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Elder CareTips:
Mastering The Eldercare Maze

March 27, 2007

A hearty welcome to all our new readers. We're glad to have you along on this up and down ride!  Remember, there's no such thing as a dumb question, and none of us know what we don't know.

Swollen Legs & Ankles

A number of people have inquired lately about swollen legs and ankles - what does it mean when someone's legs swell, and what to do about it. With warmer weather coming this will be a common question for many caregivers.

Please bear with me while I make the usual disclaimer: I am not a physician and this elementary summary is intended to encourage you to consult a physician for medical and treatment advice.

Like so many other things, swollen legs (edema) is a symptom, not a disease. So the first thing to do is try to find the underlying cause of the swelling.

If I remember correctly from biology class, our bodies are normally composed of about 98% water. Every cell in our body contains water, and water constantly moves between the bloodstream and the spaces between the cells (interstitial spaces). Anything that interferes with the movement of this fluid can cause the water to build up (water retention). The heart is the pump that keeps things moving throughout the system.

Read The Rest...

Speaking of Feet...
How Smart is Your Right Foot?

This will give you something new to think about. Will you be able to outsmart your foot?

1. While sitting on a chair, lift your right foot off the floor, stick it straight out, and make clockwise circles.

2. Now, while doing this, draw the number "6" in the air with your right hand. Your foot will change direction and start going counter-clockwise!

And there's nothing you can do about it (unless you have a reeeeally, reeeeally extraordinarily coordinated right foot)!

Choosing Medical Care in Old Age:
What Kind, How Much, and
When To Stop

Choosing Medical Care in Old Age: What Kind, How Much, When to StopThis book has been around for a few years, but I just discovered it. I wish I had had a chance to read it when my own father was actively dying. As the person who held medical power of attorney for him, I was faced with the very dilemmas the author, a geriatric physician, so compassionately speaks of in Choosing Medical Care in Old Age: What Kind, How Much, When to Stop: When are certain procedures too burdensome to be justified? What are unacceptable risks? When should we move from asking for a cure to asking for compassionate support through the inevitable dying process? Dr. Muriel Gillick tells the stories of her patients, and at the same time she tells her own story about the daily ethical dilemmas she faces as the physician responsible for their care.

You would expect a book like this to be on the depressing side. It isn't. I was actually caught up in the stories, and I felt remarkably at peace when I finished the book. I highly recommend that everyone who is responsible for an older person read Choosing Medical Care in Old Age: What Kind, How Much, When to Stop before getting to the place where these decisions may have to be made. It should make the process more bearable, and it will help alleviate the horrendous misplaced guilt so many of us feel about "not having done enough."

Elder CareTips:
Nightlights When You Need 'Em

In each area of the house, and on each level, install a battery back-up night light that turns on immediately when the power goes off. Without power regular night lights will go dark just like everything else in the house. With an automatic battery-powered night light no one is left groping in the dark for a flashlight. The cost is minimal and the improved safety is enormous.
 


When there's a lot of light, you don't notice the dark. When there's a lot of dark you always notice the light.

~ John Marsden

That's it for this time around. Be good to yourself...

   
 


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