Category: Research

The Sandwich Generation: Caring for yourself while caring for others

Guest blogger Maya Stiles, Covell Care Intern and Colorado State Student.

Many caregivers may find themselves to be “Sandwiched”; not in a yummy snack but in fact something completely different. “The Sandwich Generation” is as a phrase used to describe people roughly between the ages of 30-50 years old who are taking care of a child, while also caring for their elderly family members. These “sandwiched” people can often find themselves being pulled in every direction by providing emotional, physical, mentally and financial support.

While caring for your family can be one of the most rewarding and uplifting things, it can also cause immense stress and take a toll on you emotionally and physically. In order to care for others, you must also take care of yourself. Below are four tips to take care of yourself while
caring for others…

  1. Take Regular Breaks- We often feel like we cannot spare a minute in our day, but if you break it down by 10, 20, or 30-minute increments; you find that it becomes much more achievable.
  2. Get enough Sleep- When life starts getting crazy, good sleep seems like the first thing to go out the window. However, in order to take of others, you must prioritize yourself. Getting 7-9 hours of sleep a night will ensure you are rested and ready to provide quality love and care to others.
  3. Laugh often- Plain and simple- laughter is the best medicine. Keeping things light by utilizing humor is a great way to release stress and take care of yourself and others.
  4. Be aware of Burnout- Taking care of others is a full-time job and can be even more demanding when paired with other jobs and life responsibilities. Everyone needs support, even when it is hard to ask for help.

Remember, you cannot take care of others unless you take care of yourself first. Keeping these four self-care practices in the back of your mind can provide you with some relief and support. However, If you feel like you need some extra support or resources please refer to Covell Care’s services and resources at https://www.covellcare.com.

References:
https://caregiveraction.org
https://www.caregiverstress.com/stress-management/
https://www.drnorthrup.com/how-to-care-for-yourself-when-caring-for-loved-ones/

Exercise as Medicine: Activity as Depression Management

Guest blogger Galen Friesen, Covell Intern and Colorado State University graduate.

Anxiety disorders are the most common mental illness in the United States, affecting 18% of the population every year. The process of treatment for mental conditions can be frustrating and extremely stressful; but a viable treatment option exists innately within every single person.

Exercise is always an option regardless of ability level, experience, or life circumstance. Exercise looks slightly different for every person, and can be tailored to meet individual needs extremely well. Public health recommendations for exercise (150 minutes hours to 300 minutes a week of moderate-intensity exercise [1]) have been shown to be scientifically effective at treating depression [2]. Analysis of 80 studies also shows that benefits of exercise can even be obtained regardless of duration, as long as a consistent frequency is maintained [3]. This means that something as simple as a daily walk can help combat depression, as long as it is a consistent practice. So if long concentrated exercise sessions are not a good fit for you, consistent physical activity is still an option, if frequency is emphasized.

The main takeaway of the relationship between exercise and mental health is that exercise is an effective and proven way to mitigate symptoms of mental illness and there are seemingly endless different ways to go about exercising, so there is guaranteed to be a form of exercise that suits each individual differently.

Sources:
[1] HHS Office, & Council on Sports. (2019, February 01). Physical Activity Guidelines for
Americans. Retrieved from https://www.hhs.gov/fitness/be-active/physical-activity-guidelines-for-americans/index.html
[2] Exercise treatment for depression: Efficacy and dose response. (2004, December 27). Retrieved from https://www.sciencedirect.com/science/article/pii/S0749379704002417
[3] Craft, L. L., & Perna, F. M. (2004). The Benefits of Exercise for the Clinically Depressed. The Primary Care Companion to The Journal of Clinical Psychiatry,06(03), 104-111. doi:10.4088/pcc.v06n0301

The Fear of Falling

Guest blogger Colorado State University and Covell Care Intern, Hailey Jungerman.

Falling can cause major issues for older adults. Injuries can range from an ankle sprain to a traumatic brain injury. These injuries can lead to high direct medical costs and indirect medical costs. Not only that, but it can lead to an increase in fall risk factors.

“Fear of falling often develops after experiencing a fall” (Tomita et al.).The same study shows that even one fall can lead to developing fear. There is a vicious circle that is associated with the fear of falling that can be hard to break without intervention. “Fear of falling is associated with negative physical and psychosocial health outcomes, including depression and
activity restriction” (Lee, Oh and Hong 2018). Once an older adult obtains this fear, the less likely they are willing to participate in activities such as exercise or even leaving their house. This can lead to weakened muscles and depression. Which in turn are more risk factors for older adults.

A team of therapists including occupational and physical therapists can help to overcome the fear of falling. Occupational therapists can assess the home for safety, both occupational and physical therapists can do a fall risk assessment on the client, and both can create a plan to address risk factors. They can suggest home modifications, address risk factors around the house, see how the patient gets around their home, and giving the patient exercises to build strength and work on balance. As the American Occupational Therapy Association’s page says, “Identifying environmental factors that contribute to falls and implementing the occupational therapy strategies to ameliorate these elements can improve safety and reduce health care costs while enhancing the participation of older adults in those communities.”

In order to keep older adults independent, it is important to have them assessed to find their risk factors. Each individual is unique, and so are their needs. Therapists working together can help to improve the quality of life by addressing fall risk in our loved ones.

For more information on Home Safety or Fall Risk Assessments call Covell Care & Rehabilitation at 970.204.4331.

Citations:
Lee, Seonhye, et al. “Comparison of Factors Associated with Fear of Falling between Older Adults with and without a Fall History.” International Journal of Environmental Research
and Public Health, vol. 15, no. 5, May 2018, p. 982., doi:10.3390/ijerph15050982.
Tomita, Yoshihito, et al. “Prevalence of Fear of Falling and Associated Factors among Japanese Community-Dwelling Older Adults.” Medicine, vol. 97, no. 4, Jan. 2018, doi:10.1097/md.0000000000009721.
Toto, Pamela. “Occupational Therapy and Prevention of Falls.” Aota.org, American
Occupational Therapy Association, 2017, www.aota.org/About-Occupational-Therapy/Professionals/PA/Facts/Fall-Prevention.aspx.

Wellness & Mobile Practitioners

Guest blogger, Colorado State University Graduate and Covell Care Intern, Hailey Jungerman.

Being a mobile practitioner there are a number of health factors to keep in mind. You are constantly on the go, but not being active in the sense of physical activity requirements. There is also a high chance that you are eating in between appointments while in the car. On top of that you may also be stressing about making it to your next appointment on time if one runs over, or there is traffic. All of these, and I am sure you know, and many more are stressors. All these can also pose serious health problems. Chronic stress can cause issues such as high blood pressure, racing heart, weakened immune system, depression, headaches and so many more (Pietrangelo and Watson). They also state that “Chronic stress is also a factor in behaviors such a overeating or not eating enough, alcohol or drug abuse, and social withdrawal.”

Symptoms of chronic stress include (Pietrangelo and Watson):

  • irritability
  • anxiety
  • depression
  • headaches
  • Insomnia

If you are experiencing any of these, it is important to know how to relieve stress. Stress management techniques vary. Some can be more effective than others. It will depend on you and what you are comfortable with. Many of them have health benefits beyond just relieving stress.

Some evidence based stress management techniques include (Darviri and Varvogli):

  • Progressive Muscle Relaxation: leads to a decrease in stress and anxiety as well as decreased blood pressure, heart rate, and decreased headaches.
  • Mindfulness-based Stress Reduction: positive impact on mood, stress and anxiety reduction.
  • Guided Imagery: can help in stress reduction, pain management, preventing relapse of smoking, and treatment of depression.

These are just a few strategies that could help to reduce your stress. It is important to find something that you enjoy and that works for you. Listening to books on tape, podcasts, or light music while you are driving are great ways to relieve stress in between appointments. Finding time to workout, take your dog for a walk, or making time for hobbies are other great ways to find a work-life balance and reduce stress. Ask Covell Care about our employee stress management!


Works Cited :
Darviri, Christina and Liza Varvogli. “Stress Management Techniques: evidence-based procedures that reduce stress and promote health.” Health Science Journal (2011): 74-89.
Pietrangelo, Ann and Stephanie Watson “The Effects of Stress on Your Body.” 5 June Health Line. 30 April 2019.

Trying Natural Alternatives: Acupuncture

Blog provided by JaNae Gregg, University of Northern Colorado Student and Covell Care Intern.

Keeping our bodies filled with energy and balance are two important keys to a healthy lifestyle.  Acupuncture is a healthy and natural way to cure physical or mental ailments.  This practice first began more 2,500 years ago in China and since has been used to diagnose, treat, and improve general health.  The main effectiveness of acupuncture comes from modifying the flow of energy in the body.

When acupuncture is performed, the patients can either lay face up or face down (depending on which points need to be used).  Then a single use disposable needle is inserted.  When the needle is inserted it can cause a sting or tingling sensation at first, then the needle remains there for five to thirty minutes.  While the needle remains in place the patient may feel a dull ache, but the treatment is relatively painless.   By placing the needles into certain points it brings the energy flow back into proper balance.

The best part of acupuncture is that it is all natural!  There are little to none side effects, it can be combined with other treatments, it can control various types of pain, and helps patients stay off medication.  Acute problems can be cured from eight to twelve sessions, while chronic may take one to two sessions a month for several months.

There are many misconceptions about natural remedies, but medications, surgeries, or other treatments haven’t worked for you, then give acupuncture a chance.  It has been known to not only cure illnesses, but to also prevent future medical problems from arising.  Using acupuncture can be the start of a new way to healthier and natural lifestyle.

The Benefits of Acupuncture

  1. Muscle spasms and pain
  2. Chronic back problems and pain
  3. Headaches and migraines
  4. Neck pain
  5. Osteoarthritis
  6. Knee pain
  7. Allergies
  8. Digestive problems
  9. Mood and depression
  10. Sleep problems
  11. High and low blood pressure
  12. Nausea
  13. Reduce risk of stroke
  14. Facial pain
  15. Vascular dementia