Category Archives: Family Caregiver

How Five Minutes a Day Can Transform Care for Older Adults

Time is precious.  Staff is in short supply.  Family caregivers are stretched to the limit.  Just taking care of the basic needs  is hard enough, so five minutes a day seems – IMPOSSIBLE!

Humanizing care is the core of the person-centered philosophy initiative sweeping this country.  Dignity, respect and understanding the needs of any aging person is a culture change that I believe with enough stakeholders will transform care from the medical model that has driven our health care system for far too long.

If holistic care is the core of this belief, then education and tools for those who care for our older adults is paramount.  Tools that are feasible, effective, and will be sustained within the organization.  So, how can five minutes a day change someone’s dignity or sense of respect?

Engaging and communication are absolutely  essential elements that must be integrated into our staff training and family education plans.    These tools are incredibly simple to use, yet often overlooked because we are concentrating on the box checking (aka meeting regulations and requirements).  While charting is certainly important, let’s not overlook the essential elements of engagement and communication.

Here are 10 examples that can transform a person’s dignity, self-respect and value in five minutes a day:

  1. Remove words of endearment (honey, sweetie) and refer to them as they would like to be: Mrs., Mr. Sarah, Fred.  This takes one minute to ask another staff member, family or even the patient!
  2. When speaking, look at the individual in the eyes, talk clearly and slow down!  You don’t have to shout (no one likes being yelled at!).  This small gesture tells another person you are engaging with them because you want to engage.
  3. Use gentle touch on the hands, shoulders, arms or face to develop trust and show the person you genuinely care.  Touch will induce chemical changes in the brain that induce relaxation, reduce stress and many other benefits.
  4. Ask a person something about them.  It may be about their family, or what they did in their career, or a hobby.  Learn one new thing about them every day.
  5. Compliment and smile!  “You have a lovely blouse on today, Mrs. Smith.  I love the spring colors”.  “Mr. Jones, I appreciate your smile – it really lights up my day!”
  6. Practice mindfulness – being centered and in the moment when you are with your care partner.  When one is distracted or stressed, it shows!  Deep breathing or meditation can and should become a part of every caregiver’s daily de-stress routine.
  7. Pay attention to your body language and expression.  Clenched teeth, rolling eyes, closed arms all tell another person you don’t want to be where you are.
  8. Learn what music your care partner enjoys and throughout the day, play this music to set the tone for whatever the circumstances.
  9. Take a 5 minute walk outside and enjoy nature – it calms the soul, reduces anxiety for both care partners, not to mention the healthy shot of Vitamin D!
  10. Accept the moment and that no matter what positive things you do as a caregiver may not always be helpful that day.  Tomorrow, however is a NEW day!

Pam Brandon is  President/Founder of AGE-u-cate Training® Institute and a passionate advocate for changing how we care for older adults.

www.AGEucate.com

What is our Score on Practicing Family-Centered Care?

269483We’re all in this together… the tsunami is here and every one of us serving older adults in some capacity should be getting on the band wagon and FAST.   Person and patient centered care must be focused on supporting and educating families.  When family-centered care is embraced it becomes an approach to health care decision making that involves health care professionals and family members.

Dignity and respect are the core value of family-centered care.  Listening to and honoring a patient’s and families values, perspectives and choices bridges communications between healthcare professionals and understanding the wishes of families.  The delivery of quality care under a family-centered model means understanding and honoring the family’s beliefs, knowledge and cultural backgrounds.

The challenge of providing family-centered, patient-centered care in today’s health care system is complex,  especially for older adults  who are living with dementia or chronic illness.   The time constraints to practice family-centered care when health professionals are stretched for time is a very real problem.

Understanding a family’s knowledge of a loved one’s physical and emotional needs are complex, especially if they do not live with them.  At the same time, far too many older adults are entering hospital systems with no family members to advocate for their care.  If their is cognitive impairment it becomes an even greater challenge to treat that patient.

Family-centered care must start with reaching out to families with education and awareness.  Collaboration with private and public sectors, forming community partnerships, community organizations and faith communities – must be a priority as we face the aging tsunami.

The far majority of caregivers are family members, and that is going to increase drastically as more families cannot afford to pay for private care and staff shortages increase.  New and innovative ways to reach families, educate them early and provide support avenues is absolutely essential to improving care for older adults.

Pam Brandon is President and Founder of AGE-u-cate® Training Institute.  She is a passionate advocate for educating families and those that provide care for older adults.

For more information visit the Institute for Patient and Family Centered Care www.ipfcc.org

www.AGEucate.com

 

What’s all the Talk about Mindfulness for Caregivers?

Call it awareness, attention, focus, presence, or vigilance. It’s proving to be a powerful and effective practice in coping with stress.  Caregiving can easily top the charts on stress, especially for caregivers of elders with chronic illness and dementia.  Mindfulness for caregivers means learning to live in the moment, accept the reality of a situation, and filter out distractions.

Mindfulness is not necessarily about a constant state of meditation, or practicing yoga, although these are both proven tools in helping one to better cope with life’s challenges.

We can practice mindfulness by sharpening our focus.  In our Compassionate Touch® training, we call this centering.  For a caregiver it might be deep breathing or focused meditation before entering the room when an older adult is agitated, confused or combative.  Learning to leave your other worries at the door will help to focus on how you can help the person you are caring for.  You have, for that moment, stepped into their world.  By being engrossed in that person and the present situation, there is a higher probability you will have a heightened sense of empathy and understanding, thus be able to tap into tools that will improve care.

By practicing mindfulness in caregiving, the benefits go far beyond improving care.  The stress reduction benefits the caregiver as much or more than the care receiver.  When this happens, everyone wins! Like anything else, mindfulness must be practiced.  Nothing becomes second nature until it is put into regular use.  If deep breathing exercises  works, then practice this throughout the day.  Journal the difference in how you are able to handle situations.  If brief moments of meditation work, try these… but do it every day and many times a day.

Centering ourselves through mindfulness allows us to accept that we are most often not in control, which is often a huge challenge for care partners.  We want so much to make our loved ones happy and healthy again, but this is sometimes not possible – certainly not all the time.  In a world that is always on full speed, with soaring expectations, sometimes the most valuable gift we can give our loved one is this:

“Smile, breathe and go slowly.” — Thich Nhat Hanh

Pam Brandon is President/Founder of AGE-u-cate® Training Institute.  Passionate about creating transformative change for older adults and those that care for them,  Pam is honored to work in the field of caregiver education and training and lead the AGE-u-cate team who are changing lives with innovative programs for family and professional caregivers. 

www.AGEucate.com

Caregiver Martyr Syndrome – What to Look For and How to Help

Caregivers of older adults are some of the most selfless, committed people on the planet.   Simply put, not everyone is cut out to be a caregiver.  The problem lies in the fact that some caregivers believe they are the only ones who can care properly for their family member.  This is often referred to as Caregiver Martyr Syndrome.

martyr, 3D rendering, traffic signI’ve talked about this martyr syndrome many times over the years when speaking to family caregivers.  Often I get an inquisitive look – like “Wow” she just called me a Martyr.  When I follow-up my question with assuring them that I got an A+ in the school of caregiver martyrdom,  I would hear and feel  sighs of relief, as if I had just given them permission to be honest with themselves.

Caregiver martyrs are certain that they are the ONLY ones who can properly care for their loved one.  Because they are such caring and selfless souls, they become intertwined in the needs and desires of their loved one, so much so that it could easily be confused with co-dependence.  So, if a caregiver believes “I am the only one that can properly care for mom”, then guess what happens?

  • Other family members and friends become “inadequate” to care for your loved one.  This spells resentment and stirs up anger among the caring circle.
  • Caregiver martyrs take on more and more responsibility, often to the detriment of their own needs or those of their family.
  • As this snowball continues, caregivers isolate themselves (and their loved one ) from many people who are willing (and able) to help in the care of their loved one.

Martyrs need to step back and reflect – then get out a paper and pen, listing all of the things they do for their loved one AND all of their other life responsibilities.  When I ask caregivers to do this, they are often shocked to see all they have taken on.  Then the big question:

Is it really possible for anyone to take on this much responsibility and do it well?  The answer is clearly NO.   So the next step is to allow others to help by taking on some of these tasks, whether they are things that must be done every day, every week or every month.  Go back to your caring circle and allow each of them the blessing of choosing something that will lighten your load.

Being open to accept help, and realizing that you are not the only person on the planet who can provide good care for your loved one may be the greatest gift you can give to yourself, your family members, friends, and most of all your care receiver.

Pam Brandon is President/Founder of AGE-u-cate® Training Institute.  Caring for her own parents transformed her life purpose to help others who are caring for older adults.  Creator of the Dementia Live™️ Experience, this program is helping thousands of caregivers in the US and abroad to better understand people living with dementia.  

www.AGEucate.com