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Right at Home Winston Salem has a new look and a new site filled with resources and information that can help you prepare for and manage the home care-giving needed to keep your family healthy and happy.

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Social Wellness Month

Right at Home, an international leader providing in-home companionship, personal care and assistance to seniors and disabled adults who want to continue to live independently, is continually monitoring issues that impact our clients and their families from an emotional, physical and financial perspective.

While a person’s health has long stood as the primary measure of their well being, Wellness is a concept that incorporates 7 key lifestyle factors to paint a more vivid portrait of one’s physical and mental health. The University of California at Riverside defines wellness as “much more than merely physical health, exercise or nutrition. It is the full integration of states of physical, mental, and spiritual well-being.”

There are 7 core “dimensions” of wellness: Social, Emotional, Spiritual, Environmental, Occupational, Intellectual and Physical. Social Wellness refers to one's ability to interact with people around them. It involves using good communications skills, having meaningful relationships, respecting yourself and others, and creating a support system that includes family members and friends. Social wellness follows these tenets:

· It is better to contribute to the common welfare of our community than to think only of ourselves.

· It is better to live in harmony with others and our environment than to live in conflict with them.

So, how would you rate your social wellness? Do you strive to build and maintain positive relationships with loved ones and colleagues? Social wellness is an important pillar of overall health and well being, and Right at Home encourages you to take this Social Wellness Inventory. See how your Social Wellness stacks up and learn what you could be doing to improve your social wellness!

Social Wellness Inventory

Founded in 1995, Right at Home offers in-home companion and personal care and assistance to seniors and disabled adults who want to continue to live independently. Right at Home directly employs all care-giving staff, each of whom are thoroughly screened, trained, bonded and insured prior to entering a client’s home. All ongoing care is monitored and supervised by more than 185 local independent franchisees. Right at Home’s global office is based in Omaha, Nebraska, with franchise offices located in 40 states nationwide, as well as in the UK. For more information on Right at Home Winston-Salem, contact Greg Brewer or visit rightathome.net. To sign up for Right at Home’s free adult caregiving eNewsletter, Caring Right at Home, please go to http://www.caringnews.com.

Glaucoma Awareness from Right At Home High Point

Glaucoma is a group of eye diseases that gradually steal sight without warning. In the early stages of the disease, there may be no symptoms. Experts estimate that half of the people affected by glaucoma may not know they have it.

Vision loss is caused by damage to the optic nerve. This nerve acts like an electric cable with over a million wires. It is responsible for carrying images from the eye to the brain.

There is no cure for glaucoma, yet. However, medication or surgery can slow or prevent further vision loss. The appropriate treatment depends upon the type of glaucoma among other factors. Early detection is vital to stopping the progress of the disease.

It was once thought that high pressure within the eye, also known as intraocular pressure or IOP, is the main cause of this optic nerve damage. Although IOP is clearly a risk factor, we now know that other factors must also be involved because even people with normal levels of pressure can experience vision loss from glaucoma.

Adult glaucoma falls into two categories - open angle glaucoma and closed angle glaucoma.


Living with Glaucoma

You will probably need to make just a few changes to your lifestyle in order to manage your glaucoma effectively. As long as you are diagnosed early, visit your doctor regularly, and follow your recommended course of treatment, you can continue to live your life fully.

Try to schedule time for taking medication around daily routines such as waking, mealtimes, and bedtime. In this way, your medications will become a natural part of your day.

In addition to taking care of your physical health, it’s equally important to pay attention to the other side of glaucoma—the emotional and psychological aspects of having this disease.

Be sure to share your feelings. Especially in the beginning, it can be helpful to talk about your fears. Confide in your spouse, a relative, a close friend, or a member of the clergy. You may also want to talk with other people who have glaucoma. Sharing ideas and feelings about living with a chronic health condition can be useful and comforting.

Don’t let glaucoma limit your life. You can continue with what you were doing before glaucoma was diagnosed. You can make new plans and start new ventures. The eye care community, including the Glaucoma Research Foundation, will keep looking for better methods to treat glaucoma and will eventually find a cure.

Some daily activities such as driving or playing certain sports may become more challenging. Loss of contrast sensitivity, problems with glare, and light sensitivity are some of the possible effects of glaucoma that may interfere with your activities.

The key issue is to trust your judgment. If you are having trouble seeing at night, you may want to consider not driving at night. Stay safe by adjusting your schedule so that you do most of your travel during the day.

Sunglasses or tinted lenses can help with glare and contrast. Yellow, amber, and brown are the best tints to block out glare from fluorescent lights. On a bright day, try using brown lenses for your glasses. For overcast days or at night, try using the lighter tints of yellow and amber.

Experiment to see what works best for you under different circumstances.

Right At Home High Point can provide you the support you need to prevent and help care for your family members with glaucoma or glaucoma symptoms. If your loved one has special needs, Right At Home can work with you and your health care provider to provide the care needed.

Resources:

Glaucoma Research Foundation

All About Vision

WebMD

Fire Safety for Seniors - From Right At Home High Point

Seniors Most Susceptible to Fire Death Says US Fire Administration

The fire death rate among people over the age of 65 is twice as high as the national average, according to the United States Fire Administration (USFA). In addition, the fire death rate among people between ages 75 and 85 is three times the national average and after age 85, it increases to four times the national average. These statistics are especially alarming when researchers estimate that by 2030, the 65 and older population will exceed 70 million people.

Adults 65 years and older can reduce their fire death rate by changing five major fire safety habits:

Change Smoke Alarm Batteries

Having a working smoke alarm can more than double your chances of surviving a fire.
Make sure alarms are installed on each level of your home and outside all sleeping areas. If sleeping with bedroom doors closed, the smoke alarms should be installed within each room. Test each alarm monthly and replace the battery at least once a year. Adults who are deaf or hard of hearing should invest in visual aids such as alarms with strobe lights. Flashing or vibrating smoke alarms should also be tested every month.

Change or Update Escape Routes

Many older adults are still using escape routes that were planned when the kids were in the house. Plan and practice your home fire escape. Consider your capabilities when preparing escape routes. Have two ways to get out of each room and if needed, make sure all exits are accessible for walkers or wheelchairs.

Change Unsafe Smoking Habits

Careless smoking is the leading cause of fire deaths among Americans 65 years and older. Make sure that you are alert when you smoke and never smoke in bed. When you are finished smoking, soak the ashes in water before discarding them. Never leave smoking materials unattended, and collect them in large deep ashtrays.

Change Unsafe Cooking Habits

Cooking fires are the leading cause of fire injuries among older adults. When using the stove, never leave cooking food unattended. If you need to step away, turn it off. Also, wear tight-fitting clothing when cooking over an open flame; a dangling sleeve can catch fire easily. Keep towels and potholders away from the flame.

Change Unsafe Heating Practices

Install and maintain heating equipment correctly. Do not store newspapers, rags, or other combustible materials near a furnace, hot water heater, or space heater. Keep flammable materials, such as curtains or furniture, at least three feet from space heaters. Never use a stove as a substitute for a furnace or space heater.

For more information on senior fire safety or other fire safety topics, write to the United States Fire Administration, Public Fire Education, Building I, 16825 South Seton Avenue, Emmitsburg, MD 21727, visit http://www.usfa.fema.gov or speak to a Home Care Specialist at Right At Home High Point.

Source:
SeniorJournal.com

Diabetes Awareness for Seniors Part 2 - Diagnosis and Evaluation from Right At Home High Point

Possible symptoms of diabetes include the following:

• increased thirst
• increased urination
• weight loss
• fatigue
• loss of vitality
• wounds that heal slowly
• foot sores
• numbness or tingling in the feet
• confusion
• depression

Not everyone with diabetes shows these symptoms, and some people with diabetes go for years without any obvious symptoms. This is especially true for older adults, who often do not have the increased thirst and urination that is common younger people with diabetes. In fact, it is estimated that up to one-third of older adults with diabetes are unaware of their condition. Unfortunately, asymptomatic diabetes (diabetes without showing symptoms) is still associated with increased risk for many serious illnesses. This is why blood glucose tests are so important. They are the only way to know for sure whether or not you have diabetes.

Blood glucose testing

Blood glucose is measured in units called mg/dL. The normal level of blood glucose is around 100 mg/dL. To check for diabetes, blood glucose levels are usually measured after an 8-hour fast (ie, no food for 8 hours). If two fasting blood glucose measurements are at or above 126 mg/dL, diabetes is diagnosed. Diabetes can also be diagnosed if you are showing symptoms along with having a random (not fasted) blood glucose level at or above 200 mg/dL. Sometimes, more sophisticated tests (eg, glucose tolerance test) are needed to confirm a diagnosis of diabetes.

Drug reactions can sometimes cause high blood glucose or lead to complications, so it is a good idea to give your health care providers a complete list of all medications that you are taking. It helps to put all of your medications (including over-the-counter drugs) in a bag and take it to your doctor’s appointment. This "brown bag" inventory allows your physician to see all the drugs you are taking, and to remove medications that you no longer need or are inappropriate for any reason (eg, expired drug).

Complications of diabetes

Symptoms or signs of serious health conditions that are often caused by diabetes include the following:

• heart disease
• blood vessel problems (eg, narrowed arteries)
• nerve problems
• foot problems
• eye problems (including blindness)
• kidney problems

Because heart problems are so common with diabetes, your healthcare provider will likely ask about and check for other conditions that can also cause heart trouble, such as smoking, high blood pressure, high cholesterol, and family history.

Although there is no cure for diabetes, it is very manageable. There are three main goals of diabetes management among older adults:

• control high blood glucose and its symptoms
• prevent the complications caused by diabetes (eg, kidney disease, heart disease, eye problems, etc)
• identify and treat any complications

Complications of diabetes can also be decreased by controlling other risk factors, such as smoking, high blood pressure, and high cholesterol. Preventing and managing risk factors for heart disease in older adults with diabetes is especially important. These include the following:

• Maintain appropriate weight
• Increase physical activity
• Stop smoking
• Limit fat and carbohydrate intake
• Consider drug therapy to treat high blood pressure, prevent heart attack, or treat high cholesterol or blood lipids

Right At Home Winston-Salem can provide you the support you need to prevent and help care for your family members with diabetes or diabetic symptoms. If your loved one has special needs, Right At Home can work with you and your health care provider to provide the care needed.

Diabetes Awareness for Seniors – Part 1 from Right At Home High Point

According to the American Diabetes Association, approximately 18.3% (8.6 million) of Americans age 60 and older have diabetes. The prevalence of the disease increases with age; an estimated 50% of all diabetes happens in those aged 55 and older. The risk of developing type 2 diabetes also increases with age.

Seniors face unique diabetes management challenges. For those with type 2 diabetes, age causes a decline in insulin production and an increase in glucose intolerance. Older Americans are also more likely to have complicating conditions such as retinopathy, hypertension, and kidney problems.

Consequences of Diabetes

Diabetes is a serious condition associated with both many complications and earlier death. These complications include blocked arteries, nerve damage, loss of vision, and kidney disease. The rates of heart attack, stroke, kidney failure, and blindness are up to twice as high in older adults with diabetes.

Older adults with diabetes are also at higher risk of incontinence, falls, frailty, decrease in mental function, and depression. Functional loss and disability is also more common in older adults with diabetes than in those of similar age without diabetes. Older adults with diabetes are 2-3 times more likely to have trouble getting around, and 1.5 times more likely to have trouble performing activities of daily living, compared with older adults without diabetes. When diabetes is poorly controlled in older adults, high blood glucose alone can cause fatigue, weight loss, muscle weakness, and a loss of function.

Of course, not all older adults with diabetes experience these complications and problems. The key to staying healthy and independent for as long as possible is early diagnosis and proper management. You can take control of your diabetes and strongly reduce the chances of developing any complications.

Right At Home High Point can help you keep up with health maintenance and doctor's appointments. If you have questions, concerns or special needs, they are there to help you too.

Source:
HealthinAging.org
DLife.com

Tips for Caregivers of those with Alzhiemer's from Right At Home High Point

Caring for a person with Alzheimer’s disease (AD) at home is a difficult task and can become overwhelming at times. Basic activities of daily living – eating, talking, sleeping, finding things to do – are often hard to manage for both the person with Alzheimer’s and the caregiver. Here are some tips that may help you cope.

Daily Activities: What to do all day?

What to do all day? Finding activities that the person with AD can do and is interested in can be a challenge. Building on current skills generally works better than trying to teach something new.

• Don’t expect too much. Simple activities often are best, especially when they use current abilities.

• Help the person get started on an activity. Break the activity down into small steps and praise the person for each step he or she completes.

• Watch for signs of agitation or frustration with an activity. Gently help or distract the person to something else.

• Incorporate activities the person seems to enjoy into your daily routine and try to do them at a similar time each day.

• Try to include the person with AD in the entire activity process. For instance, at mealtimes, encourage the person to help prepare the food, set the table, pull out the chairs, or put away the dishes. This can help maintain functional skills, enhance feelings of personal control, and make good use of time.

• Take advantage of adult day services, which provide various activities for the person with AD, as well as an opportunity for caregivers to gain temporary relief from tasks associated with caregiving. Transportation and meals often are provided

Communication: Special Considerations

Trying to communicate with a person who has AD can be a challenge. Both understanding and being understood may be difficult.

• Choose simple words and short sentences and use a gentle, calm tone of voice.

• Avoid talking to the person with AD like a baby or talking about the person as if he or she weren’t there.

• Minimize distractions and noise—such as the television or radio—to help the person focus on what you are saying.

• Call the person by name, making sure you have his or her attention before speaking.

• Allow enough time for a response. Be careful not to interrupt.

• If the person with AD is struggling to find a word or communicate a thought, gently try to provide the word he or she is looking for.

• Try to frame questions and instructions in a positive way.

Mealtimes and Nutrition

Eating can be a challenge. Some people with AD want to eat all the time, while others have to be encouraged to maintain a good diet.

• View mealtimes as opportunities for social interaction and success for the person with AD. Try to be patient and avoid rushing, and be sensitive to confusion and anxiety.

• Aim for a quiet, calm, reassuring mealtime atmosphere by limiting noise and other distractions.

• Maintain familiar mealtime routines, but adapt to the person’s changing needs.

• Give the person food choices, but limit the number of choices. Try to offer appealing foods that have familiar flavors, varied textures, and different colors.

• Serve small portions or several small meals throughout the day. Make healthy snacks, finger foods, and shakes available. In the earlier stages of dementia, be aware of the possibility of overeating.

• Choose dishes and eating tools that promote independence. If the person has trouble using utensils, use a bowl instead of a plate, or offer utensils with large or built-up handles. Use straws or cups with lids to make drinking easier.

• Encourage the person to drink plenty of fluids throughout the day to avoid dehydration.

• As the disease progresses, be aware of the increased risk of choking because of chewing and swallowing problems.

• Maintain routine dental checkups and daily oral health care to keep the mouth and teeth healthy.

Sleep Time Ideas

For the exhausted caregiver, sleep can’t come too soon. For many people with AD, however, the approach of nighttime may be a difficult time. Many people with AD become restless, agitated, and irritable around dinnertime, often referred to as “sundowning” syndrome. Getting the person to go to bed and stay there may require some advance planning.

• Encourage exercise during the day and limit daytime napping, but make sure that the person gets adequate rest during the day because fatigue can increase the likelihood of late afternoon restlessness.

• Try to schedule more physically demanding activities earlier in the day. For example, bathing could be earlier in the morning, or large family meals could be at midday.

• Set a quiet, peaceful tone in the evening to encourage sleep. Keep the lights dim, eliminate loud noises, even play soothing music if the person seems to enjoy it.

• Try to keep bedtime at a similar time each evening. Developing a bedtime routine may help.

• Restrict access to caffeine late in the day.

• Use night-lights in the bedroom, hall, and bathroom if the darkness is frightening or disorienting.

Remember, each person with AD is unique and will respond differently, and each person changes over the course of the disease. Do the best you can, remind yourself to take breaks and look for help when you need it. Right At Home High Point is here to help you.

Contact Us at:
Phone 1: 336-760-7131
Phone 2: 877-760-7131
Fax: 336-760-3046
Email Us

For more information about Alzheimer’s caregiving skills, visit the National Institute on Aging’s Alzheimer’s Disease Education and Referral (ADEAR) Center Website

Alzheimer Disease Awareness - Ten Signs from Right At Home High Point

November is National Alzheimer Disease Awareness Month. As you visit with your family members during this holiday season or provide in home care on a daily basis it is important to notice any changes in their personal behavior especially these top 10 warning signs, from the Alzheimer’s Association:

1. Memory loss that disrupts daily life

One of the most common signs of Alzheimer's is memory loss, especially forgetting recently learned information. Others include forgetting important dates or events; asking for the same information over and over; relying on memory aides (e.g., reminder notes or electronic devices) or family members for things they used to handle on their own.

What's typical? Sometimes forgetting names or appointments, but remembering them later.

2. Challenges in planning or solving problems

Some people may experience changes in their ability to develop and follow a plan or work with numbers. They may have trouble following a familiar recipe or keeping track of monthly bills. They may have difficulty concentrating and take much longer to do things than they did before.

What's typical? Making occasional errors when balancing a checkbook.

3. Difficulty completing familiar tasks at home, at work or at leisure

People with Alzheimer's often find it hard to complete daily tasks. Sometimes, people may have trouble driving to a familiar location, managing a budget at work or remembering the rules of a favorite game.

What's typical? Occasionally needing help to use the settings on a microwave or to record a television show.

4. Confusion with time or place

People with Alzheimer's can lose track of dates, seasons and the passage of time. They may have trouble understanding something if it is not happening immediately. Sometimes they may forget where they are or how they got there.

What's typical? Getting confused about the day of the week but figuring it out later.

5. Trouble understanding visual images and spatial relationships

For some people, having vision problems is a sign of Alzheimer's. They may have difficulty reading, judging distance and determining color or contrast. In terms of perception, they may pass a mirror and think someone else is in the room. They may not realize they are the person in the mirror.

What's typical? Vision changes related to cataracts.

6. New problems with words in speaking or writing

People with Alzheimer's may have trouble following or joining a conversation. They may stop in the middle of a conversation and have no idea how to continue or they may repeat themselves. They may struggle with vocabulary, have problems finding the right word or call things by the wrong name (e.g., calling a "watch" a "hand-clock").

What's typical? Sometimes having trouble finding the right word.

7. Misplacing things and losing the ability to retrace steps

A person with Alzheimer's disease may put things in unusual places. They may lose things and be unable to go back over their steps to find them again. Sometimes, they may accuse others of stealing. This may occur more frequently over time.

What's typical? Misplacing things from time to time, such as a pair of glasses or the remote control.

8. Decreased or poor judgment

People with Alzheimer's may experience changes in judgment or decision-making. For example, they may use poor judgment when dealing with money, giving large amounts to telemarketers. They may pay less attention to grooming or keeping themselves clean.

What's typical? Making a bad decision once in a while

9. Withdrawal from work or social activities

A person with Alzheimer's may start to remove themselves from hobbies, social activities, work projects or sports. They may have trouble keeping up with a favorite sports team or remembering how to complete a favorite hobby. They may also avoid being social because of the changes they have experienced.

What's typical? Sometimes feeling weary of work, family and social obligations.

10. Changes in mood and personality

The mood and personalities of people with Alzheimer's can change. They can become confused, suspicious, depressed, fearful or anxious. They may be easily upset at home, at work, with friends or in places where they are out of their comfort zone.

What's typical? Developing very specific ways of doing things and becoming irritable when a routine is disrupted.

If your loved one is experiencing any or all of these symptoms, it is important to have them evaluated by their doctor as soon as possible.

Right At Home in High Point is here to help you manage your family member's care and provide peace of mind when you can't be there.

Phone 1: 336-760-7131
Phone 2: 877-760-7131
Fax: 336-760-3046
Email Us


Additional Alzheimer's Disease Resources (click on the titles to visit their sites):

Alzheimer’s Association - 877-IS IT ALZ

National Institute on Aging’s Alzheimer’s Disease Education and Referral (ADEAR) Center –

ADEAR - Alzheimer’s Disease Education and Referral Center. U.S. National Institute on Aging.
ADEAR maintains information on Alzheimer’s disease research, diagnosis, treatments, clinical trials and federal government programs and resources. AD Lib, ADEAR 's literature database, has nearly 8,500 materials related to Alzheimer's disease that includes fact sheets, textbook chapters, journal articles, brochures, teaching manuals, directories, videos and other media, bibliographies, program descriptions, monographs, newsletters and reports.

Alzheimer's Disease International (ADI).
ADI is an international membership group of Alzheimer associations. The ADI site links to member association sites throughout the world. It also provides information in several languages, statistics on the number of people with dementia worldwide, and the implications for the distribution of research funding, especially in developing countries.

Alzheimer Research Forum
This Web site reports on the latest scientific findings, from basic research to clinical trials; creates and maintains public databases of essential research data and reagents; and produces discussion forums to promote debate, speed the dissemination of new ideas, and break down barriers across the numerous disciplines that can contribute to the global effort to cure Alzheimer's disease.

Fisher Center for Alzheimer’s Research
Fisher's site is a comprehensive portal for caregivers, family members, people living with Alzheimer's and the general public.

Mayo Clinic Alzheimer’s Disease Center
The Mayo Clinic Alzheimer’s Disease Center has easy to understand, practical in-depth information on Alzheimer’s and care-giving.

Web MD.com Alzheimer’s Health Center
This site has a broad range of information, with an emphasis on information for individuals who are concerned about memory problems or have Alzheimer’s disease.