More Than Meets the Eye, True Stories about Death, Dying, and Afterlife covers many aspects of the dying and grieving process and sheds light on euthanasia, suicide, near-death experience, and spirit visits after the passing of a loved one. ___________________________________________
Showing posts with label elderly. Show all posts
Showing posts with label elderly. Show all posts

Monday, July 1, 2013

Caregiving Tips for Boomers: 5 Tips for Decreasing the Cost of Caring for Elderly Parents

By Dr. Vicki Rackner

Over 30 million Baby Boomers provide countless hours of assistance to elderly parents at no charge. It is estimated that, using average hourly wages, the total amount of this uncompensated care is comparable to the entire Medicare budget. For the estimated 7 million Boomers who provide long distance care, actual out of pocket expenses amount to almost $5,000 per month. For caregivers who have, or are considering leaving the workforce to care for an ailing parent, the costs are even greater - over $650,000 in forfeited salaries, benefits and pensions.

This stark economic reality shows only one dimension of the price caregivers pay for this act of love.

Caregivers pay with losses that extend well beyond their bank accounts. They often forego the activities that bring joy and richness to their lives, like meeting friends for dinner, or going out to the movies or taking family vacations. They pay with their time, the loss of professional opportunities and the erosion of personal relationships that result in isolation.

Sometimes, otherwise healthy loved ones need a short dose of care as they recover from an acute medical episode like a broken leg. Usually loved ones are on a path of steady decline with cascading assistance needs. Some caregivers sacrifice large chunks of their own lives as they help their parents and other family members and friends peacefully make their transitions. Caregivers can pay with their own health and well-being. In fact, we have evidence that some caregivers pay for their acts of care with their very lives.

You can decrease the personal and economic costs of caregiving. This means proactive planning rather than reactive responding. Planning saves money. You know this as you reflect upon your experiences of going to the grocery store with and without a shopping list. Planning also minimizes personal wear and tear and decreases stress. You will feel much better when you know your options and develop back-up plans before you jump into a challenging project.

5 Tips to Decrease the Cost of Caregiving:

1. Begin the conversation today. We have tremendous cultural resistance to the recognition of aging, disability and death. Just as the first few steps uphill are the hardest, so, too, you may meet the greatest resistance simply starting the conversation about their possible need for care. Say today, "Mom and Dad, it would be great if you lived forever, but the discovery for the fountain of youth is nowhere on the horizon. What thoughts and plans do you have about enjoying your golden years?"

2. Create a plan. Talk with your parents about their ideal plan if they are no longer able to care for themselves. Then, start to work toward that proactively. Investigate long-term care insurance. Draw up the appropriate legal documents. Find out who would make medical choices if they were not able to make them on their own, along with some guiding principles for the choices. You can anticipate and limit parental resistance by saying, "Mom and Dad, I just got back from the lawyer's office signing my will and durable medical power of attorney. I've asked Mitch to make my medical choices if I cannot make them myself. Just so you know, if I were in vegetative state, I wouldn't want to be maintained on a machine. You probably already planned ahead too, right?"

3. Use personal and community resources. Make caregiving a family job to which each member contributes. Even children can make grandma's life special with drawings and phone calls. Identify services that make your job as a caregiver easier. If you and your parents live in the same community, check with friends and neighbors and local organizations to learn about services and resources that will make your job easier. You say, "Mom has just moved in with us, and she wants to 'find a card game with the girls.' Do you know of any senior centers that have social events? How about transportation?"

We're a mobile society and millions of caregivers live more than an hour away from their parents. Executive William Gillis learned from his own personal experience how challenging it is to identify community resources from afar. As he was carving the path that ultimately led his on-line portfolio management service, he became the caregiver for his father. Talk about mixed emotions!  Professionally, he was introducing a service that let millions manage their investments with one click of a computer mouse. Personally, he was investing untold hours just to find one bit of information to help his dad."

As with so many innovators, he used his personal and professional experience to launch Parent Care (www.parents-care.com), a service that he wished would have made his life as
a caregiver-at-a-distance easier.

4. Gather cost-savings tips. This might mean something as simple as ordering generic medication or regularly inquiring about senior discounts. But, most cost savings opportunities aren't as obvious. Mr. Gillis found, for example, that some states will pay for phones for hearing, visually or mobility limited seniors or fund home safety improvements. He said, "We've invested heavily to locate time and money saving resources that most would have difficulty finding. I made it a personal mission to help other caregivers avoid some of the costs and frustration I encountered." You don't have to re-invent the wheel. Tap into the resources others have collected.

5. Take care of yourself. You will be able to provide the best care as a caregiver when you're at your best. Get good nutrition, enough sleep and regular exercise. Manage your stress and do a little something every day to nurture your soul. Understand that you are at increased risk for anxiety, depression, and weakening your immune system. Talk to your doctor if you see worrisome signs such as problems sleeping, changes in appetite or loss of interest in activities you enjoy.

Despite the costs, most caregivers say that they received much more than they gave. Most say they would do it again, and many do.

Sometimes the question is not the personal cost of caregiving; it's the value that you bring to the lives of others that matter at the end. What personal cost are you willing to pay for the privilege of helping those who welcomed you into the world to enjoy their golden years and travel the road of illness with love and dignity?
Dr. Vicki is a board-certified surgeon and Clinical Instructor at the University of Washington School of Medicine who left the operating room to help caregivers and patients take the most direct path from illness to optimal health. Want more tips about caregiving? Get your free report "Caring for the Caregiver" by emailing Dr. Vicki Rackner today at DrVicki@DrVicki.org and be sure to check out her regular column with the Johnson & Johnson Consumer Products Group’s new caregiver web site http://www.strengthforcaring.com
 
Article Source: http://EzineArticles.com/?expert=Dr._Vicki_Rackner
Article Source: http://EzineArticles.com/248864

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For more information, you might enjoy reading my book, More Than Meets the Eye True Stories about Death, Dying, and Afterlife. Purchase paperback on Amazon.com. It's also on Amazon as an e-book for those who have Kindle or Sony Readers. The audio book is now available!
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Thursday, June 13, 2013

The Benefits of Creating Good Memories

By Dora Carpenter

I spent time recently with my two beautiful children doing nothing. Oh, how precious. What is doing nothing? Nothing for us meant spending time together with no distractions. No distractions of driving, restaurants, amusement parks, crowds of people, shopping centers, beaches, or holiday activities. What did we do? We spent quality time together. Talking, sharing, reliving childhood memories, laughing, joking, and crying. Unconsciously, we temporarily forgot the outside world, the time of day, the situations of life. We were creating good memories for the future.

Often, at funerals and memorial services, we learn things about a person we never knew; and, wish we had gotten to know the person more deeply. We wish we had spent more quality time with them, and created more good memories. Not having, or taking, the opportunity to do so can bring on guilt, one of the deepest emotions of grief. Guilt because of things you didn't do, things you wanted to do, things you couldn't do. In order to move forward with this emotion of grief, begin to look at your own life. Determine what things you can do with family and friends to begin, or continue, creating good memories.

Make quality time a priority on your schedule for family and friends. You will be so glad that you did. Here is an exercise to get you started:

Set aside several hours to dedicate to this exercise. Schedule a time that will work for you and whomever you choose to spend this quality time with, i.e., a family member, close friend, friend you haven't spoken to in a while, a mentor, etc. Set the parameters for this time so both of you agree. I suggest the following:
  • No cell phones, iPads, etc.
  • A place away from home or office to allow for no distractions
  • No time constraints to rush ending the time together
  • No uninvited guests allowed
Well, I'm sure you get the point. I am willing to bet that many will find this exercise difficult to do, especially if you adhere to the "no cell phone" parameter.

Remember that each day you are creating a legacy for the family and friends that you will one day leave behind. Why not make a decision to leave them many good memories?

I would love to hear your results. How did you feel after the exercise? Will you do it again? Why or why not?

Statistics show that it normally takes 5-8 years to recover from a devastating loss. Dora Carpenter, Certified Grief Coach, Certified Life Coach, and founder of The ANIYA Group Life Coaching Center, says it doesn't have to take that long. Her grief coaching practice offers hope, encouragement and support. In her book, "The Grief to Gratitude Blueprint... What to Do When Death Occurs," Dora gives tips on 24-72 hours following a death... and beyond. Download her book at http://www.amazon.com/dp/B0098B86XU. Read more about Dora at http://www.DoraCarpenter.com.

 
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For more information, you might enjoy reading my book, More Than Meets the Eye True Stories about Death, Dying, and Afterlife. Purchase paperback on Amazon.com. It's also on Amazon as an e-book for those who have Kindle or Sony Readers. The audio book is now available!
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Monday, June 10, 2013

Caregiving For Elderly Parents - Managing Money Issues

By Sharon Elrod

Many seniors have elderly parents for whom they provide caregiving. Senior citizens are helping each other when they talk about their various experiences with aging parents. These are some conversations recently observed among seniors talking about parenting their parents.

One had an aging parent in a nursing home in another city. On their behalf, they recently sold some property from an estate for which they were a beneficiary. The funds were then deposited in an account to be used exclusivly for the parent. The procedure was then explained to the parent, whereupon they stated that they expected the funds to be deposited in a local bank account, so they "...can write checks" to use the money. This elderly parent has a slight cognitive impairment and medical reports from several different offices have noted her poor judgment and inability to do effective reality testing over the past decade; she was also recently a victim of an identity theft scam that left her totally perplexed about how she was victimized. She hasn't had access to a checking account for several years, and it became the editor's job to determine how he would handle this situation with his mother.

He decided to write a letter to his mother detailing how the funds were reserved for her use, and why he would remain in control of them, which in effect meant she would not have direct access to the money. He asked her to keep the letter so when she had questions about why she couldn't write checks on the account, she could refer to the letter for a detailed explanation. The letter was written in kind and loving tones, using simple language she could easily understand. He expects to hear questions from her about the funds, and he will both answer the questions as well as refer her to the letter that explains the entire process. He is credited with maintaining a loving and supportive relationship with his mother throughout his life, never giving her any reason to doubt his intentions with relationship to her.

Another senior citizen is dealing with an aging parent who managed his own financial affairs until just the past couple of months. He is severely cognitively impaired and unable to remember anything beyond a few seconds. Long term memory is somewhat better, but even details are confused when he relates a memory from years ago. Over several months, it became clear to the editor and her siblings that he was unable to manage his various investments alone and, in fact, there was some concern about the possibility of identity theft and being a victim of scams on the elderly. She knew action had to be taken sooner rather than later.

She and her siblings agreed they would ask him to voluntarily execute the power of attorney he had prepared several decades ago, realizing that if he did not agree, they would be faced with having him declared mentally incompetent-a place none of them wanted to go. When approached about the POA, he readily agreed to execute it, which now allows two of them to participate in all financial decisions that must be made on his behalf. The siblings are credited with maintaining a loving relationship with him over eight decades which was likely the basis for him feeling comfortable with signing the document.

On the surface, these two experiences have very little in common. However, the seniors discussing the issue agreed they learned an important lesson in caregiving for elderly parents: There aren't any 'rules' for how to deal with financial issues with elderly parents. Each situation must be carefully evaluated, taking in to account all the dynamics and variables that affect where the parent is at a given point in time, knowing that can change in the future. The best advice coming from the discussion is to act from a position of love and caregiving for one's parent, evaluating medical, social, environmental, mental, emotional, psychological realities of the parent, and then asking yourselves how you would want your child/children to act if you were the one receiving care.

Article provided by Sharon Shaw Elrod. Senior Citizen Journal, Your Partner in Productive Aging, provides current and relevant information on topics of interest to seniors. Please visit my web site at http://www.seniorcitizenjournal.com/.

Article Source: http://EzineArticles.com/4512496

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For more information, you might enjoy reading my book, More Than Meets the Eye True Stories about Death, Dying, and Afterlife. Purchase paperback on Amazon.com. It's also on Amazon as an e-book for those who have Kindle or Sony Readers. The audio book is now available!
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Monday, May 13, 2013

Caregiver Stress - 6 Tips to Avoid Burning Out

By Martin R. Sabel

Taking care of an elderly parent can be a Jekyll and Hyde experience for family caregivers.
On the one hand providing care to an aging parent can be very rewarding. It brings the caregiver adult child and their parent closer together. On the other hand, increasing responsibilities ramp up caregiver stress and heightens tension within the family. Anxiety and worry increase when the caregiver is maintaining a job, caring for his or her own children, leads an active social life, and must travel to care for the elderly relative.

The tasks of caregiving - running errands, cooking, cleaning, home maintenance, taking your mom or dad to doctors - appointments often exacts both an emotional and physical toll on the caregiver. In fact the pressures of caregiving are so great that 58% of caregivers show symptoms of clinical depression.

Pay attention to how you are feeling. To be an effective caregiver to your aging parent means staying alert to the warning signs of excess stress. Some of the common signs of caregiver stress include:
  • Feelings of sadness
  • Moodiness
  • Excessive crying
  • Low energy
  • Feeling isolate
  • Difficulty sleeping
  • Over and under eating
  • Withdrawal from family and/or friends
  • Excessive wait gain or loss
  • Anger towards the care recipient or other family members
These signs are leading indicators of depression. Depression impacts not only your ability to care for someone else, it harms your mental and physical health, too. If you feel you need more help, you're not alone. According to a study by Home Instead, the national in-home, elderly companionship and home care company, three out of every ten family caregivers agree they could use more help.

Six Tips That Manage Stress and Avoid Caregiver Burnout
  1. Hire professional, non-medical caregiving assistance to give you important relief from the daily demands on you.
  2. Ask your family and friends to help. It's less expensive than hiring someone and you know the qualify of care your parent will get.
  3. Get informed about your elderly parents condition. Contact disease specific support groups. They offer a wealth of information to help you understand what is happening to your loved one and what to expect in the future. Most have active caregiver support groups that can help you better cope with increasing stress.
  4. Get your loved one assessed. A geriatric care manager can provide an accurate needs assessment of your loved one. Doing so extends your caregiving abilities, can conserve family resources, and often helps prevent the need of a nursing home.
  5. Learn stress-management exercises such as yoga or tai-chi. The exercise is good for your overall health and the emphasis on inner balance and relaxation is good for your mental well-being.
  6. Take a break. Caring for an elderly parent is a job. Getting away from the daily grind allows you to recharge yourself. Make arrangements to take a few days off and arrange for help with family and friends, volunteers from church or professional caregivers.
Caregiver burnout is avoidable. To manage caregiver stress requires proactively taking care of yourself while taking care of your aging parent.

With the right information, you can reduce caregiver stress, keep your life in balance, save money and get better care for your elderly parents. To help you reduce the anxiety of caring for an elderly parent, I invite you to instantly access my FREE Weekly Eldercare Advisor. You'll discover both practical caregiving strategies and important resources for taking care of elderly parents without bankrupting yourself emotionally or financially.

Article Source: http://EzineArticles.com/?expert=Martin_R._Sabel
Article Source: http://EzineArticles.com/3746282

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For more information, you might enjoy reading my book, More Than Meets the Eye True Stories about Death, Dying, and Afterlife. Purchase paperback on Amazon.com. It's also on Amazon as an e-book for those who have Kindle or Sony Readers. The audio book is now available!
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Monday, April 22, 2013

What You Need to Know About Hospice Care

By A Aaronson Death and dying is a difficult topic to think about and talk about but one that cannot be avoided indefinitely. It is something that every person must be willing to discuss at some point in their life. You may have a family member who is not doing so well. His physician may be bringing up the subject of hospice but you may be reluctant to consider it. Perhaps you are not as clear about what this care is all about. Lifting the veil can help bring you peace of mind and can make it easier to make the right decision for the person you love.

Hospice is often thought to be a place, such as a hospital or a health center. But it is actually a service and not a place. This form of palliative care can be brought into the home of the ill person. It can be provided at a nursing home, assisted living facility or in a hospital setting.

Most people wish to stay in their own homes as long as they possibly can. Hospice care in this case can come right to the residence. But if the individual's condition worsens and/or their care becomes too difficult to manage and they must move elsewhere, short-term inpatient care can come to the new location.

Hospice provides your loved one with a variety of professional services. Routine nursing visits are available for your family member, as are after hours visits, if need be. What this means is that the nurse will visit as regularly as the person requires. She will make an assessment as to whether changes need to take place. She will also make arrangements for medication to be delivered to the person. If medical equipment and supplies are needed, she will arrange for that as well.

Emergency medications and oxygen will be sent to the home or nursing facility in order to be on hand in the event of a crisis. When you choose this type of care for your loved one, you can rest assured that the nurse(s) who will be working with your loved one, have every area covered.

As a concerned and loving member of the family, your role will be acknowledged by the nursing staff assigned to your ailing relative. You are sure to have questions about what is taking place. These services are designed to keep your loved one as comfortable as possible. The nurses will field any questions that you have. They will provide you with as much information as you need to better comprehend the situation and to understand the condition of the aging individual. They will also do their part to help you and your family to prepare for what is to come.

Help is never far away when you choose hospice care. Help will come to the residence of the individual. You do not have to take the person to the physician's office. If a problem arises on a weekend or on a holiday, help can be obtained by making a telephone call.

If you have a loved one in need of hospice grand rapids has excellent resources available. To learn more about these services come to http://www.wingsofhopehospice.com.
 
Article Source: http://EzineArticles.com/?expert=A_Aaronson
Article Source: http://EzineArticles.com/7449686

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For more information, you might enjoy reading my book, More Than Meets the Eye True Stories about Death, Dying, and Afterlife. Purchase paperback on Amazon.com. It's also on Amazon as an e-book for those who have Kindle or Sony Readers. The audio book is now available!
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Monday, April 8, 2013

Who Should Consider Hospice Care?

By Aloysius Aucoin

Hospice can be an excellent choice in many situations. There are many times when this decision is hard for the family to make. Yet, when an individual is dealing with numerous medical conditions and is not able to maintain his or her health long term, it may be time to consider this type of scenario. It could provide you with the type of end of life experience you desire for yourself, too. As you consider the options available to you, consider who might find this type of location the ideal choice. It is a hard decision, but sometimes it is very much the best decision.

Does Your Loved One Need Help?

Often, there are situations in which a loved one may want to ensure that a family member's overall comfort is thought about. It can be hard to know if hospice is the right choice. There are some situations that can give you a clue that this may be a good idea, though. For example, have you noticed your loved one losing a lot of weight? This could be due to not eating. Some may find that they are very weak and cannot breathe well. Others have developed sores on their body that are painful and that will not heal well. These are all indications that your loved one needs supportive care.

Do You Need Help?

In some situations, you may want to consider your loved one's ability to care for you. You may be having trouble making it through the day. If you need help walking, eating, bathing and getting dressed, these professionals can help you with that so your family does not have to. They can help you with pain, too. If you are struggling and you need additional help, it may be a good idea to consider this type of care.

Providing Comfort

In some cases, patients are not willing or able to seek out any cure-oriented care for their condition. In these situations, the goal is to make a loved one comfortable instead. That's something that hospice can offer. They can help you to feel more comfortable during this time. Most often, these patients will not make it another six months, but during that time do not want or need to suffer from pain. This setting can provide the patient with the help he or she needs to get through this part of their life.

Making the decision to use hospice services is not easy. However, it is something you can do for your loved one or do for yourself. Make this decision carefully but don't put it off. This is the type of care you or your loved one may need right now.

Finding the right hospice kalamazoo for your family member is a wise and difficult decision to make. The professional and diligent staff at http://www.wingsofhopehospice.com will gladly run through the amenities provided.
 
Article Source: http://EzineArticles.com/?expert=Aloysius_Aucoin
Article Source: http://EzineArticles.com/7463252
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For more information, you might enjoy reading my book, More Than Meets the Eye True Stories about Death, Dying, and Afterlife. Purchase paperback on Amazon.com. It's also on Amazon as an e-book for those who have Kindle or Sony Readers. The audio book is now available!
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Thursday, March 14, 2013

Hospice Care and Palliative Care: Similarities and Differences

By Katrina Millar

For most people there is no difference between palliative care and hospice care, especially to those who are not in the healthcare field. They may seem similar in terms of their philosophy, but these two are quite different in many ways. This article will bring clarity to such confusion. If you know of anyone, may it be your family or friend who is confused between the two, this article will help you get a better idea of what the two types of care are all about. This is also helpful to nurses who are either working for or wanting to work in these types of fields.

What is Hospice Care?

It is described as support and care for patients who are terminally ill. It is the facility's goal to give them the best comfort and satisfaction with their remaining life. Rather than focusing on the finding a cure for their illnesses or trying to extend their lives, the facility does its best in making them happy during their living days. They want the patients to experience a good quality of life.

Their philosophy is that which accepts the reality of death. That death is part of life and one must accept it.

What is Palliative Care?

Palliative care is used inside and outside hospice locations. In general terms, palliation is described as that which focused on relieving and preventing suffering in patients who have diseases or conditions that are not responsive to curative treatment. Palliative care's goal is to give patients relief from their illnesses.

While they both have similarities, they are still essentially unique on their own. Palliative care is usually being offered and used in hospitals, whereas hospice care is usually used in a patient's home. Palliative care areas offer therapies that aim to give patients a longer life, as this kind of care does not stop them from finding a cure for their illness of condition. On the other hand, hospice care facilities only treat patients who are willing to give up any treatments that can cure them of their conditions. If they are still in search of curative treatments, they may not get coverage for their care. When it comes to costs and reimbursement, hospice care is fully paid by Medicare benefit or Medicaid. It is also important to note that those who want hospice care through Medicaid or Medicare must be found to be within the last six months of their life.

Working in hospice care and palliative care are both rewarding for registered nurses. Which RN specialization would you prefer?

Article Source: http://EzineArticles.com/?expert=Katrina_Millar
Article Source: http://EzineArticles.com/7192906

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For more information, you might enjoy reading my book, More Than Meets the Eye True Stories about Death, Dying, and Afterlife. Purchase paperback on Amazon.com. It's also on Amazon as an e-book for those who have Kindle or Sony Readers. The audio book is now available!
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Wednesday, December 1, 2010

The Elderly and Children Interact

Over the Thanksgiving weekend, I spent time at my parent's house. My 94-year-old grandmother, whom we call Nanny, lives with them. My adult children and my three grandchildren were also at my parent's during the holiday last week.

Ever since Nanny fell and broke her hip two years ago, she has not been able to walk without a walker or wheel chair. For about a year and a half, she couldn't walk at all and had to be hoisted in and out of bed with a hydraulic lift.

My oldest grandson Sidney is nearly ten years old; he remembers when Nanny was mobile enough to help clean house and cook dinner. He is also accustomed to seeing her incapacitated and using a variety of medical equipment. He loved to swing in the hoist and ride up and down on the wheelchair lift on my mom's van when Nanny had need of those items. You can see him borrowing Nanny's walker to steady himself on roller blades!

My two younger grandsons, Liam and Jonas, (born two weeks apart in 2009) are now 17 months old. They have an entirely different relationship with Nanny.


Jonas has visited Nanny more often than Liam has. Jonas is quite comfortable with Nanny and will sit in the bed next to her and jabber away. He brings toys to her when she's sitting in her lift chair in the living room. He likes to push the buttons and make her go up and down.

Liam will have nothing to do with Nanny other than stare at her from across the room. He cries if she reaches out to touch him, and he screamed and climbed my body trying to keep me from putting him in bed next to her. I didn't force the issue. I simply held him and stepped back from her bed and he stopped crying. He also associates the wheelchair with Nanny and is intimidated by it.  He really didn't want to be in the wheelchair for this photo shoot, but since his cousins were playing in it and my mom was taking them for a ride, he bore with our shenanigans.

In summary, I think this comfort level (or lack thereof) has a lot to do with what a child gets used to, but it's also a difference in personality. Jonas is more outgoing than Liam in most ways, but I'm sure Liam would come to accept Nanny and her gear if he were around her more.

I think it is a good idea to let children try out the medical equipment used by an elderly or disabled family member as long as they don't get hurt or break the equipment. It's a good experience for children to interact with the elderly, but it should not be forced upon them. How do you feel about this?

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You might enjoy reading More Than Meets the Eye True Stories about Death, Dying, and Afterlife.
Purchase on Amazon.com

Sunday, October 4, 2009

Sundowners Syndrome

My maternal grandmother, Nanny, is having a bit of confusion, restlessness, and anxiety in the evenings. It usually manifests about 7 p.m. During this period, she doesn't trust that we are giving her the correct medications; she fights us when we try to feed her; and she cries and moans for hours, begging Jesus to take her home. It's heart wrenching and exhausting to be in the house with this energy.

It's like hitting a switch and Nanny changes into this insecure, forgetful, childish, and pitiful person that I've never known her to be. It's almost like she has Alzheimer's, but her mind was very clear before this last surgery, and it is still clear during the day. My daughter told me this type of mood disorder is called "sundowners syndrome." I looked it up online.

Sundowners syndrome, also known as sundowning, is a condition in which sufferers (particularly the elderly) experience periods of extreme agitation and confusion during the late afternoon or early evening hours. Some patients may be irritable toward caregivers or hospital staff. It is believed that sundowners syndrome is related to the decreased amount of light in the evening and night hours. It can be caused by drug interactions or stress associated with lower cognitive function. About 45% of elderly patients who have had anesthesia are affected by sundowners syndrome.

When sundowners syndrome hits in the evening, Nanny wants someone to stay in the room with her. If Mom or I hold her hand, she will doze off, but if she is alone, she can't sleep and she repeatedly calls us to come hither. We were up with Nanny for about four hours last night. No wonder my mom is exhausted. She's been staying up at night with Nanny for the past two weeks, and still has to handle meal preparation, keep Nanny's medicines on schedule, bathe her, change her diapers, and do all the household chores. Mom has been handling Nanny's care for almost a year since Nanny fell and broke her hip last November. Nanny was cooperating with physical therapy and eating well. Now she is so weak, she can't even roll over to help mom dress her.

My mom turns 70 this December. We are going to have to hire some help before this pace affects her health.

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More Than Meets the Eye True Stories about Death, Dying, and Afterlife may be purchased on Amazon.com

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