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Helping Your Older Parents Stay Happy and Healthy
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If youre fortunate enough to have one or both parents still living, you may have noticed a role reversal taking place in your relationship. Remember the days when Mom shuttled you to the doctor whenever you were sick? Now, it may be you whos driving her to her medical appointments. Perhaps youve become even more involved in managing her healthcare needs serving as her healthcare proxy, moving her into your home to care for her, or even having to select a nursing home for her to live in.

Whatever the case, its natural to feel challenged and, yes, intimidated in the role youve undertaken. But if you stay positive and proactive, youll be in a great position to advocate for your parents optimal care. And, really, what better way is there to say Thank You for all theyve done for you over the years?

The following six recommendations will help you understand what may be happening to your parents as they age and what you can do to help.

1. Stay vigilant to sudden changes.

Typically, sudden changes arise from sudden problems. Your elderly father who becomes confused one week but was alert and oriented the week before, or becomes unsteady walking and starts falling, is likely experiencing an acute problem an infection, medication side effect, or perhaps, a heart attack or stroke.

If you pay attention to your parents baseline health and behavior, youll be alert to sudden, and subtle, fluctuations. Being attuned to whats normal for your parent is critical in advocating for his care. By informing his physician of these changes, you help ensure that he receives a proper diagnosis and timely treatment especially important in acute conditions.

2. Investigate the source of gradual decline.
Several years ago, I met an elderly woman living in a nursing home. Her family, assuming she had dementia, had moved her there after she had gradually stopped speaking.

After performing a brief procedure on her, I asked how she was doing. Im OK, she replied.

A miracle? Not exactly. Id removed bullet-sized pieces of wax from her ears. Shed stopped speaking because her ears were too plugged to hear.

A host of conditions can cause gradual decline. Before jumping to the conclusion as many people do that Alzheimers disease is the culprit, recognize that your parent may be experiencing an altogether different problem: a vitamin B12 deficiency, an underactive thyroid, Parkinsons disease or depression, to name a few.

When discussing your parents decline with her physician, make sure the two of you consider all the possibilities. To prepare for the appointment, make notes detailing how her decline has manifested itself loss of appetite, a failing short-term memory and so forth and how long youve noticed these changes. That way, you wont leave anything out. To help you, Ive created a free checklist that either you or your parent can complete at seniorselfassessment.com make sure you print or email the Test Result Details at the bottom of the page to analyze your responses and give you advice based on your answers.

3. Know thy parents medicine cabinet.
Familiarize yourself with the medications your parent takes: what each one is for and how often he takes them. Make sure you notify each doctor your parent visits of all the medicine he takes, including over-the-counter products. Ask what side effects you might observe from each medication and whether its potentially dangerous if your parent takes them together. You also want to tell the doctor whether your parent drinks alcohol or caffeinated drinks and whether he smokes, as these substances can affect some medications efficacy and safety. To recognize which medications might cause the symptoms your parent experiences, check out drugscanmakeyousick.com .

4. Discourage ageist attitudes.
Simply put, ageism is prejudice against the elderly. It exists in many forms but can be particularly damaging to an older persons self-esteem when it assumes that all of her woes are age-related. Here are a couple of ways of expressing ageism to an elderly parent:

What do you expect at your age?
Youre not getting any younger.

If youre ever tempted to utter something similar, remind yourself that by chalking up everything that ails her to her age, you sell your parent short. If shes depressed, it may have nothing to do with the fact that shes 80 and everything to do with a biological predisposition to depression. And remember that right-knee pain in a 90 year-old cant be just from age if theres no problem with her left knee.

5. Address not just symptomsbut emotions, too.
There is disease and then there is dis-ease that is, a lack of ease, security or well-being. Dis-ease can manifest itself as myriad emotions in an elderly person: fear, grief, boredom, embarrassment and sadness among them. The fact is, these emotions can be every bit as debilitating as disease.

Take the case of a parent whos incontinent. Too embarrassed to socialize, she cuts herself off from friends. Without companionship, she becomes lonely. Instead of allowing her to become a hermit, discuss with her doctor how to address the incontinence. Together, you can consider different solutions that will ease her embarrassment and reinvigorate her social life.

6. Strive to maximize your parents quality of life.
No matter our age, we all want to enjoy life to the fullest and have the capability to do the things we want to. Improving the enjoyment of life and a patients functional ability are the cardinal goals of geriatric care. But you dont need a medical diploma on your wall to help your parent achieve either of those goals.

Being there to solve a problem or provide company are tremendously worthwhile services you can provide no expertise required. Remember, as your parent gets older, his quality of life becomes more important to him than how much longer he lives. And he doesnt necessarily need medications or surgery to ensure that hes living the latter part of his life to the fullest.

If he enjoys books but has difficulty reading regular-sized type, check out sight-saving titles at the library. If hes grieving the loss of his best buddy, introduce him to new acquaintances at the senior center. If hes living in a nursing home, bring your kids there to share a meal with him.

Sometimes, its the small gestures that have the most profound impact. As the child of an elderly parent, you are uniquely positioned to deliver these life-changing gifts.

Dr. Robert Stall is a geriatrician practicing in Tonawanda, New York and a clinical associate professor at the University of Buffalos School of Medicine and Biomedical Sciences. He serves as medical director and attending physician at Beechwood Homes in Getzville and Blocher Homes in Williamsville.