American Medical Association Family Medical Guide - American Medical Association [148]
Personal Emergency Response Systems
Personal emergency response systems (PERS) provide an easy way for a disabled person to call for help in an emergency. The system includes an electronic monitor (about the size of a small radio or answering machine) that can be placed on a bedside table. The monitor is plugged into an electrical outlet and connected to the person’s telephone line. Most systems require the person to push a help button to activate the system. There is a button on the monitor and also on a wristband or pendant that the person wears at all times. Some systems also may be voice-activated or use motion detectors.
When the system is activated, the signal goes to a monitoring center, where a response is set into motion. First, the center attempts to contact the person. Depending on the situation (or if the person does not respond), the center then attempts to contact a designated person or people (such as a relative, friend, or neighbor), or calls for emergency assistance (from emergency medical services, the fire department, or the police).
Personal emergency response systems are available by subscription in many communities, usually with a one-time installation charge and a monthly fee. In some communities, local hospitals, fire departments, and various community organizations provide this service. If the person has limited income and assets, the service may have a reduced fee or be free. In any case, you should not have to purchase any equipment or sign a long-term contract. Ask your doctor or contact your local hospital for information about these systems.
Telephone Check-in and Reassurance
Telephone check-in and reassurance services provide a way of monitoring the health and safety of an older person who lives alone. Paid staff or trained volunteers call the person at home at prearranged times throughout the day. If there is a problem or if the person does not answer the phone, the caller will follow specific procedures such as contacting a doctor or a designated family member, or calling for emergency assistance. These services also can provide older people with companionship and a sense of security. Contact your doctor, nurse, social worker, or local hospital for information about the availability of telephone check-in and reassurance services in your area.
Care for the Caregiver
Taking good care of yourself is an essential part of good caregiving. Because successful caregiving requires an enormous amount of time and energy, it is vital that you remain physically and emotionally healthy. Don’t be shy about asking for and accepting help from others.
Taking Care of Yourself
Keeping yourself healthy physically, mentally, and emotionally will enable you to provide the best care possible to a person who is ill. Here are some guidelines that will help you cope with the demands of caregiving:
• Set realistic goals and limits. Educate yourself about your loved one’s condition so that you know what to expect, now and in the future. Knowing what to expect will help you to adjust your care plan as time passes. Decide under what conditions you will no longer be able to care for your loved one at home, and begin planning for that possibility well in advance. For example, if your loved one has a terminal illness, find out about hospice programs.
• Learn all you can about caregiving. There are many sources of useful information, including libraries, hospitals, agencies, and associations. Ask your doctor, a nurse, or a hospital social worker for information sources.
• Do not confuse doing with caring. Let your loved one remain as independent as possible for as long as possible. Resist the urge to do everything, and encourage your loved one to participate in his or her daily care routine.
• Get plenty of rest every day. Every caregiver needs some uninterrupted sleep during the day, every day. Most people need about 8 hours of sleep each day. If possible, sleep at the same time your loved one is sleeping, or try to get some sleep while another caregiver takes over for you.