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19/Oct/2019

When it comes time to take care of your elderly loved ones, you want to be sure that they are handled with care, love, and patience. While it may be stressful at times, you must also keep in mind that it is not easy for them to become dependent on you or others for their care. It is important that you become familiar with ways to provide them with the best care possible.

1. Visit Often

It is important to visit them often. They need the social interaction with you and you get the reassurance that they are safe, healthy and in general, doing well. During your visit, it’s always best to check around the house for any issues that may need to be addressed such as the overall cleanliness of the house or if anything is broken that may need to be fixed. Also, do a routine check of their food supply, laundry, mail, and plants. If you get busy, Big Hearts Homecare can do routine checks on your loved one.

2. Check Their Medications

Be sure that they are appropriately supplied with their medications. It is important that all their prescriptions are filled and refilled as needed. If they are on a number of medications, it is best to buy a pill box organizer with compartments labeled with the days of the week as well as AM and PM doses. This can help simplify their medication taking process. Also, if a new medication is prescribed, be sure to ask the doctor or pharmacist about potential side effects or possible interactions with current medications.

3. Hire Help

There may be a need to hire a helper, aide or caretaker. This could be someone who helps your loved one with their daily activities such as showering, errands or housekeeping. If it isn’t someone you know personally, then you should always check references or go through a licensed agency. This may need to be a budgeted expense or it may be a resource that is available for a nominal fee or for free depending on if your loved one qualifies.

4. Make Modifications in Their Home

It is best to take a good look around their home and assess what may be a safety hazard. Some may be simple fixes while other modifications may be more involved. These include:

  • Installing a ramp for wheelchairs or walkers.
  • Installing handrails and grab bars at the toilet and shower.
  • Installing a raised toilet.
  • Testing (or installing) smoke detectors and carbon monoxide detectors.
  • Checking the overall lighting in the house to make sure it is bright enough.
  • Plugging in auto-sensor nightlights throughout the home so they are able to see if they wake up at night.
  • Have non-skid mats or strips in the shower or bathtub or any other potential slippery areas of the house.
  • Removing extra clutter that is lying around or furniture that is in the way.
  • Removing small rugs.
  • Making sure cables, cords and wires are safely tucked away to prevent potential falls.

5. Talk Openly About Their Finances

Most times your elderly loved ones are not comfortable or willing to talk about their finances. But you must try to have open discussions about their finances, especially if they live on a fixed income or there is a budget to be adhered to.

6. Take Care of the Important Paperwork

Make sure everything is up-to-date and completed when it comes to their important paperwork such as their will or power of attorney. It is not an easy conversation but it is essential. Once the task is done, it will give you both peace of mind.

7. Watch for Driving Issues

There may come a time when your loved one may no longer be able to drive due to their declining cognitive abilities and reaction time while on the road. It is important to assess their driving abilities and when it does become an issue, offer other options that may help such as hiring a driver or using a delivery service for groceries.

8. Keep Them Active

It is important to keep your elderly loved one active and involved. Exercise is important to keep them healthy. Unfortunately, it is not unusual for the elderly to become isolated and lonely or even suffer from depression especially if they have lost their spouse. It is important that they remain involved with their family and friends or they may even want to venture out and make new friends. There are many resources in your community that offer things to do and places to go that will help your loved one stay social and active.

9. Supply Healthy Meals

Your loved one may not have the ability or desire to cook for themselves. It is important that they are well fed in order to stay healthy. You can prepare meals in advance for them. You can check into Meals on Wheels to see if they qualify. There are also many other deliverable meal plan options that your loved one may enjoy. Some of these meal plans can even accommodate special requests such as diabetic meals.

10. Keep an Eye on Them

If you are somewhat tech savvy, you can install a camera or type of motion sensor to keep watch over them or that will alert you if something is wrong. A Life Alert system is another option but you must convince them to wear the alert button at all times.

11. Arrange a Schedule

It is best to try to arrange a schedule between you and other family members to help your elderly loved one when it comes to bathing, doctor appointments, errands, shopping, cooking, cleaning, etc. If necessary, you may need to hire someone to help with some of those tasks and they will also need to be incorporated into the schedule. A schedule will not only help keep your life structured and organized, but it will help your loved one know what’s on their agenda as well.

12. Utilize Your Available Resources

There are many resources available for the elderly. These resources may be through the government or community-based. Do your research and see what your loved one qualifies for and how it could benefit them. You may be surprised at what’s available.

Take Care of Yourself

You must remain healthy in order to take care of anyone else. Those who take care of their elders have been found to suffer from stress, anxiety, depression and musculoskeletal disorders. If possible, divide the responsibilities between you, your spouse and other family members. It is important that you don’t forget to take breaks, get away a bit and enjoy your life as well.

If you need support doing any of the aforementioned tasks, contact Big Hearts Homecare at 778.788.5578 or email us at info@bigheartshomecare.ca

(Edited from Seniors Love to Know)


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19/Oct/2019

What is palliative care?

If you have a life-threatening condition or a serious illness, palliative care can:

  • help improve your quality of life
  • reduce or relieve your physical and psychological symptoms
  • help you have a more peaceful and dignified death
  • support your family and those you care for while you are dying and afterward

This type of treatment can involve:

  • pain management
  • symptom management, such as:
    • nausea
    • anxiety
    • depression
    • difficulty breathing
  • social, psychological, spiritual and emotional support
  • caregiver support

These services can be appropriate for people of all ages. They aim to make you and your loved ones feel as comfortable as possible. This can be done through personalized treatment plans that meet your needs and those of your family.

Information and support on palliative and end-of-life care, loss and grief can also be found at the Canadian Virtual Hospice.

Who can provide palliative care?

Palliative care can address suffering experienced in all areas of your life. Because of this, a diverse team can be involved in providing palliative care. The team may include:

  • physicians
  • nurses
  • pharmacists
  • social workers
  • trained volunteers
  • home care workers
  • bereavement support workers
  • informal caregivers, such as family members

The type of care team and level of training they receive can vary across the country.

Where are palliative care services provided?

Palliative care can be provided in a variety of settings, such as:

  • hospitals
  • at home
  • long-term care facilities
  • hospices (a home for people living with a terminal illness)

While hospitals are designed to address severe and urgent needs, they may not be the best location for comfortable end-of-life care. Also, delivery of and access to palliative and hospice care varies across Canada. This is due to differences in:

  • needs of society
  • level of funding
  • regional demographics
  • organization of health care services
  • availability of trained health care providers and volunteers

There is no single national palliative care program. This is why governments and health care institutions are developing better models of palliative care in Canada where:

  • service is provided through a range of settings and providers
  • the needs of family and friend caregivers are recognized
  • more health care providers are trained in palliative care
  • advance care planning is encouraged as part of treatment plans routine care

To find out more about Palliative Care in Vancouver, speak to Big Hearts Homecare by calling us at (778) 788-5578 or emailing us at info@bigheartshomecare.ca.

You can also contact the national palliative care association or the palliative care association in your province or territory:

Developing a framework for palliative care in Canada

On December 12, 2017, the federal government passed a bill calling for the Minister of Health to create a framework for palliative care in Canada. The Act (formerly, Bill C-277) says that the Minister must develop a framework that will support improved access to palliative care across Canada.  The Minister must also consult with provinces, territories and palliative care providers. The Act says the framework should focus on important issues facing palliative care, including:

  • Training and education for health professionals and other caregivers
  • Ways to support palliative care providers
  • Promoting research and data gathering
  • Ways to support access to palliative care no matter where you live

On December 4, 2018, the Minister of Health tabled the Framework on Palliative Care in Canada in Parliament. The Framework reflects the voices of the many Canadians heard throughout the consultations. It presents a common Vision and Guiding Principles, as well as short, medium and long term goals related to each of the important issues mentioned above. The Framework also includes priorities identified through the consultations; these are actions that any individual or organization can use in their palliative care policy and program planning. The Framework represents a guideline for all palliative care stakeholders to use to improve access across Canada.

Learn more about the Act providing for the development of a framework on palliative care in Canada.

Action Plan on Palliative Care

The Action Plan on Palliative Care (Action Plan) lays out Health Canada’s five-year plan to tackle issues uncovered through the development of the Framework on Palliative Care in Canada. It includes specific activities to enhance access, quality of care, and health care system performance, within the federal government’s mandate and levers for action. It also complements current support to provinces and territories under the Common Statement of Principles on Shared Health Priorities.

Health Canada is overseeing and coordinating implementation of the Action Plan, connecting governments and stakeholders and serving as a knowledge centre to share best practices.

(Source: Government of Canada Webpage)


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19/Oct/2019

Your loved one is getting discharged from the hospital, so what is next?

This Fact Sheet will look at the keys to a successful transition from hospital to home, explain some important elements, offer suggestions for improving the process, and provide caregivers with checklists to help ensure the best care for a loved one. If you are a caregiver, you play an essential role in this discharge process: you are the advocate for the patient and for yourself.

What Is Discharge Planning?

Discharge planning is “a process used to decide what a patient needs for a smooth move from one level of care to another.” In general, the basics of a discharge plan are:

  • Evaluation of the patient by qualified personnel
  • Discussion with the patient or his representative
  • Planning for homecoming or transfer to another care facility
  • Determining whether caregiver training or other support is needed
  • Referrals to a home care agency and/or appropriate support organizations in the community
  • Arranging for follow-up appointments or tests

The discussion needs to include the physical condition of your family member both before and after hospitalization; details of the types of care that will be needed; and whether discharge will be to a facility or home. It also should include information on whether the patientʼs condition is likely to improve; what activities he or she might need help with; information on medications and diet; what extra equipment might be needed, such as a wheelchair, commode, or oxygen; who will handle meal preparation, transportation and chores; and possibly referral to home care services.

Why Is Good Discharge Planning So Important?

Effective discharge planning can decrease the chances that your relative is readmitted to the hospital, and can also help in recovery, ensure medications are prescribed and given correctly, decrease healthcare costs, and adequately prepare you to take over your loved oneʼs care.

Not all hospitals are successful in this. Additionally, patients are released from hospitals “quicker and sicker” than in the past, making it even more critical to arrange for good care after release.

Even simple measures help immensely. For example, you should have a telephone number(s) accessible 24 hours a day, including weekends, for care information. A follow-up appointment to see the doctor should be arranged before your loved one leaves the hospital. Since errors with medications are frequent and potentially dangerous, a thorough review of all medications should be an essential part of discharge planning.

The Caregiver’s Role in the Discharge Process

The discharge staff will not be familiar with all aspects of your relativeʼs situation. As caregiver, you are the “expert” in your loved oneʼs history. While you may not be a medical expert, if youʼve been a caregiver for a long time, you certainly know a lot about the patient and about your own abilities to provide care and a safe home setting.

The discharge planners should discuss with you your willingness and ability to provide care. You may have physical, financial, or other limitations that affect your caregiving capabilities. You may have other obligations such as a job or childcare that impact the time you have available. It is extremely important to tell hospital discharge staff about those limitations.

Some of the care your loved one needs might be quite complicated. It is essential that you get any training you need in special care techniques, such as wound, feeding tube or catheter care, procedures for a ventilator, or transferring someone from bed to chair.

If your loved one has memory problems caused by Alzheimerʼs disease, stroke, or another disorder, discharge planning becomes more complicated, and you will need to be a part of all discharge discussions. You may need to remind the staff about special care and communication techniques needed by your loved one. Even without impaired memory, older people often have hearing or vision problems or are disoriented when they are in the hospital, so that these conversations are difficult to comprehend. They need your help.

We suggest you keep the questions summarized below (on pages 5–6 of the printout) with you, and request that the discharge planner take the time to review them with you.

Getting Help at Home

Listed below are common care responsibilities you may be handling for your family member after he or she returns home:

  • Personal care: bathing, eating, dressing, toileting
  • Household care: cooking, cleaning, laundry, shopping
  • Healthcare: medication management, physicianʼs appointments, physical therapy, wound treatment, injections, medical equipment and techniques
  • Emotional care: companionship, meaningful activities, conversation.

Community organizations can help with services such as transportation, meals, support groups, counseling, and possibly a break from your care responsibilities to allow you to rest and take care of yourself.

If you need to hire paid in-home help, you have some decisions to make. Unfortunately, these hiring decisions are often made in a hurry during hospital discharge. You might be handed a list of agencies, with instructions to decide which to use—but often without further information. This is another good reason discharge planning should start early—as caregiver, youʼll have time to research your options while your loved one is cared for in the hospital.

Think about both your needs as a caregiver and the needs of the person you are caring for, including language and cultural background.

You have a choice between hiring an individual directly or going through a home care or home health care agency. Part of that decision may be affected by whether the help will be “medically necessary” i.e., prescribed by the doctor, and therefore paid for by insurance. In that case, they will most likely determine the agency you use. In making your decisions, consider the following: home care agencies take care of all the paperwork for taxes and salary, substitutes will be available if the worker is sick, and you may have access to a broader range of skills. On the other hand, there may be a more personal relationship if you hire an individual directly, and the cost is likely to be lower. In either case, try to get recommendations for hiring from acquaintances, nurses, social workers, and others familiar with your situation. Big Hearts Homecare can help your loved one once they are discharged from the hospital and need post-surgery care.

 

Paying for Care After Discharge

You might not be aware that insurance does not pay for all services after a patient has been discharged from the hospital. However, if something is determined by the doctor to be “medically necessary,” you may be able to get coverage for certain skilled care or equipment. You will need to check directly with the hospital or your insurer to find out what might be covered and what you will have to pay for. Keep careful records of your conversations.

What if You Feel It’s Too Early for Discharge?

If you donʼt agree that your loved one is ready for discharge, you have the right to appeal the decision. Your first step is to talk with the physician and discharge planner and express your reservations. If that isnʼt enough, you will need to contact your insurance company.

Conclusion

Multiple studies have explored the importance of effective discharge planning and transitional care, and have highlighted the very real benefits in improved patient outcomes and lower rehospitalization rates. Several pilot programs have illustrated those benefits, but until healthcare financing systems are changed to support such innovations in care, they will remain unavailable to many people. Caregivers, patients, and advocates are continuing their efforts to alter our healthcare system to make discharge planning a priority. With our graying population, these changes are ever more necessary.

Some Basic Questions for Caregivers to Ask

Questions about the illness:

  • What is it and what can I expect?
  • What should I watch out for?
  • Will we get home care and will a nurse or therapist come to our home to work with my relative? Who pays for this service?
  • How do I get advice about care, danger signs, a phone number for someone to talk to, and follow-up medical appointments?
  • Have I been given information either verbally or in writing that I understand and can refer to?
  • Do we need special instructions because my relative has Alzheimerʼs or memory loss?

What kind of care is needed?

  • Bathing
  • Dressing
  • Eating (are there diet restrictions, e.g., soft foods only? Certain foods not allowed?)
  • Personal hygiene
  • Grooming
  • Toileting
  • Transfer (moving from bed to chair)
  • Mobility (includes walking)
  • Medications
  • Managing symptoms (e.g., pain or nausea)
  • Special equipment
  • Coordinating the patientʼs medical care
  • Transportation
  • Household chores
  • Taking care of finances

Questions when my relative is being discharged to the home:

  • Is the home clean, comfortable, and safe, adequately heated/cooled, with space for any extra equipment?
  • Are there stairs?
  • Will we need a ramp, handrails, grab bars?
  • Are hazards such as area rugs and electric cords out of the way?
  • Will we need equipment such as hospital bed, shower chair, commode, oxygen tank? Where do I get this equipment?
  • Who pays for these items?
  • Will we need supplies such as adult diapers, disposable gloves, skin care items? Where do I get these items?
  • Will insurance pay for these?
  • Do I need to hire additional help?

Questions about training:

  • Are there special care techniques I need to learn for such things as changing dressings, helping someone swallow a pill, giving injections, using special equipment?
  • Have I been trained in transfer skills and preventing falls?
  • Do I know how to turn someone in bed so he or she doesnʼt get bedsores?
  • Who will train me?
  • When will they train me?
  • Can I begin the training in the hospital?

Questions when discharge is to a rehab facility or nursing home:

  • How long is my relative expected to remain in the facility?
  • Who will select the facility?
  • Is the facility clean, well kept, quiet, a comfortable temperature?
  • Does the facility have experience working with families of my culture/language?
  • Does the staff speak our language?
  • Is the food culturally appropriate?
  • Is the building safe (smoke detectors, sprinkler system, marked exits)?
  • Is the location convenient? Do I have transportation to get there?

For longer stays:

  • How many staff are on duty at any given time?
  • What is the staff turnover rate?
  • Is there a social worker?
  • Do residents have safe access to the outdoors?
  • Are there special facilities/programs for dementia patients?
  • Are there means for families to interact with staff?
  • Is the staff welcoming to families?

Questions about medications:

  • Why is this medicine prescribed? How does it work? How long the will the medicine have to be taken?
  • How will we know that the medicine is effective?
  • Will this medicine interact with other medications? prescription and nonprescription? or herbal preparations that my relative is taking now?
  • Should this medicine be taken with food? Are there any foods or beverages to avoid?
  • Can this medicine be chewed, crushed, dissolved, or mixed with other medicines?
  • What possible problems might I experience with the medicine? At what point should I report these problems?
  • Will the insurance program pay for this medicine? Is there a less expensive alternative?
  • Does the pharmacy provide special services such as home delivery, online refills, or medication review and counseling?

Questions about follow-up care:

  • What health professionals will my family member need to see?
  • Have these appointments been made? If not, whom should I call to make these appointments?
  • Where will the appointment be? In an office, at home, somewhere else?
  • What transportation arrangements need to be made?
  • How will our regular doctor learn what happened in the hospital or rehab facility?
  • Whom can I call with treatment questions? Is someone available 24 hours a day and on weekends?

Questions about finding help in the community:

  • What agencies are available to help me with transportation or meals?
  • What is adult day care and how do I find out about it?
  • What public benefits is my relative eligible for, such as In-Home Supportive Services or VA services?
  • Where do I start to look for such care?

Questions about my needs as a caregiver:

  • Will someone come to my home to do an assessment to see if we need home modifications?
  • What services will help me care for myself?
  • Does my family member require help at night and if so, how will I get enough sleep?
  • Are there things that are scary or uncomfortable for me to do, e.g., changing a diaper?
  • What medical conditions and limitations do I have that make providing this care difficult?
  • Where can I find counseling and support groups?
  • How can I get a leave from my job to provide care?
  • How can I get a respite (break) from care responsibilities to take care of my own healthcare and other needs?

* Adapted from the Family Caregiver Alliance website


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19/Oct/2019

It’s normal for people to experience some foot problems as they age. But experts say that problems with feet can be the first sign of more serious medical conditions, particularly among older adults. Health problems, such as arthritis, diabetes, nerve issues, and circulatory disorders, may first be manifested in the feet. That is why it is important to pay attention to your feet and seek medical attention as soon as you notice a problem. Big Hearts Homecare provides foot care for seniors in Vancouver.

Healthy feet play an important role in overall good health and wellness. We help our clients achieve optimal foot health with preventative care, ongoing assessment and treatment from our professional staff.  Our Foot Care services are provided by nurses with specialized education. There many benefits of Foot Care include:

  • Control of fungal infections
  • Improved skin integrity and fewer cracks
  • Improved comfort, mobility and balance
  • Early detection of serious health problems

Here are some foot care tips for older adults:

  • Practice good foot care. Check your feet regularly or have a member of your family check them for you.
  • Keep blood circulating to your feet as much as possible. Do this by putting your feet up when you are sitting or lying down, stretching if you’ve had to sit for a long while, walking, having a gentle foot massage, or taking a warm foot bath.
  • Wear comfortable shoes that fit well to prevent pressures that can lead to friction and infection and keep your foot structure properly aligned.
  • Avoid exposing your feet to cold temperatures.
  • Don’t sit for long periods of time (especially with your legs crossed).
  • Don’t smoke because it decreases blood supply and increases the chance of swelling and other circulatory problems.

Contact Big Hearts Homecare today by calling us at 778-788-5578 or emailing us at info@bigheartshomecare.ca


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19/Oct/2019

As we age, certain everyday activities become difficult. We may not be able to perform easy tasks such as cooking, cleaning and even bathing.

Home Care VS Long Term Care

Safety also becomes a concern as we get older. Besides forgetting to take our daily cocktail of medications, we may have trouble getting out of bed, or we could slip and fall and become severely injured.

If you or your loved one needs everyday assistance, you have many care options available. Do you hire a home care worker or do you opt for a residency in a long term care centre? Are home care service companies in Vancouver going to deliver you the quality of care you need?

Pros of using home care:

  • Caretakers and nurses come to you on a daily basis to assist with everything from bathing to cooking, cleaning, buying groceries and taking you to doctor’s appointments.
  • You don’t have to leave the home you’ve been living in for many years.
  • If you’re someone who prefers to keep to themselves, a long term care facility may be very overwhelming, while home care allows you to only interact with your assigned caretakers.
  • Your family can come over at any time.
  • You can maintain your independence. Elder home care services have become popular for this reason.

Cons of using home care:

  • You may have to retrofit your home with ramps, railings and chairlifts, which can become costly. If you don’t revamp your home you may have portions of it that remain unused like a basement or second and third floors.
  • In-home care is often more expensive than long term care, however government assistance can help relieve that financial burden.
  • If you’re a social person, you will not have the company of other people your age that you would find in a senior long term care centre.
  • Your home caregiver may have to move into your home as you get older and become less mobile, in which case you’ll be paying the same prices as you would to live in a residence.

Pros of long term residential care:

  • You are provided with room and board and do not have to worry about making your own meals.
  • Medical and non-medical care is available 24/7.
  • If you are married, your spouse/partner can come with you.
  • Most senior care facilities offer activities and field trips so you are not confined to your room.
  • Staff can take care of making your bed, ensuring you take your medication and cleaning your room.

Cons of long term residential care:

  • You are essentially paying rent to live in a long term care facility, which some seniors cannot afford.
  • Although most residences have all-day visiting hours, the location of the care centre may be far away from where your family lives and they will not come visit often.
  • Some people find it hard to adapt to their new surroundings and have trouble dealing with the hustle and bustle of a care centre.
  • Due to dietary restrictions of many of the residents, meals may be bland. Plus, you are not cooking your own meals leaving you with no control over the menu. For this reason, home care assistance companies and senior care agencies in Vancouver can offer higher quality and personalized services.

If you’re looking to make a choice for yourself or your elderly family members, contact us today. We’ll help you choose the best option for your loved one.

(Source article here)


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19/Oct/2019

Alzheimer's care, Tip on dealing with Alzheimer's

 

 

 

 

 

 

Alzheimer’s disease causes brain cells to die, so the brain works less well over time. This changes how a person acts. Big Hearts Home Care can help you deal with your loved one’s condition and here we provide you with suggestions on coping with Alzheimer’s disease.

Common Changes in Personality and Behaviour

Common personality and behaviour changes you may see include:

– Getting upset, worried, and angry easily
– Acting depressed or not interested in things
– Hiding things or believing other people are hiding things
– Imagining things that aren’t there
– Wandering away from home
– Pacing a lot
– Showing unusual sexual behaviour
– Hitting you or other people
– Misunderstanding what he or she sees or hears

You also may notice that the person stops caring about how he or she looks, stops bathing, and wants to wear the same clothes every day.

Other Factors That Can Affect Behaviour

In addition to changes in the brain, other things may affect how people with Alzheimer’s behave:

– Feelings such as sadness, fear, stress, confusion, or anxiety
– Health-related problems, including illness, pain, new medications, or lack of sleep
– Other physical issues like infections, constipation, hunger or thirst, or problems seeing or hearing

Other problems in their surroundings may affect behaviour for a person with Alzheimer’s disease. Too much noise, such as TV, radio, or many people talking at once can cause frustration and confusion. Stepping from one type of flooring to another or the way the floor looks may make the person think he or she needs to take a step down. Mirrors may make them think that a mirror image is another person in the room.

If you don’t know what is causing the problem, call the doctor. It could be caused by a physical or medical issue.

Other Tips

Caregivers cannot stop Alzheimer’s-related changes in personality and behaviour, but they can learn to cope with them. Here are some tips:

– Keep things simple. Ask or say one thing at a time.
– Have a daily routine, so the person knows when certain things will happen.
– Reassure the person that he or she is safe and you are there to help.
– Focus on his or her feelings rather than words. For example, say, “You seem worried.”
– Don’t argue or try to reason with the person.
– Try not to show your frustration or anger. If you get upset, take deep breaths and count to 10. If it’s safe, leave the room for a few minutes.
– Use humour when you can.
– Give people who pace a lot a safe place to walk. Provide comfortable, sturdy shoes. Give them light snacks to eat as they walk, so they don’t lose too much weight, and make sure they have enough to drink.
– Try using music, singing, or dancing to distract the person.
– Ask for help. For instance, say, “Let’s set the table” or “I need help folding the clothes.”

Talk with the person’s doctor about problems like hitting, biting, depression, or hallucinations. Medications are available to treat some behavioural symptoms.

(Adapted this article from,
<https://www.nia.nih.gov/health/managing-personality-and-behavior-changes-alzheimers> )


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19/Oct/2019

Summer is most Vancouverites’ favorite season. When the sun shines on Vancouver, there’s no prettier place on earth, and locals make the most of the summer months—June, July, and August—with tons of festivals, parties, outdoor adventures, and more.

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Celebrate Canada Day

Surrey's Canada Day

Canada Day, celebrated on July 1, is always a massive party in the city, with free events popping up across Metro Vancouver. The patriotic flair of the celebrations at Granville Island are incredibly festive (who doesn’t love the Truly Canadian Pancake Breakfast?), plus all the street festivals, parades, and fireworks. There’s also Surrey’s Canada Day outdoor concerts—the biggest Canada Day celebration in all of western Canada.

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Attend a Unique Summer Festival

Vancouver Folk Festival, Vancouver, BC
Courtesy of Tourism Vancouver/ Dannielle Hayes

June through August in Vancouver is the season for festivals, and some of the year’s biggest and best music and multicultural events happen at this time of year. Vancouver’s International Jazz Festival is held each year at the end of June, while the Vancouver Folk Music Festival typically takes place each July.

03of 18

 Hit the Beach

People sun tanning on Kitsilano Beach, English Bay, Vancouver, British Columbia, Canada.
Chris Cheadle / Getty Images

Whether it’s barbecuing or wading into the low tide on Spanish Banks, playing volleyball on English Bay Beach or sunbathing on Kits Beach, summer weather makes Vancouver’s already-stunning beaches the place to be.

04of 18

Eat at a Summer Night Market

Vancouver British Columbia
Corbis via Getty Images / Getty Images

Asian-style night markets are a summer tradition in the Lower Mainland. There are two great night markets to visit: the Richmond Night Market and the Shipyards Night Market in North Vancouver. The Richmond market is a must-see; it features over 300 vendors, fantastic food (pork shumai, Osaka balls, hurricane potatoes, and snow-cones, at the same time) and live entertainment, that attracts nightly crowds of thousands.

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Watch an Incredible Fireworks Display

Celebration of Light Fireworks, Vancouver
Tourism Vancouver / Clayton Perry

If there is one event that defines summer in Vancouver, it’s the Celebration of Light international fireworks competition: three nights of the best fireworks displays you’ve ever seen. Lighting up the sky over English Bay in incredible color compositions, the annual event, typically help late July through early Augusthas become one of the most prestigious fireworks competitions in the world.

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Go Swimming in Kits Pool

Kits Pool in Vancouver, BC
Dana Lynch

With its white bottom and turquoise water and its spectacular views—of the ocean, the mountains, Kits Beach, and the Vancouver skyline glittering across English Bay—Kits Pool, open mid-May through mid-September, is a vacation destination unto itself. Just stepping through the gates feels like an escape and many Vancouverites will tell you that summer wouldn’t be summer without a swim in this pool!

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Watch a Play on the Beach

Bard on the Beach Shakespeare Festival in Vancouver, BC
Courtesy of Bard on the Beach 

With the gorgeous summer weather comes lots of outdoor theatre and concerts: There’s the Theatre Under the Stars in Stanley Park and the Enchanted Evenings Concert Series at Dr. Sun Yat Sen Chinese Garden. Among the best, however, is the Shakespeare festival Bard on Beach, which stages plays in open-backed tents in Vanier Park. The northern mountains and glory of English Bay become the plays’ backdrop. What could be more dramatic than that?

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Hike at Stanley Park

Biking the Stanley Park Seawall
Courtesy of Tourism Vancouver 

Stanley Park may be a tourist destination—it attracts 8 million visitors a year—but it’s also cherished by locals, especially in the summer months. When the sun shines, there’s nothing better than biking or walking the scenic Seawall or hiking the 16 miles of forest trails. The Stanley Park Gardens are also a summer must-see!

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Ring in Summer at the Fair at the PNE

The Fair at the PNE in Vancouver, BC
Dana Lynch

If there’s one summer tradition that can bring out the kid in anyone, it’s the annual Fair at the PNE. Cotton candy, mini donuts, Playland rides, farm animals, live performers like Superdogs, and the nightly concert series make this end-of-summer extravaganza one of the best family events of the season.

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Pick Berries at Krause Berry Farms

Take a quick trip to Langley where you can spend an entire day picking blackberries, blueberries, or strawberries at the 200-acre Krause Berry Farm. Even if picking berries yourself isn’t your thing, the family-run farm has tons of fresh fruit for sale, as well as pies, jams, jellies, and more. It’s a great outing for little ones, who can take tractor train rides or simply enjoy spending time outside.

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Take a Day Trip to a Hot Spring

British Columbia is home to a vast array of hot springs, which can make for the perfect summer day or weekend trip from Vancouver. Halcyon Hot Springs, in Nakusp, is among the most popular, featuring breath-taking views and mineral-rich waters that are supposedly healing. There are also chalet-style homes that you can rent.

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Do a Beer Crawl Down Brewer’s Row

If you love beer, get thee to Brewer’s Row, a tiny Vancouver street filled with local breweries. Murray Street, right across from Vancouver’s Rocky Point Park, has four small breweries that are open to visitors for tastings and tours, making it a great way to spend the afternoon. Start your day at Yellow Dog, before moving on to Moody Ales, Twin Sails, and Murray Street’s newest addition Parkside Brewing.

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Shop at Vancouver’s Eastside Flea

This modern flea market features more than 50 vendors selling vintage clothing, collectibles, plants, and artisanal food. If shopping isn’t your thing, the flea’s organizers also invite food trucks and local DJs to turn the event into a veritable party. The flea typically takes place every weekend and moved to Eastside Studios in fall 2018.

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Watch a Movie Alfresco in Stanley Park

For more than a decade, Stanley Park has hosted its Summer Cinema series on Tuesday nights. Movies start right after sunset and mostly include family favorites like Mean GirlsThe Lion King, and Grease. Admission is free, but you’ll want to bring a lawn chair or picnic blanket.

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Join in on a Massive Water Fight

A newer event on Vancouver’s summer calendar, the massive Vancouver Water Fight has already become tremendously popular. Held in mid-August, the great water war takes place at the Lumberman’s Arch at Stanley Park. Bring your bathing suits, water guns, and water balloons.

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Go Kayaking at Deep Cove

If you want to spend a day outside, head to Deep Cove, a seaside village on the Eastern edge of Vancouver. The cove has great hikes and is a tranquil spot to go kayaking. The Deep Cove Kayak Centre will rent out kayaks, paddleboards, and canoes, and also offers lessons.

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Listen to Classical Music in the Park

The Vancouver Symphony Orchestra performs a free outdoor concert each year at Deer Lake Park. The lineup typically includes classics from Tchaikovsky and other renowned composers as well as contemporary favorites, like the score from Star Wars.


English_Bay_Vancouver_BC.jpg
19/Oct/2019

Emily Carr, one of British Columbia’s most beloved artists, once said, “There is something bigger than fact: the underlying spirit, all it stands for, the mood, the vastness, the wildness.” Like so many others, Carr was inspired by Vancouver’s sweeping views and tangible sense of spirit. There really is no place like Vancouver, and for active seniors, it reignites a sense of exploration and adventure in a way that few other places do.

The following itinerary represents a loose three-week plan that uses Vancouver as a launching point for exploring the city and its neighbouring regions. It includes some of the most popular activities for active seniors, all offering a unique way to tap into the heart of this destination, whether by water, by land or by air. Some offer longer periods of travel, while others can be done in a day. Pick your favorites and build your own itinerary.

Week 1: Water, Water, Everywhere

Heading North: Vancouver Cruises
If you’ve toured Mexico and the Caribbean, it’s time to witness the majesty of the legendary Vancouver- Alaska journey via a route known as the “Inside Passage.” From May to October, you can join the many active seniors who board cruise ships at downtown Vancouver’s Canada Place to head to some of the world’s most famous ports — Juneau, Skagway and Glacier Bay. It’s the perfect opportunity to see once- in-a-lifetime views of ice-blue fjords and snow-capped mountains.

Hit the Seas: Whale Watching in Vancouver
Another favourite pastime for Vancouver visitors is also on the water; and for many whale watching is an awe-inspiring experience. Whether you go decide to explore the region’s wildlife via a rugged inflatable boat, or a larger vessel, you’ll find several tour companies offer whale-watching trips and boast high success rates for sightings.

Week 2: Land Bound

Ride the Rails: Vancouver Train Travel
If you don’t have sea legs, don’t worry. Another great way to see Western Canada is to ride the rails. Hop on a train in Vancouver and soak up a classic Canadian experience. Many active seniors choose Rocky Mountaineer and VIA Rail, two world-class lines that transport passengers through lush forest and sparkling waters to the Canadian Rocky Mountains. All you have to do is sit back, relax and take in the views.

Hit the Links: Golfing in Vancouver
Nothing is quite like golfing in a region where water meets the mountains. Not to brag, but that’s Vancouver. Spectacular courses are a dime a dozen here, and public courses offer visitors some of the best scenery around.

Week 3: Air It Out

Bird’s Eye View: Floatplane Sightseeing
For those who want an extra bit of adventure, floatplanes are the way to go. The tiny engine roars as you soar above the city and its neighbours, taking you on a tour of the land from a bird’s eye view. Flight-seeing tours typically cover Vancouver’s top sights, such as Bowen Island, Canada Place, Stanley Park and more.

Tower Above: Visiting Vancouver Lookout
Even if planes aren’t your thing, you can still see Vancouver from up high. Just head to the Harbour Centre and hop in one of the glass elevators. Some 40 seconds later, you’ll find yourself at Vancouver Lookout — 167 metres (430 feet) above the city. The 360-degree views are breathtaking, whether you’re looking out on a sunny day or watching the twinkling lights in the evening.

Up in the Sky: Grouse Mountain Gondola Ride
Grouse Mountain’s SkyRide climbs 1,100 metres (3,700 feet) above the city, providing views of downtown Vancouver, the Gulf Islands and the Pacific Ocean. While you’re on the top of the mountain, visit the famous grizzly bears at the Refuge for Endangered Wildlife. Plan for a celebratory dinner at The Observatory to savour the views and toast to a wonderful trip in Vancouver.

(tourism Vancouver)

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In a recent Stats Canada report, receiving care at home was a reality for 2.2 million Canadians or 8% of the Canadian population aged 15 years and over. In most cases, care recipients relied on the help of family and friends, though they often combined this care with help from professionals

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