Issue 93

The Boulder County Area Agency on Aging (BCAAA) Caregiver Initiative is focused on empowering and supporting caregivers of older adults. Learn more about what we offer at boco.org/Caregiving.

Upcoming Caregiving Events 

“We Love our Caregivers,” Valentine’s Day Event

 Wednesday Feb. 14, noon-1:30 p.m.

This online event offers an opportunity to review challenges and opportunities for caregivers, especially for those who feel disconnected or overwhelmed. Our Caregiver Resource Specialists will direct a conversation around the challenges of caregiving with participants.

To register or for questions, email us at infoCaregiver@bouldercounty.org or call us directly at 303-441-3945.

Disclaimer: Boulder County Community Services is not a healthcare provider and cannot provide medical advice. This resource is provided for informational purposes only. Individuals should seek medical advice directly from a licensed medical professional.

Ask a Caregiving Expert

Dear BCAAA,

Do you have any personal stories that will help remind me that other caregivers survive this process?

Signed, A Concerned Caregiver

Dear Concerned Caregiver,

Thank you for reaching out to BCAAA! In collaboration with a local resident, we are here to help provide support navigating challenges associated with caregiving.   

Supporting a Spouse with Heart Disease & Surviving

by Sharon La Pierre

There really is not enough support for a spouse when their husband or wife experiences open heart or bypass surgery. Lots of medical attention is focused on the person going through the trauma, as it should be, but in the end the spouse must be the caretaker, immediate decision maker, be present for all of the needs for an extended length of time, including for rehabilitation and at the same time keep a household running. Some patients have dramatic personality changes. Many patients have severe physical issues like pain, heart rhythm regulation concerns, which are life threatening and require defibrillators or pacemakers that are monitored, loss of weight, extended hospital stays in intensive care units, an inability to eat, an inability to make decisions because of medications, as well as a lack of extended family understanding of the stress related to the situation involving the patient’s circumstances. Family members can feel a sense of situational loss of control and may act out, so much so that it is easy to get discouraged and lose confidence in your caregiving. When something of this magnitude takes place, it is usually on an immediate, emergency level. This requires the spouse to prepare for children, animals, buying food, mowing lawns/shoveling snow, work obligations, bill paying, visiting spouse constantly to help with feeding, brushing teeth, and inspiring them to keep going even if depressed. It is especially hard when the prognosis may not be as positive as hoped. The caregiving partner must stay focused to bring the patient through positively. This is constant and labor intensive so be prepared.

Having a Power of Attorney (POA), which allows the caregiver responsibility for any major decisions that might come your way, is extremely important because your spouse may be unable to help with this process. (You have need to remember that you are their advocate, and they are depending on you.) The patient will have to sign this form - so get it completed before surgery or major medications if possible. In my case, I researched whatever I could to be sure to make the best decisions possible and so I was knowledgeable when speaking with the doctors. The hospital chaplain can help facilitate getting you a POA form to fill out on the spot and place in the record. Request a visit with that faith leader, who is there to help irrespective of your specific beliefs. These people are there to help and support, even if you are not religious.

I had some very dear friends who fixed me meals so when I got home so I could eat without the task of preparation, they mowed my lawn, and just did whatever was needed. This kind of support is an absolute necessity for the sanity of the caregiver because you cannot do it all and have way too much emotional stress. Medical decisions are often adjusted daily by doctors to meet the circumstances of recovery. This was hard for extended family to understand but because I was there, I watched these doctors and nurses struggle to keep my husband alive and stable, adjusting as they went. Because of the emotional stress within the home during this time, pets experience their own form of malfunction. My dogs got diarrhea which had to be cleaned up often when I got home. They had to be fed on their regular schedule to alleviate more stress. This work was done by friends, and I made a schedule to keep it as close to normal as possible. My neighbors walked my dogs during the day, and I walked them every morning early before going to the hospital. My neighbor picked up medication from the vet to help my dogs with diarrhea.

Do not be afraid to ask for help. Trust me. People are willing to help if they see a need.

So, what is the purpose of this paper? Friends, neighbors, and doctors especially need to know that the trauma is not just with the patient but extends to the spouse and immediate family, especially children (even if they are adults), and pets. Many know this intellectually but have no idea what it means on an hourly basis. This may or may not allow for the patient to recover if the family is not strong enough. I happen to be strong enough and have a spiritual foundation that allowed me to move forward without fear. For that I am grateful. My innate strength gave me the fortitude to last for the long haul. I was my husband’s advocate, and I took it seriously. Many nights I cried for courage and strength. I did not want to let on to my husband that I was overwhelmed or fearful. I had to maintain faith to help the healing process. 

What a caretaker can do to survive the process

1. Talk with individuals who have experienced similar situations as to what the process of recovery looks like because it will be weeks of devoted care. This will help you meet the needs as a caretaker and to provide for a safe environment. (Better to know than to be ignorant.) As an example of one thing I did, I prepared in advance by buying a child gate to keep our dogs from getting into the bedroom and jumping on the bed so my husband could recover.
2. Do not be afraid to talk directly with the doctors to support what is needed. They are involved with the patient, but not the spouse. If you remember this, it will be less frustrating. Their expertise is medicine. In my experience, they want you to be proactive but not act as if they are your counselor. You need to muster the strength and your conversations with them allow you to understand the situation better. Do your own research to ask intelligent questions. To do this, I attended doctor visits the first month after the hospital stay to be sure I could be a better caretaker. Your partner may not remember issues, so this is helpful overall.
3. Do not allow family members to bring you down with negative thoughts, words, or actions. They are not the ones carrying the load. They are not aware of the constant daily struggle and can make your mental state more tumultuous. It is not about their needs. It is about what is best for the patient. You are fighting for health and life, not succumbing to darkness. Positive thoughts play a huge role in your spouse’s recovery, as well as your own mental strength.
4. Make sure you have an oxygen monitor, blood pressure monitor, temperature monitor, and scale to keep daily records when your spouse comes home. I made a spread sheet to record these daily numbers, always at the same time of day in the morning. If the patient can see progress on a daily basis, it helps with depression and helps them to feel like there is an end in sight to becoming normal again.
5. If Cardio Rehab is offered to the patient from the hospital…..DO IT. It builds confidence to live.
6. Because the patient cannot drive for a while when released from the hospital, plan on being the driver for doctor appointments and/or rehab sessions.
7. Keeping track of medications administration is very important. There could be dozens that need to be ingested daily, at separate and specific times. I took responsibility for the administration of meds and renewing prescriptions. I made a spread sheet which I adjusted over time as some meds were dropped and others were added. It will take several months for the patient to concentrate and take over keeping track of administering their own medications.

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This time is not easy but remember it won’t always feel this way. Look up, feel the sun on your skin and find something to be grateful for. This time is sacred, and you won’t be able to get it back. If you need someone to talk to, know there are resources available to support you (see contact info below).   

Take good care,

Your BCAAA Caregiving Team and Dr. Sharon Greenleaf La Pierre

During Dr. La Pierre’s career, she has been involved in many aspects of the educational field from being a director, board member, and teacher at various levels, as well as a Kellogg Post Doctoral Fellow at Montana State University in Adult Learning Research and a professor of Graduate Studies at Northern Arizona University. Her research interest and publication record have been extensive in the field of the nature of spatial intelligence. She has many publications to her name, including several books and has been an editor of many juried research publications and journal articles. Dr. La Pierre has a B.A. from San Jose State University in music and design, a M.A. from San Diego State University in fiber design, and a Ph.D. from the University of Denver and Stanford University in curriculum development and research methods and methodologies, having studied under Elliot Eisner. Currently, Dr. La Pierre holds the position of Director of Administration & Operations at Look Dynamics.

Call the BCAAA at 303-441-1617 or visit BoulderCountyhelp.org to learn about local durable medical equipment closets, fix-it programs, home modification options, and to connect with a Resource Specialist to determine if someone qualifies for temporary programs that provide fall prevention strategies, home modifications, and safety recommendations. Visit boco.org/caregiving to learn more about services and educational opportunities.

The Longmont Senior Center (LSC) is OPEN Monday through Friday, 8 a.m. to 5 p.m. Their resource specialists and counselors are now offering home visits and in-person appointments. Check out classes from City of Longmont Senior Services at www.longmontcolorado.gov/GO. Email: senior@longmontcolorado.gov Phone: 303-651-8411 Sign up for weekly email updates by visiting Longmont Senior Services or emailing senior@longmontcolorado.gov.

Caregiver Services for friends or family members caring for an older adult in Longmont include:

• Caregiver Consultations and Family Meetings: Referrals & information about adult day programs, home health care, long-term care, counseling, caregiver self-care, etc.
• Respite & Companion Volunteer Program and Respite Assistance referrals: Volunteers matched with older adults who live alone or with a family caregiver provide respite, a friendly visit, and a caring connection. Respite Assistance funds can help pay for respite care for a caregiver.
• Social Groups and Educational Programs for family caregivers and those living with dementia (options may vary quarterly).
• Caregiver Support Groups provide information and support for family caregivers; no registration required: 
• 1st Monday, 6–7:30 p.m. at Longmont Senior Center
• 2nd Tuesday, noon – 1:30 p.m. (Alzheimer’s Assn. group) at Longmont Senior Center

Questions? Call Brandy Queen with City of Longmont Senior Services at 303-651-8414.

Caregiving Best Practices

Monday, Feb. 5, 1–2 p.m. 

Please register in advance at 303-651-8411. Registration #185096-02

This workshop will feature best practices for caregivers of people living with dementia, mild cognitive impairment, or memory loss. We'll review methods and insights developed by Teepa Snow (her Positive Physical Approach, Hand Under Hand and other insights and best practices), Naomi Feil (her Validation Method is transformative) and the Montessori Method (which is especially helpful in identifying simple, meaningful engagements for your person). Presented by Brenda Gurung, credentialed dementia specialist, founder of Be Growth Dementia Education, Forbes Health Advisory Board Member, and national senior living leader. 

Living with Alzheimer’s: For Late Stage Caregivers

Wednesdays, Feb. 7 and 14, 2–3:30 p.m.

Please register in advance at 303-651-8411. Registration #185037-00

Those caring for someone with any stage of dementia are welcome to join this class. In the late stage of Alzheimer’s disease, caregiving typically involves new ways of connecting and interacting with the person with the disease. Join us for this two-part class to hear from caregivers and professionals about resources, monitoring care, and providing meaningful connection for the person with late-stage Alzheimer’s and their families. Presented by the Alzheimer's Association.

Windows to Wellness

Saturday, Feb. 10, 9 a.m.–2 p.m. (10-minute sessions for $10 - cash only please.)

NO registration required. Longmont Recreation is holding this free event at the Longmont Senior Center.

Meet and learn about health and wellness providers as well as practices in our community. Get a massage, meet a local chiropractor, try out a new fitness class, experience yoga... define your wellness in the New Year! Visit vendors, attend free workshops, and sign up for sessions with professionals.

Swoonin’ Sounds and Sweet Treats

Wednesday, Feb. 14, 1–3 p.m.

Please register in advance at 303-651-8411. Registration #183008-02

Grab your sweetheart or favorite friend and celebrate love with our Valentine’s Day cookie exchange celebration! Attendees are encouraged to bring 2-dozen cookies to exchange at the event, which will feature entertainment by the Young Heart Dance Band. Get ready for some Oldies and Country with Deejay Johnson and Mark Jenkins of the Young Heart Dance Band! Joining us is the 2022 inductee to the Colorado Country Music Hall of Fame for 20 years of playing continuous Country Music in Colorado, Mark Jenkins (guitar and vocals)! Deejay is the 2019 Female Vocalist of the Year and 2019 Entertainer of the Year by the Colorado Country Music Hall of Fame (on keyboard and vocals). The Young Heart Dance Band includes 3 additional members that perform locally with the duo for select shows. Their style includes Oldies, Country music and everyone's favorite dance songs. The group celebrates 10 years together in February 2024!

City of Boulder Older Adult Services offers a variety of health and wellness, lifelong learning, aging in place, special interest groups, and travel/trip opportunities. Many programs are offered online as well as in-person at the East and West Age Well Centers. Case Managers are available to assist City of Boulder residents 60+ and their caregivers with referrals to community resources, options counseling, and financial support for eligible clients. To speak with a Case Manager, please call 303-441-4388. For a complete list of Feb. programs and services, please visit the website to view the “Let’s Age Well!” program guide. For weekly updates, register online to receive the Age Well e-Newsletter.

Featured February Programs

Introduction to Medical Aid in Dying (MAID) & Voluntary Stopping of Eating and Drinking (VSED)

Online, Tuesday, Feb. 6, 11 a.m.–12:30 p.m.

Join this program to learn more about these end-of-life options in Colorado.

Iris Folding Art Class

West Age Well Center, Monday, Feb. 12, 1–3 p.m. Fees: R/NR $10/$12.

Class will utilize an old technique from early 20th century Holland to make valentine cards.

Sans Souci Film Screening, Discussion, and Optional Dance Class

West Age Well Center, Tuesday, Feb. 13, 2:30–4 p.m.

Sans Souci Festival of Dance Cinema presents a series of short dance films followed by discussion and optional dance class.

Movie and Discussion “Saying Goodbye: Preparing for Death”

Online, Thursday, Feb. 15, 1–2:30 p.m.

The movie opens the door to conversation about what is possible as we pass from this life. Facilitated by end-of-life educators.

Physiological Processes in Aging

West Age Well Center, Friday, Feb. 16, 1–2 p.m.

Review the efficacy of lifestyle and pharmacological interventions for reversing the adverse changes that can occur with age.   

Boulder International Film Festival (BIFF) Short Films and Discussion

Online, Tuesday, Feb. 20, 2–3 p.m.

Watch seven short films online (83 min.) and then participate in a discussion with a BIFF representative.

Heart Health

East Age Well Center, Thursday, Feb. 22, 10-11 a.m.

Learn how and why to reduce sodium intake, how to get fiber into a regular diet, its role in cholesterol reduction, and the importance of staying hydrated.

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West Age Well Center:  909 Arapahoe Avenue, Boulder | 303-441-3148

Monday – Friday, 9 a.m.–4 p.m.

Meals on Wheels’ Eat Well Café: Monday – Friday, 11 a.m.–1 p.m.

East Age Well Center:  5660 Sioux Drive, Boulder | 303-413-7290

Monday – Friday, 8 a.m.–4:30 p.m.

Town of Erie Parks & Recreation - Active Adults

Erie Active Adults staff are available, Monday through Friday, 8 a.m.-4 p.m. Email: ActiveAdults@erieco.gov Phone: 303-926-2795 The Town of Erie's Active Adults program provides a Senior Nutrition Lunch Program at the Erie Community Center. Reservations are required by calling 303-926-2569 or emailing ActiveAdults@erieco.gov prior to the meal date. Check out upcoming Active Adults programming here.

Garden Talks - Long stemmed roses, wedding bouquets, and more!

Thursday, Feb. 8, 5-6 p.m.

These days, more and more people are discovering the joys of playing in the dirt or, as grown-ups prefer to call it, gardening. A local expert, with years of experience, will help you plan, plant and harvest a successful garden. Did you know, gardening promotes wellness, reduces exposure to pesticides, and can reduces stress? What are you waiting for?

Bingo

Tuesday, Feb. 13, 1-2 p.m.

Join the fun in this friendly game of BINGO and an afternoon of connecting with friends. Registration is not required. Prizes sponsored by The Bridge at Longmont.

The Magic of Watercolor Paints - Beta Fish

Wednesday, Feb. 14, noon-3 p.m.

Discover the joy of watercolor painting. Regardless of your experience, there is something for everyone with this versatile, luminesce paint.  In a relaxing and supportive environment, Kristi will walk you through this painting step-by-step, giving you the confidence to paint, explore and have fun.

Aging Mastery Program

Tuesdays, Feb. 20-April 2, 1-3:30 p.m. (There will be no class on March 12 or 19.)

Aging Mastery is a fun and comprehensive program that empowers you to take key steps towards positive behavior change. In ten sessions, guest speakers help lead you to increased physical activity levels, better sleep, healthier eating habits, use of advanced planning and financial services, medication management, community engagement, and social connectedness through this evidence based self-management program.

The Magic of Watercolor Paints - Cardinal

Wednesday, Feb. 28, noon-3 p.m.

Discover the joy of watercolor painting. Regardless of your experience, there is something for everyone with this versatile, luminesce paint.  In a relaxing and supportive environment, Kristi will walk you through this painting step-by-step, giving you the confidence to paint, explore and have fun.

The Lafayette Senior Center (103 S. Iowa Avenue) is open Monday through Thursday, 8:30 a.m. to 5 p.m. and on Fridays from 8:30 a.m. to 4 p.m. Call 303-665-9052 or email olderadults@lafayetteco.gov to register. For more information, visit lafayetteco.gov/seniors.

Guitar Lessons - Beginner

Mondays, Feb. 5-26, 10-11 a.m.

Discover the joy of playing the guitar! Students will learn basic chords, picking patterns, strumming, rhythm and notes on the fretboard to confidently play various songs. Remember to bring your 6-string guitar to class and rest assured that teaching materials will be provided. Let instructor Felicity Muench guide you on your musical journey. Get ready to unleash your inner musician.

Having Choice at the End of Life

Tuesday, Feb. 6, 1-3 p.m.

Join Sue Mackey of Out of the Box End-of-Life Planning in a presentation and conversation about how to prepare for your end-of-life in a way that communicates your values and wishes with your loved ones. We’ll talk about Dementia Directives (most people’s biggest fear), and what to include in a Personal Statement in order to give your loved one's guidance, and how to even discern what it is you might prefer.  

Chocolate Talk by Kaiser Permanente

Tuesday, Feb. 13, 2-3 p.m.

Learn about the history, health benefits, facts and fiction of chocolate. And, of course, sampling! 

Valentine's Day Event

Friday, Feb. 16, noon-2 p.m.

Celebrate Valentine’s Day with the fun and entertainment at the Lafayette Senior Center. Enjoy a special  dessert during the performance. 

The Huckleberry Tea House

Tuesday, Feb. 27, 1:15-4:30 p.m.

Join a group at the Huckleberry and relax as you are served a traditional afternoon tea, complete with teatime accoutrements and a bountiful tiered tower of delicious pastries and savory tea sandwiches. Trip cost includes transportation, tea, and pastries.

Louisville Senior Services

Louisville Senior Services at the Recreation & Senior Center currently offers a variety of drop-in programs, classes and activities, trips, as well as Brooks Café lunch. Contact Katie Beasley, by calling 303-335-4914 or email KatieB@LouisvilleCO.gov. Need resources? Find Senior Resources help with transportation, housing, legal assistance, and financial guidance. Medical equipment loans also available. Contact Katie Tofte, Community Resource Coordinator, at KTofte@LouisvilleCO.gov or by calling 303-335-4919. Check out more from Louisville Senior Services here.