Friday, May 18, 2012
   
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Give Yourself the Gift of Health

By Pamela D. Wilson, The Care Navigator, CSA, MS, BS/BA, CG

female nurse_152x250When I was a child, Valentine's Day was a significant day. My mom purchased the small box of cards that I would print for all of my classmates; especially the one boy who I hoped would like me. As I grew up, Valentine's Day continued to have special meaning. Flowers would (or would not) show up in the workplace, dinners would (or would not occur), I would (or would not) have a special person to acknowledge on this date. Then I began to realize that I didn't really need this date to do something special for someone, or for myself. I could recognize myself or others anytime during the year.

Read more: Give Yourself the Gift of Health

 

Denial Is Fear in Disguise

By Pamela D. Wilson, The Care Navigator, CSA, MS, BS/BA, CG

male doctor bedside_166x221The mother of a client was diagnosed with cancer about a month ago. There are four children, two sisters and two brothers, in the family who rallied to provide care for the mother in the way of day to day activities such as housekeeping, meal prep, errands, laundry etc. After about a month, the children decided to seek outside assistance because they realized that their mother's health will not improve and they cannot keep up the schedules of providing care for her, working, and caring for their own families.

In a meeting with the entire family, the mother kept stating, "I can't decide to do anything (receive outside care) until I know what is going on." The daughter most responsible for her mother's medical needs went into a long discussion of what the physicians had told her mother about the condition and the fact that it is terminal. The son most responsible for finances reassured his mother that there was no issue in paying for care and that he and his siblings want her to have more support than they can offer.

Read more: Denial Is Fear in Disguise

   

Checking on Family During the Holidays

By Pamela D. Wilson, The Care Navigator, CSA, MS, BS/BA, CG

holiday glitter_250x167Many family members only see their parents, grandparents, aunts, uncles or other loved ones during the holidays due to distance, time and many other factors. It is often after this that I hear "mom and dad seem to be really going downhill". The holidays are a good time to visit family and to monitor ongoing ability to do everyday tasks.

Have you noticed a decline in physical ability or mobility? What is the level of physical stamina? Do parents seem to tire easily, have difficulty walking on flat surfaces or up and down steps? Have they lost or gained weight? How is their appetite? How is their general mood? Do they have a good social network on which they rely? Is the home being maintained? How are their driving skills? Are bills being paid on time and correctly? Have they kept up on medical and other health related appointments? Are they able to sort through mail and throw away unnecessary items? Are pets being cared for?

Read more: Checking on Family During the Holidays

 

Caregiver Stress Increases Behavioral Symptoms of Dementia

very_sadBy Pamela D. Wilson, The Care Navigator, CSA, MS, BS/BA, CG

A study recently released in the Journal of the American Geriatrics Society (1) indicates that caregiver-patient interpersonal interactions contribute to the presence of neuropsychiatric disorders in individuals with dementia. In simple terms, lack of caregiving knowledge often results in caregiver stress and anxiety that is projected on the person needing care increasing negative behavioral reactions. In this study, the neuropsychiatric disorders studied were: restlessness, constant talking, hallucinations, paranoia, uncontrolled anger, combativeness, danger to self, danger to others, destructive behavior, repetitive questions, wandering and waking the caregiver.

It's well known that caregivers are depressed. This depression (and degree of) is considered bi-directional in its effect on the person receiving care. This means that caregiver depression contributes to challenging behaviors in the care recipient and challenging behaviors contribute back into increased depression in the caregiver. More depressed caregivers report more behavioral issues in the persons for whom they provide care than those who manage the situation well.

Read more: Caregiver Stress Increases Behavioral Symptoms of Dementia

   

Avoiding Problems With In Home Caregivers

By Pamela D. Wilson, The Care Navigator, CSA, MS, BS/BA, CG

older man_166x248With aging comes the great likelihood that we will need a caregiver; someone to help with daily tasks and personal hygiene. Often it's not practical for family members and friends to provide all the assistance you or a loved one needs.
Care provider agencies provide this type of assistance. However the transition can be fraught with frustration when family members make incorrect assumptions that caregivers are trained, trustworthy and do not need supervision. To complicate the situation, in many cases, the person needing the care resists the idea and can cause difficulties in making the transition to accept care. Many times the agency caregiving relationship is misconstrued as a family relationship versus an employer to employee relationship. Individuals receiving care often cross the boundary creating issues that result in situations of potential conflict of interest, safety or abuse.

 

 

 

Read more: Avoiding Problems With In Home Caregivers

 

Traumatic Events Cause Ongoing Stress and Mimic Mental Illness

By Pamela D. Wilson, The Care Navigator, CSA, MS, BS/BA, CG

parents in denial_166x250A client of mine suffers from post traumatic stress disorder (PTSD). He had an accident ten years ago and is extremely anxious. He cannot stop thinking about the accident and often relives the event repeatedly. If you saw him you would see an attractive silver haired older man able to carry on an intelligent conversation and discuss world events with the best of us.

Catch him on a bad day and you see someone who is anxious and paranoid. He trusts no one and will occasionally accuse friends of stealing from him. He may be very angry, may yell and may suffer from headaches, gastrointestinal distress, dizziness, chest pain or discomfort in other parts of his body all in the same day. He will tell you about the incident over and over and complain that he has nightmares and does not sleep. To an ordinary person he might appear to have lost her mental faculties. But he has not. He is most comfortable around people that he knows well. Strangers throw him into re-living the accident and experiencing a great deal of stress. He does best in his own home focusing on indoor gardening and woodworking projects.

Read more: Traumatic Events Cause Ongoing Stress and Mimic Mental Illness

   

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