Tuesday, March 25, 2014

Powerful Tools for Caregivers

It was about Easter time a few years back that I found myself sleeping next to my dad, which, I’ll admit, sounds a little strange, so let me explain. My dad had been diagnosed with brain cancer. The stages of his treatment are a little blurry in my mind now, but I believe he’d had his second tumor removal a month or so before I found myself acting as a primary caregiver.
            When I arrived out at the farm that weekend, my mother looked exhausted. Really exhausted. She had been doing pretty much full-time care for Dad, and he wasn’t sleeping well. He was getting up several times a night. Of course, he wasn’t very stable on his feet, so when he was restless and getting up, someone had to be beside him. Mom looked like she could use a break, which is how I found myself sleeping next to my father.
            During the night, we were up, we were down. I helped him to and from the bathroom. He was unable to sleep and kept feeling a need to get up and move. I must have been exhibiting some extreme patience, because after the umpteenth time of getting settled back into bed, Dad reached over and patted my arm and said, “I don’t know what I ever did to deserve for you to treat me this way.”
            Fortunately, in the haze of sleep deprivation, I had the clarity to say, “I learned it from you.” I went on to remind my dad that he and my mom brought my Grandma Inez into our home when I was a young child. She was so crippled from her arthritis, she had nearly no mobility left. As a 7-year-old child, I watched my dad lift Grandma to and from the toilet, to and from the bed, and to and from her recliner. I watched my mom help Grandma get dressed. I told my dad, “You taught me how. It is only fair that some of it comes back your way.” We talked more about the lesson in caregiving that I had learned from this sometimes gruff farmer with the twinkling blue eyes.
            Caregiving, with all of its honor and lessons, is hard. I saw it take a toll on my mom both as she cared for her own mother while raising a young family, and later as she was by my dad’s side nearly every minute for two years after his diagnosis. Perhaps you have found yourself in the role of caregiver, whether to a young child with a chronic condition or to an aging family member with dementia. The road you are on is not easy, but it can be easier.
            In March, I was trained to teach the Powerful Tools for Caregivers class. I was stunned to learn that 72 percent of caregivers die before their care recipient. The toll of caregiving can be very high. Taking care of oneself is paramount to being able to continue to care for a loved one.
            The Powerful Tools for Caregivers class is an educational program that provides family caregivers with the skills and confidence to better care for themselves while caring for someone with a chronic illness. PTC consists of six 90-minute classes led by a trained facilitator using a standardized curriculum. In the six-week PTC class, caregivers learn how to use community resources, better manage stress, communicate effectively with friends, family and healthcare providers, cope with difficult emotions and take better steps to better care for themselves.
            I am gauging interest in the county for a Powerful Tools for Caregivers class. If you would like to participate in the program, either in the next few weeks or in the next year, please contact the Montana State University Teton County Extension Office to be included on a PTC list. Depending on the response, I may offer a class before the end of May.
            There are some excellent tools taught in this program. I look forward to learning with people in our county who are doing the very important work of caregiving.


Resources:



How Strong Are You?

The MSU Teton County Extension Office plans to offer the StrongPeople strength training class in Choteau starting April 8 on Tuesdays and Thursdays. Class will be from 8:30-9:30 a.m. and will continue through May 29.  This strength training class is a one-hour class, two days a week.  Participants work through a series of weight-lifting and strength-training exercises.  Strength training improves:  muscle mass, strength, balance, bone density, arthritis symptoms, metabolic rate, glucose/lipid profiles and mental health.  The class is based on research from Dr. Miriam Nelson of Tufts University. The program, which uses free weights, is adaptable for a variety of fitness levels, and is available to both men and women.  The strength training class, taught by Jane Wolery, is for participants who are ages 16-100.  A minimum of 15 registered participants is required to offer the class. 

Please call the MSU Teton County Extension for registration packet and information about the StrongPeople class. The StrongPeople class does require a series of paperwork, including medical release forms.  The registration packets can be mailed or emailed to potential participants, as well as picked up at the Teton County Extension Office. The first 25 people with completed registration materials are guaranteed a spot in the class.  Others will be put on a waiting list.

Participants of previous classes have reported a variety of improvements, including relief from chronic pain, improved strength, increased sleep quality and an uplifted mental attitude.   

The StrongPeople participants will get an educational bonus as daily discussion topics will be from the Small Steps to Health and Wealth book.  Behavior change strategies will be taught, in addition to strength training.  It will be two classes for the price of one and both are free!


Resources:



Give Yourself a Hand

Last year, due to an uncoordinated move in a corral, I hurt my right hand.  I’m right-handed, so I was concerned that the little bone chip was going to cause me ongoing pain.  Then I met Krista Keiper, an occupational therapist, who works at Teton Medical Center and other facilities throughout the Golden Triangle area.  Through therapy and exercises, Krista and I were able to make remarkable improvement to the injured area.  Because of my experience, I got a little shot of empathy for those experiencing pain as they try to use their hands.

Some of us have very specific hobbies that bring enjoyment to our lives, but that rely heavily on hand function and dexterity.  I think of those who quilt, knit, crochet, embroider, bead, tie flies, and play musical instruments.  So many of the tasks hobbyists perform require small postures and hand movements. Hand movements do not happen in isolation.  Hand function is connected to shoulder function, and many of these movements are repetitive, which can add to our hand habits.  It would make sense to give your hands, and all the other parts they connect to, a hand by learning about exercises and therapies you can perform yourself.

When Krista Keiper, OTR/L, offered to share from her 36 years of professional experience, I was not going to be a fool and miss the opportunity.  On April 1, Keiper will discuss hand care and functioning, from 10-11 a.m. at the Alice Gleason Room of the Choteau Public Library.  The class will be held in conjunction with Teton Quilting Friends and MSU Teton County Extension.  The class is free of charge and open to the public, but a registration is requested by contacting the Extension Office. 

Don’t miss this April Fools’ Day event.  You’d be a fool to underestimate how important hand care is.  


To register for class, email me at jwolery@montana.edu

Tuesday, March 18, 2014

Adding Healthy Choices

I’m better at addition than subtraction.  Subtraction is just harder.  I suppose that is why elementary teachers start with addition when teaching math concepts.  I find the same thing is true when it comes to nutrition. Subtraction is harder.  I often think, when it comes to our diet, we are thinking from a point of subtraction, or restriction.  During National Nutrition Month, I challenge you to think of nutrition in easier terms.  Put a little addition in your nutrition equation.

This month could you add one more fruit or vegetable to your daily routine?  Maybe you’ll add sliced apples as a mid-morning snack.  Maybe you could do a strawberry smoothie after work.  Maybe you like addition so much that you want to find out a way to add a new fruit or vegetable, one that you’ve never tasted befo
re, to a meal each week this month. 

I always like the phrase, “eat the rainbow,” because it helps me thinking about adding colorful produce to my daily meal plan.  The different colors are famous for providing different nutrients and phytochemicals, so adding a little color seems not only a good way to make a plate more appealing, but also equals a great way to boost nutrition. 

There are plenty of ways to add something a bit healthier to your routine.  Have you been getting enough whole grains in your diet?  If not, what about making a low-fat granola?  There are some great breakfasts featuring oats, steel cut oats or even wheat berries. 

If you are providing food for others, there is always sneaky nutrition.  You can add chopped spinach to other salad greens or to sauces like spaghetti, or even to salsas to give a boost of nutrition.  You can add a sprinkle of wheat germ or bran to breads and muffins.  You can also blend cauliflower in with mashed potatoes if you are looking for a way to hide it from you family. 

So often with nutrition, the focus is subtraction.  Reduce your sodium intake.  Cut back on fats.  Remove the refined sugars.  Subtraction is often much harder to do, because you feel limits being imposed.  However, I suspect if we all concentrated on addition, we would find that by adding another fruit, we would eliminate a different snack – maybe even one packed with solid fats, added sugars and salts.  We might not even notice.  It seems that adding something nutritious takes a fraction of the effort that eliminated something unhealthy takes. 

No matter the nutrition variable you choose to change, I hope it adds years of vitality to your healthy future. 




Steel Cut Oats Baked in Oven

1 c. steel cut oats
3 c. hot water

Place both ingredients in a baking pan.  I use a bread loaf pan, for no reason other than it is a good size.  Put in an oven that is 350 degrees.  Bake for about 45 minutes. 


Steel Cut Oats in Slow Cooker

8 ½ c. of water
2 c. steel cut oats
1 ¾ c. milk
¼ c. packed brown sugar
1 tsp. vanilla or almond extract
1 tsp. cinnamon

Grease the inside of a slow cooker with butter or spray.  Add all ingredients but the extract.  Cover and cook on low until the oats are creamy – about 7 hours.  Add extract and serve.


Steel Cut Oats Toppers
Consider adding any combination of the following to the steel cut oats:

Yogurt, flavored or plain
Greek yogurt
Dried fruit – raisins, cranberries, etc.
Fresh cut fruit – apples, strawberries, peaches
Nuts – chopped walnuts, almonds or pecans
Flax seed
Chia seeds
Honey
Nutmeg

Let me know if you have your own favorite combination!



Mashed Potatoes with Cauliflower Surprise

Potatoes
Cauliflower
Butter
Milk

Boil about an equal amount of cut cauliflower and potatoes together in the same pot.  When vegetables are tender, drain off the water.  Add enough milk to assist in whipping the vegetables to mashed potato consistency.  Butter can be added to taste, but go lightly.  Just a tablespoon or two will probably work, depending on how many vegetables you boiled. 

You can add spices and seasonings to taste – cayenne, cumin, chives, oregano, basil, pepper and garlic come to mind. 


Experiment and make it your own!

Tuesday, March 11, 2014

The Easy Choice ...

I’m currently teaching a class called Small Steps to Health and Wealth.  There are many health and wealth connections, but one I recently noted is that America Saves Week ends and National Nutrition Month begins.  Which makes a nice segue way for me, because this morning I was thinking about nutrition.  Not because I have it all figured out, mind you, but, I do try, to make reasonably healthy food choices, until a piece of chocolate gets in the way.

Really, that’s the problem, isn’t it?  What gets in the way of making good choices?  When a plate of brownies is sitting on the counter, it is hard to think about eating anything else, much less the cauliflower that is still wrapped and in the fridge.  The book, The Tipping Point, talks about the “stickiness factor.” The basic premise is about what makes a change or behavior stick.  Since January, I’ve made a concentrated effort to make the good choices stick.  For instance, once a week, I’m peeling a bag of carrots and cutting them with a crinkle cutter and putting them in a clear container in the front of the refrigerator.  Guess what?  We are eating more carrots.  I’ve also been making a batch of steel cut oats on Sunday evenings and portioning them out for weekday breakfasts, along with diced apples.  Having the food already prepared makes the healthy choices easier.

After my sugar spiral during the holiday season, I made a goal to eat more vegetables this year.  A friend sentme a link to a website with “Salad in a Jar” ideas.  It seemed to fit my style, so I’ve been preparing salads on Sunday evenings, too.  I put a bit of dressing in the bottom of a wide-mouth quart jar.  The next layer has to
be something that is pretty sturdy and won’t wilt while sitting in the dressing.  I’ve found that broccoli slaw (which can be bought prepped and bagged at the grocery store) and cherry tomatoes hold up nicely for this first layer in the dressing.  I’ve added a variety of other items to my salads, from corn, black beans and dice jalapenos with a homemade chipotle dressing to sunflower seeds, dried cranberries and crumbled bacon with a creamy parmesan dressing.  I top the jars off with cut lettuce that has been rinsed and spun.  Since the salads are made in a quart jar, I know I’m getting close to four cups of vegetables daily.  I make five salads on Sunday and the one on Friday still has crisp lettuce.  I’ve also tried a quinoa salad, which I portion into a pint jar that provides whole grain goodness and protein.  Besides the fact that lunch is already made, it is extremely efficient.  I think the fact that all the products are in clear containers makes them a colorful and attractive option.
 
How attractive and ready to eat our food is really makes a difference.  When teaching nutrition, I often talk about making the healthy choice the easy choice. You might look at the places in your home where food is stored and see which foods are most accessible and noticeable.  Open cupboards, refrigerators, freezers and see what you find.  Are the nutrient rich foods in the front, at eye level, in clear containers and easy to choose?  Are the chips in a brown paper bag on a high shelf and in the back?  If not, can you rearrange your food environment?   

In order to make the healthy choice visible at home, I have even changed to clear glass fruit bowls and I moved them to a location that makes them easy to grab.  I’ve also been working on serving colorful fruits and vegetables in glass containers at meetings.  At one recent meeting, I served mandarins, bananas and apples.  It took considerably less time than making cookies!  At another meeting, I served carrots, celery sticks and apple slices.  I did have a little dip for the apples, because I am reasonable (no matter what my family says). 

I’ve been able to keep up with the plan to make the healthy choice the easy choice for a few months.  I challenge you, during National Nutrition Month, to pick one new healthy habit to develop.  It doesn’t matter if the chocolate attacks you occasionally, leaping into your mouth and melting there.  What matters is the success you have today toward a healthy goal.  One of the inspiring quotes from the Small Steps to Health and Wealth class was from Oliver Wendell Holmes, Jr. who said, “The greatest thing in the world is not so much where we are, but in which direction we are moving.”  


Resources:
The resources below are for your consideration.  No endorsement of products, ideas, etc. is intended by including links. 




Tuesday, March 4, 2014

Better Late Than Never

I’m running a little late, which my friends and family will tell you isn’t that unusual.  I don’t try to be late.  I just always think I can get one more thing done.  My most famously late time was probably when I arrived to a wedding an hour after it was scheduled to start.  The problem was, the wedding was mine.  So, what can you expect from someone who was an hour late to her own wedding?  You can expect that I’m not going to be on time for everything.  What I’m late for now is America Saves Week, which is February 24-March 1.  But, better late than never.  Which, if you think about it, is an adage that applies to saving money, too. 

Hopefully we have all heard about the time value of money. If you save when you are young, you’ll accrue more interest -- thereby having to save less overall, but ending up with more saved.  For example, Jack deposits $2000 into savings for 10 years between the ages of 25-34 and leaves it there, contributing nothing
more to his savings between ages of 35-65.  Jill, on the other hand, waits until age 35 and starts depositing $2000 per year for 31 years (ages 35-65).  Jack put a grand total of $20,000 away and Jill put $60,000 in savings.  In the end, due to the time value of money and compound interest, Jack has $545,344 at age 65 and Jill has $352,427.  By starting when he was younger, Jack is almost $200,000 wealthier.  But what if you no longer qualify as young?

What I’m afraid happens to people is they hear that they should have started saving before they were in their 30’s and, since they got a late start, feel hopeless.  But, guess what?  Jill still has $350,000 and change in savings.  Truly, better late than never.  Even though I’m not great at math or time, I know that $350,000 is a lot more than zero.  If you get a late start, so be it.  Just be sure you get started. 

One way to get started it to go to www.AmericaSaves.org and set a savings goal.  It doesn’t matter how big or small the goal is, just get started.  It also doesn’t matter if you do it after the big America Saves Week.  In the end, what matters is that you save some money.

Stephen Brobeck, Executive Director of the Consumer Federation of America and a founder of America Saves, noted: “Only about one-third of Americans are living within their means and think they are prepared for the long term financial future. One-third are living within their means but are often not prepared for this long term future. And one-third are struggling to live within their means.” If you are in the two-thirds of Americans who are not prepared for the financial future, now is the time to start preparing. 

One great financial tip is to automate savings.  Even if it is $40 per month, getting that habit automated can really make a difference.  If you have automatic deposit on your paycheck, set up a savings account and automate a portion to the savings.  Some people spend whatever they have, or can see in their checking account, so getting a portion automatically out to savings can be an important move.  If you get a tax refund, put that in your savings.  You might be surprised that the financial security you feel as you start to build savings will be more important to you than consumer purchases.  You can get used to living on less.

There are twenty-five other great strategies in the book, Small Steps to Health and Wealth by Rutgers Extension.  We have twelve copies of the first edition of the book available for free at the MSU Teton County Extension Office, because it is never too late to get your finances in order.


What if, all those years ago, I had decided because I was running a little late, I shouldn’t even bother?  With savings, and weddings, as it turns out, it’s great to be on time, but it is also better late than never! 


Resources for Saving:
Thanks to Barbara O'Neill, Ph.D., CFP, CRPC, AFC, CHC, CFEd, CFCS
Extension Specialist in Financial Resource Management, Distinguished Professor,Rutgers Cooperative Extension for the list of resources below.

Cooperative Extension Investment Resources

When it comes to investing, it always helps to have background information, financial calculators, and other planning tools. The Cooperative Extension System offers a wide array of online resources through its online eXtension portal and through various land-grant universities. Below is a list of publication titles and Web site addresses:

eXtension Personal Finance Web site: http://www.extension.org/personal_finance

eXtension Investing for Your Future 11-module home study course:

eXtension Investing for Farm Families home study course:

eXtension Saving and Investing Web page:

eXtension Saving and Investing Research Briefs:

Illinois- Plan Well, Retire Well Blog: http://web.extension.illinois.edu/cfiv/eb141/index.cfm

Indiana – Planning for a Secure Retirement (online 10-module retirement planning course with dozens of links): https://ag.purdue.edu/programs/areyouprepared/secureretirement/Pages/default.aspx


Iowa- Invest Wisely (news articles and audio files): http://www.extension.iastate.edu/investwisely/

New Hampshire- Saving and Investing Web site: http://extension.unh.edu/Managing-Your-Money/Saving-and-Investing

New Jersey- Investing Basics (from Rutgers Cooperative Extension book Money Talk: A Financial Guide for Women): http://njaes.rutgers.edu/money/pdfs/session-iii.pdf

New Jersey- Investing for Retirement (from Rutgers Cooperative Extension book Money Talk: A Financial Guide for Women):

New Jersey- Investment Risk and Return Characteristics: http://njaes.rutgers.edu/money/investmentrisk.asp

New Jersey- Rutgers Cooperative Extension Asset Allocation Spreadsheet: http://njaes.rutgers.edu/money/

New Jersey- Rutgers Cooperative Extension Personal Finance Web Site: http://njaes.rutgers.edu/money/

New Jersey- Rutgers Cooperative Extension Financial Goal-Setting Worksheet: http://njaes.rutgers.edu/money/pdfs/goalsettingworksheet.pdf

New Jersey- Rutgers Cooperative Extension Financial Planning and Investing Glossary: http://njaes.rutgers.edu/money/glossary.asp

New Jersey- Rutgers Cooperative Extension Financial Fitness Quiz:

New Jersey- Rutgers Cooperative Extension Investment Risk Tolerance Quiz: http://njaes.rutgers.edu/money/identitytheft/

New Jersey- Rutgers Cooperative Extension Tax Information Web page: http://njaes.rutgers.edu/money/taxinfo/

Virginia- Building Your Financial Team: Financial Planners