Did you know that about half of older adults say they have trouble sleeping at least a few nights each week? Despite this “sleepless epidemic,” few treatments focus on improving sleep quality in people with moderate sleep complaints.

One alternative approach that shows some promise for treating people with sleep problems is tai chi. This is an ancient art of performing slow, gentle movements. It combines relaxation and exercise – both shown to contribute to a better night’s rest.

Why seek alternatives?
As many as four out of five people with sleep problems never seek help. Among the remaining one out of five who do seek treatment, most turn to sedative medications. But these medications can have harmful side effects, including:

• Daytime confusion
• Drowsiness
• Falls and fractures
• Adverse interactions with other medications

For these reasons, many people avoid sleep medications, and go untreated. This leaves them at risk of developing more serious problems, including chronic insomnia. And insomnia can worsen conditions like depression, pain and anxiety.

About tai chi
Tai chi is also known as “moving meditation.” It combines deep breathing, relaxation and slow structured movements. Tai chi has been practiced widely in China for hundreds of years as a form of meditation, exercise and self-defense.

The practice of tai chi is inexpensive and has no side effects. And because it combines movement and relaxation, it is especially attractive to researchers investigating sleep problems. It’s also a win-win for older adults who may have age-related limitations with some standard forms of exercise.

Getting started
Tai chi or TCC classes are offered at many health clubs and community recreation programs. There are also many books, DVDs and videotapes that can get you started with tai chi right in your own home. Always check with your doctor before you start a new physical activity.

Posted by: Frank Esposito, VP Expert Home Care.  New Jersey’s Expert Home Care provides professional, dependable home health care and companion care for NJ elderly, helping them with their daily living activities since 1984. Please call us toll free at 800-848-2336 when you have home care related questions or need assistance for a loved one. Get a Free Home Care Assessment (a $375 value!) when you mention this post.

Sleep is important at any age, yet many seniors have problems sleeping as well as they did when they were younger.  Here are some tips to getting a better night’s sleep:

1. Go to bed and wake up at the same time every day. Your body gets used to a sleep pattern. Even if you are retired, try to get up at the same time each day, weekends included.

2. Do not take naps. Napping can interfere with sleep. If you must take a nap, limit it to 30 to 45 minutes and do it early in the day.

3. Avoid alcohol, caffeine and spicy or sugary foods four to six hours before bedtime. These foods and beverages may stimulate you, making it harder to fall or stay asleep.

4. Don’t eat big meals or drink a lot late at night. A large meal may cause indigestion, which could interfere with sleep. If you drink close to bedtime, you may need to use the bathroom in the middle of the night.

5. Do not exercise within three hours of bedtime. Regular exercise is great, but doing it close to bedtime can make it harder to fall asleep.

6. Have a light snack close to bedtime. Try warm milk or a banana.

7. Relax before bed. Practice deep breathing exercises, take a warm bath or do other activities that help you unwind before bedtime.

8. Don’t lie in bed awake. If you can’t fall asleep within 20 minutes, go to another room and do something else until you feel tired. Do this if you wake up in the middle of the night, too. Let your body associate the bed with sleeping (and sex) only. Keep computers, televisions and other distractions out of the bedroom.

9. Invest in a good mattress and pillows. Your comfort is a top priority for good sleep.

10. Make sure your room is dark, quiet and cool. Sleeping may be hard if your bedroom is too hot, noisy or bright.

Posted by: Frank Esposito, Vice President of Expert Home Care.  New Jersey’s Expert Home Care provides professional and reliable home health care and companion care for NJ elderly, helping them with their daily living activities since 1984. Please call us toll free at 800-848-2336 when you have home care related questions or need assistance for a loved one. Get a Free Home Care Assessment (a $375 value!) when you mention this post.

The end of the year holidays are approaching.  What can you do to make the holidays particularly pleasant for your aging parents or loved ones?  Here are some thoughts:

1. Stroll down memory lane. Holidays provoke memories, which can be especially powerful in the later years of life. “Leading authorities have observed that memory and ‘life review’ are important parts of the aging process,” says Barry Lebowitz, Ph.D., deputy director of the University of California San Diego’s Stein Institute for Research on Aging. “Older people whose memories are impaired may have difficulty remembering recent events, but they are often able to share stories and observations from the past. These shared memories are important for the young as well—children enjoy hearing about how it was ‘when your parents were your age…’.” He suggests using picture albums, family videos and music, even theme songs from old radio or TV programs to help stimulate memories and encourage older seniors to share their stories and experiences.
2. Plan ahead. If older family members tire easily or are vulnerable to over-stimulation, limit the number of activities they are involved in or the length of time they are included. The noise and confusion of a large family gathering can lead to irritability or exhaustion, so schedule time for a nap, if necessary, and consider designating a “quiet room” where an older person can take a break. “Assign someone to be the day’s companion to the older person, to make sure the individual is comfortable,” says Daniel Sewell, M.D., director of the Senior Behavior Health Unit at the UCSD Medical Center, who adds that these guidelines work well for young children as well as adults with mental, emotional and physical health issues.
3. Eliminate obstacles. If a holiday get-together is held in the home of an older person with memory impairment or behavioral problems, don’t rearrange the furniture. This could be a source of confusion and anxiety. If the gathering is in a place unfamiliar to an older person, remove slippery throw rugs and other items that could present barriers to someone with balance problems or who has difficulty walking.
4. Avoid embarrassing moments. Try to avoid making comments that could inadvertently embarrass an older friend or family member who may be experiencing short-term memory problems. If an older person forgets a recent conversation, for example, don’t make it worse by saying, “Don’t you remember?”
5. Create new memories. In addition to memories, seniors need new things to anticipate. Add something new to the holiday celebration, or volunteer for your family to help others. Enjoy activities that are free, such as taking a drive to look at holiday decorations, or window-shopping at the mall or along a festive downtown street.
6. Be inclusive. Involve everyone in holiday meal preparation, breaking down tasks to include the youngest and oldest family members. “Older adults with physical limitations can still be included in kitchen activities by asking them to do a simple, helpful task, like greasing cooking pans, peeling vegetables, folding napkins or arranging flowers,” Sewell says.
7. Reach out. Social connectedness is especially important at holiday times. “Reaching out to older relatives and friends who are alone is something all of us should do,” Lebowitz says. “Loneliness is a difficult emotion for anyone. Recent research with older people has documented that loneliness is associated with major depression and with suicidal thoughts and impulses.”
8. Beat the blues. “Holiday blues” are feelings of profound sadness that can be provoked by all the activities of the holiday season. Seasonal blues can have a particular impact in the lives of older people, according to Lebowitz. “In some people, the ‘holiday blues’ represent the exacerbation of an ongoing depressive illness,” he says. “Depression is a dangerous and life-threatening illness in older people. Tragically, suicide rates increase with age, specifically for older men. Depression is not a normal part of aging and should never be ignored or written off.”
9. Stay on the sunny side. Seasonal affective disorder (SAD) or winter depression is an illness that can be provoked by reductions in sunlight during the short days of winter. It is important for people confined indoors, especially those at risk for winter depression, to make time for activities that will increase exposure to daylight.
10. Monitor medications and alcohol. If you have senior family members, be sure to help them adhere to their regular schedule of medications during the frenzy of the holidays. Also, pay attention to their alcohol consumption during holiday parties and family gatherings. Alcohol can provoke inappropriate behavior or interfere with medications.

Posted by: Frank Esposito, Vice President of Expert Home Care.  New Jersey’s Expert Home Care provides professional and reliable home health care and companion care for NJ elderly, helping them with their daily living activities since 1984. Please call us toll free at 800-848-2336 when you have home care related questions or need assistance for a loved one. Get a Free Home Care Assessment (a $375 value!) when you mention this post.

NJ Respite Care

What Is Respite Care?

Respite care is substitute care given so that the regular caregiver can take a break from the stress of caregiving. The respite care can be for a week, a long weekend, a day or an hour, on a regular basis or just once. It can be for an ill or fragile adult or a special needs child.

Who Gives Respite Care?

Sometimes respite care is given by family or friends, who want to relieve the regular caregiver. Or, it can be provided by paid caregivers who work for a home care agency.

How Will the Caregivers Know What to Do?

You will need to give them a check list of things to do and emergency numbers. List everything you do and check the references of the respite caregivers. For all respite caregivers, make sure they are comfortable and able to provide you with the assistance you need and that the person being cared for understands the temporary transition.

How Will I Find Respite Caregivers?

You can look for a licensed home care agency, many of who offer respite care services. Depending on the length of the respite, some nursing homes and assisted living facilities may also provide temporary respite care.

Who Pays for Respite Care?

Some local governments help pay for respite care. Check with your local Council on Aging or Social Services Department. The federal government is addressing the problem and may offer assistance. Call the eldercare locator at 1-800-677-1116, Monday through Friday, 9:00 a.m. to 8:00 p.m. Eastern Time, to see if help is available where you live.

Why is Respite Care Necessary?

Caregivers are often at increased risk of depression and other health problems as a result of the stress that accompanies being a caregiver. Having respite care refreshes the caregiver and protects them from burning out or becoming ill.

What Else Can I Do to Avoid Burn Out?

Join a support group, get adequate sleep, eat nutritious meals, and exercise daily. Take advantage of offers of help. Providing constant care is a demanding job. It’s crucial for caregivers to take a break periodically and this need is a normal part of the life-cycle of care. Support groups can help with guilt and frustration or just help caregivers keep morale high.

If you are caring for a loved one, you need to take care of yourself so that you can continue to provide that care. Finding quality respite care is an excellent means to an end.

Posted by: Frank Esposito, Vice President of Expert Home Care.  New Jersey’s Expert Home Care provides professional and reliable home health care and companion care for NJ elderly, helping them with their daily living activities since 1984. Please call us toll free at 800-848-2336 when you have home care related questions or need assistance for a loved one. Get a Free Home Care Assessment (a $375 value!) when you mention this post.

Loneliness is one of the most common problems affecting seniors who live alone and away from family.  How can seniors connect with others?  Here are some places and situations that can work well:

• Local senior centers usually offer lectures, classes, and meals.

• Libraries offer book discussion groups for seniors, as well as lectures and concerts.

• A community bulletin may list adult education classes.

• Colleges and universities may have senior classes, lectures and concerts. Some have special classes or activities for seniors, while others encourage seniors to take regular classes at a discounted rate.

• The YMCA or JCC may offer movement classes for seniors.

• Health clubs may offer exercise, tai chi, dancercise or yoga classes for seniors.

• If your elderly loved one likes to volunteer, you should look into civic, political, medical, educational or arts organizations.

• Look for local hobby clubs such as guitar players, singers, memoirists, walkers, hikers, environmentalists, amateur theatre actors, etc.

• Support groups.

• Religious organizations tend to offer adult education, social action groups, and are always seeking volunteers.

• Alumni groups.

• Widowed or divorced seniors looking for companionship should consider online dating.

• Create your own hobby group on a topic of interest. Seniors can go to Meetup.com and create a group on any topic, such as Lovers of Musical Theatre or Foreign Films. You will have to pay a monthly fee of $25 (the fees go down if you contract for more than one month at a time) to advertise there, but you can then ask the group members to share the cost with you. You can also create your own group and advertise at no cost on Craigslist.com. Or you can consider starting a group at your local church or through your local adult education organization.

There are plenty of opportunities for seniors to connect with their contemporaries.  Staying home and being miserable should not be an option.

Posted by: Frank Esposito, Vice President of Expert Home Care.  New Jersey’s Expert Home Care provides professional and reliable home health care and companion care for NJ seniors, helping them with their daily living activities since 1984. Please call us toll free at 800-848-2336 when you have elder care related questions or need assistance for a loved one.

Are you prepared to deal with any emergencies that may arise with your elderly loved one?

Below is a list that you, as a caregiver, should keep in an easy-to-reach place should an emergency occur.  The list should be filled out and kept on a refrigerator and/or nightstand.  In times of panic and confusion, you or your senior may forget the most basic information.  Timing is critical and seconds can make a difference.

Fill out this list, review it with your senior citizen and keep multiple copies:

Children’s or Next of Kin’s Full Names, Addresses and phone numbers:

Name__________________  Address ____________________  Phone Number_____________

Name__________________  Address ____________________  Phone Number_____________

Name__________________  Address ____________________  Phone Number_____________

Special Health Concerns:

Medications Taken_____________________________________

Pre-Existing Conditions________________________________

Emergency Contact Information:

Doctor’s Name______________Address_____________Phone Number______________

Nearest Hospital              Address____________ Phone Number______________

Insurance Carrier___________________________Account Number_________________

Police Station Phone Number___________________________

Additional Instructions:

_______________________________________________________

_______________________________________________________

Posted by: Frank Esposito, Vice President of Expert Home Care.  New Jersey’s Expert Home Care provides professional and reliable home health care and companion care for NJ seniors, helping them with their daily living activities since 1984. Please call us toll free at 800-848-2336 when you have elder care related questions or need assistance for a loved one.

A Brief Explanation about the Four Parts of Medicare

Medicare, which is a four part health coverage program provided by The United States Federal Government, is available to most American citizens age 65 and over.  Some people under the age of 65 who are disabled and some people at any age with end-stage renal disease may also qualify.

Here is a brief look at the four parts:

• Part A provides hospital, hospice and limited home health care coverage. It is free to eligible citizens 65 and older who, either themselves or their spouse, have paid Medicare taxes for 40 or more quarters. Anyone who already receives or is eligible to receive Social Security or Railroad benefits but hasn’t yet filed for them, is eligible for Part A. Other citizens or lawfully admitted aliens who have lived in the U.S. for at least five years can pay a monthly premium.

• Part B, administered by the government, covers medically necessary doctor visits, outpatient services, lab tests, x-rays, rehabilitation and physical therapy services, and medically necessary medical equipment. Under this plan, you can go to any doctor you choose. The current monthly premium for people earning $82,000 or less per year is $96.40 and there is an additional co-pay of 20 percent of the cost of the services covered. (Monthly premiums go up to $238.40 for those earning above $205,000 a year.) Eligible seniors can sign up for Part B within a seven-month period that begins three months before they turn 65. You can enroll by calling Social Security at 1-800-772-1213 or visiting or calling your local Social Security office.

• Part C is the Medicare Advantage Plan — an optional plan administered by private insurance plans and substitutes for coverage under Part A and B. This plan is less costly than Part B, but because it restricts one’s choice of doctors and service providers, it is important to be sure that the service providers covered are accessible and meet your needs.

• Part D is an optional prescription drug coverage plan. There are many choices of plans, and they each have different monthly fees, yearly deductibles, and co-pays. In addition, all plans fit into a complex system under which after a certain amount of coverage, there is a gap in coverage up until another level is reached. Different plans cover different medications, so you need to check each plan to see which one covers the medications you are currently taking. At a certain time each year you can switch plans in case your medication needs change or you are unhappy with your current plan.

Posted by: Frank Esposito, Vice President of Expert Home Care.  New Jersey’s Expert Home Care provides professional and reliable home health care and companion care for NJ seniors, helping them with their daily living activities since 1984. Please call us toll free at 800-848-2336 when you have elder care related questions or need assistance for a loved one.

The signs and symptoms of dehydration in an elderly person can be virtually identical to those for dementia, which is why if not treated immediately it can lead to death.

The most common signs and symptoms of dehydration include persistent fatigue, lethargy, muscle weakness or cramps, headaches, dizziness, nausea, forgetfulness, confusion, deep rapid breathing, or an increased heart rate. Since seniors often have a reduced sense of thirst, dehydration is one of the most frequent causes of hospitalization after age 65.

Other less common signs and symptoms of dehydration can include:

• Excessive loss of fluid through vomiting, urinating, stools or sweating
• Poor intake of fluids, a feeling that they “can’t keep anything down”
• Sunken eyes
• Dry or sticky mucous membranes in the mouth
• Skin that lacks its normal elasticity
• Decreased or absent urine output
• Decreased tears

Avoiding Dehydration

Almost everyone gets about half their daily water requirement from solid foods and fruit and vegetable juices. However, seniors often have a reduced sense of thirst and a reduced appetite. Those fruits and vegetables seniors should be able to easily consume to lessen the chances of suffering from dehydration include applesauce, apricots, asparagus (cooked), bananas, blackberries, blueberries, broccoli (cooked), cauliflower (cooked), cherries, grapes, raspberries and strawberries.

Posted by: Frank Esposito, Vice President of Expert Home Care.  New Jersey’s Expert Home Care provides professional and reliable home health care and companion care for NJ seniors, helping them with their daily living activities since 1984. Please call us toll free at 800-848-2336 when you have elder care related questions or need assistance for a loved one.

Caring for a loved one with Alzheimers often leads to such symptoms as denial, anger, social withdrawal, anxiety, depression, sleeplessness, and irritability.  It can be an all-consuming 24-hour-a-day, seven-day a week grind.

What can you do?  At Expert Home Care, we suggest the following:

• Manage your stress level. Use various relaxation techniques to ease the stress and consult your doctor.

• Take care of yourself. Don’t ignore your own health, or you’ll suffer burn out.   Watch your diet, exercise and get plenty of sleep.

• Join a support group. There are many others out there like you and there is support in numbers.

• Do legal and financial planning. There are issues that need to be discussed – make sure you take care of these sooner rather than later.

• Give yourself a break. Bring in a home health aide to assist with the activities of daily living (bathing, dressing, toileting and feeding) or to help around the house.  This can help you recharge your batteries several hours during the day or, by choosing respite care, for a long weekend.

• Don’t be a martyr. You are not expected to do it all alone.  Seek the support of family, friends and community resources.

New Jersey’s Expert Home Care for Elders and Seniors has been providing senior care, home care & live-in care for your aging loved ones since 1984. Please call us when you need help at 800-848-2336. Click for a Free Home Care Consumer Guide for selecting the most appropriate home care agency for your loved one.

Posted By: Frank

What does it mean to become empowered? NFCA defines empowerment as a sense of confidence in your ability to bring about positive changes in your circumstances and to rise above the day to day challenges you face in your caregiver journey. It’s the optimism we strive for to take a positive approach in an effort to achieve a better quality of life for ourselves and our family. Sometimes it is the tiny changes we make in our lives which can have the most profound impact towards a much healthier and positive outlook.

Four Principles to Live By Include:

Believe in yourself and take charge of your life.
Protect your health
Reach out for help
Speak up for yourself and stand up for your rights

New Jersey’s Expert Home Care for Elders and Seniors provides care for your aging loved ones since 1984. Please call us when your loved one needs help – 800-848-2336.