Dealing with Delirium: Families Share their Stories

If your loved one suffers a bout of delirium, it can be a frightening and unsettling experience for all concerned. Delirium, a sudden change in mental function, can cause an extreme variety of behavioral changes, ranging from aggressive and agitated to sleepy and inactive—sometimes, even a combination of both.

When delirium occurs after an older person has had surgery, it’s called postoperative delirium. It’s good to know that your hospital’s healthcare providers and your family can work together to help manage and improve delirium, as these family caregivers discovered:

“After he had heart surgery, I noticed that my 86-year-old father was confused and not behaving like himself. Based on the delirium prevention information I found on HealthinAging.org, I was able to talk with my family and my father’s healthcare team about the signs of delirium and ways we could help my father feel more oriented in his hospital surroundings. We made sure to have family members around him. We read him the newspaper, got him walking, and kept him engaged as much as possible.

I’m pleased to say his recovery has been remarkable. Had his delirium not been addressed so quickly, I know the outcome could have been very different. As a caregiver, I was thrilled to have reliable health information that guided me in asking the right questions of my father’s healthcare providers.”
- Vivien, A Family Caregiver

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Remembering Maya Angelou

We at the Health in Aging Foundation are saddened by the loss of Maya Angelou today.  In 2002, we presented Ms. Angelou with the Lifetime of Caring Award for her embodiment of graceful aging.  It was a festive occasion that included Ms. Angelou charming the crowd with a few lines of “This Little Light of Mine” and leading a standing ovation for the Girls Choir of Harlem.  In her remarks she reminded us to live a full, rich life and not take its everyday gifts for granted.  She closed with a few lines from her poem, On Aging.

On Aging

When you see me sitting quietly, like a sack upon a shelf,
Don’t think I need your chattering.  I’m listening to myself.
Hold! Stop! Don’t pity me!  Hold!  Stop your sympathy!
Understanding if you got it, otherwise I’ll do without it!

When my bones are stiff and aching and my feet won’t climb the stair,
I will only ask one favor:  Don’t bring me no rocking chair.
When you see me walking, stumbling, don’t study and get it wrong.
‘Cause tired don’t mean lazy and every goodbye ain’t gone.

I’m the same person I was back then, a little less hair, a little less chin,
A lot less lungs and much less wind.
But ain’t I lucky I can still breathe in.

National Healthcare Decisions Day

Today, April 16, is National Healthcare Decisions Day.  I hope that you will take this time to discuss and document your healthcare wishes, or talk to your family members about their wishes.  We all need to be prepared in the event of a health crisis, and having the talk is easier than most people think, but many of us need a little inspiration or a reminder to do it.

National Healthcare Decisions Day was established to inspire, educate & empower the public & providers about the importance of advance care planning.  You can find all sorts of free resources, including free advance directive forms for each of the 50 states and a great short video to get you thinking and talking, on the NHDD website: www.nhdd.org.  Additionally, please help spread the word with TwitterFacebook, and LinkedIn.

Advance care planning is something we ALL should do and encourage others to do, regardless of age or current health.  Discussing your wishes can be one of the most important gifts you ever give your loved ones.

Related Resources from Healthinaging.org:
Advance Directives: Basic Facts & Information
Guide to Advanced Directives

 

Improving the Care of Older Adults with Diabetes

Are you an older adult with diabetes, or a caregiver to an older person who has this disease? The odds are good that you are. Today, more than one in every four Americans aged 65 and older has diabetes.  And this is cause for concern. Diabetes can cause serious complications—including high blood pressure, depression, nerve pain, and difficulty thinking and remembering. But there’s some good news: Researchers and healthcare providers are learning more about how to help older adults with diabetes stay as healthy as possible.

This month the American Geriatrics Society (AGS) published a new guideline (The American Geriatrics Society Guidelines for Improving the Care of Older Adults with Diabetes Mellitus: 2013 Update), to help healthcare professionals  improve care for older people with diabetes. And based on the guideline, the Healthinaging.org has created two easy-to-read  tip-sheets.

One of the tip-sheets offers up-to-date, expert advice about living with diabetes in later life. The other summarizes the latest recommendations for  managing the complications of diabetes. [Click on the underlined words to see the tip sheets.]

We hope you will find this  information helpful, and encourage you to  talk to your healthcare provider about how you can put it to use. Please help us spread the word and share this news with other older people who have diabetes.