As I write I have been watching the rain fall onto the scorching blacktop streets of my neighborhood. It feels good on the porch in the evenings. But, the middle of the day is a bit unbearable for me. Summertime is no joke in Alabama. I remember moving South the summer of 1985. July to be exact. Being that I moved from way up North…it seriously took me two entire weeks for my system to adjust. Heat is not anything for anyone to play around with. It can be particularly concerning for the elderly. Here are some tips to help our seniors keep their cool this summer.
Drink Up! The key to staying healthy is to stay hydrated! Drink eight or more 8-ounce glasses per day of water every day. Be aware of the signs of dehydration, heat exhaustion and heat stroke. The most common signs of dehydration in the elderly are thirst, confusion, irritability and poor skin elasticity. So, don’t wait…HYDRATE!
Block the Rays! Protect your skin from sun damage by wearing hats, sunglasses and don’t forget the sunscreen! Use a broad-spectrum sunscreen with sun protection factor (SPF) of 15 or higher. Remember as we age, our skin becomes more sensitive to the sun.
Dress for Sunny Success! When selecting what to wear go with loose-fitting clothes in light colors that will reflect the sun and heat instead of darker colors that will absorb heat. This will help you avoid a sunburn and stay cool.
It’s important to know that extreme heat can wreak havoc on older adults. According to healthinaging.org, “Every summer, nearly 200 Americans die of health problems caused by high heat and humidity. Hot weather is more likely to cause health problems for older adults for a variety of reasons. These reasons include aging-related physical changes in the body, chronic health conditions, and even side effects of taking some medications.” Remember heat and dehydration may make seniors more prone to dizziness and falls and can cause/increase confusion. But the proper precautions can help set them up for success. If the heat is too extreme…stay inside with air conditioning! Keep you and your elderly loved ones safe this summer and do your part to help them beat the heat.
June is National Safety Month. For seniors, safety takes on many different shapes. In Assisted Living, we find that some of these safety issues are the primary reasons families will reach out for help for their elderly loved ones. One of the primary safety concerns is that of medications.
Heads on Meds
If you are worried that your loved one is not taking their medications as prescribed…or too much…or not at all…then it may be time to consider assisted living. We all know that misuse of medications can cause all sorts of problems, or in some serious cases even death. Assisted Living communities can provide residents with assistance with their daily and as needed medications. Residents must meet the requirements for admission to a community, including being able to identify your name on your medications. Staff are trained to assist residents in taking their meds using the:
- The right route.
- The right time.
- The right resident.
- The right documentation.
Medication management also helps prevent against a loved one taking a medication that has expired.. Looking out for the safety of your elderly loved ones in regards to their meds is one way that residing in an assisted living can help families find peace of mind.
For more information on one of our assisted living communities visit our website:
Not too long ago, I had lunch with a friend of mine that also happened to be a sponsor of one of my residents. She is also my neighbor, but I digress. As we sipped sweet tea, I asked her what was one thing that she wished she knew more about before she moved her Dad into assisted living. Here are a couple useful tips regarding doctor visits that she suggested that will make life easier if you are considering or have made the transition to an assisted living community.
Prep Doctor Visit Steps
Not only do assisted living communities offer scheduling and transportation to appointments for our residents…but we also provide useful tools for communication. We all know that for every physician on the planet they all typically want us to bring our list of meds with us. But here are some things that our staff will provide if you (or if we) are taking your family member to the doctor:
- A current list of medication for all residents for doctor’s appointments (typically we can make a copy of their medication record from that day that ensures they have the most current info available)
- Physician Communication Form (this form is an excellent tool where the doctor can detail their findings and diagnosis information as well as prescriptions or requests for follow-ups etc. This helps provide a written outline of the doctor visit so that the sponsor and resident can communicate fully the needs the resident may require. This form is typically stapled to the copy of the resident’s medication record and given to the sponsor/staff that will be going with the resident prior to the appointment. Upon return to the community following the appointment, the sponsor can just give this to the Administrator or designee. If a staff member took the resident to the appointment, they will then call the sponsor to provide the details from the appointment. This is another reason that this tool is so useful.)
We also can help assist by providing documented weights and other health information that a physician may request. Health information is protected per HIPPA guidelines.
Hopefully this prep will help make doctor visits less daunting. As my friend explained, “when you have been the sole caregiver for an aging parent or loved one, you know them probably better than anyone. But by allowing the staff at the assisted living to join forces with the resident, the sponsor and the physician…we become a team”. This is an excellent analogy! This TEAM is always looking out for the resident. And the vital key is communication. Another important thing that you need to know is that the medications should be in unit dose packaging if they will require staff assistance. So just running a prescription to the pharmacy and picking up a bottle is NOT the way to go. The ADPH rules and regulations are in place to protect. So be sure to get the prescription to the administrator or contact them if you have any questions. This will ensure that you or the staff have them filled properly and that the staff have the proper documentation for the resident chart. Following these simple suggestions can make life easier for you, the staff at the assisted living and most importantly the resident.
As our parents age, we often become concerned that they aren’t able to manage simple things, like remembering to take their medications. Sometimes remembering to take medications is especially hard if our loved one has chronic health problems like diabetes or high blood pressure and takes several medications each day. What can we do when we are concerned that our parents are forgetting to take their medications?
An easy first step is a trip to the physician to make sure that the medications our parents have are the ones they need to take. When going with our parents to see their physician, be sure to take all the medications in their original prescription container for review by the physician. Ask the physician if all the medications are necessary and also if it’s possible to schedule them to be taken no more than twice per day. Simplifying how many times each day medications have to be taken will help streamline the process.
After the medications are reviewed and streamlined as much as possible, invest in a medication organizer. These are inexpensive and available at most drug stores. Fill the organizer with the medications for the appropriate time of day and familiarize your parents with how to use them. Using the organizer shows at a glance whether medications have been taken and make keeping up with the correct dose much easier. When looking for an organizer, make sure to obtain one that your parents can easily open and close and make sure that the dose times correspond to the dose times on the prescriptions. For the first few days using the organizer, a reminder phone call may also be helpful.
If medication organizers, phone call reminders and other steps have failed, it may be time to consider an assisted living community. Assisted living communities’ help individuals remember to take their medications at the time and correct dose ordered by their physician. They also monitor individuals for any problems with medications and notify the physician and family if there is a problem. This is especially important if the individual has chronic health problems.
For more information, visit GreatOaksManagement.com!
Does it seem like everyone you know is taking medication for something? Since 1 in 5 Americans age 45 and older have some type of chronic medical condition like high blood pressure or diabetes, chances are you have friends who are on long term medication. Perhaps you are also taking a daily medication for a chronic medical condition.
Unfortunately, this trend gets worse as we get older. 76% of people over age 60 in the United States take at least 2 medications daily. 37% take 5 or more medications daily. It’s easy to slip into this when we are often seen to specialist for specific health problems. Before we know it, we may be seeing several specialists in addition to our primary care physician. How do we know when we are taking too many medications?
All medications have side effects. Sometimes a medication that is given to help a specific medical problem can make us have side effects that we don’t recognize as being caused by the medication. The more medications you take, the more likely you are to have side effects, especially if there are interactions between the medications you take.
One way to address this is to do a “Medication Checkup” with your primary care physician. Make an appointment for this and bring ALL the medications you take including those which are only as needed and any over the counter medications, vitamins or supplements. You may find you are taking a medication you no longer need, or that switching to a different medication for a chronic medical condition can reduce or eliminate any side effects.
Another way to help prevent side effects caused by medication interaction is to make sure you use only one pharmacy. Your pharmacist should have a complete list of all medications as well as over the counter medications, vitamins and supplements. Ask your pharmacist before starting a new over the counter medication to make sure it doesn’t interact with the prescription medications you are currently taking.
Keep an up to date list of all prescriptions, over the counter medications, vitamins and supplements and make sure you update the list with any change. Double check with your primary care provider at each visit to make sure their list is up to date as well.
When bothered by a new problem like insomnia, consider a non-drug approach to manage the problem. Getting some exercise at least 3 hours before bedtime, sticking to a schedule for going to bed each night, limiting caffeine in the evening and limiting electronic screens just before bed can be a non-medication way to help improve sleep.
Getting that initial diagnosis of Dementia is often such a shock, it may take some time to begin to gather information and formulate a plan with your physician. While the medications available today don’t cure dementia, they can help lessen the symptoms like memory loss or confusion.
The US Food and Drug Administration (FDA) has approved two types of medications cholinesterase inhibitors like Aricept, Exelon and Razadyne and memantine (Namenda) to treat cognitive symptoms of dementia like memory loss, confusion and problems thinking and reasoning. While these medications can’t stop the damage done by dementia, they may help lessen or stabilize symptoms for a limited time by affecting certain chemicals involved in carrying messages in the brain’s nerve cells.
Cholinesterase Inhibitors: Prevent the breakdown of acetylcholine a chemical messenger important for learning and memory. There are three medications in this category:
- Aricept: Approved to treat all stages of Dementia, delays worsening of symptoms for 6-12 months on average.
- Razadyne: Approved to treat mild to moderate Dementia.
- Exelon: Approved to treat mild to moderate stages of dementia. Same type of drug, but comes in a patch.
Memantine: Regulates the activity of glutamate, a different messenger chemical involved in learning and memory. There is one medication in this category.
- Namenda: Approved to treat moderate to severe dementia.
A New combination drug: Namzaric has just become available in 2015. This medication is a combination of Aricept and Namenda for moderate to severe Dementia.
If you or a loved one has gotten a diagnosis of dementia, talk to your doctor about which medication would be the best fit to help lessen the symptoms of the disease. If the doctor prescribes one of these medications, make sure the medication is taken as directed by the doctor and make sure to let the doctor know how the medication is working.
It is important that you be able to identify each medication that you take and understand what the medication is for. This can be difficult when our pharmacy may substitute different manufacturers with our refills in an effort to get the best price possible with generic versions of medications. Another challenge is if the same medication is taken at different times each day. Here are some simple tips to help identify your medications:
- Let your physician know if you are having trouble identifying your medications. It is important to discuss this with your physician and see if he can identify ways to help you.
- When getting prescriptions filled at the pharmacy, take advantage of the counseling service offered by the pharmacist so you can identify the medication and get information about how to take it and any side effects to watch for.
- Tell you pharmacist you are having trouble identifying your medications and ask if they can add color codes to the labels to help identify your medications.
- Consider using a list of medications by time of dose. This helps us remember especially if we are taking the same medication more than one time of day.
- Ask your physician for a complete list of all your medications and detailed directions about how you are to take them.
- Consider using a pill organizer which is refilled weekly to help with identifying medications. Use the list of all medications and detailed directions to refill the pill organizer each week.
Our healthcare providers prescribe medications to help manage our health. It is important that we take the medication as prescribed in order for the medication to be most effective and to minimize side effects.
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