Showing posts with label santa clarita. Show all posts
Showing posts with label santa clarita. Show all posts

Thursday, February 25, 2016

Let's Explore Self-Compassion


Hello to all my Older Adults, Caregivers to Older Adults and friends, this blog post is written with you in mind, but can really be helpful for anyone.


Self-compassion can be a very tricky subject, and an ongoing learning curve for a lot of us. Some of my most favorite people who can be considered pioneers in this field are Dr. Kristin Neff and  Brené Brown.


Dr. Neff provides a really comprehensive definition on exactly what Self-Compassion is and the Three Elements that comprise Self- Compassion:


Definition of Self-Compassion:

H
aving compassion for oneself is really no different than having compassion for others. Think about what the experience of compassion feels like. First, to have compassion for others you must notice that they are suffering. If you ignore that homeless person on the street, you can’t feel compassion for how difficult his or her experience is. Second, compassion involves feeling moved by others’ suffering so that your heart responds to their pain (the word compassion literally means to “suffer with”). When this occurs, you feel warmth, caring, and the desire to help the suffering person in some way. Having compassion also means that you offer understanding and kindness to others when they fail or make mistakes, rather than judging them harshly. Finally, when you feel compassion for another (rather than mere pity), it means that you realize that suffering, failure, and imperfection is part of the shared human experience. “There but for fortune go I.”
Self-compassion involves acting the same way towards yourself when you are having a difficult time, fail, or notice something you don’t like about yourself. Instead of just ignoring your pain with a “stiff upper lip” mentality, you stop to tell yourself “this is really difficult right now,” how can I comfort and care for myself in this moment?
Instead of mercilessly judging and criticizing yourself for various inadequacies or shortcomings, self-compassion means you are kind and understanding when confronted with personal failings – after all, who ever said you were supposed to be perfect?
You may try to change in ways that allow you to be more healthy and happy, but this is done because you care about yourself, not because you are worthless or unacceptable as you are. Perhaps most importantly, having compassion for yourself means that you honor and accept your humanness. Things will not always go the way you want them to. You will encounter frustrations, losses will occur, you will make mistakes, bump up against your limitations, fall short of your ideals. This is the human condition, a reality shared by all of us. The more you open your heart to this reality instead of constantly fighting against it, the more you will be able to feel compassion for yourself and all your fellow humans in the experience of life.

Below are the three elements of self-compassion:

3. Mindfulness.
































On the website of Dr. Neff there is a really useful and insightful self-quiz to rate how much compassion you have for yourself. That test can be accessed by clicking here.  The questions will score you in several areas, including:
        
         ※ Self-Kindness
         ※ Self-Judgment
         ※ Common Humanity
         ※ Isolation
         ※ Mindfulness
          Over-Identification
          Overall score


It then offers this information on the scoring:


Average overall self-compassion scores tend to be around 3.0 on the 1-5 scale, so you can interpret your overall score accordingly. As a rough guide, a score of 1-2.5 for your overall self-compassion score indicates you are low in self-compassion, 2.5-3.5 indicates you are moderate, and 3.5-5.0 means you are high. Remember that higher scores for the Self-Judgment, Isolation, and Over-Identification subscales indicate less self-compassion, while lower scores on these dimensions are indicative of more self-compassion (these subscales are automatically reverse-coded when your overall self-compassion score is calculated.)
She also offers some suggestions and exercises to use in order to help us increase our own levels of compassion for ourselves. You can access this section of her website by clicking here.


One major way we can both monitor and increase our level of Self-Compassion is through our SELF-TALK.  Feelings of frustration can arise in ourselves for a wide variety of situations; however you can frequently find some type of maladaptive thinking that has the effect of increasing frustrating and lowering our self-compassion and that can prevent us from dealing with things better and more easily.

We're going to discuss five of the most common types of unhelpful thought patterns that can be common among caregivers. We'll list each example of the maladaptive patter, and then an example of a healthier thought can can be used to defend ourselves against negativity and help to increase our self-compassion. 

(Just to keep things simple, we're going to use caregiving as the placeholder example in each)


Discounting the Positive: You overlook the good things about yourself and/or the situation in which you find yourself. In this example you might not allow yourself to feel good about yourself and your caregiving by having thoughts like this: I could do more or anyone could do what I doA more adaptive, less negative response or thought pattern could be, Caregiving is not easy. It takes courage and strength to do this. I am not always perfect but I am trying.

Over-generalization: You take one negative aspect or situation, characteristic and put the emphasis on only that. For example, you're getting ready to take your loved one to the doctor and your car won't start, you then conclude that this always happens and something always goes wrong. A more adaptive response or thought pattern could be, Usually my car is working just fine, at times things do not happen as I would like, but that doesn't say anything about me as a person or a caregiver.

"Should" statements: You try to motive yourself by using statements like, I should call my mother more often or I shouldn't go out because my mother might need me while I'm gone. Should statements are actually in conflict with what you want to do and this can lead to feelings of depression, guilt, frustration, etc. A less negative response could be I would like to go to a movie. It is ok for me to take a break from caregiving and enjoy my life- that does not make me a bad person.

Personalizing: This refers to taking responsibility when things are beyond your control. An example of this issue could be blaming yourself if and when your loved one requires hospitalization or moving into an assissted care facility. A more adaptive thought could be Mom's condition has declined to a point where I can no longer safely care for her myself- it is not a reflection on any shortcoming that have resulted in this development.

Labeling: You tend to identify yourself or other people with one characteristic, or based on only one action. For example, you wait to do the laundry and think I'm lazy. A more adaptive response could be I am not lazy. Sometimes I am tired and I'm doing as much as I can. And sometimes I need a break.

Brené Brown is a genius in social work research and some of the topics she explores are vulnerability, compassion, etc. I love all of her work and will likely be doing a Brené specific blog in the not too distant future but to end tonight's blog I wanted to share her ten guideposts for Whole Hearted Living:


The things discussed in this blog are definitely a process, not something that is incorporated into our lives over night. It is however something we are able to work on when we become conscientious of how we speak about and to ourselves. One of the best pieces of advice that I've received in my life is: 
Do not talk to yourself in any way other than how you would talk to Tink.
(Tink is my precious kitty!) 
That was really eye-opening for me because I wouldn't say most of the things I say in my head to my boy, so why am I saying them to myself of all people!

I hope that tonight's blog post is helpful. Occasionally we'll cover topics like this, I find it vital to our development as human beings to continually learn about and work on ourselves!


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This blog series is designed to help you 
and your loved ones 



Knowledge is Power!




Friday, January 29, 2016

The 4 Most Common Age-Related Eye Diseases

I have my training in Gerontology, which encompasses a variety of topics, psychology, sociology, social work, health, healing, medicine, etc. However, I am not a medical expert and while I do feel knowledgeable enough in some areas to present medical or health-related information, eye health is definitely not one of those areas. In order to share an article about age-related eye diseases, I've decided to find a reliable article from an expert in this area.

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I chose Aging Care's article by Marlo Sollitto called the 4 Most Common Age-Related Eye Diseases. Not only does this article provide useful information about  important topic, but it does so in a way that people who do not have a medical background can read and have a greatly improved understanding of these eye diseases.




  By age 65, 1-in-3 Americans have some form of vision-impairing eye disease.
There are four major age-related eye diseases (AREDs) — glaucoma, cataracts, age-related macular degeneration and diabetic retinopathy that affect seniors.
Glaucoma
Glaucoma damages the eye's optic nerve and results in vision loss and blindness. Sometimes, there are no initial symptoms, so as many as 1 million people may have glaucoma and do not know they have it. It is one of the main causes of blindness in the United States.
At first, glaucoma has no symptoms. However, as the disease progresses, a person with glaucoma may notice his or her side vision gradually failing.
There are many different types of medications (in eye drops or pills) that are used to treat glaucoma. In some people, however, medications alone do not control the eye pressure, and surgery needs to be performed. One type of surgery uses a laser -- called trabeculoplasty -- to improve the flow of fluids out of the eye. This can be done in your doctor's office. There is also conventional surgery -- called trabeculectomy -- in which your doctor creates a new drainage path in the eye, under the eyelid.
Risk factors for glaucoma include: age, family history of glaucoma, taking steroid medications and being near-sighted. Learn more about Glaucoma
Cataracts
A cataract is a clouding of the lens within the eye. The lens is composed of water and protein. If the protein clumps together, it starts to cloud over a small area of the lens. This cloudy mass of protein — called a cataract — can grow larger, making it hard to see. If the cataract worsens, surgery may be necessary to remove the cloudy lens and replace it with a new lens.
People with cataracts begin to complain about glare and cloudy/fuzzy vision, double vision in one eye, or glare from lamps and the sun. Surgery is the only way to correct vision loss caused by cataracts.
Getting older is a major risk factor for cataracts. Women are at slightly higher risk than men for cataracts, and people with a family history of cataracts are more likely to have cataracts. Learn more about Cataracts
Macular Degeneration
Macular Degeneration (MD) diminishes sight in a dramatic way: It affects the central vision. Although people with MD rarely go blind because of it, many find it difficult to read, drive and perform other daily functions. The macula is located in the center of the retina, which is the light-sensitive layer of tissue at the back of the eye. Deterioration of the macula results in eye disease. Macular Degeneration affects central vision. People with MD find it difficult to read, drive and perform other daily functions that require central vision.
People with Macular Degeneration can be treated with laser surgery. Anti-angiogenesis drugs and low-vision devices are also useful.
Age is the biggest risk factor for developing MD. After age 75, up to 46% of people may have some form of it. Family history, race (whites appear to have a higher risk than blacks or Hispanics) and smoking are other risk factors. Learn more about Macular Degeneration
Diabetic Retinopathy
This potentially blinding disorder is a complication of diabetes. Diabetes causes abnormal changes in the retina’s blood vessels. Blood vessels can become leaky and begin to grow where they should not. These new vessels tend to break and bleed, or hemorrhage. As they try to heal, these blood vessels will contract and detach the retina.
Diabetic Retinopathy symptoms include shadows or dark objects that "float" across your field of vision, blurred or distorted vision, partial loss of vision and pain in the eye.
Consistently high blood sugar and high blood pressure are associated with retinopathy. If your loved one has type 2 diabetes and uses the medicine rosiglitazone (Avandia, Avandamet, Avandaryl) to treat your diabetes, you may have a higher risk for problems.
There is no cure for diabetic retinopathy. However, laser treatment (photocoagulation) is usually very effective at preventing vision loss if it is done before the retina has been severely damaged. Surgical removal of the vitreous gel (vitrectomy) may also help improve vision if the retina has not been severely damaged.
Eye Tests Every Senior Should Have
Age-related eye diseases are diagnosed through a comprehensive exam, performed by an ophthalmologist. A comprehensive eye exam should include at least the following three tests:
  • Visual acuity test: The familiar eye chart measures how well you see at various distances.
  • Pupil dilation: Drops are placed into the eye to widen the pupil. This reveals more of the retina and other signs of disease. After the examination, close-up vision may remain blurred for several hours.
  • Tonometry: A standard test that determines the fluid pressure inside the eye. There are many types of tonometry. One uses a purple light to measure pressure; another, an "air puff," test, which measures the resistance of the eye to a puff of air.

Please check in for our next blog post on Friday January 29th, our topic will be dealing with Caregiver Guilt!


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Knowledge is Power!

Tuesday, January 26, 2016

Improving Home Safety for Seniors

I decided to focus tonight's blog on a more general topic of home safety for seniors.

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But before we stray that direction, I wanted to share a personal FALL story.

A few years ago, I was carrying two large, not too heavy but awkwardly shaped boxes that contained computer parts from my house out to my car. I should have and very well could have made more than one trip. But my stubbornness won that morning and I have continued to pay that price to this day, over 6 years later. I missed my step from the curb to the street and went down H A R D. I could both hear and feel the loudest, most intense snap feeling. I didn't realize immediately how severe things were for a little bit. I was in shock- physically and emotionally. 

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here I am laid up on the couch
with my two messed up legs
I tried to stand back up and immediately fell back down, I couldn't feel my left leg, basically from the knee down. I had long pants on and a sandal. I crawled to my car and decided to drive to urgent care and get it looked at. Fast forward a few hours and I'm on crutches with a severely and dislocated broken left ankle and leg and a badly sprained right ankle AND a surgery scheduled to implant several pieces of metal. I ended up needing several months off from work, AND several months of not being able to put ANY weight on my left leg. 


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this is the hardware they put 
into my left ankle
After my first my surgery my surgeon told my mom that I had experienced a life changing injury. And boy was he right! This could have all been avoided had I either made more than one trip to the car, or by wearing more sturdy shoes. I am, however, somewhat grateful for this experience though because it has taught me a lot about falls, the fear of falling that I still have as a result of this experience, and how much that has impacted my life which makes me a more compassionate and accurate geriatric care manager.

Home accidents are a major source of injury and can even result in death. Older adults can be even more susceptible to injuries from falls and other accidents due to less dense, more brittle bones that break more easily.

Over the years I've spent working with various senior populations in different settings. I've kept an ongoing list of ideas relating to home safety, which really can be used universally but are designed with a senior in mind. I decided that breaking list up by areas of the home made the most sense. 

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*please note that these are general suggestions, ideas and of course checking with your doctor and discussing these with your family is a good idea before making any radical changes in your home or life. If you live in an apartment or any type of senior living facility it is important also to check with management before any modifications are made.

General Home Safety
※Interior and exterior door handles and locks are functional and easy to use
pastedGraphic_4.png※Keep emergency phone numbers and addresses by each phone
※Have a peephole to see who is at your door before you open it, and make sure it      is at the height appropriate to you
※The water heater is set to 120 at the highest 
※Area and floor rugs have nonskid backing and are not too warm
※Smoke and carbon monoxide alarms are installed properly in working order
※Medications are stored in a safe place and instructions and dosage are on the label

Kitchen
※The counter, cook-spaces and sink areas are well-lighted and working properly
pastedGraphic_5.png※The stove is not located under a window with curtains that could fall down onto      a burner
※If your stovetop is gas, it needs to have pilot lights and an auto cut-off if there is a      flame failure (the Gas Company can come check that for you, if needed)
※Knives are kept in a knife rack or drawer
※Drawers and cupboards are kept closed
pastedGraphic_6.png※Spilled grease and/or other liquids are wiped up      immediately
※Small appliances are unplugged when not being used
※Flooring is safe not in disrepair
※Work surfaces and cooktops are not shiny or glaring
※Use the exhaust fan with the stove is being used
※When preparing foods do not wear garments with long, loose sleeves
※Frequently used food, supplies, etc are kept in places that are      easily accessible, where you do not need to over-reach in order to grab them

Stairways and Halls
※Foyer has a nonslip entrance
※Stairs are in good condition and are free of clutter and/or objects
pastedGraphic_8.png※Hallways, bathrooms and kitchens are equipped with night-lights
※There are sturdy handrails on both sides of the staircase
pastedGraphic_7.png※Hallways and stairs are well lighted
※There are no doors that open out over steps
※There is enough space in stairways to avoid bumping head and reducing the need to duck

Living Room

※Electrical cords and wires run along walls and not under rugs
pastedGraphic_9.png※Chairs, couches and other seating areas are secure and sturdy
※Seating areas are easy to get in and out of and have full arms to aid in sitting down           and getting back out
※There is enough room to walk through the room
pastedGraphic_10.png※The light switch is near the entrance




Bathroom

※The bathtub and/or shower doors are glazed with safety coating or plastic
pastedGraphic_11.png※The bathroom has even lighting without glare
※The bathroom door opens outward
※Shower has hand-held shower head with flexible hose
pastedGraphic_12.png※The towel bars and soap dish in and around the      shower/bathtub are made of strong, durable materials and are firmly installed
※Grab bars are installed by the walls by the toilet      and bathtub, and they are sturdy
※The shower and tub has a single-lever, anti-scalding faucet head

Bedroom
※If necessary for mobility issues, the bedroom is on the first

floor
pastedGraphic_13.png※A nightlight is used to brighten the room at nighttime 
※There should be a sturdy arm chair that can be used to dress
※There is plenty of room to walk around the bed
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※The bedroom has low-pile carpeting or other smooth surface floor covering

※Next to the bed is a small table for telephone, cell phone, glasses and any other necessary items


Backyard/Patio
※Any steps and walkways are in good condition
※Handrails are installed where needed and are securely fastened
pastedGraphic_15.png※Doorways, steps, porches have good lighting
pastedGraphic_16.png※Security lighting is installed outside
※The garage is adequately ventilated
※Garage doors are easy to operate and open and      close all the way
※The street and end of driveway are visible from the      garage and are not blocked by hedges, trees, shrubs,      etc
Our homes serve many physical and emotional purposes; the most basic need is to offer protection against intruders and the elements.Therefore it is important that we make our homes as secure and safe as possible. 

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This blog series is designed to help you 
and your loved ones 
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Knowledge is Power!