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The Elderly Kind of Blues

Kira Tewalt • Jul 30, 2017
by Kira Tewalt, Founder, Manager | Jul 30, 2017 | Caregiver in Arlington VA, Caregiver in Bethesda MD, Caregiver in Chevy Chase MD, Caregiver in Fairfax VA, Caregiver in Great Falls VA, Caregiver in McLean VA, Caregiver in Potomac MD, Caregiver in Rockville MD, Caregiver in Silver Spring MD, Caregivers in Washington DC, Child Care, Child Care in Washington DC, Elder Care in Arlington VA, Elder Care in Chevy Chase MD, Elder Care in Fairfax VA, Elder Care in Great Falls VA, Elder Care in McLean VA, Elder Care in Potomac MD, Elder Care in Rockville MD, Elder Care in Silver Spring MD, Elder Care in Washington DC, ELDERLY CARE IN BETHESDA MD, Elderly Care in Chevy Chase MD, Elderly Care in Fairfax VA, Elderly Care in Great Falls VA, Elderly Care in McLean VA, Elderly Care in Potomac MD, ELDERLY CARE IN WASHINGTON D.C., Featured, Home Care in Bethesda MD, Home Care in Chevy Chase MD, Home Care in Potomac MD, Home Care in Rockville MD, Home Care in Silver Spring MD, Home Care in Washington D.C., Home Care in Washington DC, Home Care Washington DC, Senior Care, Senior Care in Bethesda MD, Senior Care in Chevy Chase MD, Senior Care in Potomac MD, Senior Care in Rockville MD, Senior Care in Silver Spring MD, Senior Care in Washington DC
Seniors & Mental Health

Mental health is widely considered a new age concept, which is obscure to many members of the aging populations. Older generations ignored mental health issues and were more likely to address physical ailments. In regards to uncomfortable feelings, words such as “melancholy” were likely used to instead of “depression.” Older generations are more likely to express physical versus mental complaints. The avoidance of addressing mental health issues is linked to the extreme stigmatization of mental illness in previous decades. Unfortunately, the ongoing neglect of mental health problems becomes a habit transmitted to younger generations. Children of the aging populations often become caretakers and key advocates for their elder’s well-being, but find themselves covering all the basis of their parent’s health and well-being except mental health. According to the National Institute of Mental Health, more than two million Americans above the age 65 suffer from some form of depression. The elderly population is one of the most vulnerable populations to developing depression due to the experience of significant losses related to death, physical ability, and independence. According to the National Institute of Mental Health, in the United States, less than 5% of older adults living in the community show signs of depression, the percentage rises to over 13% among those who require home health care. Considering the extreme risk and vulnerability of the elderly population choosing home care that addresses the well-being of the whole person is essential. Holistic home-care is a new era approach to senior care that tailors care to enhance one’s social, emotional and physical well-being. Finding senior care that treats the whole person can be like searching for a needle in a haystack in major metropolitan areas such as Washington, DC. This article will discuss the manifestation of depression among the elderly and the benefits of holistic care.


Aging & Depression

It is common for people to experience depression at various points in their life in response to negative life events such as ended relationships, financial hardship, and interpersonal conflict. However, clinical depression manifest in mood and physical symptoms. Research shows that older adults are more likely to label their “down feelings” as pessimism or helplessness versus depression. Additionally, older versus young adults are less likely to endorse statements related to “feeling down” or “blue.” Older adults commonly display withdraw, less communication, increased sleeping, expressionlessness, and bodily neglect. In older adults, physical symptoms often accompany depression including, coronary heart disease, dementia, diabetes, hyperthyroidism, and cancer. Life events related to loss of loved ones and independence can exacerbate these symptoms. Unlike younger adults, older adults often lose their ability to engage in coping behaviors such as exercise, outings with friends, and travel to alleviate mental and physical symptoms. These circumstances leave older adults not only at greater risk of developing severe depression but little means to mitigate the suffering.


Senior Care & Depression

Nursing home residents and older adults with chronic illness are at greater risk of developing depression. This risk is due in large part to the lack of quality care available in nursing facilities with an unbalanced caregiver to resident ratios. This imbalance diminishes the amount of emotional, social, and physical support available to clients. Many nursing home facilities plan rigorously to design communities that cultivate social and physical well-being, only to find that a large percentage of residents don’t adequately utilize all that the facility has to offer. This underutilization is mainly due to physical and mental declines that limit their access and interest. Senior care facilities in major metropolitan cities such as Washington, DC find themselves overwhelmed and falling short of providing quality care as their mission statements often promise, due to understaffing and short-sighted approaches.


Holistic Care

Holistic care is a growing approach adopted by senior care providers in efforts to improve the quality of life of the aging population. Through this approach, caregivers are trained to assess and address the social, emotional, physical, and in some cases spiritual needs of the client. Many nursing home facilities have begun to adopt the holistic approach to senior care. However, like any other service industry, quantity often reduces quality. Philia is a home-care agency that adopts the holistic approach to senior care offered only on a 1:1 basis to ensure quality. In addition to assisting with ADL’s, caregivers are trained to incorporate nutritional meal preparation, tailored exercise regimen, activity engagement, and emotional support. Each client’s care plan is designed to enhance their quality of life and well-being in oppose to maintain their present state of health. Holistically trained caregivers are trained to recognize the signs of depression specific to older adults and implement interventions that treat the physical, social, and emotional manifestations. The mind and body are interconnected, each impacting the other dynamically throughout one’s life. Quality senior care addresses both physical and psychological aspects of a person, recognizing that this is the key to total well-being.


Sources

Cavanaugh, J., & Blanchard-Fields, F. (2014). Adult development and aging. Nelson Education.

Friedhoff, A. J., Ballenger, J., Bellack, A. S., Carpenter, W. T., Chui, H. C., Dobrof, R., & Merikangas, K. R. (1992). Diagnosis and treatment of depression in late life. JAMA, 268(8), 1018-1024.

Zarit, S. H., & Zarit, J. M. (2012). Mental disorders in older adults: Fundamentals of assessment and treatment. Guilford Press.

About The Author

Kristina O'Brien

As a seasoned educator with a background in special education Kristina brings a wealth of experience in understanding the unique needs and challenges of individuals requiring specialized care. Transitioning from the classroom to the realm of home care, she has embarked on a journey to broaden her knowledge and expertise in providing support and assistance to those in need. In her role, she is deeply committed to identifying the distinct needs of our clients by engaging with them in thoughtful and meaningful ways.

Kristina holds a Bachelors of Arts in Elementary Education and Special Education with a minor in Speech Pathology and Communication and Master's in Education, Literacy, and Communications

While the information provided in this blog is intended to be informative and helpful, it's important to consult with a qualified professional for personalized advice. If you have any concerns or questions about your health or specific medical conditions, don't hesitate to reach out to your physician or another trusted healthcare provider. Your health is important, and seeking professional guidance ensures you receive the best care tailored to your individual needs.



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