All pdf BH Issue 33 Eng
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Q & A<br />
Caregiving for an elderly person who struggles<br />
with an illness or depression takes a toll on<br />
the caregivers. Remember, caregivers need<br />
care, too. These suggestions will help you provide<br />
effective and compassionate service and support<br />
to your elder, while maintaining your own physical<br />
and mental health.<br />
Q: My 70-year-old aunt has arthritis with<br />
wrist pain and is in a wheelchair. Can you<br />
recommend some ways to arrange her<br />
home environment?<br />
A: When designing the home environment<br />
for an elder with wrist pain, focus on basic<br />
actions that require wrist twisting, turning,<br />
pushing, and pulling such as turning doorknobs,<br />
opening and closing drawers, and<br />
twisting faucets. These benign activities can<br />
become painful, impossible tasks to elders.<br />
Consider installing easy to use doorknobs<br />
and swivel faucets that don’t require twisting.<br />
Ease of access is a must for physically challenged elders, whether<br />
being able to walk or being in a wheelchair. Improve accessibility with<br />
wide doorways (at least 90 centimeters). Clear areas so a wheelchair<br />
is able to pass through easily. Sliding doors take up less room. Doorframes<br />
should be at least one meter wide. Outside access to the home<br />
and the inside, should ideally have no steps or stairways unless there<br />
are elevators or ramps.<br />
Reduce the risk of falls and leg and foot injuries with uncluttered<br />
floor plans. You might want to remove unnecessary items that create<br />
tripping hazards. To accommodate functional living needs and wheelchair<br />
mobility, choose wheeled cabinets and furniture that you can<br />
move quickly and easily.<br />
Q: Caring for elders in addition to other<br />
life responsibilities is stressful. How can<br />
caregivers deal with stress?<br />
A: Caregiving can take a toll on your health,<br />
relationships, and state of mind, eventually<br />
leading to burnout. How does one practice<br />
healthy caregiving?<br />
Ask for help. Do not try to do everything<br />
yourself, which is a sure path to stress and<br />
burnout. Spread out the responsibility.<br />
Give yourself a break, grant permission to take<br />
care of yourself. Get enough rest. Try to do<br />
something that you enjoy, every day, for at<br />
least 30 minutes each day.<br />
Practice acceptance. Everyone has a limit.<br />
Accepting that you need time off doesn’t make<br />
you a selfish person. Looking after yourself<br />
ultimately benefits the person you’re helping.<br />
Focus on what you can do, not on what can’t<br />
be done. Sometimes you cannot help feeling<br />
bad about the situation you’re in. Rather than<br />
stressing out over things you can’t control, stay<br />
positive and focus on the way you choose to<br />
react to problems.<br />
Take care of your health. Don’t skip medical<br />
appointments, eat healthily, and exercise<br />
regularly.<br />
Q: How can I help my depressed mother who resists my help?<br />
A: Helping a depressed<br />
person requires a deep<br />
understanding. He or<br />
she may need to seek<br />
professional help. But<br />
getting a depressed<br />
person into treatment<br />
can be difficult when<br />
the negative ways of<br />
thinking lead him or<br />
her to believe that life<br />
is hopeless. Family<br />
members giving emotional support to the depressed person<br />
makes a big difference.<br />
recommends that you:<br />
Do not try to “change” the depressed person. Be a good listener,<br />
ready to offer support with unconditional understanding.<br />
Patience and care are key.<br />
Encourage and support without showing any annoyance or<br />
frustration.<br />
Stay positive, with both positive words and positive actions,<br />
to inspire the person to see a brighter side of life.<br />
Encourage participation in activities. Invite the person to join<br />
you in uplifting activities. Be gently persistent if they decline.<br />
Have realistic expectations. Even with optimal treatment,<br />
recovering from depression doesn’t happen overnight.<br />
If your loved one happens to be less anxious with you around,<br />
maybe you can be the one to suggest getting a check-up, so the<br />
doctor can rule out any medical causes of the depression. Refer<br />
your loved one to a mental health medical professional. Your<br />
unconditional support throughout treatment will be a stabilizing<br />
force for the person to get better.<br />
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