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The Craftmatic® Elder Care Guide
Table of Contents
Determining Whether Home Care or Assisted Living is the Correct Choice ................................................. 3
Recognizing the Need for Extra Care .................................................................................................... 3
In-Home Care Options .......................................................................................................................... 3
Assisted Living Options ......................................................................................................................... 4
Prepping Your Home for Assisting the Elderly .............................................................................................. 4
Choosing a Room .................................................................................................................................. 4
Clearing Away Clutter ........................................................................................................................... 4
Decide What to Keep & What to Donate .............................................................................................. 4
Prepare Internally ................................................................................................................................. 5
How Adjustable Furniture Can Greatly Improve Your Elderly Parents' Day-to-Day Lives ............................ 5
Adjustable Beds..................................................................................................................................... 5
Electric Lift Chairs .................................................................................................................................. 6
Early Warning Signs of Dementia.................................................................................................................. 6
Get Help in Catching Dementia Early .................................................................................................... 6
Typical Warning Signs of Alzheimer’s & Dementia ............................................................................... 6
Meals and Diets for the Elderly ..................................................................................................................... 7
Adjusting Your Eating Habits ................................................................................................................. 7
Get Help with Dinner ............................................................................................................................ 7
A Few Final Tips..................................................................................................................................... 7
Avoiding Depression in the Elderly ............................................................................................................... 7
Diagnose Your Parent’s Diet ................................................................................................................. 8
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Increase Exercise & Activity Levels ....................................................................................................... 8
Help Your Parents Find a New Hobby ................................................................................................... 8
Showering and Bathing Your Parent ............................................................................................................. 8
Make Your Bathroom Elder Friendly..................................................................................................... 9
Maintain Dignity During Bath Time....................................................................................................... 9
Use Familiar Products ........................................................................................................................... 9
Keep Conversation Going...................................................................................................................... 9
Bathe On Your Parent’s Terms .............................................................................................................. 9
Hiring a Caregiver to Help Your Parents Stay in Their Home ........................................................................ 9
Advantages of Caregivers...................................................................................................................... 9
Hire An Agency or Individual? ............................................................................................................. 10
Benefits of Hiring a Care Giving Agency.............................................................................................. 10
Finding an Agency ............................................................................................................................... 10
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Determining Whether Home Care or Assisted Living is the Correct Choice
If your parents are growing old, falling prey to illness, and having trouble caring for themselves,
you may be wondering if it's a good idea to bring in home care or move them to a retirement
facility. We are assuming that you and/or your siblings already are checking in on your parents
regularly.
Ask yourself: Are you feeling overwhelmed with the new care giving responsibility? Is taking
care of your parents taking too much time from taking care of your own family, career or needs?
Are you worried that your that parents will slip into unhealthy lifestyles without increased care
and attention? Can they still drive themselves to the market or make emergency calls in case of
an accident?
Recognizing the Need for Extra Care
If your parents need additional attention and you are unable to provide it, it may be time to look
into bringing in part-time or full-time home care help. If your parents are still independent and
stable, for the most part, hiring a care giver for them in their own home might be your best bet.
These care givers can
fix meals
clean up around the house
provide transportation to doctors visits or grocery stores
administer medicine
some services provide caregivers who are licensed practical nurses (LPNs), who can be very
handy if a parent has a minor accident.
In-Home Care Options
Your parents may not yet be in need of full-time care and having in-home care can keep them
comfortable and perhaps increase the amount of time they are able to function on their own.
Hourly rates for caregivers tend to be between $15-$25 or more, depending on your location and
the level of care needed from the care giver.
Part-time in-home care can be a relatively affordable means to give you peace of mind and your
parents the opportunity to stay in their home.
In some cases, the costs associated with hiring a care giver can be covered fully or partially by
their insurance company.
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Assisted Living Options
For comparison, an assisted living facility will charge about $3,000 per person per month (this
usually includes meals), so the cost of having a single parent in assisted living is comparable to
having a part-time caregiver come (at $20/hour) for about 40 hours a week, spread over seven
days.
If your parents need 24-hour care, however, assisted living may be best for them and will
generally cost less (when factoring in food, utilities, etc. and other living expenses) than hiring a
full time care giver. (Twenty-four hours of in-home care each day at $20/hour comes to $3,360 a
week, compared to about $3,000 or so a month per parent.)
If your parent has special circumstances, assisted living might cost more, but will probably still
be less expensive than a full time care giver.
Prepping Your Home for Assisting the Elderly
If you've decided that bringing your parent home to live with you is the best option, here are
some tips on preparing your home for new residents:
Choosing a Room
One of the most important, and often overlooked, decisions to make is determining which room
your parent will stay in. Your parent will need a centrally located room so they don’t have to
venture too far to use the restroom, reach the kitchen, or find the living room. If you have a two-
story house, you will preferably want to keep them in a downstairs room. You will also want to
make sure that the new room comes equipped with everything they will need to make their stay
comfortable such as an electric bed or portable commode.
Clearing Away Clutter
Your parent’s are not Olympic athletes, so make sure that the floor is cleared of all clutter like
cords, toys, or pesky area rugs as they easily turn into tripping hazards. Make sure furniture is set
up to so that walkers and wheelchairs can move around easily. Changing doorknobs from the
round knob to the handle can assist the elderly also, especially those with arthritis. For those who
have difficulty getting in and out of bed, an adjustable bed can be positioned to make it easier to
get in and out of and you could also add a grab-bar to the adjacent wall for added support.
Decide What to Keep & What to Donate
This can be difficult because over time, just about everything gathers sentimental value to your
parents. Try to be understanding about their emotions during this time, but instill practicality as
well. Keep the items that are truly necessary and nostalgic, but pack the rest away.
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Understand that your parents may also view this as one of the signs that they are aging a bit more
than they thought. Don’t be insensitive to their feelings during this tough time.
Don’t try to reorganize your parent’s belongings without a plan. It helps to decide beforehand:
Things needed everyday-to-day (clothing, bedding, books, etc.0
Important items such as papers and mementoes
Family heirlooms and furniture (you may want to put these in a climate-controlled storage
facility.
Things to donate or trash.
Prepare Internally
You need to meet with your family to discuss the new changes. Undoubtedly, having a new
household member will be stressful to some extent, so make sure you talk it out with your
children so they are clear on what the changes mean for them. Openly discuss fears, set up rules,
and manage expectations and with a little luck, everything will go smoothly.
How Adjustable Furniture Can Greatly Improve Your Elderly Parents' Day-
to-Day Lives
There is nothing funny about an elderly individual struggling in and out of bed or their favorite
recliner. As we age, our joints and muscles weaken, making it harder for us to get in and out of
furniture. .
Thankfully, there are many different types of adjustable furniture available today to help make
the getting in and out of beds and chairs much easier for your elderly parents.
Adjustable Beds
An adjustable bed can help your parents sleep better at night, and can be adjusted, making it
easier to get in and out of. Beds like these adjust to numerous positions and can help support the
neck and shoulders of your parents, not to mention the lower back, legs and feet.
Benefits of an adjustable bed include:
These beds can adjust to many positions enabling your parents to achieve maximum comfort
at bed time.
Adjustable electric beds may provide temporary relief from the symptoms of gastric reflux as
well as temporary relief of nighttime heartburn.
An adjustable bed may provide temporary relief from mild joint pain or arthritis.
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Electric Lift Chairs
If your parent will struggle getting on and off the couch, consider a lift chair which will adjust to
ease them in and out of a standing position.
Early Warning Signs of Dementia
When your parent comes to live with you, it is important to keep an eye on their mental health as
well as their physical well-being. If your parent seems more forgetful than usual, it can’t hurt to
schedule a doctor’s appointment to run tests for dementia or Alzheimer’s.
Get Help in Catching Dementia Early
In many cases, it will just be a case of forgetfulness, but keep this in mind – it is much easier to
treat dementia in its early stages than after it has really taken hold. If proper medical attention is
given from the early onset, you can extend the years where your parents can function and make
decisions on their own.
If you wait to check for dementia or Alzheimer’s, it could literally rob your parents of years of
clear thinking.
Typical Warning Signs of Alzheimer’s & Dementia
Here are some warning signs. Keep in mind that the symptoms do not necessarily mean that they
have the disease, but it is important to ensure that they get proper testing and attention.
Problems with language or speaking
Difficulty performing tasks they've done without any trouble for years
A disorientation with time and place
Short-term memory loss that's affecting their job skills.
Decreased or poor judgment
Increased trouble with abstract thinking
Continuously misplacing things
Changes in behavior or mood
A change in personality, especially when under stress.
A loss of initiative.
Early diagnosis is crucial, According to the Alzheimer's Association, because, as noted above,
"you can explore treatments that may provide some relief of symptoms and help [your parents]
maintain a level of independence longer."
Running tests early on can also help you, your parents and your siblings better understand the
responsibilities associated with caring for someone with the disease."
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There is no shame in having dementia, and your parent should understand that. Let them
know that getting tested is nothing to be afraid of and will actually help them better combat the
illness if diagnosed early. Be mindful of their emotions during this time.
Meals and Diets for the Elderly
When your parents come live with you, it affects every aspect of your life, including your eating
habits. If your family eats out constantly, you will probably find yourself cooking at home more
often, now that you have a new member in your household.
Adjusting Your Eating Habits
Don’t feel like you have to cook special meals, just because you have a new member of your
household. You can continue to cook dinner how your family usually likes them, but make some
small adjustments as needed. If your parent needs a low-cholesterol diet, substitute chicken or
fish instead of red meat. Everyone will benefit! If your parent needs a low sodium diet, cutting
back on salt is easy and your family probably won’t know the difference.
Get Help with Dinner
Don’t be afraid to let your parents help make dinner either. Having them help out around dinner time
will boost their self esteem and even give you some much needed help around the kitchen.
You should always consult with a physician before completely adjusting your parent’s diet.
These professionals can suggest -- or even plan -- a diet that will work with your parent's needs.
A Few Final Tips
Your parent’s eating habits will not adjust overnight. While you might have their best interests
in mind, it is difficult to change 60+ years of eating habits in a single meal. Let them have their
guilty pleasures, but try to incorporate healthy foods into their diet.
Help your parents exercise and stay active. Go on walks around the block with them, do some
light cardio or even go along with them to yoga class. You’d be surprised what a little light
exercise can do for you as well!
Avoiding Depression in the Elderly
Every one of us wants to live a long, prosperous life, but we often forget about those that we will
inevitably lose on our journey.
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As years go by, we will lose friends and loved ones, which can often lead to a feeling of
loneliness and depression.
Another factor that can lead to depression among the elderly is the realization that their bodies
are slowing down. They generally can’t move as well as they used to, and slowing down is the
first step towards realizing that one day we will all stop.
Old age, in many ways, is all about learning to cope with loss.
Studies have also shown that depression and Alzheimer’s are often linked.
If you believe your parents may be depressed, here are some tips to help alleviate their suffering.
Diagnose Your Parent’s Diet
A poor diet can sometimes be the cause of depression among the elderly. See to it that your
parent has a diet rich in fruits and vegetables while avoiding starches and sugars. Help
incorporate foods rich in Vitamin B to their diet as well as plenty of fish. The minerals found in
fish can alleviate symptoms of depression.
Increase Exercise & Activity Levels
Getting outside and exercising can also lower feelings of depression. Even during the winter, a
little bit of sunlight can do wonders for the body and mind. Exercising with your parent will also
give them a sense of companionship which can help lower depression levels.
Help Your Parents Find a New Hobby
Encourage your parent to take up a new hobby. This added activity will give them something to
look forward to on a daily basis and can help keep their mind sharp.
If the symptoms of depression are persistent, you will want to talk to your family physician about
all of your options. They might be able to prescribe some medication that can help keep their
spirits high.
Showering and Bathing Your Parent
Inevitably, the day will come when your parent can no longer easily bathe themselves. If you are
the one in charge of looking after your parent, chances are that you will have to do the bathing
yourself.
This is, of course, an awkward situation for some, due to the fact that the tables are turned from
when they bathed you as a child.
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Here are some tips on maintaining dignity and respecting privacy, should the time come when
you must regularly bathe your parent.
Make Your Bathroom Elder Friendly
First on your list will be reconfiguring the bathroom to be elder friendly. This might involve
installing hand rails, accessible shower stalls, or toilet-to-tub slider seats.
Maintain Dignity During Bath Time
One of the best ways to bathe an adult without crossing any boundaries is to apply soap and
water to the inside of a towel, drape the towel over their body and then lightly rub the soap and
water in. This will keep them covered, and will let you avoid having to put your hands in
inappropriate places. Your parent should still be able to wash their private parts which will also
help alleviate the tension.
Use Familiar Products
Try to use products that your parents are already comfortable with. You want to avoid as much
confrontation as possible during the bathing, so make sure you are using their favorite brands of
soap and shampoo. You will also want to keep the bathroom warm as well as the water in the
tub or shower.
Keep Conversation Going
Don’t do it in silence. Keeping a conversation going can help to alleviate some of the
awkwardness of bathing an adult. Keep the conversation light and cheerful and before you know
it, the bath time will be over.
Bathe On Your Parent’s Terms
Finally, don’t turn bath time into a power struggle. Let your parent take baths or showers on
their own terms. Don’t ignore their basic sanitation needs, but try to avoid forcing them to
shower or bathe. If you are still having trouble, speak with a physician about some alternatives
or helpful tips they might have.
Hiring a Caregiver to Help Your Parents Stay in Their Home
If you’ve done all you can to care for your parent in your home, or if you decided that hiring a
caregiver was the right decision from the start, here are some helpful tips to make that transition
a little easier.
Advantages of Caregivers
Caregivers can truly be a godsend and are capable of helping your parents in so many ways.
They can provide transportation to the grocery store and doctors appointments, perform some
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light housekeeping, and in some cases, administer medicine or provide basic healthcare.
Hire An Agency or Individual?
When hiring a caregiver, you can go one of two directions. You can either hire a care giving
agency, or you can find a caregiver on your own. Finding a caregiver on your own might seem
like the less expensive option, but it also opens you up to a host of liability issues. You will be
responsible for worker’s comp, benefits, and so on. However, hiring a care giving agency
eliminates much of that liability as it is covered by the individual agency.
Benefits of Hiring a Care Giving Agency
If you choose to select from an agency, you have the benefit of testing out a few caregivers to
find a perfect match for your parent. Furthermore, if your caregiver calls in sick, the agency can
send a replacement which is a huge benefit over finding a caregiver yourself.
Another advantage to agency caregivers is that they are bonded and insured, and usually are
trained in basic healthcare. Some agencies provide caregivers who are Certified Nursing
Assistants or Personal Care Attendants. Having someone with that type of training and
experience, on hand, to care for your parent can really give you peace of mind.
Finding an Agency
Be sure you engage an agency that is licensed in your state. You'll also want to ensure the agency
has liability insurance.
Medicare's new Home Healthcare Compare tool helps you find agencies in your area that have
meet Medicare's approval. The guide also provides statistics on the quality of each care-giving
service.
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