Wrong Way on a One Way Street!

By: Mr. Katz

Driving is a critical issue for seniors, especially in our country. Right now older drivers are more likely to get in multiple-vehicle accidents than younger drivers, including teenagers. The elderly are also more likely to get traffic citations for failing to yield, turning improperly, and running red lights and stop signs – an indication of decreased driving ability.

Car accidents are more dangerous for seniors than for younger people. A person 65 or older who is involved in a car accident is more likely to be seriously hurt, more likely to require hospitalization, and more likely to die than younger people involved in the same crash. In particular, fatal crash rates rise sharply after a driver has reached the age of 70.

So what does one look for in determining if they are fit or unfit to drive. Here are a few of the warning signs:

1. Feeling less comfortable and more nervous or fearful while driving.

2. Difficulty staying in the lane of travel.

3. More frequent “close calls” (i.e., almost crashing).

4. More frequent dents or scrapes on your car or fences, mailboxes, garage doors, curbs, etc.

5. Trouble judging gaps in traffic at intersections and on highway entrance/exit ramps.

6. Other drivers honking at you more often; more instances when you are angry with other drivers.

7. Friends or relatives not wanting to drive with you.

8. Getting lost more often.

9. Difficulty seeing the sides of the road when looking straight ahead (i.e., cars or people seem to come “out of nowhere” more frequently).

10. Trouble paying attention to or violating signals, road signs, and pavement markings.

11. Slower response to unexpected situations; trouble moving foot from the gas pedal to the brake pedal or confusing the two pedals.

12. Easily distracted or hard to concentrate while driving.

13. Hard to turn around to check over shoulder when backing up or changing lanes.

14. Medical conditions or medications that may be increasingly affecting your ability to handle the car safely.

15. More traffic tickets or “warnings” by traffic or law enforcement officers in the past year or two.

If you notice one or more of these warning signs, you may want to have your driving assessed by a professional or attend a driver refresher class. You may also want to consult with your doctor if you are having unusual concentration or memory problems, or other physical symptoms that may be affecting your ability to drive.

For Americans, especially elderly Americans, driving is an important part of independence. The loss of driving is second only to the loss of a spouse or a job for causing stress and unhappiness. Giving up your keys may have a major psychological effect on you. However, even if you must limit or give up driving, you can still get around. You can walk, carpool, ride with friends and family, take taxis, buses or trains, or use senior transit services. Remember, pride cannot protect you from another vehicle.

Father talking with his daughter

Where There is a Will, There is a Legacy

By: Mr. Katz

“Some believe all that parents, tutors, and kindred believe. They take their principles by inheritance, and defend them as they would their estates, because they are born heirs to them.”- Alan W. Watts. Some of you who read our articles monthly know that Adam seldom has an original idea this one is no exception. In December of last year we received a letter from our attorney. It detailed how to pass on an age-old tradition of ethical wills. For the past three months we have discussed the values, memories, virtues, and standards our parents and grandparents have instilled in each of us. The idea behind this was to have our readers discuss these very things with their families. To pass these ideas on to our children and their children, creating a legacy that will last past the grandfather clock or fine china place settings.

You do not need be a journalist or Pulitzer Prize winning writer to compose a memory will. The words, feelings and thoughts that come from the heart grow in another’s heart. Take time to make notes of what you value most, it can be the value of hard work from your father, the compassion your mother showed strangers, the way your grandfather raised high the American flag not only on the Fourth of July, but everyday. Once you have the ideas of what you want to write about you have your outline for your will.

Take time to write about the details of each memory. Make it philosophical, funny, or touching. Talk about the baseball on the mantle that hit grandma in the head at baseball game or how your grandfather laid the cornerstone to building on Main Street. Paint the picture with words of your parents, who you thought you would never become. Let your loved ones inherit the richness of your family history. It is not the value of the objects we leave, but the memories we share that make us great. 1Peter 1:14 reads, “And to an inheritance which is imperishable, undefiled, and unfading, kept in heaven for you, “this is the gift you leave your family.

 

 

Daughter helping her mother with medications

The Red One is for What?

By: Mr. Katz

How many medications do you take on a daily basis? Not just the ones prescribed by your doctor(s), but also the Over the Counter medications you take as well. You know the ones, the vitamins, supplements, drops, ointments, lotions, and the like. Do you know what they are doing to your prescriptions? Are they causing more adverse effects or are they potentially making the prescriptions ineffective?

Over the Counter medicines help people feel better, get back to work, and be more productive. They are staples in the medicine cabinets. In fact, there are more than 100,000 Over the Counter products available today. While you can buy them without a doctor’s prescription, it is important to remember that Over the Counter medications are medications and must be used with caution. Consider this: less than 30 years ago, more than 700 of today’s Over the Counter medicines were available only with a doctor’s prescription! According to research from Roper Starch Worldwide, 77% of Americans take Over the Counter products to treat common ailments.

Carefully reading and following the Over the Counter Drug Facts label is more important than ever before. The U.S. Food and Drug Administration (FDA) developed the label to make sure users have all the information necessary to choose the right medicine and to use it safely and effectively. The label explains:

  • what is in the medicine;
  • how, when, and when not to take or use the medicine;
  • how to store it
  • when to talk to a healthcare professional.

Millions of us rely on Over the Counter medications every day. Despite their convenience, it is important to remember these are real medicines. While each Drug Facts label contains a great deal of information specific to a particular medication, some general guidelines can help you safely take OVER THE Counters or give them to your family.

  1. Pay close attention to the active ingredient. This is especially important if you are taking more than one prescription or Over the Counter medicine, since many drugs contain the same active ingredients. Taking too much of an active ingredient can be dangerous.
  2. Choose those products that treat only the symptoms you actually have.
  3. Never take more of an Over the Counter medicine, or for longer than directed on the label, unless a doctor specifically tells you to do so.
  4. Read and follow the “warnings” and “directions” sections carefully.
  5. Do a brown bag test for your doctor.
  6. Ask questions of your doctor or pharmacist.

 

Nurse helping elderly patient

Know When to Get Help!

For most of us independence and privacy is an important condition for a comfortable life. We each have our habits and methods of doing things, and life has a rhythm that just “fits” our personalities. But as people age and physical changes occur, we may find ourselves or loved ones dealing with those changes ineffectively. Sooner or later the question starts ringing in our heads, “When should I look for help?”

But then we think, “Oh, I don’t need help. I don’t want to be a burden to anyone.” or “I can’t tell Mom what to do – she’d never listen to me, anyway.” Or “Dad would never accept help, he’s too proud.” or “It’s not time yet, let’s wait”. And so we wait and do what we can ourselves, all the while still wondering, “When should I look for help?”

The good news is we don’t have to guess. There are some common indicators that help us tell when it’s time to get some help. We don’t have to wait for a crisis situation to throw everyone into a panic. If fact, the goal should be to avoid the crisis, for everyone’s benefit.

Here are some indicators to consider…

1. Physical Condition:
Have you or your loved one been diagnosed with a medical condition that affects their daily living? For example, dressing; grooming, shaving, toileting, eating.

2. Personal Care:
Are baths/showers being taken regularly? Is there any body odor? Are teeth and hair brushed and washed regularly? Are incontinence products worn if necessary and changed regularly and correctly?

3. Driving:
Has driving become difficult, uncertain or scary? Have reflexes and decision making slowed? Have new dings, dents or scratches appeared on vehicles?

4. Nutrition:
Is your or your loved one’s weight stable? Are you/they eating regularly and nutritiously? Is the refrigerator properly stocked with a variety of foods? Does all the food have current expiration dates? Is there spoiled food in the refrigerator or on the counters?

5. Household Tasks:
Are household chores being done regularly? For example, dusting, laundry, vacuuming. Are bed linens changed regularly? Have household chores become frustrating, physically demanding, or time consuming?

6. Socialization:
Do you or your loved one have moods of loneliness, despair, depression, frustration, irritability, or anxiety? Is there fear or insecurity about going out of the house?

7. Mental Health:
Are there memory lapses? Is there difficulty finding the right words? Is there inconsistency between words and action? Is anxiety or moodiness evident?
8. Medication:
Are medications being taken regularly and on time? Are medications being refilled on schedule? Does the senior understand what the medications are being taken for?

9. Finances, Mail, Paperwork:
Is the senior having difficulty managing their checkbook, finances, bills and personal affairs? Are there past due notices arriving? Is mail piling up? Is there a reasonable amount of cash on hand? Are important documents or similar items like purses, wallets and keys being misplaced frequently or for long periods of time? Are they appearing in unusual places?

10. Safety, Security and Sanitation:
Are appliances being left on such as the stove or coffee pot? Does the senior fall asleep with cigarettes burning? Is the house allowed to get too hot or too cold? Is the house always unlocked? Has the senior fallen in the past 6 months? Have there been multiple falls? Is there clutter on the floor? Is trash piling up in or around the house? Are toilets functioning properly? Is pet debris evident?

Family members often see the changes in the way a senior moves, acts, thinks, and responds to situations around them but dismiss them until one of two things happen. Either the family begins to spend so much time helping the senior themselves that they have little time for their own responsibilities or the senior experiences a physical or medical crisis. Both of these result in undue stress for the family and the senior. If you have a concern with even one set of indicators, it’s time to acknowledge it, learn more about what is causing it and what options are available to overcome it. Speak openly, calmly, and honestly about the issue and the type of assistance needed to overcome it. Frequently, simple changes can make a big improvement. We encourage you to be proactive and avoid a crisis situation that throws everyone into an emotional reaction. Calm, rational transitions are easier on everyone than stressful ones.

Finally, keep your efforts as informal as possible. Rather than going through the house like an inspector with a checklist, make your observations through normal, casual interaction. Make a mental note when you see things that are of concern. Keep conversation non-threatening and cooperative. Make every effort to respect the senior’s wishes while assisting with their needs.

 

Mother and daughter

Take a Test

HALO SENIOR CARE’S TEST
HOW DO YOU KNOW IF SOMEONE NEEDS HELP?
 Scoring:  1 = Strongly Disagree  2 = Disagree  3 = Agree  4 = Strongly Agree
 My loved one is in control of their mental faculties
 Do they act impulsively 1 2 3 4
 Are they able to recall time, place and local 1 2 3 4
 Are they forgetting to take their medications 1 2 3 4
 Are they forgetting to keep or make appointments 1 2 3 4
 Do they pay their bills on time 1 2 3 4
 Are they withdrawn or depressed 1 2 3 4
 Are they still active in their social events 1 2 3 4
 Do they call you frequently for assistance 1 2 3 4
 My loved one is in control of their physical functions:
 Able to prepare meals 1 2 3 4
 Able to feed self 1 2 3 4
 Able to dress self 1 2 3 4
 Able to toilet self 1 2 3 4
 My loved one is safe:
 No vehicle accidents (even small ones) 1 2 3 4
 Gets lost driving or walking 1 2 3 4
 Leaves pots and pans on stove still cooking 1 2 3 4
 Allow strangers in the house/Lock themselves out 1 2 3 4
 Is you’re loved at risk for a fall:
 Are they taking four or more medications 1 2 3 4
 Do they have a history of falling 1 2 3 4
 Do they use an assistive device to walk 1 2 3 4
 Have they been hospitalized in the past 12 months 1 2 3 4
Scoring
0-40 points minimal assistance needed
41-60 points’ moderate assistance needed
61-80 points’ high-level assistance needed

 

In Case of Emergency!

In Case of Emergency Please Call…

By: Mr. Katz

In the wake of recent events in New Orleans, monsoon floods in Arizona, and the tragedies of September 11, we have been overwhelmed with the number of calls regarding safety in the home and disaster preparedness for our seniors. What information needs to be put together, how do we put it together, and how do we communicate our wishes to our families? What constitutes a disaster plan, where do we keep the information, and how do we access this material in case of an emergency?

First and foremost, no matter what the disaster, know that the outcome is in the Lord’s hands (Is 27:5 “Or let them lay hold of my protection, let them make peace with me, let them make peace with me.”). To be prepared in the face of adversity is a simple task that just takes a little planning. First, we advise all of our clients to make sure they have a living will and powers of attorney (medical-at the very least). In Texas these forms can be completed and registered at San Antonio Advance Directive Registry. Healthcare professionals can access this database to understand what your wishes are and how best to execute them.

Second, we have all of our clients keep a list of medication that they are currently taking easily accessible. It is best if you compile a list with the name of the medication, dose, frequency of taking the medication, and doctor’s name and telephone number who has prescribed the medication. Also, keep the name, telephone number, and address of the pharmacy where you get your medications. Also, write down all of your medical diagnoses, allergies to medication and food, and emergency numbers of family or friends on the back of this form (keep only one or two names and numbers). Let those you have listed know they are on your emergency call list, as well as give them copies of your Advance Directives. Place this information in a sealable storage bag and tape it the refrigerator.

Now that medical information is set aside, do you have a fire extinguisher, first aid kit, and an emergency exit plan in case of fire? When is the last time you checked the batteries in your smoke detector? Do you have a good flashlight with spare batteries?

A lot of the displaced families from the recent hurricane in New Orleans had or are having a difficult time accessing the personal funds from banks. Put together a list of accounts, account numbers, and Personal Identification Numbers (PIN) and keep these in a safety deposit box or mail them to a trusted family member out of state for safekeeping. The power may go out, but financial institutions still operate.

With a little planning, forethought, and discussion, a good number of tragedies can be minimized or even avoided. And please keep praying for those who are continuing their battle after these tragic events.

Nurse helping elderly woman

Give a Little, Get a Lot

By: Mr. Katz

The number of Americans over 60 years of age is 42 million-plus and growing. That’s a lot of living, a lot of experience, a lot of love, and a lot of time. As seniors age, they typically feel displaced in the work place, in society, and sometimes even in their own families. Seniors are one of this country’s greatest natural resources. They have so much to give and your talent and wisdom are needed at every level of American life. Offering your services helps put this much-needed knowledge and experience back into the community. But where does one go when he or she feels that the world they live in has shut them out or even abandoned them?

America has a proud tradition of neighbor helping neighbor, and this volunteer spirit is needed today more than ever. If you have finally won the right to pursue relaxation, purpose, and nobility, then consider these reasons for volunteering your services:

It provides a way to be useful, help others, and do good deeds.

The work is enjoyable (and it doesn’t feel like work) and makes one feel needed.

Volunteerism is good for the heart. It increases your self-esteem, as well as lessens stress and depression.

Studies show that people who volunteer live longer, healthier, and happier lives.

People are so in need of tender loving care that your volunteering efforts will reap appreciation.

After a lifetime of needing to take, retirement can be a time to give back.

Some programs, like the Senior Companion Program, respond to the greatest needs of seniors. Some day you may be in need of this aid.

You can help somebody not as healthy or fortunate as you.

Volunteering does not have to be an over-exacerbating period of time or remanded to some menial task that feels like a job. When choosing a volunteer position, look for an area in which you have a special interest. Turning the time you donate into a pleasurable period not only benefits your interest but also the ones you are assisting. Whatever you do, wherever you do it, remember always do it with a smile on your face and love in your heart, and you will change the world (one person at a time). You have a wealth of knowledge, experience, and love to give, so give it away and see what will come back in the end.

 

Mother and daughter cooking

Depression

Understanding the Problem

Older people often experience changes in their lives that can precipitate feelings of depression. Some people experience physical changes that affect their eyesight, hearing, or ability to move their bodies as they once did. Others experience adverse changes in their health or new medical conditions that require them to take a number of different medicines. Still others experience changes in their ability to think and remember.

In addition to physical changes, many older persons experience lifestyle changes. Some retire from their work and need to find new ways to fill their time or make themselves feel useful. Others move into a smaller house or apartment, or move in with family members who can help take care of their needs. Some elderly individuals move into assisted living facilities or nursing homes. Additionally, most older persons lose friends or family members (spouses, brothers or sisters) who pass away. Studies show that as many as 25% of people who lose a family member or close friend are seriously depressed for months after the death.

These types of changes are increasingly common the longer we live, and they can be difficult to cope with. This is especially true when several changes occur at the same time. The stress of dealing with these changes can cause many uncomfortable feelings including depression.

Sometimes older people are able to get over “the blues” after a short time. On the other hand, sometimes these feelings last a long time and can severely hurt their quality of life. When a person is sad, discouraged, pessimistic, or despairing for several weeks or months, and when these feelings interfere with being able to manage day-to-day affairs, we say that he or she is suffering from depression. Depression can last a long time if the person does not do something to stop it.

In addition to feelings of sadness, depressive symptoms sometimes include problems with appetite, sleeping, lack of energy, ability to pay attention to things, and loss of enjoyment of favorite activities. Other symptoms can be vague physical complaints such as headaches, constipation, or aches and pains in several parts of the body for which there is no medical explanation. Excess use of alcohol, especially if it is new or worse since the person has experienced a significant life event, may also be a sign of depression. Sometimes a depressed person thinks about suicide as a way out of his or her problems.

If an older person is depressed, he or she will have problems coping with the changes that are happening in his or her life. Depression works like a downward spiral. The person feels down, so he or she does not put energy into solving problems. When the problems get worse, they can make the person feel worse. And so it continues. This spiral pattern must be interrupted. Some kind of change has to happen, or these feelings will become severe and will last for a long time.

Depression can also be a side effect of some medicines, or it can be caused by chemical imbalances in the body due to medical illnesses. It can also be caused by the combination of several medicines taken at the same time. When this happens, changes in medical treatments may help the depression.

It is important to remember that, although depression commonly occurs among the elderly, it should not simply be accepted. There are several treatments available to help relieve depression and most people can find relief with one of them, regardless of their age or situation. People may also experience depression along with medical conditions. Even when everything is being done to treat the medical conditions, additional efforts often can be made to relieve the depression as well.

Some depressive symptoms are a normal response to the stresses and uncertainties people experience in their lives. Don’t expect to get rid of all of these feelings. However, you can help prevent feelings of sadness or discouragement from becoming severe or continuing for long periods of time. With help, you may keep depressed feelings under control. If the symptoms become severe, you can seek professional help.

If you are seen by a doctor, he or she may prescribe antidepressant medicine. If so, you need to ensure that the medicine is taken as directed. It might take several weeks or even months before the medicine is fully effective and it may be continued on a low dose after the depression subsides. Therefore, you may have to continue to monitor how the antidepressant medicine is taken for a long period of time.

Be sure to give the doctor a list of all prescription medicines, over-the-counter medicines bought at the pharmacy, and any herbal or other alternative therapies, as well as the dosage levels and the times they should be taken. Preventing negative drug interactions is very important.

Living with depression can be stressful for everyone involved in your life; spouse, children, caregivers, other family members, and friends. It is important to pay attention to your own emotional health so that you can do your best. It is important to ask for help.

Your goals are to:

  • Work to manage depressed feelings and thoughts
  • Keep an eye out for early depressive symptoms and get help to manage depression before the symptoms become severe
  • Consider when professional help is needed and get assistance in getting this help

When To Get Professional Help

Symptoms indicating the need for professional help

If any of the following is occurring, you should get professional assistance:

Talking or thinking about hurting or killing yourself.
Older people are successful at committing suicide more frequently than people in other age groups. Anyone who talks about suicide should be taken seriously. If you think there is a possibility of suicide, this is a problem that requires professional assessment and help. Although it may be uncomfortable for you, you should seek professional assistance as soon as possible.

Not eating or drinking enough to sustain life.
This may also be a symptom of depression and it needs to be evaluated promptly.

Depressed in the past and have had at least two of the following symptoms consistently during the past two weeks:

  • Feeling sad most of the day
  • Loss of interest in almost all daily activities
  • Difficulty paying attention to what he or she is doing and trouble making decisions.
    A person with a history of serious depression is vulnerable to depression after a major life stress. Major life changes such as a family member dying, becoming physically disabled, developing a chronic medical condition, or moving into a new home often trigger depression in such a person. When this happens, professional help is often required to relieve the symptoms.
  • Acting sad, but not any events that could explain why
    Sometimes depression can be a symptom of the beginning of other medical problems such as thyroid disease, Alzheimer’s disease, or cancer. A doctor can help look for other causes for the depression and recommend the best treatment.
  • Changes in memory, concentration, or personal hygiene
    When a person is depressed he or she may put less effort into bathing and grooming, and may become forgetful or easily distracted. These signs in elderly individuals become accepted as normal signs of aging or becoming “senile.” Regardless of the age of the individual, these are signs of a problem. A doctor can help determine what is causing these changes and refer you to a professional who can help.
  • Dementia and also has depression symptoms
    Depression is frequently seen among people who have illnesses such as Alzheimer’s disease, Parkinson’s disease, and strokes that can cause dementia. People might think that depression is only another symptom of the illness of dementia. However, in some cases, a mental health professional can provide treatment for the depression separate from managing the dementia. Treating depression can improve a person’s quality of life and may even improve some of the difficulties he or she is having with day-to-day activities.
  • Mood swings from periods of depression to periods of agitation and high energy
    Some people who have wide, uncontrollable swings in mood may have a “manic-depressive” illness. They cycle between being depressed with low energy and having a great deal of energy with feelings of agitation or feeling “high.” In many cases, the cycles aren’t connected to what is going on around them. A professional assessment is required to determine if medicine is necessary.
  • In a nursing home and noticeable symptoms of depression
    Living in a nursing home can cause people to develop depression. You can be helpful to the staff by noticing and pointing out changes in your mood or behavior. If you notice signs of depression, discuss them with someone on the staff.

How to get professional help

Getting help for depression is just like getting help for physical problems. Asking for help does not mean you are saying you are crazy. The problem could be caused by the stress related to life changes that are occurring or to medical treatments being received. Depression could be an understandable reaction to whatever is going on in the person’s life.

Some people are hesitant to ask for professional help with their emotional problems because they are embarrassed. They think that seeing a psychologist, psychiatrist, or social worker means that they are weak, strange, or unable to handle normal things that happen while “growing old.” Many people were raised to believe this. However, being upset during life changes is normal at any age. So is getting help for the sadness.

Professionals such as social workers, clergy, psychologists, psychiatrists, and geriatricians are skilled and experienced in helping people deal with emotionally stressful experiences. They are there to help you with this kind of problem just as your family doctor is there to help with physical problems.

  • Ask for help from a family medical doctor
    Doctors familiar with your other medical conditions and treatments can evaluate whether the depression is due to the disease or the treatment. If it is due to the treatment, then a change in treatment may be needed. Doctors can also evaluate whether antidepressant medicines might help and can prescribe them if necessary.
  • Ask a mental health professional such as a psychologist, psychiatrist, or social worker for help
    Mental health professionals are experienced in helping people with many types of emotional problems. They can be especially helpful when there is a history of depression and when the depression is not due to other medical diseases or treatments. Certain mental health professionals like geriatric psychologists and geriatric psychiatrists specialize in treating elderly people. These professionals may be especially helpful in meeting your special needs. Mental health professionals can be very helpful when depression is a reaction to the stress of life events and life changes.

Changing depressed feelings takes time. It usually takes several sessions with a counselor or therapist before one begins to feel better. It also takes time for medicine to work, and the doctor may need to adjust the dose before the medicine is helpful.

Helping Yourself

Family members and friends can help you overcome or deal with depression. Communicating that you need help is the first way to start. A lot of times people want to help but are unsure or unaware how to do this. Explaining your situation and some of your needs is important.

Schedule positive experiences for yourself.
Keep doing things that make you feel good. Sometimes having someone share in a favorite activity is one way keeping your mind off your depression.

Get the companionship you need.
Being with others is as important for you. Continue to do things with people you like and enjoy. This helps to prevent and manage your own “blues.” If you feel yourself becoming depressed, seek out other people to talk to and do things with. Some people find it helpful to talk to other people about their problems. Others find it more helpful to talk about things that have nothing to do with their problems. This depends upon how you feel and the person you are talking to.

How to prevent or decrease depression

Much of the work in controlling depression has to come from the person who is depressed. This section describes several things that a person can do to prevent or decrease depression. You should read the suggestions carefully.

Pleasant, satisfying experiences help people cope with stressful events they encounter in their lives. Having fun makes people feel better physically and emotionally. When people regularly do things they enjoy, they keep a positive outlook on life and are less likely to become depressed during difficult times.

One of the most important things a person can do is find a balance between his or her problems and the enjoyable things in life. Your goal is to arrange as many pleasant, positive experiences as possible. Focus your attention on three types of activities:

  1. activities with other people,
  2. activities that give a sense of accomplishment, and
  3. activities that make you feel good. By engaging in positive experiences, you can overcome depression.

Increase activities that are done with other people

Being with people you know and enjoy is an excellent way to take attention away from negative thoughts and feelings. It provides opportunities to think about one’s own life in comparison to others and to recognize the good things in one’s life. It provides opportunities to give as well as to receive help, to share experiences and perspectives, and to get help in dealing with problems that are causing depression. Most important is that other people can express caring and love. Knowing that other people care and are available to help when needed gives strength and confidence to people who are having difficulty coping.

Three types of people can be especially helpful in preventing someone from experiencing depression. Make a list of friends and family members using the following categories:

  • People who are sympathetic and understanding.
  • People who give good advice and who can help solve problems.
  • People who can turn attention away from problems and toward pleasant experiences.

Setting reasonable, attainable goals

Depressed people tend to set goals that are too high, and when they do not reach their goals, they become even more depressed. When you plan positive experiences, be sure that your goals are reasonable. It is better to set a low goal and accomplish more than you expected than to set too high a goal and fail. When working around new limitations, be creative. Usually, there is more than one reasonable way to solve any problem.

Checking on Progress
Talk regularly about your feelings. If you show that you are comfortable talking about feelings, other people will be more aware of depression and more sympathetic and more likely to help you deal with depression.

Watch for indications that professional help is needed.

What to Do If You’re Plan Isn’t Working
Ask yourself if you are expecting change too fast. It usually takes time to manage depression. Look for a small improvement at first. Remember, your efforts may be successful even if they just keep depression from getting worse.

If these techniques do not seem to be helping and you been feeling very depressed for several weeks, review this chapter to be sure you have tried all of the ideas. If so, you should seek professional help. You may need to bring someone during the visit to the psychiatrist or psychologist.

Techniques for Controlling Negative Thoughts

Trying some or all of these techniques might bring some results in overcoming depression. Using these techniques may help to stop depressed feelings before they get out of control.

Reminiscing. When you start to feel down, try thinking about positive things that have happened in the past. Remembering the past helps you to re-experience positive thoughts and feelings. It can also help you to feel better about how life is going for you overall.

Storytelling. Children and young adults are often very interested in what you did in your life. Tell them stories about yourself. Simple things like what your first grade teacher looked like or where you had your first job may be interesting to them. If the children do not live nearby, type or record your stories.

Look at old photographs and memorabilia. Looking through photo albums and keepsakes can help jog your memory and remind you of more stories to talk about.

Play old music. Most people find music enjoyable, and old songs can also bring back memories of good times you have had. Do be aware, however, that certain music may cause sadness and longing for a deceased family member or good friend.

Take a trip to a place that brings back memories. Visiting places such as the street where you once lived, the school you attended, or the church, mosque, or synagogue you attended can also bring back memories for you. Take someone along who would like to know about these places and the meaning they had in your life.

Call or visit an old friend. Who can understand your past experiences better than someone who shared them with you? If you have an old friend, talk to him or her when you start to feel down. Bring up old times. Talk about something important you did together or something funny that happened.

Research your family history. Many people enjoy finding out about their ancestors-who they were and what they did. You can pass on this information to younger family members to carry on your family history. Most older people can remember things that happened a long time ago, even when they have trouble remembering what happened recently. Don’t worry about things you can’t remember; just enjoy what you can.

Companionship. Elderly people spend a lot of time alone. Unfortunately, time alone is when negative thoughts can go around and around in your head. Therefore, try to plan doing at least one activity each day with another person. For example, try taking walks with someone, joining a support group, having a meal with a friend, or talking on the telephone. Use brain storming techniques to think of other ways you can spend time with others. (In brainstorming you let your imagination go free and think of ideas without worrying about whether they are practical. Then you go over your idea list and try to think of ways to make them practical. Finally, you select the ideas that are practical and the most helpful.)

Thought stopping

One of the hardest things about depression is getting stuck in a whirlwind of negative thinking. Suddenly depressing thoughts are going around and around in your head. It does not take long for this to make you feel bad; and then it may seem like you cannot stop. But you can!

Thought-stopping techniques help you to “snap out of it” when that whirlwind of negative thoughts first starts. If you catch it early, you can stop yourself from getting extremely upset. The trick is to do this when you first notice a negative thought.

When you first feel yourself in the negative-thinking whirlwind, try one of these techniques:

  • Yell “STOP” loudly in your mind. Silently scream, “STOP,” pretending it is very loud. The idea is to “wake yourself up,” to become aware of the danger of getting stuck in negative thoughts. You can start by going to a private place and shouting “STOP” aloud. Then gradually shift from shouting out loud to doing it only in your mind.
  • Imagine a big red STOP sign. Think of what a STOP sign looks like. Try to see it clearly. Make sure it is a red sign. Practice imagining it so that you can bring it to mind easily. Then, whenever you catch yourself starting negative thoughts, think of this sign to stop yourself.
  • Splash some water on your face. Splashing water on your face is another way to wake yourself up from the negative thinking. Pay attention to how the water makes you feel, rather than dwelling on the negative thoughts.
  • Move to a new spot. Getting up and moving to a new spot gives you a change of scenery. Use the new surroundings to help you think about other things. Go outside and get some fresh air; take deep breathes.

You have to fight negative thoughts. You may need several of these techniques to control strong negative thoughts. If you’re feeling depressed, you might think, “These techniques are silly. They could never work.” Actually, research has shown that they can work. Give them a try.

Arranging a time and a place for negative thinking

This technique allows you to think about negative things, but puts you in control of when and where to do this thinking.

  • Find a negative-thinking “office.” This can be a room, a chair, or a certain window. Make this the only place you let yourself think negative thoughts. Your “office” space can be any place you choose. This should not, however, be your bed or the seat where you have your meals. These need to be “safe zones.” Once you choose your negative-thinking “office” try to think negative thoughts only in this one place.
  • Schedule a time each day to think negative thoughts. Scheduling a time to think about negative thoughts can help you take control of them. It is best not to make this time around mealtimes, just before going to sleep, or just before expecting to see people. These meal, sleeping, and visiting times should be relaxing. Also, make your negative thinking time no longer than 15 minutes and always stop at the end of 15 minutes. A timer can help you stop on time.

Attending to positive thoughts

It is impossible to think two things at once. When negative thoughts begin, start thinking about other activities that can “push out” or replace the negative thinking. Try one of these ideas:

  • Prayer. Go to a quiet place and pray. You can read and recite prayers or pray silently. Beware of letting your praying turn into time spent thinking about problems. If praying makes you uncomfortable or turns into time thinking about problems, then reading the Bible or other religious writings may be helpful.
  • Taking a vacation in your mind. Close your eyes and think about your favorite spot. Spend a few minutes there on a mental vacation. Relax and enjoy it.
  • When you take your mental vacation, work your imagination by thinking of as many details as possible:
  • What does it feel like? Is there a warm breeze? Imagine how it feels on your skin.
  • What does it sound like? Are there waves gently crashing on the beach? Are people laughing, or is music playing? Imagine it as clearly and vividly as you can.
  • What does it look like? Is the sky clear and blue? Or are you in a room? Imagine what the room looks like. Try to see it as completely as you can.
  • What does it smell like? Is it the salty smell of the ocean? Do you smell the fragrances of a garden or a big dinner? Make it as clear as you can.
  • What does it taste like? Are you drinking a nice cool drink? Feel it in your mouth and taste it.

Use this exercise to fill your mind with pleasant details. This exercise is also helpful when you are feeling anxious and need help falling asleep.

Arguing against negative thoughts

The goal of this exercise is to make yourself see both sides of the situation. Things are not as bad as they seem when you are depressed. One way to help yourself see the other side is to actively argue against the negative thoughts.

You can fight your negative thoughts. You can challenge the accuracy of your thinking. Every situation has at least two sides to it. When people are depressed, they tend to see only the bad side. When they are not depressed, they usually think of both sides. Use this exercise to force yourself to actively take the other side. Have a debate with yourself.

  • Ask if your negative thoughts are really true? Be clear about what evidence supports these thoughts.
  • Take the other side. Argue the exact opposite. Think of every reason why your thought may not be true or may be exaggerated. Don’t give up too easily. Really argue as if you were arguing with someone else.
  • Be as complete as possible when arguing against your negative thoughts.

Solving day-to-day problems that are causing you stress

Use a problem-solving approach to solving some of the day-to-day problems that are contributing to your feelings of depression, such as finding ways to get around your disability, finding ways to get together with friends and family, getting to your doctor visits, and so on. Solutions to these problems may be as simple as getting a hearing aid, or making arrangements with the local transit system to take you to your appointment. With these problems solved, you will have more energy to put toward relieving your depression.

Keep in mind that depression is an illness that affects all aspects of your life. It is important to get help from family members, friends, and medical professionals. Always remember you are not alone. There is no quick fix for depression; it will not disappear right away. It takes time and effort for people to cope with depression.

Daughter and her mother

Statistics and Trends

Statistics and Trends

The Greatest Fears of Seniors

  • The fear of getting Alzheimer’s Disease
  • Fear of being placed in a nursing home or old age home
  • Fear of being abandoned
  • Fear of running out of money
  • Fear of losing independence and dignity
  • Fear of Crime

Things To Know

Staying In Their Own World is Important

  • Most Seniors prefer to stay in their own home in familiar surroundings.
  • Seniors are walking history books and love to reminisce. They welcome new audiences for their stories.
  • Most older people are not alike, just as most younger people are not alike.
  • The majority of Seniors are rarely bored.
  • Many older people, about 78%, like to continue working, either in paid or voluntary positions.
  • Chief Problems of the elderly are:
  • Tight budgets
  • Purposeless existence
  • Poor health
  • Lack of affordable and trusting home-related services (care and assistance
  • As seniors age, they continue to be challenged by the changes that occur in their bodies and minds. It is at this time that they, noticing these changes, begin a reflection and self-assessment process about what they can and cannot do.
  • Change is more difficult to deal with as our senior’s age. However, it’s not impossible for older people to learn new things when given enough time, attention, opportunity and repetition of the material to be learned.
  • The reaction time of older people, regardless of the event, tends to be slower than younger people and requires understanding and assistance.
  • A large majority of seniors are reluctant to give up driving privileges.

Family Caregiving

Some Facts

  • Nearly a quarter (23.9%) of U.S. households are now involved in caring for an elderly family member or relative, spending an average of 20 hours a week in care giving related chores.
  • Care giving is largely a woman’s issue:
    • Some 72% of caregivers are female, mostly wives and adult daughters.
    • Nearly 65% are also employed outside of their care giving role.
    • If you are a woman you can expect to spend 18 years of your life helping an aging parent and 17 years plus years caring for children
    • Approximately 90% of all women over 18 will be caregivers of children or parents or both in their lives.
  • The average age of a caregiver is 57. More than one in three, however, are older themselves (65 years of age or older).
  • 80% of caregivers provide unpaid assistance seven days a week
  • More than 60% of all family caregivers say they have suffered from depression.
  • Long distance caregivers miss nearly 15 million days of work each years (National council on Aging)
  • Long-term family caregiving takes a significant toll on workers. Lost productivity, absenteeism, interruptions and replacing employees due to elder care, costs American business in excess of $11.4 billion annually. (National Alliance for Caregiving/Glaxo Welcome Report, 1997)
  • A significant decline in the number of family caregivers is occurring in the U.S., while at the same time, the demand for elder care is increasing.

 

Nurse assisting elderly woman

Have You Seen My Keys?

By: Mr. Katz

There comes a time in everyone’s life that we are all looking for our misplaced keys or when we can’t recall a common phone number or even a familiar face. Typically there is no reason to be alarmed. Many of the seniors we come in contact with today even joke about these rare lapse in memory. Some are deathly afraid it is an indicator of something far worse-Alzheimer’s Disease. How does one now if they may show signs of this life altering disease?

Science has made significant progress in understanding the possible causes of Alzheimer’s disease, but many questions remain. It is likely that many factors, both inherited and environmental, interact in complex, poorly understood ways to cause the disease. Memory loss and other problems with cognition or mood could have causes other than Alzheimer’s disease. That’s why medical evaluation is so important. Other possible causes include side effects of medications; certain illnesses such as small strokes or cerebrovascular disease; thyroid problems; depression; fatigue; grief; vision or hearing loss; alcohol use; and potentially even chronic stress. Some of these are treatable or even reversible.

Experts have documented common patterns of symptoms that typically develop in many individuals with Alzheimer’s disease and have creates methods of “staging” based on these patterns. Symptoms usually worsen as the nerve cells of the brain degenerate and/or die. Nerve cell damage typically begins with cells involved in learning and memory and gradually spreads to cells that control every aspect of thinking, judgment, and behavior. The damage eventually affects cells that control and coordinate movement.

While the disease may have a significant impact on not only the patient, but also the family as well there are still multiple ways for all to interact meaningful with one another. Remember that a person can participate in all activities the family has, the activity may have to be modified to adjust to the person’s abilities. With a little planning and vision an individual with Alzheimer’s disease may and can still lead a significant and fulfilling life.

Baby Boomers

As the Baby Boomers Age

By: Mr. Katz

Many employees today are calling in sick – not to care for themselves or their children, but to care for their aging parents. Baby boomers are rapidly moving into the role of caregivers for their parents, but with a few extra challenges due to the changing face of our workforce. Nearly 25% of U.S. households are now involved in caring for a senior family member, spending an average of 20 hours a week in caregiving services. Nearly 65% of those individuals providing the caregiving are employed outside of the home. According to the National Alliance for Caregiving, approximately 15 million days of work per year are lost due to these circumstances. These numbers are forecasted to increase since the longevity of life is being extended by modern medicine.

The workforce is also aging with more people moving toward retirement age and fewer young people filling the ranks. The median age of workers has risen by five years since 1986, making the average worker 40 years old. Women in this age group, who are primarily the caregivers for their parents, continue working full time in order to support their family, pay their children’s college tuition, or save for their own retirement. These situations are even more compounded because many baby boomers have relocated away from their senior family members to pursue job opportunities.

Another issue facing baby boomers and their families is the cost of care for their senior family members. Many members of the sandwich generation will be shocked to find out what the cost of prescription medications really run, especially since many of the medications are not covered by Medicare. This will cause many retired seniors and some baby boomers to continue their pursuit of a career, and not enjoy their Golden Years.

When faced with these issues, it is always best to have some future plan in place. Do not wait until mom or dad is in the critical care bed or is being discharged from the hospital. Here are a few suggestions for the potential or current caregiver to contemplate:

  1. Talk to your parents and/or family members before a crisis. This will help you and all those involved to truly understand their wishes. Discuss with them the topics of Medicare, health insurance, long-term care insurance, and if they have other important legal documents regarding medical treatment (i.e., Living Will, Durable Medical Power of Attorney, etc…).

  2. Locate any community resources that may be available to you and your family. San Antonio has numerous services available for the elderly (i.e. Area Agency on Aging, Meals on Wheels, Adult Day Care Facilities, Housing, etc…). You can access many of these services via the local hospital or skilled nursing facility discharge planners, senior citizen centers, or even the local clergy.

  3. Ask your employer if they can help. Many employers are willing to help employee caregivers in order to retain valuable workers. Find out if your employer offers paid leave benefits for flex hours. Some employees are even beginning to include long-term care insurance or caregiver respite programs in their benefit package.

  4. Ask friends and family for help. Ask them what experiences they have had with some of the community services. Many of these people may have already gone through this and can be of assistance.

  5. Talk to your local clergy. Many local churches and synagogues have family assistance programs or have access via their denominations. If these services are not available, most clergy are familiar with what can be obtained by you or your family.

Caring for our aging parents may be one of the more challenging roles we undertake in our adult lives. With forethought, consideration and a little planning on everyone’s part, it can actually have a more positive outcome.

Halo Senior Care provides an affordable, non-medical, in-home companion care service for seniors, which enables them to maintain their independence, as well as dignity and self-respect. Adam Katz speaks around the Greater Austin area on numerous topics regarding senior care, with a primary focus on fall prevention and home safety.