Author Archives: Jeanne Lowry

When Should Seniors Stop Driving?

Posted by Jeanne Lowry on February 19, 2015 under Caregiver Corner | Be the First to Comment

Just yesterday, a news story broke about a 92-year-old man who hit nine cars during his attempt to leave a parking lot. In Wisconsin, where this event took place, the DMV renews driver’s licenses every eight years. The difference between someone who is 84 and 92 is fairly significant, so it’s up to the family and the caregivers to help keep an eye on those seniors who are still driving, not only in Wisconsin, but everywhere.

If you are concerned that your senior is a danger to themselves or to others, that is enough to at least start talking to them about the issue. If they are willing to listen, great! First thing to talk about is if there is a reason for the changes in their driving. Age alone is not an indicator; it’s all about how they are doing. Are they on a medication that makes them drowsy or otherwise impaired? Are they currently ill and sickness may be affecting their driving? Are they seeing okay? Has their depth-perception changed? Are their driving issues caused by slower reaction times? Is that just because of aging or is there a different reason?

If you’re only just starting to be concerned, you can look into other areas to see if your concerns are valid. Is the auto insurance rate for your senior going up? Have they received any traffic tickets? Are there any new nicks or dents on the car?

If none of these issues have come up yet, now is still a great time to have a discussion. Talk to them about what their plan would be if they did stop driving in the next few months or year. Get them thinking about the idea and the alternative plans it would involve. The future is less threatening than the present.

Look for another article next week about what you can do if your senior is not willing to talk about the idea of stopping driving. And be sure to leave a comment if you have any experience with this issue!

Pelvic Health for Women

Posted by Jeanne Lowry on February 18, 2015 under BladderMatters | Be the First to Comment

There is still a lot of stigma attached with discussing a pelvic health issue as opposed to discussing, say, a back problem. But both should be given attention if they are becoming bothersome, and both should be subjects you regularly discuss with your doctor.

Before you go see your doctor, so you know what symptoms are serious, it’s good to look further into the various issues that can crop up “below the belt.” Or, perhaps you’re back from the doctor and would like a recap of everything that you discussed there. There can be a lot of information to remember!

Urinary incontinence can be an indicator of other pelvic health issues. Keep in mind that incontinence is not a diagnosis in and of itself: it is a symptom of a larger issue that should be addressed. Stress can sometimes cause incontinence, and the way to treat it is to treat the stress, not just the incontinence (and stress in this case doesn’t only mean mental stress – it can be physical stress as well). If you find yourself having leaks, even if they are small, on a somewhat regular basis, you should see your doctor. There may be exercises or lifestyle changes you can make to stop these leaks. In the meantime, you may find pads, liners or protective underwear helpful.

Another type of incontinence that may not actually result in leaks is called “urge incontinence,” and it can be described as the need to urinate, even if you have just done so. This can also have various diagnoses, and while it may not require the same incontinence supplies, it can be extremely inconvenient.

There is another type of pelvic health issue that women should be aware of: pelvic organ prolapse (POP). What happens during a prolapse is that the muscles and tissues holding various pelvic organs in place can become weak or stretched. This may result in an organ moving from its original position, or prolapse. This can cause not only incontinence, but pain or bulges in the pelvic area. A doctor should be able to diagnosis this condition and discuss treatment options with you.

Caregiving Glossary

Posted by Jeanne Lowry on February 17, 2015 under Caregiver Corner | Be the First to Comment

This post was inspired by Ai-Jen Poo, MacArthur Award recipient, co-director of Caring Across Generations and author of The Age of Dignity: Preparing for the Elder Boom in a Changing America. In a recent interview, she said that caregivers with children, who are often called The Sandwich Generation, should be called the “Panini Generation,” since they’re being squeezed so much by both their kids and their parents. What other definitions are out there that caregivers deal with every day?

Caree/Charge – The person the caregiver is caring for. But if it’s their husband, wife, father, mother or sibling, that is the title that should come first.

Carer – Another term for caregiver.

Caregiver Burnout – What can happen to a caregiver when they are over-burdened or do not take enough time to care for themselves.

#CaregiverMonday – A hashtag that’s used across social media platforms to call out caregivers on the first day of the workweek.

Caregiver Syndrome – “Caregiver Stress Syndrome is a term used to describe the physiological and psychological changes experienced as the result of chronic stress due to ongoing caregiving activities,” as defined by HubPages.

IEP – An Individualized Education Program/Plan is a term you might here a caregiver/parent for a disabled child use. It helps the parent/caregiver, aides, teachers and school determine what the child is currently capable of, what their goals should be and how to accomplish those goals.

Self-care – Taking time for one’s self that is necessary for the mental and physical health of the carer.

Do you have any suggestions for additions to this glossary? Let us know – we’d love to post another list of caregiving definitions!

The Benefits of Keeping an Incontinence Journal

Posted by Jeanne Lowry on February 16, 2015 under BladderMatters | Be the First to Comment

Originally posted by the Live Confidently team on LiveConfidently.com

Bladder leakage is often a slow development that we sometimes don’t notice until it becomes a serious hindrance to our daily routine. Because of this slow onset, it can be difficult to tell if there were any changes in your diet or behavior that could have caused—and still be contributing to—your incontinence issues.

In order to determine the cause of your bladder leakage, it is valuable to keep an incontinence journal for at least 5-7 consecutive days. An incontinence journal can help you and your doctor pinpoint any dietary habits or behavior patterns that could be contributing to your bladder leakage, and is the first step in finding the right solution for your individual needs.

Below are the things you should include in your journal entries. Remember, it’s important to stay consistent and keep an accurate record of your fluid intake and leakage amount. It can be helpful to use a small notepad that can easily be transported and stowed. We’ve also included an Incontinence Journal Page (PDF) that you can print and use to record your bladder leakage.

We recommend filling out this journal page and reviewing it at your next appointment with your physician. It is also recommended to bring a list of your current medications to review with your physician.

What to Record

Date and Time: It’s best to take note of every time you feel the urge to go and whenever you have a leak. Again, in order to get an accurate picture, try to log 5-7 days of journal entries.
Fluid Intake (oz.): What was the last thing you had to drink right before urinating? How much did you have? (8 oz. juice, 12 oz. soda, etc.)
Amount of Urine (oz.): For the most accurate recording, place an external urine collection device under your toilet seat. You can also use a disposable cup that can be rinsed and placed near your toilet until you have completed your incontinence journal.
Leakage Amount: If leakage occurred, indicate whether you were damp or soaked after the incident.
Activity During Leak: What were you doing right before you had a leak? Were you laughing or coughing? Try to be as detailed as possible.
Urge? (Yes or No): Did you feel the urge to go before the bladder leakage occurred?

Have some tips to add? Head over to our incontinence forum to discuss this topic with people just like you!

Hollister New Image 2pc Flextend Skin Barrier CTF: 14603, 14604

Posted by Jeanne Lowry on February 13, 2015 under Ostomy Care | 2 Comments to Read

This Hollister skin barrier and flange has proven to be a popular ostomy item on TotalHomeCareSupplies.com, so we thought we’d take a moment to look at this product more closely.

This item is a flange and skin barrier, and its purpose is to both protect the skin from the stoma output and connect the ostomy pouch to the skin. We call this item a “two-piece” item because the second piece is the ostomy pouch. So when you order item number 14603, you actually be receiving one item that you would apply to your skin and to which you then attach the pouch.

This “floating flange” has a patented locking system that audibly clicks into place. Knowing your pouch and your flange are firmly connected will give you the feeling of security. And the skin barrier protects your skin from irritating discharge. If using the correct size of skin barrier, you’ll find that your skin will be healthier and that you can extend the wear time of your system.

Let’s go back to that “floating flange.” This type of flange eliminates pressure on tender, post-operative abdomens, so it’s perfect for the weeks after surgery. But some ostomates find it so comfortable that it becomes their flange of choice! Also important to keep in mind: this item comes with a tape boarder, and is cut-to-fit.

Lastly, let’s look at the reviews that this product has receiving on TotalHomeCareSupplies.com. Customers have stated, “I love these flanges – this inside portion is protected by what appears to be plastic covering over the barrier. The ease of use and the outer sticky tape helps hold the flange and barrier are in place. Rarely does it become un-sticky even in the shower. I would recommend them and I’ve tried many types.” And, “This holds good and is fairly long lasting–non irritating.”

What to Do When First Experiencing Incontinence

Posted by Jeanne Lowry on February 12, 2015 under BladderMatters | Be the First to Comment

When a person becomes incontinent, even temporarily, it can be an alarming situation. Suddenly, they’re thrust into a world of pads, liners, adult diapers and trying to pick what works best for them. There’s new terms and new diagnoses. It can be overwhelming. But, armed with information, someone can become an expert quickly.

Firstly, if you have been experiencing either bladder or bowel incontinence without having talked to your doctor about it, you should make an appointment immediately. You may find it embarrassing to have to discuss your incontinence with another person, but it’s important to know that people do not just “become” incontinent. It is a symptom, not a disease. There is a reason why you are experiencing incontinence. Some of those reasons can be treated easily, some may be more permanent, others could signal a much more serious problem. So checking in with your doctor should be your first priority.

Once you have a reason why you’re incontinent (and hopefully know which type of incontinence you’re experiencing), then it’s time to look at products. If you’re experiencing light bladder leakage (LBL), then you may be able to just use a liner or a pad. If you have more bladder leakage than either of those items can handle, or you’re experiencing bowel leakage, we would recommend either adult briefs or protective underwear. To determine the perfect item or perfect fit, you might find samples helpful. At TotalHomeCareSupplies.com, we have samples available for many of our products. And each of those samples comes with a coupon to use on a future order.

Then it’s just a matter of figuring out a routine that works for you. You may find other articles on our blog helpful like, How to Pack an Incontinence Emergency Kit, Comparing Adult Diapers to Protective Underwear and Controlling Incontinence with Pelvic Floor Muscle Exercises.

If you are not a new player when it comes to the incontinence games, what advice would you give to our newbies? We’d love to hear them in the comments!

Ways Seniors Can Boost Their Brains

Posted by Jeanne Lowry on February 11, 2015 under Caregiver Corner, Resources | Be the First to Comment

Getting old does not equal getting senile! For those who are ready for a challenge, we have a few! Becoming a senior can just mean your age is going up: it need not affect your cognition, your job, your memory or your physical self. Just keep active, keep happy and keep healthy and your brain will keep supporting you.

Up Your Nutritious Food Intake
Our first suggestion isn’t anything that you’ll actually be “thinking” about – more tasting! Incorporating more antioxidants to your diet can keep your brain able to fight those “bad” chemicals. According to Google, antioxidants are: “chemicals that block the activity of other chemicals known as free radicals. Free radicals are highly reactive and have the potential to cause damage to cells, including damage that may lead to cancer.” Basically, any fruit or vegetable that stains clothes is an antioxidant. And coffee, as well.

Play more games
This includes things like board games, video games, solo games (crosswords, Sudoku, solitaire …) and sites on the Internet like Luminosity. The research may still be out Luminosity-type brain games, but if you’re having fun, that’s what really counts. And don’t forget about the old standby: puzzles. Did you know there are 3D puzzle available now? Be sure to check out your local hobby shop.

Get out there!
Exercise can be extremely helpful to keep both body and brain fit. And if you add in an exercise partner or walking buddy – even better! Can’t find anyone to workout with for your schedule? Try a personal trainer, available through most gyms. If they’re properly certified, they should be able to craft a safe workout (with a check with your doctor) for any activity level.

What are your favorite ways to keep your brain elastic, witty and clever? We’d love to hear more ideas in the comments!

Caregiving Blogs – February Highlight

Posted by Jeanne Lowry on February 10, 2015 under Caregiver Corner | Be the First to Comment

A new month is here and we’d once again like to take a look at blogs that show us the compassion and grace that caregivers give to their carees.

http://jbones1961.blogspot.com/
Jane is the mother of Nicole, who is 20 and has a congenital heart defect and pulmonary arterial hypertension. She’s been writing for four years about her journey with Nicole, Nicole’s health issues and their life together. Recently, she started on a series where she remembers the days when Nicole was first receiving her diagnosis of pulmonary hypertension.

http://www.gavinowens.com/
It’s been over five years since Karen’s son, Gavin, passed away, but Karen and her husband, Adam, continue to give their lives to helping children with special needs. They’ve adopted three special needs children since Gavin’s death, with issues that vary from cerebral palsy to feeding tubes. While Karen hasn’t updated the blog recently, it’s full of lots of amazing stories about their journey as a family.

http://www.intentionalcaregiver.com/
Shelley Webb is a RN and has been a caregiver. She is the “Intentional Caregiver” of her site, which is much more than just a personal blog. It provides care to the caregivers and gives lots of advice. Shelley has other authors that contribute to the site, and has an extensive question section with lots of tips about how to handle various caregiver situations.

Do you have a caregiving blog that you’d like us to highlight? Let us know in the comments!

Technology Tools for Staying Healthy

Posted by Jeanne Lowry on February 4, 2015 under BladderMatters, Caregiver Corner | Be the First to Comment

Originally posted by the Live Confidently team on LiveConfidently.com

Advancements in technology are making our lives more convenient by the day. With all of the apps and tools now at our disposal, it’s never been easier to learn about healthy living and set reminders for ourselves to stick to a healthy routine. Here we take a look at a few technology tools for staying healthy, including apps and devices that can help with your incontinence issues and overall health awareness.

Incontinence Specific Apps

iDry is a free iPhone app that acts as a virtual incontinence journal and diagnostic tool. It allows you to record any leaks that occur, your exercise routine, and your dietary habits. For Android users, check out My Bladder Diary. Both of these apps can be a huge help in pinpointing any major factors that could be contributing to your bladder leakage.

iDry for iPhone

My Bladder Diary for Android

Hydration Apps

Many people affected with incontinence tend to not drink enough water. Waterin is a free app that reminds you to drink more water. Not only will this tool tell you when to grab another glass of H2O, but it also allows you to set personal water drinking goals for yourself. For Android users, check out the Water Your Body app.

Waterin for iPhone

Water Your Body for Android

Pelvic Floor Muscle/Kegel Training Apps

There are a plethora of apps that will not only teach you how to do Kegel exercises, but will even remind you when to do them. It’s kind of like having a personal fitness instructor in your pocket. Our favorite is the Kegel Trainer.

Kegel Trainer for iPhone

Kegel Trainer for Android

Healthy Eating Apps

Eating healthy and maintaining your weight is key in controlling your incontinence symptoms. SparkRecipes is just one of many great apps that offers healthy recipe ideas for your specific dietary needs. You can search their database of over 450,000 healthy recipes, find specific recipes that fit your lifestyle, and see how many calories and carbs are in each dish.

SparkRecipes for iPhone

SparkRecipes for Android

If eating out is more your style, then look into the HealthyOut app. This tool finds all of the healthy food options and restaurants that are close to you.

HealthyOut for iPhone

HealthyOut for Android

Wristband Apps

There are also wristband devices, like the FitBit and UP by Jawbone, that measure how you sleep, move, and eat. All of that information is then sent to an online app where it can be analyzed and managed. These devices track everything from how many calories you burn throughout the day, to how well you sleep at night. All of this information is detrimental in understanding our bodies, and can help us make healthier choices in the future.

These are only a handful of tools that are at your disposal to live a healthier and stress-free life, but this is a great place to start. Do you know of any other helpful apps or websites? Tell us about them on our incontinence forum!

Products Offered at Total Home Care Supplies

Posted by Jeanne Lowry on February 3, 2015 under BladderMatters, Caregiver Corner, Everything Baby, Ostomy Care, Very Urological | Be the First to Comment

Every so often, it’s helpful to take a look at the variety of products that we offer on TotalHomeCareSupplies.com. While all of our products are well-made and user-friendly, they all differ so much it’s easy to forget all that we carry. So let’s take a look, one category at a time:

Incontinence
Our incontinence products are our biggest sellers, and we’re proud that so many people get the items for their independence from us. Along with the standard adult diapers (also known as briefs) and protective underwear (also known as pull-ups), we also have pads and liners. For light bladder leakage, a pad can be more freeing than a brief. Underpads (AKA chux) are available in a variety of sizes, along with gloves and many kinds of incontinence wash.

Ostomy
When it comes to ostomy products, we have many of the most popular items and brands. We have both drainable and closed-end pouches. We have 90 barriers with flanges, so you’ll be able to find the product that works best for you. And we have an assortment of accessories, including stoma powder, pouch closures and odor eliminator drops – the Hollister bottle of drops has great reviews.

Urological
You can find wholesale pricing on many of the catheters, leg bags and irrigation systems we offer. Our catheters are diverse, from external items to straight tip catheters and coude catheters. You can also find the major brands, like Mentor-Coloplast, Bard and Hollister.

Wound
We have all the supplies you’ll need for your particular injury, or to fill up your first aid kit. On top of the basic items like tape, wipes and bandages, we have gauze, foam dressings and wound cleansers. If you have a checklist of the things you’ll need to properly heal a surgery wound, you can find it on TotalHomeCareSupplies.com

Baby Supplies
In addition to our adult diapers, we also carry baby diapers. Cuties diapers come in sizes newborn to size six. We also have breast pumps and a selection of accessories to accompany the pumps.

That’s about it. We know, it’s a lot of options! We hope we have everything that you’re looking for when it comes to home care supplies, but if not, we’d love to hear what we’re missing in the comments below!