ELDERLY CARE TIPS

Feeling immense pressure as your parents' primary caregiver? 3 tips to help elderly maintain daily living skills

When elderlies experience health problems, it often leaves their family members feeling worried and helpless. While children want to fulfil their filial duty, a survey has found that more than 75% of Hong Kong's young families are "dual-income households", meaning that children simply do not have the time to take care of the ailing elderly around the clock. Not to mention that with inadequate nursing knowledge, family members may not be able to fully understand the needs of the elderly. The frustration of not being able to do anything about the situation only adds to the pressure. This article will explore a case study and suggest 3 tips on how you can help your loved ones maintain their self-care ability.

Case study: Dementia, a silent killer of elderlies and their helpless caregivers

  • 根據香港衛生署的資料顯示,本港每10名70歲或以上長者中,便有1人患上認知障礙 症(又被稱為「老人痴呆症」、「腦退化症」或「失智症」),小編今次為你探討以下個案:

    長者:梁伯

    年齡:75歲

    情況:患有中期認知障礙症

    症狀: 

    • 無法記住短期記憶
    • 經常詞不達意,難以表達自己的想法
    • 情緒及行為反覆無常
    • 睡眠習慣改變,易驚醒或失眠
    • 需別人從旁協助自理生活

    作為照顧者的妻子及兒女,在經歷過梁伯早期認知障礙的一些棘手狀況後,例如健忘及需旁人提點才記起一些自理活動,中期的梁伯明顯病情加重,及無法正常自理。由於梁伯妻子年事已高,亦因慢性病經常需要前往醫院覆診,照顧梁伯的重擔主要落在同住的女兒及外傭手上,兒子只能間中上門探望。


    梁伯女兒表示父親曾一度走失,並且因行動變得遲緩僵硬而時常跌倒或撞傷,而家中外傭只能「幫輕吓」,例如協助清潔、換衫、陪伴散步等,餵食工作更是變得十分困難,梁伯亦變得脾氣暴躁「唔聽人勸」,令女兒感到照顧時充滿壓力與委屈,亦一度想將梁伯「送去老人院」,不過由於梁伯妻子十分反對,又因新聞不時報道老人家在院舍受虐或疏忽照顧的情況,女兒在孝心的驅使下,仍負起主要照顧者責任。

According to the Department of Health, 1 in 10 elderly aged 70 or above in Hong Kong suffers from dementia (also known as Alzheimer's disease). Let's look at the following case together: 

Elderly:Uncle Leung

Age:75 years old

Medical condition:middle stage dementia

Symptoms: 

  • Inability to retain short-term memories
  • Difficulty in expressing oneself and thoughts
  • Irregular moods and behaviors
  • Changes in sleep habits, waking up easily or insomnia
  • Needs assistance with daily living activities

Uncle Leung's wife and children, who are his caregivers, have witnessed some of the challenges of his early stage dementia, such as forgetfulness and disorientation. In his middle stage dementia, Uncle Leung's condition quickly worsened and is unable to take care of himself. As his wife is getting old and often needs to go to the hospital for her chronic illness check-up, the burden of taking care of Uncle Leung falls on his daughter and domestic helper who live with him, while his son can only visit him from time to time.


Uncle Leung's daughter said that her father once got lost and often falls or injures himself due to his slow and stiff movement. Their domestic helper could only "help with the basics", such as cleaning, changing shirts and accompanying him on walks. Feeding was difficult, as Uncle Leung became irritable and "refused to listen to people's advice". This caused her daughter to feel aggrieved in caring for him and even had the thought of "sending Uncle Leung to an elderly home". However, due to their mother's strong objection and frequent media reports on the abuse and negligence of elderly in residential care homes, her daughter, driven by her filial piety, took up the responsibility of being Uncle Leung's primary caregiver.

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“ Society pays little attention to the stress of being a caregiver. Even though it is my responsibility to take care of my father, I feel overwhelmed by all the nursing tasks. ”

Uncle Leung's daughter added, "As time goes by, my mood deteriorates and I often suffer from insomnia and excessive worrying. Sometimes I blame my father's illness, and resent my brother and mother for not being able to share the burden."

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3 stages of aging: paying attention to different care needs

Uncle Leung's story reveals the life problems that elderlies face during the course of their illness, as well as the state of confusion and helplessness of caregivers in their caring roles. Here are the 3 major stages of aging and what caregivers should focus on.

  • Early stage

    Health condition: Satisfactory health condition but mobility will start to decline and social circle will get smaller.  


    Care needs:

    • Maintain daily self-care ability 
    • Personal hygiene 
    • Safe home environment 
    • Balanced diet 
    • Exercise moderately (eg: running or jogging, Tai Chi) 

    Caregiver tips:

    • Continuously observe the elderly's self-care ability 
    • Encourage the elderly to go out and be in contact with nature more often 
    • Maintain a caring attitude, but do not intervene too much so that the elderly has more opportunities to do things by themselves
  • Middle stage

    Health condition: Physical problems, aches and pains. Forgetfulness, mood swings or feeling depressed. Narrowing of social circle or limited interaction with relatives. Elderlies at this stage may have already been diagnosed with dementia. 


    Care needs:

    • Need assistance with some self-care tasks (eg: walking) 
    • Keep home tidy, safe and bright 
    • Regular medical check-ups 
    • Appropriate medication 

    Caregiver tips:

    • Encourage or accompany the elderly to participate in community activities 
    • Be patient when explaining problems to the elderly
    • Remind elderlies to pay attention to details around them (eg: turning off the lights)
    • Seek professional advice or intervention if needed
    • Conduct health assessments to develop strategic plans to improve the cognitive and physical conditions of the elderly
  • Late stage

    Health condition: Physical deterioration and frequent hospitalizations. Slow recovery or suffering from chronic disease. Difficulties in eating and mobility, or even bedridden. Those experiencing serious symptoms of dementia may not be able to care for themselves completely.  


    Care needs:

    • Around-the-clock care 
    • Assistance with self-care tasks 
    • Medication management 
    • Specific physical and psychological needs (some elderlies may not be able to express their needs clearly at this stage) 

    Caregiver tips:

    • Caregivers need to manage their own emotions and relieve stress when needed 
    • Distribute caring responsibilities if there are other family members or domestic helpers
    • Show more care to the elderly 
    • Seek professional assistance or make use of community resources if needed 
    • Install appropriate assistive devices at home 

3 tips to help elderlies build routine memory

After listening to Uncle Leung's story, we suggest that family members should be aware of the elderly's health needs and intervene at an early stage to strengthen and stabilize their self-care abilities. The following are 3 objectives on how you can train your loved ones in habituation, mobility and perceptual memory.

Tip 1: Maintain personal hygiene

Self-care task Potential risks if the elderly lacks self-care skills Caregiver assistance tips Professional care support
Washing up - Difficulty standing up or tendency to fall; inability to control hand muscles to brush teeth, increasing the risk of oral disease - Remind the elderly of common washing up tips and assist them when needed - If needed, install assistive devices to allow the elderly to sit while washing up
Personal hygiene - Inadequate cleansing may lead to bacterial growth and infection - Assist the elderly in bathing - Seek home care services to help with bathing, changing, etc.
Urination and defecation - Unaccompanied toilet visits may increase the chance of falling; uncontrolled urination and defecation - Schedule consistent toilet breaks (eg: every 2 hours during the day) to train the bladder's physiological clock; try not to allow the elderly to drink more than 250cc of water after 8:00 pm - Install assistive devices to enhance safety at home (eg: raised toilet seats)

Tip 2: Maintain muscle activity level

Self-care task Potential risks if the elderly lacks self-care skills Caregiver assistance tips Professional care support
Going outdoors - Higher chance of falling or injuring; more likely to get lost if the elderly suffers from dementia - Arrange outdoor activities in regular intervals (eg: 20-minute walks); encourage walks during the day to get some sunshine - Healthcare workers can assist with daily living activities
Home mobility - Loss of muscle mass, increasing the chance of falling and having poorer mental health - Get up and move around every 1 or 2 hours instead of sitting down all the time; encourage the elderly to do light exercise at home - Healthcare workers can remind the elderly to be more active and provide exercise training

Tip 3: Improve perception and memory

Self-care task Potential risks if the elderly lacks self-care skills Caregiver assistance tips Professional care support
Eating - Difficulty in swallowing can cause of loss of appetite, nutritional deficiencies, aspiration pneumonia and dehydration - Train swallowing ability, let the elderly chew in small bites and eat in small and frequent meals; consume nutritious foods such as chicken breast and salmon - Healthcare workers can help with the elderly's daily routine (eg: manage medications)
Changing - Stiffness in dressing or undressing postures may cause muscle cramps and sprains - Prepare the elderly's outfit in advance, choose lightweight and fitting clothes - Nurses can provide cognitive training for elderlies with dementia

Caregivers often find it difficult to cope with the aging process. If you are unsure of what kind of assistance or care your loved ones need, seek professional help. Evercare's health assessment can help family members understand the situation and needs of the elderly more comprehensively.

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Looking for reliable support? In-home caregivers can provide daily elderly care

Many families in Hong Kong employ domestic helpers to take care of their elderlies apart from just doing household chores. However, as elderlies have specific and complex care needs, you should re-evaluate whether you should entrust this important responsibility to your domestic helper. Especially for elderlies with medical conditions, it is recommended that you seek professional assistance. In recent years, home care has become a reliable option for families seeking elderly care. Evercare can arrange attentive and personalized home care services for your loved ones. Below are our 3 most popular care options.

  • Health Care Worker

    Assist the elderly with daily living activities (eg: accompany medical consultations, manage medications) 

    Able to help maintain the elderly's self-care ability in the absence of their primary caregiver. 


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  • Registered Nurse

    Assist with specialized nursing care (eg: nasogastric tube feeding, wound care, blood drawing). Provide comprehensive recovery care plan. 



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  • Professional Therapists

    Physical, Occupational and Speech therapists can develop personalized treatment solutions to slow down functional decline and provide advice on appropriate usage of assistive devices. 

    Professional therapists can also provide pain relief and massage, suggest home modifications to ensure a safe living environment. 


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  • 保健員

    協助長者日常生活活動、陪診、提醒食藥等。能在照顧者缺席的時間內,以長者自理為大前提,從旁提點,並適時出手。

  • 註冊護士

    協助更專業的護理程序(如鼻胃管飲食、傷口護理、抽血),並提供全面的護理計劃以改善長者的康復進程。

  • 專職治療師

    物理、職業和言語治療師可以為患者製定療程以延緩功能衰退,並在購置輔佐工具上提出建議。亦能為患者舒緩痛症和按摩,並根據長者的喜好設計家居環境,讓長者在舒適的環境中減低自理生活的困難。

To make it easier for you to find the right care for your loved ones, Evercare has care specialists who can understand your needs and provide personalized care plans. Make a free consultation appointment and receive professional advice.

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