From the category archives:

Senior Care

Senior Nutrition

by stephanie on January 31, 2012

Seniors are at risk of not having their daily nutritional needs met. This can be a result of many factors such as decreased mobility, medication interactions or side effects, cognitive deficits, isolation, climate barriers and mental health issues.

What are some easy tips that seniors and their caregivers (or concerned family members) can due to minimize the risks of poor senior nutrition?

Make sure that your loved one is eating from each of the four food groups at least three times a day. For example:

Group 1 – Fruits and Vegetables contain natural disease fighting ingredients and can aide in healthy digestion. Try eating some that are dark green, red, orange and yellow such as spinach, oranges, bell peppers, etc.

Group 2 – Grains contain fiber which can aide in digestion. Remember to increase fiber slowly and to increase fluids at the same time. Eat some whole wheat pasta and breads, oatmeal (porridge), etc. Consult a physician if you have any concerns or any digestive problems.

Group 3 – Milk and Milk Alternatives help to prevent osteoporosis and aide in bone development. Additionally, this group gives us vitamin D, which may be less available in the winter months. You can eat milk, cheese or yogurt.

Group 4 – Meat and Meat Alternatives provide us with protein, vitamins and minerals. Enjoy some fish, poultry, lentils, chickpeas, nuts and seeds.

If a senior is not able to shop or to prepare balanced meals, you can try these tips:

• Make a little extra dinner at your house a few nights a week and put one portion in a re-heatable
container with instructions on how to re-heat the meal. Leave this in your loved one’s freezer or refrigerator;

• Invite your loved one over for one meal a week at your house;

• Look into community resources, such as Meals on Wheels, to provide one to three meals a week;

• Hire a neighbor, friend, or home care agency to prepare two-four meals a week at your loved one’s home;

• Hire a teenager in the area to have one meal an evening with your loved one. This is good for social interaction for your loved one and provides the teenager with a “job” that has lifelong learning potential;

• Call your loved one’s friends and ask them to invite your loved one to dinner or lunch once a week.

Never forget how important fluid is to our body since it is made up mostly of water. Without enough water, our body has more difficulty digesting food, transporting medication, and circulating blood to aide in healthy bone and muscle development and maintenance. In the winter time, we can become more dehydrated due to being indoors with heating systems. Add soup to your meal and drink lots of water, fruit juices (100%pure), milk, and herbal teas.

Sometimes seniors are not as active as the general population. This reduction in activity can contribute to a reduced appetite. Even light and consistent exercise such as walking, yoga, stretching and chair aerobics can stimulate one’s appetite. If you find that motivation is lacking, perhaps joining an exercise group or moving into a retirement residence where group exercise activities are organized could help. Exercise also releases chemicals in our brain that help with improving one’s mood and cognitive functioning.

Written by:Sarah Blunden, Registered Dietitian, Certified Diabetes Educator, McGill University Bachelor in Human Nutrition 2003; Stephanie Erickson, MSW, PSW, LCSW

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Montreal private social workers: filling the gap

by stephanie on November 9, 2011

Let me start by saying that I am a firm believer and advocate of the public system in Montreal, and in Quebec at large. I feel that the public is entitled to receive services and support from the system into which they have been paying. Unfortunately, the growing demands of the senior population are too much for the public system to support. Families are turning to private social workers more and more to fill these gaps in service.

Private social workers can offer a variety of services for seniors and their families. For example, Erickson Resource Group can complete psychosocial assessments for mandate homologations and private curatorships throughout greater Montreal and its surrounding communities. We can also complete these same psychosocial assessments for a public curatorship if a private or public facility requires this service. (http://ericksonresource.com/senior-services/)

Many hospitals and local community agency social workers are not able to provide psychosocial evaluations for mandate homologation and private curatorships because they are overstretched with the critical needs of the population. With public waiting lists for social services ranging from 3 months to eight months, Erickson Resource Group can become a family’s “safety net” during, through and after the acquisition of public services.

Erickson Resource Group private social workers can act as a liaison between the public and private systems, guiding families through the relocation or placement process, the accessing of public or private home care, and care management and/or coordination of private and public health services. In addition, Erickson Resource Group is a complete resource center for seniors and their families. We are available to advise seniors and their families as to how the public system and private system can collaborate together.

Erickson Resource Group has a team of private occupational therapists, private nurses, private dietitians and private recreation therapists to provide professional evaluations and treatment plans for seniors and their families. (http://ericksonresource.com/about-you/ ) If a senior or family requires an advocate to help them navigate the public system or to work with public and/or private health care professionals, an Erickson Resource Group team member can act as this advocate.

We are in no way attempting to replace the public system. Our intention is to supplement services when a family needs it and when the family is able to afford it. If the senior or family need help NOW, we can be there NOW. We do not have waiting lists. Call us at 514-795-7377 for further information.

To learn about Erickson Resource Group’s services: http://ericksonresource.com/senior-services/

To learn about Erickson Resource Group’s team: http://ericksonresource.com/about-you/

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I hear it from both sides. Some seniors telling me that they try to have discussions with their children regarding aging and planning for their future, such as living wills, mandates in the case of incapacity, funerals, illness, housing, etc., but their children don’t want to think about such unpleasant things. I also receive many phone calls from adult children, asking for advice on how to approach these same discussions with their parents who refuse to discuss their own aging process. As a result, these adult children don’t know how to help their parents, if they do need help in the future. I am also witness to both of these generations sitting across the table from one another in silence, avoiding direct conversations about these difficult topics, or fighting amongst one another as decisions are needed to determine medical and health care (non)interventions.

Example: An 84 year old widow has a mild stroke and is hospitalized. His 3 adult children arrive at the hospital to see their father. The physician informs the family that although their father has survived, he has moderate cognitive deficits (Dementia), as well as mild-paralyzation on his right side. He can return home, but only with full time care. The alternative is relocation to a full care facility. Two of the three children opt for relocation, but the other child insists that she can care for her father herself at his home. None of the children know the father’s financial resources, nor do they know what type of care he would prefer. You see, this man never signed a Power of Attorney (Mandate in the case of Incapacity) and he has always been secretive about his finances. What will happen to this man as his children battle it out? How will his children manage his finances now?

This is not the case for all families. Many families do address these difficult topics directly, honestly and realistically. No matter what the unique family situation is, it is not easy to broach these very personal and often scary topics. After all, who wants to imagine ourselves or our parents as old, invalid, or incapacitated?

It has been my experience that without these premeditated and purposeful conversations, families will experience health crises to a much greater degree than those families that communicate openly BEFORE a crisis, as shown in the example above. Planning and communication amongst families is a gift that benefits every member of the family.

Below are some tips to begin these difficult discussions:

1. Use the media: Find a story on the television, in a magazine, on the radio, in the newspaper, or on the internet. Ask your parent (or child) to view this media. You can either look at the media together, or separately. A week or so after you have this shared experience, ask your parent (or child) for their feelings about the media. Wait to see if the discussion about the “objective” media leads to a discussion about the family situation.

2. External tool: Use an external tool, such as the Erickson Resource Group “Organizing Affairs” toolkit. Complete it and then share it with your parent/adult child. Ask them if they have any questions. Encourage them to discuss its contents with you. Encourage them to begin to discuss their plans for aging as well.

3. Personal examples: If you have a friend or another family member that experienced an acute health crisis recently, share this story with your parent/adult child. Discuss the ways in which this friend’s preparation, or lack of preparation, impacted the family’s coping and overall functioning. Wait and see if your parent/adult child offers to discuss your own family situation.

4. Include outsiders: Try to involve a social worker, financial advisor, notary or attorney who can share their unbiased experience as to what the negative consequences are of not planning. Perhaps this third party can open the doors of communication within your own family.

5. Ask meaningful questions: Create discussions that enable your parent/adult child to look at their life and the meaning that it has to them. This life review cultivates the relationships within the family, which can help to increase trust and open the doors for communication. Ask questions like, “What has been your most meaningful experience? What are you most proud of? Tell me about the day I was born? What is it like to watch me be a parent?

6. Hear their story: Silence is an undervalued communication tool. Do not forget to hear your parent/adult child’s story. If we interrupt or interpret what your parent/adult child is saying, it can create communication barriers. Make sure to listen and then ask follow up questions to be sure you understand fully what was said.

7. Be conscious of terminology: The words we use to communicate give us insight into how somebody processes information. Do they use the word death? Die? Deceased? Passed on? Went with God? Respect that terminology and the distance it may or may not create for that person and that topic. Allow your parent/adult child to protect him/herself with language.

8. Take your time: If your family is not used to discussing difficult topics openly and directly, things cannot change overnight. Bite off small pieces of the aforementioned tips and let things marinate within each member of the family. Follow up every few months until you are satisfied with the depth of conversation.

9. Remember your history: All families have their unique communication styles, personal history, cultural influences, generational influences, gender influences, role expectations, etc. Work with what you have. A square peg will not fit in a round hole.

10. Be honest: Being dishonest will not get your family to a “non-crisis” mode. In fact, if we are not clear about our choices, more confusion and family dysfunction will ensue.

11. Legal, legal, legal: Discussions are fantastic, and absolutely help with facilitating and following through on your wishes. However, it is necessary to complete the legal paperwork to ensure that your wishes are met. You can always, at the minimum, just inform your parent/adult child that the paperwork is complete, and to contact the notary/attorney who assisted you in the case of an emergency.

Written by, Stephanie Erickson, MSW, PSW, LCSW

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“Mandate homologation and the opening of a protective regime: psychosocial assessments”

May 3, 2011

What is a Mandate in the Case of Incapacity?
This is a, “document in which a person, known as a mandatory, while in full possession of his faculties, appoints another person, known as the mandatary, to see to his protection or administer his property or both at once, in the event that illness or an accident [...]

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Communication and the Exchange of Information with Health Care Professionals

February 23, 2010

written by: Stephanie Erickson, MSW, PSW, LCSW
If you have aging parents, you are most likely concerned about their physical, emotional and cognitive health.  As your parents get older, they will have medical appointment after medical appointment with a variety of medical professionals including doctors, nurses, social workers, physiotherapists, etc.  Your parents may have difficulty remembering [...]

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Long Distance Caregiving: Tips to Managing Your Aging Parents’ Needs

February 15, 2010

Written by: Stephanie Erickson, MSW, PSW, LCSW 
As our parents age, it becomes harder and harder to feel secure that they are safe and healthy in their home.  This becomes even more difficult if we do not live nearby and are unable to “pop in” to make sure they are okay.  We are left to rely [...]

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Home Safety Checklist for Your Aging Parent

February 8, 2010

Written by: Stephanie Erickson, MSW, PSW, LCSW
It is very scary to know that our parents are living alone in their home as they begin to lose physical and cognitive functioning.  We want to respect their decision to remain autonomous at home for as long as possible so we search for ways to make this happen.  [...]

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The Financial Impact to Businesses due to the Working Caregiver

January 12, 2010

By: Stephanie Erickson, MSW, PSW, LCSW
You get a message from your employee stating that he cannot make it into the office.  His mother is in the hospital after falling in her home.
You notice that your employee seems to be spending excessive phone time speaking to her mother.  It seems her mother calls her daily needing [...]

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“I don’t need any help!” – Introducing Home Care to Resistant Parents

January 11, 2010

by: Stephanie Erickson, MSW, PSW, LCSW 
Every time you visit your parents, you notice that they are having more and more difficulty keeping the house clean.  They seem to be losing weight, and when you look in the refrigerator, you can see why. Clearly their nutritional needs are not being met.  You suggest they bring in [...]

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Parenting my parents: Where do I start?

November 23, 2009

Parenting my parents: Where do I start?
 written by: Stephanie Erickson, MSW, LCSW
When we were young children, we looked to our parents to tell us right from wrong, to make decisions for us and to protect us.  As we became a young adult, our relationship to our parents became different.  We still turned to our parents, [...]

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