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Managing Dementia’s Side Effects with Essential Oils

By Health, Long-Term CareNo Comments

Now, more than ever, many are turning to a more holistic approach to medicine. For generations, essential oils have been used to ease symptoms of depression, anxiety, and insomnia.  Some research suggests that aromatherapy and the use of essential oils may be useful in the treatment of certain symptom’s of Alzheimer’s disease and other types of dementia.

Essential oils may be inhaled, applied to the skin, or ingested depending on the type of oil and its level of concentration. It is important to note that although essential oils have been used for generations and are thought to be safe, they are not regulated by the Food and Drug Administration, so you should always consult with your doctor before using to ensure that specific oils will not have any negative reaction with medications.

Some of the essential oils that been shown to be effective in alleviating different symptoms of dementia are:

  1. Lavender

Lavender is said to be calming and able to balance strong emotions. It is also an antidepressant and useful in cases of insomnia. Use it in the evening to promote better sleep, or any time of day to promote better mood.

  1. Peppermint

Peppermint is energizing and can be used to stimulate the mind. It is best used in the morning, and can be inhaled directly, diffused in the room, used as a massage oil, or even placed in a bath.

  1. Bergamot

Bergamot can be used to relieve anxiety, agitation, mild depression, and stress. It is a mood elevating and calming oil, that can also be used to relieve insomnia. It can be placed in a bath, used as a massage oil, diffused through a room, or sprayed on clothing or linens.

  1. Rosemary

Much like peppermint, Rosemary is an uplifting oil used to stimulate the mind and body. It may help improve cognitive performance and mood. Rosemary has also been known to ease constipation, symptoms of depression, and reinvigorate the appetite.

  1. Ginger

Ginger oil is helpful for anyone struggling with digestion issues. It is commonly used to treat a loss of appetite and constipation and can help promote good eating habits. Ginger oil can be applied directly to the skin as an abdominal massage, diffused, sprayed or placed on a compress.

  1. Lemon

Lemon oil is one of the most studied and effective oils. It has been shown to help calm and relax people who are dealing with anxiety and insomnia, improve memory and ease digestion. Lemon oil can be dropped in a bath, inhaled directly, diffused, sprayed or applied directly to the skin as a massage oil.

  1. Ylang Ylang

Ylang Ylang oil can help ease depression while also promoting good sleep. This is a great oil not only for the person living with dementia, but also for caregivers struggling with restlessness and lack of sleep. Ylang Ylang is often combined with lemon oil and can be placed in a bath, inhaled, diffused, or sprayed.

June 26, 2020
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What are the Activities of Daily Living?

By Asset Protection Planning, Elder Law, Health, Long-Term CareNo Comments

The Activities of Daily Living are a series of basic activities performed by individuals on a daily basis which are necessary for independent living at home or in the community. There are multiple variations on the definition of the activities of daily living, but most organizations agree that there are 5 basic categories:

  1. Personal hygiene – bathing/showering, grooming, nail care and oral care
  2. Dressing – the ability to make appropriate clothing decisions and physically dress/undress oneself
  3. Eating – the ability to feed oneself, though not necessarily the capability to prepare food
  4. Maintaining continence – both the mental and physical capacity to use a restroom, including the ability to get on and off the toilet and cleaning oneself
  5. Transferring/Mobility – moving oneself from seated to standing, getting in and out of bed, and the ability to walk independently from one location to another.
June 18, 2020
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COVID-19: Tips for Caregivers of Individuals with Dementia

By Elder Law, HealthNo Comments

There is no evidence to suggest that dementia itself increases the risk for Coronavirus, just like dementia does not increase risk for flu. However, behaviors, increased age, and common health conditions that often accompany dementia may increase risk. For example, people with dementia may forget to wash their hands or take other recommended precautions to prevent the illness. Viruses like COVID-19 or the flu may worsen cognitive impairment due to dementia.

Caregivers of individuals living with dementia should follow guidelines from the Center for Disease Control (CDC) and consider the following tips:

  • Increased confusion is often the first symptom of any illness for people living with dementia. If your loved one shows rapidly increased confusion, you should contact their health care provider for advice. Unless your loved one is experiencing a medical emergency, such as difficulty breathing or a very high fever, it is recommended that you call their health care provider instead of going directly to an emergency room. Their doctor may be able to treat them without a visit to the hospital.
  • Individuals living with dementia may need extra reminders and support to remember important hygienic practices.
    • Consider placing signs in the bathroom and elsewhere to remind your loved one to wash their hands with soap for 20 seconds.
    • Demonstrate thorough handwashing.
    • Alcohol-based hand sanitizer with at least 60% alcohol can be a quick alternative to handwashing if your loved one cannot get to a sink to wash their hands easily.
  • Ask their pharmacist of doctor about filling prescriptions for a greater number of days to reduce trips to the pharmacy.
  • Think ahead and make alternative plans for care management if the primary caregiver should become sick.
June 15, 2020
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How to Stay Connected to Loved Ones in Nursing Homes During a Pandemic

By Health, Long-Term CareNo Comments

 

Family caregivers have now faced weeks or even months of physical separation from their loved ones in nursing homes and other long-term care facilities in order to protect them from Coronavirus. The restrictions on in-person visitation in long-term care facilities during the pandemic have made it challenging for family caregivers to stay close and present in the lives of their loved ones. The lack of family contact and attention can create feelings of isolation and anxiety for a resident, and additional stress for already worried families and friends, who are used to visiting in person.

While you may be unable to visit your loved one in-person, it is possible to brighten their day and try to ease feelings of isolation. Here are some ideas for staying emotionally connected to loved ones while visitor restrictions are in place:

  • Plan a virtual visit. There are several apps that will allow you to meet with your loved one virtually, including FaceTime, Zoom, and Skype. Most facilities are more than willing to assist your loved one in dialing in to a call. Some facilities even have iPads for easier viewing.
  • Send snail mail. Cards and letters are an easy way to tell someone you are thinking of them. Write an update about routine family activities. Have your children draw a picture. Include a photo showing your quarantine activities. Receiving updates will be reassuring to your loved one that you are okay during this health crisis and will provide your loved one with a genuine connection to you.
  • Create a photo book. Create a photo book with photos of what you, family, and friends have been up to. Include captions identifying family members and friends, with a small description. It can be as simple as a few pages printed from your home printer and stapled together, a poster board assortment, or a professionally bound book from Shutterfly or another online printing company. Most facilities will accept envelopes or packages at the front desk and will have staff members deliver to your loved one’s room, or they can always be sent in the mail.
  • Have a window visit. Many facilities will schedule a specific time for your family to “meet” your loved one through a window on the ground floor. You will be on the outside, and your loved one will be safely on the inside. You can chat, share smiles and laughs, and a touch through the glass. You can make special occasions, like a birthday or holiday, extra special with handmade signs.
  • Create a phone chain. Create a schedule of different family members and friends to each call your loved one on a specific day. This is a great way to connect others also feeling isolated, especially seniors and those living alone, with your loved one. Plus, a regular daily phone call gives your loved one something to look forward to.
June 4, 2020
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COVID-19: Tips for Supporting Loved Ones with Dementia Living in Nursing Homes During the Pandemic

By Elder Law, Health, Long-Term CareNo Comments

There is no evidence to suggest that dementia itself increases the risk for Coronavirus, just like dementia does not increase risk for flu. However, behaviors, increased age, and common health conditions that often accompany dementia may increase risk. For example, people with dementia may forget to wash their hands or take other recommended precautions to prevent the illness. Viruses like COVID-19 or the flu may worsen cognitive impairment due to dementia.

 

The CDC has provided guidance on the prevention and control of COVID-19 in nursing homes. Precautions may vary based on local situations. If you have a loved one with dementia living in a nursing home:

 

  • Check with the facility regarding their procedures for managing COVID-19 risk. Make sure the facility has your emergency contact information and contact information for another family member or friend as backup.
  • Do not visit your loved one in the facility if you have been exposed to COVID-19, or have any signs or symptoms of illness.
  • Depending on the situation in your local area, facilities may limit or not allow visitors, in order to protect the residents.
  • If visitation is not allowed, ask the facility how you can have contact with your loved one. Options may include telephone calls, video chats, or emails to check in.
  • If your loved one is unable to engage in calls or video chats, ask the facility how you can keep in touch with staff in order to get updates.
June 3, 2020
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What is Adult Protective Services in Florida?

By Elder Law, Guardianship, HealthNo Comments

Adult Protective Services is a program of the Florida Department of Children and Families. Their mission is to protect vulnerable adults from abuse, neglect, exploitation, and self-neglect, as well as to enable adults with disabilities to remain comfortable in their communities.

A vulnerable adult, as defined by Florida Statute §415.102, is “a person 18 years of age or older whose ability to perform the normal activities of daily living or to provide for his or her own care or protection is impaired due to a mental, emotional, sensory, long-term physical, or developmental disability or dysfunction, or brain damage, or the infirmities of aging.” If you suspect that a vulnerable adult you know is the victim of abuse, neglect, exploitation, or self-neglect, do not hesitate to call the Florida Abuse Hotline, 1-800-962-2873. The suspected abuse can also be reported online at https://reportabuse.dcf.state.fl.us/.

For more information, visit the Adult Protective Services website, http://www.myflfamilies.com/service-programs/adult-protective-services. If you believe that a Florida senior may be the victim of financial exploitation, contact the attorneys at Bach, Jacobs & Byrne, P.A. to discuss your options and legal remedies to end the abuse. Call (941) 906-1231 to schedule an appointment.

June 21, 2019
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What questions should I ask if I think my loved one is the victim of elder abuse?

By Elder Law, Guardianship, HealthNo Comments

Despite how common elder abuse is in Florida, it’s not always easy to detect when a loved one is a victim of abuse, exploitation, neglect, or self-neglect. While there are many questions one can ask to determine whether a loved one is being abused, below are some recommended by the Stanford School of Medicine:

1) Do you feel safe where you live?

2) Who prepares your food?

3) Does someone help you with your medication?

4) Who takes care of your checkbook?

Of course, one can also ask more directly about the suspected abuse:

5) Does anyone ever hurt you?

6) Does anyone ever take things from you without asking?

7) Does anyone ever make you do things you don’t want to do?

8)) Have you signed anything strange lately?

9) Are you afraid of anyone at home?

10) Are you alone a lot?

            If your loved one’s answers convince you that there is reason to believe they are the victim of elder abuse, call the Florida Abuse Hotline, 1-800-962-2873, as soon as you can. You can also report the suspected abuse online at https://reportabuse.dcf.state.fl.us/.

To discuss the different legal remedies available to you, including guardianship, call Sean M. Byrne, Esq. of Bach, Jacobs & Byrne, P.A. at (941) 906-1231.

 

June 13, 2019
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What should I do if my doctor is no longer in my healthcare insurance network?

By Asset Protection Planning, Elder Law, Health, Medicaid Planning, MedicareNo Comments

It is a common problem, but nonetheless an incredibly stressful one: the doctor with whom you have established a good relationship over many years is no longer included in your health insurance network. Whether this is because the doctor has retired, has moved, or is dissatisfied with your network and has chosen to switch, your question is the same: What can I do?

The first thing to do is to check whether you have continuity of care protection. This coverage entitles you to continue receiving the same services from your doctor at the same price, with the same copays and fees. If you are a senior and you have the Medicare Advantage plan, you also have the right to switch networks, given that the network change is “considered significant based on the [effect] or potential to affect current plan enrollees” (Centers for Medicare and Medicaid Services).

If these options are unavailable to you, it is recommended that you talk to your doctor about any alternate payment plans he/she might provide. Or, you can ask for referrals to another doctor in your area.

For expertise in Medicaid planning, Medicare, and elder law, please feel free to reach out to the attorneys at Bach, Jacobs & Byrne, P.A. at (941) 906-1231.

May 28, 2019
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What is elder self-neglect?

By Elder Law, Health, Long-Term CareNo Comments

According to the Senior Connection Center, elder self-neglect accounts for the majority of reports made to Adult Protective Services in Florida. It occurs when a vulnerable individual fails to take the steps necessary to prevent themselves from succumbing to physical harm, emotional harm, or other pain, leading to deterioration in their living situation, personal care, or health. Some warning signs of elder self-neglect include:

-Poor personal hygiene

-Refusal to take medications

-Malnutrition or dehydration

-Unattended wounds or sores

-Excessive amounts of unpaid bills, bounced checks, or unanswered letters

It is the responsibility of every Florida citizen to report elder abuse, including self-neglect. If you suspect a senior citizen is the victim of elder self-neglect, you can call the Florida Abuse Hotline at 1-800-962-2873.

 

April 26, 2019
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