Caregiving for the Independent “Old Old” Patient
It’s no secret that people are living longer. A baby born today can expect to live until ninety. People who are 65 can look forward to an average of 22 more years. The U.S. Census Bureau tells us that the over-90 age group has tripled over the past thirty years.
While younger generations may view “elderly” as anyone 65 years or older, there are actually three phases of old age:
1. Young Old: Ages 65-75, usually healthy and involved in their interests and families. Newly retired, they may like to travel and pursue their hobbies.
2. Old: Ages 75-85, more concerned with health and safety. Spouses and friends may be passing away, leaving them without a sense of connection.
3. Old Old: Ages 85 and older, they can require assistance to remain as independent as possible. Their health may be frail and the risk of fall increases dramatically. They may resist care or deny they need help in order to prove they can still live alone, to avoid entering a nursing home or long-term care facility. It is this group that is most vulnerable and likely to need a caregiver, paid or unpaid.
What do you need to know as a caregiver of an Old Old loved one or patient who wants to remain at home for as long as possible?
• Most patients have at least one disability, such as dementia or incontinence. With the natural decline in strength and mobility, the risk of falls increases, while the ability to keep clean and toileted decreases. Caregivers should pay attention to possible safety hazards, no matter what the setting. Tactful assistance with cleanliness, as well as a good supply of necessary items is in order.
• Reduced interest in food is common, due to loss of taste buds. Access to fresh, tasty food can be limited, leading to malnutrition. Prepare and offer favorite foods as much as possible. Some patients need to be reminded to eat, or have the food physically available. If chewing or the possibility of choking is an issue, prepare soft foods and cut up into small pieces before serving.
• Many patients take multiple medications. Ask the provider or the facility’s physician about possible adverse drug reactions. Check that all prescriptions are current and on hand. If the patient takes non-prescription supplements or vitamins, make sure the physician is aware. Of course, you already know to use a pill organizer.
• If your loved one or patient is making financial decisions, be alert for possible scams. Every day, vulnerable seniors lose money because of endless fraud schemes designed to take advantage of people who are not computer-savvy, or simply trusting of strangers.
We all hope to remain independent, in our own homes, for as long as possible. As a caregiver, it can be challenging to provide a sense of protection and safety while allowing the person to feel self-reliant.
