Category: Support System

Home Hazards…Are they related to falls?

A 2018 study titled, The Potential to Reduce Falls and Avert Costs by Clinically Managing Fall Risk, by Judy A. Stevens, PhD and Robin Lee, PhD, MPH estimated the prevalence of seven fall risk factors and the effectiveness of seven evidence-based fall interventions.

Stevens & Lee defined a “fall risk factor as an attribute or characteristic of an individual that increases the likelihood of a fall occurring”. They go on to say that many fall risk factors are potentially modifiable (e.g. poor balance, mobility problems, impaired vision, and insufficient vitamin D). Contributing factors increase the chance of falls such as the side effects of medications and the presence of home hazards.

Lets take a focus on home hazards. Most of us feel our homes are the place we feel most safe and comfortable. But does that mean our home is truly “safe”. Here are some questions to ask your self to determine where your home sits on the safety spectrum and some techniques you can use to enhance safety.

Can you safely enter and exit your home? 
Do you have stationary chairs with arm rests that do not rock or glide? 
Does every room have a night light? 
Can you read your medication bottles? 
Can you enter and exit your shower or tub without a loss of balance?
Can you transfer to and from your toilet without difficulty? 
Do you have clear pathways throughout the home? 
Are your kitchen goods stored between the height of your knees and your shoulders? 
Are you able to retrieve items from under your bathroom sink with ease? 
Do you have throw rugs picked up? 
Do you know how to use your microwave correctly? 
Do you remember to turn off the stove or oven when finished? 
Are cords clear from being in the walkways? 
Do you know how to use your thermostat? 
Have you been free from falling in the last year?  
Do you take your medication on time consistently? 
Is there a table next to your bed for a light and to set items on? 
Is your carpet and flooring free from tears and ripples? 

Home Safety Strategies:

  1. Remove all scatter rugs, repair frayed carpet, tape or tack down loose carpet edges.
  2. Arrange furniture to allow adequate space for safe walking between and within all rooms.
  3. When using oxygen, do not smoke or use an open flame.
  4. Do not overload circuits – unplug appliances when not in use.
  5. Wear close-fitting sleeves to prevent spills and burns that could happen with loose, long sleeves.
  6. Clean up spills immediately.
  7. Use a step stool or reacher to reach high shelves – do not stand on chairs or stools.
  8. Place safety strips or a non-skid mat in bathtub/shower and install grab bars – do not use soap dishes or towel racks for support when sitting or standing.
  9. Keep closet doors and drawers closed to prevent bruises or tripping.
  10. Keep walking aids within reach and keep a nightlight on or flashlight within reach of your bed.

If you are interested in having an occupational therapist conduct a home safety assessment in your home please contact our office at (970) 204-4331. And keep in mind, most insurance plans cover the visit.

The Potential to Reduce Falls and Avert Costs by Clinically Managing Fall Risk Judy A. Stevens, PhD,1 Robin Lee, PhD, MPH2

Suicide and Depression

Depression is at the top of the list when it comes to suicide. September is Suicide Prevention Awareness Month and Covell Care would like to bring light to this difficult and often too common issue.

Regardless of age depression can creep in. Depression can be caused by a number of different factors such as change in health, recent loss of a loved one, transition to a new place/home and financial issues. It is up to all of us to keep our eyes and ears open to what those around us are saying and doing to be aware of depression symptoms. That way we can help prevent suicide in our community.

Below are warning signs that the American Foundation for Suicide Prevention offers. What to Watch For if You Feel Someone is at Risk:

If a person talks about:

  • Being a burden to others
  • Feeling trapped
  • Experiencing unbearable pain
  • Having no reason to live
  • Killing themselves

Specific behaviors to look out for include:

  • Increased use of alcohol or drugs
  • Looking for a way to kill themselves, such as searching online for materials or means
  • Acting recklessly
  • Withdrawing from activities
  • Isolating from family and friends
  • Sleeping too much or too little
  • Visiting or calling people to say goodbye
  • Giving away prized possessions
  • Aggression

People who are considering suicide often display one or more of the following moods:

  • Depression
  • Loss of interest
  • Rage
  • Irritability
  • Humiliation
  • Anxiety

Don’t know where to turn? Contact Covell Care to learn about our mobile counseling services. We support people who struggle with depression, anxiety, grief & loss and much more. (970) 204-4331

Pelvic Dysfunction & Aging

Thank you to Guest Blogger and CSU Graduate, Hailey Jungerman.

Although many believe that it is a natural part of ageing, “age doesn’t cause urinary incontinence, age-related changes may predispose an individual” (Garvey 14). Not only is it not a normal part of ageing, but “more than 50 percent of older Americans struggle with incontinence” (Reinberg). It is important to understand that bladder and bowel incontinence is an issue that can go beyond just toileting. As owner Krista Covell-Pierson OTR/L, BCB-PMD points out in her article Are You Addressing Incontinence at Home? An OT’s Guide, “Unaddressed incontinence can lead to the following additional problems: depression, social withdrawal, anxiety, fatigue, increased fall risk, restricted sexual activity, increased expenses for supplies, higher risk of infection, and skin irritation.” All of these things can lead to reduced participation in activities of daily living.

So, how can OT help address incontinence? “Occupational therapists provide a comprehensive approach that looks beyond musculoskeletal skills deficits and recognizes the need for changes in performance patterns, such as habits and routines, while also considering the context and activity demands related to the problem. Additionally, occupational therapy practitioners have the background and training to understand the related distress and provide support for the psychosocial aspects of these disorders” (Neuman et al.).

Krista Covell-Pierson OTR/L explained to me what a normal plan to manage
incontinence would look like. The evaluation will touch on bowel and bladder health. Krista says it is important to look at both as the bladder can affect the bowel and vice versa. The therapist will discuss with the patient about their diet, toileting and leave the patient with incontinence reading material and a voiding diary. From there the rest of the sessions are working on finding the issue and working on the pelvic floor muscles. The therapist will work as an investigator to solve the problem. They will recommend small changes to see if that is helping, and work in stages as to not be overwhelming for the patient. If needed, the therapist can also use a
biofeedback machine to better understand what the pelvic floor muscles are doing and to get patients working them. Though the internal biofeedback is not required, Krista said there is about an 87% rate of improvement over those that do not do the biofeedback.

Incontinence is a serious issue that can lead to a decline in quality of life. It is the number one reason why people put a loved one in an assisted living community as it is draining on the patient as well as any caregivers. Getting the issue resolved can improve the quality of life and keep our loved ones home for longer. If you have any questions regarding incontinence our owner Krista Covell-Pierson is a great resource as she is Board Certified in Biofeedback.

Please call Covell Care and Rehabilitation at (970) 204-4331 to get more information or an appointment scheduled with us to address incontinence.


Citations:
Covell-Pierson, Krista. “Are You Addressing Incontinence at Home? An OT’s Guide.” 2018 National Patient Safety Goals: Communication | MedBridge Blog, Medbridge, 20 Apr. 2018, www.medbridgeeducation.com/blog/2018/04/addressing-incontinence-home-ots-guide/. Garvey, Kathleen A. “Toileting: Making the Most of Our Time in the Bathroom.” MiOTA Conference. 12 Oct. 2015, www.miota.org.
Neumann, B & Tries, J & Plummer, M. (2009). The role of OT in the treatment of incontinence and pelvic floor disorders. OT Practice. 14. 10-1318.
Reinberg, Steven. “Over Half of Seniors Plagued by Incontinence: CDC.” Consumer HealthDay, HealthDay, 25 June 2014.

How Does Our Mental Health Change as we Age?

Thank you to JaNae Gregg, UNC Student Volunteer and Guest Blogger.

The aging process comes with many changes for our bodies, but a common change that gets overlooked is how our mental health changes.  The change in our mental health can be misunderstood for the common physical changes that can occur from aging. Some of these symptoms can reveal themselves as lack of motivation, fatigue, and forgetfulness.  One way to be able to recognize when a symptom is cause for a mental health concern includes: stable intellectual functioning, capacity for change, and productive engagement with life. When fatigue and lack of motivation begin to interfere with how a person interacts within their daily life, then it could become a possible warning sign that they are suffering from poor mental health.  It is easy to misinterpret physical changes with mental health since the two typically go hand in hand with one another. For example, if a person suffers from heart problems or diabetes then they are more likely to develop poor mental health. On the other hand, people who suffer from depression and/or anxiety are more likely to develop physical problems that could include lack of energy, trouble concentrating, and memory problems.

Coping with the changes that occur while aging should be a part of everyone’s long-term lifestyle.  This could be done by expecting and planning for changes to occur (at any stage of life), maintaining strong relationships with family and friends, and a willingness to stay excited and involved with life.  By taking preventative measures to help mental health early on in life, then there is a higher chance of having better mental health in the future.  

Following these steps can be very beneficial for mental health, but sometimes the changes and loneliness that occurs with aging is hard to combat.  It is important to recognize if these changes reach a point of being too much to handle. The most sure sign of poor mental health or loneliness is when it becomes an interference to a person’s daily life.  There are a variety of ways to help decrease feeling lonely, these strategies include: staying active, look for new social outlets and contacts, make friends with people of all ages, continue to set goals and work towards them, and learn to recognize and deal with signs of depression.  Having strong emotional and social support are two of the biggest factors that can help with mental health; it is also associated with reduced risk of physical illness and mortality.

Mental health is just as important as a person’s physical health.  If you or someone you know suffers from a mental health disease or just isn’t feeling themselves, it is wise to seek outlets that can be beneficial to help improve their well-being.  Seeking counseling can be very beneficial, but there are many other ways to help improve mental health. Starting a new exercise routine, eating a healthier diet, finding a hobby, and being social are all great simple ways to begin to improve mental health. 

Contact Covell Care at (970) 204-4331 to learn about our counseling services for you or a loved one.   

Source: https://www.psychologistanywhereanytime.com/psychologist/psychologist_aging_and_mental_health.htm

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/