5 Avoidable Reasons Seniors Are Put In Long Term Care Against Their Will

The Message Is Loud and Clear: Seniors Want to Age in Place, in the Comfort and Security of Their Own Home

Sadly, too many seniors are taken out of their homes and placed in Residential Care facilities against their will when a few basic steps could have prevented this. Read more to learn how you or a loved one can safely remain in your own home for as long as you choose.

1: Falling at Home

Falls cause 85% of seniors' injury-related hospitalisations, 95% of all hip fractures, and over one third of seniors are admitted to Long-Term Care following hospitalisation for a fall.1

The good news is that the risk of falling can be significantly reduced by making some simple modifications around your home. A Geriatric Nurse Specialist can help assess your home for dangers and suggest a few simple steps to reduce your risk of falls and injury in your home. Shylo's Registered Nurses, with decades of experience supporting seniors in the community, can quickly identify factors that can increase a senior's risk to fall such as reduced eyesight and issues with balance and gait. Age-related loss of muscle mass or Sarcopenia,  and blood pressure that drops too much when you get up from lying down or sitting or Postural Hypotension, are additional risk factors for falling.

According to the Canada Mortgage and Housing Corporation, home modifications can significantly reduce the risk of falls and accidents.2 Evidence shows that preventing falls requires interventions that target more than one risk factor.2 Slippery floors, area rugs, clutter, poor lighting, and lack of handrails can contribute to falls. Falls caused by detached throw rugs or loose carpets are a major cause of injury in older adults. The danger of these unsecure rugs is due to their tendency to bunch up, making them easy to trip over.

Seniors can benefit from simple and affordable home modifications, such as installing grab bars in bathrooms, having low-impact underlay and anti-slip flooring installed. Some seniors may also consider more advanced modifications if they intend to be in their homes for many years and have mobility issues. They may consider ramps for wheelchair accessibility, or adding a stairlift or home elevator. Home elevators have evolved significantly in the past decade and now take up minimal space and can be quite affordable.

Of course, moving to a one-level townhouse or condo can also be a sensible choice for individuals with chronic mobility challenges. We encourage adults considering downsizing to have a moving concierge help to plan your move, and use a reliable local mover to execute the move. 

2: Medication Errors

Seniors often take multiple medications, which can be confusing and potentially dangerous if not managed properly. The Canadian Institute for Health Information reported that in 2019, about 65% of seniors aged 65 and older were taking five or more prescription medications.3

In 2021, seniors living in residential care settings were 3 times more likely to be prescribed an antidepressant or benzodiazepine, and 8 times more likely to be prescribed an antipsychotic, compared with seniors living in the community.4 Residents of congregate  care facilities are increasingly being placed on antipsychotic medications despite having no proper diagnosis to warrant their use. In 2016, 16.1% of nursing home residents were given antipsychotic medications.6 Use is much higher among residents with dementia - the very individuals that the FDA warns are at serious risk of medical complications and death from taking antipsychotics.5

Although it may be appropriate for some seniors to take several drugs, the use of multiple medications, known as polypharmacy, increases the risks of drug interactions and side effects. The number of seniors taking five or more drugs was more than double those taking less than five drugs. Roughly 69%, or 1.8 million of all seniors in Canada, were taking five or more drugs from different drug classes, with nearly 10% (293,441 seniors) taking 15 or more. This increased with age, with those who were 85+ being twice as likely to take at least 15 drug classes compared with those in the 65–74 age group.5

Medication organizers and reminders can help seniors manage their medications effectively. Pharmacists can also provide medication reviews to ensure safe usage. Home Care RNs and Home Support Workers can also assist with medication administration and oversee that seniors take their medications as prescribed and watch for complications related to the over or under use of medications. 

3: Poor Nutrition

Poor nutrition can trigger additional health problems. A lack of essential nutrients like proteins, vitamins, and minerals can compromise the immune system, making seniors more susceptible to infections and illnesses. It can also exacerbate chronic conditions like diabetes and heart disease.

The most important factor in improving nutrition for seniors is having them actually eat the food served to them. There's no benefit moving a senior into a residence or facility that offers bland food, or one that cannot accommodate the individual's taste preferences. Congregate care homes must prepare meals that are safe for all their residents, meaning meals will be low-sodium, low-fat and no added sugar. This race to the bottom of nutritional risk factors can lead to bland and unappealing meals being served. 

Providing nutritious meals or meal delivery services can ensure that seniors maintain a healthy and balanced diet. Regular visits from Home Care Nurses can assess their nutritional needs, consider health concerns such as heart disease or diabetes, and help Caregivers plan meals that are well-balanced and nutritional while incorporating the client's food preferences. 

We work hard all our lives and should not be deprived of our favourite treats just because we're over 65. While no one will thrive on a diet of chocolate bars and soda pop, we can all enjoy tasty desserts when served as part of a sensible meal plan. 

4: Safety and Security Concerns

Friends and family sometimes worry that a senior living alone may not know what to do in the event of an emergency, but a little preparation can kept adults safe as they age in place. 

Emergency contact numbers should be handy and copies kept near the phone in rooms the senior frequents such as the kitchen, bedroom, living room, office, garage and basement if there is one. Seniors should have smoke and CO2 detectors and fire extinguishers in their homes. Fire safety education and regular fire drills can help seniors respond effectively to emergencies. Having a monitored security system helps both seniors and their loved one feel more secure in the event of an actual emergency. 

Call Alert Buttons are great for any ageing adult who has any mobility issues that increase their risk for falls and injuries. Many options are available today, but be sure to chose a style the senior will actually wear. There is nothing more useless than an emergency call button on the bedside table when the most common place for a senior to slip and fall is in the bathroom.

On top of the common safety concerns for seniors like trips and falls, fire, and medication errors, sadly there is another abuse not uncommon with seniors, and that's abuse. Around 1 in 6 people 60 years and older experienced some form of abuse in community settings during the past year. Rates of abuse of older people are high in institutions such as nursing homes and long-term care facilities, with 2 in 3 staff reporting that they have committed abuse in the past year.7

This abuse of seniors constitutes a violation of human rights and includes physical, sexual, psychological and emotional abuse; financial and material abuse; abandonment; neglect; and serious loss of dignity and respect. Regular visits by a Geriatric Nurse Specialist can watch for signs of abuse and assist the senior to get the proper support they need. 

To report suspected Senior Abuse call SAIL at 1-866-437-1940 [Toll Free] or 604-437-1940 in the Vancouver Lower Mainland.

5: Isolation

Seniors can experience social isolation and loneliness, regardless of where they live. Seniors who tend to be introverted and spend a lot of time alone are not going to change their stripes just because they move into a congregate living facility. Loners will still be loners and will shy away from group activities. Loneliness is even more common in congregate living residences. The prevalence of severe loneliness among older people living in care homes is at least double that of community-dwelling populations: 22% to 42% for the resident population compared with 10% for the community population.8

Seniors who are active in their community should be supported to remain in their home, if that is their wish. Staying in their home will provide a sense of security knowing the neighbours and neighbourhood. Being able to shop at familiar shops, go to their longtime hairdresser or barber, will maintain familiar relationships and support a stronger sense of autonomy. 

Residents living in congregate care residences can experience significant social isolation and grief that results in loneliness and other negative health consequences. Just like in high school, assisted living facilities and nursing homes have their share of mean girls and bullies. 

Seniors who live alone, whether it be in a family home, a condo, or a senior's residence, will benefit from a regular Companion who can spend invaluable one-on-one time with them, and safely escort them shopping and to appointments.  


Book a complementary Home Safety Assessment today with one of Shylo's Registered Geriatric Nurse Specialists to identify risk factors in your home. Together we can discuss simple home modifications to allow you to safely age in place. We can also discuss care options so you can maintain control of how and where you chose to Age in Place. Seniors have worked hard their entire lives and should not lose their autonomy just because they experience a health issue. 

With Shylo Home Healthcare it's
Your Home - Your Health - Your Choice TM

Resources:
1. https://www.canada.ca/en/public-health/services/health-promotion/aging-seniors/publications/publications-general-public/seniors-falls-canada-second-report/seniors-falls-canada-infographic.html
2. https://www.canada.ca/en/public-health/services/health-promotion/aging-seniors/publications/publications-general-public/seniors-falls-canada-second-report.html
3. https://www.cihi.ca/en/drug-use-among-seniors-in-canada
4. https://www.cihi.ca/sites/default/files/document/covid-19-rapid-response-long-term-care-snapshot-en.pdf
5. https://www.longwoods.com/content/23192/medication-use-among-canadian-seniors#
6. https://theconsumervoice.org/issues/issue_details/misusing-antipsychotics#

7. https://www.who.int/news-room/fact-sheets/detail/abuse-of-older-people 

8. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7205644

Preventing Falls: 6 Safety Tips for a Seniors

Introduction:

As we age, maintaining our independence and quality of life becomes increasingly important. One significant threat to seniors' well-being is the risk of falls. Falls can lead to serious injuries, loss of mobility, and a reduced quality of life. As a Registered Nurse with extensive experience and certification in senior care, I'm here to provide you with essential tips to prevent falls among seniors, backed by current Canadian data.

Stay Physically Active:

Regular physical activity is one of the keys to maintaining strength and balance as we age. According to the Canadian Community Health Survey, only 24% of adults aged 65 and older meet the recommended physical activity guidelines. Encourage seniors to engage in activities such as walking, swimming, or yoga, tailored to their abilities and preferences.

Home Safety Assessment:

Performing a home safety assessment is crucial. Data from the Canadian Institute for Health Information (CIHI) shows that falls are the leading cause of injury-related hospitalizations among seniors. Conducting a thorough assessment of the home environment can identify potential hazards such as loose rugs, cluttered walkways, or poorly lit areas.

Medication Management:

Medication-related falls are a significant concern. According to the Canadian Institute for Health Information (CIHI), approximately 33% of seniors are prescribed five or more medications. Encourage seniors to consult their healthcare providers regularly to review their medications for potential side effects or interactions that may increase the risk of falls.

Regular Vision Check-Ups:

Visual impairment is a common factor in falls among seniors. The Canadian National Institute for the Blind (CNIB) recommends regular eye exams to detect and correct vision issues promptly. Seniors should also ensure that their eyeglasses prescription is up-to-date.

Foot Care:

Proper foot care is often overlooked but essential. Seniors should wear well-fitting, supportive footwear that provides stability. According to Statistics Canada, 55% of seniors aged 65 and older have foot problems. Regular foot check-ups can help address potential issues.

Nutrition and Hydration:

A balanced diet with adequate hydration plays a significant role in maintaining overall health and preventing falls. Data from the Canadian Community Health Survey indicates that over 30% of seniors do not meet the recommended daily fruit and vegetable intake. Encourage seniors to maintain a nutritious diet rich in calcium and vitamin D to support bone health.

Conclusion:

Preventing falls among seniors is a shared responsibility. By following these six crucial tips and making necessary adjustments, seniors can reduce their risk of falls and enjoy a safer, more independent life at home. The data highlights the importance of proactive measures in senior fall prevention. As a Certified Gerontological Nurse, I'm committed to advocating for the well-being of seniors and promoting a better understanding of the challenges they face.

Remember, prevention is key. Regular exercise, home safety assessments, medication management, vision check-ups, foot care, and proper nutrition are all essential components of fall prevention. Let's work together to create a safer environment for our senior loved ones and support them in aging gracefully in the comfort of their own homes. Stay tuned for more informative articles on senior care and well-being in British Columbia and Canada.

Beating the Winter Blues: How to Support Seniors and Prevent Depression

As the winter months approach, it's essential to address a crucial issue facing our senior population: seasonal depression. For many seniors, the colder, darker days can be particularly challenging, often leading to feelings of isolation and depression. 

At Shylo, our Geriatric Nurse Specialists understand the significance of this issue and the need for effective strategies to support our ageing population. We understand the unique challenges seniors can face during the winter season. Our dedicated team of Caregivers is committed to providing personalised, compassionate care to help seniors maintain their emotional well-being and overall health. With Shylo's Home Care services, seniors can receive the support they need to stay active, connected, and resilient throughout the winter.

Understanding the Winter Blues:

Before delving into strategies to prevent seasonal depression, it's essential to grasp the nature of this problem. Seasonal Affective Disorder (SAD) is a type of depression that occurs seasonally, usually in the fall and winter months. While SAD can affect people of all ages, seniors are particularly vulnerable due to various factors such as limited mobility, reduced social interaction, and preexisting health conditions.

The Impact of Winter Depression on Seniors:

Let's examine some recent Canadian data to underscore the significance of this issue:

According to a study conducted by the Canadian Mental Health Association, approximately 15% of Canadian seniors experience symptoms of depression, and this number tends to rise during the winter months. Seniors with depression often face a decline in overall health, making them more susceptible to illnesses and exacerbating existing medical conditions.

Isolation and loneliness are significant contributors to senior depression. In a recent survey by Statistics Canada, 30% of seniors reported feeling lonely or socially isolated during the winter.

Practical Strategies to Support Seniors:

Encourage Physical Activity: Research has shown that regular physical activity can significantly reduce the risk of depression. Encourage seniors to engage in indoor exercises, like chair yoga or gentle stretching routines, to keep their bodies and minds active.

In a recent survey of seniors in British Columbia, it was found that seniors who engaged in regular physical activity during the winter months reported a 25% decrease in depressive symptoms compared to those who did not. Furthermore, exposure to natural light or light therapy was associated with improved mood and reduced feelings of sadness.

Increase Sunlight Exposure: Lack of sunlight is a major contributor to winter depression. Ensure that seniors have access to well-lit spaces and consider investing in light therapy lamps that mimic natural sunlight for individuals who might live in darker environment.

Maintain Social Connections: Loneliness is a silent enemy during the winter months. Encourage seniors to stay connected with loved ones through virtual meetings, phone calls, or socially distanced visits when possible. Shylo Caregivers are always available to supplement family visits and fill in during the week when family members are busy with work and children, or away skiing for the weekend. 

Nutrition and Hydration: A balanced diet rich in nutrients can have a positive impact on mood. Ensure that seniors have access to nutritious meals and stay well-hydrated.

Access to Mental Health Resources: Provide information on local mental health resources and support services. Many seniors may not be aware of the help available to them.