“I recently went to my 50th reunion. A bunch of old people showed up. They looked like the grandparents of the people I knew in high school. It was freaky. The school athletes are now anything but athletes. They looked overweight and out of shape. Some even had problems walking.” Have you ever been to a high school reunion? Everyone is roughly the same age, but some people seem to “age” sooner and more rapidly than others. As the years go by, some of these classmates will become frail while others will not. Will we […]
I don’t think I can do this-Teepa responds
Warmest Aloha,
PS: I say it over and over again: There's no one more important than the caregiver in the daily life of a frail person.
Who is Teepa? The Story behind Positive Approach to Care®
Warmest Aloha,
PS: I say it over and over again: There's no one more important than the caregiver in the daily life of a frail person.
After a Fall-Handle with Care
Finding a frail older person on the floor is stressful and chaotic. In this post, I provide some guidelines about what to do after a fall. Manage falls carefully. There can be major injury even if pain is not severe. Falls can also be due to a new medical problem. The most important points are: Step by Step Care After a Fall Call 911immediately for emergencies. Even for non-emergencies, do a 5-minute assessment before moving the person. Move the person into a sitting position if she/he appears stable. Provide follow-up care. Prevent future falls. Be […]
Don’t worry, Mrs Wong, I’m getting a hold of your son now
I’m on a mission to have my mother use a medical alert device. It won’t be easy, but she needs one. Firstly, she has had several falls. The single highest predictor of a fall in an older adult is a history of a fall in the previous year. Secondly, she didn’t pass the Timed Up and Go (TUG) Assessment. Lastly, she is home alone for many hours a day. If she falls at home, she could be on the floor for hours. Some people are good candidates for a “wearable” medical alert device, some people […]
Teepa Snow
Warmest Aloha,
PS: I say it over and over again: There's no one more important than the caregiver in the daily life of a frail person.
She was falling too often. We made the difficult decision to put her in a nursing home.
The last several posts have been about fall prevention strategies. However, there are seniors who continue to fall frequently despite interventions. Some individuals are unstable as soon as they stand up and start walking. Other “frequent fallers” have dementia, poor judgement, and impaired impulse control. An accident can happen as soon as you’re not watching. Frequent falls can result in the decision to put a person into a nursing home. But nursing homes have limited success in reducing falls. Nursing home strategies include health assessments, medication review, exercise programs, and environmental improvements. However, falls continue […]
Preventing my Mom from Falling again
In the last post, I described my Mom’s recent fall. She ended up in the Emergency Room but is fine now. I was alarmed but not surprised that she fell. It was not her first tumble. Her fall did raise a red flag for me. What can be done to prevent her from tripping again? And what can be done to avoid serious injury. In this post I’ll discuss two strategies. First, improving her ability to walk safely. Experts call these “intrinsic factors”. Second, creating a “fall-proof” environment. Experts call these “extrinsic factors”. There is […]
A Major Fall Waiting to Happen
Yikes, my 93-year-old Mom fell. Fortunately, it wasn’t serious, and I only heard about it the next day. Help arrived promptly since it happened outside. She was taken to the Emergency Room for evaluation and triage. They made the initial determination that she was stable enough to wait. After 8 hours of waiting, she decided she felt just fine and left. She’s not looking forward to going to the ER again. I’m not at all surprised that my Mom fell. That’s because it’s not the first time. A previous fall is the highest single predictor […]
Will Kate Fall Again?
Kate is an 84-year-old widow with mild Alzheimer’s Disease. She lives alone and in the past year she has lost 10 pounds. She has also fallen multiple times. This is serious. The last time she fell she was on the floor for at least 8 hours. Her daughter called and then came by when Kate didn’t answer the phone. She was hospitalized for a condition called rhabdomyolysis. Afterwards, she was in a skilled nursing facility before returning home. She regained weight and received physical therapy. The daughter has “decluttered” the apartment to decrease the risk […]