Falls Prevention 2023

Take steps to prevent falls

For an older adult, falls can be serious and threaten their ability to remain independent. However, falls do not have to be an inevitable part of aging. There are ways for you and your loved ones to prevent falls. In recognition of Falls Prevention Awareness Week (Sept 18-22), here are four things the CDC recommends to help prevent you or your loved ones from experiencing falls:  

1. Talk to your Doctor

  • Ask your doctor or healthcare provider to evaluate your risk of falling.
  • Ask your doctor or pharmacist to review your medicines for any side effects that may cause dizziness or sleepiness.
  • Tell a provider right away if you fall, worry about falling, or feel unsteady.

2. Do Strength and Balance Exercises

  • Do exercises that make your legs, and core stronger and improve your balance. Ask your doctor about the best exercise program for you.

3. Have Your Eyes and Feet Checked

  • Have your eyes checked by a doctor annually. Get a pair of glasses with only your distance prescription for activities such as walking.
  • Have your healthcare provider check your feet once a year. Discuss proper footwear and ask whether seeing a foot specialist is advised.

4. Make Your Home Safer

  • Get rid of trip hazards (i.e., throw rugs, electrical cords, pet toys).
  • Add grab bars inside your shower or bath and next to the toilet.
  • Put railings on both sides of the stairs.
  • Make sure your home is well-lit.
  • Use non-slip mats in the bathtub and on bathroom floors.
  • Wear well-fitting shoes around the house.

Stay healthy and independent in your community by reducing your risk of falling. One quick and simple way to assess your risk is by using the National Council on Aging’s (NCOA) Falls Free CheckUp tool. On top of their risk assessment tool, the NCOA provides a useful infographic that you can print and share with others.

In addition to these beneficial tactics, Boston Senior Home Care offers a variety of health and wellness programs and healthy aging workshops that empower individuals to take charge of their health by learning self-care techniques and ways to maintain an active and healthy lifestyle.

To learn more about the programs we offer, click here.

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Staying Safe in the Summer Heat

Hot weather can be dangerous and too much heat is not safe for anyone. However, for older adults, people with disabilities, and those with chronic health conditions, the thermometer doesn’t have to hit 100 degrees to cause heat stress or even heat stroke.

Tips for Staying Cool

Caregivers can help prevent a heat-related emergency by keeping a loved one cool, watching for signs of heat stress, and following these tips for dealing with the summer heat:

  • Wear cool clothing. Make sure to dress in light-weight, light-colored, loose-fitting clothing, preferably of natural fabrics like cotton.
  • Keep cool. If you don’t have air conditioning, the City of Boston opens public cooling centers during periods of extreme heat.
  • Cover windows. During the day, draw the curtains on all windows that are in direct sunlight. Open windows at night and use fans to circulate cooler air.
  • Avoid direct sun and stay indoors during the hottest hours, 11 AM to 4 PM. When outdoors, make sure it’s during cooler hours and that there is shade or cover available.
  • Eliminate or limit physical activity. If a physician approves light exercise such as walking and movement exercises, limit it to short periods during cooler hours. Eliminate entirely on very hot days.
  • Drink plenty of fluids. Give the person in your care plenty of water even if they say they’re not thirsty. Be careful with caffeinated drinks such as coffee, tea or energy drinks.
  • Monitor medications. Find out if the person’s medications increase his or her risk for heat stress. Be sure to ask a physician about all the medications being taken, including over-the-counter items.
  • Be alert! Remember that a cognitively-impaired person may not be able to tell you when they’re feeling hot or ill. Also, older adults tend to feel colder than younger people so they may not sense the danger of hotter weather.

Signs of Heat-Related Illness

If you are caring for an older adult or person with a disability, it’s important to learn the signs of heat-related problems. Seek medical assistance for any of the following signs and, if you suspect heat stroke, call 911.

  • Headache, nausea, and fatigue are common signs of heat stress.
  • Heat syncope can include sudden dizziness, pale, sweaty-looking skin that is moist and cool to the touch, weakened pulse, and rapid heart rate.
  • Heat exhaustion can be a warning that the body is getting too hot. Watch for thirst, giddiness, weakness, lack of coordination, nausea, and profuse sweating. Urination decreases and the person may vomit.
  • Heat stroke can be life-threatening. Body temperature rises above 100 degrees Fahrenheit, and the person may become confused, combative, behave bizarrely, feel faint, and stagger. Pulse is rapid. Skin is dry, flushed and may feel hot. Lack of sweating. Breathing may be fast and shallow. Pupils may widen or dilate.

Important Points to Remember

Older people, people with disabilities, and those with chronic health conditions can have a difficult time dealing with heat and humidity. The temperature inside or outside does not have to be high to put them at risk for a heat-related illness.

Headache, confusion, dizziness, or nausea could be a sign of a heat-related illness. Go to the doctor or to an emergency room to find out if treatment is needed.

To keep heat-related illnesses from becoming a dangerous heat stroke, remember to:

  • Get out of the sun and into a cool place, ideally air-conditioned.
  • Drink fluids but avoid alcohol and caffeine.
  • Shower, bathe, or dab off with cool water.
  • Lie down in a cool, dark place and rest.

Signing up for Alert Boston is a great way for caregivers and older adults to be notified in the event of an emergency. If the City of Boston declares an extreme heat event, you will receive a direct message via text, call, or email. For more information on resources, call 3-1-1 or visit boston.gov/heat.

For additional information on keeping your loved one safe, please feel free to contact Boston Senior Home Care. Our Caregiver Advisors will connect you with the resources and expertise you need to navigate your caregiving journey.

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Planning ahead can help caregivers take a summer vacation

It’s finally summer! The days are getting longer and warmer; for many, thoughts turn to a vacation. Unpaid family caregivers often dream of relaxing and refreshing during the summer months. But a few days away with friends and family to recharge and enjoy summer fun seems impossible when you have so much caregiving responsibility.

Being a caregiver to a friend or family member can be incredibly fulfilling. But it also has challenges. That’s why realizing and accepting the physical and mental health benefits of taking a break is essential – especially during New England’s lovely summer weather. Whether it’s an overnight trip or a few restful days at the beach, don’t discount the power of self-care. Taking a vacation is possible. It just requires more advanced planning.

The first step in planning is determining who will fill in for you. One option is to call upon a sibling, a relative, or a close family friend to help so your loved one can stay in their familiar surroundings while you are away. Ask someone who can handle an emergency and is as vested in your loved one’s care as you are. It’s important to give them a detailed list of medications and their schedules, typical daily routines, diet, care instructions, and the phone numbers of physicians and others to call in case of an emergency. Encourage and request that friends and neighbors drop in for a visit while you are away.

If your loved one does not need 24-hour care or supervision, adult day care programs are an option. They offer social activities, meals and snacks, entertainment, and mental stimulation.  Many are open Monday-Friday, and some offer transportation to and from their locations. 

Another option is respite care. Many assisted living and skilled nursing facilities offer short-term respite stays for older adults so caregivers can take a vacation or deal with a family emergency. During a short-term respite stay, your loved one typically receives personalized care, daily activities, including three meals a day, medication management, and opportunities to socialize with others. Short-term respite stays are typically five or more days.

Not sure which option is best for you?  We can connect you with services and supports based on your specific caregiving needs and preferences, including a respite care stipend, available respite care, or adult day care programs. 

To learn more, please contact us at 617-292-6211 or visit us at bshcinfo.org/caregiver to be connected with one of our caregiver advisors for an assessment of your caregiving needs.

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ARCHANGELS and Boston Senior Home Care awarded a grant to expand caregiver access and inclusivity of respite care.

The grant supports Any Care Counts, a novel approach to caregiver engagement and service delivery.

BOSTON, MA – June 1, 2023 – ARCHANGELS, a women-owned Massachusetts company, and Boston Senior Home Care, a nonprofit human services organization, received a $649,075 grant from the Massachusetts Executive Office of Health and Human Services (EOHHS). Funds will be used to implement Any Care Counts – Massachusetts, an innovative initiative designed to increase recognition and support of unpaid caregivers in the Commonwealth. The ARCHANGELS platform provides the 43 percent of adults who are unpaid caregivers with access to the Caregiver Intensity Index™, an online tool that evaluates the drivers of intensity that many caregivers experience daily, which can affect their mental health and wellbeing. The resulting Caregiver Intensity Score acknowledges the challenges faced by unpaid caregivers and helps them navigate the many resources available that can have a positive impact on their caregiving journey, such as respite services offered through Boston Senior Home Care’s Caregiver Solutions program. 

“Learning we were awarded this visionary grant — alongside the extraordinary team of rock stars at Boston Senior Home Care — was one of those moments that made us want to jump around in glee. The Commonwealth of Massachusetts has been leading the way in supporting the often-invisible population of unpaid caregivers serving as the backbone of our communities. Thanks to the EOHHS, we can strengthen awareness, validation, and access to these extraordinary caregivers in data-driven ways that inform state-wide efforts and ongoing support,” said Alexandra Drane, co-founder of ARCHANGELS.

“We are extremely grateful to the EOHHS for their generosity in providing this grant opportunity. And we look forward to working in partnership with ARCHANGELS to expand access and enhance the resources currently offered through our existing caregiver program,” said Meg Hogan, Chief Executive Officer of Boston Senior Home Care. “Our goal is to identify more caregivers in need of respite services and ensure they have access to the resources and supports they need in a culturally inclusive manner.”

In a recent report to Congress, the RAISE Family Caregiving Advisory Council identified the need for an information campaign designed to “bring family caregiving out of the shadows and make it a dinner table conversation in every home”. Any Care Counts will address this need through an extensive social media campaign to increase awareness of the program among caregivers throughout Greater Boston. “Often, caregivers don’t recognize themselves as being caregivers nor do they know how to reach out for support,” said Alicia Gomez, Chief Operations Officer of Boston Senior Home Care.

“We know that 79 percent of caregivers change their answer from ‘I’m not a caregiver’ to ‘I am a caregiver’ after getting their Caregiver Intensity Score,” said Drane. “Seeing ourselves in this role is an ‘aha’ moment that explains why we feel the intensity we do as we care for others, gives us the language to explain that feeling to others, and connects us to things that can help. The result of this partnership will also provide a data-driven roadmap that can extend the impact of these learnings across the state.”

“This project will help raise awareness of the many services available free of charge to caregivers,” said Gomez. “Boston Senior Home Care will also use the Caregiver Intensity Score data to tailor counseling, support, and resources to individual caregivers’ evolving needs.”

About ARCHANGELS

ARCHANGELS is a women-owned, Massachusetts-based company shamelessly hustling to make change happen for unpaid caregivers across the nation. Their omnichannel data-driven platform engages caregivers wherever they are — even those who do not see themselves in the role. It not only validates their experience but navigates them to existing resources — yet often underutilized due to lack of awareness — including respite services of all types. ARCHANGELS works with states, employers, healthcare providers, and payers to create an impact for caregivers in their communities. For more information, visit www.archangels.me.

About Boston Senior Home Care

Boston Senior Home Care is a private, nonprofit human services agency dedicated to ensuring that

older adults, individuals with disabilities, and caregivers have equitable access to social services and supports, and independent living resources. Since 1974, we have provided in-home care and community-based services that enable low-income older adults and people with disabilities to live in their place of choice for as long as possible. Boston Senior Home Care is one of Boston’s Aging Services Access Points (ASAPs), serving the neighborhoods of Beacon Hill, Charlestown, Chinatown, Dorchester, Downtown Boston, East Boston, Mattapan, North End, South Boston, and West End. For more information, visit www.bshcinfo.org.

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Social Workers – A Caring Profession

March is National Social Work Month when we recognize the importance of social workers and the critical role they play in helping improve the lives of others. This year’s theme from the National Association of Social Workers is “Social Work Breaks Barriers,” which focuses on how social workers help individuals, families, and communities overcome personal, economic, and social challenges. Social work is considered a caring profession. Helping others and making the community a better place is a driving force in social work. 

Social Workers Break Down Barriers

Social workers are highly skilled professionals trained to examine and holistically address life’s problems. They elevate and empower people, giving them the ability to cope with personal roadblocks and help them navigate the health and social services network so they can get the resources they need. Social workers can be found in organizations throughout the community including schools, hospitals, clinics, senior centers, child welfare organizations, addiction treatment centers, and community-based organizations like Boston Senior Home Care. 

“A social worker’s role is to help individuals and families achieve their fullest potential, which often requires breaking down economic, social or political barriers to getting them the services they need,” said Susan Tena, MSW, LICSW, Senior Director of Program Development. “They help people overcome challenges by developing interventions or care plans to help them get the services and supports they need. For example, if a family is struggling to afford healthy food, a social worker can help them apply for nutritional assistance, such as SNAP.”

The primary mission of the social work profession is to help meet the basic human needs of all people, with particular attention to the needs and empowerment of people who are vulnerable, oppressed, and living in poverty. “At Boston Senior Home Care, our social workers are experts at understanding the needs of the culturally diverse and often underserved people we care for,” said Abigail Swanson, LICSW, Caregiver Advisor in the Caregiver Solutions program. “Many of our consumers live in difficult circumstances where emotional suffering and stress are commonplace including our caregiver and home care programs.  Social workers work collaboratively and individually and play a key role in connecting consumers with support services while acting as an advocate and advisor.”  

Connecting caregivers with in-home services and supports to help them care for an aging loved one or family member is a powerful example of how social workers make a difference in people’s lives. For example, they can help arrange for in-home safety modifications such as grab bars to be installed in the home, and arrange for respite care or an adult day health program.

Community-based organizations, such as Boston Senior Home Care, rely on the commitment, expertise, and compassion of social workers who work tirelessly to address the needs of those we serve. During Social Work Month, let’s take time to thank social workers for dedicating their lives to helping people live healthy and fulfilling lives.

If you need services and supports but don’t know where to turn, contact us. We are here to help you!

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Spending Time with Loved Ones

Holiday gatherings are cherished traditions for many families. It’s a time when we get to eat delicious food and enjoy being together. The holidays also allow us to spend time with older loved ones and note any changes in their health, or home environment. During your visit, you may see subtle or substantial signs that an older adult in your life needs help to safely age in place. It’s important to be proactive and keep your eyes and ears open.

A multigenerational family eats together at a dinner table. Older adults enjoying time with a younger child at the dinner table. It is important to watch older adults throughout your holiday visits.

Ten tips for observing older adults during your visit:

1. Do a home safety inspection. Make sure to test smoke alarms and check the house for loose wiring and improper lighting. Pay close attention while inspecting stairways and walkways. 

2. Take a look around the kitchen. Place dishes and pans on convenient, easy-to-reach shelves.

3. Assess the house for excess clutter, dust, or other signs that assistance with housecleaning is needed.

4. Check the refrigerator and pantry to ensure there’s enough food and other supplies. Ensure there are enough supplies for beyond the holidays.

5. Install grab bars in the bathroom.

6. Check for scatter rugs and uneven flooring that could cause a fall. Falls are one of the most dangerous problems for older adults.

7. Research local resources for older adults. Things like grocery delivery and transportation services can help keep them safe.

8. Know where important papers, such as insurance cards and advance directives are located.

9. Get an updated medication list from their doctor or pharmacy. Check medicine cabinets for expired medications.

10. Identify one or two neighbors who would be willing to drop in occasionally. Exchange phone numbers and e-mail addresses and encourage them to contact you if they have concerns.

If you think an older adult in your life needs assistance, such as personal care, medication reminders, or light housekeeping, Boston Senior Home Care can help. Our highly-trained staff will work with you to ensure that your loved ones remain safe and independent at home. 

For more information, call us at 617-292-6211 or email us at [email protected]. 

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National Family Caregivers Month

Today, there are more than 65 million family caregivers in the U.S.

That number is expected to grow each year, and many of us will eventually become or need a caregiver at some point in our lives.

In honor of National Family Caregivers month, we’ll describe what a caregiver is and the help available to them.

Are you a caregiver?

Put simply, a caregiver provides care for another person. They often care for older adults, and people with disabilities or illnesses. Generally, there are two kinds of caregivers, paid and trained professionals and unpaid family caregivers. Most people fall under the category of family caregivers.

Family caregivers usually provide care to a child, spouse, partner, other relatives, or a friend. They do it because they love and respect that person and want to be there for them, or out of a sense of duty or loyalty.

Family caregiving can be a rewarding experience. However, depending on the level of care someone needs, it can be challenging.

Services and supports are available

If you find yourself fitting the definition of a family caregiver, you’re not alone. There are many programs available to help you. One example is an Adult Foster Care or Adult Family Care (AFC) program. This program pays eligible caregivers to provide live-in care for someone who needs full-time care. You can find more information about AFC program requirements and benefits here.

Caregiver Solutions from Boston Senior Home Care offers help to caregivers. Our Caregiver Advisors will work with you to put a caregiving plan in place. Our services include:

  • In-home support, such as light housekeeping and meal preparation
  • Respite care, adult day health, and companion services
  • Caregiver counseling, education, and training
  • Referrals to social services and supports
  • Support groups to connect with other caregivers
  • Specialized support for older adults with dementia and/or Alzheimer’s Disease
  • User-friendly technology to keep everyone connected and engaged
  • Electronic pets that look and feel like real dogs and cats to help comfort loved ones with anxiety or dementia

There’s no charge for the program and enrolling is fast and easy. If you or a caregiver you know needs support, please call 617-292-6211 or submit an online referral.

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