailing holiday cards to stay in touch. At-home caregivers can help with writing notes inside the cards, addressing the envelopes, and dropping them in the mailbox.
Listening to and singing Christmas carols, or maybe even going out to a local performance of carolers or the Nutcracker.
An early evening drive to see the magic of Christmas light displays in Lynden or downtown Bellingham.
Watching favorite, classic holiday movies and sharing memories.
Arts and crafts projects to keep your loved one’s creativity engaged. These projects can be suited to each individuals’ abilities so they can enjoy the activity. Some of these (ornaments, handmade cards, watercolor paintings) might even make sentimental gifts.
Arranging and driving to special visits with friends and family.
Bucket list trips, something your loved one has always wanted to do — going to an art museum (such as the The Whatcom Museum in Bellingham), a theater performance, sculpture garden, sporting event or classic car show. There are many possibilities. Maybe even talking with your mom or dad to find out what kinds of things they have always wanted to do and then making a list.

The holidays can bring a mix of emotions and memories, and loneliness can often increase during the holiday season. As you and your family are extra busy with shopping and other outings, licensed caregivers can provide companionship and festive holiday experiences for your aging loved ones.

The simple presence of someone there who cares can make a huge difference in the life of an older adult. To find out more about home companion services, 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.

Recovering at home after surgery

September 5, 2018 By Take My Hand

Two elderly ladies chat outside in a lush garden.

After surgery or a hospital stay, who will help with recovery at home?

There are many important things to consider as part of pre-operation planning, such as making sure the kitchen will be stocked with healthy food and arranging to have someone available to help with meal preparation and basic housekeeping.

Will you need special medical equipment for your post-op recovery at home? Some recoveries require oxygen tanks, elevated toilets, shower seats, crutches or a walker to help prevent falls. In Whatcom County, the Bellingham Central Lions Club offers affordable rentals for wheelchairs, walkers, crutches and other durable medical equipment to help with recovery. Hoagland Pharmacy, Norco Medical and Bellevue Healthcare are also sources for medical supplies in the Bellingham area.

After surgery, dizziness may occur from being in bed for long periods or from lack of eating, which may cause balance issues and unexpected stumbling. Make sure your home is free from clutter, and if your bedroom is upstairs — stairs may be difficult — set up a comfortable place to sleep that is downstairs and close to a bathroom. Nightlights in hallways and bathrooms can also make it easier to move around at night and help prevent stumbling.

An elderly man listens to a doctor explain something while pointing to a computer screen. If you or your loved one needs someone there to help out — perhaps no family lives in the area, or loved ones who could help with caregiving have full-time jobs or are not comfortable with personal care tasks — our licensed caregivers at Take My Hand At-Home Care can assist Whatcom County residents as you return home and resume life after surgery and other hospital stays. Surgery can drain your energy for days or weeks, making simple tasks at home extra challenging. Our licensed caregiver companions can offer support while you’re healing and getting your strength back.

Your personal at-home caregiver can help with:

Hospital discharge from PeaceHealth St. Joseph Medical Center in Bellingham, WA
Transportation, purchasing healthcare supplies, picking up prescriptions, and helping you get settled in at home to recover
Grocery shopping and keeping the fridge stocked; preparing and serving nutritious meals according to unique preferences and dietary needs
Medication monitoring and reminders to help avoid accidentally taking too many or skipping a dose
Personal hygiene, if assistance is needed with bathing, dressing, toileting, etc.
Help with transitions from bed to chair or from sitting to standing, and assistance with walking to help prevent falls
Accompaniment to doctor’s appointments and sharing health information with loved ones
Light housekeeping such as laundry, dishes, changing sheets, and even feeding your pet

Our at-home caregivers are available to come by for a few hours daily, or we can provide 24-hour assistance if needed. Maybe a loved one is also there to help but would like to spend time focused on your well-being rather than running errands for supplies, preparing meals, and monitoring medications. That’s totally fine. Our trained and compassionate caregivers can provide support and comfort for both of you. To find out more about hiring your own at-home care provider, contact Take My Hand At-Home Care in Lynden.

Today, prepare for tomorrow’s healthcare decisions

April 4, 2018 By Take My Hand

Planning ahead isn’t always an easy task. But it’s almost always an important one.

When it comes to making preparations for caring for your aging loved ones — or yourself, for that matter — the sooner you get started, the better. National Healthcare Decisions Day is coming up on April 16, so let that be a motivator for you to begin the process of planning for old age.

The first step in the preparation process is to make yourself aware of the various options available for eldercare.

At-home care: It should be no secret that we at Take My Hand At-Home Care are big fans of care that takes place in the comfort of home. Every single time our caregivers step foot in a client’s home, we see the immense value of care that takes place in a familiar environment. For starters, at-home care can be less expensive than living full-time in a long-term care or assisted-living facility. Aging in place also can allow for greater comfort and flexibility, both for the elderly and for their loved ones. The National Institutes of Health has wonderful tips for growing old at home, including tips on meals, money management and getting around.

Regular or occasional support from a licensed and insured caregiver can help the elderly stay in the comfort of home while alleviating some common worries, such as how they’ll shop for groceries, get to doctor’s appointments or even get dressed. TMH caregivers can help with all of that and more, and it’s a wonderful option for those who want long-term care at home in the comfort of familiar surroundings.

Assisted living and long-term care: When staying at home is not an option, for health or other reasons, long-term care away from the home remains a good option. One thing that Take My Hand At-Home Care always tries to do in our free, in-home consultations is offer advice for what seems like the best level of care. We do offer 24-hour care, but in situations where TMH is not able to help, we try to recommend alternative options, such as long-term care in a separate facility. If you’re curious what might be the best option for you or for an aging loved one, feel free to set up a complementary home consultation with Take My Hand.

As you’re thinking about this topic, you might want to reach out to other local services that provide assistance to the elderly. Whatcom County is home to numerous wonderful resources.

Has your loved one been socially isolated this winter? It’s time to get out.

March 7, 2018 By Take My Hand

Spring is almost here.

Given the wet, cold winters we have in the Pacific Northwest, it’s common for the elderly — for all people, really — to hibernate through the winter, staying inside where it’s warm and dry.

For the elderly, staying at home through the colder months can mean being isolated from friends and family. Social isolation is unhealthy; in fact, it’s a risk factor for depression among older adults, according to the National Institute of Mental Health.

To be honest, sitting at home alone for too long can lead to negative consequences for both mind and body. Maybe your loved ones are stewing over the idea that “my kids never come see me.” Perhaps they overthink about aches and pains. The New York Times even recently reported that loneliness may be a preclinical sign for Alzheimer’s disease. And not only that, isolation also may be linked to decreasing ability to care for oneself. Consider this statement:

“Among older people who reported they felt left out, isolated or lacked companionship, the ability to perform daily activities like bathing, grooming and preparing meals declined and deaths increased over a six-year study period relative to people who reported none of these feelings.”

Who needs that? Instead, let’s let the spring sun melt away your loved one’s winter doldrums. Encourage them to get up, get out and have some fun this spring.

With the warming weather, there’s never been a better time to encourage your elderly loved ones to get out of the house and out into the world. Take them for a walk through Whatcom County’s gorgeous scenery — maybe to Hovander Homestead Park or along the Bay to Baker trail into downtown Everson. Help them run errands to Haggen or Hoagland’s. Take them to see a movie at the Pickford or to reminisce about rotary telephones at SPARK Museum of Electrical Invention. Whatcom County is packed with fun things to see and do!

If you need any assistance getting your loved one out and about — or even encouraging them to leave the house — please feel free to give Take My Hand At Home Care a call. Our licensed and qualified nurses are experts in caring for the elderly throughout Whatcom County, and we’d be happy to help.

Whatcom County resources for older adults and their caregivers

December 6, 2017 By Take My Hand

Occasionally, we sit back and think about how fortunate we are to have such amazing resources available in Whatcom County for senior care. Truly, there are wonderful support systems in place in Bellingham and throughout the area.

With the new year approaching, many are thinking about how to make positive changes in life (and in the lives of those in their care). These resources can help. Here are a few we often rely on at Take My Hand At-Home Care:

Northwest Regional Council: The NWRC is the hub of the wheel when it comes to resources for senior citizens in Whatcom County. Begun in 1971 as a collaboration among Island, San Juan, Skagit and Whatcom County elected officials, NWRC focuses on providing services for adults with disabilities and the elderly. As Northwest Washington’s Area Agency on Aging, it provides a host of services for everyone needing long-term care. With information both for the aging and for their family caregivers, NWRC is a lifeline for those who need it. Just give them a call to see what options might be available for your unique family situation.

Whatcom Council on Aging: The WCOA, an independent nonprofit serving local senior citizens since 1964, offers a number of services for area adults, including the Meals on Wheels and More program, Bellingham Senior Activity Center and Bellingham at Home, a virtual community for area seniors.

Elder Service Providers: Speaking of support for caregivers, Elder Service Providers does wonders in Whatcom County for those who care for others including skilled nursing facilities, assisted living, caregiver agencies and more. Their mission is to build up the community of caregivers in Whatcom County, and they do it in a number of ways, including monthly luncheons and an annual caregiver conference.

Alzheimer Society of Washington: Those caring for individuals with dementia or other memory issues can benefit greatly from the Alzheimer Society of Washington, which is based in Bellingham. In addition to a number of support groups for caregivers and support groups for individuals with memory loss, the Alzheimer Society provides Staying Connected classes to provide ongoing support for those with early memory loss and dementia-related diseases.

These are a handful of Whatcom County organizations that provide wonderful support both for caregivers and for their loved ones. Of course, you may always contact Take My Hand At-Home Care for more information; we can help guide you through the process of caring for an elderly loved one at home. We are here to help!