Lifecare & the sandwich generation. Caring for Aging parents and caring for your kids. The phenomenon of the "sandwich generation" is here to stay. Is your family ready ?
By nature, teens are volatile emotionally and stressed by increasing pressures from parents, society, and peers to over-achieve academically, be popular, and fit and unrealistic body image ideal.
What can you do as a parent? Stay close to your teen-ager. Know where she is and what he is doing. Be a positive role model in the choices you make. Your teen learns by watching what you do, not what you say.
Public health frame and approach to the prevention of child maltreatmentCasey Family Programs
Presentation by Sally Fogerty of Children's Safety Network (www.ChildrensSafetyNetwork.org) at Building Communities of Hope Event Oct. 23, 2012 in Springfield, Mass.
This Webinar was presented on Tuesday, February 15, 2011, as part of the free monthly series from Friends for Youth's Mentoring Institute with Special Presenter John Stirling, M.D.
Clinicians caring for victims of early abuse or neglect are often puzzled at their inability to respond to a more consistent and caring environment, including mentoring. This presentation synthesizes concepts from developmental neurobiology, attachment theory, and family ecology to help participants understand the obstacles faced in leaving abuse behind, and to suggest paths to more effective therapy. Mentoring is an important component in treatment and there will be a special focus on understanding the Big Picture regarding early trauma, including the physiologic response to stresses, learned helplessness, and intrauterine drug exposure, to show how these children and youth react differently and need special handling.
By nature, teens are volatile emotionally and stressed by increasing pressures from parents, society, and peers to over-achieve academically, be popular, and fit and unrealistic body image ideal.
What can you do as a parent? Stay close to your teen-ager. Know where she is and what he is doing. Be a positive role model in the choices you make. Your teen learns by watching what you do, not what you say.
Public health frame and approach to the prevention of child maltreatmentCasey Family Programs
Presentation by Sally Fogerty of Children's Safety Network (www.ChildrensSafetyNetwork.org) at Building Communities of Hope Event Oct. 23, 2012 in Springfield, Mass.
This Webinar was presented on Tuesday, February 15, 2011, as part of the free monthly series from Friends for Youth's Mentoring Institute with Special Presenter John Stirling, M.D.
Clinicians caring for victims of early abuse or neglect are often puzzled at their inability to respond to a more consistent and caring environment, including mentoring. This presentation synthesizes concepts from developmental neurobiology, attachment theory, and family ecology to help participants understand the obstacles faced in leaving abuse behind, and to suggest paths to more effective therapy. Mentoring is an important component in treatment and there will be a special focus on understanding the Big Picture regarding early trauma, including the physiologic response to stresses, learned helplessness, and intrauterine drug exposure, to show how these children and youth react differently and need special handling.
Kinship Care and Grandparent Kinship Carers: messages from research. Presentation fro the Children in Wales Grandparent & Kinship Carers Conference held in Cardiff March 31st 2011
The Invisible Child: Understanding the Experiences of Siblings in the World of Chronic Illness was presetned at Akron Children's Hospital on July 6, 2011. The presentation is part of a monthly Pediatric Palliative Care Curriculum Series.
Kinship Care and Grandparent Kinship Carers: messages from research. Presentation fro the Children in Wales Grandparent & Kinship Carers Conference held in Cardiff March 31st 2011
The Invisible Child: Understanding the Experiences of Siblings in the World of Chronic Illness was presetned at Akron Children's Hospital on July 6, 2011. The presentation is part of a monthly Pediatric Palliative Care Curriculum Series.
Clinical Data-Mining (CDM) involves the conceptualization, extraction, analysis, and interpretation of available clinical data for practice knowledge-building, clinical decision-making and practitioner reflection.
By 2030 one-fifth of the U.S. population will be 65 or older. Older populations are "not what they used to be" and need not support the myths about old age. This powerpoint talks about the upside of growing older.
Dementia Home Care: Context and Challenges in IndiaSwapna Kishore
Most dementia care in India happens at homes and is provided by family caregivers. Volunteers and other concerned persons need to understand the realities of dementia home care in India to be able to provide suitable help and suggestions, while remaining sensitive and respectful of what families achieve in face of so many challenges.
Read discusssions on handling dementia home care in India at: http://dementiacarenotes.in/caregivers/
Caring for a family member with dementia is fraught with burden and stress: A...GERATEC
The title “Caregiving for a family member with dementia is fraught with burden and stress” elicits more questions than answers. Who is this caregiver – husband or wife, son or daughter, second husband or wife, stepson or –daughter, daughter- or son-in-law, grandchild – a list with endless variations. Would the experience be different when caring for a mother to that of caring for a father, husband or wife, brother, uncle, aunt, cousin, and nephew? Can the term “caregiver” be considered a singular entity with a singular emotional experience? What is the role of - amongst others - culture, ethnicity, gender, sexual orientation, language, religion, age, personality, social environment and education? What role does the type of dementia of the care recipient play? Do all people deal with burden and stress in the same way, and if not, why not? What constitutes burden and stress, and how are these defined within the heterogeneous environment of caregiving?
It is often said, “If you have met one person with dementia, you have met one person with dementia”. The same might very well apply to the family caregiver. Nolan et al (2002) refer to Dilworth-Anderson and Montgomery & Williams (2001) when saying that “In essence the message is clear – caregiving can only be fully appreciated and adequately supported in its appropriate context”.
This paper will discuss the definition, roles and evolution of
the family caregiver, before delving into the topic of caregiver fear – including the sources, consequences and mechanisms for alleviation.
In-Home Care Tips For Aging Parents.pptxHappyHandsllc
Most seniors choose to remain in the homes where they have lived their whole life. But when health care concerns become too much to bear, it may be time to consider assisted living.
Caregivers confront many transitions and challenges as they focus on meeting the needs of their loved ones. The life of a caregiver is further complicated when the person they are caring for presents difficult behaviors. Part 1 focuses on a review of the types of "difficult people" that present these challenges to their families and caregivers.
Challenges and Threats to Filipino Familiesgraecha
Disintegration of families, juvenile delinquency, domestic violence, substance abuse, dangers of drugs, ways to help children say "NO' to drugs, parental absenteeism, economic difficulties, absence of family goals and values, early sexual involvement, negative influence of media. A POPCOM Learning Package on Parent Education on Adolescent and Health and Development.
Learn more about the most common types of dementia from BrightStar Care. For more information on BrightStar Care's person-centered approach to Alzheimer’s and Dementia Care, please visit http://www.brightstarcare.com/alzheimers-dementia-care.
In honor of National Alzheimer’s and Brain Awareness Month, here are some helpful resources to help families that are caring for a loved one with Alzheimer’s disease.
In honor of Parkinson's Awareness Month in April, we have put together some of the best resources to help families that are caring for a loved one with Parkinson’s disease.
According to the Alzheimer's Association website more than 5 million Americans are living with Alzheimer's. The disease deeply affects patients and caregivers.
If your loved one has COPD, there is plenty you can do to help. Here are some things you can do as a family caregiver to make your loved one’s life easier.
National Safety Month: Keeping aging loved ones safe at homeBrightStar Care
June is National Safety Month, and BrightStar Care seeks to educate families on how to identify household hazards that can lead to injuries and how to make simple changes in their homes that can decrease the likelihood of their aging loved ones falling victim.
CDSCO and Phamacovigilance {Regulatory body in India}NEHA GUPTA
The Central Drugs Standard Control Organization (CDSCO) is India's national regulatory body for pharmaceuticals and medical devices. Operating under the Directorate General of Health Services, Ministry of Health & Family Welfare, Government of India, the CDSCO is responsible for approving new drugs, conducting clinical trials, setting standards for drugs, controlling the quality of imported drugs, and coordinating the activities of State Drug Control Organizations by providing expert advice.
Pharmacovigilance, on the other hand, is the science and activities related to the detection, assessment, understanding, and prevention of adverse effects or any other drug-related problems. The primary aim of pharmacovigilance is to ensure the safety and efficacy of medicines, thereby protecting public health.
In India, pharmacovigilance activities are monitored by the Pharmacovigilance Programme of India (PvPI), which works closely with CDSCO to collect, analyze, and act upon data regarding adverse drug reactions (ADRs). Together, they play a critical role in ensuring that the benefits of drugs outweigh their risks, maintaining high standards of patient safety, and promoting the rational use of medicines.
Title: Sense of Smell
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the primary categories of smells and the concept of odor blindness.
Explain the structure and location of the olfactory membrane and mucosa, including the types and roles of cells involved in olfaction.
Describe the pathway and mechanisms of olfactory signal transmission from the olfactory receptors to the brain.
Illustrate the biochemical cascade triggered by odorant binding to olfactory receptors, including the role of G-proteins and second messengers in generating an action potential.
Identify different types of olfactory disorders such as anosmia, hyposmia, hyperosmia, and dysosmia, including their potential causes.
Key Topics:
Olfactory Genes:
3% of the human genome accounts for olfactory genes.
400 genes for odorant receptors.
Olfactory Membrane:
Located in the superior part of the nasal cavity.
Medially: Folds downward along the superior septum.
Laterally: Folds over the superior turbinate and upper surface of the middle turbinate.
Total surface area: 5-10 square centimeters.
Olfactory Mucosa:
Olfactory Cells: Bipolar nerve cells derived from the CNS (100 million), with 4-25 olfactory cilia per cell.
Sustentacular Cells: Produce mucus and maintain ionic and molecular environment.
Basal Cells: Replace worn-out olfactory cells with an average lifespan of 1-2 months.
Bowman’s Gland: Secretes mucus.
Stimulation of Olfactory Cells:
Odorant dissolves in mucus and attaches to receptors on olfactory cilia.
Involves a cascade effect through G-proteins and second messengers, leading to depolarization and action potential generation in the olfactory nerve.
Quality of a Good Odorant:
Small (3-20 Carbon atoms), volatile, water-soluble, and lipid-soluble.
Facilitated by odorant-binding proteins in mucus.
Membrane Potential and Action Potential:
Resting membrane potential: -55mV.
Action potential frequency in the olfactory nerve increases with odorant strength.
Adaptation Towards the Sense of Smell:
Rapid adaptation within the first second, with further slow adaptation.
Psychological adaptation greater than receptor adaptation, involving feedback inhibition from the central nervous system.
Primary Sensations of Smell:
Camphoraceous, Musky, Floral, Pepperminty, Ethereal, Pungent, Putrid.
Odor Detection Threshold:
Examples: Hydrogen sulfide (0.0005 ppm), Methyl-mercaptan (0.002 ppm).
Some toxic substances are odorless at lethal concentrations.
Characteristics of Smell:
Odor blindness for single substances due to lack of appropriate receptor protein.
Behavioral and emotional influences of smell.
Transmission of Olfactory Signals:
From olfactory cells to glomeruli in the olfactory bulb, involving lateral inhibition.
Primitive, less old, and new olfactory systems with different path
Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
Basavarajeeyam is a Sreshta Sangraha grantha (Compiled book ), written by Neelkanta kotturu Basavaraja Virachita. It contains 25 Prakaranas, First 24 Chapters related to Rogas& 25th to Rasadravyas.
Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
Basavarajeeyam is an important text for ayurvedic physician belonging to andhra pradehs. It is a popular compendium in various parts of our country as well as in andhra pradesh. The content of the text was presented in sanskrit and telugu language (Bilingual). One of the most famous book in ayurvedic pharmaceutics and therapeutics. This book contains 25 chapters called as prakaranas. Many rasaoushadis were explained, pioneer of dhatu druti, nadi pareeksha, mutra pareeksha etc. Belongs to the period of 15-16 century. New diseases like upadamsha, phiranga rogas are explained.
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...kevinkariuki227
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
How to Give Better Lectures: Some Tips for Doctors
Caring For Aging Parents
1. Spread Thin
Lifecare &
the Sandwich Generation
Caring for aging parents and Caring for your kids
the phenomenon of the “Sandwich Generation”
iS here to Stay. iS your family ready?
brightstarcare.com
2. doeS MoM Like You BeST?
Family care expectations are more emotional than pragmatic.
inTro To The phenoMenon
Whether they’re discussed or not, studies have shown that most families
develop distinct care expectations, usually falling on one adult child,
and most often a daughter. Those expectations are rooted in emotional
According to the National Family Caregivers Association, more than 50 connections and perceived shared values more than availability.
million Americans provide care for a chronically ill, disabled or aged family
“Mom’s not thinking of things like: ‘Is my daughter married? Does she
member or friend during any given year, and that number is growing. have children? Does she have problems that might prevent her being a
good caregiver? Does she have the resources to be a good caregiver?’”
Adult children are often first in line to care for their aging parents. said Karl Pillemer, a gerontologist at Cornell University, explaining the results
But what if those adult children are still raising children of their own? of one such study to The New York Times. “Being married or being a parent
didn’t matter at all. Being employed only mattered a little.”
This is the burgeoning challenge faced by an entire “Sandwich Generation”
of family caregivers.
When added to the many responsibilities of their own daily lives,
including work and raising their own family, caring for a loved one
with declining health can be quite an undertaking.
In addition to the physical and financial strain of “being everywhere at once,”
Sandwich Generation caregivers bear a complicated emotional burden.
The worry, pain and sorrow they already feel over a parent’s illness are
compounded by the demanding challenges of caregiving.
Feelings of powerlessness and guilt are prevalent in family caregivers —
for repeatedly having to “choose” one family need over another, for feeling
that no choice can ever be the “right” one, and even for feeling they have
no choice at all.
The challenges are real and daunting, and more families are facing
them every day.
3. SoMe daTa aBouT The
growing nuMBer of peopLe
caring for aging parenTS
and The iMpLicaTionS
More than one in five American adults act as caregivers
to other adults, a figure that represents nearly 23 million
American households. The vast majority of caregivers —
nearly 90% — are helping relatives. While most report caring
for only one other adult, 30% care for two or more at the
same time. The average duration of caregiving is
greater than four years.
4. The chaLLengeS of caring
for an aging parenT
eMoTionaL/MenTaL • phYSicaL • financiaL
It’s not easy to become a parent to a parent. Without the proper resources,
this delicate role reversal can strain both ends of a relationship, especially
when it’s combined with the stress, anxiety and pain of an illness.
Caregivers commonly report that it’s most difficult to make time for themselves,
manage emotional and physical stress, and balance work and family
responsibilities. Many are at risk of becoming patients themselves,
primarily due to these unmet needs. As care demands progressively increase,
greater health effects are measured on caregivers.
On average, caregivers to persons age 50 or over report more than $5,500
in out-of-pocket spending annually. The cost in time is even greater.
AARP conservatively values the unpaid hours of family caregivers at $375
billion annually.
• More than $1,000 for every man, woman and child in the United States
• And 37% of caregivers report that they had to reduce their work hours
or quit their jobs completely to handle their care responsibilities.
– Diary excerpt,
Evercare Study of Family Caregivers
5. The iMporTance of
oBTaining SupporT in
caring for aging parenTS
Despite the growing commonality of caring for aging relatives, it all too
often remains a solitary endeavor for caregivers, many of whom provide
most or all of their care alone.
Caregivers tend to focus on their loved one at the expense of their own
well-being, and they are often reluctant to share duties or ask for help.
Feelings of guilt and responsibility can make it very difficult to
request assistance, or even to accept it when it’s offered.
warning SignS of caregiver STreSS
Caregivers endure increased risks of depression and illness, especially if
they don’t receive enough support. It is important for caregivers to realize • Anger
that being exhausted, stressed or “burned out” will diminish the quality of • Guilt
care they can provide. • Anxiety/irritability
• Exhaustion
The old axiom rings especially true for the Sandwich Generation: in order • Inability to concentrate
to care for others, you have to care for yourself. • Depression
• Thoughts of harm to self or others
• Weight loss
6. reSourceS/TipS for caring for an aging faMiLY MeMBer–
reSpiTe care, aSSiSTance froM an rn/cna, eTc.
One of the best support strategies for caregivers is to make sure they are aware of care plans prescribed by doctors. Nurses are also wonderful sources of information
and understand the resources that are available to them. for both caregivers and patients, helping both to better understand and care for
their specific needs.
The thought of engaging outside respite services makes many family
caregivers uncomfortable, but the benefits can be twofold:
pediaTric, newBorn and diSaBLed care
1. Caregivers get the assistance they desperately need.
Family care needs aren’t always age dependent. Something as common as a
2. They also learn how to provide better care for their loved one. broken bone or the arrival of a new baby can complicate life in a hurry. If a child
already has special needs, caring for an aging parent can be even more difficult
reSpiTe care to manage.
Respite care provides short-term, temporary relief from caregiving responsibilities. Families now have a wide range of care options to respond to both expected and
unexpected needs at any age, whether the condition is temporary or chronic.
Many times, a little bit of help goes a long way, whether it’s the freedom to run a
few errands, pick the kids up from school, or simply take a much-needed break. Always remember: You are not alone! Countless families face the very same
Respite care gives family caregivers some time for themselves and for other personal circumstances, and care options are expanding to meet these growing needs.
and family matters, and it’s available for both recurring and on-demand needs.
aSSiSTance froM an rn/Lpn/cna
When care demands exceed the medical capabilities of a family caregiver,
professional nursing assistance becomes a necessity, both for the patient’s well-
being and for the family’s peace of mind.
• Certified nursing assistants (CNAs) provide personal care services and assist with
daily living activities.
• Registered nurses (RNs) and licensed practical nurses (LPNs) supervise CNAs
and are further qualified to administer medications and perform advanced
medical procedures.
Bringing professional care into the home can allow patients to remain in their most
comfortable and familiar surroundings without sacrificing safety or disrupting the
7. Ten TipS for faMiLY caregiverS froM The
naTionaL faMiLY caregiverS aSSociaTion
1. Choose to take charge of your life, and don’t let 6. There’s a difference between caring and doing. Be
your loved one’s illness or disability always take open to technologies and ideas that promote your
center stage. loved one’s independence.
2. Remember to be good to yourself. Love, honor and 7. Trust your instincts. Most of the time they’ll lead
value yourself. You’re doing a very hard job and you
you in the right direction.
deserve some quality time, just for you.
8. Grieve for your losses, and then allow yourself to
3. Watch out for signs of depression, and don’t delay
dream new dreams.
in getting professional help when you need it.
4. When people offer to help, accept the offer and 9. Stand up for your rights as a caregiver and
suggest specific things that they can do. a citizen.
5. Educate yourself about your loved one’s condition. 10. Seek support from other caregivers. There is great
Information is empowering. strength in knowing you are not alone.
8. You are noT aLone:
SoMe faMiLY caregiving reSourceS
faMiLY caregiver aLLiance The naTionaL aLLiance for caregiving
Founded in 1977, Family Caregiver Alliance (FCA) was Established in 1996, The National Alliance for Caregiving (NAC)
the first community-based nonprofit organization in is a non-profit coalition of national organizations focusing
the country to address the needs of families and friends on issues of family caregiving. Alliance members include
providing long-term care at home. Long recognized as a grassroots organizations, professional associations,
pioneer in health services, FCA now offers programs at service organizations, disease-specific organizations,
national, state and local levels to support and a government agency, and corporations.
sustain caregivers.
Visit the NAC online at www.caregiving.org
Visit FCA online at www.caregiver.org
The naTionaL faMiLY caregiverS aSSociaTion
faMiLY caregiving 101
The National Family Caregivers Association (NFCA) educates,
A joint effort by the National Family Caregivers Association supports, empowers and speaks up for the more than 50
(NFCA) and the National Alliance for Caregiving (NAC) to million Americans who care for loved ones with a chronic
recognize, support and advise family caregivers. illness or disability or the frailties of old age.
Their outreach program is called
Visit the NFCA online at www.thefamilycaregiver.org
“Family Caregiving: It’s not all up to you.”
Visit Family Caregiving 101 online at www.familycaregiving101.org
9. BroughT To You BY BrighTSTar
We know how overwhelming the responsibility of caring for a family member can be.
We once needed help caring for a loved one, but didn’t know where to turn to give her
the quality of care, and the quality of life, she deserved.
At BrightStar, our mission is to go above and beyond to Make More Possible — more joy, more comfort,
more security, more quality, more time, more peace of mind. Helping people is more than just our mission;
it’s our passion. It’s what makes us truly shine — knowing that we’re making a real difference by bringing more
to the lives of others every day.