Senior Health

Staying Fit in Your Senior Years

Senior living doesn’t look like it used to. Gone are the days when retirees were faced with day after day of wheelchairs and television reruns. Today, even in assisted living, age doesn’t need to be a barrier to staying active and healthy. Staying fit in your senior years may not look like it did when you were in your prime, but there are more options out there than you think.

We’ve gathered some of the simplest and easiest ways for you to stay in good physical health as you age. It’s never too late to improve your fitness levels. Regular exercise can help improve your mood, reduce muscle and joint pain, slow down osteoporosis, and even boost your memory.

Always Talk to Your Doctor First

Remember to check with your doctor before you start any new diet or exercise program. If you have a chronic condition such as heart disease, diabetes, high blood pressure, or pulmonary disease, you may need to take extra precautions to exercise safely.

Your doctor can also likely recommend specific local resources such as physical therapists or personal trainers who specialize in working with senior citizens.

Low-Impact Exercise for Seniors

When you’re choosing an exercise program to try, the key phrase to look for is “low impact.” Low-impact exercise is still healthy but puts less strain on your heart, joints, and muscles. Because low-impact exercise typically involves having at least one foot on the ground at all times, it is also a better choice for those with balance or mobility problems.

Even low-impact exercise can get your heart pumping enough to make a big difference. Just taking a simple walk every day benefits your heart, lung, and joint health. Evidence suggests that even brain health and memory improve with regular low-impact exercise.

Other forms of fun, low-impact, senior-appropriate exercise that you may want to explore include:

Water aerobics or synchronized swimming
Dance lessons
Cycling on a stationary bike
Swimming laps
Gardening
Resistance training (weight lifting or resistance bands)
Golf
Tai Chi (shadow boxing)

Remember that if any of these are new to you, it’s important to start by getting help from an experienced teacher. Even with low-impact exercise, it’s possible to injure yourself if you don’t know what you’re doing.

Mobility Considerations

If you use a cane or walker, or even if you’re in a wheelchair, staying fit is still for you! While mobility limitations do put some forms of exercise beyond your reach, you may be very surprised by what is still feasible.

Often, seniors with mobility issues enjoy what is called chair exercise. Chair exercise means an exercise routine that you do while seated.

Many assisted living residences and senior centers offer chair-based exercise classes including aerobics, yoga, pilates, and sometimes even weight lifting or dance. No matter what your level of fitness, you can find a way to get moving and start reaping the benefits today.

Exercise for Mental Health

In senior living, our watchword is always to promote the greatest level of independence possible. Strengthening your muscles, bones, and joints through a regular fitness program helps extend your years of mobility and overall health.

But on top of all the physical benefits, exercise has major mental health advantages. Seniors with a fitness routine have lower rates of depression, better brain health, and fewer feelings of isolation. Even some dementia symptoms improve with appropriate exercise.

Are you interested in learning more about how assisted living could help you improve your physical health and fitness? Contact us today to chat about physical enrichment at New Haven Assisted Living.

Recognizing UTIs in the Elderly and Why it’s Important

A urinary tract infection, or UTI, is the most common type of bacterial infection that affects the elderly. One in ten men over 65 will deal with a UTI, and one in five women over 65 will also. While these infections begin in the bladder, when left untreated they can spread to the kidneys and beyond, leading to serious health complications. In the elderly, these infections may not look like you expect and can be easy to miss. So, how do you recognize a urinary tract infection in a senior, and what should you do about it?

What Causes Urinary Tract Infections?

A urinary tract infection begins when too much bacteria grows inside the urethra (the tube through which urine passes out of the body) or the bladder. Often, this bacteria is introduced from outside the body. Bacteria can come from poor hygiene like infrequent washing, incomplete wiping, or wearing a soiled adult diaper for too long. Sometimes, the bacteria is already inside the body and begins to grow when the bladder is not completely emptied or emptied often enough.

As more bacteria grows, the infection can spread. Sometimes this happens quickly, and an infection that was quite small to begin with can move from the bladder to the kidneys and beyond before you even notice it’s there.

Why are UTIs Different For Seniors?

If you’ve ever had a UTI, you probably recall the symptoms. In younger adults, a UTI often causes pelvic pain, fever, and sense of an urgent need to urinate. Urine may be cloudy or bloody, and often has a strong odor.

In older adults, some of these common symptoms may not be as noticeable. As we age, our immune systems change and often grow weaker. Because of this, many seniors with urinary tract infections do not have a fever.

Another age-related change that can mask a urinary tract infection is bladder weakness. Many seniors already experience some mild incontinence, difficulty, or urgency when their bladder is full. Because this is a normal part of their experience, they may not recognize when there has been a change related to an infection.

All of these difficulties grow if a senior is experiencing any type of age-related cognitive decline, such as dementia. Cognitive decline makes it harder both to notice UTI symptoms and to express that they are happening.

The Biggest Symptom of UTI in a Senior that You Need to Know

For many seniors, the biggest symptom of a urinary tract infection is a behavioral change. This can look like confusion, lethargy, falling or balance problems, agitation, decreased appetite, or even hallucinations. In fact, these changes can be so severe that they can be misdiagnosed as dementia.

If your parent or senior loved one has suddenly developed any of these symptoms, it’s important to get them to the doctor as soon as possible. Urinary tract infections in seniors can lead to life-threatening complications, including permanent kidney damage, or a major infection in the blood known as sepsis.

In seniors who already have a dementia diagnosis, an untreated UTI can speed up cognitive decline. It’s important not to assume that sudden new or worsening confusion is “just” dementia getting worse.

Preventing Urinary Tract Infections in Seniors

There is no way to guarantee that your mom or dad will never contract a UTI. However, these simple measures can help lower the overall risk:

Emptying the bladder frequently, no “holding it”
Wiping from back to front
Staying well-hydrated at all times
Changing incontinence briefs often throughout the day
Showering rather than bathing
For indwelling catheters, clean daily with soap and water as instructed by a doctor

Maintaining urinary tract health is a crucial part of health and well-being for seniors. This is especially important with any kind of condition that raises the risk of UTI, like bladder or bowel incontinence, dementia, catheterization, or immune system compromise.

Are you a home caregiver for a senior with dementia or other cognitive decline? You might like to meet with one of our support groups for caregivers. Click here to learn more or reach out today for information and help.

FAQ: Understanding Remote Health Care

Telehealth, also called telemedicine or remote health care, has been around since well before this year. However, its importance has grown in a new way since the beginning of 2020. You may already have had telehealth visits with some of your health providers. Or, you may have heard that it’s an available option for those who can’t or don’t want to go to a doctor’s office. But what is remote health care and how does it work?

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Who Will I See if I Use Remote Health Care?

Because it’s still a relatively new field, we still use a lot of different terms for this kind of care. Telehealth or telemedicine are the words often used by doctors themselves. Colloquially you will likely hear friends or family mention a remote doctor, remote health, or virtual checkups. All of these words mean the same thing: care from a doctor that happens via the computer or phone.

Some remote doctors visits happen via programs like Zoom. However, most hospitals and doctor groups prefer to use specialized healthcare apps or websites. In many cases, the exact same doctors, physician assistants, and nurse practitioners are seeing patients both in-person and online.

In places where COVID-19 has shut down or limited “non-essential” health care appointments, remote health is becoming increasingly popular. While it doesn’t come with all the traditional trappings of a regular doctor visit, telemedicine can provide much of the same care for routine health support.

Is Remote Health Safe and Effective?

For routine checkups and simple problems like colds or sore throats, remote health care is a safe and effective option. A regular check-in chat with your doctor may even be easier and faster than an in-person visit. Some practices even provide at-home equipment like blood pressure monitors that connect digitally to your doctor’s office via the Internet.

For emergency care or any treatment that requires a hands-on examination, in-person visits are a better choice. However, for simple things, online care is an equally good option and may be both safer and more convenient than visiting the doctor in-person if you live in a high-risk area. This is especially true for high-risk groups like the elderly or those with pre-existing conditions

Is My Privacy Protected With Remote Health Care?

Telehealth providers must meet strict security requirements. HIPAA privacy laws and regulations apply to online doctors just like other health providers. The special apps that they use are designed to keep your privacy secured as well. From the perspective of your doctor, remote visits are just as carefully private and confidential as in-person visits are.

To make sure that your personal health information stays secure, there are some simple measures you can take to protect your own medical privacy as well:

Always use a secure internet connection (not public Wi-Fi)
Call your doctor from a private, enclosed area rather than a common space
Do not share your login information with anyone at any time

Is Remote Health Care Covered By Insurance?

During the COVID-19 pandemic, many health insurance companies have temporarily expanded their coverage to include remote visits. This means that even if your insurance didn’t cover remote care before, it might be covered now.

There are also remote health care options that charge a flat fee for those who don’t carry health insurance. These visits often cost less than the same kind of care in-person.

What Kind of Equipment Do I Need to Use Remote Health?

If you have a computer, tablet, or smartphone, you should be able to see your doctor virtually. Because each doctor and hospital may prefer a different program, the specific details will vary.

If you are using a desktop computer or an older model laptop computer, make sure that you have access to a webcam. These cameras are typically built into newer laptops and tablets. If you have already been able to video call with friends or family, you have the equipment you need to use remote health.

Looking for information about senior assisted living in Texas? Click here to set up a conversation with one of our senior care experts or schedule a virtual tour.

What is Caregiver Burnout?

Have you ever heard of caregiver burnout? When you take on the commitment of caring for a loved one, burnout is a serious concern to watch out for. But what is caregiver burnout, and how can you prevent it?

Whether it’s a spouse, a parent, or another family member, many of us at some point in our lives will care for an elderly loved one at home. Family members, especially adult daughters and granddaughters, are a foundational part of senior care in America.

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Caregiver Burnout Comes From Caring

Most of us expect that children will look after their parents when the time comes. But caregiving takes a toll, even for the most willing carer. The adult child of a senior parent may have to juggle kids, career, marriage, and more. There’s a house to maintain–maybe two, if mom or dad is still living at home. To top it all off there are the financial and medical worries that suddenly need to be addressed.

No matter how much we love someone, over time all the stresses that come with caregiving can add up. In fact, they add up faster when love is involved. The strong emotions that bond you to your mom or dad make caregiving a high-stakes activity.

When combined with a lifestyle that doesn’t include healthy coping and self-care, stress and exhaustion just keep accumulating. Eventually this can lead to caregiver burnout.

So, What is Caregiver Burnout?

Caregiver burnout is a stress-related condition that happens when long-term caregiving for an ill or elderly person leads to exhaustion. This exhaustion can be physical, mental, emotional, or a combination of all three. Without relief, caregivers can become more and more overwhelmed. They often feel alone, unappreciated, or even unable to continue without help.

It’s not a rare problem. One study found that 40% of home caregivers reported levels of stress that put them at risk of burnout.

The symptoms of caregiver burnout can vary. However, they often include depression, irritability, and emotional withdrawal. Many burned-out carers say they struggle to keep giving the kind of care that used to be easy for them. Over time, caregiver burnout can limit a person’s ability to look after their loved one. In extreme cases, it can even lead to elder abuse.

People experiencing burnout begin to manage the strain of caregiving by emotionally shutting down. Unfortunately, shutting down may help reduce stress but it also reduces empathy, patience, and compassion.

Preventing Caregiver Burnout

Fortunately, caregiver burnout is preventable. These proactive steps for stress management and support can help reduce the risk of burnout.

Take breaks and use respite. Whether it’s a friend, an aide, or a residential respite program, putting down the burden of caregiving occasionally and taking time off can help reduce the risk of emotional shutdown.
Take care of your body. Eating right, sleeping well, exercising, and taking time for rest and relaxation all help offset the stress that can overwhelm you.
Find a support group. While it may not always feel like it, you’re not alone. Talking your situation through with others in similar places can give you the support you need to keep going.
Know what to expect. Many seniors with conditions that require care do fine at home. However, some things will get worse with time and may require assisted living or skilled nursing care. Know what to expect and have a plan to prevent getting in over your head.

What are the Signs of Caregiver Burnout?

You may be reading this and wondering if caregiver burnout is already affecting you. If so, don’t worry; with help and support, caregiver burnout can be reversed. Know the warning signs of caregiver burnout so that you know when to take action and seek help.

Anger or frustration with your parent or spouse
Anxiety
Denial about the seriousness of your parent or spouse’s condition
Feelings of sadness or depression
Fatigue or exhaustion that interferes with caregiving tasks or daily life
New health problems like getting sick more often
Difficulty concentrating
Irritability or mood swings
Trouble sleeping
A feeling that you no longer enjoy the friends or activities that you used to

Caring for a frail or ailing loved one may be the hardest job you will ever do. You may feel that it isn’t right to take time or space for yourself when someone depends on you. However as a caregiver, remember that self-care is a key component of caregiving. If your own health suffers, everyone you care for will suffer in turn.

Are you concerned about burnout and looking for help? Contact us today to learn more about respite care, support groups, and care planning for your loved one.

Is Memory Loss Normal as You Age?

A lot of folks notice that as they get a little older, their recall isn’t as sharp as it was. When this happens, it can be very worrying. You will likely find yourself asking, is memory loss normal as you age?

The short answer is yes. Some memory loss is just a normal part of aging. That means being forgetful doesn’t always mean Alzheimer’s disease or dementia. Age-related brain changes make it harder to learn new things, remember things after you hear them, or keep track of small objects or tasks.

With that being said, it’s smart to pay attention to the way your brain is working. By learning the early signs of dementia you can not only set your mind at ease but know how to identify any red flags of Alzheimer’s disease and dementia.

What is Normal Age-Related Memory Loss?

Just like the rest of your body, your brain changes with age. You might notice that you’re losing keys, forgetting names, or having trouble recalling new things you’ve learned. Or, you might feel like your mind is slowing down.

“Senior moments” like this are normal. Age-related memory loss and slower reaction time are just part of life for many of us as we get older. Even occasionally forgetting to pay a bill or losing track of a new neighbor’s name is not a cause for alarm.

Small lapses in memory or focus that don’t interfere with your daily life are not usually red flags. But what things are?

What Are the Early Signs of Alzheimer’s Disease?

Early signs of Alzheimer’s disease can be hard to distinguish from regular age-related memory loss. An Alzheimer’s sufferer sometimes asks the same question over and over again. They may call objects by the wrong name without noticing.

Daily tasks can be hard for Alzheimer’s sufferers. For example, simple or familiar jobs like using the microwave or driving to the store without getting lost become a challenge. Instead of forgetting a new friend’s name, someone with Alzheimer’s disease might forget names of family members.

Alzheimer’s may make it hard to recognize your own possessions or forget that you usually wear glasses, or how to turn on your car. Disorientation like this is always a red flag, even if it is minor or passing.

What Other Kinds of Memory Loss Are There?

Alzheimer’s disease is the most common type of memory loss but not the only type. Abnormal memory loss is also known as dementia. Each kind of dementia is unique in its cause and effects.

Vascular dementia can happen after a stroke or as a result of heart disease. Lewy body dementia often leads to sleep problems and hallucinations. Parkinson’s disease can cause dementia symptoms, as can Huntington’s disease. Frontotemporal dementia affects behavior and personality.

These are just a few of the different kinds of dementia that we recognize today. They are less common than Alzheimer’s but just as serious.

What Do I Do If I Think I’m Losing My Memory?

If you are worried about memory loss or other signs of cognitive decline, call your doctor first. It may be helpful to write down any red flags you’ve noticed. You should always let your doctor know if you notice:

Memory changes that interfere with your daily life
Confusion about places or people you know very well, like home or family
Hallucinations
Mood swings
Difficulty adjusting to change
Forgetting to care for yourself or do regular tasks like paying bills
Frequent lapses in short-term memory

Dementia is often a progressive disease. Progressive diseases get worse over time, especially without treatment. Therefore, it’s always best to catch dementia as early as possible; early treatment can slow dementia down by years in some cases.

Many people with early stage dementia are afraid to tell anyone that they are having a problem. But it’s crucial not to hide dementia symptoms. The sooner dementia is caught and treated, the better a dementia sufferer will do. It is important to get help as soon as you can if you or a loved one are noticing any of the problems listed above.

What Happens if I Have Dementia?

Over time, most folks with dementia will need help to care for themselves. For a while, this can happen at home. However, in most cases, dementia will eventually require skilled care.

Many seniors with dementia choose to move into a special assisted living residence where they can receive memory care, a special type of skilled nursing that can help restore and improve quality of life for those with Alzheimer’s or other dementia.

Are you caring for a loved one with dementia and wondering if memory care is the right choice? Click here now to learn more about memory care at New Haven Assisted Living and see how we can help you provide the best care available.

Personal Protective Equipment: Pandemic Safety for Seniors

Personal protective equipment (PPE) is a hot topic everywhere these days. There’s a lot of misinformation out there about what to wear, what it does, and how to use it safely.

If you’re confused about PPE and how to use it in your daily life, this blog post is for you. Use it as a quick guide to understanding the different kinds of PPE, what they’re for, who should use them, and how.

What to Know About Cloth Masks

The CDC recommends cloth masks for non-health care providers. Cloth masks should contain at least two layers of a tightly woven, breathable material such as quilting cotton or heavy-duty jersey. These masks help block the flow of germs out of your mouth and nose to protect others around you from getting sick. Remember to wash a cloth mask after every use to avoid contamination.

Recommended for: Everyday wear to protect others around you
Not recommended for: Preventing infection if you are near other people who are not wearing a mask

What to Know About Surgical Masks

A surgical mask is a disposable paperlike mask designed to be discarded after a single use. You can recognize surgical masks as the kind you most often see at a doctor or dentist appointment. These masks help block the flow of germs out of your mouth and nose to protect others around you from getting sick.

Recommended for: Health providers who need to protect others from bacteria or viruses
Not recommended for: Repeated use; Preventing infection

What to Know About N-95 Respirators

An N-95 respirator is a special reusable mask designed to filter small particles such as mold, bacteria, and some viruses out of the air that you breathe. N-95 masks are popular with contractors which is why you can often find them at hardware stores.

These masks filter the air that you breathe and can remove up to 95% of small particles before they get to you. An N-95 respirator with no front exhaust valves also helps block the flow of germs to others from your mouth and now. However, respirators with front exhaust valves will not protect others from your germs. N-95 masks rely on proper fit and a tight seal to be effective and won’t help if they don’t fit right.

Recommended for: Health care providers who need protection from infection
Not recommended for: Use by non-medical personnel

What to Know About Face Shields or Goggles

A face shield is a clear plastic sheet worn over the face. A face shield helps protect your eyes, nose, and mouth from small droplets that may carry bacteria or viruses. However, it does not clean or filter the air that you breathe. Most health care providers use a surgical mask or respirator in combination with their face shield. Goggles offer protection only for the eyes and not for the nose or mouth.

Recommended for: People who are at risk of being exposed to coughs and sneezes
Not recommended for: Replacing a cloth mask or surgical mask

What to Know About Gloves

Health care professionals wear gloves to avoid spreading germs from a dirty surface to a clean one, a process called cross-contamination. This is why for gloves to be helpful, you must change and discard them after every time they touch a “dirty” surface.

Recommended for: Healthcare professionals trained in appropriate use of gloves
Not recommended for: Protection while shopping or performing other activities that require touching many different things

Is it Safe to Wear a Mask?

You may have heard rumors that wearing a mask can lower your oxygen levels or cause serious health risks. Fortunately, these rumors are mostly not true. Unless your own personal doctor tells you that a mask is unsafe for you, you should wear a mask. There is not strong evidence that mask wearing reduces blood oxygen levels or causes breathing problems or infections.

Remember that cloth masks are best for helping to keep others safe. Therefore, wearing a cloth mask may not protect you from being infected if you visit with people who are not wearing masks. For the same reason, masks protect you best when combined with physical distancing at a space of 6 feet apart or more.

What PPE Should I Be Wearing?

Because of our levels of exposure and risk, most of us only need to wear a cloth mask. Your doctor can advise you about whether you should wear something more protective than this. You may see others wearing extra PPE. However, unless they are medical care providers, a cloth mask and possibly goggles or a face shield are enough.

If you’re interested in our COVID-19 preparedness and response plan, click here to learn more and read our most frequently asked questions about assisted living and Coronavirus.

Is Assisted Living Safe?

As COVID-19 continues to spread, we hear one question more than any other from both our current and prospective residents: is assisted living safe?

Seniors are at the highest level of risk from the novel coronavirus. It’s natural that there are major questions about whether senior living is safe for them during this time. Frightening news reports from some states can make it sound as though all senior living residences are hot spots for viral disease. Thankfully, this is not the case; assisted living is still a safe option for most seniors.

Coronavirus Response for Senior Living

The overall health and safety of staff and residents is our top priority.

New Haven residents and staff continue to stay safe and healthy during the COVID-19 outbreak. New Haven staff have gone above and beyond the standards to ensure our resident safety. These are the safety guidelines that the New Haven Staff is adhering to:

Wearing Face Masks

New Haven is following the recommendations of Center for Disease Control – staff and residents wear face masks. Staff must wear masks at all times. When staff is in the apartment working with a resident or outside of the apartment, residents wear also wear a mask.

New Haven has also asked that all essential healthcare workers visiting New Haven wear masks.

Outside Health Provider Protocols

Upon arrival, all outside health providers must answer and pass a COVID-19 questionnaire and have their temperature taken. New Haven has asked that home health/hospice visits take place at the beginning of their day to help prevent the spread of disease from one facility to another.

COVID-19 Questionnaire

In an effort to track signs and symptoms of the illness, all staff and residents must also regularly complete a COVID-19 questionnaire. The questionnaire is performed twice daily, once in the morning and once in the evening.

Staying PPE Supplied

New Haven developed guidelines early on in order to ensure adequate supply of PPE supplies. Additionally, PPE inventory is tracked daily in order for communities to have the equipment necessary to keep residents and staff safe.

Communication

New Haven has implemented a CareMerge broadcast messaging system. Immediate COVID-19 communication is sent via text, voicemail, and email to facility staff and families.

We want to ensure that our families and staff are the first to know about any immediate changes within each community, and the CareMerge Broadcast messaging system has made the process efficient.

Health and Mental Status

Residents complete a Health and Mental Status assessments each week to assess mental wellbeing of our residents. Not only is the health of our residents a top priority, but the overall well-being is of utmost importance as well.

Life Enrichment

New Haven has increased hours of Activity Directors due to the visitor restriction of their loved one to prevent isolation and depression. We want to continue to keep our residents active, as this helps with their overall health. In order to keep social distancing and keep our residents active, we have adjusted our daily schedule to offer small social activities, but still, allow our residents to stay socially distant and active.

Virtually Connected

Our aim is to keep families engaged on a daily basis. To stay virtually connected, iPads help residents stay connected with their loved ones. We have also increased posting of daily activities on Facebook.

Experience the New Haven resident-centered environment that our communities offer so that your loved one feels secure and enjoys all the comforts of home. Let us calm your fears about making the decision to move your loved one in this uncertain time.

Please visit our website and Facebook page for continued updates on our response to COVID-19.