Alzheimer’s Disease Third Stage and Homecare Services

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homecare servicesAlzheimer’s Disease typically progresses through stages with Stage Three being the last and most severe one. This final period lasts anywhere from one to three years and is quite trying for everyone involved with your loved one’s care. Because of the difficulty, it is often advised to utilize homecare services for additional support.

You can help your loved one by knowing the symptoms to look for and then doing what you can to help.

  • Loss of communication—Your loved one will likely begin to lose their ability to speak. As you help him or her through their daily activities, talk with them about what you are doing as if they had the ability to respond.
  • Excessive movement—Offer activities that allow them to move in meaningful ways. Give your loved one soft material to rub, a doll to rock, or task them with wiping tables.
  • Loss of normal movement—Help them with lifting their arms and bending elbows or other movements that seem to be difficult.
  • Loss of desire to eat—Offer meal replacement drinks with as much nutrition as possible. Also, feed them fresh fruit, ice cream, or other foods they enjoy.
  • Choking—If your loved one begins having trouble swallowing, talk with their doctor or the pharmacist. Thickening agents are available and they make drinks easier to swallow. You can also offer foods that are easy to swallow such as mashed potatoes.
  • Lack of emotion—Sing songs that are familiar and look for any eye movement. Touch them frequently by brushing their hair or rubbing lotion on their arms and hands.
  • Seizures—Talk with your loved one’s doctor and they may prescribe anti-seizure medication.
  • More susceptible to infection and illness—Ask any visitors who may have a fever or cold to postpone visiting until they are well. You can also assure proper hand washing techniques and use anti-bacterial wipes on faucets, doorknobs, counter tops, and other areas that are touched often.

While there are typical patterns with Alzheimer’s Disease, it progresses differently in each person. For more information on this condition or abut how we can help, please contact us.

Alzheimers Care: Stage 2 of Alzheimer’s Disease

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alzheimers careAlzheimer’s Disease is a condition that follows three typical stages. When you know the stage your loved one is in and how you can help them, it allows both you and him or her to feel more comfortable and get the Alzheimers care that is needed.

The first stage, mild Alzheimer’s lasts on average two to four years. As the disease progresses to Stage Two it turns into moderate Alzheimer’s and lasts an average of four years, but can last anywhere from two to ten years.

Symptoms and how you can help:

  • Sleeping disorders—Keep a routine at bedtime. This will help to signal that bedtime is coming. Do things such as wash hands and face, get on pajamas, have a snack, turn the lights on lower, and play soft music.
  • Eating disorders—Have finger foods and snacks available. Some goods ideas are fresh cut fruit and vegetables, sandwiches, cookies, tater tots, enriched drinks, and other small items that are easy to eat with the hands only.
  • Sundowner’s Syndrome—Your loved one may start to display behavior problems during the early evening hours. Try your best to keep the routine structured and the environment calm. Encourage activities that are calm starting late in the afternoon. Washing dishes, setting the table, listening to music, and washing dishes are good examples.
  • Daily activities start becoming difficult—When you see your loved one starting to have trouble doing daily things such as dressing, help them by giving simple directions with one step. Allow them to continue doing as much as they can for themselves, but you may need to mirror the required actions. For instance, brush your teeth to show them how.
  • Incontinence—Remind your loved one to use the restroom every two hours. If accidents begin happening, use adult incontinence products. Also, teach and use good hand-washing techniques.
  • Loss of communication—Your loved one will likely begin to lose the power to express themselves. They may use repetitive speech or use words out of order. Listen to the words and pick out the keywords so you can best help your family member.
  • Falls—Make your environment as safe as possible as your loved one has an increased risk for falling. Look for things that may pose a trip hazard such as footstools, throw rugs, and other things. Also, install grab bars in the shower and near the toilet. Stairs and hallways should be well lit to avoid falls.
  • Argumentative, angry, aggressive—Do not argue with your loved one or try to reason. Be gentle and try to distract them and remove them from the area if it’s highly stimulating.
  • Wandering—Keep your loved one’s environment safe and secure. Put locks on each exterior door, on both the top and bottom. You should also consider adding motion sensors to the doors to notify you that a door has been opened. Tell your neighbors about your loved one and tell the local police in case they see your loved one wandering around without supervision.

Stage 2 of Alzheimer’s Disease causes your loved one to need more and more supervision. We would love to help you. For information on this condition, contact us.

Memory Care: Stage One of Alzheimer’s Disease

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memory care calendar

Using a calendar that’s visible helps people with memory issues feel more comfortable

Alzheimer’s Disease typically follows recognizable patterns in its progression. In each of its three stages, there are specific behaviors and symptoms that are considered “normal.” It is helpful to know these stages as a caregiver so you can make the best decisions for the memory care of your loved one.

If your family member is in the early stages of Alzheimer’s Disease, he is in Stage One that typically lasts for two to four years.

Symptoms and how you can help:

  • Time or place disorientation—Avoid arguing and don’t correct your loved one all the time. Offer a gentle reminder of where you are and what is going on.
  • Short-term memory loss—Consider using a board of some sort that shows the day of the week and date. You can place appointment reminders here, too. Also, use this area to keep glasses, keys, and other things used on a daily basis.
  • Lack of energy—Encourage naps each day during appropriate times.
  • Hard time concentrating—Don’t expect the Alzheimer’s patient to focus on a task for longer than 20 minutes.
  • Short tempered, rage, over-reaction, hysteria—Do your best to keep routines. This will help your loved one know exactly what to expect. Also, do not respond to everything, it is the disease talking. Try to stay calm.
  • Depression—Severe depression is experienced by nearly ¾ of those diagnosed with Alzheimer’s. Watch for depressive behaviors and talk with your family member’s doctor about these behaviors you may witness. It can be helpful to use an anti-depressant to treat the depression.

Helping your loved one with Alzheimer’s Disease can help you, too. For more information on this condition, don’t hesitate to contact us.

Senior Care at Home: Think About the Stairs

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senior care at home

Often household injuries occur due to a fall down the stairs. A small slip can result in a broken bone especially for a senior. Many seniors want to stay in their own home so it is necessary for loved ones to make the environment as safe as possible. Since it is typically not possible to remove stairs from an existing home and install ramps here are some other tips to increase safety of stairs.

Railings

Verify existing railings are securely installed. When pulled on they should not wiggle at all. If railings do not exist it is strongly recommended they be installed. It is best to install railings on both sides of the stairs. Also, verify your loved one uses the railings when going up and down the stairs. Use of railings significantly decreases the risk of falls.

Clear Clutter

Items left on the stairs are a tripping hazard. Nothing should be left on the stairs at any point. If your loved on likes to put items on the stairs that need to be brought to another floor consider placing an empty basket adjacent to the stairs where they can accumulate items to transport. The key is to not put the basket actually on the stairs but instead adjacent.

Lighting

Stairs need to be well-lit. Sometimes this is an issue with stairs leading to the basement. Consider installing higher wattage bulbs over staircases or add reflective tape to the edge of the steps.

Duplicate Items

It is best for your loved on to walk up and down the stairs without trying to carry items at the same time. This will allow them to have free hands to hold onto the railing. Ask what type of items they typically find they need to carry up and down the stairs. If possible buy duplicates of these items so they have one upstairs and one downstairs eliminating the need to transport the item. For example, if they are carrying a water cup upstairs consider purchasing disposable cups to keep upstairs.

Senior Care at Home

Taking the above steps will help lower the likelihood of a fall. However, you may still worry that your loved one is no longer stable enough to traverse the stairs. This does not mean you need to move your loved one. Instead consider the option of senior care at home. A home care aide can help with light housework, meal planning and preparation, medication reminders and provide companionship for your loved one. In addition a safety assessment can be conducted of the home to identify areas of improvement that will help reduce the risk of injury. Endeavor Home Care offers senior home care in Phoenix and throughout the surrounding areas. For more information about at home care, contact us at 480-498-2324.

Reasons to consider at home senior care

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at home senior careTaking care of the elderly can be a tricky business. Naturally, you want to ensure that your senior relatives are getting all the support that they need and deserve as they get older. However, doing it yourself, providing them with personal attention, is all too often simply out of your reach. You have other commitments- jobs, children, friends. Finding the time needed to properly attend to your elderly relatives can be, at times, downright impossible.

On top of that, you might not have the skills needed to give your relatives the care that they deserve. Do you know how to operate a dialysis machine? Administer an injection? Can you tell an ordinary cough from a potentially life-threatening complication? Can you treat bedsores? Do you have the time to learn how to do these things? If not, you may have to admit that you’re simply not capable of giving your elderly relatives the care they deserve.

And that’s saying nothing about how downright disgusting caring for people suffering from dementia or otherwise unable to care for themselves can be. Changing bedpans is an unenviable task.

So, if you’re having problems looking after your parents, grandparents, or other elderly relative, you should admit to yourself that you’re out of your depth and need help. Then, do some research and seek out providers of at home senior care, who will provide much-needed aid and expertise for the people you care for. Both you and they will be glad you did.

For more information, contact us.

Alzheimer’s Caregivers: 7 Ways to Talk About It With Others

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Caregivers at home for Alzheimer’s patients face a difficult task, not only of taking care of a loved one with Alzheimer’s, but also of having to redefine roles and relationships. A once-independent spouse now needs to accept the fact that they need help. A parent must now be taken care of by the children for whom they’ve provided care all their lives. It is a world that is turning unpredictably upside down for many.

caregiversAlzheimer’s, unfortunately, is one of those “invisible” conditions. If the person looks fine, then they must be fine, right? In fact, sometimes the person with Alzheimer’s may not know that they have been diagnosed with it because even those closest to them are uncomfortable discussing it. However, talking about it is the first step to understanding it and to understanding what you can do to help your loved one. Here are seven ways caregivers can talk about it:

1. Be sure the person is aware of it. “You’ve got Alzheimer’s,” is a very blunt way to approach someone, and not the best thing to do for most people. If you are going to be taking care of someone with Alzheimer’s, even if you use a phrase like “memory problems”, be sure they understand that this something that’s going to affect their lives, and that you’ll be there to help.

2. Share the diagnosis. This will help you gain support from others. It also keeps you from feeling like you have to pretend that everything is fine.

3. Talk with your loved one about how to tell others. Close friends and relatives may be told one on one. When former President Ronald Reagan chose to tell others, he did so in the form a written letter.

4. Expect that some people will not believe the diagnosis at first. Especially in its early stages, Alzheimer’s is very hard to notice. Excuses are often offered, such as “Oh, you’re (or he’s or she’s) just getting older.” Instead of trying to force them to see, just accept that they are having a difficult time accepting the diagnosis.

5. Understand that some friends and even family may become very uncomfortable at the idea. They may not know how to respond to it. If some show signs of discomfort, don’t hit them with everything at once. Ease into it a little bit at a time.

6. Let people know that cards, letters, and even visits are welcome. Let them know when good times to visit are. Even mild to moderate Alzheimer’s patients can start to feel shunned by friends and family who won’t come around because they’re unsure if they should.

7. If anyone asks if there’s anything they can do, be ready with a list of suggestions. There’s no need to take this on by yourself, and if you have friends and family willing to lend a hand, accept the offer.

Alzheimer’s is a difficult condition for both seniors and their caregivers. If you can build up a support team of people willing to help, to talk, and to listen, you’ll find you have a lot more options than you may have first thought when it comes to caring for your loved one. Contact Endeavor In Home Care to see how we can help and become part of your support team with a professional in home caregiver in Phoenix or the surrounding areas.

Dementia Care: How to Know When Help is Needed

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dementia careIf you have a loved one who has been diagnosed with dementia it can be difficult to determine if it is still safe for them to live independently. Often family members worry but the loved one insists everything is fine and help is not needed. News stories of dementia patients wandering away from home and requiring a search and rescue effort increase concern for family members. No one wants their loved one to become a missing dementia patient. How do you determine when dementia care is required to keep your loved one safe?

First, you should be aware that it is possible to provide dementia care in home. In other words, it is not necessary to move your loved one to an assisted living facility especially at the early stages of dementia. If your loved one strongly desires to stay in their own home it can be achieved. In addition, you do not have to provide the care yourself. It can be exhausting and overwhelming caring for a dementia patient especially if you do not have the appropriate training.

To determine if your loved one needs dementia care you should ask yourself the following questions:

How do they spend their time during the day?

* Are they still able to successfully shop and cook for themselves?

* Are they consuming nutritious foods? Do they need help eating?

* Are they able to keep their house clean or are dishes and laundry piling up?

* Do they keep up with paying bills on time?

* Have there been any instances in which the water was left running or the stove left on?

* Are they able to adequately maintain their personal hygiene?

* Do they tend to wander?

* Do they wear inappropriate clothes for the weather or wear the same clothes for days?

* Do they take their medication as prescribed or do they have trouble keeping track of what to take when?

If any of the above questions were answered in a way that makes you realize your loved one is no longer capable of living independently contact us at Endeavor Home Care. We offer home care services that include errands, light housekeeping, meal preparation, grocery shopping, medication reminders, transportation for doctor appointments, and companion care in Arizona cities including Tuscon, Phoenix, Scottsdale, Gilbert, Chandler and more.

Should I Pay My Home Senior Care Provider “Under the Table?”

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The last thing you need when a loved one is in need of at home senior care is to be audited by the IRS. OK, it’s not exactly something anyone wants, but the short-term savings of hiring a helper under-the-table will be quickly overwhelmed by the costs of penalties and possibly legal fees if you are caught not paying required taxes.

And that’s not all! Hiring a caregiver under the table, without working through a reputable home care agency is extremely risky. A privately hired caregiver has no supervision or oversight, and has not been background checked and screened – leaving an older adult vulnerable to fraud or elder abuse. Also consider what will happen if the caregiver should become sick or takes time off for a vacation. There’s no backup care available when working with one individual. Finally, think through what might occur if the caregiver was injured in your home, or if items of value went missing. Without being bonded and insured, you would be liable for any applicable expenses: medical bills, worker’s compensation, the replacement cost for valuables, etc.

at home senior care

How Can I Avoid a Catastrophe When Hiring a Caregiver?

Thankfully, we have a solution that allows you to simply enjoy the benefits of in home care without any fear of legal or other serious repercussions.

A home care agency like Endeavor In Home Care will work with your budget and identify the best personnel to care for your family member in a home setting. And you will know that you and the caregivers who are working in your home are in compliance with federal and local laws. Our caregivers are fully bonded and insured, extensively trained, and background checked, for your peace of mind, while we take care of all of the necessary taxes, worker’s compensation, and oversight.

It’s not just celebrities and politicians who get caught up in “nanny-gate” situations through inappropriate hiring processes. Essentially the government likes to keep “off the books” employment to a minimum, so unless you are running a lemonade stand, someone needs to be paying taxes. Your legal options are to hire a care giver directly and take responsibility for filing tax reports (which you either have to do yourself or pay your own tax provider to handle) or you can contract with an at home senior care agency and be confident that payroll and taxes are handled in a professional manner.

If you would like to consider the option of professionally managed at home senior care from the leading caregivers in Phoenix and the surrounding areas at Endeavor In Home Care, please contact us.

Senior Safety at Home: Establishing a Safe Environment

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senior care at homeMany seniors desire the ability to live at home for as long as possible. Often they would like to live in the same home they have lived in for years and possibly even raised a family in. Providing senior care at home is achievable. One of the first steps is making sure the home environment is still safe as the needs of the senior changes over time.

Bedrooms and bathrooms tend to be the most unsafe areas of the home for seniors with falls being the most common home accidents for older adults. Conducting an annual safety check is important to help prevent falls and allow seniors to remain at home. Here are some suggestions for things to evaluate during a safety check.

Bedroom

Look for throw rugs or torn carpet which can create a tripping hazard. Remove or attach to the floor with double-sided tape, glue or carpet staples to minimize the hazard.

Verify access to a telephone is available for night time emergencies. Consider installing a cordless phone, cell phone or emergency alert system.

Verify bed height is appropriate. It is too low if the knees are above the hips when sitting on the bed and is too high if the legs do not touch the floor when sitting. Add risers to raise the height. Remove the bed frame to lower the height.

If electrical cords present a tripping hazard because they run along the walking path use extension cords to run them behind furniture and rearrange furniture as needed.

Bathroom

Add grab bars near the shower and toilet to prevent falls.

If the bottom of the tub is slippery use a rubber mat or adhesives on the bottom of the tub to reduce the risk of a fall.

Check that the tub and toilet are at the correct height. If the toilet is too low add a raised toilet seat.

Consider using a medication organizer for pills and setting it on the countertop so it can be easily reached.

General

Do all stairwells have sturdy handrails? Ideally handrails should be located on both sides of every set of stairs. Consider having them installed or replaced if they are not present or not sturdy.

Is emergency contact information easily accessible by the senior if needed? Consider posting this information in multiple locations throughout the home.

Check for working smoke detectors and carbon monoxide detectors on all levels of the home.

If taking care of oneself has become a challenge for a senior you love, it is worthwhile to look into in home care options. Advantages of in home care include:

Hygiene assistance
Companionship
Medication reminders
Light housekeeping
Meal planning and cooking
Complete home safety evaluation performed by an occupational therapist
Physical therapy exercises
Peace of mind for you and your loved one
And more

Having help at home can reduce the risk of accidents or injuries and extend the length of time a senior is able to continue to reside in their own home. For more information about at home care contact Endeavor In Home Care, a top-rated Mesa respite care and in home care provider for the surrounding areas.