Education

A lack of appetite in seniors at home or in senior communities is so very common. For our loved ones in quarantine, it happens even more often, and is sometimes linked to depression. Often, we tell our families to watch the inside of the refrigerator as you visit your senior loved one to be sure they are eating properly. Is the food still there from the previous days? Is there trash in the trash bin? These are signs to look for to be sure your senior is eating properly. Just as it’s normal to see a decreased appetite in seniors at this stage in their lives, it’s also now that they need healthy nutrition the most.

How To Increase Appetite in Seniors

Although there’s no treatment for loss of appetite in elderly, but there are some tricks that can help you to answer the question: "How do I get an elderly person to eat?’ According to Countrywide Healthcare, follow these tips to help your senior eat proper meals:

1. Make sure there are no oral problems in your senior such as mouth sores, or difficulty in swallowing. We often hear from our clients that they prefer softer foods because they are easier on the mouth, swallowing, and digestion as well. Seeing the dentist for an overall oral exam would be a good place to start.
2. Keeping on a routine with eating is important. As we age, we don’t experience the same physiological motivation to want to eat, which can result in loss of appetite in elderly, so if we create a routine to follow, the senior will experience more regularity and the caregiver can easily keep track of what the senior is eating on a daily basis.
3. In senior living communities, dining is a great form of socialization for the seniors. It’s an event! When we are alone, especially eating alone, this is cause for isolation and depression. Eating in a group leads to conversation and togetherness. We also see in communities that residents who use assisted walking devices to get around, whether it be a wheelchair or walker, park those aside during meals and sit in the dining room chair. This leads to a feeling of dignity, sitting up properly for digestion, and starting the habit of looking forward to this social event each day.
4. Allowing the senior to participate in their food choices is another great idea to increase seniors’ appetite. In senior living communities, we often see gardens that the residents tend to, and the chef takes the harvest from those gardens and creates a “farm to table” eating environment. One community in Chicagoland has a very large garden that a family member created, so that all of the fruits and vegetables could come from the garden to the dining room table. In communities, you often see demonstration kitchens as well. As part of the activities programming, a recipe given to the staff by a resident can be made in front of the participants, even with their assistance, and everyone gets to try the finished product. Residents may also like to participate in things such as bake sales, potlucks, and other cooking classes as part of the activities program.
5. In several senior living communities, I have seen Fiesta Ware which are plates that are very brightly colored. This helps the residents see the food on the plate by having such a bold color to contrast in the background. We often hear the term to “eat the rainbow”, and in increasing appetite in elderly, the brightly colored foods are the best for them to visually see, but also the most nutritious. It’s a good idea to separate the foods on the plate too so that the senior can distinctly tell the difference between food items. Most communities change the menu daily which is good for variety. We also see now some communities are identifying various food items on the menu as gluten free, low salt, or heart healthy which is a great tool for the resident to use in order to follow a healthy diet.
6. Hydration stations are a permanent staple in senior living communities these days. You walk in and see large water dispensers usually with cut up fruit inside such as strawberries or pineapples. It’s imperative that seniors stay hydrated, and this helps with overall digestion and regularity. Fruit juices and water are best to keep hydrated.
7. Making dining a nice, calming experience with soft music and quiet voices will help residents to want to stay and enjoy the experience of eating. If the environment is too loud and rushed, the resident will not want to stay, may become agitated, and won’t finish their meal. Creating a pleasant environment around the dining experience will aid in the resident wanting to stay and enjoy their meal.
8. If all else fails in helping the senior to increase their appetite, an appointment to the doctor may be necessary to prescribe an appetite stimulant. Remember that using appetite stimulant for elderly must be treated as a last resort when other means appeared to be failing.

In our more than 85 combined years of working in and with senior living communities, we can’t tell you how many times a family member has mentioned the weight gain in their senior loved one! This is good to hear after the weight loss we often hear about when the senior was living alone at home. Eating and socialization go hand in hand. We all need to feel socialization on a daily basis, and for seniors, that is their three meals a day enjoyed with new friends and neighbors.

June is National Cataract Awareness Month. Cataract is a common eye problem among those who are aging.

The Facts - Cataract Awareness

• Leading Cause of Blindness - Cataracts are a leading cause of blindness in America.
• Early Detection & Treatment - Early detection and treatment of cataract increases the probability of successful vision as you move forward with a healthy approach.
• 24 Million - There are approximately 24 million American's over the age of 40, who are affected by cataracts
• Blindness - If cataract is left unattended it can result in blindness of the eye(s) affected.
• Regular Checkups - Because cataract can progress slowly, the change in vision is often not noticed by the person affected; another reason it's important to get regular eye check-ups to keep a watch for changes and in particular the build up of cataracts in both or one eye.
• Not Just For Seniors - While cataracts are more common among seniors, they can affect children, young adults, and adults. Most seniors cataract is an "Age Related Cataract" as opposed to those who may get cataract from a hereditary disease, as a side effect of a chronic disease, and other possible ways in which age is not necessarily a factor.

Reduce the Risk of Cataract

While there is no proven way for those who have age related cataract, there are certain lifestyles that can help deter eye problems and diseases. Like most every disease and health issue known to mankind, an overall healthy lifestyle helps to deter problems as we age.

Tips for Good Eye Health & Cataract Awareness

1. Eat the Right Foods - There are certain foods that are known to help prevent eye disease and provide optimum eye health via nutrition.
2. Do Not Smoke - Smoking is known risk for cataract; with smokers being twice as likely to form cataracts and the more they smoke the higher their risk. However, stopping smoking can reduce your risk of cataract nearly to the point that it would be as a non-smoker of the same age.
3. UV Rays - Studies (see cited works) state that ultra-violet rays are associated with cataract growth and eye damage. Protect your eyes with UVA & UVB sun blocking glasses and a hat to keep the rays from causing damage to your eyes.
4. Regular Eye Checks - It is extremely important to have an annual eye exam; more often if you have certain diseases or ongoing medical issues that warrant more frequent check-ups. Prevent Blindness America can help you find free screenings for eye exams in your area (21 states & DC).
5. Free Cataract Surgery - Mission Cataract USA offers free cataract eye surgery for those who qualify. You can visit their website here or give them a call (800-343-7265).

Senior Living Experts wants to make sure that you are well versed on cataract awareness in order to make your world healthier and even better to see as you age.Cited Works:American Academy of Ophthalmology (AAO)Photo by TobiasD / PixabayYour Sight Matters WebsiteCDC

A professional geriatric care manager in assisted living facilities is an invaluable member of a treatment team, well-versed and educated in various fields of human services, including social work, psychology, nursing, and human development, more specifically, aging. Don’t underestimate the value of these holistic practitioners and the invaluable role that they play in supporting seniors in assisted living facilities, under their charge in and around Hinsdale.  

Some important skills that a geriatric care manager brings to assisted living settings include:

Eclectic expertise.

Geriatric care managers bring a breadth of education and a fresh, holistic approach to healthcare for the senior clients that they serve. Most of these professionals have their Master’s degree in Social Work (MSW) or Public Health Administration (MPH), which are both eclectic curriculums involving practical work experience and experiential learning. Some of the courses found in these programs include psychology, human development, sociology, and communication- all which find their way into assisted living facilities daily.

Assessment skills.

When a client moves in or out of an assisted living facility- or other type of residential setting- an assessment is completed. In this case, it is often completed by a geriatric care manager who has been able to observe progress notes, ADLs (activities of daily living), and the client on a regular basis. Admissions, transfers, and discharges are typically contingent on an accurate and insightful assessment done by a seasoned practitioner.

Problem solving.

Even the best-laid plans don’t always manifest as one would hope, which makes practical problem-solving skills integral. Being able to plan, and re-plan, for situations that arise in the senior’s situation is important in an effort to move clients forward in their care, treatment, or toward goals, such as autonomy or independent living. Planning and making accommodations for unexpected circumstances makes the geriatric care manager a bit of a magician, pulling something out of their sleeve when necessary.

Care coordination.

Care coordination is key in order to maintain services, line-up resources, and maintain communication with both formal and informal supports. Geriatric care managers often act as a go-between, voicing the wishes of the client and assisting families struggling to meet the needs of their elderly loved ones. This could include tasks such as lining up transportation to a medical appointment, taking the senior on a social outing, or facilitating a family meeting to discuss current levels of care.

Stress management.

Another pertinent charge of the geriatric care manager in an assisted living situation is to monitor and support the seniors served, which may include managing stress of the client, as well as those closest to them. Many things can cause stress among those that care about the aging parent or loved one, including change of providers, lack of resources, limited access, or simply the aging process, in general. A care manager can help to provide insight, offer practical solutions, and brainstorm coping strategies to move past and go forward.

Networking.

It’s a big world out there; think of the geriatric care manager as a navigator, of sorts, helping clients and their families traverse through resources, providers, and supports to find what is needed to help the senior thrive. Many areas have limited access to things that are needed, such as transportation or medical treatment and an effective care manager will be able to network and find what is needed, whenever possible, getting the necessary referrals and documentation to make it viable. This takes a lot of pressure off the client, as well as their loved ones, instilling a familial relationship rather than one of caregiver.

Ardent advocacy.

Another important duty of a geriatric care manager in assisted living facilities is advocacy, both on personal and community levels. This practitioner builds a trusting rapport with the client by advocating and vocalizing the consumer’s wishes and preferences; this same professional may advocate for legislation that protects the elderly from exploitation or abuse. Becoming an ardent advocate requires knowledge of the social issues facing seniors, as well as the available options, resources, and supports to help these individuals thrive and prosper as they age. Above all, the care manager stands behind the client, making choices in the consumer’s best interests, treating them with respect and honoring the senior’s autonomy above all else.Geriatric care managers in assisted living facilities, including those in Hinsdale, are an invaluable member of a holistic team, dedicated to supporting and improving the life of the elderly. These practitioners wear many hats and serve as a liaison between the client, family, providers, and area resources; as such, these professionals are integral to effective care coordination for the seniors in their charge.

What is a Geriatric Social Work Specialist?

A Geriatric Social Work Specialist is an important piece of the senior care puzzle and especially helpful when utilized in assisted living facilities. They are licensed by the Department of Health in the state in which they work.

• Education – The level of education needed may vary according to state and/or facility but a minimum of having a Bachelor’s Degree. They are specialized in working with the many facets of aging.
• Team Skills – The Geriatric Social Work Specialist learns a specific set of skills that will compliment others in the facility working with the residents. These skills generally help the staff, healthcare advisers, healthcare workers, residents and family all “get on the same page” so to speak; ensuring that the overall care of the resident is being addressed.
• Specialized Training – As a Geriatric Social Work Specialist they are trained specifically to work with those 65 and over, and/or those who may have dementia, Alzheimer’s and other health issues specific to aging. Another area they may specialize in can include mental health; which also encompasses dementia care but can include senior depression and more.
• Continuing Aging Issues – They are specially trained in working with issues of aging which can include:

• Counseling

• Transitioning from assisted living Care to Long-Term Care

• Transitioning from Long-Term Care to Hospice (if needed)

• Liaison between client, family, facility, and healthcare specialists
• Paperwork/Filing – As you may know, there is usually a lot of confusing paperwork that goes with everything involving aging and taking part in many programs offered. Your Geriatric Social Worker is well versed and usually quite experienced in what forms need filled out and how to fill them out in order to most likely to be accepted the first time through the system.
• Resources – These specially trained social workers can help direct you, your loved one, and your family to valuable resources that may be needed throughout the aging process.
• Counseling – There are a number of areas that can require geriatric counseling during aging. Counseling can begin with the resident to the family and even include any communication with the staff so that everyone is informed.
• Hospice – There are times when one moves through assisted living care to hospice care in a fairly short time. During times like these the Geriatric Social Worker can help with obtaining hospice care, funeral preparation, and direction for legal issues.

Among language disorders, Aphasia is among the most common, affecting approximately two-million people in the US, with around 180,000 people diagnosed annually. Aphasia has climbed above Parkinson’s disease in terms of prevalence. While many may think that aphasia is simply a sign of getting old or a symptom of dementia, it strikes young and old, in debilitating ways. Senior Living Experts can help navigate the challenges of a loved one living with aphasia.

What is Aphasia?

It is estimated that around one-million people in the United States suffer from Aphasia. Aphasia is a condition that impacts communication and that results from damage to specific parts of the brain, often caused by a stroke, brain injury, neurological issue, brain tumors, or dementia. Aphasia manifests in issues speaking, comprehending, reading, and writing, but it does not cause cognitive damage.Some signs of aphasia include:

• Slowed speech.
• Struggle to find the right words.
• Difficulty understanding familiar words.
• Inability to recall names of familiar people.
• Using one word for another; substitution.
• Difficulty following conversations.

Five benefits of assisted living facilities in the South Suburbs when dealing with aphasia are:

1. Engagement.

Language barriers may be the first notable signs of aphasia and can lead to isolative behaviors and withdrawal among those struggling with aphasia. Individuals may feel embarrassed or confused, which can lead to depression and mood disorders. Engaging with others and conversing is the most effective way to bridge these communication barriers.Some ways to narrow the gap during conversations with people that have aphasia include:

• Ask closed-ended questions with simple ‘yes’ or ‘no’ answers.
• Take time to repeat and reiterate during a conversation.
• Tailor your words during conversations to minimize and simplify sentiments.
• Use gestures and body language to emphasize a point.
• Indicate what you will discuss when starting a conversation.

These tactics can make interacting less uncomfortable for those with aphasia, and may also encourage them to engage more frequently.

2. Assessment.

Assessment and evaluation are further vital elements of assisted-living or residential care. There are different types of aphasia, and in some instances, it could be merely a symptom of a serious, underlying medical condition. Dementia-related aphasia can be paired with other limitations and markers that will require assisted care over time, as this decline may be gradual.When aphasia is caused by traumatic brain injury (TBI), there may be other problems with cognition, including confusion. Depending on the extent of the injury, assisted-living may be able to provide the tools necessary for recovery and rehabilitative support. Some aphasia is temporary, resulting from seizures, injuries, severe infection, or even migraine headache! With so many variables, assessment and ongoing evaluation is a benefit of assisted living in the region to determine the least-restrictive level or care and to provide the support needed to thrive.

3. Expertise.

Another inherent benefit of assisted living is the access to available resources, including therapists and speech-language specialists. These professionals can work one-on-one with aphasia patients to increase speaking ability and to sharpen communication skills.These experts utilize some tips to make conversing easier for someone with aphasia:

• Help patients communicate easier with the use of props.
• Write or draw to help convey a message.
• Relax and speak slowly.
• Keep a card in the patient’s wallet alerting others to the fact that they have aphasia.

4. Environment.

The environment plays a large role in supporting aphasia patients, too. It is important for individuals to socialize- despite that it may be uncomfortable- and practice conversation with people that can be trusted. Losing the gift of speech can dramatically impact a person’s social life and well-being, and the most effective means of treating aphasia is through conversation and socialization. In fact, providers suggest expediting recovery from a stroke by socializing as soon as possible. An assisted living residence provides a setting that fosters socialization and that forges trusting rapports with others- the foundation for treatment and recovery.

5. Support.

assisted living facilities will have access to supports that can also aid in recovery from aphasia. These resources may be more focused on getting the aphasia patient out into the community and to foster a sense of solidarity and connection with other people. Often times, those with language barriers feel a sense of isolation and being alone; becoming a part of a greater community can provide a sense of purpose and belonging that is key in recovery.Foster community involvement by supporting participation in these outings and activities:

• Church events or spiritual retreats.
• Social gatherings or parties.
• Volunteer opportunities.
• Work or vocational activities.
• Leisure interest groups.
• Area support groups.

Assisted living facilities have a lot to offer aphasia patients, and these may be the best setting for those recovering from this condition. The on-site resources make it feasible to obtain services that may not be readily available for individuals living independently. Whether recuperating from temporary aphasia caused by an injury or dealing with the communication deterioration from dementia, Senior Living Experts in the South Suburbs area know how to deal with aphasia and provide a therapeutic setting for those struggling with language barriers.

Resident safety in assisted living is one of the top reasons for moving to an assisted living facility.

7 Top Safety Hazards in Assisted Living

It's important to ensure resident safety in assisted living and if you are looking for an assisted living facility this should be one of the most important areas to look at during visits. Here are seven common safety hazards found in assisted living facilities:

1. Insufficient Lighting - Poor lighting can result in falls, bumps, and becoming disoriented. It's not uncommon for older assisted living facilities to utilize older lighting; fluorescent tube is commonly used and offers poor lighting to see well. Be aware of the lighting conditions in the facilities you're looking into.
2. Medication Mess Ups - The sheer number of medications that pass through a facility in one day can boggle the mind; so it's no surprise that medication mix ups is one of the problems with safety in assisted living facilities. Ask how medication is handled and distributed regularly in the facility you are thinking about moving into.
3. Cluttered Walking Areas - It's important to have unobstructed walkways at all times; however, when working with a number of residents you can run into hallway/walkway clutter. Notice if there are walkers, unused wheelchairs, carts, or other objects throughout the facility.
4. Old/Unsafe Flooring - Because of the wear and tear that floors see in many facilities you may find worn carpeting and flooring. Torn, frazzled rugs and flooring that is cracked or missing can cause falls; especially for those that are already a fall risk.
5. Inadequate Security - One of the main reasons for moving to an assisted living facility is most likely for better safety and security; especially for dementia patients. Be certain that there are a number of security factors in place; including cameras, secure entry, and 24 hour monitoring.
6. Insufficient/No Alert Systems - Make sure there are alert systems that area easily available for residents to quickly push a button to get help. This can include the common necklace/arm safety buttons but should also include alert systems inside other areas of the residency that can call a nurse/aid too.
7. Lack of Health & Safety Programs - Being proactive is one of the best ways to help ensure safety. Falls Free and safety classes that help create stronger, more balanced walking are one of the best ways to be proactive. Not only does it help to create a safer environment by reducing the risk of falls but it helps promote activity and social interaction.

The Importance of Resident Safety in Assisted Living Facilities

There are a number of safety factors to keep in mind when looking into assisted living facilities and while you can never guarantee that accidents, slips and falls won't happen you can minimize the risks. In the Chicago area, Senior Living Experts can help you find safety in assisted living facilities so you have peace of mind.

photo by geralt / Pixabay

Dementia care in the Chicago area makes the case for robotic pet therapy among consumers studied. The benefits mimic those of conventional pet therapy models, but with added conveniences and applications. Studies have shown that animal-assisted therapy has distinct and significant benefits for seniors, including those struggling with dementia, including Alzheimer’s disease. The obstacle to access to the therapeutic advantages of a pet may be the individual’s ability- and environment- to care for a live animal. New research suggests that robot-assisted therapy is an effective and practical alternative, manifesting in robotic pets for seniors with dementia.Talk to your provider about how to implement animal-assisted treatment into your senior’s life, or to learn more about robotic pet therapy. Don’t have a provider? Contact Senior Living Experts for practitioners in the region.

The case for robotic pet therapy:

A case can be made for animal-assisted treatment models, so why not robot-assisted therapy? This trend emerged from Japan with the manufacture and dissemination of a robotic seal called “Paro”, which was designed to provide comfort and companionship for elderly individuals that may not be in a position to care for a live pet. Great care went into the design of this robotic pet to make it consumer-friendly, including how it looks and how it responds to stimuli, i.e. being petted, held, or spoken to.Take a look at some of the benefits of pet therapy- including robotic options:

Companionship

Loneliness can come with dementia, and pets seem to be a source of great joy- especially for seniors that lack social interactions. Since aphasia is another symptom of this debilitating condition, many seniors may become isolated and non-communicative; interacting with a pet can counter this tendency. Furthermore, as symptoms worsen, some seniors with dementia may not respond well to a lot of stimulation, such as visits and gatherings, which makes a pet a viable way to provide comfort and companionship.

Engagement

It is reported that seniors with dementia establish close bonds with their robotic pet, and its impacts may also ripple to those seniors, family, and caregivers around them. A pet- robotic or otherwise- can provide a topic of conversation and commonality among seniors living in communal settings or assisted-living type residences. A study once demonstrated how seniors living in a VA home seems more engaging and social when visiting the on-site aviary, using the birds as a common topic of conversation. Engaging with others is something that shouldn’t be minimized when looking at therapeutic interventions with dementia patients, as the ability to socialize and tolerate being around other people may wane as symptoms increase and the condition progresses.

Relaxation

Sitting with and petting an animal- including a robotic one- decreases anxiety and agitation, which can be a frequent symptom among dementia patients. It has been measured and established that spending time with companion animals can lower blood pressure and improve overall mood. Furthermore, animals of any kind can provide something for seniors with dementia to focus on. A pet can provide a distraction for dementia patients that are confused, forgetful, or searching for the right words. Instead of fidgeting and constantly moving about, many agitated seniors are able to self-soothe by stroking a pet and reduce signs of anxiety and nervousness.

Purpose

Taking care of a pet combats passivity and gives seniors the opportunity to be a caregiver for someone- or something- else. This purpose also can help many with the motivation and drive each day needed to live with dementia. Tending a live animal may prove overwhelming for many who live alone, but this doesn’t diminish the yearning for a task and reason to get out of bed; a robotic pet- based on the studies that reinforce the potential bond- could fill this void in a more practical and prudent way.Japanese techies have paved the way for social robotics in this country, with a very promising future in additional medical applications. Consider investing in a robotic pet for your loved one with signs of agitation, anxiety, depression, or confusion, and provide a means of comfort and companionship that can be compared to the benefits of a live pet. The option of having a robotic pet may increase access for seniors, which can improve outcomes and prognoses overall.

Dementia care in the Chicago area:

Caregivers in Chicago face distinct challenges when working with seniors exhibiting dementia or symptoms of Alzheimer’s disease. Access alternative resources- such as robotic pet therapy- to combat the debilitating effects and to improve the overall quality of life.Do you need a provider to learn more about accessing animal-assisted treatment? Senior Living Experts can help you tease-out practitioners and experts in the area. Robotic pets show promise as another tool to help combat the debilitating symptoms of dementia in seniors, which makes it prudent and vital for caregivers widely.

Northwestern Hospital Patient Education is hosting a no charge seminar about making your healthcare choices known.

Advance directives provide information about your medical care choices if you are unable to communicate.  Kathy Johnson Neely, MD, chair of Northwestern Memorial Hospital's Medical Ethics Committee and associate professor of Medicine at Norhtwestern University's Feinberg School of Medicine, will discuss advance directives recognized by Illinois state law.

Wednesday, July 25th 5:30  to 6:30 pm
Friday, July 27th 11am- noon

Call 312-926-8400 to register and for directions and location!

It seems to me that someone, somewhere once thought that Medicare pays for everything. I think now that more and more people are on Medicare we are finding out that it does not. Medicare is HEALTH INSURANCE. Often times I have to explain to children of elderly parents that Medicare is NOT going to pay for their long term care needs. Medicare will not pay for room and board or care at an assisted living community. In fact, it will only pay for a limited number of days at a skilled nursing home upon discharge from the hospital. Then, the patient, should the decide to stay, needs to pay "out of pocket."

Its just like the health insurance that we have. It will pay for doctors visits and medication to some extent, but if we got laid up in a nursing home, and had to stay it would not pay after a certain number of days. Heck, the insurance companies have new mothers out of the hospital the day after birth because they don't want to pay for the "room and board."

But let me back up. Medicare is health insurance for people age 65 or older. You apply for it. And you pay for it, just like you pay a monthly premium for the health insurance you get through your job.

A lack of appetite in elderly is so very common. Often, we tell our clients to watch the inside of the refrigerator as you visit your senior loved one to be sure they are eating properly. Is the food still there from the previous days? Is there trash in the trash bin? These are signs to look for to be sure your senior is eating properly. Just as it’s normal to see a decreased appetite in seniors at this stage in their lives, it's also now that they need healthy nutrition the most.

How to increase appetite in elderly

Although there’s no treatment for loss of appetite in elderly, but there are some tricks that can help you to answer the question: ‘How to get an elderly person to eat?’ According to Countrywide Healthcare, follow these tips to help your senior eat proper meals:

1. Make sure there are no oral problems in your senior such as mouth sores, or difficulty in swallowing. We often hear from our clients that they prefer softer foods because they are easier on the mouth, swallowing, and digestion as well. Seeing the dentist for an overall oral exam would be a good place to start.
2. Keeping on a routine with eating is important. As we age, we don’t experience the same physiological motivation to want to eat, which can result in loss of appetite in elderly, so if we create a routine to follow, the senior will experience more regularity and the caregiver can easily keep track of what the senior is eating on a daily basis.
3. In senior living communities, dining is a great form of socialization for the seniors. It’s an event! When we are alone, especially eating alone, this is cause for isolation and depression. Eating in a group leads to conversation and togetherness. We also see in communities that residents who use assisted walking devices to get around, whether it be a wheelchair or walker, park those aside during meals and sit in the dining room chair. This leads to a feeling of dignity, sitting up properly for digestion, and starting the habit of looking forward to this social event each day.
4. Allowing the senior to participate in their food choices is another great idea to increase seniors’ appetite. In senior living communities, we often see gardens that the residents tend to, and the chef takes the harvest from those gardens and creates a “farm to table” eating environment. One community in Chicagoland has a very large garden that a family member created, so that all of the fruits and vegetables could come from the garden to the dining room table. In communities, you often see demonstration kitchens as well. As part of the activities programming, a recipe given to the staff by a resident can be made in front of the participants, even with their assistance, and everyone gets to try the finished product. Residents may also like to participate in things such as bake sales, potlucks, and other cooking classes as part of the activities program.
5. In several senior living communities, I have seen Fiesta Ware which are plates that are very brightly colored. This helps the residents see the food on the plate by having such a bold color to contrast in the background. We often hear the term to “eat the rainbow”, and in increasing appetite in elderly, the brightly colored foods are the best for them to visually see, but also the most nutritious. It’s a good idea to separate the foods on the plate too so that the senior can distinctly tell the difference between food items. Most communities change the menu daily which is good for variety. We also see now some communities are identifying various food items on the menu as gluten free, low salt, or heart healthy which is a great tool for the resident to use in order to follow a healthy diet.
6. Hydration stations are a permanent staple in senior living communities these days. You walk in and see large water dispensers usually with cut up fruit inside such as strawberries or pineapples. It’s imperative that seniors stay hydrated, and this helps with overall digestion and regularity. Fruit juices and water are best to keep hydrated.
7. Making dining a nice, calming experience with soft music and quiet voices will help residents to want to stay and enjoy the experience of eating. If the environment is too loud and rushed, the resident will not want to stay, may become agitated, and won’t finish their meal. Creating a pleasant environment around the dining experience will aid in the resident wanting to stay and enjoy their meal.
8. If all else fails in helping the senior to increase their appetite, an appointment to the doctor may be necessary to prescribe an appetite stimulant. Remember that using appetite stimulant for elderly must be treated as a last resort when other means appeared to be failing.

However, in my twenty three years of working in senior living communities, I can’t tell you how many times a family member has mentioned the weight gain in their senior loved one! This is good to hear after the weight loss we often hear about when the senior was living alone at home. Eating and socialization go hand in hand. We all need to feel socialization on a daily basis, and for seniors, that is their three meals a day enjoyed with new friends and neighbors.

Feeling overwhelmed? Consider respite care to give caregivers a much-needed break, recover from a recent illness or injury, or to provide the supportive transition home for rehabilitation. With the holidays coming, it pays to plan ahead, especially if you provide care for a senior. Injury, illness, and incidents can occur that make respite care a viable and valuable option. While it may be the senior’s wish to remain in the home as long and as independently as possible, hospitalizations do occur and respite can be a supportive part of an effective and successful recovery plan.  Senior Living Experts does the legwork for you, providing a list of names and contact information for providers, services, and supports to improve the quality of life for seniors. Check out the wide network and gamut of resources available through this user-friendly site.

Feeling overwhelmed? Consider respite care

Respite care is a short-term solution that offers seniors a safe place to stay temporarily. Respite settings are often assisted-living type facilities, which have beds available for short, recuperative admissions. Reach out to your provider and online network of senior supports to find respite care in your region, as well as to review admission guidelines and estimated costs. Some respite providers may require a physician’s referral, which helps to pinpoint patients that will most benefit from such service provision.

Why is respite care is so important:

• Rehab and recovery

When a patient is discharged from the hospital, rehabilitation can help prevent re-hospitalization and facilitate recovery. This might entail a few days’ stay in a skilled-nursing facility, or a longer admission with specific goals in mind depending on the precipitating illness or injury. Usually, long-term rehab requires some insurance coverage beyond Medicare, though a hospital case manager can assist with finding the appropriate setting for your distinct needs.

• Ensures safety

If a senior is living in a home that is not safe, respite care provides a safe, secure placement for the short-term, while repairs or modifications are made. The biggest safety concerns may be related to access, such as the implementation of ramps, lifts, or rails; respite can also be helpful if the senior suffers property damage, such as a flooded basement, which may make the home an unsafe habitat.

• Caregiver relief

Respite care at an assisted-living facility also provides some relief for caregivers, giving them a break from the full-time responsibilities of caring for another person. Primary caregivers for aging or disabled individuals run the risk of burn-out if they do not take periodic breaks from their duties; this can perpetuate compassion fatigue, which is marked by depression, apathy, fatigue, and illness. Compassion fatigue is common among individuals that provide care for people or animals that are in distress or traumatized, and it can cause secondary-trauma to the caregiver if not prevented.

Some ways to prevent burn-out and compassion fatigue are:

• Taking time to enjoy leisure activities and hobbies.
• Engaging in exercise, fitness, or other physical activity.
• Eating a nutritious diet and getting ample rest.
• Setting firm boundaries with loved ones, colleagues, or clients and recognizing that you have the right to say ‘no’ to additional responsibilities, commitments, or duties.
• Keeping stress levels low, with yoga, Pilates, meditation, massage, or other healthy pursuits.

Respite is a solution that allows the senior to return home with the same familiar faces and surroundings, and that provides a break for caregivers who provide full-time assistance. It is a safe, preferred option which can give all involved a recuperative experience.

• Step-down to home

Respite is often merited following a hospitalization as a step-down to home. For instance, a senior that is admitted to a hospital with an infection or flu likely won’t stay in the hospital for the duration of their illness and recovery. However, heading straight home may put the patient- and those around them- at risk. What do you do? A short stay in an assisted-living respite can be the solution, providing some therapeutic care for the senior while protecting the caregivers at home.

Would you benefit from respite care? Learn more

Would you or someone you love benefit from respite care? Talk to your physician, or reach out online to find respite providers in your geographic locale. There will be guidelines and caveats, depending on where you elect to go and the nature of your stay, so speak with representatives and review online feedback to find the best options for your distinct needs.Are you in need of a break? You- or someone you love- could be a candidate for a respite care stay at an assisted living facility near you. Reach out to Senior Living Experts online for a comprehensive list of services, providers, and options that are in line with what you are looking for. Your primary care provider can assist with pinpointing the best approaches to your recovery and respite. Don’t have a doctor? Senior Living Experts can help with that, too!

Rebecca Donze and the Senior Living Experts team have partnered with talented high school seniors, many of whom have been preparing for months for their recitals, to perform for the residents at Arboria of Long Grove. The residents at Arboria, on the other hand, had advice for them.

You can watch the original Seniors4Seniors below.

https://www.youtube.com/watch?v=4IiP4qgY9LU&t=1254s

https://www.youtube.com/watch?v=4IiP4qgY9LU&t=1252s

This is the number one question we get asked about assisted living every day. And if you are NOT asking this question and are assuming the government will pay for your parents stay at an assisted living, then we need to have a frank talk!Every year, Genworth Life publishes the average costs for senior care and elder care across the country.  These reports include the cost for not only assisted living but also nursing home care, home health aides & homemaker services as well as adult day care. On average across the country assisted living runs $43,200 a year.  That is $3,600 a month.  The state of Illinois on average matches the average price across the country, however the Chicago area has a higher price tag... about $58,740 a year or $4,895 a month.Many people think staying at home and hiring a caregiver will save them money.  However the study found that the national average cost for a Home Health Aide ran $45,760 and in Chicago it was $50,336 a year.  Keep in mind, this is on top of the cost of maintaining the house or apartment your loved one lives in including rent, mortgage, taxes, maintenance, food etc.You can print out a guide to compare the cost of staying at home with care vs. living in assisted living that most people have found very helpful when comparing the two. Click here for more information on the Genworth 2015 Cost of Care Survey.

When senior living in Hinsdale examines the cost of poverty on the aging generation, many correlations are found between quality of care available to these seniors, treatment approaches, and prognoses. Seniors that live in poverty- or below the standard income level guidelines outlined by the US Government- may find correlations between their health and income. Having money does have its advantages and, unfortunately, this is often closely connected to the quality of healthcare afforded them. Don’t go without the professional practitioners that you need to overcome existing health issues, gain relief from chronic conditions, or prevent future problems; reach out to Senior Living Experts for a list of providers near you.

Senior living in Hinsdale examines the cost of poverty on the aging generation

Poverty does impact the overall health and well-being of individuals in this country and could contribute to longevity and lifespan in those with chronic conditions. Talk with practitioners in your area to pinpoint resources to augment your existing medical coverage and increase your access to available services.Some things that impact the overall health of seniors living in poverty include:

Access

Money may not buy happiness, but it definitely can improve channels of access to healthcare, services, and providers. For those that lack financial resources, there are different approaches available through municipal, state, and governmental programs; ask your provider for more information.

Preventative care

When someone is living in poverty, it is possible that there will be some deficiencies in preventative care. A lack of resources could lead to delaying medical treatment, which also impacts the expediency of the diagnosis and treatment options. This could exacerbate a chronic condition, or cause complications later.

Nutrition

If an individual has to make a choice between rent and groceries, or simply can’t afford healthful, nutritious food, their health may take a toll. Good nutrition and adequate vitamins can help fend-off many medical issues and problems that can come from an imbalanced or unhealthy diet. There are food programs available in many regions to supplement the daily nutrition of seniors in their jurisdiction; this might be something your provider, practitioner, or caregiver can assist with.

Stress

Face- it: money can cause stress, and a lack of money for bills, food, or everyday expenses can wreak havoc on anyone with or without pre-existing medical issues. In fact, money is the primary cause of stress in over 70% of reported cases. Stress can exacerbate and perpetuate many serious health risks, from insomnia and mood disorders, to stroke and heart attack. Some ways to help put seniors’ minds to ease a bit when money has them down include these suggestions:

• Try talking to them openly, but don’t lecture or shame them regarding money. Remind them that most people struggle with finances, so they are not alone.
• Bring a few groceries or things that you know your senior will use, rather than offering money, which could hurt their pride.
• Reassure them that their needs will be met. Fear and worry can turn to depression.

Ask the senior’s provider for information related to any programs that could help with things like groceries or home repairs, such as fixing a leaking roof. Does the senior belong to a church? Often-times, churches will step-in to offer support and financial relief for things that parishioners need.

Long-term planning

Seniors should make sure to have advanced-directives in order, outlining the type of care they prefer in the event they are unable to make their own choices. The options in palliative care, hospice, assisted living availability, and skilled nursing provisions are limited for those lacking insurance or resources to cover them. There are programs and plans to help make accommodations more accessible, so speak with your provider or community case managers for more information.Clearly, financial hurdles can impact medical care, which subsequently effects overall health and well-being in many instances. Seniors living on fixed-incomes are most at-risk of neglecting chronic conditions, overlooking symptoms, or being misdiagnosed when they face obstacles of visiting healthcare providers. Long-term planning may help provide assurance of more options later, though this may not be vital for those struggling to live from paycheck-to-paycheck.

Poverty contributes to and exacerbates medical issues and health problems

It is easy to see the effects that poverty has on well-being and how it can impact prognoses, particularly for the senior population. Utilize resources available to augment and supplement your healthcare team, and ask providers for referrals as needed. Don’t have a doctor or geriatric practitioner? Find options near Hinsdale with a little online research.Poverty can shorten your lifespan; talk with the professionals at Senior Living Experts to find the care and resources that you need now for chronic health conditions, medical issues, and incidental injuries. There may be services available to help you better manage your care and improve your quality of life, overall.

Now that the holidays are over, you may have seen some changes in your senior loved one that are cause for concern. Here is a list of the Top 10 indicators of Alzheimer’s from the Alzheimer’s Association to look for in a cognitive change for your loved one:

1. Forgetting recently learned information. Often we hear of seniors remembering fifty years ago more easily than we do remembering things from this morning. The ability to retain new information is impaired.
2. They have challenges with planning. Anything that requires steps such as following a recipe or doing bills can become very difficult. The senior can get lost in the process.
3. Difficulty completing tasks. Things such as driving or managing a budget can prove to be very difficult getting lost in the middle of it, and not knowing how to finish the task.
4. Confusion with time and place. Seniors may lose track of dates, seasons, or forget how they got somewhere. We hear of “Sundowners” in the afternoons and this is the time when the senior is not oriented to time of day as they get tired and evening approaches.
5. Having trouble with visual images. Visions issues may come into play, judging distance, spacial relationships, and problems with driving. We have heard many times of the family members finding their loved ones vehicle with scratches or dings on it from not judging distances well.
6. New problems with words and writing. We often hear seniors affected by Alzheimer’s repeating their thoughts, or not being able to come up with the right words to convey their thoughts. Having trouble with clocks is another issue.
7. Misplacing things. Often we may discover things ending up on odd places, losing things, and accusing others of stealing things they cannot find.
8. Poor judgement. A way in which this may come across is making poor decisions with money such as donating to many organizations who are soliciting the senior, and giving away sensitive information. We also may notice that hygiene is not being done properly.
9. Withdrawing from social life. The senior may remove themselves from hobbies as they feel they are not able to manage what they used to be able to do. They may also avoid social situations because they are no longer comfortable with how to act, or what is considered acceptable.
10. Changes in mood and personality. Often coupled with Alzheimer’s, we see an onset of depression, being fearful, having anxiety, or becoming easily upset. This may appear very different than what the senior was like before their diagnosis.

If you notice these things in your senior loved one, you will want to seek medical attention. Specifically, a geriatric neuropsychologist would be the best place to start who can do extensive testing to see if the disease is indeed there, and they are able to determine the stage. The Alzheimer’s Association is a great resource for caregivers and families to assist their loved one manage this disease. At Senior Living Experts, we can help you with other resources including area support groups for caregivers, in-home caregiving and senior living community location assistance.

This morning I attended a fantastic presentation about the Aid & Attendance Veterans benefit that I have written about a couple of times already on this blog.  It was great to review the information that we already know such as the amounts that veterans are eligible for.  But, I also learned a few other things that I would like to share.First we learned that according to a "mystery shop" performed by the "Army Times" 50% of callers to the VA were told the WRONG information about the benefit.  So- if you have called or are planning are calling there is a good chance that you will be given the wrong information, or will be told you are not eligible, when in fact you may be!  I am trying to do some research on this "mystery shop" but so far, have not been able to turn up anything on a Google search.  But when I do I will post it.I did find this information to be true if not dated: A 2004 VA report estimated that 853,000 veteransand 1.1 million widows are eligible but aren’t receiving pensions. That means only 27% of eligible vets and14% of eligible widows get the money that is due them.If all of those who are eligible received pensions, VAwould pay out an estimated additional $22 billion a year.I learned the benefit started after the civil war and that in order to qualify as a veteran of the civil war you had to have fought on the Union side!In order to apply, you will need your discharge separation papers DD-214 or standard form 180 both of which are now on-line and you can find them at the National Archives website.  This is a 28 page application. You will also need a copy of your social security award letter from January.A surviving spouse needs a marriage certificate and a death certificate. (you had to be married to the veteran at the time of his/her death 1 or more years).  If the veteran is well and the wife (for example) is needed care, the wife is not eligible for the benefit.  If the veteran needs care they could be eligible for up to $1,519 a month.  If the widow or widower needs care they might be eligible for up to $976 a month.  If they are both still living and both need care, then they could be eligible for up to $1801 per month.You will also need proof of bills.  In other words, you need to already be paying for this care.  If you are already paying privately for home care or living in an assisted living this would be the type of proof you would provide.  The cost of care has to be greater than their income.  This does not mean that someone who has assets would automatically disqualified.  You can work with an elder law atty or a financial planner to make sure the numbers help you qualify.If you live in Illinois, you will also need a Physician statement VDVA 10 like this one.  The veteran has to prove that they need to pay for care, need help with 2 or more activities of daily living.  If you are living independently, you will not qualify for this benefit.  But its still good to know what you need now, so when the time comes you are prepared!   I would also like to note that Illinois is the state that taps into  this federal benefit the least.  Meaning we come in #50.   Not good. If the veteran is currently living in assisted living or using in home care as I mentioned above, the benefits will be retroactive to the date of application.  Because the application process can take months, the sooner you apply the better.  If you apply in November and get approved in March the benefits will date back to November.  The money is sent directly to the veteran to pay for the care, not the agency or assisted living that is providing the care.Its also highly recommended that you use an advocate to file for you.  If you mail the form to the VA yourself, it could get lost or sent back.   For instance there are financial  planners that will help.  There are elder law attorneys that will help - though you need to note that they cannot charge you for this service.  However they can charge you for any estate planning that they do, which you should probably take care of as well.The American Legion also offers a free filing service.Special thanks to Pat for such and informative presentation this morning. If you are reading this and have anything to add, please feel free to post!  She also told us about another site that is very informative (and at times quite sad) that has information and links and forums for discussion.  You can find it at www.Hadit.com

I was reading my AARP magazine this morning (yeah, I joined AARP and I am only 37, but I like to know what is going on) and I came across a small article in the Your Health section about buddies and being lonely.

The article said that being lonely takes a toll on the body that seems to accelerate with age.  They quoted a University of Chicago report in August's Current Direction in Psychological Science that said that in their study of college students and of adults age 50-68 that loneliness had little effect on the health of the younger subjects.   In the older people however, those who were lonely and not social had higher blood pressure, lower levels of "good" cholesterol and higher levels of the "fight or flight" hormone epinephrine.

The article goes on to say that the research adds to growing evidence linking social isolation to problems with dealing with stress, poor sleep, weak immunity, heart disease, Alzheimer's and suicide. Sheldon Cohen, a psychologist at Carnegie Mellon University in Pittsburgh says "There are roughly 20 large-scale epidemiologic studies now, and they all show that the more socially  integrated you are, the longer you live."

I have seen this phenomenon in the assisted living building that I worked at.  Someone comes in depressed, unsocial.  Sometimes the children even say to us that Mom is not a social person, she doesn't like to meet new people and she won't get along with anyone here.  Then 2 months later, they can't contact her on the phone because she is out with her new group of girlfriends.  I see seniors meet and form bonds and care about others and have others care about them.  Sometimes its gossip, and entertainment, but there is always some genuine concern behind wondering where Sally is today if she doesn't show up for lunch.  They all look out for each other. 

Also, the employees of the assisted living homes provide opportunities for socialization.  Of course those providing care do, but so does the housekeeping staff and the concierge.  So does the marketing person or the dining room manager.  We all meet seniors that touch us and we go out of our way to look for them or say hi.  We also meet tough ones, and are challenged to find out what is going to bring them out of their shell.

I no longer work in the same assisted living building every day - I am in and out of different ones a few times a week.  But I really miss those bonds that I formed with the seniors in our home.  Each one was special and I enjoyed socializing with all of them whenever I could.

Photo by Craig Adderley/Pexles

On Wednesday, Oct 24  from 6-8 pm, The Hartwell is giving a free presentation on staying connected to someone with memory loss.Daniel Kuhn, MSW the director of the Professional Training Institute of the Greater Illinois Chapter of the Alzheimer's Association will describe what it's like to experience memory loss and how to help those who are living with it.  Daniel has been active in health care and aging for more than 30 years.  He has authored or co-authored more than 40 publications, including Alzheimer's Early Stages and The Art of Dementia.  I have met him a number of times, he is very knowledgeable and very personable. What do people with memory loss need to enjoy good quality of life?  Is there a difference between what we think they need and what they really need?  Join them for this informative program and find out. Please RSVP by Oct 22, seating is limited.  RSVP to 773.275.2400Refreshments will be served! Tours will also be available of the Hartwell after the presentation.  Newly remodeled, the Hartwell is  "memory support" assisted living and is one of Senior Living Experts partners.   Located in a  Chicago  neighborhood setting The Hartwell is a comfortable and relaxing environment that positively affects those with dementia.

‍The address is 5520 N. Paulina Street, Chicago, IL 60640

Photo by Craig Adderley

Earlier this week I mentioned the underused Aid & Attendance Benefit offered to seniors to help offset the cost of their care.  I received a comment from Deb about another blog devoted just to this benefit.  I have been browsing through it for the past half and hour or so.  Its just so great, I had to include it not only in my blogroll but as a post.  I will also send the link to families I am working with.  I have not been able to find this kind of information in the past and I wanted to share.

The website can be found at VeteranAid.org   

Photo by Craig Adderley/Pexels

The Department of Veterans Affairs (VA) developed a pension designed to provide financial assistance to disabled veterans who lacked the necessary funds to provide the care they need.  This pension extends to the veterans surviving spouse as well.  Unlike Medicaid, this pension is "relatively" easy to qualify for and provides substantial advantages over other need-based programs.

While this benefit is not new, its not very 'advertised' and people are not aware of it, or assume they are not eligible.  There are millions of dollars in the fund that are currently going unused.

The benefit is called the VA "Aid and Attendance" pension.  Benefits may also be available for house-bound individuals that require daily assistance to maintain their health, dignity and safety.

Pension will pay up to:

• $1743.00 per month for Veteran and one dependant (wife)
• $1470.00 per month for Veteran alone
• $945.00 per month for surviving spouse

The pension is a tax-free benefit paid directly to the qualified applicant.  The benefit amount paid is available in addition to any other existing resource the senior uses to pay for their care.

Eligibility Requirements:

• Veteran must have served at least 90 days of active duty, with at least one day served during a time of war.
• Assets must be less than $80,000.00 (Assets do not include your personal residence, auto or other assets you use on a regular basis)
• Financial need:  In general, there must be less income each year than the cost of care provided (which is not difficult considering the high cost of care.)  The cost of care not only includes the actual cost (such as hiring the caregiver) or the monthly charges at an assisted living, but also includes the cost of doctor appointments and prescription drugs (non-reimbursed amounts), medical supplies, eye glasses, hearing aides, travel to doctors appointments, etc.
• Medical diagnosis: There must be a medical reason why you cannot live independently and need regular assistance and care.  Assistance with various ADL's up to full assisted living or nursing home care will qualify.

Processing time by the VA generally takes from 4 to 12 months from date of application.  However, once approved, the pension is paid directly to the applicant via direct deposit and is retroactive from the first day of the month following receipt by the VA.

You can apply for this yourself by searching the VA website  . I also found a press release on their website here: Aid and Attendance an Under Used Benefit.  There are also companies that will do the lengthy, time consuming and confusing application for you for a fee.  If time is of the essence and you are not familiar with VA forms, I recommend using one of these companies.  Contact me for information.

Photo by Craig Adderley from Pexels

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Caring for traumatic brain injury patients can be difficult, especially when family is trying to do it all alone. Senior Living Experts can help you find the right long term care facility that can offer expert care for the needs of those who have suffered from a traumatic brain injury (TBI).

Chicago Long-Term Care Facilities Can Help with Traumatic Brain Injury Patients

In most cases you will want to choose a memory care facility or at the very least a facility that specializes in TBIs. There are a number of reasons why choosing a long-term care facility is probably better for the family and the patient in most cases…

• Accommodations – The average house is not built to accommodate the special needs of those who have physical and/or mental disabilities. With the proper guidance there are a number of long-term care facilities that are geared to the specific needs of traumatic brain injury patients.
• Therapy – Most facilities offer on site therapy units that can help develop and strengthen problems associated with a TBI. Whether it’s memory & cognizance problems or strengthen & mobility issues (or all combined) they can address the issues with physical therapy, occupational therapy, speech therapy and in some cases access to aquatic therapy (highly recommended for seniors & especially for those who have mobility difficulties).
• Treatment – Treatment for the symptoms and results of a TBI is important. Most facilities offer 24/7 access to professional medical staff and most likely a doctor who remains on call for the facility. Traumatic brain injury patients are not all the same and treatments are usually very specific to the needs of the patient.
• Falls – Because falls are the leading reason for TBIs it can be expensive and sometimes nearly impossible to transform the average home of seniors into a living space that is as safe & accommodating as a long-term senior living facility. Falling once puts you at an increased risk of falling again; so placing them in living facilities that is geared towards reducing the risk of falls can help you have peace of mind.

Needless to say finding the right long-term care facility is important to both treatment and living a quality life after experiencing a TBI.

TBI Facts and Information

Traumatic brain injuries affect 1.5 million Americans according to the CDC. These numbers are most likely underestimated due to the number of ways TBIs occur and can also be associated with other medical problems.This information is meant to help you have a more complete understanding about TBIs and all facts and statistics are provided by the CDC unless otherwise noted.

• TBIs are the leading cause of death & injury in the United States
• 138 Americans die every day from injuries associated with traumatic brain injuries
• 30% of all injury deaths are attributed to TBIs
• TBI rates are highest in those age 65+
• Falls account for the leading cause of death from TBIs in those 65+
• The age group with the highest hospitalization rates for TBIs are those age 65 and over

Traumatic Brain Injury Patients Deserve Quality Living

The severity of the symptoms from TBIs can vary greatly. If you’re loved one has suffered a traumatic brain injury they deserve to live the best quality of life possible. We can help you find the long term living facility that best fits your needs and abilities to give them that life.Our team can help guide you in finding the facility that best fits the needs of traumatic brain injury patients while addressing all of the factors you feel are most important in providing quality of life for your loved one.Photo by geralt / Pixabay