Seacrest Admin

February 2019 Caregiver Newsletter (English)

STAYING AWARE OF EMOTIONAL SUPPORT

As Caregivers, we provide care in a lot of ways—each specific to that client. But one of the most important, and one that all clients receive from Seacrest at Home, is vigilance. We watch out for our clients. We make sure their homes are safe and free of hazards, we ensure they take their medications, we get them where they need to go. We should also all be vigilant of their emotional condition.

Just like you in your own lives, your clients want to be assured that they are loved, are safe, and are valued by family and friends. We are all human and are fueled by many of the same satisfactions. I found this article very informative in explaining the importance of a support system and how it leads to proven physical health benefits like a strong immune system. This article, goes further in discussing how every care plan for an aging adult should include emotional support and that that emotional care should deal directly with “vulnerability, loneliness, boredom, and isolation,” all things you and I know many seniors suffer from. Our care plans call for this under the umbrella of companionship, but it’s always nice to deliver service above and beyond our clients’ expectations. You are part of their human interaction. Make the best of it!

Remember, our older clients have lived a long life full of experiences both good and bad. Some of them are Holocaust survivors—a shrinking group of people who witnessed the worst aspects of humanity at industrial scale, something we (thankfully) don’t know anything about. Many of our clients have stories to tell and perspectives we can all learn from.

 

PROVIDING PROACTIVE PERSONAL CARE

We all know that a bath or shower can be one of the great joys of life and our clients feel no differently.

But as we age, our skin produces less oil and therefore, it is important to keep an eye out for this. Clients with dry or sensitive skin should be bathed less than those without. If you are unsure about what to look for, you may want to give this article a read. If your client’s care plan does not include bathing/showering, but you see that your client’s skin may be irritated, here’s an article you could read with them or print out for them to read later.

You also want to watch out for bony prominences (bony parts that stick out) like elbows, shoulder blades, tailbones, hops, knees, ankles, heels, and toes as they are at a higher risk of skin breakdown on all people. Women (and some heavier men) typically get irritation under the breast as well.

What is skin breakdown? It is skin that appears to be pale, white, or extremely red. Check out these two links (1 & 2) to learn about the many stages of skin breakdown and how (and when) you should let us know about it.

Here are a couple basic skincare procedures:

  1. provide daily skin care (clean and dry) even when not showering
  2. bedbound clients reposition every 2 hours
  3. change of clothes often
  4. circular stroke massages increase circulation avoid using pressure on bony areas (do not massage skin if it has begun to breakdown)
  5. during transfer, be aware of pulling or tearing sensitive skin
  6. pay attention to overweight clients as their skin may fold, allowing it to remain moist and prone to irritation

 

Have a great month and please stay in touch and let me know if I can help you.

Susi

February 2019 Caregiver Newsletter (Español)

MANTENERSE AL TANTO DEL APOYO EMOCIONAL

Como cuidadores, brindamos atención de muchas maneras, cada una específica para ese cliente. Pero uno de los más importantes, y uno que todos los clientes reciben de Seacrest at home es la vigilancia. Cuidamos a nuestros clientes. Nos aseguramos de que sus hogares estén seguros y libres de peligros, nos aseguramos de que tomen sus medicamentos, los obtengamos donde necesitan ir. También todos debemos estar atentos a su condición emocional.

Al igual que en sus propias vidas, sus clientes quieren estar seguros de que son amados, esten seguros y son valorados por sus familiares y amigos. Todos somos humanos y estamos alimentados por muchas de las mismas satisfacciones. Encontré este artículo muy informativo al explicar la importancia de un sistema de apoyo y cómo conduce a los beneficios comprobados de salud física como un sistema inmunológico fuerte. Este artículo va más allá en la discusión de cómo cada plan de cuidado para un adulto mayor debe incluir apoyo emocional y el cuidado emocional debe tratar directamente con la “vulnerabilidad, soledad, aburrimiento y aislamiento”, todo lo que usted y yo sabemos que muchas personas mayores pueden sufrir. Nuestros planes de atención requieren esto bajo el paraguas de la compañía, pero siempre es bueno ofrecer un servicio que vaya más allá de las expectativas de nuestros clientes. Eres parte de su interacción humana. Haz lo mejor de ello.

Recuerde, nuestros clientes mayores han vivido una larga vida llena de experiencias tanto buenas como malas. Algunos de ellos son sobrevivientes del Holocausto: un grupo cada vez más pequeño de personas que presenciaron el peor aspecto de la humanidad a escala industrial, algo (afortunadamente) del que no se sabe nada. Muchos de nuestros clientes tienen historias que contar y perspectivas de las que todos podemos aprender.

PROPORCIONANDO CUIDADO PERSONAL PROACTIVE

Todos sabemos que un baño o una ducha puede ser una de las grandes alegrías de la vida y que nuestros clientes no se sienten diferentes. pero a medida que envejecemos, nuestra piel produce menos aceite y, por lo tanto, es importante estar atentos a esto. Los clientes con piel seca o sensible deben ser bañados menos que aquellos sin piel. Si no está seguro de qué buscar, le recomendamos que lea este artículo. Si el plan de atención de su cliente no incluye bañarse / ducharse, pero ve que la piel de su cliente está irritada, aquí hay un artículo que puede leer con ellos o imprimir para leerlos más tarde.

También debe tener cuidado con las prominencias óseas (partes óseas que sobresalen) como los codos, los omóplatos, los rabos, las caderas, las rodillas, los tobillos, los talones y los dedos del pie, ya que existe un mayor riesgo de descomposición en todo el cuerpo. Las mujeres (y algunos hombres más pesados) también suelen irritarse debajo del pecho. ¿Qué es la ruptura de la piel? es la piel que parece ser pálida, blanca o extremadamente roja. echa un vistazo a estos dos enlaces (1 y 2) para conocer las muchas etapas de la ruptura de la piel y cómo (y cuándo) debes informarnos al respecto.

Aquí hay dos procedimientos básicos de cuidado de la piel:

  1. Proporcione cuidado diario de la piel (limpio y seco) incluso cuando no se esté duchando.
  2. Los clientes en cama se reposicionan cada 2 horas.
  3. cambio de ropa a menudo
  4. Los masajes circulares aumentan la circulación, evitan el uso de presiones en áreas óseas (no masajee la piel si ha comenzado a romperse)
  5. Durante la transferencia, tenga cuidado de tirar o rasgar la piel sensible
  6. Preste atención a los clientes con sobrepeso ya que su piel puede doblarse, lo que le permite mantenerse húmedo y propenso a la irritación

Tenga un gran mes y manténgase en contacto y avíseme si puedo ayudarle.


Susi

January 2019 Caregiver Newsletter

Proper body mechanics is crucial when it comes to keeping your client comfortable and making sure you stay safe and healthy. This website has a good acronym that I like to use when I’m thinking about the correct way to do a transfer or similar action. It is B.A.C.K.:

  • Balance – Feet, shoulders, and hips should be wide apart
  • Align – your back over your hips
  • Contract – your abdominal muscles
  • Knees – make sure to bend them (and notyour back)

Your posture (the way you arrange your body when you work) should always be top of mind when you are engaging your clients. Just because a client doesn’t have a lot of weight to move, it is good practice to ALWAYS keep your body and muscles in the habit of maintaining a good posture all the time. If you’re looking for something that provides a little more information about body mechanics during a transfer, check out these videos of transfers — one using a gate belt and one without a gate belt. By the way, if you need a gate belt, let me know.

Remember, a transfer can take place in a variety of environments (from bed to wheelchair, wheelchair to toilet, etc.) and so it is important to consider your surroundings before engaging in a transfer. Also, if you need help, ASK! That is what I’m here for!

And lastly, a word on the subject of exercise. It is as important for YOU as it is for anyone; in fact, maybe even more since you need to maintain your health in order to do that for others successfully. I know you all work very hard—believe me—and have a lot of other commitments like family, school, and more in addition to your clients, but please try to exercise at least 30 minutes a day. The National Academy of Sports Medicine says that “30 minutes a day is where we see great health benefits” in this article in the Washington Post. The good news is, it doesn’t have to be strenuous. Even a brisk, daily walk (a little faster than you walk normally) for 30 minutes will reduce blood pressure and help with neurological performance. Again, I know you’re busy, but please promise you will try. It would mean a lot to me, your clients, and your families.

Okay, I’m off my soapbox now. 😊

 

Have a great month and please stay in touch and let me know if I can help you.

 

Susi

Seacrest at Home featured in the Encinitas Advocate.

Seacrest at Home offers care and aid to seniors

Take a look at our new ad!

As seen in several community papers including the La Jolla Light, Ranch Santa Fe Review, Solana Beach Sun, Carmel Valley News, Rancho Bernardo News, Poway Chieftain.

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THE BROKEN WINDSHIELD

By Heather Siegel of the Siegel Sidebar
Posted December 13, 2015

 

This holiday season will mark the 8th year that I gave up driving. Not in golf but on the road. There are only two types of people in the world: those who drive and those who don’t. You always know which camp you are in.

Kids can’t wait to get a driver’s license. Seniors feel assassinated when they have to give up their privilege. Some drivers don’t have whiskers when they start. Most of us would cut our throats before we give it up.

For most of us former drivers, it is a medical condition that has short-circuited our lives. There are many reasons listed on death certificates but I doubt that giving up one’s driver’s license is a legitimate cause. Ours is a slow death that culminates in a loss of self-esteem, lack of mobility, and a sense of daily frustration.

Every time I enter a grocery store to shop, I am asked if I need help out to my car. I am sure the statement is meant well. It is possible to have a license without a car. But when I gave up my car, I gave up my standard of living. You see, I no longer can come and go as I please. That is an activity of daily living that I miss the most.

Perhaps that is why the Home Shopping Network has become so appealing lately. HSN gives me a full presentation in color, directly in my home. I press buttons on my phone to make an order. The landlady calls me when the package comes in. And I can schedule my trip to the Post Office to send back my returns.

I can leave my house, I have learned begrudgingly. It’s just that I am dependent upon someone else to drive my car or to navigate the bus. I am wisely careful about who I ask to have the job of being my tour guide. Sitting in the passenger seat has given me a new perspective on my career choices. Ask anyone who has driven for me. I am a closet driving instructor. Turn on your turn signal. Make only right turns. Don’t run through the yellow light. Keep your eyes on the road.

My drivers complain with a degree of compassion, that driving Miss Daisy is an experience extra. No one gives more directions than I do. Perhaps a film director can be in my league. It’s not that I never got a ticket when I was a driver. It’s that no one driving me around is going to get one while I am in the vehicle.

You are the same person with or without a car, was the first piece of wisdom that my shrink shared with me. You gotta be kidding, was my response. In eight years, my opinion has not changed.

When my dear mother Ruth G. passed, she left me her car which almost four years later is still being maintained and insured. I appreciate the support that my brothers gave me to keep it running. Both the car and I are now Senior Citizens.

Today is Sunday. I could be at Church, Temple or at a Pot Luck. Everyone else is doing something so no one is around to drive me around. I called the bus service today to reserve a seat on the handicapped bus to take me to important meeting in La Jolla tomorrow. I would like to join a health club to participate in water therapy but you see, I don’t have a car so there’s no way to get there.

It’s not that I feel sorry for myself but it is hard to make a big splash without a car. It’s sort of like telling yourself that you are on a diet while eating pizza. As long as the pizza delivery man has a vehicle, though, there is a connection to the outside world. Unless he has a broken windshield, he’ll still be able to deliver.

Written on the 8th day of Chanukah and the 8th anniversary of my Adult Bar Mitzvah as I approach my 8th year of not driving a car. I still see the same shrink.

Background about the author:
Heather Siegel is a current client of Seacrest at Home. Originally from Chicago, now living in San Diego North County Inland, Heather is a Second-Generation Holocaust Survivor.  Heather and her mother Ruth G. Siegel, of blessed memory, are members of Temple Adat Shalom in Poway, CA.  A graduate of the University of Illinois and San Diego State University, Heather would like to continue her education at Palomar College and participate in the water therapy programs at Tri-City Wellness Center.  Heather is the proud mother of a Jane Russell Terrier, Miss Ruby Tuesday. You can reach Heather Siegel at heatheresiegel@cox.net.

Seacrest Village-Yom HaShoah

​​​​​​​I was born in the right place. I grew up in a wonderful neighborhood with an abundance of safety and tolerance. My parents were never afraid to hang up our Mezuzah. I was proud and unafraid to tell my classmates that I am Jewish. I had many of my non-Jewish friends attend my Bar Mitzvah. In my adult life, I truly cannot remember a time that I have felt uneasy or a lack of opportunity because I am Jewish. My story is unfortunately not the norm for our Jewish people. In fact, the persecution that my ancestors faced, in late 1800’s during the Russian pogroms, initiated their immigration to America. Their immigration ultimately helped pave the way for me to be born in this “right place.”

These thoughts came about during the moving service we had at Seacrest Village on the Day of Holocaust Remembrance, Yom HaShoah. Warren Odenheimer, the keynote speaker of the service, started his story by telling the audience, “I was born in the wrong place.” Born in Germany shortly before Nazi rule, Warren and his family began to feel significant oppression and anti-Semitism. Fortunately, Warren and his family were able to leave Germany shortly after Kristallnacht. As a young man, Warren and his family were uprooted from their home in Germany. The Odenheimers migrated through Russia and then spent time in the Orient.

With only $8 dollars to their name, the family was granted visas to come to America, where they settled in San Francisco. In 1941, he enlisted in service and is a WWII Veteran. He has spoken to other groups about his story to help us ensure that we will not forget.

A moment at the Seacrest Village Yom HaShoah service, that I hope to never forget, occurred when Rabbi Patti asked all of our Holocaust survivors to stand up and light a candle. The candles symbolize and honor the 6 million Jews that were murdered. I was overwhelmed to see 22 survivors, our residents, proudly light these candles. (We have an additional 5 survivors at Seacrest Village Rancho Bernardo) As time goes on, the ability to see the faces and hear the stories of people who lived through this horrific time in history will become more and more of a rarity. Once these survivors are gone, how will we carry on their memory, legacy and message? How will we ensure that future generations grow up in the “right place” like I did?

We still have an incredible resource of people living and articulating their story and message. It is our responsibility to listen and never forget, so we can pass their teachings down to future generations to ensure that this will never happen again. It is an honor to work with and live amongst a group of people that inspire us to make the world a more tolerant and loving place.
Jon Schwartz

Record Marathon…at 91

Last Sunday, a woman set an official international record marathon time at the Rock N’ Roll Marathon, right here in San Diego! No, this woman did not win the race. Perhaps though, the record she set was more impressive than the actual winner. Harriet Thompson, a 91 year old, shattered the women’s record for those aged 90 and up by over two hours! Mrs. Thompson finished the race in just over 7 hours. For anyone to finish a grueling 26.2 mile challenge is incredible. However, to be 91 and battling cancer is so just inspiring.

I’m certain Harriet’s record time will be broken in the very near future by some other super senior out in the world.  Records are meant to be broken and that is why I love this story. No matter the challenge; physical, emotional or mental, senior’s today are pushing the bar and achieving milestones never thought to be possible years ago. We are in the beginning stages of seeing an entire generation of seniors and even centenarians carrying out their lives as though they were young. Because of this mindset, the contributions our elderly will bring to the world will be invaluable. Harriet’s record time goes well beyond just an impressive race medal. She raised money for cancer and inspired the world that anything is possible, no matter one’s age.

For more on Harriet Thompson’s story, please see the link below.

http://www.npr.org/blogs/thetwo-way/2014/06/02/318238155/91-year-old-woman-breaks-marathon-record

When Older People Walk Now, They Stay Indepedent Later

Successful aging is the new craze. Our society is experiencing a massive influx of seniors. These individuals and our culture want to know how to age well. A critical component of successful aging is the freedom from physical disability. With that being said, earlier this week, the journal of the American Medical Association (JAMA), published a report stating that those in their 70’s and 80’s, who dedicate about 20 minutes a day to walking, were less likely to become disabled later on in life compared to a group that focused their attention on successful aging classes.

Unfortunately, many older adults are unable to get their needed daily walk. Some of the barriers preventing older adults to get out and walk might be:

  • Preexisting physical injury
  • Lack of confidence to walk alone without risk of fall
  • Unsafe walking paths within one’s community
  • Lack of motivation to exercise

Our goal at Seacrest at Home is to help assist our clients feel comfortable and to age well. Often, our Home Care Associates go on walks with our clients, to promote exercise and provide the security that a companion is there to supervise. More and more research is continually coming out on the importance of walking. Please share and encourage your friends and family to get out and walk. And, if they need a little help or motivation to do so, call Seacrest at Home!

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