ELDERY CARE 2015.pptx

8/15/2019 ELDERY CARE 2015.pptx

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ELDERY CARE


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Elderly care or simply eldercare is the fulllment of the

special needs social and personal requirements thatare unique to senior citizens.The elderly need an environment that encouragessocial interaction and quality care.

This broad term encompasses such services*assisted livin*adult day care*lon term care*nursin homes

*hospice care*in!home care"


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Services available to elders

These include a broad rane of services includin#$eals %in!home or in conreate settins&'ociali(ation)ersonal careouse+eepin in the homeResidential facilities %retirement homes, -oard and Care facilities, and

nursin facilities&Adult day care Transportation Telephone reassurance.riendly visitinCareiver supportRespite careEmerency response systems such as Lifeline


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CULTURAL AN !"#!RA$%&C &''"R"NC"STraditionally elder care has been the responsibility o((amily members

&ncreasingly in modern societies) elder care is no/ beinprovided by state or charitable institutions.

The reasons (or this change include*decreasin family si(e,

*the reater life e0pectancy of elderly people,*the eoraphical dispersion of families, and*the tendency for /omen to be educated and /or+ outside

the home"

These chanes have a1ected European and 2orth Americancountries rst, it is no/ increasinly a1ectin Asian countries"


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3n most /estern countries, elder care facilities are

freestandin assisted livin facilities,nursin homes, andContinuin Care Retirement Communities %CCRCs&"

3n the 4nited 'tates#

$ost of the lare multi*(acility providers are publiclyo+ned and managed as (or*pro,t businesses.

E0ceptions5 the larest operator in the 4' is theEvanelical Lutheran 6ood 'amaritan 'ociety, a not!for!

prot orani(ation that manaes 7,89: beds in ;; states%:


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6iven the choice,Ain in place #*continue to live in their o/n homes %most elders /ould prefer&

*problem # ma=ority of elderly people gradually lose (unctioning

ability andrequire either additional assistance in the home ***"ventually

most o(them move to an eldercare (acility.

The adult children of these elders often face a di>cult challene in

helpin their parents ma+e the riht choices":" &n their o+n home?ne relatively ne/ service that can help -eep the elderly in theirhomes .etermined that your elderly loved one needs assistance) it isimportant to honor their +ish to remain happy and independent

in their o+n home;" ove to an eldercare (acility.


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The (amily is one o( the most importantproviders (or the elderly"3n fact, the ma=ority of careivers for the elderly are often

members o( their o+n (amily, most often a dauhter or aranddauhter".amily and friends can provide a home %i"e" have elderlyrelatives live /ith them&, help:"/ith money and

;"meet social needs by visitin,9"ta+in them out on trips, etc"

'ome 4nited 'tates companies, li+e Senior %elpers) %ome

&nstead Senior Care) /isiting Angels) All /alley %omeCare) and Com(ort 0eepers, o1er lon!term, in!home carefor seniors"


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care&

A distinction is enerally made bet/een medicaland non!medical care"

3n the 4', @7 of the one million or so residents inassisted livin facilities pay (or care out o( theiro+n (unds.

The rest get help (rom (amily and (riends and(rom state agencies.

Assisted livin facilities usually do not meet

edicare1s requirements"


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&n*home care can include a +ide range o( medical

and non*medical services such as#Adult Day Care B Respite Care-ill )ayment B ousehold .inancial $anaementCompanion 'ervices.inancial )lannin

6eriatric Assessment B EvaluationB Care $anaementome B 'afety $onitorinome ealthcare %$edical&ome Renovation B $aintenanceomecare %2on!$edical&


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omema+er B ouse Cleanin

ospice 'ervice3nsurance 'ervicesLive!3n ome Care$eal )reparation)ersonal Care %e"" -athin, Toiletin or 6roomin&

Rehabilitation 'ervices %e"" )hysical Therapy& Transition 'ervices % e"" home sale, relocation, do/nsi(inor asset liquidation& Transportation %2on!$edical, e"" errands, shoppin& Transportation %2on!Emerency&

isitin B )rivate Duty 2ursinisitin )hysician B ouse Calls


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&mproving mobility in the elderly

&mpaired mobility is a ma=or health concern for

older adults, 8 F @8 year old ;8 F G8 year old As adults lose the ability to /al+, to climb stairs,and to rise from a chair, they become completelydisabled"

The problem cannot be inored because peopleover 23 constitute the (astest gro+ingsegment o( the U.S. population and recently

in Asia 4 5apan) China etc6.


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Therapy designed to improve mobility in elderly patients

4sually built around dianosin and treatin specic impairments,such as reduced strenth or poor balance"'pecic oals related to strength) aerobic capacity) and otherphysical qualities" Today, many careivers choose to (ocus on leg strength and

balance"2e/ research suests that limb velocity and core strenth may alsobe important factors in mobility"


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7"!&NN&N! 8#UR 5#URN"8 T%R#U!% "L"R CAR"

$ust be prepare Your loved oneHs medical history) 'inancial resources, personality, Relationships /ith potential careivers, $ro9imity to services and other (actors all determine the best

approach to ta+e"

"ach elder care situation is unique, of course#Carin for an ain parent, elderly spouse, domestic partner or closefriend presents di>cult challenes I especially +hen a crisis hits andyou are suddenly (aced +ith the responsibilities o( elder care.

)erhaps your ain mother fell, is hospitali(ed /ith a bro+en hip andneeds to o to a rehab facility or nursin home to recover"


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%o+ to eal :ith Aging $arents'tatistics sho/ that people are livin loner and loner" The ae that people live to has ro/n dramatically in the

past ; years!!! people are livin loner there is usuallyreater need for assistance as /e ae"


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3n the ma=ority of households the assistance thatseniors receive usually comes from their children"

3n many familiesSeniors never imagined that they miht needassistance from the children"Li-e+ise) many children of ain parents never

thouht that they /ould be assistin their parents asthey ae"'ometimes, this children assistin parent rolereversal can lead to conJicts for the children and theparents"

-ecause of this, many children /ant to +no/ ho/ todeal /ith ain parents"


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T%"R" AR" S&; 426 0"8 ST"$S T# '#LL#: #N

%#: T# "AL :&T% A!&N! $AR"NTS<:" $repare #

8ou should prepare yoursel( and your (amily (or theunderta-ing"Even thouh this is your parent, it is li+e includin another from member

of the family in a sinicant /ay" 8our spouse and your children should be a+are o( +hat youplan to do"There +ill be less resistance or con=ict i( everyone -no+s theplan.3f you can et your spouse or children to actively participate that is even

better"


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>. i?erent stage @ di?erent era Remember that you are at a di?erent stage in li(e than yourparent".or most of us, development does not stop once /e reach adulthood" You are not the same person you /ere /hen you /ere ;:" Your parentis not the same person they /ere /hen they /ere your ae"

.Ready (or change.Try to loo- at their concerns (rom their perspective.Respect their desire for control and reularity" None o( us arecom(ortable +ith change and this is even truer +ith seniors.Remember that the only thin /orse than chane, is chane that you

have no control over" -e sure to ma+e your parents feel that they stillhave some control over their life"


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B. &ndependenceTry to help your parent maintain the highest level o( independence(or as long as possible. The level of independence you start /ith /ill depend on the unique

situation of your family"DonKt be afraid to include assistance and decrease the level of

independence if necessary"

3. oney management . %ave a management plan (or the essentials li-e moneymanagement bills5 health plans5 and any necessary equipment ormodications"

2. Live in healthost importantly) help your parent maintain as good o( health aspossible. 2o one /ill live forever, but there are thins /e can do to help maintainour health as long as possible"'tudies sho/ that this factor, more than any other, can ma+e the reatestdi1erence in the quality of life of ain parent"


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!"R&ATR&Ce,nition'eniorsH health refers to the physical and mental conditions of seniorciti(ens, those /ho are in their 2Ds and older.

edical conditions that a?ect the elderly

The most larin of these is dementia in itHs many forms %i"e", Al(heimerHsDisease, vascular dementia, etc"&"?ther serious conditions a?ecting (unction include stro+es, )ar+insonHs

Disease, chronic obstructive pulmonary disease %C?)D& and emphysema, nearor total blindness, diabetes and advanced heart disease"

$rinciples +hile caring (or older adult #:" any disorders are multi factorial in oriin;" Disease often present atypically

9" Not all abnormalities require evaluation and treatment" Comple9 medication reimens, adherence problem, and poly pharmacyare common challenes


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CostCost of medical treatment varies !!/ill be determined by The type o( procedureMhether a person has medical insurance.

Another factor is the fee assessed by the health plan.


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NUTR&TN <

2utrition plays an important role in senior health")roper diet can help prevent a condition li+e diabetes or +eep it from

/orsenin"The senior diet should consist o( (oods that are <*lo+ in (at) particularly saturated (at and cholesterol.Eprovide nutrients such as iron and calcium.

?ther healthy menu choices include#

,sh) s-inless poultry) and lean meatproteins such as dry beans 4red beans) navy beans) andsoybeans6) lentils) chic-peas) and peanutslo+*(at dairy productsvegetables) especially those that are dar- green and lea(ycitrus (ruits or Fuices) melons) and berries

+hole grains li-e +heat) rice) oats) corn) and barley+hole grain breads and cereals


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";"RC&S"epend on health condition)hysical activity should beG.rhythmic) repetitive) and should challenge the circulatorysystem)>.enFoyable.e9ercising regularly (or D minutes each day.&t may be necessary to chec- +ith a doctor to determine thetype o( e9ercise that can be done.

Mal+in is recommended for /eiht loss, stress release, and manyother conditions" 7ris- +al-ing is said to produce the samebene,ts as Fogging" ?ther forms of e0ercise gardening) bicycling)hi-ing) s+immin, dancing) s-ating or ice*s-ating. 3f /eather prohibits outdoor activities, a person can /or+ out indoors/ith an e0ercise video"


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#ST"#$#R#S&S

$revention is the best method o( treatingosteoporosis"$ethods of preventin osteoporosis include regular +eight*bearing e9ercise such as +al-ing) Fogging) +eight

li(ting) yoga) and stair climbing.)eople should not smo+e since smo+in ma+es the bodyproduce less estroen"Care should be ta+en to avoid (alling"


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Diet should include from G)DDDHG)DD mg. o( calcium eachday.Sources o( calcium include#leafy, dar+!reen veetables such as spinach, +ale, mustardreens, and turnip reenslo/!fat dairy products such as mil+, yourt, and cheeses such ascheddar, '/iss, mo((arella, and parmesan5 also helpful are

foods made /ith mil+ such as puddin and soupcanned sh such as salmon, sardine, and anchoviestortillas made from lime!processed corntofu processed /ith calcium!sulfatecalcium tablets


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"&CAL TR"AT"NT.An 0 ray /ill indicate bone loss !!!!!! density has

decreased**** /ill indicate /hether a person is at ris+ forfractures"A more e1ective /ay of detecting osteoporosis is the";A*scan 4dual*energy 9*ray absorbt iometry6.*****useful for people at ris+ for osteoporosis as /ell as +omen

near the age o( menopause or older.

uring menopause, a /oman loses estroen" A pill or s+inpatch containin estroen and proesterone easessymptoms of menopause and is used to treat osteoporosis"

This treatment is +no/n as hormone replacementtherapy 4%RT6. 3n addition to restorin estroen, RT couldreduce the ris+ of colon cancer and Al(heimerHs disease"


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#ST"#ART%R&T&S

$reventive and maintenance remedies include <"9ercise < Lo+*impact e9ercise such as s+imming and +al-ing, alon /ith

maintainin proper posture"7ody +eight < 7& I >.3Nutritional aids include foods rich in vitamin C such as citrus fruits and broccoli"

Also recommended is daily consumption of international units of itamin E"A person should cut bac+ on fats, suar, salt, cholesterol, and alcohol"

?$E RE$ED3E' A2D )Y'3CAL TERA)Y" The Arthritis .oundation recommends several remedies for easin pain"To treat in=ammation) a person should use a cold treatment for ; minutes"$ethods include soa+in the a1ected area in cold /ater or applyin an ice pac+"To soothe aches and stimulate circulation, a person applies heat to the a1ectedarea for ; minutes" This should be done three times durin the day"

?ver!the!counter %?TC& remedies such as aspirin and ibuprofen and salves containincapsaicin can be helpful" .urthermore, a doctor may recommend anti!inJammatorymedications"


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'ALL $R"/"NTN'all prevention starts +ith regular e9ercise such as +al-ing"This improves balance and muscles"?ther methods for preventin falls include#/hen risin from a chair or bed, a senior should move slo/ly to avoid di((iness

shoes /ith lo/!heels and rubber soles are recommendedmedications should be monitored because of side e1ects that increase theprobability of a fallvision and hearin should be chec+ed periodicallyfall!proon the home, includin the installation of lihtin, especially stair/ays,clearin up clutter and electrical cords that can cause falls, and the installationhandrails and strips in bathtubs and rails on stairs.

"&CAL TR"AT"NT '#R 'ALLS.After a fall, a senior may need .irst Aid treatment for cuts or fractures"Evaluate /hether medications cause balance problems"3f indicated, may e0amine the patientHs central nervous system function, balance,and muscleB=oint function"

A hearin or vision test may be ordered"


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/&SN

$resbyopia may need bifocals or readin lasses These lenses may need to be changed as vision changes over theyears")ublishers a/are of this condition produce boo+s /ith lare print"

A senior should schedule periodic vision e9ams because earlytreatment helps prevent or lessen a ris+ of cataracts or laucoma"iet also plays a role in vision care# dar+ reen veetables li+ebroccoli are said to help prevent cataracts from proressin"!laucomaCataracts


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%"AR&N!

An audioloist can administer tests for hearing loss"$resbycusis, hearin aids can help a senior a1ected by ae!related hearinloss"3f this treatment is not e1ective, the person miht need to learn to read lips"

SL""$ &S#R"RS

SN#R&N! AN SL""$ A$N"A"A doctor may advise the senior to quit smo+in, reduce alcohol consumption, orto sleep on his or her side, reduce body /eiht "

3n some cases, a doctor may refer the senior to a sleep disorder clinic""3NS#N&A treatments include e0ercisin and treatin depression, stress, andother causes for sleeplessness"


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"NTAL %"ALT%

After retirement, a senior must ,nd activities and interests

to provide a sense o( (ul,llment. ?ther/ise, (eelings o(loneliness and isolation can lead to depression andsusceptibility to poor health.

Activities that stimulate a person physically andintellectually contribute to good health"A senior can start an e9ercise program) ta-e up hobbies,ta+e classes, or volunteer" 'eniorCenters o?er numerous activities"Lunch prorams provide nutritional meals and companionship"

This is important because a senior livin alone may not feel

motivated to prepare healthy meals"


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ementia

Dianosis of Al(heimerHs disease starts /ith a thorouhmedical e0amination" The doctor should administer memory tests"

-lood tests may be required, as /ell as a CT scan or $R3scan of the brain" 3f Al(heimerHs is dianosed, mayprescribe medication to slo/ do/n proression of this formof dementia"


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ELDERY CARE 2015.pptx