Problems of Daily Living A program for family and friends caring for older people at home Understanding the Problem Understanding the Problem 3 Inability to perform self-care is a common reason why older people: seek help from others move to assisted living communities, or enter nursing homes Understanding the Problem 4 The daily living skills most affected by aging and chronic illnesses or disabilities include: basic self-care activities dressing, bathing, eating, toileting, getting in and out of bed activities for living independently cooking, laundry, driving, managing money, using the telephone Understanding the Problem 5 Problems in doing daily living tasks are closely linked to health problems Understanding the Problem 6 Problems of daily living are often a matter of degree Understanding the Problem 7 In most cases, the older person will be the best judge of their own need for help with daily living Understanding the Problem 8 Do not arrange for someone to come into the home to help without discussing it with the older person first Understanding the Problem 9 Your goals are to: Maintain the older person’s ability to function as independently as possible for as long as possible Arrange for appropriate care Involve the older person in planning the care Call for professional help when needed When to Get Professional Help When to Get Professional Help 11 You want to learn better ways to help the older person with daily activities 11 When to Get Professional Help 12 You and your family cannot give the kind or amount of help that is needed 12 Where to Get Help 13 Your local Area Agency on Aging Home health agency Healthcare provider’s office or hospital 13 What You Can Do To Help What You Can Do To Help 15 Work with the older person in developing a plan to provide the help that is needed What You Can Do To Help 16 Encourage a positive attitude toward change What You Can Do To Help 17 Support the older person’s efforts to manage daily activities What You Can Do To Help 18 Organize help from family and friends What You Can Do To Help 19 Arrange for and supervise paid help 19 Suggestions for Daily Living Dressing Suggestions 21 Avoid pullover shirts and clothing with difficult fasteners Dressing Suggestions 22 Shop for special clothing in home care catalogs or websites Dressing Suggestions 23 Use grabbers to reach socks and put them on Bathing Suggestions 24 If bathing is difficult, limit full tub baths or showers to once weekly Bathing Suggestions 25 Install grab bars or a bath chair Bathing Suggestions 26 Avoid baby oil in the tub or in bath water Avoid bubble baths Grooming Suggestions 27 Consider using large combs, hairbrushes, and toothbrushes Shampooing and Hair Care Suggestions 28 Consider arranging for regular visits from a hair stylist Shampooing and Hair Care Suggestions 29 Consider using a shampoo tray to wash hair in bed Shampooing and Hair Care Suggestions 30 Consider using no-rinse shampoos Foot Care Suggestions 31 Soak feet every weekly or other week Foot Care Suggestions 32 Call a foot doctor (podiatrist) about nail or foot fungus and hard-to-cut toenails Toileting Suggestions 33 Consider raising the toilet seat Consider grab bars by the toilet Toileting Suggestions 34 Consider replacing the toilet with one made for disabled people Toileting Suggestions 35 Consider placing a portable commode by the bedside chair for quick access Lighting Suggestions 36 Consider using remote control lighting devices or motion-sensitive night lights Moving In and Out of Bed Suggestions 37 Encourage the older person to sit and dangle legs before standing Eating Suggestions 38 Use utensils with large handles if hands are weak Eating Suggestions 39 Consider serving small meal portions Eating Suggestions 40 Make snacks available between meals Shopping Suggestions 41 Encourage the older person to join you in shopping Shopping Suggestions 42 Consider getting help for shopping Preparing Food Suggestions 43 Consider preparing meals in advance and freezing them 43 Preparing Food Suggestions 44 Consider using Meals-on-Wheels Carrying Out Your Plan Possible Problems Carrying Out Your Plan 46 “Helping with daily activities seems endless; I don’t see any progress.” “I don’t think the paid helper is doing a good job, but my mother is reluctant to criticize.” Possible Problems Carrying Out Your Plan 47 “What happens if the paid helper is sick? How do I get help then?” “My family is dissatisfied with the paid help we have for my mother. They want perfection and that isn’t possible.” Possible Problems Carrying Out Your Plan 48 “My father has always taken care of himself and he is absolutely against getting outside help, but I can’t give him the help he needs by myself.” Possible Problems Carrying Out Your Plan 49 Think of other problems that could interfere with carrying out your plan. Checking On Progress 50 Set reasonable goals for yourself and for the older person If Your Plan Isn’t Working 51 The older person might need a little more time to accept and adjust to the changing situation For More Information 52 Visit www.HealthinAging.org Call the AGS Health in Aging Foundation at 1-800-563-4916 This Caregiving Tips program is based on the 2004 Eldercare at Home, 2nd Edition presentation kit, and has been updated by the AGS Public Education Committee. Copyright © 2015 by the AGS Health in Aging Foundation
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