Author Archives: homewatchcaregivers

Keeping the Body Healthy May Help Brain Health

Regular exercise may not just benefit seniors physically – some experts say the activity can also help with cognitive issues.

According to a 2008 study in the Journal of the American Medical Association, a six-month workout program provided a modest level of improvement in memory-related issues.

However, people living with a chronic condition, such as seniors helped by elder home care services, often view any new type of exercise as a daunting task. Their fears are not unfounded and every older person should talk to a health care provider before starting a new exercise routine.

Click here for safe exercise options for seniors.

‘I Feel Really Bad for Jim’: Facing Alzheimer’s Disease

This is not the time of her life that Karen Garner thought she would face this challenge. She is a 42-year-old mother with an 8-year-old and 11-year-old. Her husband is only 50.

Instead of just dealing with a full-time job and two children, she provides dementia care for her husband Jim after he developed early-onset Alzheimer’s disease.

“I feel really bad for Jim,” Karen said. “I hate to see such a nice person go through this and to have my kids go through this.”

According to the Mayo Clinic, early-onset Alzheimer’s disease strikes people before the age of 65. It is very uncommon when it strikes someone before their 50s. Karen’s husband, Jim, had symptoms of the disease for at least two to four years prior to his diagnosis. Early-onset Alzheimer’s appears to be genetic; Jim’s mother and brother both had Alzheimer’s disease.

Read Karen’s story and learn more about her struggle to care for her husband and family.

Learning to Cope with COPD

The mistakes made 50 to 60 years ago continue to cause problems today. In the 1950s and 60s, experts encouraged people to smoke cigarettes. Cigarettes were supposed to relieve tension or help people stay alert. Today, we know the truth.

Now, many families cope with the reality of helping older loved ones who suffer from Chronic Obstructive Pulmonary Disease (COPD).

According to the American Lung Association, COPD is the third leading cause of death in America and more women than men die from COPD. Smoking is the primary risk factor – approximately 85 to 90 percent of COPD deaths are due to smoking.

Click here to read more about how to cope with COPD’s challenges.

Autism and iPads: How Tablets Simplify Communication

It began just after the first generation iPad hit the market. People started to notice its effectiveness on a scale not seen before. As people with autism got their hands on iPads and tablets they opened up, able to communicate on a whole new level.

Experts believe one reason tablets help those with autism so much is because of the way the autistic process data. People with autism often have a sort of apraxia, which is when a person has the intention to do an activity, like speaking, but cannot formulate the movement.

“Talking is inherently complicated. There are several steps involved,” said Dr. Martha Herbert, a pediatric neurologist and neuroscientist at Massachusetts General Hospital of Harvard Medical School in Boston.

She worked with a 16-year-old autistic boy who was able to write poetry, but could not read his own poetry aloud.

“He had a very hard time coordinating the appropriate inhalation and exhalation. The quality of the words that came out was difficult because the air wasn’t cooperating with the vocal cords in terms of timing,” Herbert said.

Experts believe timing is a general problem for those with autism. When people without autism see something, like the words on a screen, the light comes into the eye and the brain processes the data and transduces it into visual perception. If the timing of and coordination of that process is not done in a very specific way, it becomes harder to receive input and express output.

When any person has more time to process things, or when there are fewer pieces of data to process at one time and fewer sensory channels they have to use, it is easier to handle. This is more acute for people with autism and a computer or a tablet is very good at limiting the amount of information presented.

During a conversation, a person does not just listen to words; they interpret facial expressions and body language as well. The autistic often have difficulties with facial expressions and tablets remove that challenge by cutting down on the amount of data waiting to be processed.

In essence, a tablet allows the person with autism, or a caregiver providing home help services to a person with autism, to have more control. A tablet is often more predictable than a person, since it’s a planned out computer program, and it also slows down the data collection process.

“Years ago, I decided I was going to learn to surf. I took an intro to surfing class and it was very hard. The 5-foot waves were just too much too fast. I had to go up the beach to the area with slower and smaller waves. By learning on the smaller waves, I began to see how waves worked without being panicked and worrying about my survival. Then I could try the bigger waves,” Herbert said.

This is how tablets and computers help the autistic. One type of software, called Fast ForWord, takes sounds and slows them down to help people with learning disabilities.

“If you try and feed the information too fast, they can’t hear the difference,” Herbert said. “A tablet gives the autistic more freedom of expression and happiness, and the ability to express needs and thoughts and observation. It’s a freer learning process.”

This can be true for those who need care at any age. Herbert recently worked with a 30-month-old as they tried to take a picture of his head.

“He was hysterical and wouldn’t cooperate. Then his mother handed him her cellphone and even while he was sobbing, he was able to get into the music section and play the music that would calm him down. That was amazing,” she said.

There are high hopes that in the future another new piece of technology will create new tools to help those who need autism care.

“Anybody who says technology like this has reached its peak is being really presumptuous,” Herbert said. “I think people with autism, for the most part – they may test poorly and they may be classified as cognitively impaired, or with what used to be called mental retardation, but I don’t think they’re cognitively impaired. I think what’s so amazing is how liberated they are by computer and technology.”

For a list of tablet apps that can help people with autism, visit http://www.autismspeaks.org/autism-apps. To learn more about Dr. Herbert, visit http://www.marthaherbert.org/.

Empathy & Care: The Difference Between Surviving and Living

The movement toward person-centered care continues to spread. Each day, more care providers discover that when a client is treated like a person and not a number, it makes a huge difference in their overall well-being.

Studies now give actual empirical evidence this is true. A recent study found that diabetes patients of physicians with high empathy scores were significantly more likely to have good control over their blood sugar as well as cholesterol, while the opposite was true for patients of physicians with low empathy scores.

More hospitals now regularly train doctors to have more empathetic bedside manners. Not only does it improve the patient’s experience, it earns the entire medical staff higher scores in terms of quality.

“Empathy and communication are tied together, and those allow a more collaborative relationship with the patient. So it’s not surprising that if you’re trying to work with a patient on better diabetes control, and establish a more collaborative relationship you’ll be working together toward the same goal,” Gary Rodin, MD, an oncologist at the University Health Network in Toronto, told the Montreal Gazette.

A similar culture change is taking place in how agencies provide home care. Many Homewatch CareGivers’ offices continue to discover that the Eden Alternative philosophy on the quality of care aligns with the heart of how Homewatch CareGivers operates.

“What most people perceive when they look at a person in need of senior home care are the physical challenges. They see a disease or the lack of physical ability that person has. Eden focuses on our attitude in addressing an elder’s spiritual needs. I’m not talking about religion. This is how they feel about themselves and whether they can enjoy their day and feel like they can grow as a human being. The underlying philosophy of the Eden Alternative is to help a person grow,” said Brian Levitan, owner of the Homewatch CareGivers office in Ottawa, Ontario.

Levitan, who is a certified Eden at Home Trainer, is well versed in what Eden calls the “three plagues.” These are issues each senior often copes with: helplessness, loneliness and boredom. By focusing on solving those issues for each person, it gives them person-centered care that marks the difference between existing and living. Eden addresses the plagues through its “three antidotes,” which are loving companionship, the opportunity to give back, and variety and spontaneity.

“What Eden helps us recognize is that everyone has value based on what they can give. The normal caregiving experience doesn’t really focus on the ability of the client to give. What that translates to is making sure that however we attempt to assist others, we do it through meaningful activities. This way a person feels proud of what they can accomplish so they have a life worth living. When seniors can give back to their caregiver, they do not feel so helpless,” Levitan said.

The Eden philosophy is not just limited to seniors. The three plagues can apply to anybody at any age. When caregivers adopt the philosophy they can look at another person and understand the importance of empathizing with their circumstances. It puts the old adage of walking a mile in another person’s shoes into practice.

“A different approach can bring better results. You never give up. If one thing you try hasn’t worked, we strategize with the care team and see if we can come up with different solutions. I think that strategy of trying different things is at the heart of Eden,” Levitan said.

Using a person-centered, empathetic approach to any sort of care does not take more time, it just requires looking at a person in a way that values their own worth to the world. As the U.S. and Canadian population ages, there is a risk the three plagues will become more common. The success of using empathy shows this does not have to happen.

“During the course of our working with families we often get little notes and testimonials from the families and there was one daughter, it was a few years ago, but I still remember what she wrote about her dad after he passed away: ‘Your care was the difference between my father surviving his last year and enjoying his last year.’ That’s what we’re really striving for,” Levitan said.

To learn more about the Eden Alternative philosophy, visit http://www.edenalt.org/.