Care Connections NWCT
Helpful tips for family caregivers

Managing arthritis pain

The most common arthritis is osteoarthritis, which occurs most often in the hands, knees, hips, lower back, neck, and feet. It affects roughly half of those age 65 and over. With osteoarthritis, the smooth layer of cartilage between the bones in the joints deteriorates, causing bone to scrape directly on bone. Ouch! If your loved one has stiffness or pain associated with this condition, it very likely limits their ability to enjoy their usual activities. Fortunately, there are many ways to relieve pain and reduce wear and tear.

• Weight loss. If the arthritis involves the hips or knees, a weight loss of even 10 pounds can make a significant difference.
• Low-impact exercise. Motion is lotion. Think in terms of fluid movements and low-impact activities such as tai chi, swimming, biking. Check for special arthritis exercise classes sponsored at senior centers.
• Hot and cold compresses. Moist heat helps relieve immediate pain. Cold can be used after exercise to reduce muscle pain.
• Topical creams. Ointments with capsaicin—an extract of chili peppers—have been shown to provide relief for some people. But the ointment must be applied four times a day.
• Assistive devices. A cane can take some of the burden off knees and hips. Other devices may help with tasks that involve grabbing and opening. Ask the doctor for a session with an occupational therapist.
• Omega-3 fats. These fats tend to reduce the inflammation of the joints. They are found in oily fish such as salmon and tuna, and in walnuts. They can also be taken as supplements.
• Over-the-counter pain relievers. Acetaminophen, ibuprofen, and naproxen are effective for short-term relief. Using them for longer than 10 days at a stretch is not advised.
• Supplements. Studies done on glucosamine and chondroitin reveal mixed results. These compounds can also change the effectiveness of other medications. Check with the doctor or pharmacist before trying them.

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How to get durable power of attorney

There may come a time when your loved one will need help handling financial matters. Maybe filing taxes. Or interacting with Social Security. Or signing a contract to move into a new residence. If your relative is unable to do these things because of illness or problems with dementia, you will need to show a document proving they chose you to act on their behalf. This document is called “durable power of attorney” (DPOA). A simple “power of attorney” (not durable) is useful only while a person is able to make decisions. Incapacity voids it.

Under what circumstances. It’s important to discuss the potential challenges of the future while your loved one is of sound mind. Often a DPOA is signed to take effect immediately—with the understanding that the power won’t be exploited. Other families prefer a “springing” DPOA, which goes into effect only when a physician certifies incapacity. This limitation sounds good. In reality, though, it can cause delays and complications.

For how long. A person can revoke (change their mind about) a DPOA at any time, as long they are mentally competent. Otherwise, it is valid until death. Upon death, a person’s financial affairs must be handled by whoever was legally named as “executor” or “trustee” of the estate.

How to create a DPOA. Fill-in-the-blank DPOA forms are available online. Typically, they are signed with a notary who officially confirms the signer’s identity and free will. A notary may be available at your relative’s bank. Some notaries are “mobile” and make house calls.

Incapacitated and no DPOA. To take charge financially without a completed DPOA, you must be appointed by the courts. Not surprisingly, this is a lengthy process.

Consult with an attorney. Giving someone the ability to access bank accounts and make financial decisions is not small. Your loved one would be wise to get legal counsel before completing a DPOA.

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