5 Signs to Tell if Memory Issues are a Problem.

(picture from Caring.com)
Reading an article on Caring.com regarding memory loss that reminds us that our brains start to deteriorate in our late 20s. (oh my!!!)There are some signs that are more worrisome and should be looked into. Use your own memory as a baseline, do not compare to others.

Sign #1: Your memory problems frighten you. We all forget and we all have looked for our car in a different part of the parking lot. Be careful when you get uneasy about forgetting like wondering how the keys got in the refrigerator, or how you ended up on the street you find yourself on or have no idea where you are.

Sign #2: You've changed how you work or play because of memory problems. "A hallmark distinction between normal memory loss and dementia is that the symptoms interfere with your ability to conduct everyday life."You now make to-do lists, send multiple emails for the same thing, give up a hobby because nothing is turning out right or give up driving under certain conditions.

Sign #3: Friends or family point out mistakes and/or express concern.You repeat short stories or ask the same questions several times usually using the same exact words. You might be more withdrawn or apathetic, and there are changes in how you do your daily chores. "What happens is that relatives notice mistakes, and you -- the person with memory loss -- find yourself constantly in arguments with people about what you said or did," geriatric psychiatrist Robbins explains. "You're on the defensive a lot."

Sign #4: "You notice friends or family starting to cover for you. People start stepping in to do things for you that you normally do - pay for something, drive, order, taking care of money issues, to name a few.

Sign #5: You find it hard to make choices.It takes longer to make decisions even when it comes to food at a buffet or movie.
"If you used to be a definitive person and now you can't work your way through choices, that's a red flag," psychiatrist Ken Robbins says. "Choosing involves enough cognitive powers -- remembering what you like, thinking about how the options differ, and thinking about what you want now -- that it's a problem that shows up early on."

Respite Care - A Service That Could Be Used More.

(picture froma Place for Mom website)
With summer coming fast and schools closing for a break, families are thinking about vacations. Many families can just leave when they have their vacation weeks and not think too much of it. Now there are many families that have someone who is a caregiver, usually for an elderly parent, and they cannot leave as easily as they could before. Sometimes the parent(s) can still travel so that can be both a blessing and a daunting thought since now the caregiver has to pack and plan for an extra person who may have medical needs and may not move as fast as the rest of the family. Mom traveled with us when she was slowing down and we just had to plan differently -- like how many more bathroom stops will it take us and how much longer the trip will be, making sure she had all her medication, taking doctor phone numbers, etc. Frank is hoping to take his parents to a family wedding out-of-state soon; he now has to plan for extra luggage, stops, possibly a type of handicapped lodging, handling medications, doctor information, etc.
"A Place for Mom" states that:
According to the Center for Disease Control caregivers often pay a high toll for their labor of love:
35% of caregivers have difficulty finding time for themselves.
29% experience emotional and physical stress from their role.
54% said their health has gotten worse due to caregiving, and has affected their ability to give care.
29% have difficulty balancing work and family responsibilities
Studies from the National Alliance of Caregiving and AARP show that a lot of caregivers do not want to say they need a break, only 12% of caregivers take advantage of this. California State University San Bernardino designed a questionnaire to see if someone needs a break.
Sometimes assisted living communities offer respite care - both long term (vacations) or short term (enough time to run errands). Not only is this good for a change but now you have the opportunity to check out communities should your loved one need to move into a more secure location. The National Respite Network suggests that caregivers take this service earlier than later, that it is best to take advantage of this before becoming overly stressed or tired. "Respite will be most helpful if you use it before you become exhausted, isolated or overwhelmed by your responsibilities.” You can also use respite if the main caregiver falls ill, business travel comes up or some weather type of factor.
Communities already offering respite care say that they try to make it easy for someone to sign up and take advantage of the service - usually short forms or a package that is easily filled out.
Of course, you can always contact "A Place for Mom", "A Place for Dad" (the same as mom) for help.

Caregiving Skills.

(picture from the FCA website) I was thinking about my in-law's (both 91) and their situation as they help my father-in-law get back on his feet after some hospital and rehab stays. As they get visits from the Visiting Nurse Association (VNA) and their physical and occupational therapists ( PT and OT) to work with them, it reminded me of what the VNA did for mom and showed me how to help her with different aspects of daily life. I came across some tips on the Family Caregiver Alliance website that bears sharing. It has some great ideas on how to handle your elderly parent or whoever you are taking care of. I will copy it directly here because I do not want to miss anything.

**Approach from the front and retain eye contact. When assisting someone physically, do not approach him/her from behind or from the side. This can startle and confuse the person in your care, leading to increased levels of agitation and/or paranoia. Instead, approach from the front. Touch the care recipient on the shoulder, upper arm or hand, and tell them what’s going on. Use a calm voice to walk him/her through the whole process. For example, “Okay, let’s stand up. Good. Next, we are going to… .” Retain eye contact throughout the duration of the activity.

**Elicit your loved one’s help. Even when frail, your loved one might be able to shift his/her weight or move his/her arms or legs to make physically assisting them easier. Some examples are: “We’re getting ready to stand now, mom, so lean forward as far as you can,” or, “Can you move your leg, honey, so I can change the sheet?” A little help from them means a lot less work for you.

**Allow the person to finish what they’re doing. If, as a caregiver, you are running late, the tendency is to hurry your loved one, too. However, this rushed atmosphere is very difficult for care recipients, especially those who suffer from memory loss or brain impairment. Though you may try to sound calm and encouraging, it’s easy for loved ones to pick up our “anxious vibes.” So, even if running late, allow some time to finish the current activity before moving onto the next. For example, “Mom, after you finish that last bite of cereal, we’re going to get you dressed and ready to see your friends.”

**Utilize the major bone and muscle groups. When physically assisting a loved one, pulling or supporting them by their hands or arms is not only difficult, but may lead to injury for you and them. Instead, utilize the major muscle/bone groups.

**For example, when taking someone for a walk, stand directly behind and to the left of him or her. Place your left hand on their left shoulder, and your right hand on their right shoulder. In this way you are walking with your loved one in a comforting hug rather than pulling or pushing them. And when turning someone in a bed, utilize the large bones in the hip and shoulder, and the large muscles in the legs. Pull them toward you with your right hand over their hip or at the knee, and your left hand at their shoulder. Finally, when pulling someone to a standing position, it’s best to use a transfer belt (one can be purchased at any medical supply store for around twenty dollars).

**Once they are sitting at the edge of the bed or chair, pull up on the transfer belt, “hugging” your loved one close, again, utilizing their large muscle groups in the shoulders and the back. Remember to keep your back straight and to always change position by moving your feet, rather than twisting at the waist. And before going home from your next doctor’s appointment, ask for a referral to an occupational therapist who can help you develop your transferring skills.

**Allow for Their Reality. Remember to accept your loved one’s reality, even when assisting with a physical task. If, for example, your spouse becomes shy because he/she thinks that you are a sibling and doesn’t want to get undressed in front of you, don’t force the situation. Try leaving the room and coming back in a couple of minutes. Perhaps on a second or third attempt your spouse will recognize you and be amenable to your care. If all else fails, consider the situation. Is it an emergency? Changing a loved one’s soiled garments cannot be delayed. However, if a care recipient is being difficult and doesn’t want to take a bath or wash his/her hair on a particular day, that’s okay. Plan on doing it at a later time that day or the next day, when your loved one may accept your help.

**Finally, don’t try to physically assist with caregiving unless you can. Injuring yourself will not help the situation, and will often make your caregiving responsibilities that much more difficult. If you find yourself in a nonemergency situation where you are unable to physically assist your loved one (for example, after he/she slides from their chair to the floor) call your local fire department and request a “fireman’s assist.” They will come to your house and help you. If it is an emergency situation (where either you or your loved one are injured), contact the paramedics by calling 911.