Caregiver

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

What is respite care?

Respite care is short-term care provided to a dependent, disabled, or elderly person with the purpose of giving the main caregiver a break from caregiving responsibilities. This is done while at the same time making sure your loved one is well cared for and able to follow his or her regular routine.

Respite care allows family caregivers to care for loved ones long-term, avoiding caregiver burnout. The care can be designed for a few hours, a day or for longer periods of time depending on what the caregiver needs and what type of care is needed and what services are available in your area.

What types of respite care are there?

There are several types of respite care available.

  • In-home care is provided by a licensed agency specializing in care for seniors or others needing special care. This may be for a short period of time or up to several days to a day, whatever the family caregiver might need in order to get a much-needed break or visit with family or friends. Respite care provided by an agency allows the caregiver peace of mind knowing their loved one is being cared for by someone who is trained to provide personal care, make nutritious meals, and handle challenging behaviors or situations that may come up.
  • Adult Day Care Centers provide licensed care during day-time hours, usually five days a week at a warm & welcoming facility. This is a great option for family caregivers who work during the day. Some caregivers choose to bring a loved one a few days a week on a regular basis.Adult day centers are a nice option in that they provide socialization, activities and nutritious meals. All adult day programs are NOT the same so it’s important to visit and ask questions when considering this type of respite option.
  • Specialized respite care facilities are places with staff trained for specific care, such as Alzheimer’s or dementia, where a loved one may stay for several days or a couple of weeks when the caregiver needs to go out of town or has other obligations.
  • Emergency respite care offers help and care on an emergency basis. Usually, home care agencies or respite care facilities offer this type of care.
  • Informal respite care is provided by family members or neighbors and usually allow a limited but much-needed break for the primary caregiver to run errands, go to a doctor’s appointment or simply take some time off from caregiving.dsc01792

What are the benefits of respite care?

Caring for someone with special needs can be overwhelming at times. Family caregivers today have family, work, church and community obligations on top of providing care for their loved-one.

They want to provide the best care and attention to everyone in their circle of influence but this is unrealistic and overwhelming. It can lead to caregiver burnout.

Respite care allows the caregiver to step back and take time for themselves, to refresh and recharge their energy and focus. It actually helps caregivers become better caregivers and take care of their responsibilities longer.

Dementia Orem, UtahIf you are interested in learning more about respite care options call Aspen Senior Care at 801-224-5910. We can help you find options and help determine what type of respite might be right for you. We provide in-home respite care and we also run the Aspen Senior Day Center in Provo which is an adult day center that specializes in working with individuals with Alzheimer’s and other types of dementia.

Visit our websites at www.aspenseniorcare.com and www.aspenseniorcenter.org to learn more about the services we provide and how we can help.

Family caregivers of loved ones with dementia often hesitate to ask for help. There’s a variety of reasons to not want to ask for help, but a diagnosis of dementia is a life-changing event for the entire family.

It is alright to ask for help when you need it.

G. L., an LCSW with Mountainland Department of Aging and an advocate for people with Alzheimer’s and dementia says that part of being a good caregiver is asking for help. Caregivers who don’t take care of their own needs and health – physical, emotional and mental – won’t be able to provide good care for their loved ones.

But where should caregivers go to find help when they need it and what kind of help is available?HISCCaregiverStress-multimedia-content-placeholder

Karen Rogers is Aspen Senior Care’s Family Caregiver Coach.  She can help family caregivers navigate the challenges of caregiving. As a caregiver coach, Karen can help you:

  • Feel encouraged and supported.
  • Cope and problem solve.
  • Better understand memory loss and dementia.
  • Manage stress and take better care of yourself.
  • Be aware of community resources.
  • Deal with challenging behaviors.

Mountainland Department of Aging here in Utah County and the Utah Chapter of the Alzheimer’s Association has many resources available to help families caring for loved ones. The Aspen Senior Day Center in Provo, 3410 North Canyon Road, hosts a Family Caregiver Support Group every first Tuesday of the month at 6:30 pm. The support group is free and is a great way to meet with others who are caring for loved ones with dementia, share stories and experiences and just talk. Geri Lenhardt is the facilitator and can answer questions about community resources. Susan Johnson with Aspen Senior Care is also there to answer questions and provide support.

Aspen has caregivers trained in dementia care who go into seniors’ homes to provide respite for family caregivers. Aspen Senior Day Center is an adult day program that allows family caregivers to bring their loved one for the day and know they will be safe, provided with nutritious meals and participate in stimulating activities. For more information call Susan at 801-420-5167.