Caregiver

Like nurses, caregivers can be more prone to injury or illness associated with caring for someone. Muscle strain from lifting a client, mental stress from various caregiving roles, and infection from contact with many patients across different healthcare settings can not only make the caregiving job harder but be detrimental to a caregiver’s overall health.

When it comes to avoiding common caregiving injuries, don’t miss these quick tips:

Practice Good Lifting Technique

Photo by Pixabay (sasint)

Photo by Pixabay (sasint)

The nature of caregiving doesn’t leave much room for waiting. If the person you’re caring for falls or needs help to get to the restroom, the burden of supporting their weight and helping them get up quickly or reposition falls on you.

Not only is lifting a human being more difficult because they are heavy, often unbalanced, and the body positioning is awkward, but lifting an entire person from a chair or bed can require even more exertion than normal (not to mention pushing wheelchairs with clients in them up steep ramps.)

Commonly, both formal and informal caregivers will experience muscle strain and injury to the back, shoulders, neck, and knees. This can manifest into a serious injury like rotator cuff tears, joint inflammation, and pinched nerves which make the caregiving job that much more challenging and increase safety risks for clients.

Caregivers can practice good lifting techniques by:

  • Calling for help if there is any concern about the lift being unmanageable or dangerous
  • Utilizing transfer and lift aids like shower transfer chairs, swivel seat cushions, hoya lifts, and lifting belts

  • Taking a minute to assess the lift before taking action, i.e. move clutter out of the way, reposition your client so they can help
  • Having your client help with the lift by supporting themselves on a sturdy piece of furniture or with their mobility aid
  • Lifting with the legs from a squat position, and keeping the head up and back in neutral (straight) position

Prevent Infection

Constant contact with clients in different health settings can make caregivers prone to infection or illness like colds or the flu. And any caregiver knows that clients who require care, especially seniors, are more susceptible to complications (like pneumonia) from even small infections that people accidentally pass to them.

Infection prevention is relatively simple. Caregivers should always remember to:

Photo by Pixabay (gentle07)

Photo by Pixabay (gentle07)

  • Thoroughly wash hands with soap and water before and after caring for a client in any way (or use hand sanitizer)

  • Wear gloves when completing tasks that deal with bodily fluids

  • Wear a face mask if a client is ill, sniffling, coughing, etc.

  • Avoid seeing clients when you are under the weather yourself

  • Take care of yourself with a healthy diet and routine exercise that bolsters your immune system

Practice Self-Care

While caregiving is definitely fulfilling and provides you with a sense of purpose, it can also take its toll physically and mentally. More than most, caregivers should practice regular self-care that helps prevent injury, tends to emotional stress, and equips them with the tools and strategies to maintain optimum health while seeing to their client’s health.

If you are dealing with chronic back pain or nagging knee pain, see a doctor for a formal evaluation. They may recommend stretches and exercises to strengthen the muscles used in caregiving, prescribe a brace to stabilize the neck to minimize painful neck movement or to support the knee when lifting, as well as educate you on lifting technique.

If you are feeling stressed or burnt out, see to your own emotional wellness by speaking with a counselor, finding a hobby outside of caregiving that helps you relax (knitting, coloring, rock climbing, etc.), and addressing the caregiving tasks that are posing the greatest challenges. For example, if lifting has become overly strenuous, find out if your client’s doctor can write an order for a lifting aid or device.

To learn more about Aspen Senior Care or to get caregiving support, call our office today at 801-224-5910.

Author: Joe Fleming

Co-Founder, Vive Health

In any relationship, it is important to foster trust, communication, and respect. This is especially true in a caregiving relationship. There are many ways to strengthen the caregiving relationship, and here are 3 essential keys to consider:

Respect-

Creating a relationship with the client and their family based off of mutual respect is one of the most important steps towards a strong caregiving team. Learning about the client and their needs builds a stronger understanding of what makes them feel safe, comfortable, and valued. Ren, an Aspen Senior Care client, mentions how this helps her grandfather. “The caregiver is sympathetic, accommodating, and has gotten to know my grandfather so they have a friendship. She brings newspaper clippings she finds funny and they sit and talk about life and the past.”

Respect in Caregiving Pixabay (Beesmurf)

Photo by Pixabay (Beesmurf)

Trust-

In caregiving, each person must know that they can count on one another and that they will be looking out for each other’s best interests. Kirsten, a caregiver with Aspen Senior Care says, “Trust is essential in caregiving because we want our clients and their families to be at ease knowing we will be dependable and honest in providing the best quality of care for them and their loved one.”

Communication-

It’s important for the caregiver and client to communicate well by listening to and understanding one another’s needs. Together you can determine what goals should be accomplished and ensure that each person is receiving the care they need. When both individuals know what to expect, misunderstandings and frustrations can be avoided.

Gary Staples, Owner of Aspen Senior Care recalls a situation where respect, trust, and communication turned a problematic situation with a client around for the better. 

“We had the opportunity of helping with a senior couple in their home. The husband was caring for his wife but was also dealing with his own dementia. At times he would become frustrated with the caregiver and accuse her of stealing his Irish Spring soap. Although she did not take the soap, he would insist she was stealing from him and he was quite upset.

The caregiver communicated with the daughter of the couple and the office staff to discuss the situation. The daughter understood that her father was confused and that the caregiver had not stolen anything. Unfortunately, her father would continue to accuse the caregiver each time she visited the home.  

The office staff thought long and hard about ways we could ease his worries and repair his trust in the caregiver. We came up with the idea of putting together a large tower of Irish Spring soap on a nice platter and tying it up with a large ribbon. We presented him with the gift and he was so delighted and grateful!

The tower remained on his coffee table where he could see it each day. From then on did not have any worries that the caregiver was stealing his soap!

Irish Spring Soap

By building a tower of Irish Spring soap, ‘a monument of trust’, we were able to show respect and sensitivity for our client and give him peace of mind in a way that he knew we cared.”

At Aspen Senior Care we value being professional in-home caregivers our clients can trust and rely on at all times. Going above and beyond to create a healthy relationship with our clients and their families is our number one priority.

To learn more about us or get caregiving support, call our office today at 801-224-5910.

There are many services available to help seniors who may need extra assistance. Unfortunately, this transition can be hard for those needing extra care. Some adults resist having strangers come into their home. Sometimes they do not want to attend an adult day program or move into a senior housing community. The senior who needs help may see these services as a loss of independence, an invasion of privacy, or are unwilling to pay for services.
 

Here are suggestions family caregivers have found helpful in making these transitions easier.

Listen and involve your loved oneHow can I get my family member to accept help?

Your loved one wants to have a say in what is happening with their care. Listen to their concerns and why they are fearful of accepting help.  Maybe they feel that their choice is being taken away from them. Perhaps they feel they have become a burden. Whatever it may be, express that you understand their concerns and that their feelings are valid Involve your loved one when choosing the in-home care company, adult day care program, or residential facility. Having a voice will help your family member feel more comfortable with the decision.

Take it Step-by-step

Next, take time to introduce the new assistance into your family member’s life. For example, begin by having an initial meeting with your loved one and an in-home care company. As your loved one builds a relationship with a caregiver, add hours and days throughout the week. A senior day center may be a better fit. Your family member can begin with two days per week to adjust to the new routine and structure.

Communicate your needs

Acknowledge your needs as a caregiver and express your thoughts to your loved one. Let them know that it helps ease your concerns when you know they are in good care. Confirm that you are still there to help and that you love them.

Be Respectful

In most cases, your loved one is in a place where they have the right to help make decisions for themselves. Their final decision may not fall in line with what you consider to be the best choice for everyone involved, especially if they have dementia. Encourage them to give the new change a try for two weeks and then evaluate after that. Be respectful and supportive. This may be a difficult time for them and they need your love and support.

Senior Financial Literacy

In 2004, the American Society on Aging sponsored a study to test the financial knowledge of Americans age 50+. This included a survey of three simple yes/no questions that assessed the knowledge of the respondents on concepts such as inflation, risk diversification, and interest rates. At that time only one-third of respondents could answer all three questions correctly.*

Since 2009, broader studies have been made within the wider population and the results were similarly dismal. However, there was a clear correlation between age and a failure to understand some basic financial concepts that make up financial literacy. This is especially worrisome given that money and debt management issues are most consequential to seniors.

This may seem an overwhelming topic to tackle for a senior or their family. While getting sound financial advice is one of the first things most money professionals recommend, that can be easier said than done. Many older adults rely on the advice of relatives, friends or neighbors. Yet, this is a strategy that as many as 70 percent of fraud victims report having used. Become more informed and consider learning more from an accredited Financial Advisor. These are the best first steps to improve one’s financial literacy. One online resource for understanding some of the basics is ConsumerCredit.com. This site offers useful tools designed for the 50+ population.

Here are several topics which seniors and their families may wish to consider when evaluating their financial health.

Know where your money is going Do you know where your money is going?

Based on a 2014 survey by the National Foundation for Credit Counseling, over 60% of Americans don’t have a budget. This is the first place to start in developing financial literacy. You cant make informed choices about your money if you don’t know where it is going.

Address your debt 

Now that you know where your money is going, its time to develop a strategy to start eliminating it. This means identifying expenses that you can trim and develop strategies to change your spending habits.

Check your credit report 

Your credit report can impact not only your ability to get a loan but to rent an apartment or land a job. Therefore, it is critical that you check your credit report often and understand the factors that affect it. If your score is low, there are many agencies available to help you start improving it.

Understand your retirement portfolio 

Check your investment choices. For those seniors with retirement portfolios, it is important to understand your risk. While the safety of bonds has always been attractive, a perfect storm may be upon the bond market in the form of anticipated increases in interest rates, tax cuts and a ballooning national debt which will all impact the value of bonds. If your portfolio favors bonds, it may be time to consider a more diversified financial plan. Know whether your total living expenses could ride out a drop in value.

Prepare 

We’ve all heard the rule—you should have three to six months of expenses on hand for an emergency. Even if you don’t think you can get there, start somewhere. Have a set amount put away so if there’s an emergency you have something to fall back on.

* For more information on this study and a more in-depth discussion on the topic of financial literacy, go to asaging.org.

Adapted from The Seniors Choice ‘Improving Senior Financial Literacy’

How to prevent pressure sores in seniors

A better understanding of what causes pressure sores helps caregivers take better care of their elderly loved ones. A pressure sore (also known as pressure ulcer and bedsore) is a result of tissue getting compressed between bone and an external surface. Pressure sores affect seniors who are unable to move and change position regularly. Prolonged pressure on the compressed areas leads to reduced blood supply (and eventual death) to the skin and underlying muscle tissues. Skin becomes dry and flaky and can break open which allows bacteria to enter the wound. 

Pressure sores/ulcers are located in areas such as the head and ears, elbows, shoulders, heels, and the sacral region and are graded or staged to classify the degree of tissue damage.

A body indicating the areas of the body where pressure sores may occur

Pressure sores are characterized by four stages dependent on the severity and depth of the lesion

Stage 1:    Pressure sores involve the superficial skin layer. The area has prolonged redness or “non-blanchable redness” (the area is red and does not go back to normal color when the senior is moved). The area can also turn pale or shiny and white.

Stage 2: Pressure sores involve superficial lesions to the top layer of skin. This results in a shallow depression or abrasion causing skin breakdown, blisters, shallow craters, edema, drainage, and possibly infection.

Stage 3: Pressure sores have full skin loss and extension into the subcutaneous tissue causing necrosis, drainage, and localized infection.

Stage 4: Pressure sores have damaged the muscle, fascia, and bone with deep infections, drainage, and death of the tissue (necrosis). Consequently, when a senior enters this stage they will always have a stage 4 ulcer. Although pressure sores may heal on the surface, the sores are deep and usually slow to heal. Due to this, pressure sores re-open easily.

Image showing the 4 stages of pressure sores

In most cases, seniors have special skin care needs because their skin becomes dry and thin as they age. If it becomes too dry, skin is prone to cracking and dermatitis. In addition, this allows for the growth of bacteria which can result in infection. Prevention of and assessment for pressure sores/ulcers and skin tears will avoid discomfort and decreased quality of life for seniors.

Prevent pressure ulcers and skin tears:

  • Relieve pressure by off-loading weight  
  • Prevent shearing and friction with careful transfers
  • Provide good personal care
  • Adequate nutrition and hydration
  • Loose, non-binding clothing

What can you do as a caregiver?

  • Reposition often: seniors need to be turned frequently to avoid pressure-sensitive ulcers.  
  • Check skin and all pressure points frequently
  • Give good skin care: powder which keeps areas clean and dry, lotion which keeps skin hydrated and elastic
  • Give good perineal care—toilet often and clean area well
  • Help the client exercise regularly – whatever the client is capable of doing
  • Make sure bed linens are clean, dry and wrinkle free
  • Give gentle massages to increase blood flow
  • Encourage fluids and good nutrition
  • Use pressure reducing devices: pillows, coccyx cushion, air mattress, barrier cream

What should you report to the doctor, Home Health nurse, or other healthcare providers?

  • Redness that won’t go away
  • Pale, white, shiny area over a bony prominence
  • Red, hot, tender to touch
  • Pressure ulcer that has increased in size or depth
  • Senior reports pain
Aspen Senior Care team photo

Aspen Senior Care has won Provider of Choice for 8 years in a row!

Aspen Senior Care trains our caregivers to follow these guidelines to ensure we provide our clients with the best possible care. We know how important it is to have caregivers our clients can trust. Because of this, we provide monthly in-service training to cover important educational topics. This improves the quality of life for both the caregiver and the senior receiving care.  Click here to learn more about our professional caregivers.


 

Information presented by Amanda Hensler

First Choice Home Health & Hospice

According to The Association for Frontotemporal Degeneration (AFTD), Frontotemporal Dementia (FTD) refers to a progressive disease process which causes a group of brain disorders. These disorders result in cell damage to specific areas of the brain – the frontal lobes and/or the temporal lobes.  The atrophy of these nerve cells interferes with brain activity and causes a loss of function in these regions of the brain.

Frontotemporal Dementia is different from other types of dementia in two important ways:

  • The trademark of FTD is a gradual, progressive decline in behavior and language with memory usually remaining intact. As FTD progresses it gets more difficult for the person to plan or organize activities, interact with others appropriately, and care for themselves.
  • In the majority of cases, FTD occurs earlier in life in people between the ages of 45 to 65, although it has been seen in people as young as 21 and as old as 80.

Frontotemporal Dementia is often misdiagnosed as a psychiatric problem or a movement disorder, such as Parkinson’s Disease. This is because certain symptoms of FTD mimic other diseases and in other cases, individuals are considered “too young” to have dementia.  According to AFTD, Alzheimer’s Disease is another possible misdiagnosis; however, the largest difference is that FTD affects language and behavior, while AD affects memory. 

Brain image of FTD vs Alz: image from medschool.ucsf.edu

Image from medschool.ucsf.edu

FTD makes up about 10%-20% of all dementia cases and the course of FTD ranges from 2 to over 20 years. The average length is about 8 years from the beginning of symptoms. It affects both men and women and, in some cases, can be inherited.

According to HealthLine.com, symptoms of FTD differ depending on the area of the brain affected, but most symptoms fall under behavior or language.

Common Frontotemporal Dementia behavioral issues include:

  • Loss of empathy
  • Inappropriate actions
  • Compulsive behavior
  • Lack of inhibition or restraint
  • Neglect of personal hygiene and care

Common Frontotemporal Dementia language-related symptoms include:

  • Difficulty speaking or understanding words
  • Problems recalling language
  • Loss of reading and writing skills
  • Difficulty with social interactions

Cognitive and Emotional symptoms of FTD include:

  • Difficulty planning, organizing, and/or executing activities
  • Becoming less involved in daily routines
  • Abrupt mood changes
  • Apathy
  • Emotional withdrawal
  • Becoming distracted
  • Reduced initiative

FTD Movement symptoms include:

  • A difference in gait, such as walking with a shuffle
  • Tremors
  • Muscle weakness, or cramps
  • Clumsiness
  • Apraxia (Loss of ability to make motions which are usually common and easy, such as using utensils)

Proper diagnosis is crucial because some medications used to treat other types of dementia may be harmful to a person with FTD. Unfortunately,  AFTD reports no cures at this time. However, research is ongoing and rapidly increasing, and new drugs are beginning to be clinically tested.  

Most importantly, remember that those dealing with any form of dementia are not doing these things on purpose. When providing care, caregivers sometimes trigger behaviors without realizing it. By understanding more about the many different types of dementia, caregivers can begin to improve quality and enjoyment of life at whatever stage of dementia a person happens to be in.

Visit The Association for FrontoTemporal Degeneration

AFTD helpline: 866-507-7222


Learn about different types of dementia in our other blog posts!

Understanding Dementia

Understanding Alzheimer’s Disease

What is Vascular Dementia?

What is Lewy Body Dementia?

______________________________________________________________________________________________________________________________________

Aspen Senior Care provides in-home care for seniors with all types of health challenges, including all forms of dementia.

Aspen Senior Day Center in Provo provides adult day care services (fun activities and personal care) for seniors with all types of dementia.

Contact Karen Rodgers, Family Caregiver Coach, for a free assessment to help you navigate the challenges of caregiving. You can reach her at 801-224-5910.

Visit aspenseniorcare.com or call our office at 801-224-5910 for more information.

  1. We specialize in helping seniors live at home longer.

Sometimes daily tasks become difficult for your loved one to accomplish and a loving and helping hand is all they need to maintain a good quality of life at home. Aspen Senior Care’s trusted professional caregivers offer non-medical services to help your loved one live comfortably in their own home for as long as they desire.

Here are the words of two of our clients:

  • My mother’s caregiver helps her with bathing, feeding her breakfast, getting her dressed, making her bed, and doing her laundry. The caregiver also takes out the garbage and makes sure the kitchen is cleaned up. She does everything.

Lynn B.

  • My caregiver cares about me and takes care of me, then takes care of things around the house.

Lois C.

Our specific services include:

Aspen Caregivers – We love what we do!

  • Caring companionship
  • Shower assistance
  • Hygiene care
  • Homemaking
  • Meal planning and preparation
  • Errands and Transportation
  • Light housekeeping
  • Medication reminders
  • Alzheimer’s and dementia care
  • Respite and Hospice care
  • Delivering peace of mind
  • And much more

Our sister company offers adult day care services and activities for seniors needing memory care. Just visit their website at Aspen Senior Day Center.

  1. We give family caregivers the break they need!

Family caregivers work tirelessly each and every day to give the best care possible to their loved one. We at Aspen Senior Care know that while being a caregiver is one of the most rewarding callings, it can also be tiring and difficult at times.  This is where our professional caregivers step in and provide respite care. Every hard-working caregiver deserves a break to accomplish their daily tasks, run errands, visit family and friends, or take a nap! We’re not taking over, we’re giving family caregivers a chance to take a much-needed break while their loved one follows their daily routine with our trusted professional caregivers.

  • I can’t be there in the afternoon so the services allow someone to be with my mom when I can’t be. 

Tricia L.

  • Having the services helps so that someone is with my mom while I’m at work, and the caregivers show compassion by the way that they talk to my mother. It shows a lot.

Kevin B.

  1. We take great care of our clients and our caregivers.

Gary Staples, Owner and Administrator, founded Aspen Senior Care over 13 years ago because he believed that seniors need the finest care during their final years of life. Our team here at Aspen Senior Care values that belief and works every day to ensure that belief stays true by having a great love and respect for the seniors we care for.  We value our clients and our caregivers and want to ensure that not only are their needs met to their full expectation, but that they feel heard, loved, and appreciated each and every day. 

  • Aspen Senior Care is right on the mark. They check back and their people are professional and kind. I think they’re perfect.

Josephine C.

  • The services from Aspen Senior Care made me feel like my father was being cared for by people that truly care about him.

Ron S.

  1. We have a reputation for delivering on our promises. 

Aspen Senior Care values transparency and ensuring we are living up to our promises! We love what we do, and we hire only those we trust to care for those you love! We at Aspen Senior Care have a promise to each and every client that we work with to always:

  • Be caregivers you can trust in every situation   
  • Give you the type of service that will make you want more
  • Be professional in all that we do and treat you with love and respect
  • Follow the care plan on every shift and document what is accomplished

You are very important to us and we always consider you our highest priority. So, each of us has made the above promise, and we have signed a poster-size version of it and displayed it in our offices as a reminder of our commitment to you. If for any reason you believe that we are not keeping our promise, please let us know immediately. After all, a promise is a promise.

  1. We provide award-winning home care with loving, professional caregivers you can trust!

Aspen Senior Care is an award-winning option for those searching for caregivers devoted to providing the highest level of care, respect, love, and professionalism. Every year for the past eight years, Aspen Senior Care has received Best of Home Care – Provider of Choice from Home Care PulseⓇ, an independent third party company which interviews our clients and their family members regarding their experience with our company. This award means that we have received the highest customer satisfaction scores from our clients compared to other in-home care providers.  

Aspen Senior Care was also voted #1 in the ‘Best of Homecare’ category for Daily Herald‘s – The Best of Utah Valley 2017 Readers Choice Awards. This will make 5 years in a row!

 

 

For more information, call our office at 801-224-5910

Aspen Senior Care is excited to share some great on-line dementia care help for family caregivers!

With all of the information about dementia care out there, it can be an overwhelming task to sort through and figure out just what information is best and how it applies to your situation.

At Aspen, we understand the difficulties family members face while caring for loved ones with dementia and our goal is to be a source of support, education, and information to which family members may turn as they cope with the daily challenges of caregiving.

Learning from the best and looking for the positive

Because there is so much material on dementia care out there, we have looked long and hard to find up-to-date, quality information that is both useful and practical for families to implement, and we believe we have found this resource in Teepa Snow, a dementia care education specialist with over 30 years of experience in this field.

 

Teepa Snow,
Dementia Care Specialist

She has developed The Positive Approach to Care training series to help professional and family caregivers better understand the physical changes that happen with dementia, and develop skills to understand and care for people with dementia

Our professional caregivers use Teepa Snow’s Positive Approach to Care training series to better understand memory loss and how using this approach improves the quality of life for both the caregiver and the person receiving care.

The positive approach focuses on what individuals with dementia CAN do at each stage of the disease instead of focusing on the skills they have lost.

 

Online Caregiving Tips

With this in mind, we have put together a list of short video clips taken from Teepa Snow’s training DVDs. More can be found at Teepa’s YouTube channel and The Pines of Sarasota YouTube channel.

These are just a few of the on-line dementia care help available for family caregivers.  Aspen Senior Care has some of the full-length DVDs from which the above clips are taken. Family caregivers are welcome to come and watch the entire DVD if they would like. Just give us a call at 801-224-5910 to check on availability and schedule a time to come in.

Aspen Senior Care is here to help families meet the caregiving challenges they face. We want families to feel they aren’t alone, that there is hope and help available. Please visit our website at aspenseniorcare.com and call us at 801-224-5910 for more information. We’re here to help.

Preventing Elder and Vulnerable Adult Abuse

This month we had the opportunity to learn about Adult Protective Services and the prevention of abuse for vulnerable and elderly adults.  Debbie Booth from Adult Protective Services taught how we as professional caregivers can prevent abuse, neglect, and exploitation of the seniors in our care.   

Who is considered a Vulnerable Adult?

  • An elder adult, defined as anyone 65 years of age or older.
  • An adult 18 years of age or older who has a mental or physical impairment which substantially affects that person’s ability to:
    • Provide personal protection
    • Provide necessities such as food, shelter, clothing, or mental or other health care
    • Obtain services necessary for health, safety, or welfare
    • Carry out activities of daily living
    • Manage the adult’s resources
    • Comprehend the nature and consequences of remaining in a situation of abuse

What can Adult Protective Services do? 

  • Investigate reports of abuse, neglect, or exploitation
  • Perform needs assessments
  • Coordinate with and refer to community resources for services

What can Adult Protective Services not do?

  • Take custody of an adult.
    • Adults have the right of self-determination unless there is imminent danger of injury or death
  • Under APS authority, place an adult in a nursing home or other facility.
  • Provide any service without the voluntary consent of the alleged victim or their guardian/conservator unless court ordered to do so.

“…Caretakers are our eyes and ears in terms of protecting this very vulnerable population.”

– Debbie Booth

Debbie also taught our team how to spot and report abuse, neglect, and exploitation of vulnerable adults by being aware and watchful of the following signs:

ABUSE

  • Unexplained bruises or welts
  • Multiple bruises in various stages of healing
  • Unexplained fractures, abrasions, and lacerations
  • Multiple injuries
  • Low self-esteem or loss of self-determination
  • Withdrawn, passive, fearful
  • Reports or suspicions of sexual abuse

NEGLECT

  • Dehydration
  • Lack of glasses, dentures, or other aides if usually worn
  • Malnourishment
  • Inappropriate or soiled clothes
  • Over or under medicated
  • Deserted or abandoned
  • Unattended

SELF-NEGLECT

  • Over or under medicated
  • Social isolation
  • Malnourishment or dehydration
  • Unkempt appearance
  • Lack of glasses, dentures, or hearing aides, if needed
  • Failure to keep medical appointments

EXPLOITATION

  • Possessions disappear
  • Forced to sell house or change one’s will
  • Overcharged for home repairs
  • Inadequate living environment
  • Unable to afford social activities
  • Forced to sign over control of finances
  • No money for food or clothes

In the state of Utah, it is the law that any person who has reason to believe that a vulnerable adult is being abused, neglected, or exploited must immediately notify Adult Protective Services intake or the nearest law enforcement office.

 

To Report Elder and Vulnerable Adult Abuse, Please call:

Salt Lake: 801-538-3567

Statewide: 800-371-7897

Click here to learn more about APS
Visit our website at aspenseniorcare.com for more information regarding in-home senior care.

**All information was provided by Debbie Booth from the Division of Aging and Adult Services for the State of Utah Department of Human Services**

 

 

The topic of death and losing a loved one, for many, is a difficult topic to address and understand. Every individual will go through a different process and each caregiver will experience different emotions. There is no right or wrong way to feel when the one you love is reaching the final act of living.

“I truly believe it’s all about the living. We are born and we die and everything in between is living, clear until our last breath.” – Diana Cazier

For our in-service for the month of February, Aspen Senior Care had the wonderful opportunity to have Diana Cazier from Elevation Home Health and Hospice teach our team about the sensitive topic of recognizing the signs to look for when your loved one is in the final act of living. She referred to the booklet by Barbara Karnes, RN, titled, “The Final Act of Living: Reflections of a Long-Time Hospice Nurse”.  

The final act of living is a challenge.  This is a flexible guideline for what caregivers can watch for because no one knows the exact date that someone will pass.

Signs to look for in the Final Act of Living

One to three months before death:

  • Withdrawal from world and people
  • Decreased food intake
  • Increase in sleep
  • Going inside self
  • Less communication

One to two weeks before death:

Mental Changes

  • Disorientation
  • Agitation
  • Talking with the unseen
  • Confusion
  • Picking at clothes

Physical Changes

  • Decreased blood pressure
  • Pulse increase or decrease
  • Skin color changes; pale, bluish
  • Increased perspiration
  • Respiration irregularities
  • Congestion
  • Sleeping but responding
  • Complaints of body tired and heavy
  • Not eating, taking little fluids
  • Body temperature: hot, cold

 

 

Days or hours before death:

  • Intensification of one to two week’s signs
  • Surge of energy
  • Decrease in blood pressure
  • Eyes glassy, tearing, half open
  • Irregular breathing: stop, start
  • Restlessness or no activity
  • Purplish, blotchy knees, feet, hands
  • Pulse weak and hard to find
  • Decreased urine outlet
  • May wet or stool the bed
  • Acetone breath

Minutes before death:

  • “Fish out of water” breathing
  • Cannot be awakened

Through this presentation, we were taught how to be more aware and understanding of the different signs we may observe as one approaches death from disease or old age. We are so grateful to Diana for her presentation as it will continue to help us be more supportive and observant as professional in-home caregivers.

“At Aspen Senior Care, we like to align ourselves with the finest Home Health and Hospice agencies in Utah. We appreciate their willingness to present at our in-service training and reach us about important topics.  We are better because of it.”

Gary Staples, Owner and Administrator

 

If you have any questions, or if you need further support, contact us today at 801-224-5910. You can also refer to “The Final Act of Living: Reflections of a Long-Time Hospice Nurse” by Barbara Karnes, RN.

For more information and topics about in-home care, visit aspenseniorcare.com