Recognizing and Acting on Stroke

What do I do if I think someone is having a stroke?

“Recognizing and Acting on Stroke” is Part II in eCaring‘s 4-part Stroke Education Series.

In our last post, we learned how to recognize the signs of stroke. While having a keen eye for symptoms can drastically increase a stroke victim’s chance of survival, what actions should you take if you believe someone is really experiencing a stroke?

The fear can be overwhelming, but don’t let it become paralyzing.  One moment could be all it takes to save someone’s life.

If the person you are with exhibits any of the 5 major signs of stroke, act F.A.S.T.

F.A.S.T is a simple test designed by the National Stroke Association to help you identify an upcoming stroke and act expediently. To conduct this simple test:

F.A.S.T. stroke

F = FACE        Ask the person to smile. Does one side of the face droop?

A = ARMS       Ask the person to raise both arms. Does one arm drift downward?

S = SPEECH   Can the person repeat a simple sentence (such as “The sky is blue”)? Is his or her speech slurred or slowed?

T = TIME         If the person fails any of these tests, call 911 immediately. Don’t take any chances – act quickly.

For more information on the F.A.S.T. method, watch this brief video:

If I think my senior is having a stroke, what else can I do?

  • Lie the person flat on his or her back

This will promote optimal blood flow to the brain. However, if the person is experiencing nausea, drowsiness, or is unresponsive place the person on his or her side to prevent choking if vomiting should occur.

  • Note of when the symptoms first appeared.

Within the first three hours of a stroke symptom appearing, an FDA approved clot-buster medication can be administered to reduce the risk of long-term disability. Such stroke treatments are only available if the stroke is recognized and diagnosed within the first 3 hours of appearance. Many US hospitals will not give medication if a person arrives at the hospital outside the 3-hour window. Although aspirin is widely recognized in stroke prevention, once a stroke begins, it is generally recommended to refrain from extra dosage. Aspirin could aggravate bleeding in the brain or pose a choking risk.

  • Always be prepared

Educate yourself by learning as signs that could signal stroke, and unique symptoms. A stroke can happen at any time – print out the FAST Wallet Card and keep it with you wherever you go!

In honor of National Stroke Awareness Month, our series continues next week as we explore post-stroke behavior changes. Stay Tuned!: We’ll take a look at common eating problems after stroke and talk about ways to deal with post-stroke personality changes. 

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When Time is of the Essence: The 5 Warning Signs of Major Stroke

May is National Stroke Awareness Month

For National Stroke Awareness Month, eCaring shares a lifesaving stroke awareness & education series.

May is National Stroke Awareness Month. Over the next two weeks, eCaring brings you a 4-part series on stroke,  providing lifesaving information to spread awareness for how to recognize, treat, and care for someone with stroke. This week, we begin with the warning signs of stroke that you should know.

When a stroke happens to someone you know or love, it can seem like time stops. All of a sudden the outside world enters a slowed time warp.

Warning signs of stroke

Our minds are our most precious organ, which is why the threat of stroke is so terrifying and threatening.

A stroke, sometimes called a “brain attack” occurs when brain cells are deprived of oxygen as the result of a blood vessel bursting or blood clot.

Here’s the facts:

  • Stroke is the fourth leading cause of death in the US
  • Nearly 800,000 people suffer a stroke each year. About 185,000 who survive a first stroke will suffer another.
  • Every 40 seconds someone has a stroke.
  • Stroke is a major cause of severe, long term disability. In 2005, over 1 million stroke survivors reported difficulty performing basic activities of daily living
  • The estimated cost of stroke in the US is $43 billion per year

(Source: CDC Division for Heart Disease and Stroke Prevention)

The good news is that approximately 70% of people who suffer a stroke survive. But when a stroke happens, time is of the essence. Knowing the signs of stroke and what to look for can save precious seconds that could save your life or the life of someone around you.

What are the signs of stroke?:

The 5 major signs of stroke include:

  1. Loss of sensation – Sudden numbness or weakness in the face, arm, of leg especially on one side of the body is a major indication of stroke. The loss of voluntary movement may be complete or partial and accompanied by a tingling feeling and drooling.
  2. Trouble speaking – Sudden confusion, difficulty speaking, and articulating words can signal an oncoming stroke. Many might remember the young reporter whose speech became incomprehensible and was later reported to have suffered a stroke. Ask the person to repeat a simple, common sentence. If they’re unable to execute, call 911 immediately.
  3. Trouble seeing – Sudden loss of vision in one or both eyes may occur. The person may see double or their visual field may black out completely.
  4. Loss of balance – Because stroke affects one side of the brain, the person may experience dizziness, trouble walking, and a loss of balance and coordination. The person may seem to sway from side to side and be unable to control his or her limbs.
  5. Severe headache – A painful, persistent headache can accompany stroke. It may be generalized pain throughout the head or localized to one focal location

Does stroke look different in women versus men?

Yes, other non-traditional stroke symptoms exist and are especially common among women. These unique symptoms include:

  • sudden face and limb pain
  • sudden hiccups
  • sudden nausea or stomach sickness
  • sudden tiredness
  • sudden chest pain
  • sudden shortness of breath
  • sudden palpitations or racing heartbeat

A common attribute among all type of stroke symptoms is sudden, unexplained onset. If someone you know experiences any of the symptoms above without any prior explanation, seek medical help immediately.

What if the symptoms go away – Is everything fine?

If a person experiences any stroke symptoms, even for just a minute or two, don’t ignore them. Brief symptoms that disappear within 24 hours may mean the person experience a “mini stroke” or a transient ischemic attack (TIA). During a TIA, blood flow to the brain is blocked, but does not last long enough to cause major damage. A TIA it’s not something to be taken lightly: A person is at highest risk for stroke in the first month after a TIA. Heed the warning of a mini stroke and encourage the person to seek prompt medical attention.

National Stroke AssociationNational Stroke Association offers a free Stroke Awareness Resource Center with downloadable stroke educational information. Learn more at www.stroke.org/awareness.

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How Technology is Transforming Caregiving: #TreatDiariesChat 5/8/12 Wrap Up

ecaring home health monitoring Every week, caregivers and persons living with illness gather for a real-time chat on Twitter to share real medical experiences and treatment insights at #TreatDiariesChat.  What began as the brainchild of cancer survivor and TreatmentDiaries.com founder,  Amy Ohm, is now a vital forum to those living with or caring for persons with chronic conditions.

Today’s caregivers face greater challenges than ever before. Our healthcare system is becoming increasingly complex. Between balancing family, financial, and career demands, it is easy to feel overwhelmed at times.

technology for caregivers

At eCaring, we are working to change this. We believe home health care can be better. To achieve this, we use state-of-the-art digital technologies to help older adults stay healthier longer and bring peace of mind to their caregivers.

On Tuesday, eCaring and Treatment Diaries joined forces to host: “Caregiving 2.0: How Technology is Transforming Caregiving”.

Participants explored how the Internet and low cost technologies like eCaring are helping caregivers save time, money, stress, and receive better care for their loved ones in the process.

Providing real time vital care information enables families and care management to spot trends and problems early. Robert Herzog, CEO of eCaring shared new technologies for caregivers to older adults & aging parents.

Home health monitoring is the wave of the future and is certain to save lives. Participants agreed that tools like eCaring help families take advantage of economical home care options, improves care across multiple providers, and eliminates unnecessary visits to the ER.

See what people had to say about how technology is transforming caregiving.

 

 

treatdiarieschat

Read the transcript:  http://ow.ly/aTMsy 

Remember to check out our special gift to Treatment Diaries members included at the end of the chat!

Treatment Diaries

TreatmentDiaries.com - a safe place to share

Are you or someone you know dealing with chronic illness? Check out Treatment Diaries, a social network that privately connects people living with illness for support, encouragement and treatment insight.

 

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Mothering Mother: Secrets to Happiness From My Mom, A Sandwich Caregiver

beautiful Grandma

My grandmother, Ada, whose daughter cared for her following post-stroke disability

Mother’s Day is this Sunday. Whether you choose to buy a card, send flowers, or purchase a gift, Mother’s Day is an annual reminder to affirm our love and show recognition for the amazing ways our mothers impact our lives. In this very special post, my mother Nora draws from over two decades of caregiving experience to share the secrets to happiness as a sandwich caregiver.

As an only child, I share a very close relationship with my Mother Nora. I make a point to be vocal about my love, gratitude, and admiration of my Mom. When near her, I feel five years old all over again: To me, she is the most beautiful person on this planet.

Like many new mothers, at age forty Nora thought she had it all; a healthy baby girl, a happy husband, and her own nearby mother Ada just next door to share the experience. As quickly as it came, everything changed.

My grandmother Ada suffered a stroke, leaving her paralyzed on her left side. Because Ada was unable to feed or bathe herself and was left with restricted communication ability, my mother served as her main caregiver for over 10 years. Every single day I watched the emotional, financial, and healthcare challenges my mother shouldered. Squished atop her eldercare duties, Nora quietly endured the highs-and-lows of marriage and child-rearing all while running a successful entrepreneurial venture.

For nearly twenty years, my mother was one of this nation’s 22 million “Sandwich Caregivers”. Day in and day out she tirelessly balanced the roles of caregiver to her aging parents, mother, wife, business owner, friend, …and just being “Nora”. She is my superwoman.

Nora was never prepared for eldercare, yet mothering her mother profoundly changed her for the better. Since my grandmother’s passing, Nora has come to peace with the experience and can reflect on the strengths to be extracted – a privilege most sandwich caregiver’s in the thick of eldercare do not get.

My Mom

My favorite photo of my mother Nora

This Mother’s Day, I honor my own mother’s resolve and fortitude in caring for her aging parents. Here she shares what she wish she knew then — the secrets to a happy life as a sandwich caregiver. Enter Nora:

  • Everything is temporary. When stress arises, it’s hard to see beyond the challenge ahead. It can feel overwhelming. Remind yourself you are doing the best you can with what is within your control. Having been a caregiver for so many years, I often felt angry: Why was I in this situation? When the anger arises, ground yourself in the fact that everything is temporary because things do change. Make the best of what you can and appreciate the ride. There are so many lessons to be learned. Instead of finding resentment in being a caregiver, try to find your purpose.
  • It’s okay to cry. As a caregiver, you love so much and so deeply. When emotions overwhelm you, it is healthy to let them out. A good cry feels cathartic and can help you clear your head. Allow yourself 10-15 minutes a day to sit quietly and let your thoughts race. Then put it to the side. Whatever you do, don’t dwell — you have to keep moving forward.
  • Follow in your Mom’s footsteps. As my time caring for Mom went on, I realized how much I had taken on her  positive qualities: her warmth, perseverance, strength, determination, and hearty work ethic. We all love our mothers. They are so unique in their own ways. My mother cooked, she cleaned, she did yard-work, and now I’m following in her footsteps.
  • Spend time with your loved one. My mother lost her ability to communicate after the stroke. As difficult as it was for me to deal with, I cannot imagine the fear she often felt. As she aged, she wanted nothing more than for us to sit with her and hold her hand. Something so simple was such a special part of our mother-daughter bond.
  • Choose what’s best for loved one. After her stroke and subsequent disability, Ada wanted to remain at home.  We honored her choice and in fact it was more convenient to care for her in the house. I could do my chores around caring for my Mom and it ensured I could always keep an eye on her. It was more economical than putting her in a nursing home and more comfortable for Ada. She preferred to be near her husband, daughter, and granddaughter. Since there was no set schedule to ascribe to like in a facility, relatives visited when convenient.  Home stay gave Ada a sense of control and dignity as she aged.
  • You will learn as you go. When you’re forced to become a caregiver to your aging mother, you learn a lot about yourself very quickly. Besides learning how to intimately care for the woman who gave you life, you are learning what it takes to run the rest of your family and your business. It makes you see strength in yourself that you never knew was there before. You tap into something deeper and realize exactly how much you are capable of achieving.

—–

Thank you, Mom, for your wisdom, unbreakable character, and selfless spirit. There is not a day that goes by that I am not truly grateful that I learned how to be an example to others  from the woman who is mine.

What is the most valuable lesson you ever learned from your mother?

Are you a sandwich caregiver mothering your mother? What would you like to tell another women in the same shoes on this Mothers Day?

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Celebrating Older Americans Month With Homebound Seniors

Older American Month 2012

In May, we celebrate Older Americans  Month – a tradition dating back to 1963 that recognizes the important contributions of our nation’s senior citizens.

 This year’s theme, “Never Too Old to Play!” encourages productive aging and promotes activities that keep older adults in control of their own lives and involved with their communities.

The Administration on Aging notes, “Historically, Older Americans Month has been a time to acknowledge the contributions of past and current older persons to our country… Every President since JFK has issued a formal proclamation during or before the month of May asking that the entire nation pay tribute in some way to older persons in their communities.”

According to the American Psychological Association, nearly one-half of adults over age 85 live alone and need assistance with everyday activities such as eating, bathing, and housework. This population of older Americans is increasing faster than any other group, which presents many opportunities for you to help seniors age-in-place at home, within their communities.

Older Americans Month is the perfect opportunity to show your appreciation for homebound seniors living in your community and to lend a helping hand to a senior in need. By volunteering your time and support, you can help people live longer, healthier lives.

So what can you do for a homebound elder in your community?

Here are some simple ways to support Older Americans Month with an elderly friend or relative:

  • Help deliver food to homebound seniors
  • Spend time visiting with a homebound senior and doing something you both enjoy (watching classic TV shows, knitting, playing cards, etc)
  • Assist with home repair, shopping, or errands
  • Offer to transcribe letters or help the person fill out paperwork
  • Escort the person to medical appointments
  • If you’re far away, make a phone call to the senior and spend some time reminiscing about fun vacations, their first job, or a first love
  • Volunteer as a Friendly Visitor and make weekly visit to engage isolated seniors in face-to-face conversation and provide companionship

For more ideas on how to get involved with Older Americans Month online and in your community visit: http://www.olderamericansmonth.aoa.gov/

We are two weeks into Older Americans Month — How are you working to honor and recognize older Americans in your hometown?

 

 

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9 Reasons to Care for Aging Parents at Home

If you have an elderly parent, chances are you have spent more than one sleepless night worrying about their future.

When faced with the daunting task of elder-caregiving, many don’t know where to begin sorting through all the daunting options available. But in fact, the answer may as simple as letting Mom & Dad stay put—helping them age comfortably, and gracefully, at home.

Home care is not always the best solution for every eldercare situation, particularly if the home environment is unsafe or if your parent requires a very intensive medical needs. However, for millions of American families home care is a sure bet.

Beyond the cost savings, home care offers your parents the ability to remain in their own home . By surrounding them in a safe, therapeutic environment you can prolong their health and do wonders for the well being of your entire family.

Whether or not you decide to hire a professional care, home care provides a variety of benefits for both the recipient and the family. Allowing your parent to remain at home is a seemingly minor decision that can mean so much.

Below, we offer several considerations that can help you make an informed decision about keeping your aging parent at home:

1. Home care promotes recovery.

No matter the duration, hospital stays can be traumatizing. The sheer experience of rapid-fire medical procedures can leave an older adult in a compromised state. If your parent has recently been discharged from the hospital, home care permits a person to rehabilitate in the comfort of his or her own home. Being in a familiar environment allows someone to receive the best support in healing both their body and their mind. In fact, research shows home care expedites healing – demonstrating older adults heal more quickly at home versus in a hospital or nursing home setting. There is also significantly less chance of re-hospitalization when recuperation is at home. (Avalere Study 2008)

2. Home care saves money.

Sure, moving Mom or Dad to a nursing home sounds like the traditional solution, but institutional care comes with a hefty price tag. According to recent data provided by John Hancock Financial, the average annual cost of care in the U.S. for a private room in a nursing home is $85,775 and $75,555 for a semi-private room, whereas home health care average $37,440 annually. A good rule of thumb is that eight hours or less per day of home care will be less expensive than care in a facility. Purdue University researcher, Laura Sands, concluded that part-time non-medical home care costs 1/3rd of that paid for nursing home care.

3. Home care honors your loved one’s dignity and independence.

Did you know: Seniors fear moving into a nursing home and losing their independence more than they fear death itself? According to the study, nearly 90% of seniors want to age-in-place. It’s no surprise, since home care allows older adults maximal freedom and control as they age. Throughout life, our home is our castle, our sanctity – and that doesn’t change as we add more candles on the cake. The home setting is a “least restrictive” environment that allows older adults to remain engaged with their typical daily activities and to remain in the community. It epitomizes the movement towards “patient-centered care”. It gives our parents more choices and the opportunity to be more active participants in their own lives. With home care, parents are not subject to the rules and regulations of any facility. They have the freedom to choose a doctor, nurse, or home health aide that works best.

4. Home care is personalized.

No one person, lifestyle, or situation is the same. Home care recognizes how essential specialized care is to maintaining health and offers individualized services based on individual needs and preferences. By definition, home care is one-on-one. Because it is personalized, home care is more efficient, cutting down on expensive travel and administrative costs of seeing multiple health providers. Home care is typically provided by a unified team of practitioners that may include home health aides, nurses, social workers, therapists, and physicians so you know what kind of care is be given. This sort of continuity can be critical for those dealing with long-term chronic illness.

5. Home care keeps families together.

In times of sickness, the family bond takes center stage. Families are an imperative source of technical, mental, and emotional support for the aging. Knowing your loved one is in a safe, therapeutic environment of his or her choice helps reduce feelings of guilt associated with caregiver’s burden. Those who choose home care have the advantage of unrestricted visiting hours. Family members can visit as often as necessary without concerns about intruding or “stepping on other people’s toes”.

6. Home care is safe.

While hospitals are generally regarded as safe-havens, over 20% of those hospitalized develop a complication such as an infection. When someone is cared for at home, the risk of infection nears zero. The one-on-one attention of home care means your loved one receives swift, immediate care – no red tape, no forms, and no bureaucracy. A qualified home care professional can also help make the home environment safer, providing easy fixes such as grab bars and anti-slips rugs.

7. Home care extends and improves quality of life.

Home care postpones institutionalization and prevents pre-mature decline. By encouraging independence and self-directed care, home care keeps aging parents in charge of their own lives for as longer as possible. Unlike other forms of health care, older adults heal faster at home. Home care helps extend life by eliminating stressors associated with aging. Home care also enriches the quality of our loved one’s later years. Those receiving home care tend to report high rates of satisfaction with the services they receive and life overall.

8. Home care and technology go hand-in-hand.

In today’s hyper-connected culture, home care makes more sense than ever before. Spawned by the ubiquity the web, health care delivery is smarter, faster, and cheaper. Advances in technology have brought us gadgets including automatic sensors, smart pillboxes, and remote monitoring systems like eCaring that share health data with family or a medical professionals. As more adult children live far away from their aging parents, technology makes remote caregiving possible — enabling over 6 million Americans to care for loved ones from afar. In rural areas, home care is the only form of healthcare available. Thankfully, the practice of telemedicine makes it possible to diagnose, monitor, and treat conditions all from a patient’s home.

9.Home care is oldest and most respected form of health care.

From the beginning of civilization, elders have aged-in-place within their own homes (cottages, castles, palaces, or huts). Home care represents the best, most validated, and highly regarded method of health care delivery in the United States. Modern technology has only elevated home care’s limitless potential. With today’s development, virtually anything that is available at a hospital or through a physician can be done at home, reducing cost and improving quality of life. Though home care has been centuries in the making, the best is yet to come!

Are your parents aging-in-place? What contributed to your decision to choose home care?

 

 

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