Finding the Right Home Care Agency and Caregiver: 15 Questions to Ask

 It is so important to research and consider options carefully when looking into a home care agency to assist your loved one. Some agencies may not provide adequate screening or training of their caregivers. Also, finding a compatible caregiver for a client is crucial and should be a priority to the home care agencies you consider.

Here are 15 questions to ask when contacting home care agencies.

1. How do you recruit caregivers, and what are your hiring requirements?

In-home caregiver jobs have different requirements. Most highly regarded home care agencies require CNA or HHA certifications. Visiting Angels Newton/Canton, for example, hires CNAs and HHAs with experience in caregiving, and the caregivers typically have a strong employment history in caring for seniors.

2. What types of screening and background checks are performed on caregivers before you hire them?

You want to ensure that the agency has checked the caregivers’ background through legitimate records and databases, not through an unverifiable source.

3. Is your agency bonded and insured, and does your agency meet all state and local requirements?

Visiting Angels Newton/Canton is bonded and insured. It not only meets Massachusetts state requirements but is also an award-winning home care agency. Visiting Angels Newton/Canton has won the Best Home Care Provider and Best of Home Care Employer awards from Home Care Pulse, an independent satisfaction and quality assurance company, for the past six years.

4. What kind of health-related training, if any, do your in-home caregivers have?

It’s essential to ensure that the caregiver or home health aide you choose is appropriately trained for your needs. For example, Visiting Angels Newton/Canton provides an orientation class for new caregivers, Visiting Angels University, an online educational program, and a partner program with a local community college. Caregivers are taught how to assist clients with transfers through Hoyer lifts and gait belts, provide comfort to seniors with dementia, and other crucial skills to help ensure clients are treated with the respect and dignity they deserve.

5. Does your agency provide specialized and continuing education for caregivers?

A good agency will have caregivers trained to handle specific needs, such as dementia care, through specialized education. Some agencies may have advanced training programs available, such as Visiting Angels’ Palliative Care Training.

6. How are your training programs developed?

Reputable agencies like Visiting Angels often provide training that has been developed with nationally recognized experts, such as their Dementia Care Professionals of America (DCPA), which is an Alzheimer’s Foundation of America-sponsored formal training and qualification program for caregivers.

7. What competencies will the caregiver have (e.g., lifting and transfers, homemaking skills, personal care skills including bathing, dressing, toileting, behavioral management training, cognitive support)?

Not every situation will require a caregiver with all of these skills, but it is important to know what a caregiver can do. Be sure to share your loved one’s requirements and ask the agencies you are contacting if they have caregivers available with the skillsets needed to provide the appropriate support to them.

8. How do you assess what the caregiver is capable of doing?

Not every caregiver is a match for every client’s needs. A good agency will conduct an initial assessment to determine the client’s requirements and evaluate each caregiver’s skills, strengths, and personality to provide a good match.

9. What is your policy on providing a substitute caregiver if a regular caregiver cannot provide the contracted services?

Emergencies happen, but you need to know that your care needs will still be met. Visiting Angels Newton/Canton and other quality agencies have policies to ensure that clients are not left without a caregiver.

10. If there is dissatisfaction with a particular caregiver, can they be replaced “without cause”?

Home care is very personal, and sometimes the right match between caregiver and client doesn’t happen right away. An agency like Visiting Angels Newton/Canton will work with you to find a different caregiver to make sure your loved one is cared for, and you have peace of mind.

11. Does the agency provide a supervisor to evaluate the quality of home care regularly? How frequently? Does supervision occur over the telephone, through progress reports, or in person at the older adult’s home?

A combination of monitoring, such as telephone and in-home visits, is recommended to ensure the best level of care. Visiting Angels Newton/Canton assigns a case manager to each client and their family. The case manager supports the client and their family every step of the way. The office and on-call staff are also available to assist and support clients and their families twenty-four hours a day, seven days a week.

12. How long has the home care agency been in business?

A national franchise should have a high level of agencies with a long track record — at Visiting Angels, 60% of all franchises have been in business five or more years, which is more than 10% higher than the national average. Visiting Angels Newton/Canton has been in business for over seventeen years.

13. How does the agency stay abreast of new techniques and research in home care?

Franchise agencies usually have a strong network of ongoing skills training to draw on. Still, every agency should participate in local network and education opportunities to ensure they are providing the most current care modalities. The Visiting Angels Newton/Canton staff and owners participate in ongoing training and franchise conferences regularly.

14. What hours can the caregivers work? When are they available?

You need to be able to schedule help when you need it, and a good agency will work to provide care. Visiting Angels Newton/Canton offers hourly care, 24-hour home care and live-in services, temporary or long-term care, weekend and holiday care, as well as respite for family caregivers.

15. Can we meet the caregiver before the person starts work?

Meeting and approving the proposed caregiver before hiring helps to reassure you and prepare your loved one. Caregivers and clients build a special bond and feel like part of the family if there is a good match.

Starting up home care for a senior loved one can be daunting. Too often, families don’t know what questions to ask, so they choose an agency that may not be the right fit. It’s so important to ask questions and be confident that the agency you choose can stand by you when you need them. We hope these questions will help you feel more confident in your choices.

If you’re interested in more information about how in-home care can help your senior loved ones in Newton, MA, and surrounding communities, contact Visiting Angels Newton/Canton at 617–795–2727.

About Visiting Angels Newton/Canton

Visiting Angels Newton/Canton MA is an award-winning home care agency providing high-caliber home care services for seniors and people with disabilities for over seventeen years. Countless families have benefited from our home care assistance, senior companion support, respite for family caregivers, 24-hour and live-in home care, dementia, and Alzheimer’s care, transitional aid, and home health care services in Dedham, Needham, Natick, Wellesley, Stoughton, Brookline, Canton, Watertown, Jamaica Plain, Newton, Norwood, Roslindale, Upper Back Bay, Westwood, and neighboring communities. The non-medical assistance provided by Visiting Angels Newton/Canton home care can make a significant impact on your loved one’s happiness and quality of life.

If you are interested in more information about how in-home care can help your senior loved ones, contact us today at 617–795–2727 to schedule a free in-home consultation.

Obesity Among Seniors

 Many seniors contend with existing conditions that impact their health and wellness in addition to age-related concerns. Obesity is prevalent among the elderly and has been linked to various health issues.

It’s important to explore the effect of obesity on our elderly and how it impacts their quality of life.

Effects of Obesity in the Elderly And How to Address Them

Obesity affects 42.8% of individuals over the age of 60, according to 2017-2018 figures from the U.S. Centers for Disease Control and Prevention (CDC). Obesity has long been linked to an increased risk of health issues, including hypertension, diabetes, and heart disease. These chronic conditions can become increasingly hard to manage for seniors as they deal with restricted mobility or cognitive decline.

Also, obesity may contribute to age-related challenges the elderly commonly face. Excess weight gain can place more pressure on joints, adding to the general wear-and-tear of daily life. The non-profit organization Obesity Action Coalition also notes that obesity may also be linked to lower cognitive function.

There are many ways obesity can limit the independence and overall quality of life for our elderly. However, it’s unwise for seniors to attempt any weight loss without consulting a doctor so they can do so safely.

As with any age group, eating balanced meals and exercising regularly are vital parts of maintaining a healthy weight. Staying active has many benefits for seniors, as it can also help improve mood and physical balance.

Seniors should consult a medical professional before making any changes to their lifestyle. A physician may recommend gentler exercises like swimming, yoga, or Tai-Chi. They may also suggest muscle-strengthening and balancing activities to help reduce fall risks for seniors.

Losing weight can sometimes mean losing muscle as well as fat. Since seniors typically lose muscle as part of the aging process, this is another reason to consult a doctor before pursuing any significant weight loss plan. A doctor can also determine if the medications they’re taking could be causing weight gain.

In-Home Care For Seniors With Obesity

Family caregivers can face many challenges when addressing and managing the medical and personal needs of an obese loved one at home. Visiting Angels® specializes in custom in-home care for seniors who wish to retain their independence. Our caregivers can support obese seniors by preparing nutritious meals, accompanying them on walks and outings, and assisting with any errands or activities that have gotten more difficult for them to perform independently. We also provide professional help by assessing your loved one’s fall risk level and “fall-proofing” their home.

If you are interested in more information, call us at 617-795-2727 to schedule a free in-home consultation! With the right support in place, we can help your loved one enjoy a higher quality of life at home.

Three Common Senior Ailments That Make Caregiving Harder

Many seniors struggle with chronic medical conditions that must be carefully managed, not just by health professionals, but also by professional caregivers. We spoke with several professional caregivers about common ailments among seniors that can complicate caregiving and how you can help improve the quality of life for your aging loved one.

Mobility Challenges

Limited mobility poses more challenges to caregiving. Arthritis affects several adults over the age of 65, making it one of the most common chronic conditions seniors must manage. Osteoporosis, another common diagnosis in seniors, can increase the risk of fractures or falls, leading to significant disability. Falls caused by weak bones or arthritis can make it painful or difficult to complete day to day tasks and prevent your loved one from being physically active.

Seniors with mobility problems are particularly at risk for injury inside the home. Keeping the house free of clutter or other potential hazards should be the first step to keeping your loved one with mobility challenges safe.

Staying active is also essential for health and well-being for people of all ages, but this may be challenging for those with pain or difficulty moving. Consider speaking to your loved one's doctor to come up with a plan for staying physically active. This may mean a referral to a physical therapist or exercise physiologist who specializes in working around mobility difficulties.

Swallowing Difficulties

Did you know that as we age, it is more common to have difficulties with chewing or swallowing? Missing teeth or poorly fitting dentures may cause chewing problems. Swallowing difficulties, called dysphagia, can happen when the esophagus becomes weak, or other physical changes occur.

Nicole Keels-McGruder, a professional caregiver, states that caring for seniors with swallowing or chewing difficulties can cause significant challenges. She recalls a senior she cared for, “who could not drink thin fluids and all of her foods had to be pureed. A thickener had to be added to her drinks. Making sure that she was properly elevated during meals was also something that I learned the hard way. Because of her condition, I stayed in the room with her for an additional 30 minutes to make sure that all of her food was down.” Nicole added that the time it took to prepare, puree, thicken, and ensure proper positioning was much more demanding of her time and energy.

Getting help with food preparation or supervision of meals can help your loved one if they have been diagnosed with dysphagia. A home health aide can help relieve some of the pressure in caring for and supervising a loved one with dysphagia or other swallowing concerns.

Infectious Diseases

According to the American Academy of Family Physicians, older adults are more susceptible to infectious diseases. Common contagious illnesses that can impact the elderly include urinary tract infections and digestive and respiratory diseases, like pneumonia and influenza. It is also more challenging to diagnose people over 65 because they don't always present with typical symptoms. Instead, they can experience more generalized symptoms like loss of appetite, a change in mental status or incontinence. A difficulty with a diagnosis can lead to prolonged discomfort and a higher risk of hospitalization. 

For family caregivers, it is essential to understand the signs and symptoms of common infections to start treatment as soon as possible. Look for sudden changes in behavior, confusion, skin infections, chills, difficulty breathing, cough, fever, digestive disturbances, or lack of appetite. These symptoms should be evaluated immediately by a medical doctor who can determine the best course of action. An annual flu shot is also recommended for all seniors.

Home Care Demands a Village

All this is to say that you should genuinely consider your role in your aging parent's in-home care. Ailments like these are so common among the elderly, the degree of care your loved one needs is sure to evolve. While you may be able to handle things initially, are you genuinely ready to juggle a parent's worsening ailment with your own family and responsibilities?

Many of these conditions that impact older adults are chronic and require regular management. Getting help from a senior home care agency can be instrumental in ensuring your loved one’s quality of life.

About Visiting Angels Newton/Canton

Choosing the right home care provider is a difficult decision, and you want the best for your loved one. Our experienced and compassionate home caregivers have served countless seniors and disabled adults in Greater Boston with dignity and respect for over 14 years. As a result of our exemplary home care service, Visiting Angels Newton/Canton has won the Best of Home Care Leader in Excellence Award; the Best of Home Care Provider of Choice Award; and the Best of Home Care Employer of Choice Award from the national client satisfaction survey firm Home Care Pulse five years in a row. We have accreditation by Home Care Alliance of Massachusetts and have been awarded Boston Globe Top Places to Work.

Visiting Angels Newton/Canton offers dementia home care, Alzheimer’s care, companion care, respite support, transitional aid, live-in care and other elder home care services in Wellesley, Natick, Newton, Needham, Brookline, Chestnut Hill, Canton, Westwood, Dedham, Water-town, Stoughton, Roslindale, Norwood, and nearby towns. The services provided by Visiting Angels Newton/Canton will be sure to make a positive impact on your loved one’s happiness and quality of life. Call us today at 617-795-2727 for more information.

When Your Senior Loved One Needs Help in the Bathroom

As we age, our muscles may weaken, our dexterity may suffer, and in some cases, we deteriorate mentally. If you have aging parents, you may experience this first-hand as your parent begins needing additional help with everyday tasks around the home. Maybe you don't mind helping if Dad needs help cleaning, cooking, or getting dressed. However, what happens when your aging parent needs help in the bathroom?

​Risk of Falling in the Bathroom

Routine activities like bathing or showering and getting in and out of the tub can cause slips and injuries. People over 85, especially if suffering from any incontinence, which is common in Alzheimer’s patients, are more likely to injure themselves on or near the toilet because they often have to rush to get in the bathroom, placing them at higher risk for falls.
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Moreover, sadly, the consequences of senior falls can be severe. Over 27,000 seniors in the USA die as a result of falls every year. If Dad is getting unsteady on his feet, it may be that bathing unsupervised is no longer an option. If you’re the only one capable of helping out, you may need to prepare yourself to enter the bathroom with your aging parent. 

Overcome the Embarrassment

Going to the bathroom is a personal, private experience, so helping a friend or family member use the toilet can be embarrassing for both you and your loved one. Some seniors may be ashamed to appear so vulnerable in front of a family member, and it may be hard for you to see the person who raised you in such a state. However, overcoming the embarrassment can lead to positive outcomes. Studies have shown that seniors who feel supported by a family member to achieve daily activities, such as using the toilet, feel more independent and in control of their lives, which in turn offers health benefits. Your loved one may come to realize that receiving bathroom help is better than the alternative, which could include leaving home for a nursing home or assisted living facility and losing independence. 

​Make it as Easy as Possible

If using the bathroom is difficult for Dad, it may be possible to remodel his bathroom to make it easier to use. Installing grab bars could help him to get on and off the toilet; nonslip decals are easy to apply to tubs and tiles to minimize slip risk. Senior-friendly walk-in tubs with doors can provide easy access, although they can be expensive. In general, ensuring that everything is within his reach, and there are minimal obstacles will be a great start. 

Offering Physical Help

Unfortunately, sometimes even a remodel might not be enough to allow every senior to use the bathroom alone, some will need a person there to help. The Family Caregiver Alliance offers tips on how to aid a senior loved one in the bathroom:

• If the senior needs help to remove clothes, move slowly, and encourage him to help.
• Don’t rush the senior; if it takes a little time, it may be better to sit him down, walk away, and come back when he is finished.
• If your loved one needs help to wipe, wet wipes may be easier than toilet paper.
• Assist with pulling up pants as pants that are not pulled up correctly can become a trip hazard.
• Provide as much privacy and modesty as possible.

According to some home caregivers, a sense of humor can be an essential tool in helping a senior loved one to use the toilet – laughter (not at the person, but with the person) can help to release the tension of the situation for both of you. After all, you both know what's going on, and there is no harm in merely acknowledging it. 

​Consider Professional Help

It’s possible that through no fault of your own, helping your loved one use the toilet may not be something that either of you is ever comfortable with as part of a routine. In this case, you could consider professional home care services. A professional caregiver can visit your loved one and help with personal care. A professional caregiver could assist with most of your loved one’s needs, including helping walk to the toilet, getting undressed, getting into the tub, washing, and even using the bathroom.
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Even if you are both comfortable with you helping in the bathroom, a professional caregiver or home health aide could offer another crucial point of assistance. Although some seniors may keep to a reasonably regular bathroom schedule, most could need to use the bathroom at any time of the day or night, which means you could be on call 24/7. Getting respite care services from a home care provider would allow you some time off while ensuring that your loved one's bathroom needs are adequately addressed.

About Visiting Angels Newton/Canton
Visiting Angels Newton/Canton senior home care agency provides quality in-home care services to seniors and people with disabilities. Countless families have benefited from our dementia home care, Alzheimer’s care, companion care, respite support, transitional aid, and elder home care services in Wellesley, Natick, Newton, Needham, Brookline, Chestnut Hill, Canton, Westwood, Dedham, Watertown, Stoughton, Roslindale, Norwood, and nearby towns. The services provided by Visiting Angels Newton/Canton will be sure to make a positive impact on your loved one’s happiness and quality of life. Call us today at 617-795-2727 for more information.

Coordinating Home Care Between Family & Agency Caregivers

When hiring a caregiving service, many family caregivers remove themselves from the situation. They envision care as a two-part equation. Care recipient on one side - home care agency on the other.
In truth, family caregivers are a crucial part of this equation. Caregiving is easier when family members and professional caregivers support one another. It allows you to split caregiving responsibilities effectively. It will enable you to focus on the care duties you’re most comfortable handling. Also, it helps you avoid caregiver burnout, which is common among family caregivers.

Preventing caregiver burnout is equally crucial for your well-being. Caregiving improves or maintains quality of life for your loved one. However, that shouldn’t come at the cost of your self-care. Without support from professional caregivers, it is possible for your physical, mental, and emotional health to suffer.​

So when you are hiring home care services, it’s essential to keep your schedule, needs, and well-being in mind. Moreover, you’ll want to do the same for other family caregivers who provide care for your loved one.

Coordinating with Home Care Agencies

When you’re hiring a caregiving service, whether it is respite care, live-in care, dementia care, or other assistance, there are several areas where it helps to coordinate between family caregivers and home care professionals.

Below are six areas where this can make a big difference in the quality of life for the care recipient and family caregivers.​

• Care Scheduling. When scheduling care visits, you’ll want to consider your loved one’s routine. At the same time, you’ll want to preserve time for your activities. A reliable home health care agency can schedule care in a way that balances these needs. 
• Care Responsibilities. With a home care service, you can split care responsibilities effectively. Agency caregivers can take on more laborious tasks or those that require specialized knowledge or skills.
• Respite Care. Family caregivers need periods of respite to avoid caregiver burnout. A professional care agency will prepare a comprehensive respite plan that will help you attend to your well-being, and they’ll be there when you need a few hours (or a few days) to yourself.
• Cooperative Care. Certain care activities are much easier to perform as a team. As such, it can be helpful to hire a professional caregiver to assist with aspects of care (as opposed to providing care only when you’re not around).
• Companionship for Elders. Many families worry about their loved one’s safety and well-being when left alone. With a home care service, you can reduce your loved one’s alone time by ensuring a family member or care professional is there.
• Flexibility. What happens if your loved one’s condition changes and they need different types of care? Alternatively, what if you have a sudden change in your personal life and can no longer provide care as often? The home care agency will be able to adapt their services to your needs.

​Finding the Right Home Care Provider

Choosing the right home care provider will make coordinating care between family caregivers and care professionals seamless. So, it’s crucial to keep this in mind during consultations with home care agencies. A comfortable rapport and feeling of confidence in your case manager are essential.

When you meet with home care agencies, you’ll want to focus primarily on your loved one’s needs and routines. However, you should find time to discuss your own needs as well as those of other family caregivers. Can care be scheduled in a way that makes your life more workable? Are there care tasks that you’d preferably have performed by a professional? Will you need respite visits to allow for self-care?

At the same time, you’ll want to develop a good relationship with the agency and its home health aides. These are the people who you’ll be planning, coordinating, and working with throughout the duration of your loved one’s care. As such, it’s essential that you start with a foundation of comfort and trust.

Visiting Angels Newton/Canton is an award-winning home care agency with an excellent track record with over fifteen years of experience in the home care industry. Our case managers and care providers understand the tremendous role family caregivers have in the care equation. Because of this, we go the extra mile to work with our clients’ family members to provide caregivers with the support they need. Our case managers and office staff make it a priority to communicate with you and your family about changes in schedules, medication needs, appointments, and the day-to-day needs of our clients and their family caregivers.

About Visiting Angels Newton/Canton

Visiting Angels Newton/Canton senior home care agency provides quality in-home care services to seniors and people with disabilities. Countless families have benefited from our dementia home care, Alzheimer’s care, companion care, respite support, transitional aid, and elder home care services in Wellesley, Natick, Newton, Needham, Brookline, Chestnut Hill, Canton, Westwood, Dedham, Watertown, Stoughton, Roslindale, Norwood, and nearby towns. The services provided by Visiting Angels Newton/Canton will be sure to make a positive impact on your loved one’s happiness and quality of life. Call us today at 617-795-2727 for more information.

Senior Home Care Services Can Help Your Loved One Develop an Active Lifestyle

If it were up to Leslie’s 85-year-old dad, he would be happy to sit at the computer and play games or watch TV most days.

She saw that first-hand after her dad took a tumble last spring and broke a bone in his hip. The spill sent him first to the hospital and then to a rehabilitation center before he could go back to his summer home in Florida, with a care plan to continue his exercises.

“The problem is, he didn’t do them,” says Tennyson. So, she hired a physical therapist to come to his home twice a week to work on exercises to keep him active. “It was helpful,’’ said Tennyson, who is now using this experience to guide her in selecting future home care services in Wellesley, where her dad lives the rest of year.

“Once he got the push, he could drive himself to the grocery store and get back to cooking -- a hobby he enjoys,” she said. “He needed some motivation.”

Staying Sedentary is Unhealthy

Staying active is key to maintaining physical, emotional, and psychological health. While older adults may worry that becoming more active could result in injury, the National Institute of Health (NIH) says staying sedentary is what is harmful.

“Studies show that ‘taking it easy is risky,’’ the NIH says. “For the most part, when older people lose their ability to do things on their own, it doesn’t happen just because they’ve aged. It’s usually because they have lived a sedentary lifestyle.”

According to a U.S. Surgeon General’s Report on Physical Activity and Health, inactive people are nearly twice as likely to develop heart disease as those who are active. Moreover, a lack of physical movement can lead to a higher number of visits to the doctor, hospitalizations, and added use of medications for a variety of illnesses.

Leslie said her dad’s surgery and subsequent therapy was the “wake up call I needed” to start looking for senior home care services. The experience helped her recognize that a home health care provider will motivate her dad to continue an active lifestyle as well as incorporate his hobbies.

The benefits of physical activity, according to that U.S. Surgeon General report, are numerous. Physical activity has been shown to:

• Maintain the ability to live independently while reducing the risk of falling
• Lower the risk of dying from coronary heart disease and of developing high blood pressure, colon cancer, and diabetes
• Improve stamina and muscle strength in people with chronic, disabling conditions
• Reduce symptoms of anxiety and depression, while fostering well-being
• Maintain healthy bones, muscles, and joints, and controls joint swelling and pain linked to arthritis

Moreover, if that isn’t enough, consider the benefits of maintaining social activities. The National Institute on Aging (NIA) points to research and studies that show aging adults who continue hobbies and social interactions are:

• Less likely to develop certain diseases and may be at a lower risk for developing health problems, including dementia
• More likely to live longer
• Happier and less depressed
• Better prepared to cope with loss

Professional Caregiver Improves Senior’s Health and Outlook

Like many family caregivers who struggle with bouts of caregiver guilt, Leslie is aware that she likely doesn’t push her dad enough or recognize how to get him to pursue his hobbies. However, it is now at the top of her list of questions to ask a professional caregiver because she saw first-hand how her dad's health and his outlook improved.

She said she wants to hear a potential provider ask her dad what his hobbies are, what he enjoys doing around the house, and she will then ask for a care plan to continue those activities.

Leslie is looking for professionals to empower her dad, not enable him.

“I want him to be as independent as possible," says Leslie. “I don’t want him to give up physically or emotionally. The home health care company that appeals to me will not just do the function of following the care plan, but will produce a positive attitude and atmosphere.”

How to Stay Active

There are four areas to concentrate on for your parent to remain or to become active. You can help Mom or Dad work on these a little each day. None of the exercises below require a gym membership, and many activities can be done at home with the help of a home health care professional. Remember to have your parent talk with a doctor before beginning any exercise program.

Endurance

Endurance exercises get the heart pumping and increase breathing. Focusing on endurance helps with everyday activities like walking up stairs and shopping. Encourage your parent to:

• Rake leaves or sweep the floor
• Dance
• Take a brisk walk or bike ride

Strength

Muscle conditioning exercises help your parent build strength and can help him or her with activities like keeping up with grandchildren and carrying groceries. Encourage your parent to:

• Grab a tennis ball and grip and release for several times in each hand.
• Use a can of vegetables as a small weight and lift, do arm curls and push it toward the ceiling.
• Stand behind a chair, with his or her hands on the back for balance and come up on the toes and come back down, then repeat several times.

Balance

Falling is a significant concern among aging adults, and for a good reason, one in four Americans, aged 65-plus falls each year. Focusing on balance exercises can help your parent become more stable and reduce falls. Encourage your parent to:

• Stand behind a chair and using it for stability, raise a leg and hold it up for a few seconds. Repeat on the other leg.
• Walk heel-to-toe in a straight line across the room.
• Check out a YouTube video on fundamental Tai Chi and follow along with the exercises.

Flexibility

Flexibility exercises are stretches that will help your parent remain limber. Staying agile will help your parent get dressed, put on shoes, and take down or put away items on shelves. Encourage your loved one to:

• Sit on a bench or the floor and extend one leg and bend their upper body slowly forward toward the leg. Switch sides and repeat.
• Throw a towel over the left shoulder, holding with the left hand and grabbing the towel’s other end with the right (behind the back). Use the left hand to pull the right hand up toward the spine. The right arm should be relaxed as the towel is pulled with the left. Pull only to the point of resistance and hold this position for 30 to 60 seconds. Repeat on the other side.

Starting slowly and with small steps towards being physically active is always better than doing nothing.

You or your professional caregiver can also help Mom or Dad map their progress by keeping a daily log. The National Institute of Health’s Go4life has a downloadable one here.

For more information on home care assistance services and how a professional caregiver can keep your parent active, contact us by filling out the form below.

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Sources:

• National Institute on Aging: https://www.nia.nih.gov/health/participating-activities-you-enjoy
• National Institute of Health: https://go4life.nia.nih.gov/tip-sheets/real-life-benefits-exercise-and-physical-activity
• National Institute of Health: https://go4life.nia.nih.gov/sites/default/files/RealLifeBenefitsOfExerciseAndPhysicalActivity.pdf
• NIH: https://www.nia.nih.gov/health/cognitive-health-and-older-adults

About Visiting Angels Newton/Canton:

Visiting Angels Newton/Canton MA is an award-winning local home care agency providing high caliber in-home care services to the elderly and people with disabilities. Countless families have benefited from our Alzheimer's care, dementia care, companion care, senior care, respite support, transitional aid, and elder home care services in Needham, Dedham, Brookline, Watertown, Canton, Stoughton, Natick, Wellesley, Newton, Chestnut Hill, Roslindale, Westwood, Norwood and nearby towns . While non-medical in nature, the care provided by Visiting Angels Newton/Canton can make a significant impact on your loved one's happiness and quality of life. Call us at 617-795-2727 for information or fill out the form below!

Understanding the Stages of Memory Loss

When making care decisions for a family member who is showing signs of memory loss, dementia or Alzheimer’s, it’s vital to understand the stages that they may go through. By having a better understanding of the changes in behavior and abilities, you can choose the most effective course of action for your loved one’s treatment and care with the help of doctors and caregivers.

Alzheimer’s and dementia place a heavy burden on family and friends. The Alzheimer’s Association states that, in 2017, 16.1 million family members and friends provided 18.4 billion hours of unpaid care to people with Alzheimer’s and other dementias, at a value of over $232 billion. Plus, the slow progression through the stages by the patient leads to long-term care duties for the unpaid Alzheimer’s and dementia caregivers. The Alzheimer’s Association says that 86 percent have provided care for at least the past year, and half have been providing care for four or more years. Depending on the severity of the memory loss of the senior, families often seek help from home care services, ranging from a little respite care to 24-hour home care assistance.

The following stages are based on the Reisberg Scale, developed by Dr. Barry Reisberg of New York University. Ultimately, the stage of dementia will be determined by a doctor through the use of tests and examinations. To help make the phases more relatable, we’ll outline some real-world scenarios to go with the more clinical definitions.

Stage 1: Normal/No Impairment

There are no outward signs of memory loss or dementia, and your loved one’s behavior and mood have not changed.

“Laura is still keeping a full calendar, from volunteering at the local hospital to meeting her friends for lunch a few times a week. She’s sharp as a tack, too. She’s started working on digital photography courses and picked it right up.”

Stage 2: Very Mild/Normal Aged Forgetfulness

The second stage of dementia is mostly one that the person subjectively notices happening to themselves. Typical examples would be someone thinking they don’t remember names as well as they used to, or temporarily forgetting where their keys are more often. If someone seems to be in stage 2, some studies have shown that they may progress more rapidly through the following stages.

“Paul feels that he’s more forgetful when it comes to places and names, but that it’s not affecting him at work. He’s getting older, so it’s probably just typical stuff for someone his age.”

Stage 3: Mild Cognitive Impairment

In this stage, changes begin to be noticeable by friends and family. The person can probably get through their daily routine, but a range of symptoms can be observed. There can be higher levels of forgetfulness and memory loss, including more repetitive questions from the person. More complex activities that involve planning and organizations can become challenging, which can be particularly worrisome when it comes to staying on top of medications. There can also be a loss of concentration, higher levels of anxiety, and overall confusion.

Stage 3 is where initial Alzheimer’s testing typically occurs, so be sure to encourage family members to be tested.

“Jackie is starting to worry me because she’s still trying to do everything she’s used to doing, but she has trouble with her memory. I can also tell that she gets frustrated when she notices it happening.”

Stage 4: Moderate Dementia

For people in this stage, tasks like cooking, shopping and cleaning are very hard to accomplish without assistance. Issues with memory loss and forgetfulness intensify and should be very apparent to casual acquaintances. Proper speech and “finding the right words” can be a challenge as well.

There can also be noticeable psychological changes, most often seen in withdrawal from social situations. Usually, this is a state of denial where the subject knows their mental facilities are in decline but don’t want to admit it, even to themselves. Rather than engage in a conversation and forget a name, or try to order from a menu and misspeak, they will avoid the situation.

This stage is also named mild Alzheimer’s disease, and diagnoses in this stage are often very accurate.

“I’m glad Les has his family close by because he’s been in decline the last few months. It has to be hard on them to assist in more and more activities, especially as he seems to be more and more withdrawn.”

Stage 5: Moderately Severe Dementia

When a person enters this stage of dementia, they typically need frequent assistance to make it through their daily activities. There is often an inability to recall necessary, deeply ingrained information, such as phone numbers, home address, or schools attended.

Someone in stage 5 would have great difficulty living an independent life. They may need living assistance in a variety of areas, from picking the proper clothes for the weather to eating regular, healthy meals to handling basic tasks like paying a bill.

“When I saw Mari the other day, she was wearing short sleeves even though it was 40 degrees outside. I’ve also noticed her not being able to recall her home address, which makes me glad she has someone coming to provide in-home care every day.”

Stage 6: Severe Dementia

In stage 6, having full-time care is a must for most patients. They often need help to dress, bathe or use the bathroom. Things that seem as simple as flushing the toilet will be forgotten, leading to cleanliness and sanitary issues within the house.

The memory loss can also manifest itself in the person wandering or getting lost and forgetting the names of family members. A breakdown of speaking ability can often occur later in this stage, making it harder for family members and home caregivers to meet the needs of the person. Emotional and behavioral changes can be quite troubling in this stage as well, as those who have severe dementia can be increasingly paranoid and hostile.

“John’s family seemed very distraught when discussing his current condition with me. They’re so worried about his behavior that they’re cutting back on visits from friends to see him. Plus, he’s at a stage where things that would be very embarrassing are routinely happening, and they want to protect people’s good memories of him.”

Stage 7: Very Severe Dementia

Stage 7 is the final stage of dementia and patients require full-time care. Moving, eating, talking can be nearly impossible for some people, so even trained professional caregivers can find themselves taxed by the needs of the patient.

Symptoms of this stage often include a loss of the ability to speak and communicate, a loss of awareness for people and surroundings, and the failure of motor control, which can lead to an inability to control facial expressions.

“It’s troubling to visit Doris these days as there isn’t much of her personality or even physical state left that you would recognize. Thankfully, she has very patient and caring people looking after her who are trying to make her final days as good as they can be.”

Conclusion

If you can identify symptoms from any of the stages outlined above in your loved ones, please reach out to their primary caregiver to begin the process of testing. Early detection can be instrumental in managing the progression of the disease and also give you time to plan the approach to caregiving that is right for your family, whether it’s assisted living, friends and family, or in-home care by HHAs and CNAs.

About Visiting Angels Newton/Canton

Visiting Angels Newton/Canton MA is an award-winning local home care agency providing high caliber in-home care services to elderly and people with disabilities. Countless families have benefited from our dementia home care, Alzheimer’s care, companion care, respite support, transitional aid, and senior home care services in Needham, Dedham, Brookline, Chestnut Hill, Wellesley, Newton, Canton, Westwood, Watertown, Natick, Stoughton, Roslindale, Norwood, and nearby towns. While non-medical in nature, the care provided by Visiting Angels Newton/Canton can make a significant impact on your loved one’s happiness and quality of life.