Worried About an Aging Parent? How to Plan for Safety, Independence, & Care
Village OT
[{'start': '0.320', 'end': '4.400', 'text': 'Your parents, grandparents, or other'}, {'start': '2.159', 'end': '6.160', 'text': 'senior in your life is getting older.'}, {'start': '4.400', 'end': '8.320', 'text': 'What do you do about it? What do you'}, {'start': '6.160', 'end': '10.040', 'text': "look out for? And how do you plan? Let's"}, {'start': '8.320', 'end': '13.200', 'text': 'talk about it'}, {'start': '10.040', 'end': '15.120', 'text': "today. Hi, I'm Tracy with Village OT."}, {'start': '13.200', 'end': '17.039', 'text': "I'm an occupational therapist who works"}, {'start': '15.120', 'end': '18.880', 'text': 'with individuals who have had illness,'}, {'start': '17.039', 'end': '21.039', 'text': 'injury, or disability and help them live'}, {'start': '18.880', 'end': '23.359', 'text': 'as independently as possible. The'}, {'start': '21.039', 'end': '24.600', 'text': "concerns I'll address directly today are"}, {'start': '23.359', 'end': '27.480', 'text': 'falls and'}, {'start': '24.600', 'end': '30.760', 'text': 'unsteadiness, confusion or'}, {'start': '27.480', 'end': '33.520', 'text': 'forgetfulness, social isolation and'}, {'start': '30.760', 'end': '35.079', 'text': 'loneliness, and hygiene concerns,'}, {'start': '33.520', 'end': '37.280', 'text': 'including urinary'}, {'start': '35.079', 'end': '39.600', 'text': 'incontinents. Aging can look really'}, {'start': '37.280', 'end': '41.920', 'text': 'different from person to person. It'}, {'start': '39.600', 'end': '44.640', 'text': "isn't uncommon for someone to know"}, {'start': '41.920', 'end': '47.039', 'text': 'somebody who worked well into their 80s'}, {'start': '44.640', 'end': '49.360', 'text': 'or somebody who was doing their own yard'}, {'start': '47.039', 'end': '51.360', 'text': 'work until they were in their 90s. We'}, {'start': '49.360', 'end': '53.120', 'text': 'hear a lot of really inspiring stories'}, {'start': '51.360', 'end': '55.840', 'text': 'like that. But on the flip side, there'}, {'start': '53.120', 'end': '58.399', 'text': 'are also people who started getting ill'}, {'start': '55.840', 'end': '60.800', 'text': 'the second they retired or they even'}, {'start': '58.399', 'end': '63.320', 'text': 'started showing signs of a chronic'}, {'start': '60.800', 'end': '66.400', 'text': 'illness well before that in their 40s or'}, {'start': '63.320', 'end': '68.720', 'text': '50s. Because of these variabilities in'}, {'start': '66.400', 'end': '71.920', 'text': 'the way people are aging, it can be'}, {'start': '68.720', 'end': '74.159', 'text': 'really isolating if your parents or'}, {'start': '71.920', 'end': '76.479', 'text': 'grandparents are aging very differently'}, {'start': '74.159', 'end': '78.240', 'text': 'than that of your friends. and it can'}, {'start': '76.479', 'end': '80.080', 'text': "feel like you don't have anybody to talk"}, {'start': '78.240', 'end': '81.759', 'text': "to if your friends aren't going through"}, {'start': '80.080', 'end': '83.600', 'text': 'the same thing that you are. There are a'}, {'start': '81.759', 'end': '86.240', 'text': 'number of things that can impact the'}, {'start': '83.600', 'end': '89.360', 'text': 'overall aging process. One of those'}, {'start': '86.240', 'end': '91.280', 'text': "things is a person's activity level and"}, {'start': '89.360', 'end': '93.240', 'text': 'their health over the span of their'}, {'start': '91.280', 'end': '96.560', 'text': 'life. Another thing is their'}, {'start': '93.240', 'end': '99.280', 'text': 'socioeconomic status and their access to'}, {'start': '96.560', 'end': '102.560', 'text': 'resources such as senior services, meals'}, {'start': '99.280', 'end': '105.439', 'text': 'on wheels, or specialty physicians. And'}, {'start': '102.560', 'end': '107.520', 'text': 'the last thing that can really impact a'}, {'start': '105.439', 'end': '109.680', 'text': 'person and the way they age is the'}, {'start': '107.520', 'end': '111.840', 'text': "trauma that they've experienced. If"}, {'start': '109.680', 'end': '114.479', 'text': "they've had a loss that's really"}, {'start': '111.840', 'end': '116.720', 'text': 'significant to them, such as a spouse or'}, {'start': '114.479', 'end': '118.479', 'text': 'a child or even a sibling that they'}, {'start': '116.720', 'end': '120.719', 'text': 'spent a lot of time with, all of those'}, {'start': '118.479', 'end': '123.360', 'text': 'things can really play into the way'}, {'start': '120.719', 'end': '125.200', 'text': "somebody is aging. If you're starting to"}, {'start': '123.360', 'end': '127.119', 'text': 'have some concerns about your aging'}, {'start': '125.200', 'end': '128.800', 'text': "loved one and you know that they aren't"}, {'start': '127.119', 'end': '131.120', 'text': "having the same concerns that you're"}, {'start': '128.800', 'end': '133.200', 'text': 'having, it can be really difficult to'}, {'start': '131.120', 'end': '135.440', 'text': 'initiate a conversation with them about'}, {'start': '133.200', 'end': '137.599', 'text': 'that. So hopefully in this video and'}, {'start': '135.440', 'end': '139.920', 'text': 'throughout future videos that I post,'}, {'start': '137.599', 'end': '142.440', 'text': "you'll get some good tools and tricks"}, {'start': '139.920', 'end': '145.200', 'text': 'for helping you manage those'}, {'start': '142.440', 'end': '147.200', 'text': 'conversations and hopefully help your'}, {'start': '145.200', 'end': '149.520', 'text': 'loved one stay as healthy and'}, {'start': '147.200', 'end': '151.360', 'text': 'independent as long as possible.'}, {'start': '149.520', 'end': '153.680', 'text': 'Sometimes when family members try to'}, {'start': '151.360', 'end': '155.120', 'text': 'talk to the primary care provider of a'}, {'start': '153.680', 'end': '157.840', 'text': 'senior in their life about their'}, {'start': '155.120', 'end': '160.000', 'text': 'concerns regarding their function or'}, {'start': '157.840', 'end': '161.840', 'text': "their symptoms, they'll automatically"}, {'start': '160.000', 'end': '163.920', 'text': 'get a prescription for maybe an'}, {'start': '161.840', 'end': '165.920', 'text': 'anti-depressant or some other medication'}, {'start': '163.920', 'end': '168.080', 'text': "that addresses the symptoms that they're"}, {'start': '165.920', 'end': '170.000', 'text': "seeing. Or they'll just automatically"}, {'start': '168.080', 'end': '172.560', 'text': 'recommend that that person be admitted'}, {'start': '170.000', 'end': '174.239', 'text': 'to an assisted living facility or a'}, {'start': '172.560', 'end': '176.319', 'text': 'nursing home. And for a lot of people,'}, {'start': '174.239', 'end': '177.440', 'text': "that doesn't feel quite right. it feels"}, {'start': '176.319', 'end': '180.239', 'text': 'like there should be some other'}, {'start': '177.440', 'end': '182.560', 'text': 'resources or options available before we'}, {'start': '180.239', 'end': '184.800', 'text': 'jump into something too extreme. So,'}, {'start': '182.560', 'end': '186.720', 'text': "let's go into a little bit more detail"}, {'start': '184.800', 'end': '189.040', 'text': 'about some of the concerns that we'}, {'start': '186.720', 'end': '191.360', 'text': 'talked about earlier. And one of the'}, {'start': '189.040', 'end': '194.080', 'text': 'main concerns that a lot of people have'}, {'start': '191.360', 'end': '197.360', 'text': 'regarding a senior staying at home is'}, {'start': '194.080', 'end': '201.040', 'text': 'falls or unsteadiness. Now, sometimes'}, {'start': '197.360', 'end': '204.480', 'text': 'falls are described initially as a'}, {'start': '201.040', 'end': '207.920', 'text': 'little bit more controlled, such as I'}, {'start': '204.480', 'end': '210.959', 'text': 'slid forward out of a chair or I lowered'}, {'start': '207.920', 'end': '212.799', 'text': 'myself to the floor. And a lot of people'}, {'start': '210.959', 'end': '215.120', 'text': "don't think of those as falls because"}, {'start': '212.799', 'end': '217.440', 'text': "they didn't result in an injury. But"}, {'start': '215.120', 'end': '219.440', 'text': "when that's happening, it tends to be"}, {'start': '217.440', 'end': '221.519', 'text': 'inevitable that there will be a big'}, {'start': '219.440', 'end': '224.319', 'text': 'event shortly after that that does'}, {'start': '221.519', 'end': '226.879', 'text': 'result in an injury that can cause a lot'}, {'start': '224.319', 'end': '228.799', 'text': "of life disruption. Falls don't just"}, {'start': '226.879', 'end': '231.840', 'text': 'happen without a reason. So unless'}, {'start': '228.799', 'end': '234.400', 'text': "there's a really significant excuse for"}, {'start': '231.840', 'end': '235.920', 'text': 'why a person may have fallen, such as'}, {'start': '234.400', 'end': '237.519', 'text': 'something being left in the middle of'}, {'start': '235.920', 'end': '239.760', 'text': "the floor where it shouldn't have been"}, {'start': '237.519', 'end': '241.599', 'text': 'and the person tripped over it. We need'}, {'start': '239.760', 'end': '244.400', 'text': 'to investigate a little bit further and'}, {'start': '241.599', 'end': '246.879', 'text': "see what's actually causing the falls."}, {'start': '244.400', 'end': '250.480', 'text': 'Falls can often be caused by a medical'}, {'start': '246.879', 'end': '252.799', 'text': 'issue or a medication instability. With'}, {'start': '250.480', 'end': '255.840', 'text': 'medication issues, we see medications'}, {'start': '252.799', 'end': '257.600', 'text': 'such as anti-hypertensive medication,'}, {'start': '255.840', 'end': '259.519', 'text': 'which is medication for high blood'}, {'start': '257.600', 'end': '262.720', 'text': 'pressure. And those can cause'}, {'start': '259.519', 'end': '264.639', 'text': 'orthostatic hypotension, which is simply'}, {'start': '262.720', 'end': '267.840', 'text': 'low blood pressure or blood pressure'}, {'start': '264.639', 'end': '270.160', 'text': 'that gets lower once you stand up. And'}, {'start': '267.840', 'end': '271.759', 'text': 'what that often looks like is a person'}, {'start': '270.160', 'end': '274.560', 'text': 'stands up and they feel a little bit'}, {'start': '271.759', 'end': '276.479', 'text': 'dizzy. But what I see some seniors do is'}, {'start': '274.560', 'end': '279.199', 'text': 'instead of waiting on the dizziness to'}, {'start': '276.479', 'end': '281.040', 'text': "pass or sitting down, they'll simply try"}, {'start': '279.199', 'end': '283.840', 'text': 'to rush to get to wherever they were'}, {'start': '281.040', 'end': '285.919', 'text': 'headed. And that can lead to a fall. If'}, {'start': '283.840', 'end': '287.759', 'text': "you think that you're experiencing low"}, {'start': '285.919', 'end': '290.320', 'text': "blood pressure when you're standing, the"}, {'start': '287.759', 'end': '293.199', 'text': 'best thing that you can do is simply to'}, {'start': '290.320', 'end': '295.520', 'text': 'test that. And you can use just a'}, {'start': '293.199', 'end': '297.680', 'text': 'standard blood pressure cuff like this'}, {'start': '295.520', 'end': '300.560', 'text': "if you're measuring yourself, or you can"}, {'start': '297.680', 'end': '302.800', 'text': "use one of the wrist cuffs. It's always"}, {'start': '300.560', 'end': '304.320', 'text': 'better to have a manual measurement, but'}, {'start': '302.800', 'end': '306.880', 'text': 'not everybody has somebody else'}, {'start': '304.320', 'end': '308.560', 'text': 'available who can measure it for them.'}, {'start': '306.880', 'end': '311.039', 'text': 'So, something like this will work just'}, {'start': '308.560', 'end': '313.280', 'text': 'fine for the purpose of just gathering'}, {'start': '311.039', 'end': '315.120', 'text': 'the information to have for your primary'}, {'start': '313.280', 'end': '317.840', 'text': "care provider. You'll want to spend"}, {'start': '315.120', 'end': '320.639', 'text': 'about 5 minutes at rest in a seated'}, {'start': '317.840', 'end': '322.400', 'text': 'position without anything stressful or'}, {'start': '320.639', 'end': '324.240', 'text': "strenuous going on. So, you don't want"}, {'start': '322.400', 'end': '326.720', 'text': 'to have a stressful conversation with'}, {'start': '324.240', 'end': '328.639', 'text': 'your significant other or be watching'}, {'start': '326.720', 'end': '330.400', 'text': 'something really stressful on TV when'}, {'start': '328.639', 'end': '332.479', 'text': "you're about to measure your resting"}, {'start': '330.400', 'end': '335.440', 'text': "blood pressure. You'll measure your"}, {'start': '332.479', 'end': '337.840', 'text': 'blood pressure with the cuff and get'}, {'start': '335.440', 'end': '339.840', 'text': 'your initial measurement. Then after'}, {'start': '337.840', 'end': '342.479', 'text': 'that, all you need to do is leave the'}, {'start': '339.840', 'end': '345.919', 'text': 'cuff on your arm or your wrist, simply'}, {'start': '342.479', 'end': '347.919', 'text': 'stand up and retest. See if those'}, {'start': '345.919', 'end': '350.240', 'text': 'numbers are significantly different. And'}, {'start': '347.919', 'end': '352.240', 'text': 'if you see a pretty big drop, it would'}, {'start': '350.240', 'end': '354.880', 'text': 'be helpful to test this a couple more'}, {'start': '352.240', 'end': '357.199', 'text': 'times at different times during the day'}, {'start': '354.880', 'end': '360.400', 'text': 'or on different days to see if you are'}, {'start': '357.199', 'end': '362.960', 'text': 'having a drop in your blood pressure'}, {'start': '360.400', 'end': '365.280', 'text': "consistently when you're standing. Some"}, {'start': '362.960', 'end': '368.400', 'text': 'depression medications can also have a'}, {'start': '365.280', 'end': '370.960', 'text': 'sedative effect which can impact the'}, {'start': '368.400', 'end': '372.720', 'text': 'level of alertness a person experiences'}, {'start': '370.960', 'end': '375.840', 'text': 'when they are awake and that can'}, {'start': '372.720', 'end': '377.919', 'text': 'contribute to a fall risk as well. Also,'}, {'start': '375.840', 'end': '380.319', 'text': 'diabetics are at an increased risk for'}, {'start': '377.919', 'end': '382.000', 'text': 'falls, obviously, because of blood sugar'}, {'start': '380.319', 'end': '384.800', 'text': 'instabilities, and we just want to make'}, {'start': '382.000', 'end': '387.360', 'text': 'sure that those insulin levels stay'}, {'start': '384.800', 'end': '388.720', 'text': 'steady throughout the day. Now, if'}, {'start': '387.360', 'end': '391.039', 'text': "you're experiencing any of those"}, {'start': '388.720', 'end': '392.639', 'text': 'symptoms that we just talked about, the'}, {'start': '391.039', 'end': '395.240', 'text': 'best thing that you can do for yourself'}, {'start': '392.639', 'end': '398.000', 'text': 'at home is to get as much information as'}, {'start': '395.240', 'end': '400.000', 'text': 'possible. If you have diabetes, you want'}, {'start': '398.000', 'end': '402.960', 'text': 'to make sure that you have a good log of'}, {'start': '400.000', 'end': '405.759', 'text': 'your blood sugars and make sure that you'}, {'start': '402.960', 'end': '408.160', 'text': 'notice when those sugar levels are up or'}, {'start': '405.759', 'end': '410.319', 'text': 'down and that way you can chat with your'}, {'start': '408.160', 'end': '412.800', 'text': 'physician about them. Falls can also be'}, {'start': '410.319', 'end': '415.199', 'text': 'caused by a general dability or a lack'}, {'start': '412.800', 'end': '418.000', 'text': 'of activity. The less we use certain'}, {'start': '415.199', 'end': '420.800', 'text': 'skills, the more likely we are to lose'}, {'start': '418.000', 'end': '422.560', 'text': 'them. And we see a lot of dability,'}, {'start': '420.800', 'end': '424.960', 'text': 'especially in the Midwest over the'}, {'start': '422.560', 'end': '427.599', 'text': 'winter when the weather is more harsh,'}, {'start': '424.960', 'end': '430.080', 'text': 'people are staying inside and just'}, {'start': '427.599', 'end': '432.160', 'text': 'generally not getting as many steps in.'}, {'start': '430.080', 'end': '434.720', 'text': "We'll start to see more falls during"}, {'start': '432.160', 'end': '437.599', 'text': 'that time period because people are just'}, {'start': '434.720', 'end': '440.160', 'text': 'not as active and when we are active, we'}, {'start': '437.599', 'end': '441.919', 'text': 'lose the skills that we have. If you'}, {'start': '440.160', 'end': '444.800', 'text': 'know that this is one of the reasons you'}, {'start': '441.919', 'end': '446.960', 'text': 'are seeing some unsteadiness or balance'}, {'start': '444.800', 'end': '449.840', 'text': 'concerns, you can usually get into an'}, {'start': '446.960', 'end': '452.240', 'text': 'outpatient facility for a fall or'}, {'start': '449.840', 'end': '454.639', 'text': 'balance assessment pretty quickly. You'}, {'start': '452.240', 'end': '456.400', 'text': 'just call up, you tell them that you are'}, {'start': '454.639', 'end': '458.160', 'text': 'seeing some unsteadiness and you would'}, {'start': '456.400', 'end': '459.840', 'text': 'like to be assessed and they can get you'}, {'start': '458.160', 'end': '462.800', 'text': 'in with a physical or occupational'}, {'start': '459.840', 'end': '464.319', 'text': 'therapist usually pretty quickly. And to'}, {'start': '462.800', 'end': '467.039', 'text': "get these appointments, you don't have"}, {'start': '464.319', 'end': '469.199', 'text': 'to see a physician first in most states,'}, {'start': '467.039', 'end': '470.880', 'text': 'but if you call the facility, you ask'}, {'start': '469.199', 'end': '472.639', 'text': "for an appointment, they'll let you know"}, {'start': '470.880', 'end': '475.759', 'text': 'what you need from your doctor if you'}, {'start': '472.639', 'end': '478.240', 'text': 'need anything at all. A good therapist'}, {'start': '475.759', 'end': '480.160', 'text': 'will assess some of the vital signs that'}, {'start': '478.240', 'end': '482.960', 'text': 'we mentioned earlier, such as heart'}, {'start': '480.160', 'end': '485.280', 'text': 'rate, blood pressure, and oxygen levels'}, {'start': '482.960', 'end': '487.599', 'text': 'during different activities, and see if'}, {'start': '485.280', 'end': '489.840', 'text': 'any of those symptoms are impacting your'}, {'start': '487.599', 'end': '491.599', 'text': 'balance. If the therapist that you see'}, {'start': '489.840', 'end': '494.160', 'text': 'an outpatient indicates that your'}, {'start': '491.599', 'end': '496.080', 'text': "balance maybe isn't your biggest issue,"}, {'start': '494.160', 'end': '499.199', 'text': "it's always good to follow up with your"}, {'start': '496.080', 'end': '501.520', 'text': 'primary care provider for a medication'}, {'start': '499.199', 'end': '504.000', 'text': 'review and to review your symptoms with'}, {'start': '501.520', 'end': '506.240', 'text': "them. If you can't get into your primary"}, {'start': '504.000', 'end': '508.639', 'text': 'care provider in a timely way, say'}, {'start': '506.240', 'end': '510.319', 'text': 'within 1 to two weeks, you can check to'}, {'start': '508.639', 'end': '512.519', 'text': 'see if you have teleaalth options'}, {'start': '510.319', 'end': '514.880', 'text': 'available to you through your insurance'}, {'start': '512.519', 'end': '518.159', 'text': 'provider. You may also be concerned'}, {'start': '514.880', 'end': '520.959', 'text': 'about forgetfulness or confusion. This'}, {'start': '518.159', 'end': '523.360', 'text': 'is another issue that you can request a'}, {'start': '520.959', 'end': '526.399', 'text': 'safety or cognitive assessment at an'}, {'start': '523.360', 'end': '529.519', 'text': 'outpatient facility and that can be done'}, {'start': '526.399', 'end': '532.399', 'text': 'by occupational therapy, speech therapy,'}, {'start': '529.519', 'end': '534.720', 'text': 'or even both because both disciplines do'}, {'start': '532.399', 'end': '538.000', 'text': 'look for different levels of functioning'}, {'start': '534.720', 'end': '540.240', 'text': 'and assess for different things.'}, {'start': '538.000', 'end': '542.160', 'text': 'I always love to get a therapy referral'}, {'start': '540.240', 'end': '545.279', 'text': 'early when somebody is experiencing'}, {'start': '542.160', 'end': '547.360', 'text': 'forgetfulness or confusion because even'}, {'start': '545.279', 'end': '549.680', 'text': 'if the person sees their primary care'}, {'start': '547.360', 'end': '552.080', 'text': 'provider, they may be referred on to a'}, {'start': '549.680', 'end': '554.640', 'text': 'specialist such as a neurologist and it'}, {'start': '552.080', 'end': '556.600', 'text': 'can take 3 to 6 months or even longer to'}, {'start': '554.640', 'end': '559.120', 'text': 'get into one of those types of'}, {'start': '556.600', 'end': '561.040', 'text': 'specialists. If we can get a therapy'}, {'start': '559.120', 'end': '562.959', 'text': 'referral early on, we can start'}, {'start': '561.040', 'end': '565.519', 'text': 'intervening early before things go'}, {'start': '562.959', 'end': '567.600', 'text': 'downhill too much and make some early'}, {'start': '565.519', 'end': '569.320', 'text': 'recommendations that can help slow the'}, {'start': '567.600', 'end': '571.440', 'text': 'decline of certain'}, {'start': '569.320', 'end': '573.680', 'text': 'conditions. Therapists are often a'}, {'start': '571.440', 'end': '576.080', 'text': 'wealth of resources and may already be'}, {'start': '573.680', 'end': '577.839', 'text': 'working with a specialist who is closely'}, {'start': '576.080', 'end': '580.000', 'text': "suited to the needs of the person you're"}, {'start': '577.839', 'end': '582.440', 'text': 'concerned about. Additionally,'}, {'start': '580.000', 'end': '585.600', 'text': 'therapists can make recommendations'}, {'start': '582.440', 'end': '588.480', 'text': "regarding extra help if a person isn't"}, {'start': '585.600', 'end': '590.800', 'text': 'safe to stay at home, and they would be'}, {'start': '588.480', 'end': '593.120', 'text': 'able to plug you in very early with any'}, {'start': '590.800', 'end': '595.200', 'text': 'kind of home care that might be needed,'}, {'start': '593.120', 'end': '596.839', 'text': 'whether that is temporary or something'}, {'start': '595.200', 'end': '599.600', 'text': 'that might be needed long'}, {'start': '596.839', 'end': '601.519', 'text': 'term. Social isolation and loneliness'}, {'start': '599.600', 'end': '604.080', 'text': 'are other concerns that I hear from a'}, {'start': '601.519', 'end': '606.560', 'text': 'lot of family members of seniors. And'}, {'start': '604.080', 'end': '608.240', 'text': 'oftentimes a senior is retired and no'}, {'start': '606.560', 'end': '610.320', 'text': 'longer working while the members of'}, {'start': '608.240', 'end': '612.880', 'text': 'their family are still working and in'}, {'start': '610.320', 'end': '615.120', 'text': 'school. And so they have a lot of social'}, {'start': '612.880', 'end': '617.680', 'text': "isolation during the day and aren't"}, {'start': '615.120', 'end': '619.440', 'text': 'getting the same cognitive and physical'}, {'start': '617.680', 'end': '621.920', 'text': 'stimulation that they got when they were'}, {'start': '619.440', 'end': '623.360', 'text': 'leaving the house more regularly. When'}, {'start': '621.920', 'end': '625.279', 'text': "we don't have a lot of social"}, {'start': '623.360', 'end': '627.440', 'text': 'interactions during the day and maybe'}, {'start': '625.279', 'end': '629.360', 'text': "don't have a reason to leave the house,"}, {'start': '627.440', 'end': '631.440', 'text': "we'll start to see some physical and"}, {'start': '629.360', 'end': '634.560', 'text': 'cognitive decline from that lack of'}, {'start': '631.440', 'end': '636.800', 'text': 'activity that was previously normal.'}, {'start': '634.560', 'end': '639.160', 'text': 'Some seniors are no longer driving or'}, {'start': '636.800', 'end': '641.440', 'text': 'may have nervousness as relates to'}, {'start': '639.160', 'end': '642.959', 'text': 'driving and that can cause some'}, {'start': '641.440', 'end': '645.279', 'text': 'difficulty getting out of the house'}, {'start': '642.959', 'end': '647.839', 'text': 'during the day. Unfortunately, these'}, {'start': '645.279', 'end': '650.000', 'text': 'seniors may also live in a more rural'}, {'start': '647.839', 'end': '652.320', 'text': 'environment where public transportation'}, {'start': '650.000', 'end': '654.680', 'text': 'is not readily available and that can'}, {'start': '652.320', 'end': '657.519', 'text': 'also contribute to social'}, {'start': '654.680', 'end': '659.600', 'text': 'isolation. The tough thing about social'}, {'start': '657.519', 'end': '661.760', 'text': "isolation is that people don't always"}, {'start': '659.600', 'end': '663.920', 'text': 'want to address it. They may just be'}, {'start': '661.760', 'end': '667.120', 'text': 'fine staying at home watching their'}, {'start': '663.920', 'end': '669.200', 'text': 'regular shows or completing their'}, {'start': '667.120', 'end': '672.120', 'text': "regular routine and they just don't want"}, {'start': '669.200', 'end': '675.040', 'text': 'to get out. You can always encourage'}, {'start': '672.120', 'end': '677.600', 'text': 'volunteerism, involvement in a church,'}, {'start': '675.040', 'end': '679.440', 'text': 'or even connecting with someone via'}, {'start': '677.600', 'end': '681.839', 'text': 'care.com just for a little bit of'}, {'start': '679.440', 'end': '683.360', 'text': "company. But overall, we can't force"}, {'start': '681.839', 'end': '685.279', 'text': 'somebody to leave the house if they'}, {'start': '683.360', 'end': '688.079', 'text': "don't want to. So, it's really important"}, {'start': '685.279', 'end': '690.000', 'text': "to dive in and see if a person isn't"}, {'start': '688.079', 'end': '692.720', 'text': "leaving the house because they don't"}, {'start': '690.000', 'end': '694.480', 'text': "want to or if it's something a little"}, {'start': '692.720', 'end': '695.920', 'text': "bit deeper because they're afraid to"}, {'start': '694.480', 'end': '698.079', 'text': "drive or they don't want to bother"}, {'start': '695.920', 'end': '700.959', 'text': 'anybody to come pick them up to take'}, {'start': '698.079', 'end': '703.120', 'text': 'them somewhere. I grouped hygiene and'}, {'start': '700.959', 'end': '705.120', 'text': 'urinary incontinents together as'}, {'start': '703.120', 'end': '707.680', 'text': 'concerns that people have regarding'}, {'start': '705.120', 'end': '710.000', 'text': 'seniors, but they may be entirely'}, {'start': '707.680', 'end': '711.920', 'text': 'separate issues. Sometimes family'}, {'start': '710.000', 'end': '713.839', 'text': 'members of senior citizens will tell me'}, {'start': '711.920', 'end': '716.000', 'text': "that they're starting to notice that"}, {'start': '713.839', 'end': '718.160', 'text': 'their family member is having a bit of'}, {'start': '716.000', 'end': '721.360', 'text': "an odor and they're concerned about"}, {'start': '718.160', 'end': '724.640', 'text': "what's going on. For some seniors, the"}, {'start': '721.360', 'end': '727.200', 'text': 'issue is a matter of access. They may'}, {'start': '724.640', 'end': '729.200', 'text': 'have an older bathtub or a big lip to'}, {'start': '727.200', 'end': '731.839', 'text': "their shower and they're unable to make"}, {'start': '729.200', 'end': '735.279', 'text': 'that step to physically get into the'}, {'start': '731.839', 'end': '736.880', 'text': 'shower like they used to. So, it can be'}, {'start': '735.279', 'end': '739.120', 'text': 'something like that or even just the'}, {'start': '736.880', 'end': '741.519', 'text': 'balance once they get inside the shower.'}, {'start': '739.120', 'end': '744.240', 'text': 'Some people are really nervous to be'}, {'start': '741.519', 'end': '746.560', 'text': 'standing up with a wet floor without'}, {'start': '744.240', 'end': '748.560', 'text': 'anything steady to hold on to. So that'}, {'start': '746.560', 'end': '750.720', 'text': 'can be part of the concern and you can'}, {'start': '748.560', 'end': '752.800', 'text': 'always just ask them about that and see'}, {'start': '750.720', 'end': '755.680', 'text': "if there's anything you can immediately"}, {'start': '752.800', 'end': '758.959', 'text': 'identify as a problem. Another issue'}, {'start': '755.680', 'end': '762.000', 'text': 'related to balance is if a senior is'}, {'start': '758.959', 'end': '764.160', 'text': 'having difficulty reaching down to their'}, {'start': '762.000', 'end': '766.639', 'text': 'feet, it can be tough to be very'}, {'start': '764.160', 'end': '769.120', 'text': 'thorough when cleaning. Another issue'}, {'start': '766.639', 'end': '772.240', 'text': 'with bathing is some seniors have a lack'}, {'start': '769.120', 'end': '774.720', 'text': 'of range of motion or mobility in their'}, {'start': '772.240', 'end': '777.120', 'text': 'shoulders, their neck or their spine'}, {'start': '774.720', 'end': '779.279', 'text': 'that impact them from being able to'}, {'start': '777.120', 'end': '782.399', 'text': 'reach very far, especially to clean'}, {'start': '779.279', 'end': '784.959', 'text': 'their backside or to do any of those'}, {'start': '782.399', 'end': '787.519', 'text': 'movements without a lot of pain or'}, {'start': '784.959', 'end': '789.360', 'text': 'impairing their balance. If you find'}, {'start': '787.519', 'end': '791.760', 'text': 'that your loved one is having a lot of'}, {'start': '789.360', 'end': '793.920', 'text': 'bowel or bladder accidents, there are'}, {'start': '791.760', 'end': '796.959', 'text': 'some things that can be done to help'}, {'start': '793.920', 'end': '799.680', 'text': 'this. Pelvic floor therapy from a'}, {'start': '796.959', 'end': '802.000', 'text': 'physical or occupational therapist who'}, {'start': '799.680', 'end': '804.639', 'text': 'practices that specialization is an'}, {'start': '802.000', 'end': '807.040', 'text': 'option. There are also medications that'}, {'start': '804.639', 'end': '808.880', 'text': 'can help with incontinence, although'}, {'start': '807.040', 'end': '810.639', 'text': 'there are also medications that can be'}, {'start': '808.880', 'end': '812.279', 'text': "causing incontinence. So, it's really"}, {'start': '810.639', 'end': '815.200', 'text': 'important to follow up with your'}, {'start': '812.279', 'end': '817.240', 'text': 'provider and let them know the concerns'}, {'start': '815.200', 'end': '819.600', 'text': 'related to bowel or bladder'}, {'start': '817.240', 'end': '821.920', 'text': "incontinence. If you've asked your loved"}, {'start': '819.600', 'end': '823.920', 'text': 'one a few questions about their hygiene'}, {'start': '821.920', 'end': '826.079', 'text': "or their incontinence and you're not"}, {'start': '823.920', 'end': '828.800', 'text': 'seeing any real straightforward answers'}, {'start': '826.079', 'end': '830.399', 'text': 'as to what might be going on, I would go'}, {'start': '828.800', 'end': '832.880', 'text': 'ahead and get a referral to an'}, {'start': '830.399', 'end': '835.279', 'text': 'occupational therapist and see if you'}, {'start': '832.880', 'end': '837.120', 'text': 'can get an evaluation. They can usually'}, {'start': '835.279', 'end': '839.199', 'text': "take a look and see if there's anything"}, {'start': '837.120', 'end': '841.680', 'text': 'that they can recommend as far as'}, {'start': '839.199', 'end': '843.360', 'text': 'therapy goes. And there are a number of'}, {'start': '841.680', 'end': '846.399', 'text': 'pieces of equipment that we can'}, {'start': '843.360', 'end': '848.639', 'text': 'recommend for bathrooms, including the'}, {'start': '846.399', 'end': '851.560', 'text': 'shower, the toilet, and even equipment'}, {'start': '848.639', 'end': '855.120', 'text': 'for helping with the toileting tasks'}, {'start': '851.560', 'end': '857.120', 'text': 'itself. And those things can help make'}, {'start': '855.120', 'end': '860.240', 'text': 'that process a little bit easier and'}, {'start': '857.120', 'end': '862.560', 'text': 'improve the overall hygiene. I plan to'}, {'start': '860.240', 'end': '864.160', 'text': 'do more videos in the future that will'}, {'start': '862.560', 'end': '866.560', 'text': 'cover some of the different equipment'}, {'start': '864.160', 'end': '869.760', 'text': 'available for different sizes and types'}, {'start': '866.560', 'end': '871.120', 'text': 'of bathrooms and different setups that'}, {'start': '869.760', 'end': '872.880', 'text': 'can help somebody maintain their'}, {'start': '871.120', 'end': '874.480', 'text': "independence. So, if that's something"}, {'start': '872.880', 'end': '876.399', 'text': "that you're looking for more information"}, {'start': '874.480', 'end': '879.199', 'text': 'on, I would really appreciate if you'}, {'start': '876.399', 'end': '881.360', 'text': 'would like and subscribe as well as turn'}, {'start': '879.199', 'end': '882.800', 'text': 'on notifications for my channel so you'}, {'start': '881.360', 'end': '885.360', 'text': "can make sure that you don't miss those"}, {'start': '882.800', 'end': '887.279', 'text': 'videos. All of that being said, you'}, {'start': '885.360', 'end': '889.760', 'text': 'realize the senior in your life is'}, {'start': '887.279', 'end': '892.959', 'text': 'needing some more help or support. What'}, {'start': '889.760', 'end': '895.279', 'text': 'resources are available to you? Home'}, {'start': '892.959', 'end': '897.760', 'text': 'health companies provide nursing care as'}, {'start': '895.279', 'end': '900.240', 'text': 'well as physical, occupational, and'}, {'start': '897.760', 'end': '902.639', 'text': 'speech therapy services. And a lot of'}, {'start': '900.240', 'end': '904.959', 'text': 'home health companies will also provide'}, {'start': '902.639', 'end': '907.120', 'text': 'additional caregiver services if'}, {'start': '904.959', 'end': '908.720', 'text': 'somebody is needing a bath aid or if'}, {'start': '907.120', 'end': '910.560', 'text': "they're needing somebody to be present"}, {'start': '908.720', 'end': '913.040', 'text': 'with them during the day for safety'}, {'start': '910.560', 'end': '915.440', 'text': 'concerns. If you have a college in your'}, {'start': '913.040', 'end': '917.680', 'text': 'community that has any kind of therapy'}, {'start': '915.440', 'end': '919.600', 'text': 'or nursing programs, you can reach out'}, {'start': '917.680', 'end': '921.440', 'text': 'to them to ask if they have any students'}, {'start': '919.600', 'end': '924.160', 'text': 'who would be interested in opportunities'}, {'start': '921.440', 'end': '926.800', 'text': 'for caregiving for short periods of time'}, {'start': '924.160', 'end': '929.360', 'text': 'or even staying overnight with a senior'}, {'start': '926.800', 'end': '931.279', 'text': "if that's a concern that you have. The"}, {'start': '929.360', 'end': '932.880', 'text': 'upside of those programs is they may'}, {'start': '931.279', 'end': '935.040', 'text': 'have already background checked their'}, {'start': '932.880', 'end': '936.959', 'text': 'students and you welcome to ask them.'}, {'start': '935.040', 'end': '938.800', 'text': "Most of them will tell you. and you're"}, {'start': '936.959', 'end': '940.959', 'text': 'also getting somebody who already has'}, {'start': '938.800', 'end': '943.360', 'text': 'some interest and maybe a little bit of'}, {'start': '940.959', 'end': '944.959', 'text': 'skill relating to caring for seniors'}, {'start': '943.360', 'end': '948.320', 'text': 'that could come in handy when helping'}, {'start': '944.959', 'end': '950.000', 'text': 'your loved one. Some states also have'}, {'start': '948.320', 'end': '953.040', 'text': 'additional programs for people with'}, {'start': '950.000', 'end': '955.600', 'text': 'disabilities or senior citizens who are'}, {'start': '953.040', 'end': '957.519', 'text': 'wanting to remain at home independently.'}, {'start': '955.600', 'end': '959.360', 'text': "In Illinois, there's a program called"}, {'start': '957.519', 'end': '961.279', 'text': 'the Department of Rehabilitation'}, {'start': '959.360', 'end': '963.920', 'text': 'Services, and they could provide'}, {'start': '961.279', 'end': '966.240', 'text': 'caregivers that help with higher level'}, {'start': '963.920', 'end': '968.800', 'text': 'homemaking tasks. And that can be'}, {'start': '966.240', 'end': '972.120', 'text': 'something like cooking, laundry, taking'}, {'start': '968.800', 'end': '974.560', 'text': 'out the trash, or going to pick up'}, {'start': '972.120', 'end': '976.480', 'text': 'prescriptions or just small grocery'}, {'start': '974.560', 'end': '978.360', 'text': 'runs. Some of those programs, depending'}, {'start': '976.480', 'end': '980.639', 'text': 'on the state, may have income'}, {'start': '978.360', 'end': '982.560', 'text': 'limitations, and some of them require'}, {'start': '980.639', 'end': '984.880', 'text': 'that you have a certain amount of'}, {'start': '982.560', 'end': '986.720', 'text': 'disability in order to qualify for one'}, {'start': '984.880', 'end': '989.279', 'text': 'of those caregivers. You also have the'}, {'start': '986.720', 'end': '991.600', 'text': 'option to hire somebody privately from'}, {'start': '989.279', 'end': '994.560', 'text': 'the community or someone that you find'}, {'start': '991.600', 'end': '996.480', 'text': 'on Care.com. Through care.com, I do'}, {'start': '994.560', 'end': '998.720', 'text': 'believe they background check a lot of'}, {'start': '996.480', 'end': '1000.880', 'text': 'the people that they have on their site.'}, {'start': '998.720', 'end': '1003.600', 'text': 'So you do have that safeguard in place'}, {'start': '1000.880', 'end': '1005.440', 'text': 'versus if you hired somebody that you'}, {'start': '1003.600', 'end': '1008.240', 'text': 'met out in the community, you would have'}, {'start': '1005.440', 'end': '1009.759', 'text': 'to background check them yourself if'}, {'start': '1008.240', 'end': '1012.639', 'text': "that's something that you were concerned"}, {'start': '1009.759', 'end': '1015.680', 'text': 'about. Also, if you hire somebody'}, {'start': '1012.639', 'end': '1018.079', 'text': 'through an agency versus privately, they'}, {'start': '1015.680', 'end': '1019.440', 'text': 'are more likely to provide a caregiver'}, {'start': '1018.079', 'end': '1021.440', 'text': "in the hours that they've already"}, {'start': '1019.440', 'end': '1024.240', 'text': 'promised you, you would have care versus'}, {'start': '1021.440', 'end': '1025.919', 'text': 'if you hire somebody privately and you'}, {'start': '1024.240', 'end': '1027.280', 'text': 'were expecting them to be at the home'}, {'start': '1025.919', 'end': '1029.280', 'text': "during certain hours and they're"}, {'start': '1027.280', 'end': '1031.760', 'text': 'unavailable to come, you may just be out'}, {'start': '1029.280', 'end': '1034.480', 'text': 'of luck. You can also check to see if'}, {'start': '1031.760', 'end': '1037.360', 'text': 'your community has any senior centers or'}, {'start': '1034.480', 'end': '1039.360', 'text': 'adult daycare facilities, and those can'}, {'start': '1037.360', 'end': '1041.199', 'text': 'provide opportunities for seniors to get'}, {'start': '1039.360', 'end': '1044.079', 'text': 'some more social interaction and'}, {'start': '1041.199', 'end': '1045.919', 'text': 'activity during the day. If all else'}, {'start': '1044.079', 'end': '1048.240', 'text': 'fails, you can always call your local'}, {'start': '1045.919', 'end': '1051.360', 'text': 'hospital and ask if they can connect you'}, {'start': '1048.240', 'end': '1054.400', 'text': 'with a social worker who has knowledge'}, {'start': '1051.360', 'end': '1056.240', 'text': 'about resources for seniors and see if'}, {'start': '1054.400', 'end': '1058.720', 'text': 'you can get connected with somebody that'}, {'start': '1056.240', 'end': '1060.559', 'text': 'way who can give you community specific'}, {'start': '1058.720', 'end': '1062.720', 'text': 'resources that meet your need. Thank you'}, {'start': '1060.559', 'end': '1064.960', 'text': 'so much for joining me today to address'}, {'start': '1062.720', 'end': '1066.640', 'text': 'the concerns of your senior loved one'}, {'start': '1064.960', 'end': '1069.440', 'text': 'and help provide them with some'}, {'start': '1066.640', 'end': '1071.799', 'text': 'resources to keep them successful in'}, {'start': '1069.440', 'end': '1074.640', 'text': 'living at home or as independently as'}, {'start': '1071.799', 'end': '1077.200', 'text': 'possible. If you are interested in this'}, {'start': '1074.640', 'end': '1079.679', 'text': 'type of content, I would love for you to'}, {'start': '1077.200', 'end': '1081.600', 'text': 'subscribe to my channel, like this'}, {'start': '1079.679', 'end': '1083.919', 'text': 'video, and share it with anyone else'}, {'start': '1081.600', 'end': '1085.520', 'text': 'that you know may need this kind of'}, {'start': '1083.919', 'end': '1087.360', 'text': 'information. And make sure that you turn'}, {'start': '1085.520', 'end': '1089.679', 'text': "on the alerts so you don't miss a single"}, {'start': '1087.360', 'end': '1092.320', 'text': 'video. Thank you so much for joining and'}, {'start': '1089.679', 'end': '1092.320', 'text': "I'll see you next"}]