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Posts Tagged ‘caregiving strategies’

Tips for Caregivers

Monday, January 11th, 2010

Tips for Caregivers


Emotionally, caring for an elderly parent who always cared for you can be a disconcerting role reversal, and without addressing these new emotions, caregivers eventually feel frazzled, overwhelmed, and unable to deal with all the new changes. But with proper preparation, a lot of the stress that comes from taking on the role of primary caregiver for an elderly relative can be avoided.

One of the hardest things for caregivers is (more…)

How to Plan for the Future

Wednesday, December 2nd, 2009

How to Plan for the Future

Many of us find it difficult to look down the road to when we may require help to live as independently as possible. The longer we delay developing a plan the less likely we will achieve best possible plan. Long term care is a reality in everyone’s life as we age. It means we need to have help on a daily basis, but often where that help comes from, who pays for it and who arranges it is taken for granted.

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What if you can’t Afford Private Care; British Columbia

Wednesday, October 7th, 2009

What if You Can’t Afford Private Care?

Around January 2008, senior Christina Woodkey of Vancouver found that the pain in her legs was severe enough to prevent her from doing the things she likes to do, such as ski. The leg pain wasn’t life-threatening, but it made her day-to-day life uncomfortable and challenging. Her doctor told her she’d have to see a hip specialist, and that would take about a year.

One year later, the hip specialist told her she would have to see a back specialist. How long would seeing a back specialist take? Another nine months. She asked when she might expect to get the surgery she needed to solve the problem of the debilitating pain. The answer: (more…)

Caregiver Issues: Elder Care and the Workplace, Calgary Alberta

Tuesday, October 6th, 2009

Caregiver Issues: Elder Care and the Workplace

As Canadians age, more and more work-aged adults are finding themselves juggling their work obligations with family obligations related to caring for elderly relatives and loved ones. Eighty percent of the elder care in Canada is provided by family members, and about 60% of caregivers are women – women who often have children of their own still living at home, and are balancing motherhood with careers and caring for an older parent, parent-in-law, or other elderly relative. How are businesses responding to the new family obligations affecting their workforce? Here’s a look at how the balance between elder care and work is unfolding in Canada.

Canadian Aging Research Network (CARNET) (more…)

Caregiver Support Toronto, Ontario

Tuesday, October 6th, 2009

Caregiver Support in Toronto

Those who are caring for an elderly relative know the kind of emotional and physical toll it can take. That’s why support groups for caregivers have sprouted up all over the Toronto area.

Support groups in Toronto fall into two basic categories. The first are moderated support groups, which feature various experts who come in to share information with members of the group. The second group are self-moderated groups, which are more traditional support groups that focus on caregivers supporting one another by sharing problems they have and solutions they have found.

Alzheimer Society of Toronto Support Groups

Here’s a list of a few of the support groups for caregivers in Toronto, offered by the Alzheimer Society of Toronto:

Early Onset Alzheimer’s – Family Support Group: Contact Xochil Amaya, Counsellor, at 416-322-6560. Pre-registration is required for this group.

Frontotemporal Dementia Family Support Group: Contact Nora McKellin, Counsellor, at 416-322-6560. Pre-registration is required for this group.

Lewy Body Family Support Group: Contact Desiree Jones, Counsellor, at 416-322-6560.

Vascular Dementia Family Support Group: Contact Caitlin Agla, Counsellor, at 416-322-6560.

Workshops for Caregivers at Family Service Toronto

In addition to support groups, such as those listed above, Family Service Toronto offers ongoing workshops to help caregivers learn how to help their elderly relatives or friends. These workshops are all free, but pre-registration is required. You can register by calling 416-595-9618. Here is a list of their upcoming workshops:

“Long Distance Caregiving”: Monday, October 19, 6pm – 8pm.
“Advocating for Your Relative”: Wednesday, November 18, 12pm – 2pm.
“Finding the Joy in Caregiving”: Thursday, December 3, 12pm – 2pm.

In addition to these workshops, Family Services also offers a Caregiver Discussion Group. The group meets on Monday per month from 6pm – 8pm. Again, the Discussion Group is free, but pre-registration is required.

Caregiver stress can interfere with your ability to offer care to your elderly loved one. Support groups and workshops like those listed above are great ways to reduce that stress, learn new coping strategies, and make connections with others in the same situation as yourself.

Elder Care in Newfoundland and Labrador

Monday, September 28th, 2009

When it comes to elder care in Canada, Newfoundland is one of the more difficult places to be. A nurse from a long term care facility in St. John’s, NL, pointed out in an interview with People’s Response that her own nursing home has had to hire home health care workers rather than LPNs (certified nurses) because graduates of nursing school in Newfoundland tend to move to richer provinces in Canada. Just shifting the wages up to make them on par with the rest of Canada, begs the nurse, would help her own facility to find qualified personnel and keep them.

The Quality of Health Care and Elder Care in Rural Newfoundland

Meanwhile, CBC News reports that the Society of Rural Physicians in Newfoundland and Labrador has criticized the governments there for cutting medical services in small communities. The physicians claim these health cuts could cost lives.

As usual, those most vulnerable to these sorts of cuts are the elderly. By moving x-ray equipment out of small towns, doctors trying to care for elders will waste precious time trying to access diagnostic equipment. So far, x-ray departments have been closed in Lewisporte and Flower’s Cove; more closures are anticipated, including in Springdale. Not only have the x-ray departments been closed, the clinic hours have also been cut from 24 hours per day to 12 hours per day – another move that residents worry could endanger care for their elders.

Health Minister Paul Oram advised residents to put the cuts into perspective; the spending cuts to x-ray departments and clinics should help the government invest more in long term care facilities for the elderly, such as the one the nurse in St. John’s complained about being under-resourced and under-staffed. Oram hopes that the cuts will ultimately finances the creation of a long term care facility for the elderly in Lewisporte.

To critics, Oram has answered, “People would like to have every service in their backyard. Everybody would like a hospital in their home town.” But he advises the residents of Newfoundland and Labrador to try to be more realistic about their expectations: “there’s only so much money to go around,” Oram said.

The Future of Elder Care in Newfoundland and Labrador

Given the cuts in health care spending in Newfoundland and Labrador, as well as the comments made by the nursing home nurse from St. John’s, retirees might think twice about retiring in Newfoundland and Labrador. As part of their planning for their golden years, those nearing retirement age and their families should carefully consider the type of health care services available to them within their communities. Where health care is not adequate to meet the long term care needs of seniors and elders, Canadians might consider retiring elsewhere.

Effects of Caregiver Stress; Oakville, Ontario

Monday, September 28th, 2009

Because of the baby boom generation, Canada’s median age is about to increase by quite a bit. In fact, by the year 2020, a full 20% of people living in most provinces in Canada will be over the age of 65. While these aging baby boomers will be healthier, more active, and live longer than their parents’ generation, nonetheless they will face the same problems that the elderly have always faced: they will gradually become physically weaker, cognitively weaker, and require long term care from their families or from a long term care facility.

Who are Canada’s Caregivers?

Most long term care for our elders still happens within the family. A recent survey discovered that nearly 2.5 million Canadians older than 45 are primary caregiver for an elderly family member or close friend. Of these caregivers, the majority are women (about 60%), and those most often cared for are parents or parents-in-law.

Caregiving Takes a Toll

Caring for elderly loved ones is not easy. About 53% of Canadians over the age of 65 have a severe to moderate disability. Caring for someone with these sorts of needs, while simultaneously caring for oneself and one’s own family, can lead to a great deal of stress for the caregivers. More than two-thirds of the women who care for an elderly loved one also hold down a job, while nearly 80% of men who are caregivers hold down a job.

Valinda Woods of Oakville, ON, knows what this is like. A teaching assistant in Oakville, Woods has a 90 year old father with Alzheimer’s disease who lives in his own home because he refuses to leave his house of 55 years for a long term care facility. Woods frequently leaves her job for an extended lunch in order to run errands for her father and check on him. While Woods has a very understanding employer, she wonders what would happen if her employing was less sympathetic to her plight, or if she had the sort of job that required her to be in the classroom all day.

Recognizing the Signs of Caregiver Stress

Here are a few of the signs of caregiver stress, as listed by the Alzheimer Society of Canada:

- Withdrawing socially from interacting with friends or participating in hobbies.
- Anxiety and depression.
- Exhaustion coupled with sleeplessness.
- Lack of concentration.
- Weight gain, weight loss, or increased susceptibility to sickness.

If you notice these sorts of symptoms of stress in your own life, reach out to a support group or advocacy group to help you find creative ways to cope.

The Cost of Getting Older in Canada

Monday, September 28th, 2009

Right now, 4 million Canadians are over the age of 65. By 2026, that number will double to 8 million Canadians. The aging population will doubtless take a costly economic toll on individuals, families, and the nation as a whole. Exactly what costs are associated with getting older in Canada, and what should aging baby boomers do to slow that cost?

Plan Ahead

The retirement years are another phase of life, just like entering university or taking that first step into one’s career. And just like entering the job market for the first time required preparation and planning well in advance, our senior years also require good advanced planning. Planning out the costs of your retirement should start five or even ten years in advance.

As a rule of thumb, expect to need about 70% of your pre-retirement income in your retirement years. In New Brunswick, one senior offers the advice to try to live on that 70% of your income now, before you are retired, just to get a feeling for what it will be like to live without that extra 30%.

Going into retirement debt-free is also a very good idea. This may require some creative living in the years before retirement, as those in their forties and fifties may need to downsize in order to achieve the goal of being debt-free by 65.

Canada Pension and Old Age Security

At the age of 65, Canadians can receive a maximum of $844.58 per month from the Canada Pension (CPP). You can access your CPP before the age of 65, but you should be aware that it is taxable.

Old Age Security (OAS) also activates at 65. The standard Old Age pension is $484.63, but low-income pensioners can also apply to receive additional help.

Economic Help for Seniors in British Columbia

Each province also has its own programs to help seniors afford to enjoy a high standard of living even as their yearly income decreases. In British Columbia, these include:

- Shelter Aid for Elderly Renters (SAFER) helps low to moderate income seniors continue to afford their rent.
Sales Tax Credit, which seniors can apply for to save money each year on their taxes.
The CareCard for Seniors entitles seniors to save on prescriptions and other medical expenses.
Anyone who receives Income Assistance in BC, including seniors who receive the Guaranteed Income Supplement (GIS), are eligible to receive a bus pass that costs only $45 for the entire year.

Thanks to programs like this in British Columbia and throughout Canada, seniors can retire with a measure of confidence that they will be able to afford those “golden years”.

Alzheimer’s Care Nova Scotia

Monday, September 28th, 2009

Alzheimer’s Care in Nova Scotia

Helena “Heli” Munroe earned her Ph.D. in cognitive psychology, with her specialty in Alzheimer’s disease. But this didn’t protect Dr. Munroe from succumbing to Alzheimer’s herself. Originally from the UK, Heli Munroe and her husband Alasdair lived in Nova Scotia. As her descent into Alzheimer’s began, the two lived near Fisherman’s Memorial Hospital, where she received most of her therapy.

But in 2005, something quite unusual happened. Dr. Munroe was taken by her brother to England, because he claimed that she was very unhappy in Nova Scotia. Her husband was shocked by his brother-in-law’s action, and accused him of kidnapping his wife. Mr. Munroe was even more shocked when he realized he did not have legal guardianship over the woman whose rapid cognitive decline was made it impossible to make clear her own wishes about where she wanted to live and with whom.

While for Mr. Munroe the action was kidnapping, for Heli’s family it was rescuing. The family accused Alasdair Munroe of domestic abuse, which he vehemently denied. Some nurses who worked with Heli Munroe did suggest that Mr. Munroe’s behavior was sometimes concerning, and even more concerning was the couple’s estranged son living in a remote area of British Columbia, who claimed he had seen his father choking his mother before. But friends of the family – including Heli Munroe’s doctors – supported Munroe’s rebuttal of the accusations.

Meanwhile, Heli Munroe could not speak for herself.

Finally, in the fall of 2009, Heli Munroe’s ashes returned to her husband in Nova Scotia. Over the summer, Dr. Heli Munroe had slipped into a coma and died of Alzheimer’s. Just as he had fought for the return of his wife, he also fought to have her ashes returned. This battle, he won. But it is a bittersweet victory.

Who Can Make Decisions About Alzheimer’s Care?

The family feud over Heli Munroe underscored a need for clearer laws regarding care for those with Alzheimer’s disease and other forms of dementia, both in Nova Scotia and throughout Canada. Specifically, does the spouse or the family speak for the individual with Alzheimer’s by default?

For more information regarding care for elders with Alzheimer’s in Nova Scotia, a good place to start is the Alzheimer Society of Nova Scotia. An advocacy and support group for people with Alzheimer’s and their family, their website makes it easy to find resources on the latest research on Alzheimer’s disease, as well as links to services for people living with Alzheimer’s in Nova Scotia.

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