What Older Adults Should Know About Vaccines

August marks National Immunization Awareness Month, and it’s a perfect opportunity to make sure your vaccines are up to date to protect you against serious illness. It may surprise you to learn that 42,000 adults die each year in the U.S. due to vaccine-preventable illnesses. 1 Older adults are especially vulnerable to complications from several vaccine-preventable diseases.

Several vaccinations are recommended for older adults. We’ll go over each one, and the disease they prevent, in detail. With an understanding of these illnesses and vaccines, you can be proactive and protect yourself or your loved ones.

Why are vaccines important for older adults?

As we age, changes in our immune system make us more vulnerable to disease. And older adults are often more likely to live with chronic diseases like type 2 diabetes, heart disease, COPD, and others. These chronic diseases can cause serious complications when someone is infected with a vaccine-preventable illness.

The National Foundation for Infectious Diseases lists nine reasons vaccines are important for older adults: 2

  • Vaccine-preventable diseases are still a threat
  • Vaccines are safe
  • Vaccination can save your life
  • Vaccines can keep you healthier
  • Vaccines are as important to health as diet and exercise
  • Vaccines cannot cause the diseases they prevent
  • Vaccine-preventable diseases are costly
  • People who get sick can spread disease to their families
  • If you’re sick, you can’t care for people who are counting on you

What vaccines are recommended for older adults?

The Centers for Disease Control (CDC) recommends the following vaccines for older adults: 3

  • Seasonal influenza (flu) vaccine
  • Td or Tdap (tetanus, diphtheria, and pertussis)
  • Hepatitis B vaccine for all adults up to age 59, and high-risk adults 60 and older
  • Shingles vaccine for all adults age 50 and older
  • Pneumococcal conjugate vaccine (PCV15, PCV20, and/or PPSV23) for all adults 65 and older
  • COVID-19 vaccine

Let’s take a closer look at each of these vaccines and the diseases they help to prevent.

Influenza vaccine

Older adults are especially vulnerable to complications of the flu, including pneumonia and death. Every year in the US, older adults make up 90% of flu-related deaths and 50-70% of flu-related hospitalizations. 4

The National Institute on Aging recommends that older adults get a flu vaccine each year by the end of October. 5 This is because the flu circulates most widely in the fall and winter, and each year a different strain is dominant. There are two high-dose flu vaccines formulated for older adults, so be sure to ask your doctor about what they recommend for you.

Td or Tdap vaccine

The Td or Tdap vaccine is recommended for all adults every 10 years, and this includes adults age 65 and older. It protects against 3 different diseases: 6

  • Tetanus- this disease causes muscle pain and stiffness and difficulty swallowing, opening the mouth, and breathing. It can lead to death.
  • Diphtheria- complications include trouble breathing, paralysis, heart failure, and death.
  • Pertussis- also called whooping cough, pertussis causes severe coughing that affects eating, breathing, and drinking. Adults may also experience loss of bladder control, fainting, weight loss, or even rib fractures from violent coughing spells.

Hepatitis B vaccine

Hepatitis B is one of several viral hepatitis infections that can cause serious health problems. Around 2 in 3 people infected with hepatitis B don’t know they are infected, and it can be spread through sexual contact, blood, and bodily fluids. It is a leading cause of liver cancer. 7

The hepatitis B vaccine is recommended for all adults up to age 59, and any adults age 60 and up who are at high risk for hepatitis B infection. Your doctor can tell you if you are at high risk, and whether you should get the hepatitis B vaccine.

Shingles vaccine

Shingles, or herpes zoster virus, is caused by the same virus that causes chickenpox. Older adults who had chickenpox earlier in life can develop shingles when the dormant (sleeping) virus in their body reactivates. This is more common as people age, and nearly 1 in 3 adults will experience shingles. 8

Shingles causes a painful rash and blisters on the skin. It can also cause headaches, fever and chills, and upset stomach. Rarely, people can have serious problems due to shingles including pneumonia, blindness, hearing problems, brain inflammation, and death. 9

The most common complication of shingles is postherpetic neuralgia, or PHN, and it primarily affects people age 60 and older. 10 PHN causes severe skin discomfort where the shingles rash first appeared, and can last for months.

The shingles vaccine is recommended for adults age 50 and over and is given in a two-dose series.

Pneumococcal conjugate vaccine

According to the CDC, around 320,000 people get pneumococcal pneumonia every year, with 150,000 of them ending up in the hospital and 5,000 deaths, mostly in older adults. 11

Pneumococcal disease is caused by several strains of bacteria. Along with pneumonia, it can cause ear infections, sinus infections, bacteremia (a blood infection), and meningitis (infection of the tissue surrounding the spinal cord and brain). 12

Several kinds of pneumococcal conjugate vaccines are available, depending on your age and medical history. PCV15, PCV20, and PPSV23 may all be given to older adults. Your doctor can recommend the best combination to protect you from pneumococcal disease. The CDC recommends the vaccine for all adults age 65 and older.

COVID-19 vaccine

COVID-19 has dominated the conversation on vaccines and illness in the past two years, and for older adults, this is an especially important topic: although adults age 65 and older make up 16% of the US population, 80% of COVID-19 deaths are in this group of people. 13

Adults age 65 and older who are fully vaccinated for COVID-19 with mRNA vaccines (either Pfizer or Moderna) have a 94% reduced risk of hospitalization due to COVID-19. 14

How older adults can keep track of their vaccine status

It’s easy to lose track of your current vaccination status, and many older adults may find that during the COVID-19 pandemic, some vaccines were overlooked. Having a conversation with your doctor is a good starting point to find out what vaccines you’ve already had, and which ones they recommend you have now.

It can be helpful to keep a current record of your vaccines so that you always know what you are due for. There are a few ways you can do this. The CDC recommends using this form, and you can ask your doctor if they can print a current vaccination status for you to keep on file at home.

Some providers participate in computerized vaccine databases called Immunization Information Systems, which can also help to store your vaccine information. And finally, there are multiple apps available for keeping your health information stored on your phone and easily accessible.

Vaccines are an important part of healthy aging

Understanding the vaccine-preventable illnesses discussed above is important to your overall health. There are many steps older adults can take to make sure that they are supporting healthy aging, and vaccines are one of those steps.

Making sure you are current on vaccines can be a part of routine visits to the doctor. Sometimes, these visits can feel short, and you may have many questions you want to be sure to address with your doctor. It can be easy to forget to mention vaccines. You may find it helpful to make a list of the important questions you want to ask your doctor, and include vaccines so that you don’t lose track of this topic.

If you have a support person that comes with you to your regular checkups, be sure you mention your vaccine status to them too, so they can help you remember to discuss them with your doctor. This can include any caregivers that are a part of your daily care.

For help getting to your regular doctor visits and keeping up to date on your vaccines, Caresify’s professional caregivers are available to assist with transportation and other activities of daily living. You can learn more here, or call 888-799-5007.

 

References

  1. https://www.healthypeople.gov/node/3527/data-details.%C2%A0Accessed
  2. https://www.nfid.org/immunization/10-reasons-to-get-vaccinated/
  3. https://www.cdc.gov/vaccines/adults/rec-vac/index.html
  4. https://www.cdc.gov/flu/spotlights/2018-2019/hopitalization-rates-older.html
  5. https://www.nia.nih.gov/health/flu-and-older-adults
  6. https://www.cdc.gov/vaccines/hcp/vis/vis-statements/t
  7. https://www.cdc.gov/hepatitis/abc/index.htm
  8. https://www.cdc.gov/vaccines/adults/rec-vac/index.html
  9. https://www.cdc.gov/vaccines/hcp/vis/vis-statements/shingles-recombinant.html
  10. https://www.mayoclinic.org/diseases-conditions/postherpetic-neuralgia/symptoms-causes/syc-20376588
  11. https://www.cdc.gov/vaccines/adults/vpd.html
  12. https://www.cdc.gov/vaccines/hcp/vis/vis-statements/pcv.html
  13. https://www.kff.org/coronavirus-covid-19/issue-brief/what-share-of-people-who-have-died-of-covid-19-are-65-and-older-and-how-does-it-vary-by-state/
  14. https://www.cdc.gov/aging/covid19/covid19-older-adults.html

Choosing Long-Term Care: Alternatives to Personal Care Homes

Questions and decisions about long-term care options are common later in life. As we age, activities of daily living (ADLs) can begin to become too challenging to manage alone. Older adults experiencing changes in mobility, vision, and even cognition have several long-term care choices to pick from. But which one is best?

A personal care home may be one of the choices you are considering as a long-term care option. Understanding what they offer, and what alternatives there are to personal care homes, can help you make the best decision for yourself or your loved one.

What is a personal care home?

Personal care homes, in general, are facilities where an older adult can live long-term and receive help with ADLs. Often, they are smaller in size and situated in a residential home rather than a facility. They may serve a small number of older adults, with care provided by the facility owners who live on-site.

Each state has different rules about what kind of facility can call itself a personal care home, but in most cases, you can expect that a personal care home does not offer medical care or skilled nursing-level services.

Personal care homes are similar to assisted living facilities, and in some states, they are essentially considered to be small assisted living facilities. In other states, such as Pennsylvania, assisted living facilities are licensed differently and offer a higher level of services. 1 An older adult living in a personal care home can expect assistance with care needs such as:

  • Personal hygiene, like bathing
  • Dressing
  • Toileting
  • Eating
  • Laundry/light housekeeping
  • Help with ambulating (walking) safely
  • Transportation to and from activities, such as doctor’s appointments

If your care needs involve ADLs and regular caregiver supervision, a personal care home may be a good fit. Let’s take a look at the other options available as well.

Nursing homes as an alternative to personal care homes

Also known as skilled nursing facilities, nursing homes offer a higher level of care for their residents. Older adults who have medical care needs can receive help with both ADLs and healthcare while living in a nursing home. This can include skilled nursing care, physical therapy (PT), and occupational therapy (OT), for example.

Nursing home care is generally one of the more expensive options for care, with the national median monthly cost of nursing home care at $7,908 for a semi-private room and $9,034 for a private room. 2

People who are eligible for a nursing home level of care may be able to cover a portion of their care costs with Medicaid, Medicare, or both. Some rules and restrictions define who is eligible for this type of care, and what part of the costs are covered. These vary from state to state.

To determine who qualifies, these four areas of need are often part of the process:

  • Physical functional ability- what level of help a person needs with ADLs
  • Cognitive impairment- the impact of Alzheimer’s, other dementias, or conditions like Parkinson’s on a person’s ability to live independently
  • Health issues/medical needs- whether help is needed with medical services like injections or catheter care

A person who is admitted to a nursing home for care can receive care for conditions such as:

  • Medicines that can’t be given at home, especially intravenous (IV) medications
  • Medical problems that are difficult to control
  • Medical problems that have required long hospital stays in the past
  • Complex wounds, including surgical wounds
  • Rehab after joint replacement surgery
  • Stroke
  • Renal (kidney) disease (including patients new to hemodialysis)

Continuing care retirement communities (CCRCs)

Maybe right now you don’t need nursing home care, and a personal care home offers the right kind of support for your needs. But what if those needs change in the future? A continuing care retirement community (CCRC) might be the solution you’re looking for.

CCRCs offer multiple long-term care options all housed in one community. They are designed to allow older adults to start at one level of care, and easily transition to a higher level of care without losing the familiarity and resources of their community.

In a CCRC, you can find choices from independent living to 24/7 supervised care. Services provided to residents may include:

  • Private apartments or homes
  • Assisted living
  • Nursing home/skilled nursing care
  • Home care services for those living independently
  • Healthcare services

This combination of choices means as your needs change, so can your care. It comes with a price, though- an average entry fee of $402,000 to buy into the community, in addition to the average standard monthly charges of $3,555. 3

Home care as an alternative to personal care homes

There is another option available to you if you don’t need nursing home care for ongoing medical needs. In-home care brings caregivers to you in the comfort of your own home. A home care aide can assist you with the same ADLs as a personal care home.

They do not, however, offer skilled nursing care. Depending on your needs, these services can sometimes be brought to you through a home healthcare agency, with your daily personal care needs met by your in-home caregivers.

In-home care can be part-time, 24/7, or even just for occasional respite help. Some older adults even choose to have a live-in caregiver help with ADLs so they can stay in their homes longer. Most older adults– as many as 90%– prefer to stay in their homes as long as possible, called aging in place. 4

The national median monthly cost for in-home care is $5,148. 5 Medicare does not cover this type of care, but there are some options that can help with the cost:

  • HCBS- Medicaid’s Home and Community-Based Services waivers cover part of the cost of home-based care. Eligibility rules differ between states.
  • PACE- the Program of All-Inclusive Care for the Elderly, or PACE, is offered by Medicaid and Medicare in some states to offset some in-home care expenses if you are eligible for a nursing-home level of care.

Other options as an alternative to personal care homes

Along with the long-term care choices discussed above, there are some other options to consider:

  • Adult day care centers- these programs are available to supplement family caregiving tasks. They provide a safe and supervised environment for an older adult to stay in during the day while a family caregiver works or tends to other responsibilities.
  • Large assisted living facilities- depending on your state regulations, these facilities may be able to offer a larger spectrum of care services, including access to some skilled healthcare services as needs change. They can also provide activities and amenities that may not be available at a smaller personal care home. Your state’s Aging Services Division can help direct you to specifics in your area.

Some final thoughts on alternatives to personal care homes

No matter which long-term care option you choose, care needs can change. It’s important to be flexible and keep the resources discussed here in mind. Each one has its own pros and cons. You may find later that changing long-term care plans from whatever option you pick now to a different one offers better resources for you or your loved one.

If you’ve considered these choices and would like to use home care as a long-term care option, Caresify offers professional caregiving services to meet any personal care and companionship needs you or your loved one may have at home. You can read more here, or call 888-799-5007.

References

  1. https://www.phca.org/for-consumers/all-about-long-term-care/choosing-assisted-living-personal-care
  2. https://www.genworth.com/aging-and-you/finances/cost-of-care.html
  3. https://www.aarp.org/caregiving/basics/info-2017/continuing-care-retirement-communities.html
  4. https://gero.usc.edu/students/current-students/careers-in-aging/the-value-of-aging-in-place/
  5. https://www.genworth.com/aging-and-you/finances/cost-of-care.html

The Benefits of a Live-In Caregiver

Many older adults can benefit from the help a caregiver provides. As changes in mobility, cognition, vision, and hearing begin to cause difficulty in everyday activities, having an extra pair of hands to help with personal care, daily tasks, transportation, and more can mean the difference between staying in your own home and moving into a long-term care facility.

At first, an in-home caregiver may only be needed occasionally, or for part of the day for specific activities. As time passes, however, incorporating a live-in caregiver may become helpful. How and when should you make the decision to have a live-in caregiver, and what are the benefits of this arrangement?

Why would someone need a live-in caregiver?

It can be helpful to clarify that a live-in caregiver does not provide 24-hour care. They are close by for any unexpected emergencies that could happen, but they also may take days off of work and have hours set aside for sleeping.

However, a live-in caregiver is otherwise regularly dedicated to meeting the needs of an older adult who requires extra daily assistance.

Part-time caregivers vs. live-in caregivers

Many older adults live alone- in the US, it’s as many as 27% of adults age 60 and older, with another 46% living with only one other adult. 1

An older adult who needs caregiver help might at first be able to have visits from family members, friends, and professional caregivers to help with light housekeeping, cooking meals, or personal hygiene.

But this part-time caregiver help may not be a good long-term solution. Someone who has trouble getting around the house safely without falls, for example, might need regular help walking to the bathroom. An older adult with dementia who is prone to wandering could get confused and leave the house, or put themselves at risk for hazards like a home fire.

In these situations, having occasional help or a caregiver for only a few hours out of the day may not be enough. A live-in caregiver is available throughout the day to help with mobility and other activities of daily living, increasing safety for the older adult in their care.

What are some benefits of a live-in caregiver?

Along with the safety benefits discussed above, what are some of the other benefits of a live-in caregiver?

Companionship

Older adults, especially those with mobility and health concerns, are at risk of social isolation. This is true even when they live with a family member, with 43% of older adults reporting loneliness in one survey, even though only 18% of them lived alone.2 A live-in caregiver means a familiar face is always around to help. Live-in caregivers can build a solid relationship with the people in their care and offer consistent companionship.

Help in emergencies

Injuries and medical emergencies can happen, even with caregiver help. Older adults with chronic medical problems can be at risk for unexpected complications, recurring problems, or new infections and illnesses. A live-in caregiver may notice these problems early and get medical care before they become serious. And in emergencies, having someone close by to help, even if it’s calling 911 quickly, can make the difference in a situation where every second counts.

Support for families

For families who are providing care to a loved one, a live-in caregiver can offer support and peace of mind for family caregivers. Adult children often still juggle other responsibilities like jobs, childcare, and more. Coordinating schedules with paid caregivers from outside the home can become complicated and may not be flexible enough. A live-in caregiver can offer more flexibility, readily available as schedules change.

Consistency

As mentioned earlier, a live-in caregiver is a source of consistent companionship. Instead of a rotating schedule of different paid caregivers, you or your loved one can count on the same friendly face every day. A live-in caregiver gets to know the routines you prefer, your favorite activities, and your dislikes as well as your likes. This can be especially helpful for people with dementia, who can benefit from predictability.

Reduced risk of infections

Along with the consistency provided by a live-in caregiver, having one automatically limits the number of people coming and going from your home. During the era of COVID-19, this has obvious benefits, lowering the risk of infection.

Even more importantly, receiving care at home vs. a long-term care facility also reduces your exposure to community spread of illnesses. It’s estimated that healthcare-associated infections are responsible for 380,000 deaths each year. 3 By staying in your own home with a live-in caregiver, you reduce exposure to illnesses like the flu, pneumonia, RSV, and others.

Assistance for aging in place

Most older adults prefer to stay in their own homes for as long as possible–also known as aging in place. It can be difficult to do this as the need for care increases. Assisted living facilities and other long-term care solutions can provide regular care, but so can a live-in caregiver, without a person needing to leave behind their familiar home environment and community.

What kinds of care do live-in caregivers provide?

A live-in caregiver can provide personal care (but not medical care). What this means is that they can offer all the same care as any other in-home care, including:

  • Bathing & dressing
  • Light housekeeping
  • Bathroom assistance
  • Transportation
  • Meal prep
  • Companionship
  • Help with safe ambulation (walking)

They cannot provide medical care in the home, such as:

  • Medication administration (including IV medications)
  • Nursing care
  • Wound care
  • Rehabilitation services (such as physical therapy)
  • Any other services that treat a health condition

Making the transition to a live-in caregiver

Deciding to use a live-in caregiver is a big step. They’ll need to have access to their own private space in your home, and you’ll need to feel comfortable with this person being a regular presence in your life.

Some questions you might ask when trying to choose a professional live-in caregiver include:

  • How many years of experience do they have?
  • Do they have any experience with your specific medical problem(s)?
  • What certifications do they have? Are they CPR trained?

To help make the transition to a live-in caregiver go more smoothly, you might consider starting out on a trial basis with regularly scheduled care so that everyone can get to know each other and see if things feel like a good fit. You may even find that you are already using a caregiver regularly who might be interested in a role as a live-in caregiver instead.

If you are exploring in-home care options and would like experienced support to find out more about live-in caregiver services and how they can help you or a loved one, Caresify has expert caregivers available to help meet your care needs. You can learn more here, or call 888-799-5007.

 

 

 

References

  1. https://www.pewresearch.org/fact-tank/2020/03/10/older-people-are-more-likely-to-live-alone-in-the-u-s-than-elsewhere-in-the-world/
  2. https://www.ucsf.edu/news/2012/06/98644/loneliness-linked-serious-health-problems-and-death-among-elderly
  3. https://www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/resources/guides/infection-prevent.html

4 Ways Caregivers Can Engage Older Adults

If you’re a caregiver for an older adult, you may have noticed that at times, it’s difficult to connect with your loved one. Maybe they seem depressed and withdrawn, or maybe you’re stuck in a rut with the same routine. Or, dementia may be making communication difficult. How can you engage the older adult in your life, and find meaningful activities to share as a caregiver?

In a joint survey conducted by Humana and the National Council on Aging, 90% of older adults reported that they feel “revitalized” when they spend time with their families. 1 This positive effect on well-being is something you can offer to the older adult you provide care for. There are a few ways to make this easier. Let’s take a closer look.

1. Consider any limitations

It can be easy to see things from only our own perspective. As a caregiver, you might not even be aware of all the limitations your loved one faces. These limitations can prevent them from enjoying activities, or sometimes from even joining them:

  • Mobility
  • Vision
  • Hearing
  • Cognitive challenges

Are there activities you know the older adult in your life would like to do, but they seem to avoid them? Are there activities you have suggested but they don’t seem interested? Consider if any limitations could be behind the reluctance.

Maybe there is a similar option that doesn’t involve those limitations; for example, inviting a good friend over for a card game, instead of going to visit. You can even offer to pick up and drive the friend to your loved one’s home.

2. Remove barriers where possible

This brings us to another way to help engage an older adult: removing barriers. By finding ways to make activities accessible despite limitations, a whole new world can open up. Some examples:

  • Be an advocate- by joining your loved one at routine doctor’s visits, you can learn more about what kinds of health concerns and limitations they have. This is also an opportunity to ask the doctor if there are ways to help with mobility and other tasks, like a referral to an occupational therapist (OT) or physical therapist (PT) who can help you with ideas to make activities more accessible.
  • Improve vision challenges- large print versions of crosswords, books, games, and more can help someone with vision trouble join in more easily. Could a magnifying glass help, or an e-reader that can magnify print? Better yet, offer to read their favorite materials to them. And audiobooks offer an option to share a book aloud together while doing another hands-on task, like a craft.
  • Remove physical barriers- a seated walker can allow for rest breaks more easily; a wheelchair can mean the difference between being able to get outdoors for a walk in the fresh air, or being stuck in the house. Teaching older adults to use a simple tablet for video calls can let them stay connected virtually with important people in their lives.
  • Offer smaller, simpler versions of larger activities- maybe the person used to love gardening but can’t bend and walk as easily anymore; try container gardening on the porch, or arrange comfortable seating and let them work to pot small plants rather than a whole flowerbed. Or maybe they enjoyed cooking elaborate dishes- aim for simpler recipes, and work together on the tasks involved to prep and bake. Maybe they can help you find a new recipe to try each week!
  • Bring entertainment into the home- going out to the movies might be too much, but playing a new release on a big-screen TV, making popcorn, and inviting over friends or family can make it an event at home. Recorded concerts can bring well-loved music to life. What about a comedy night at home?

3. Remember to ask for their input

All of the above ideas are great ways to engage an older adult in your care, but perhaps the most important part of it all is collaboration. What are their ideas? What do they like to do most, or miss the most?

You can get a lot more buy-in when it comes to activities by asking questions and including a person in figuring out the best solutions to be a part of things. What stories can they tell you about their life and favorite memories? Sometimes just listening can give you clues about good activity choices.

4. Encourage companionship to engage an older adult

Loneliness can have major negative consequences for older adults. As limitations in mobility and health problems interfere with getting out of the house, it can be easy for older adults to become isolated. And as one study reported, older adults who identified themselves as lonely had a 45% higher risk of death and a 59% higher risk of health decline. 2

Encouraging companionship for an older adult in your care should be a top priority. Some of the activities that create connections with other people can help your loved one stay more mentally active, too:

  • Help them learn something new- maybe they’d like to be able to play a game online with a friend but don’t understand the app. Or there’s a class they’d go to if they could drive- could you take it together?
  • Adopt a pet- this isn’t for everyone, but if you’re able to help them care for a pet, you can both enjoy sharing the fun a pet brings, and they can form a bond with an animal friend that is with them 24/7.
  • Ask them to teach you a skill you don’t have- maybe you can’t crochet but would like to learn. Interested in gardening but don’t know where to start? Need cooking tips? Older adults have a wealth of experience and often enjoy sharing it and feeling valuable.
  • Play a game together- nothing beats game night! Card games, putting together puzzles, board games, and more are all great activities for spending time with an older adult.
  • Go for a walk together- not only does this encourage physical exercise, it’s also a great time to have a quiet conversation.

Caregiving is a team effort

No matter which approach you take to engage the older adult in your care, remember that caregiving doesn’t have to fall on one person. If you are a primary caregiver at risk for caregiver burnout, there may be other resources you can lean on. Are there other family members who enjoy gardening more than you do? Maybe they can join once a month. Reading books isn’t your thing? Can another person drop by to read for a while?

Another option to help you keep the older adult in your life engaged and happy is to involve a professional in-home caregiver. Whether it’s for temporary respite care or regular help with daily tasks, a paid caregiver can build a relationship with the person in their care and pick up with activities wherever family caregivers leave off.

If you’re ready to add in-home care to your toolkit of ways to support your loved one, Caresify’s experienced caregivers can provide person-centered care that gives you the peace of mind of knowing your loved one is safe and happy when you can’t be there. For more details, visit our homepage or call 888-799-5007.

 

References

  1. https://www.fiercehealthcare.com/payer/many-seniors-connect-well-being-to-time-they-spend-family
  2. https://www.ucsf.edu/news/2012/06/98644/loneliness-linked-serious-health-problems-and-death-among-elderly

Kitchen Tips and Hacks for Older Adults

Spending time in the kitchen serves the basic function of preparing healthy food to eat, but for many, it’s also a source of enjoyment and the center of social activities in the home.

Over the years, cooking and spending time in the kitchen can become more difficult. Loss of vision, strength, and balance can turn navigating the kitchen into a struggle. Arthritis pain can interfere with simple tasks. Changes in memory can even make the kitchen a confusing or dangerous place.

Especially for older adults who live alone or with one other adult, meal prep in the face of physical challenges becomes a hassle barely worth undertaking.

There are ways to get back into the kitchen and safely enjoy cooking again as an older adult, though. Some simple tips and hacks can improve these challenges and even encourage social interaction around cooking again.

Overcoming Barriers in the Kitchen

Sometimes the easiest solution to improve the kitchen experience for an older adult is to remove common barriers that make cooking more difficult as a person ages. If you’re a caregiver, you might not even be aware of how much the older adult in your life is struggling to perform basic kitchen tasks. Let’s look at some trouble spots that can be improved.

Adaptive kitchen tools & tricks

Difficulties with vision, reaching for items, and grip strength can all interfere with cooking. Thankfully, there are easy adaptations that you can make:

Kitchen utensils

Look for items with large handles, or grips designed to slide over handles that make them easier to grasp. Double-handled pots, pans, cups, mugs, and other kitchen items can be much easier to carry, and safer to manage this way if they’re filled with a hot liquid. Weighted utensils can help people with Parkinson’s tremors control what they’re holding better.

Helpful tools

Jar openers, an electric can opener, rocking knives for chopping, lever-style sink handles, a food processor, non-slip mats for holding mixing bowls in place, and a grabber to reach faraway items can all improve the ease of tasks that require grip strength an older adult might have difficulty with.

You can also use everyday tools you already have in creative ways to make tasks easier. A pizza cutter works just fine on pancakes or waffles. A melon baller can scoop seeds out of peppers. A measuring cup can help you transfer water to a pot, instead of filling the pot and carrying it.

Caregiver help

Having a caregiver available to help can make the kitchen more accessible, too. This doesn’t have to mean an older adult gives up all their independence in the kitchen. A caregiver can assist with moving heavy pots or baking dishes, and tasks like peeling fruits or vegetables if it’s just a little too much to manage. Not only does this allow an older adult to participate in cooking, but it’s also an opportunity for companionship as well.

Organization strategies

Along with new tools and utensils, changing the way the kitchen is organized can make a big difference in how accessible the kitchen is. This is an area you can get creative with, by taking your limitations into account and using the following suggestions where appropriate.

Move items within reach

If balance is a concern, overextending to reach for items can be dangerous and can at the very least discourage an older adult from spending time in the kitchen.

Think about commonly used items in cabinets and move them to lower shelves. Make sure appliances like the mixer and microwave are on counters, not up on shelves. Consider a refrigerator that is side-by-side or has a freezer on the bottom, which puts many frequently-used items at eye level instead of bending and reaching.

Clearly label items to avoid confusion or mix-ups due to poor vision

Memory and vision problems can both make the kitchen harder to navigate. There are some simple hacks you can use that will help overcome both of these challenges.

Re-label items like spices with hand-written, large print labels. Use bright colored tape on knife handles to avoid accidentally grabbing the blade. Label the outside of each cabinet for ease in finding contents.

Use large-print measuring tools and cookbooks. Hang pot holders where they are easy to find. If the refrigerator has an “open door” alarm, be sure it’s set to alert users that the door has accidentally been left ajar. Puffy paint can be used to mark the “off” position on the stove knobs so an older adult with poor vision can make sure they are lined up correctly when they’re done cooking.

Kitchen Safety for Older Adults

Falls, burns, cuts, and kitchen fires are all common safety concerns for older adults. It’s important to give the following safety tips special attention.

General safety tips

  • Add extra lighting to the kitchen for better visibility
  • Clean up spills immediately
  • Keep a regular cleaning schedule to reduce bacteria on surfaces that can cause illness, especially in older adults with compromised immune systems
  • Choose plastic over glass when possible to avoid the potential hazard of broken glass
  • Don’t use rugs in the kitchen- they are a trip hazard
  • Don’t use step stools to reach items
  • Make sure the water heater isn’t set above 120 degrees Fahrenheit. 1

Kitchen fire safety tips

Cooking fires are responsible for 49% of house fires each year in the US. 2 And even without a fire, burns are a serious concern for older adults who may react slower to fire and heat hazards in the kitchen. Keep these safety tips in mind:

  • Don’t use the stove if you have taken any medications that make you drowsy, or are under the influence of alcohol or drugs
  • Don’t leave the stovetop unattended
  • Cook on the back burners if possible, and always turn pan handles away from you
  • Use a lid or splash guard/screen to avoid hot oil splatters while frying
  • Always set alarms to remind you to check on food
  • Keep flammable items like pot holders, food packaging, towels, and curtains away from the stove
  • Don’t wear loose or long-sleeved clothing while cooking
  • Keep the stove and burners clean of buildup or residue
  • Never try to put out a grease fire with water
  • Cover burning pans with a lid if possible and leave covered until cooled
  • Make sure you have smoke detectors and check them monthly to be sure they are working
  • Keep a fire extinguisher in the kitchen area
  • If a fire is out of control, leave the house and call 911. More than half of non-fatal kitchen fire injuries each year are caused by people trying to put out a fire on their own. 3

Using technology in the kitchen for safety

With modern technology comes advances that can improve kitchen safety for older adults. Consider these options:

  • Stove shutoff timers that can be pre-set
  • The FireAvert, which interacts with your existing smoke detector to shut off the stove in the event of an alarm
  • Motion detectors that will turn the stove off if you move too far away, including smart monitoring systems like the iGuardStove, which can send caregivers alerts and allows remote access to safety settings
  • Motion-activated lighting that improves visibility in the kitchen
  • Voice-controlled smart appliances can increase your mobility and reduce falls in the kitchen– virtually!  (Think about turning on and off appliances from across the room.)

Making Healthy Eating Choices

Last but not least, as an older adult, it’s important to make healthy eating choices while you’re in the kitchen preparing meals. Think about these food and cooking tips:

  • Talk to your doctor about the healthiest diet plan for you- Conditions like heart disease and diabetes often require special attention to diet choices. Does your doctor recommend low-carb, low-sugar foods? Should you restrict your sodium intake? Always follow your doctor’s recommendations when planning a menu.
  • Cook extra portions and save them for later- it can be hard to scale meals down to one or two servings sizes anyway, and if cooking is labor intensive for you, freezing leftovers gives you simple options to reheat later so you don’t skip meals or reach for pre-packaged substitutes, which are usually high in sodium.
  • Consider a grocery delivery service- if getting to the store is challenging, it can reduce the number of fresh fruits and vegetables you are able to keep on hand. Grocery delivery can help solve this issue.

Making the kitchen enjoyable again

By using the kitchen tips and hacks discussed above, you can enjoy cooking again as an older adult, and stay safer and healthier while maintaining your independence in the kitchen.

One last thing to keep in mind: if spending time in the kitchen is an important goal for you, there are many ways a professional in-home caregiver can help you reach that goal. From helping in the kitchen with basic tasks and safety to assisting with transportation for grocery shopping, a caregiver is a valuable resource for older adults aging in place who require extra help with activities of daily living.

If you are interested in learning more about in-home caregiving, Caresify’s expert team is available to answer your questions and help you maintain your independence at home. You can read more here, or call 888-799-5007.

 

References

  1. http://www.cpsc.gov/PageFiles/121522/5098.pdf
  2. https://www.nfpa.org/News-and-Research/Data-research-and-tools/Building-and-Life-Safety/Home-Structure-Fires
  3. https://www.nfpa.org/News-and-Research/Data-research-and-tools/US-Fire-Problem/Home-Cooking-Fires

Important Fire Safety Tips for Older Adults

Each year in the United States, there are an average of 346,800 house fires resulting in 2,620 deaths and 11,070 injuries. 1 By themselves, these are concerning statistics. For adults age 65 and older, this is an even more important concern, as this age group represents 30% of all home fire deaths every year. 2

As an older adult, it’s important to recognize that changes in mobility, vision, hearing, and some cases cognition can all increase your risk of fire injury or death. There are steps you can take to improve fire safety around the house and to prepare for a worst-case scenario so that you can avoid a serious outcome if a fire occurs.

Some statistics to be aware of:

  • Cooking is a leading cause of house fires, with 49% of all fires caused by this activity 3
  • 1 in 20 home fires is related to smoking 4
  • Electrical problems are the third leading cause of home fires 5
  • Home heating equipment is responsible for 1 in 7 home fires 6

Let’s consider specific tips for fire safety, as well as special situations that may add to fire risk, and discuss how you can develop a fire safety plan that everyone in your household can use.

General fire safety

Every day fire safety is something we should all be practicing. There are common fire hazards around the home that you can be aware of and related safety strategies you can learn to prevent fires.

Home heating

Heat sources are a leading cause of home fires, especially in the winter months. Space heaters account for 81% of home heating-related fire deaths, and 54% of deaths are related to heat sources that were too close to flammable objects. 7 To reduce the risk of fire due to home heating, follow these tips:

  • Have your chimney(s) cleaned and inspected at least annually by a professional 8
  • Keep items at least 3 feet away from heat sources, including furniture, curtains, and clothing 9
  • Never use kitchen appliances to heat your home
  • Have your furnace or other heating systems inspected and maintained each year by a professional
  • If you use a space heater, make sure it has an automatic shutoff if tipped over
  • Don’t leave heat sources unattended- turn off space heaters if you leave the room or go to sleep

Electrical hazards

Home wiring, plugs, outlets, cords, lighting, and electrical appliances can all contribute to electricity-related home fires. The National Fire Protection Association (NFPA) reports that 10% of all fires are related to electrical sources. 10

You can follow these tips from the U.S. Fire Administration to reduce your risk of electrical fires: 11

  • Don’t overload extension cords, and replace damaged extension cords right away
  • Don’t overload outlets or power strips
  • Plug major appliances (refrigerators, dishwashers, washing machines, etc.) directly into wall outlets, never extension cords
  • Unplug small appliances when not in use (or consider smart plugs that will turn them off automatically)
  • Don’t use items with damaged cords
  • Keep flammable items away from lighting and light bulbs
  • Don’t allow cords to be pinched or damaged
  • Be sure plugs are fully seated in outlets
  • Have any electrical work done by a licensed professional

Clothes dryers

This appliance deserves special attention, as it is responsible for 2,900 home fires each year, with 34% of these fires caused by a failure to clean the dryer. 12 Some simple tips can help you avoid home fires due to clothes dryers:

  • Always clean the lint filter between each load
  • Clean the lint vent every 3 months 13
  • Be sure the dryer vent hose is not crushed or pinched
  • Have the dryer and vent system professionally cleaned regularly, especially if it is taking longer to dry
  • Be sure the electrical cord is connected correctly to the dryer and plugged into the correct outlet designed for dryers only
  • The dryer outlet on the exterior of the home should have a covering that keeps out debris and animals but doesn’t obstruct air flow
  • Don’t use the dryer to dry flammable items like foam or rubber
  • Don’t use a dryer that you know has a clogged lint filter or vent
  • Don’t leave the dryer running when you are asleep or away from home

Smoking

Along with health risks related to smoking, there are also fire hazards connected to this habit. Each year, 5% of home fires and 23% of home fire deaths are related to smoking. 14

The best way to prevent this risk is to quit smoking. You can have a conversation with your doctor about the best ways to quit successfully, or the National Quit Smoking hotline offers free resources and coaching to help you succeed. You can call this hotline at 1-800-QUIT-NOW (1-800-784-8669).

Other tips to reduce smoking-related fire risks:

  • Never smoke in bed
  • Smoking outside is the safest choice, rather than inside the home
  • Don’t smoke after taking medication that makes you sleepy, or after using alcohol or drugs
  • Be sure cigarettes are put out completely, and never leave them lit when not in use
  • Use ashtrays with a wide base that won’t tip
  • NEVER smoke around medical oxygen, which can explode

Other fire sources around the house

Along with the above sources, there are some other household fire culprits that should always be handled carefully. Never leave the following items in and around the home unattended or use them near items that can easily burn:

  • Candles
  • BBQ grills
  • Wood stoves and fireplaces
  • Holiday decorations like Christmas tree lights

Next, we’ll discuss kitchen safety in detail, as it’s a major fire safety concern.

Kitchen safety and fires

Because cooking fires are a major source of home fires and injuries, it’s especially important to take steps to avoid this concern. For older adults with memory issues like dementia, accidentally leaving the stove unattended can have serious consequences and increases this risk. Caregivers should take additional precautions to help these older adults reduce the chances of a kitchen fire happening.

Basic cooking safety tips

Always be sure to follow these everyday kitchen safety practices:

  • Don’t use the stove if you have taken any medications that make you drowsy, or are under the influence of alcohol or drugs
  • Don’t leave the stovetop unattended
  • Always set alarms to remind you to check on food
  • Keep flammable items like pot holders, food packaging, towels, and curtains away from the stove
  • Don’t wear loose or long-sleeved clothing while cooking
  • Keep the stove and burners clean of buildup or residue
  • Never try to put out a grease fire with water
  • Cover burning pans with a lid if possible and leave covered until cooled
  • Keep a fire extinguisher in the kitchen area

Technology for kitchen fire safety

Smoke alarms should always be present in the home and they aid with fire safety in the kitchen, but there are some great ways that newer technologies can help with this, too. For older adults with dementia, these technologies can help caregivers prevent cooking fires when they aren’t able to supervise– and they can increase safety for any older adult.

Here are some examples:

  • Stove shutoff timers that can be pre-set
  • The FireAvert, which interacts with your existing smoke detector to shut off the stove in the event of an alarm
  • Motion detectors that will turn the stove off if you move too far away, including smart monitoring systems like the iGuardStove, which can send caregivers alerts and allows remote access to safety settings

Special circumstances to consider for fire safety

While the technology described above can help reduce concerns– especially where dementia is involved– there are a few other health and age-related circumstances that can affect fire safety, too. If the following situations apply to you or your loved one, you need to take additional precautions:

  • Mobility issues
  • Vision problems
  • Hearing loss
  • Oxygen use

Mobility issues

If mobility is challenging for you, preparing ahead for a fire should include planning for any limitations. Here are some basic tips:

  • Sleep on the ground floor of your home (or try to live in a first-floor apartment if possible)
  • Always keep mobility devices close by especially when sleeping
  • Ensure fire exits are not blocked
  • Make your local fire department aware of your mobility limitations
  • If you live with others and stairs are a barrier, consider having a portable emergency stretcher available

Vision and hearing problems

It is common for vision and hearing problems to increase with aging, and special steps should be taken to improve safety for older adults who might be impacted by these difficulties in a fire emergency.

For vision problems:

  • Identify escape routes in your home and practice using them so that you can find your way out in an emergency
  • Be sure working smoke detectors are in the home
  • Notify your local fire department that you have a visual impairment
  • Keep your planned escape paths free of clutter and other obstacles
  • Consider brightly lit emergency exit signs or lights to increase visibility in a fire

For hearing problems:

  • Use smoke detectors with bright strobe light effects to notify of fire
  • Look for devices that interact with smoke detectors to emit a low-pitched sound that is easier for older adults to hear
  • Use a bed or pillow shaking alarm system to alert a sleeping person who is hearing impaired
  • Notify your local fire department that you are hearing impaired

Oxygen use and fire precautions

Home oxygen use increases the risk of fire because oxygen is highly flammable and even a small spark can cause an explosion or fire. If you use home oxygen, it is extremely important to take extra steps to avoid this hazard. The NFPA recommends: 15

  • Never, ever smoke when oxygen is in use.
  • Candles, matches, wood stoves, and any other source of a spark should not be used in the home
  • Keep oxygen cylinders at least 5 feet from any heat source, open flame, or electrical devices
  • Hand lotion, body oil, and other greasy substances can catch fire easily- don’t use them near oxygen
  • Aerosol sprays that are combustible should never be used near oxygen

In addition, posting clear “no smoking” signs where oxygen is in use can remind others to avoid smoking. Store oxygen canisters away from heat sources and in an upright position.

Have a safety plan

Along with all of the previously discussed precautions, it’s critical that you have a safety plan in the event of a fire, and that everyone in your family is aware of it. Let’s look at some basic components of a safety plan:

Smoke detectors

Smoke detectors are the anchor point for any fire safety plan because they alert you to the presence of a fire in time to escape safely. Even though 90% of US households have smoke detectors, it’s estimated that 20% of them don’t work due to dead or missing batteries. 16

The Consumer Protection Safety Commission (CPSC) recommends that smoke alarms be installed on every level of the home and outside each bedroom, and all smoke alarms should be tested monthly.

Evacuation plan

You should know ahead of time what to do if you spot a fire or are warned of fire by your smoke alarms. There are several key tips to follow in creating a safe evacuation plan:

  • Keep glasses, hearing aids, and a cell phone in reach of where you sleep
  • Along with notifying the local fire department of any vision, hearing, or mobility problems, it can be helpful to alert neighbors and building managers ahead of emergencies, too
  • Think about 2 ways you can safely get out of any room, and practice ahead of time
  • Make sure all doors and windows in the home are easy to open
  • Remember to crawl low to the ground to avoid smoke
  • Always check to see if door handles are hot before opening any doors in a fire. If they are, use another exit from the room like a window
  • Never use an elevator to escape a fire- use stairs instead
  • Choose a safe meeting spot outside and away from the home where everyone should gather, so there is no confusion about who might still be in the house
  • Never go back into a burning building for any reason. Get out quickly, call 911, and stay out
  • Practice your entire evacuation plan with everyone in the home at least twice a year

Some final thoughts

Following the fire safety tips in this guide can both help you avoid a fire in the first place, and escape without injury if one occurs.

If mobility, vision, and hearing issues are a concern for you, communication is key. Talk to friends, neighbors, family, and the local fire department about your limitations and plans in case of a fire.

Don’t forget to involve any professional caregivers in your safety precautions and plans. They can help you maintain safe habits like regularly checking smoke detectors and using smart technology around the house to avoid hazards. It’s also important they’re aware of your evacuation plans and meeting spot in emergencies.

With some attention to these factors, you can rest more easily knowing your risk of fire, injury, and fire-related death is decreased.

If you’re considering in-home care to assist with mobility, everyday needs, and special precautions like fire safety, Caresify’s professional team can help you meet these needs. You can learn more here, or call 888-799-5007.

References

  1. https://www.nfpa.org/News-and-Research/Data-research-and-tools/Building-and-Life-Safety/Home-Structure-Fires
  2. https://www.osfc.pa.gov/FireSafety/Pages/Elderly%20Adult%20Fire%20Injury%20and%20Prevention.aspx
  3. https://www.nfpa.org/News-and-Research/Data-research-and-tools/Building-and-Life-Safety/Home-Structure-Fires
  4. https://www.nfpa.org/News-and-Research/Data-research-and-tools/US-Fire-Problem/Smoking-Materials
  5. https://www.esfi.org/home-electrical-fires/
  6. https://www.nfpa.org/News-and-Research/Data-research-and-tools/US-Fire-Problem/Heating-equipment
  7. https://www.nfpa.org/News-and-Research/Data-research-and-tools/US-Fire-Problem/Heating-equipment
  8. https://www.csia.org/homeowner-resources/faqs/
  9. https://www.nfpa.org/Public-Education/Fire-causes-and-risks/Top-fire-causes/Heating
  10. https://www.nfpa.org/Public-Education/Fire-causes-and-risks/Top-fire-causes/Electrical
  11. https://www.usfa.fema.gov/prevention/outreach/electrical.html
  12. https://www.usfa.fema.gov/prevention/outreach/clothes_dryers.html
  13. https://www.usfa.fema.gov/prevention/outreach/clothes_dryers.html
  14. https://www.nfpa.org/News-and-Research/Data-research-and-tools/US-Fire-Problem/Smoking-Materials?gclsrc=aw.ds&?order_src=G054&gclid=Cj0KCQjw0JiXBhCFARIsAOSAKqBCAwwoeOR84_-wLJ6QMXmRghyeVcpqiH-RfMxI6DebqhtH_Kvi10saAs2rEALw_wcB&gclsrc=aw.ds
  15. https://www.nfpa.org/-/media/Files/Public-Education/Resources/Safety-tip-sheets/OxygenSafety.ashx
  16. https://www.cpsc.gov/Newsroom/News-Releases/2003/CPSC-Warns-Millions-of-Americans-Have-Smoke-Alarms-that-Dont-Work