Caring Is a Delicate Balance: Emotional Intelligence The importance of Relationship Management
Category: Energetic Healing
Giving Your Caregiver a Game Plan A Guest Post by Maggie Drag
Nothing makes me happier than hearing about the way our caregivers bring a smile to their clients’ lives. In fact, that is what makes us so dedicated to our work- the men and women that are genuinely excited to spread joy and love wherever they go. After celebrating our 6th Annual Caregiver Party with our most dedicated staff members and caregivers, we felt that it was necessary to bring some inspiration to their daily routine. Here are some tips for each and every caregiver to feel empowered, valued and dedicate themselves to working in “me time” to each and every day.
Better Diet, Better You!
No matter if you are a live-in caregiver or an hourly caregiver, be sure that you are dedicating some time to prepare a hearty, balanced breakfast for yourself each morning. Enjoy your mornings- don’t dread them. You are what you eat, so look up some healthy recipes that you’ve never tried before. Regardless of what others may say, there are so many easy ways to prepare healthy dishes for yourself (especially salads ☺) that will lift your mood while filling you up with plenty of nutrients. Try preparing rice and different vegetables to have nearby to fill up your lunchbox quickly and to avoid eating junk food on the go.
Get moving!
The best way to stay motivated after getting through your week is to get moving (trust me!) If you love to dance, go to Zumba classes, swim, job, bike – anything, make sure you aren’t putting it off! Not only will you feel better after fitting in a short workout into your day, but you’ll be able to take on the week with much more confidence! If you hate the idea of going to the gym, try this: buy yourself a pair of light weights (preferably 2-5 lbs), soft workout mat and sleek new workout outfit. You can find a great variety of workout gear in fun colors and designs at TJ Maxx or Marshalls. This, plus any workout video on YouTube (from kickboxing to Pilates) = your best workout routine yet. And did we mention that you can do these while you’re on break from your caregiving assignment in the comfort of your own room?
Reach out to your Support Team
Always set some time aside to let the people who care about you know how you’re doing. Make a list of friends and family that you can count on for anything. It can include former clients and even some of your client’s family members that you bonded with over the years. Last but not least, don’t forget the staff at your agency. We, as well as any agency should live for caring for their caregivers.
Embrace your inner and outer beauty
Nothing boosts confidence more than the simple act of taking care of yourself. Of course, putting yourself first takes a bit of time and effort. Whether you have a job or are looking for a caregiver job at the moment, here are some simple ways to rediscover what you love about yourself- inside and out.There’s nothing better than a free makeover at your favorite beauty counter, or a refreshing swim or workout at your local gym. These special moments are known as, “me time”, and you should know that you deserve every minute of it. Besides getting a massage or spa treatment, there are countless ways to pamper yourself at home if you’re on a budget. Since you are on your feet most of the day like many caregivers, treat yourself to a soothing bubble bath try looking up do-it-yourself face masks on YouTube and video guides to meditation and yoga.
What are some ways you as a caregiver or agency motivate yourselves to care for yourself? Comment below, we’d love to hear some of your ideas!
BIO:
Maggie Drag is the owner and founder of a homecare agency located in central Connecticut. With over 27 years of experience in the industry, Maggie shares her knowledge and tips about care at home. Visit homecare4u.com to learn more about Maggie Drag.
Caring Is a Delicate Balance: Emotional Intelligence The importance of Self-Awareness
Caring Is a Delicate Balance: Emotional Intelligence: Long Term Solution To Disruptive Behavior in Nursing & Healthcare
Caring Is a Delicate Balance: Understanding the Issue of Disruptive Behavior in the Workplace
Hospice: The Gentle Goodbye A Post by Phyllis
Just after dawn on December 11, 2007, my mother went to God. There was a beautiful peacefulness that fell over that bright, winter morning that seemed perfect. Mom had battled several chronic, debilitating diseases that slowly robbed her of her energy and physical function. Her mind was always clear and her determination to live to see her grandchildren grow and to be with her husband of 59 years was intact. Unfortunately, her body had betraying her. Mom and I were very different. Our life’s journey together could best be described as rocky but the journeys end was her last gift to me.
It began one Thursday evening when I went to visit my parents. Mom had just come home from yet another unavoidable hospitalization. She was out of immediate danger but the likelihood of a relapse and perhaps a challenging surgery was weighing heavy on her mind. She looked tired, frail and was having difficulty speaking. I could sense she was in pain although she characteristically denied it. As I sat down next to her, she looked me right in the eye and in a clear voice said, “I’m too weak to live and too strong to die. I want to go to God.” She went on to explain that she was done taking her medications, had seen her last doctor, and had been to the hospital for the last time. If those declarations weren’t enough she asked me, “What are you going to do?” I knew immediately what she meant. She wanted me to take control of this out-of-control situation. She was entrusting me to help her live her last days in comfort and dignity. She wanted me to ensure that her transition from this life would be as gentle on her husband, children, grandchildren, and family as possible. The best solution was to arrange for hospice services.
I was the nurse in the family and I tried my best to collaborate with mom’s private doctor. We spoke so often that we were on a first name basis for many years. Dr. Bob had grown very fond of my parents and their relation. Our common goal was to keep mom comfortable and out of the hospital. Once my mom’s wishes were clear, my role was then to ensure that those wishes were carried out. First, I helped my dad understand and accept her decision. Next, I call Dr. Bob and explained her request. He was very supportive. We both knew that the only treatment he could offer her was palliative. Clearly, in his medical opinion, mom had less than six months to live. He made all the arrangements from his office. Finally, it was now time to call my sister. The inevitability of losing our mom to death was here. Thankfully, as in all things pertaining to our parents, we would do this together.
The next twelve days were exceptional. Mom was peaceful with her decision. She enjoyed her days with dad, her visits with her grandchildren, and her messages from family and friends. Although she refused to take any more medication, she did allow the hospice nurse to obtain an order for pain meds so she could be truly comfortable. The hospice team arranged for a priest to come to the house. She received the sacraments of Holy Communion and the Anointing of the Sick. Mom prayed her rosary daily and in a few days slipped into a coma.
For twelve days the angels from hospice supported my family through the process of letting go. They immediately responded to phone calls and answered endless questions. Nurses came daily with supplies, understanding, and support. Their presence and professionalism allowed me the opportunity to be a daughter and not a nurse. On the day that mom died, it was the hospice nurse that we called first. She came right away, pronounced her and walked us through the next step.
The Value of Choice
I have been a nurse for 30 years now. For the majority of my career I practiced in critical care and emergency trauma units. I fought death constantly with knowledge, skill, medications, and technology. I had limited success. During the last 10 years however, my focus has shifted from the length of one’s life to a profound appreciation for the quality of one’s life. High tech healthcare has its place when lives need to be saved. However, death does come to us all.
Hospice services allow for the care of loved ones to take place in safe, familiar surroundings with those they love close by. It empowers the patient through their last days, offers them the respect of honoring their choices and the dignity of privacy. Hospice care assists the family during horrific moments of anger, regret, and grief that under less supportive circumstances could seriously challenge the family’s unity.
It’s important to understand that hospice is a philosophy of care rather than a specific place. It is an option for people whose life expectancy is six months or less. Treatment outcomes are based on pain and symptom relief rather than pursuing curative measures. This approach enables the person to live his/her last days with dignity, grace and support. Hospice affirms life and does not hasten or postpone death. Hospice care focuses on all aspects of physical, social, emotional, and spiritual well-being. There is no age restriction. Anyone in the last stages of life is eligible.
Hospice Care Services
- The Interdisciplinary Team: Team members include doctors, nurses, social workers, counselors, home health aides, clergy, therapists, and trained volunteers who offer support based on their areas of specialty. The team provides a comprehensive palliative plan of care aimed at relieving symptoms and giving social, emotional, and spiritual support.
- Pain Management and Control of Symptoms: The goal of these services is to help the patient to achieve comfort while allowing them to remain alert enough to make important decisions and remain in control.
- Spiritual Care: Since people differ in their spiritual needs and religious beliefs, spiritual care is individualized and never forced.
- Home Care and In-patient Care: Hospice care is typically centered in the home. However, it may be necessary to admit the patient to a hospital, extended-care facility, or a hospice in-patient facility. The hospice team can then facilitate this transfer and stay involved in the patient’s treatment. The team can also facilitate resuming in-home care when appropriate.
- Family Conferences: These conferences are facilitated by the hospice nurse or social worker. They serve to help family members stay informed about the patient’s condition and what to expect. Family conferences also provide an opportunity and safe forum to share fears, feelings, talk about expectations, and learn about the process of dying.
- Bereavement Care: Bereavement is the time of mourning following a loss. The hospice team works with surviving family members to help them through the grieving process. The team can refer family members and friends to other professional services if necessary. Bereavement follow-up services are provided for at least a year after the loved one’s death.
Hospice Care Settings
Approximately 80 to 90 percent of hospice services are provided in the home. But, it is important to know that if the patient’s lives in a nursing home, hospice services can be offered there as well. Hospitals that treat seriously ill patients often have a hospice program too. Some hospitals have a dedicated hospice unit, while others have hospice teams who visit patients in any unit. Lastly, many communities have independently owned hospice centers that feature in-patient care as well as home care hospice services. Independent hospice center can benefit individuals who do not have family caregivers.
Who is eligible for Hospice Care?
- You are eligible for hospice care if your doctor has certified your prognosis as not longer than six months. This applies to anyone of any age. Should you be blessed with improved health and no longer need hospice care, you will remain eligible to reapply for hospice care if it is necessary in the future.
- While the majority of hospice referrals are cancer related, hospice is not exclusively for cancer patients. People with terminal neuromuscular diseases or any end stage disease can also benefit greatly from the services. It is not uncommon for people with Alzheimer’s to be referred to hospice when they are in the final stages of the illness.
Are Hospice Services Expensive?
Hospice care customarily costs less than conventional care in a hospital or nursing home. This is because with home hospice, you pay only for the specific care that you need. In addition, volunteers may often provide many services at little or no cost, such as telephone support, meal preparation and running errands. Most private insurance plans, Medicare and Medicaid cover the services.
While patients usually pay out-of-pocket for any services not covered by insurance, hospice services can be provided without charge if you have limited funds. If you are unable to pay, most hospices will try to provide care using funds raised from community donations and charitable foundations.
Closing Thoughts
Hospice care truly provides for the gentlest of goodbyes. It allowed me the space and time to be able to cherish my last moments with my mom. I look back on those days in peace not pain and I will always be grateful for the last gift my mom gave me, her trust.
References
National Hospice & Palliative Care Organization
http://www.nhpco.org/custom/directory/main.cfm
Center for Medicare & Medicaid Services
http://www.cms.hhs.gov/center/hospice.asp
National Association for Home Care & Hospice
Nutrition and Meal Planning For the Hurried Caregiver a Guest Post by Breanne Fleat
A caregiver has a vital responsibility of safeguarding their recipient, be it a family member, a friend or as part of their job. Diet and nutrition are some of the basic needs for people requiring such care, in an effort to keep the body strong and energetic. However, diet and nutrition isn’t just important for them, it’s important for you, the care provider too. With our current lives full of deadlines and schedules we usually don’t have the time to design a reliable meal plan or even stick to conventional eating patterns.
Looking after your own health is vital. Being in tip top condition will not only help you feel more energised but you will be encouraging your care recipients to wake up, shape up, eat up and try to live their healthiest life possible.
We all know how easy it is to skip meals, grab the first ready meal in the shop or neck back some energy drink because you just don’t have the time or energy. But, the fact is you will either gain excessive weight or completely ruin your metabolism and health from living this way.
Unfortunately, most conventional meals, do, require adequate preparation and cooking times, which may be almost impossible in your situation. Fortunately, the following tips are here to help you maintain a healthy life, with consideration of your RDI (Recommended Daily Intake):
Nutrition Shortcuts
your aim is to get all the required nutrients in the day, within a tight schedule. This means that your choices have to be easily digestible and assimilated in the body. The issue you have is that foods such as bread, grains and some proteins require the body to be resting, in order to digest suitably and you just don’t have that time.
As much as I recommend eating whole foods where possible, you can get supplement snacks that contain either one or a combination of nutrients. Instead of picking up a chocolate bar and energy drink, why not head to your local health food store and pick up one of these healthier snacks instead? You may even be able to buy them online. Most meal replacement and supplement snacks are filled with nutrients, lots healthier than normal snacks and reduce the need for spending hours in the kitchen, combining meals.
Micro is Important
For a busy caregiver, you rarely have time to rest and recover. Throughout this time your body stands very high chances of catching infections and a strong immune system is needed. This is where micronutrients come in.
Micronutrients are vitamins and minerals which help keep your body ticking along as it should. Minerals such as Magnesium and iron, and Vitamins E and C help to detoxify the body, reducing the intensity of fatigue and lowering your risk of infections.
Quick Micro Tip: Try replacing your morning coffee or energy drink with a multivitamin tablet, or better yet add spinach to your usual breakfast, for a hit of iron and vitamin c then have almonds as a magnesium and vitamin e filled mid-morning snack.
Smoothies and Juices
you only need a couple of minutes to create a vitamin packed smoothie consisting of bananas, avocados, strawberries or even melons. The best thing about them is that you can carry them around with you during the day.
In addition, one glass of fruit juice or smoothie can contain at least 3 of your 5 a day, making it a reliable source of micro and macro nutrients, which you need for coping with the day’s commitments.
You can even include fruits with exceptional benefits such as thorn melons, to boost your immunity, especially when attending to a person with communicable diseases.
Quick Smoothie Tip: Try adding spinach to your smoothies – it may sound strange at first, but it’s practically tasteless, yet filled with loads of nutritional benefits.
Meal Planning
Planning what to eat, when and why is hectic for anyone, let alone a caregiver. Not only do you have to try and plan what you and your family will be eating, but it’s highly likely you will have to plan something entirely different for your recipient.
However it’s important to remember the phrase “prior planning prevents poor performance” and don’t we know it. Planning helps you to eliminating the decision-making process, which, for me, ends up in opting for empty snacks or fast foods.
Quick Planning Tip: Buying raw foods in advance will create a reasonable timetable to help you organise around. Plan your fresh meals for the days post shopping trip and plan tinned or frozen foods in the run up to your next supermarket trip
Cook for Freeze
No matter how busy you are, there is ALWAY a little free time, whether it’s early in the morning, late in the evening or on the weekends. This is the best time for batch cooking.
Some people advocate for a cook one-freeze three concept, where you cook an excess of a particular meal and freeze the remainders (usually another 3 servings) while others will cook one main ingredient as use it for 2 or 3 different meals.
Quick Freezer Food Tip: Make sure you set a reminder to get food out of the freezer to defrost ready for the next day otherwise you’ll be more tempted by grab and go snacks.
Change how you cook
Just because you’re personal time is sparse, shouldn’t mean you have to give up on the things you love. Food is a necessity but it’s also there to be enjoyed. Just because slow cooking sounds time consuming, doesn’t mean it is. Using a slow cooker is a great way to ensure your meal is thoroughly flavoured and cooked with minimal time or effort.
Don’t let your lack of time take away from the enjoyable experience of cooking and eating.
Quick slow cooker tip: There’s usually a slow cooker version of most meals – got something you particularly love? Look up how to slow cook, you may find you love it even more after.
BIO: Breanne is a writer, blogger and chief editor, at ProteinPromo.com. She is keen on providing readers with nutrition and wellness hints and tips to ensure readers are living their healthiest possible life.
Make These Urgent Lifestyle Changes To Lower Stroke Risk: A Guest Post by Katrina Rice
A stroke is not a medical mystery that strikes patients randomly. In fact, 90% of strokes are due to factors like high blood pressure, high cholesterol and other medical risks which are all preventable. Even so, you do not have to train like a professional athlete, eat like a beauty queen or live like a monk to avoid this heart condition.
Whether you are a patient, a patient’s caregiver or simply a person concerned with this risk, by simply making modest alterations to your lifestyle and including wise health habits, you can significantly reduce your risk of stroke. Below are some scientifically-based facts about how to improve your self-care and prevent this devastating brain attack:
Quit Being Sedentary
According to Dr. Hugo Aparicio, a neurologist at Boston Medical Center and also an assistant professor at Boston University School of Medicine, it has been established for many decades that using leisure time to insert regular exercises such as going to the gym, taking long walks, or simply playing sports can significantly reduce the likelihood of getting a stroke.
Therefore, exercise should not be considered an activity mainly for the weekends and instead, it has to be an regular activity at least 30 minutes per day.
Lose The Excess Weight
As Dr. Aparicio points out in his “Framingham Heart Study”, the risk factors of a stroke are not isolated and in fact are all interconnected with the rest of your physical condition.. Exercising does not only reduce fat, it also helps increase the body’s sensitivity to insulin thereby creating a more efficient metabolism. A well-oiled metabolism is needed to prevent your blood sugar from soaring high and put you at risk of diabetes, which may lead to coronary diseases.
For morbidly obese patients, there might be a need to consider weight loss surgeries. And for those who can’t perform physical exercises due to mobility issues, a strict and regulated diet can help. Some people claim and stand by the coleus forskohlii benefits as an effective aid for people who need to lose weight quickly. Using supplementation requires a good amount of research so you ought to be cautious about it.
Apart from stroke and diabetes, this lifestyle change can also prevent other metabolic disorders, cancer and delay the onset of dementia among elderly people, and we all will get older, assuming we survive long enough.
Always Regulate Your Blood Pressure
According to Martin O’Donnell, the lead author of the published study in the medical journal “The Lancet”, you can easily stay on top of your blood pressure by using readily available equipment.
In developed countries such as the US, people have easy access to devices that quickly read their blood pressure, whether it be readily available at the supermarket or purchasing an inexpensive BP apparatus for home use. Individuals nowadays can also get a little help from doctors by simply asking for prescription to immediately help lower their blood pressure.
Eat A Healthy and Balanced Diet
Limiting red meat, avoiding processed food and eliminating fried and salty foods works best in preventing stroke. In fact, there are more precise dietary guidelines you can follow if you want to be very keen on preventing this deadly condition. A balanced diet comprised of low-carb vegetables, fruits, and fish – as protein is the most ideal. If much help is needed, seek a nutritionist’s expertise.
Aside from the vitamins and minerals your health receives from such whole foods, fish like tuna, mackerel, salmon and sardines are great sources of omega-3, an essential fatty acid your body needs to prevent heart diseases. However, there are a number of individuals who can’t include fish in their regular diet so taking fish oil capsules as supplements is also an alternative prevention.
Quit Smoking
Smoking does not only affect the lungs and the liver, it also infects your heart. Smoking is one of the culprits of elevated LDL (bad cholesterol). Too much cholesterol in your bloodstream can create arterial obstructions and create blood clots.
These tiny clots – if left untreated, can travel to your brain and cause the stroke you were trying to prevent in the first place. So if you are making a lifestyle change, begin here. You can quit smoking by asking help from your physician. They can offer you alternatives on how you can successfully quit smoking.
Treat Existing Heart Conditions
Stroke and other heart diseases are somehow interrelated. One major risk factor is having atrial fibrillation – a heart rhythm problem that many Americans are affected with. With regular checkups, individuals who have this heart condition can get regular treatments and anti-clotting medications.
According to Dr. Aparicio, you don’t need to do everything all at once. It’s a matter of addressing the top contributors to the risk of stroke – such as high blood pressure, high blood cholesterol levels and smoking. As soon as you can see minor improvements in your health, you can start incorporating exercises and other active physical routines.
There is this unrealistic expectation that you have to have the right body weight, the ideal diet and the life of a monk to prevent a stroke. But as what Dr. O’Donnell says, “The risk factors of stroke are a continuum. So if you can’t apply all the preventative measures, modest changes will reduce your risk of stroke”.
Bio of the Author:
Katrina Rice is a mom and a freelance writer. She strongly believes in the concept of holistic wellness through healthy and natural living, travelling and immersing one’s self in new activities. A self-proclaimed health enthusiast, she hopes to inspire more people to do the same.
Talks with Greg; Conversations In Caregiving – Sheila Warnock
For more than fifteen years, EmblemHealth has been a leader in the arena of family caregiving. Talks with Greg; Conversations In Caregiving is a video series designed to explore topics with experts involved for many years in caregiving. Every episode will have a new guest from a different facet of the professional caregiving world who has been a longtime partner with EmblemHealth.
OUR FOCUS IS EDUCATION
Caregiving will touch everyone at some point in life yet it often remains in the shadows of the public/media spotlight because it does not make for a picture that melts the heart but rather one to be avoided at all costs. Not so much because people are uncaring but rather frightened and uneducated.
Sometimes, friends disappear when illness strikes because they don’t know “what to do or what to say.”
And often the person needing support and their caregiver hide the fact and carry the entire burden alone rather than admit they could use help.
STC’s focus is on educating caregivers, patients and their concerned friends, neighbors, co-workers and acquaintances about the profound personal benefits to everyone involved through sharing the care.
Because we find that family caregivers often tend to be isolated and therefore less likely to reach out for help, we target professionals, and faith communities. They see caregivers and patients on a daily basis and are best situated to identify those who could benefit from a STC group. We also seek to reach working caregivers through corporations.
Tel: 212 991-9688
“Avoiding Falls in the 3 Most Dangerous Rooms of Your House” A Guest Post by Jessica Hegg
Sometimes, a fall is inevitable for an older loved one. They simply fall off balance, or the toll of the years or past corrective surgeries puts them in a situation they can’t easily escape from.
According to an NCBI study, approximately one-third of adults aged 65 or older fall every year – and only about half of those falls can be attributed to “environmental” factors – something out of place about the environment that directly caused the fall.
However, despite the fact that a fall can sometimes be unavoidable, it’s extremely important that you minimize the risks of your loved one falling. Why?
Simple. While around half of all falls could be attributed to environmental factors for the first fall, this percentage decreases the more your loved one falls. Simply put, If your loved one has fallen more than two or three times within a year, their risk of falling (even without external environmental factors) increases massively.
Therefore, you should do everything in your power to postpone falls – and since environmental factors are the most easily preventable, that’s where we’ll start – by securing your loved one’s environment.
1. The Bathroom
It’s probably not a shock that the bathroom is the number one place where environmental falls occur – but you may be surprised at the numbers. While the shower and bath is often thought of as the most dangerous area for the elderly, toilet use actually contributes to more falls.
The primary reason for this is frequency of use. Pretty much everyone uses the toilet more than they use the shower – and this is especially true of elderly folks, who often suffer frequent urination problems.
So while shower safety is very important (Grab bars, non-slip mats on the floors inside and outside, easy-to-reach bathroom products, and shower stools are some of the best options to secure your shower) you shouldn’t neglect the rest of the bathroom. Consider a raised toilet seat or toilet grab bars to secure the environment, and make sure toilet paper is available without reaching.
Ensure the entire bathroom is safe, secure, and protected. It will give both you and your loved one peace of mind.
2. The Kitchen
The kitchen isn’t always a problem – if your loved one isn’t using the kitchen anymore, most risks are mitigated completely – but if your loved one still typically cooks and cleans, the kitchen can be a big risk factor.
The biggest risks primarily come from food storage and utensil storage – pantries and cabinets aren’t designed with the elderly in mind, and often require reaching. And for smaller folks, this can mean using a stepstool or other device to elevate themselves, which increases the risk of a fall drastically.
The best thing you can do to here is to reorganize. You want your loved one to maintain their standard of living, so help them by making common food items easy to reach, and moving pots, pans, and other items to easily-accessible areas – no reaching required.
It may take a bit of getting used to, but having a hard time finding your favorite skillet is much better than taking a tumble from a stepstool.
3. The Bedroom
The risk of falling in the bedroom is huge, and almost always related to two factors – weariness and trouble getting in and out of bed.
These two factors complement each other – grogginess is normal in the morning, and weariness is normal when you’re trying to go to bed. Combine this with the sometimes-awkward motion of climbing into a bed (especially one not built for an elderly person) and you’ve got trouble.
This risk is exacerbated by the risk of head injury – beds are typically built out of heavy woods and metals that can have sharp edges and cause traumatic injury if bedposts or the body of a bed frame is hit on the way down.
Beyond purchasing a lower, easier-to-access bed specifically for your loved one (which can be expensive and uncomfortable), you can buy bed rails – highly recommended, if you’re concerned about safety – and bed steps, which often integrate a small railing into their design, and allow your loved one to get closer to a high bed which might be troublesome to get into otherwise.
Prevention is Key!
While falls are a problem that only get worse later in life, it’s entirely possible to avoid them for a very long time – sometimes altogether, with the right safety precautions.
Remember, the risk of falls only gets worse the more your loved one falls. It’s important to secure your environment as soon as possible, giving them the tools they need to stay safe, and maintain autonomy as much as they can. And until next time, happy caregiving.
