Need a Home for the Holidays?

Living with Elderly Parents:What have I gotten myself into?

You did it, didn't you? You promised, long ago when your dad died, that you'd take care of Mom and she'd never have to go to a nursing home. You promised Mom – after her visit to a nursing home, one of the worst in the state, to visit a friend – that she'd never have to go to a care facility of any kind.
No, you would always take care of her. After all, she always cared for you. Or, even though she wasn't a very good mother, and you never really got along, one cares for one's own, right? Or, your mother was pretty healthy and doing okay and you were divorced and trying to take care of two children, so you moved in with your mother. She cared for the kids for awhile, but then began showing signs of strange behavior. You feared for your kids, your mother and yourself. "What have I gotten myself into?" You thought.
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When a Home Can be a Hazard

People want to stay in their own homes. You hear it and read about it all the time. And there's some merit to that. Most of us can relate to the fact that relocating is emotionally charged. Add the fact that our parents get sick and tired of suffering the indignities of aging and often feel bossed around by everyone from the government to their kids, and you can understand why they often get stubborn. Where they live may be, in their minds, their "last stand."
Many elders do well in their homes. They graciously accept the help they need, have cleaning people come in, and are even able to throw away the old newspapers that are piling up in the corner. They are content with adding some safety measures and feel cozy with a bit of clutter.
Then there's the other side. Many seniors are living in the same home they raised their children in. These homes are modest, but worked well for raising their family and even for the early empty nest years. Often, however, they are two-story cottages, with the bedrooms and the only bathroom up a long flight of stairs. They have small closets and full basements, generally stuffed to the rafters with things they've forgotten but feel they can't live without.
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Gardens as Medicine

The Healing Garden at Massachusetts General Hospital. (Photo courtesy Mass General)
Want to feel better? Think nature. Healing gardens are a growing trend. Many major medical centers, including the 6,300-square-foot rooftop garden at the Yawkey Center for Outpatient Care, part of the Massachusetts General Hospital in Boston and the NIH Clinical Center, and long-term care facilities, are adding them. And so are homeowners.
The basic elements of a healing or therapeutic garden include:

• Plants and wildlife
• Walkways
• Private sitting areas
• Shade
• A water feature

Most are outdoors. Some have raised planters so patients and family members can plant, weed, and work the garden. Sometimes they have medicinal herbs, such as primrose or foxglove.
Scientists say natural settings can lower stress, blood pressure and heart rate, and muscle tension and negative thoughts. The idea is that lowering stress can boost the immune system and speed healing.
Physicians at Jupiter Medical Center in Florida realized that some patients who could see—they didn’t even have to be in—the hospital garden had less pain, needed fewer medications and had shorter stays than patients without a garden view. I don’t know how they figured that out, but what an endorsement!
The gardens’ restorative and medicinal benefits have many converts: substance abuse, pediatric, burn, HIV/AIDS, hospice, cancer, stroke, brain injury, psychiatric, and dementia patients.
But they’re really intended for a wider audience: not just patients, but visitors, family members waiting for surgery to be over, exhausted caregivers, and staff looking for a breather. Some support groups meet in healing gardens.
How come it took so long for us to catch on? They’ve been around forever from the Middle Ages to ancient Egypt and Greece to Japan (as in Zen gardens). In 1879, Friends Hospital in Philadelphia started a program for psychiatric patients who staff noticed were acting calmer after being in the ground gardens.
Don’t have a healing garden? Relax! Here’s what you can do:

1. Create your own mini-garden. Even on a city balcony, you can have an area of plants. You don’t need all of the features (water, pathways, private sitting areas) to have a lovely oasis.
2. Have land and want a more professional therapeutic garden? Use a landscape architect.
3. Call medical centers and ask if they have gardens. Go visit. If you’re considering a home mini-version, see what you like and what you don’t like. Or just enjoy.
4. The next time you’re visiting a relative or friend in long-term care, take them outside. If there are gardens and pathways on the grounds, hang out there awhile. Walking around the grounds is good exercise for both of you.
5. If there’s no formal healing garden that you know of, don’t sweat it. Head to your local park or arboretum.

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Dr. Bill Thomas and Alive Inside...Wow!

National Alzheimer's Plan Unveiled

As part of the government’s national plan, unrolled today, to fight Alzheimer’s, is a new Department of Health and Human Services caregiver website, www.alzheimers.gov.

Along with information (legal, financial, medical), resources, strategies for dealing with daily challenges, and tools and links, the government website has a caregiver section with tips for caring for yourself as well as video conversations with caregivers.

This site stems from the National Alzheimer’s Project Act (NAPA), which President Obama signed in January 2011. Many specifics of the plan, crafted with input from aging and Alzheimer’s experts, were unveiled today.

The collaborative approach to prevent and treat Alzheimer’s involves federal, state, private and non-profit groups. The national plan is geared to support research, and inform and educate clinicians, caregivers, and the public.

To further rev up results, the president’s proposed FY 2013 budget provides a $100 million increase for Alzheimer’s, including $10.5 million in caregiver support.

Currently, 5.1 million Americans have Alzheimer’s or other dementias, and the rate is rapidly rising as the country’s 78 million baby boomers age.

Besides the website, more highlights of the NAPA plan include:

• The funding of two clinical trials by the National Institutes of Health that will use new technologies and approaches in clinical testing. The aim: to come up with novel ways to prevent and treat Alzheimer’s.
• Monies through geriatric education centers to train healthcare providers to better recognize and manage Alzheimer’s.
• A TV media campaign launching this summer to reach family members and anyone else who needs information on Alzheimer’s and dementia.

The caregiving component of the NAPA plan is further recognition that caregivers are also deeply impacted by the Alzheimer’s diagnosis and need support, too.

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