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Elder CareTips:
Mastering The Eldercare Maze

March 13, 2007

Happy Daylight Savings Time! (Yawn). It felt really weird starting dinner in the middle of the afternoon yesterday...

A hearty welcome to all our new members. And here we go...

Second Opinions

In the United States, every patient is entitled to as complete an explanation as possible about any diagnosis or recommended therapy. Only with this information can a patient make an informed decision (called "informed consent") about whether to accept, refuse or delay a proposed treatment.

It's always important to have a good understanding of a diagnosis and the recommended treatment. It is critical when you or the person you care for is facing a potentially life-threatening disease or major surgery. In fact, the greater the severity of a diagnosis, or the more radical the recommended treatment, the more you should consider getting another opinion from a second physician.

Your primary doctor should support your decision to ask for a second opinion.

What Situations Might Call For A Second Opinion?

Surgery has been recommended. As you know, older people often react badly to anesthesia. You might want to explore all non-surgical options for treatment of a non-emergency problem.

You have been diagnosed with a life-changing or life-limiting disease. One very common example might be Parkinson's Disease (among many, many others). Parkinson's-like symptoms can be caused by several things. Treatments differ, and treatment for one disease can be counter-productive for another. In this case you would want the diagnosis to be confirmed by an expert.

Your doctor is suggesting that you choose between two or more non-surgical treatment options. Patients are rarely in a position to make an informed choice between treatment options without a second opinion.
 

Read The Rest...

The foolish and the dead alone never change their opinions.

~ James Russell Lowell

Elder CareTips:
A Slippery Turn

People with mobility problems often have difficulty turning over in bed. Parkinson's Disease, Multiple Sclerosis, and severe arthritis, among others, can produce muscle weakness or pain that make turning over without help difficult or impossible. One small trick that often helps is to make the bed "slick" with silk sheets. Silk sheets offer less friction, so the body slides more easily as the sleeper turns. Add a pair of silk pajamas to the mix and turning will be significantly easier for many people.

Who ever thought there would be a medical reason to buy silk pajamas?
 


Once a guy starts wearing silk pajamas it's hard to get up early.

~ Eddie Arcaro
(American Jockey who was the first to ride five Kentucky Derby winners and two US Triple Crown champions)

Caregiver, Replenish Thyself!

As I was standing in line the other day waiting for my turn to check out a load of groceries I was unashamedly eavesdropping on two women behind me. They were discussing a friend with an obviously fairly new baby. The gist of their conversation was, "That baby is 8 months old, and she's never left him. She and her husband haven't been out alone for even an hour since before he was born. If she doesn't get a grip pretty soon she'll be a single mother in the loony bin."

Interesting, I thought. We encourage young mothers to leave their children (in the hands of someone competent and trustworthy, of course) to take care of their own needs and the needs of their other family members. There seems to be social agreement that when a mother takes care of her own physical and emotional needs it benefits everyone in the family.

And yet, even though as parents we used the services of a babysitter, or a co-op, or day care, as caregivers to the elderly we put those same needs on hold indefinitely. What gives?

Caring for an aging adult is much like caring for a child in the amount of responsibility it can entail. Like caring for a child, it can turn into 24-hour duty. But healthy children grow up, and that duty gets physically less difficult with time. Unlike caring for a child, caring for an adult is likely to get more difficult with time. If you deny your own needs, your ability to give good care diminishes as the need for care grows. This is certainly a recipe for disaster.

Just as young mothers regularly take advantage of sitters and other resources, so should you. Mothers Day Out and pre-school programs are there for a reason, and adult day programs for seniors are there for the very same reasons.

Even Mother Theresa closed herself off from the overwhelming demands of the dying every day to pray and replenish her soul. Are we any less human than Mother Teresa, that we shouldn't need replenishment, as well?

That's it for this time around. Take care of yourselves,

   
 


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