Care Management Blog

Setting Limits Nicely

February 25, 2019

Many of us were raised to believe that the only polite or kind answer is “yes.” But as Dr. Christine Carter, a UC Berkeley researcher, notes, “If you find yourself saying ‘yes’ when you mean ‘no,’ it’s a recipe for overwhelm and exhaustion.” Not to mention resentment, burnout, and ill health! Ironically, research shows that…

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Conserving Energy

February 18, 2019

People with congestive heart failure (CHF) often tire easily, especially if they exert themselves. In CHF, the heart is swollen with fluids and cannot beat efficiently. The body’s cells then become hungry for oxygen. If your loved one has CHF, you witness this in his or her fatigue, shortness of breath, and frequent naps. Even…

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Embarrassing Behaviors

February 11, 2019

What do you do when sweet Mom starts cursing angrily? When straitlaced Dad makes off-color remarks? In persons with dementia, these behaviors are not on purpose. They are caused by the brain changes of the disease. If you can’t find humor in the situation, draw on your patience. Believe it or not, your relative is doing…

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Bathing and Dementia

February 4, 2019

Bathing brings many discomforts. Bathrooms can feel cold and drafty when a person is wet. And running water can be noisy. Nudity makes bathing very intimate, which can be distressing when a modest person needs help and may not recognize the helper.  Plus, bathing is a complicated process with many steps in a specific order.…

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Signature strength: Calm

January 28, 2019

Many of us admire people who have the gift of remaining calm. Calm as a signature strength is the ability to respond to threats from a place of appropriate confidence. To remain “centered.” It’s not always easy to achieve. Our bodies react to the stresses of modern life—including family caregiving—with the same fight-or-flight hormones that…

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Preparing for a safe return

January 21, 2019

No one can keep an eye on another person 24/7. Even in the most vigilant household, a loved one with dementia—Alzheimer’s or other memory disorder—may just find a way to slip out the door. After you have set up strategies to reduce the chance of wandering, it is also wise to pave the way for…

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How to discourage wandering

January 14, 2019

It is natural to fear that a loved one with dementia may wander. Indeed, 60% of people with Alzheimer’s do get restless and head out the door. As a family member, you can’t be watchful every minute. But you can take steps to reduce the chance of wandering. The many triggers for wandering include anxiety,…

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2019 Medicare improvements

January 7, 2019

Here’s some good news to start the year! In 2019, we’ll see improvements in coverage across the major Medicare plans. About two-thirds of people on Medicare use “original Medicare.” Patients with original Medicare can go to any health care provider that accepts Medicare. Original Medicare pays for 80% of costs after a yearly deductible. The…

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The power of sleep

December 31, 2018

When your schedule gets tight, is sleep one of the first things to go? According to the experts, that’s all too common. And it makes about as much sense as deciding to do without food, air, or water. Sleep is that essential. Most adults need 6 to 8 hours of sleep per night. Sleep promotes…

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