July 09, 2021

My Mom has fallen a few times recently. We’re worried about the next time. What if she gets hurt? What should we do?

Falls are more common as we age.  Sometimes it is because of hazards in the home that previously weren’t a problem such as rugs or cords. Other times it is because of a physical issue such as declining eye sight, vertigo, or blood pressure changes such as syncope. What ever the cause, there are ways to make it safer for your Loved One to be safe in their home.

The easiest and first step is to take a walk through the home and do a safety inspection.  Imagine that you are shuffling your feet.  What impedes your progress?  Look at the placement of furniture, is there room to easily maneuver? Are there hazardous electrical cords, extension cords, or wires that can be made safer?  Look to see if there are piles of stuff that can be cleaned up, organized or moved. Once you have fall-proofed the walking areas you can move on to more complex items like supports in the bathroom where falls often occur. A profesionally-installed handrail can make your loved one more secure getting in and out of the shower/tub. A bench for the shower/bath can also help. There are many solutions available to make the home safer for seniors at risk to fall. 


If medical issues or physical conditions aren’t already being addressed, now is the time to talk to the doctor about your concerns. The doctor can follow up on medical causes of unsteadiness. You should also take into cosniuderation if your Loved One has had a stroke, their vision may be impaired on one side so they won't notice obstacles on the affected side.  




At Shylo, our Geriatric Nurse Specialists are very experienced with assessing safety in the home. When setting up care, we come to the home to assess the client’s needs and can suggest ways in which the home can be made safer. With over 40 years of experience, we have lots of great ideas.  Also, once we are providing services, our Registered Nurses make complimentary monthly visits to ensure the client is doing well and if additional changes should be made.



June 28, 2021

Help Seniors Stay Hydrated in This Heat

The weatherman says the temperatures are going to get into the 40’s this week so we all need to drink plenty of fluids so we don’t get dehydrated. The Lower Mainland is blessed with gorgeous sunny days this month, but as the temperatures reach 40 degrees Celsius, we can easily become dehydrated. For many people, especially seniors, hot weather can be very dangerous and even deadly.  Hot weather can lead to body water loss, dehydration and heat stroke and more than 300 people die each year from heat-related illnesses. Studies show that most people, particularly seniors, do not drink enough fluids. They also may be taking medications such as diuretics for high blood pressure which cause additional fluid loss. A recent study of healthy retirees found 8% had moderate dehydration and 33% had chronic, mild dehydration.

Here’s a few pointers to stay safe in this unusually warm weather:

Keep Hydrated: The most important thing for seniors to do during hot weather is to keep hydrated. Drink plenty of fluids such as water but avoid diet sodas, coffee, tea and alcohol as they dehydrate the body even more.


Water is the best fluid replacer. Drink cool water because it’s absorbed faster and we’ll usually drink more of it because it’s more refreshing and tastes better. Try drinking fruit juice diluted with plain water or sparkling water for a refreshing lift. Drinks with electrolytes are an excellent option to keep our bodies strong and hydrated.

Eating water-rich foods such as watermelon, cantaloupe and grapes also supply valuable extra fluids.  Homemade fruit slushies are also good for hydration (but avoid the sugar-filled, commercially-prepared slushies like the ones you can find at 7-11). Try to eat as normally as you can, but eat more cold foods like salads and fruits. *Seniors who are on fluid restrictions or have epilepsy, heart, kidney or liver disease, or have problems with fluid retention should consult their physician before increasing their fluid intake.


Slow Down: Limit your strenuous activities and reschedule them to when the weather will be cooler.  If you must do strenuous activities, do them early in the morning before 8:00 am.  To prevent dehydration during prolonged physical activity when it is hot, consume fluids regularly during the activity and drink several glasses of water after the physical activity.

 

Stay Cool:  Cooling showers and baths can help keep your temperature down but avoid taking a cool shower immediately after coming in from the hot weather as it can result in hypothermia, especially for older adults. Splash your face and the back of your neck with cool water several times a day. Wear a loose, damp cotton cloth or scarf on the back of your neck and keep refreshing it in cold water throughout the day. 

 

Be aware of the symptoms of heat-related illness:

Heat Stroke (aka ‘sun stroke’) is an extremely serious, life-threatening situation. Symptoms to watch for include hot body temperature, dry or hot red skin, changes in consciousness, and vomiting. If you or someone you are caring for is suffering from Heat Stroke, you must immediately cool the body. Immerse the over-heated person in a cool bath (water should be cool to the touch, not freezing cold), or wrap wet sheets around the body and fan it.  Watch for signs of breathing difficulties. Keep the person lying down and continue to cool the body any way you can.  If the victim refuses water or is vomiting or there are changes in the level of consciousness, do not give anything to eat or drink and CALL 9-1-1 immediately.

Heat Exhaustion is caused by doing strenuous exercise or physical labour in the hot weather.  The person's face will be pale or flushed with heavy sweating and possibly nausea and dizziness. If someone you know is exhausted, has a headache or is exhibiting these signs, move them to a cool place and call 9-1-1.   Apply cool, wet cloths, fan the person and give them small amounts of cool water to drink slowly.

Heat Cramps are muscular cramps in the legs or abdomen that signal the body has lost electrolytes and fluids due to exposure to high heat and humidity.  Drink an electrolyte-enhanced drink like Gatorade or Powerade, or you can make your own.  Mix together in a tall glass: 2 squeezed Lemon halves, 2 squeezed Orange halves, a squirt of Honey, 4 shakes of Salt, and then fill the rest of the glass with cool water and enjoy. Other recipes can be found at http://tinyurl.com/8yqxehx 

PLEASE ALSO REMEMBER OUR PETS NEED TO STAY COOL AND HYDRATED TOO

  

Every year dogs suffer and die when their guardians make the mistake of leaving them in a parked car, even ‘just for a minute’.  On a 25° C (78° F) day, the temperature inside a parked car can soar to 38-48° C (100-120° F) degrees in just 5 minutes, and on a 30° C (90° F) degree day, the interior temperature can reach as high as 70° C (160° F) degrees in less than 10 minutes.

Parked Cars Are Deathtraps for Dogs!  Animals can sustain brain damage or even die from heatstroke in just 15 minutes.  Beating the heat is extra tough for dogs because they can only cool themselves down by panting and by sweating through their paw pads.

Watch for heatstroke symptoms such as: 

Restlessness, excessive thirst, thick saliva, heavy panting, lethargy, lack of appetite, dark tongue, rapid heartbeat, fever, vomiting, bloody diarrhea, and lack of coordination.  If a dog shows any of these symptoms, get him or her out of the heat, preferably into an air-conditioned vehicle, and then to a veterinarian immediately. 

If you are unable to transport the dog yourself, take him or her into an air-conditioned building if possible and call the BC SPCA Call Centre: 1-855-6BC-SPCA (1-855-622-7722); Tell them it is an emergency!

We hope this brief review of the benefits of hydration and risks associated with dehydration have been helpful. Be prepared, drink plenty of fluids and enjoy a safe and healthy summer. 

 


May 23, 2021

I’m exhausted! My parents need help, my kids need help, I am working full-time and need some time to myself.


Does this describe you? You embody the Sandwich Generation; you want to support everyone which leaves little time for yourself. 

This is why community support is so important. How can you get your parents some help without them feeling you’re abandoning them? How can you convince your previously independent Mother to accept help from someone other than you?


At Shylo, we have over 40 years of experience supporting families through these transitions.


We find the easiest, most effective way to find some relief is to start slow. Instead of saying yes to taking time off work to drive your Mom to every appointment, let her know that you’ll contact Shylo to have one of our mature and experienced Companion drivers help her out. 



While assuring your Mom that she is still managing her home, and her meals nutritious, you can gently suggest that she have a Shylo Homemaker come in to help her with the heavier chores such as changing the bed linens, the weekly laundry and floor cleaning. As little as four hours a month can get her comfortable  having someone around the house and for her to see just how helpful it is.

 

From this place of comfort with having help as needed, care can increase. The Shylo Home Healthcare care team range from Homemakers and Companions, to highly trained Home Support Workers, and all staff and clients receiver complementary RN Support and supervision. 

Shylo Caregivers can help with basic housekeeping and meal preparation, all the way through Palliative Care to ensure a smooth transition as your loved one ages in place in their community. 

#seniors #homecare #ageinplace #seniorcare #homemakers #homesupportworkers #nursing

May 09, 2021

Concerned About a Senior?

I’m concerned about my elderly neighbour. She has no family and seems to be declining.  What should I do?

At Shylo we often get calls from concerned friends and neighbours when their normally independent senior friend seems to be forgetting things or not taking care of themselves or their home. They wonder how to help or who to call to help with the situation. 

There are several supports in our community for this person. The first call we suggest they make is to Vancouver Coast Health, in Vancouver call 604-263-7377, in Richmond call 604-675-3644, and on the North Shore call 604-986-7111. Here you can request that your friend have an assessment to see what in-home support might be available to them. We also suggest contacting the family doctor; sitting down with your friend while you make this call works best as you can be their advocate while they describe their situation and see what suggestions the doctor has and note them down. 


Ideally, as neighbours and friends, we can watch out for the seniors in our community who might not have local family support. Ask them about if they have support and their plans for the future. Ask how you can help them to be prepared for the future. Discuss setting up a Healthcare Representative and determining if they want to stay at home or move into a facility when the time comes that they can’t manage everything on their own. They may also want to speak wot a lawyer about arranging a financial Power of Attorney. If you do not know a reputable estate lawyer, Shylo can refer you to one we know and trust.


If they want to stay home and age in place, there are many supports that Shylo has to offer. Our Rides by Shylo service is used by people who need help getting to appointments, help with grocery shopping or running errands, need a ride home from Day Surgery, or who just want to get out for a walk or some socialisation. A study published in the Journal of Neurology Neurosurgery & Psychiatry found that seniors who reported feeling lonely — regardless of how many friends or other residents surrounded them — were more likely to experience dementia than those who lived on their own.


We have Homemakers who can help around the house, prepare meals and be a companion. When help is needed with bathing or toileting, medication reminders, and more hands-on care, our Home Support Workers step in. We also have many Caregivers with specialised training in dementia care, transfers and mobility, working with TBI clients, as well as stroke recovery and post-op rehab.

 

For suggestions on how to have this conversation or questions about our services call Shylo at 604-985-6881 today to speak with one of our Geriatric Nurse Specialists.