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Photographing Older Adults: Make Silver Shine in the Golden Years

alzheimers dementia care

The seasons of smiling and snapping are upon us. Halloween, Thanksgiving, Hanukah, Christmas, New Year’s Eve – family and friends gather with cameras.

Each generation presents its challenges. Toddlers speed out of the frame. Teens who beam for selfies frown darkly at a parent’s lens.

Our beloved grandfather and great aunt can be uncooperative, too. Especially if past portraits have been less than flattering.

With a little luck and planning, photographing older adults creates treasured family heirlooms. Try these 10 tips for making the silver-haired members of your clan shine. (They’ll make your other photos sparkle, too!)

1. Picture Mom in the Moment

Remember the first year you lived away from home? When you returned for the holidays, you hoped everyone would notice you’d changed.

alzheimer care homesNow it’s your turn to notice. When photographing older adults, focus on who they are now – not who they used to be.

Don’t try to recreate scenes from the past. Let go of the memories or abilities Mom has lost, or the traditions she’d prefer to forget. You won’t capture her smile after a chorus of “You forgot to wear your holiday sweater!” or “Not making your apple pie?”

Before you raise the camera, take a good look at who Mom is today. How does she spend her days? Does she have new friends or hobbies? What makes her smile? If you want a good picture, focus on that.

Ask her to model her outrageous Red Hat Society garb. Admire her newfound talent for painting. Snap a shot as she spoils her dog or gets silly with the grandchildren.

2. Put Away the “Cheese,” and Put Her at Ease

We often rush into picture taking, especially during the holidays. We race to line everyone up before anyone gets away. We wonder why we end up with a shot full of squints, wiggles and grimaces.

Like an athlete, you need to warm up before photographing older adults. Join Mom in setting the table, filling the bird feeders, or putting together a puzzle. Keep the conversation light. Watch for a smile.

THEN it’s time to get out the camera.

3. Stand Back – But Let the Camera Move In

alzheimers dementia careWe’re tempted to get EVERYTHING in the picture: the people – table setting – holiday decorations – snow on the ground outside.

That usually makes for a bad picture.

Focus on one subject in each photo. If you hope to capture many people or things, take lots of carefully focused photos.

Your subject should fill the frame. If you want to capture Mom’s smile, concentrate on her face. If you want to show off her pretty blouse, picture her from head to hip. Reading to her grandchildren? Sneak in till you’ve framed just this intimate little group.

Worried that she’ll feel uncomfortable when you’re so close? That’s what your adjustable lens is for! Stand back and zoom in.

4. Turn the Spotlight on Her

A director sets the stage to fasten attention on one actor or small group. He removes all distractions.

Make sure Mom plays the featured role in your photo, too. Check the background.

  • Does it make her seem small, frail or unimportant? Do things appear to stick out of her head?
  • Do dirty dishes, cords and clutter surround her? Are you taking a picture of Mom or a mess?
  • Sometimes Mom’s wheelchair or walker will show in your pictures. Consider adjusting the shot to make it seem less important. Get less of it and more of Mom.

senior care for alzheimer’s5. Make Sure She Shines

“I want to be in an ambush photo on the front page of a tabloid,” said no one ever.

Avoid the unflattering shot. Paraphrasing the Golden Rule, take pictures of others that you would have them take of you.

It may or may not be okay to take a picture of Mom misty-eyed, or in a bad mood. But if she’s always taken pride in her appearance, is it okay to photograph her with smeared lipstick? With spaghetti sauce spattering her blouse?

Be kind. Honor her spirit. See that she looks her best.

6. Don’t Shoot Till You See the Twinkle in Her Eye

Like the rest of us, some seniors are hams. Others freeze up when formally posed.

If Mom always flashes a fabulous smile, by all means snap away. Otherwise, catch her in action, doing whatever makes her happy.

Frame a picture worth taking. Focus in on the smile she exchanges with her grandbaby. Zoom in to show her absorbed in a book or puzzle. Capture her far-away gaze at the bird feeder, or her glee at joining in the sing-along with a tambourine.

7. Catch the Light

dementia homecarePhotography is the capture of light on film or in digital memory. You can’t take a good picture in the wrong light. Too little and you’ll have a dark, dull blur. Too much washes away color and details.

Remember that strong light highlights every blemish, bald spot and wrinkle. It casts dark shadows. Handled correctly, this creates a distinctive portrait. More often, the results are downright scary. As an amateur photographer, it’s better to start with soft lighting.

When outdoors, avoid the fierce mid-day sun. Take photos in early morning or evening, when light isn’t glaring from overhead. If you have an early afternoon event, take your pictures under an overhang or in light shade.

Indoors, during the day, open the blinds and let the light shine in on Mom’s face.

WARNING: Don’t use a window as Mom’s backdrop. A camera adjusts for the light behind her. If it’s bright outside, Mom’s image will turn into a dark shadow.

  • Move between Mom and the window, so the light shines on the side of her face. (Be careful that you’re not casting a shadow on her.) OR
  • Add a soft light at her side. OR
  • As a last resort, use your flash to balance the light.

At night or on dark days, you’ll need to add lots of light. Avoid harsh overhead lighting, especially fluorescent fixtures that give your photos a green hue. Use plenty of soft lamps. If you can, adjust a desk lamp so it bounces light up, off the ceiling and onto your subject.

A note about taking action shots in low light: Use your flash. Stay close enough to light everything in the frame. Steady yourself, then take a deep breath and hold it until you get the shot. When it’s dark, the camera lens stays open longer to capture enough light to make a picture. If Mom moves or your hand shakes, the lens will capture that, too – with a blur.

8. Capture Color – or Contrast

dementia homecaredementia home care services

Long ago, a photographer had to choose between color or black and white film. Today’s digital cameras can shoot in either. Editing programs let us keep changing the colors long after we shoot. Look at your photos in both.

Colors create a mood, make a statement or express someone’s personality. Aunt Mabel shows her spunk as she embarks on a morning walk in shiny purple warm-up suit and silver sneakers.

A monochromatic scheme focuses our attention on shapes and lighting. If too many colors draw your eye away from what’s most important, then consider black and white. Keep in mind, though, that the most appealing black and white pictures are not grey. They feature a strong contrast between light and dark spaces.

9. Count on Correct – Not Autocorrect

It’s fun to experiment with colors and filters. Don’t, however, take bad pictures and expect to save them with photo editing.

In the beginning, concentrate on getting the lighting and framing right. That produces a much sharper photo than one relying on heavy cropping and enhancement.

10. So Many Shots – So Little Time

Another advantage of digital photography is that you can experiment for free. Take lots of shots, quickly. Take even more shots when you’re shooting action or a group of people. A surprising number are ruined when someone blinks or leans out of the frame.

Move fast, especially if you’re asking someone to pose. Irritated, tired or bored subjects stop smiling.

Of course, friends who have to look through a lot of bad pictures stop smiling, too. Choose only your best photos and edit before sharing. Delete the rest.

NOTES ON SHARING:

Be sure your photos are shareable. If a friend likes a quick look at lots of pics, “optimize” them, shrinking before sending. If she wants to print your photos, be sure to send them “Actual Size.” Send just one large image at a time to get through most spam filters.

It’s important to get permission before sharing a person’s image. It’s especially important when photographing older adults in health care or senior living settings. Privacy laws such as HIPPA may apply. If a person has dementia or can’t make decisions for themselves, get approval from someone with legal authority to speak for them. If you’re not a close friend or family member, get permission from the operator of the health care or senior living facility, too.

Thinking About Senior Living Options?



When you picture Mom – or yourself – blowing out 75 candles on a birthday cake, where’s the party?

Some older adults plan to age in place. Some hope to put home ownership behind them. Others need more help than they’d planned.

If you decide on a move, do you know your senior living options?

Our SlideShare gives a quick overview. You’ll see your options, what they cost and how to pay for them. You’ll also get an idea of when it’s time to move to another setting.

We cover the continuum of care:

Independent Living: “Carefree” life in the company of older adults
Assisted Living: Privacy and independence with a little help
Skilled Nursing: Complex medical care and extra physical assistance, 24/7
Continuing Care Retirement Communities: Attempting to provide for all long-term needs
Memory Care: When dementia’s physical, psychological, emotional and behavioral challenges need special attention
Residential Care Homes: Professional memory care in the warmth of a home

Is your family looking for a new home for someone with memory loss?
See what better Alzheimer’s and dementia care looks like.

Ask for a tour

For plenty of caregiving tips,

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Durable Medical Equipment: Not Your Grandfather’s Wheelchair

JaneMom tires easily. Her feet are sore. She struggles to stand. She wobbles as she walks. Her reflexes are slow, and she can’t catch herself when she trips.

One day a doctor, nurse or social worker hands you a medical order. It says “durable medical equipment” is now “medically necessary.”

WHAT DOES THAT MEAN?

Mom is at increased risk for a serious fall.

According to the National Institutes of Health, “more than one in three people age 65 years or older falls each year. The risk of falling – and fall-related problems – rises with age.”

People don’t fall just because they’re older. Seniors’ chronic medical conditions or medication side effects usually are at fault. Muscle weakness, balance and gait issues, blood pressure swings, sensory problems, poor vision, dizziness or confusion leave them unsteady. A mobility aid becomes medically necessary, because a fall can be a medical disaster.

According to the NIH

  • Falls send more than 1.6 million older adults to emergency rooms each year.
  • Among older adults, falls are the number one cause of
    • Fractures,
    • Hospital admissions for trauma,
    • Loss of independence and
    • Injury deaths.
  • Hip fractures are among the most frequent and serious injuries – and most likely to
    rob older adults of their independence.

Mom can reduce her risk by removing trip and fall hazards. She can work to strengthen core
muscles, improve balance and control medical symptoms. At some point, that might not be
enough. Then she’ll need durable medical equipment to safely move about.

WHAT IS DURABLE MEDICAL EQUIPMENT?

Let’s break it down, using terms defined by Medicare.

  • To be “durable,” equipment must have an expected life of at least three years.
  • To be “medical equipment,” only someone who is sick or injured would use it.
  • To be eligible for Medicare reimbursement, it must be
    • Intended for use in the home,
    • Prescribed by a doctor, following a recent face-to-face exam, and
    • Prescribed as “medically necessary”: needed for specific medical reasons, following accepted standards of medical practice.

(Other insurers may use different criteria.)

In this post, we focus on mobility aids. While much information applies to canes, walkers,
crutches, power mobility devices and patient lifts, we’re looking specifically at manual
wheelchairs. (Many of the links include information on other mobility aids, too.)

WHO ORDERS THE DURABLE MEDICAL EQUIPMENT MOM NEEDS?

Wheelchair Icon-2

It depends.

If she’s hospitalized for a broken hip, the nurse or social worker who plans her discharge also should arrange for any equipment and supplies she’ll need at home.

If she’s staying in a rehab unit, a physical therapist should assess the need for equipment at home and arrange the ordering.

If she’s in an assisted living setting, things aren’t as clear. Sometimes an observant physician sees the need and writes an order. Or a worried nurse, therapist or family member contacts the doctor with safety concerns. In these cases, there is no streamlined process to obtain and pay for equipment.

In every case, if Mom needs help, a family caregiver needs to serve as her fact-finder and advocate. Are you concerned that she’ll fall without assistance? What advice and support can members of her health care team offer? What equipment would they recommend? Who should you contact to see that it’s ordered and delivered? What are your payment
options?

EVEN IF SOMEONE ELSE SHOULD ASSESS MOM’S NEEDS AND ORDER EQUIPMENT, BE
PREPARED TO FOLLOW UP!

(We also recommend this article from AgingCare.com. It provides helpful background for anyone
who needs durable medical equipment or medical supplies.)

WHAT ARE THE CHANCES MEDICARE WILL PAY FOR MOM’S WHEELCHAIR?

Not great – less likely than in the past – and zero if you don’t follow very specific guidelines. But go ahead. Explore the possibility.

Begin by gathering background information with an Internet search. Learn what sort of questions you should ask. Research the terms of Mom’s insurance coverage.

For Medicare to cover a purchase, Mom’s doctor and medical supplier must be enrolled as Medicare providers/suppliers. If she’s covered by a Medicare Advantage plan, be sure they’re in network, too.

You may be required to use a specific supplier, or to rent a wheelchair before you can buy the one you need.

Don’t commit to buy before you’ve done your homework. When in doubt, call Medicare’s 24-hour help line: 1-800-MEDICARE.

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WHY WON’T GRANDPA’S OLD WHEELCHAIR DO?

Mobility aids aren’t one size fits all. You can borrow a “loaner” to whisk Mom from the car to the doctor’s office. If you’re using it every day, you need to be certain it “fits.” Otherwise, it’s uncomfortable at best. At worst, it’s dangerous.

  1. Mom must be measured, weighed and assessed to determine
    1. Seat width, height and cushioning,
    2. Armrest type and placement,
    3. Leg and foot rest requirements and
    4. Frame strength.
  2. You’ll need to know how often, and for what length of time, the chair will be used.
  3. Does Mom have the upper body strength and coordination to roll the chair forward
    on her own?
  4. Will others maneuver it through doorways, down hallways and over garden paths?
    Where do Mom’s daily routines take her?
  5. Will her caregivers be able to push her in the chair and to fold, lift, store or transport
    it as necessary?

(Find more details on the United Spinal Association’s website and in Cerebral Palsy’s Online
Guide. There are plenty of other online guides – many produced to sell equipment. Always
consider whether the information is expert, current and unbiased.)

DON’T YOU HAVE A BIG CLOSET FULL OF EXTRA WALKERS AND WHEELCHAIRS?

It’s not unusual to find an extra walker or wheelchair in health care or senior living settings.
They’re meant for temporary or emergency transport. They’re no better suited for Mom’s
long-term use than any other poorly fitted piece of equipment.

At Care Haven, we focus our resources on providing expert Alzheimer’s and dementia care.
We leave the storage and custom fitting of durable medical equipment to capable medical
supply companies.

For a list of area providers, see The Johnson County, Kansas Aging and Accessibility
Directory.

Wheelchair in light

DO I HAVE TO BUY SOMETHING NEW?

No.

You don’t have to buy. Explore whether renting makes sense.

If you buy, you don’t have to buy new – as long as you can find suitable equipment that fits your loved one.

  1. For help finding the right wheelchair, start with a reputable medical supply company. These dealers buy durable medical equipment or take it in trade for newer models. After inspection and reconditioning, they offer it for resale with a limited warranty. (Be certain all guarantees are in writing.)
  2. Buying equipment from a private seller? Ask Mom’s nurse, social worker and physical or occupational therapists what features she’ll need. Ask the seller plenty of
    questions – about the equipment’s past, repair record, past problems. Know where
    to go if it needs to be refurbished.
  3. Look for durable medical equipment exchanges in your area. These programs
    provide assistive devices to people with disabilities or serious medical conditions.
    Most restrict availability based on income requirements. Others serve people with
    specific medical conditions (e.g., multiple sclerosis or Parkinson’s).

    The following are local exchanges – and places to donate equipment you no longer need:
    Kansas Equipment Exchange
    MidAmerica Alliance for Access

A giant load has been lifted from us.

A giant load has been lifted from us, and we take great pride in knowing that we have provided Mother with the highest level of care possible.

– Chip and Kyra Z.

Felt like we were there and a part of her life.

I especially appreciated when the staff would email us updates on Grandma, and pictures from the last party or fun event. This was a way to feel like we were there and a part of her life even on the days that we couldn’t visit.

– Karen M.

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