By Roz Jones
Caregiving requires us to keep track of a lot. Between medications, doctor appointments, prescription refills, insurance paperwork, changes in appetite, mobility concerns, and everything else happening in the household, it’s easy for preventive care to get pushed to the side.
One question caregivers should still make time to ask is whether their aging loved one’s vaccinations are up to date.
Vaccines may not feel urgent when your loved one is doing well, but prevention is part of caregiving too. As our loved ones age, their immune systems may not respond to illness the same way they once did. An infection that causes a younger person to spend a few uncomfortable days at home can become much more serious for an older adult.
That’s why keeping vaccinations on your caregiving checklist matters. The goal isn’t to give you one more responsibility. The goal is to prevent as many avoidable health complications as possible.
Start With a Vaccination Review
You don’t have to memorize every vaccine recommendation. What matters is knowing when to ask questions.
During your loved one’s next primary care appointment, ask the healthcare provider to review their vaccination history with you. Find out whether anything is due, whether certain vaccines are recommended because of age or medical conditions, and whether previous doses were completed.
It’s also important to ask whether any vaccines need to be scheduled differently because of medications, illness, or other health concerns.
That conversation can help you create a plan instead of trying to keep another set of dates in your head.
Know Which Vaccines May Come Up
Recommendations will depend on your loved one’s age, health history, previous vaccinations, medications, and other risk factors, but there are several vaccines caregivers of aging loved ones should expect to discuss with the healthcare team.
The flu vaccine remains an annual conversation. Older adults have a higher risk of developing serious complications from influenza, especially when they’re already managing chronic health conditions. Receiving a flu shot last year doesn’t mean that responsibility is permanently checked off. It should be reviewed each fall.
Pneumococcal vaccination is also important because pneumococcal disease can cause pneumonia and other serious infections. Current recommendations include vaccination for adults beginning at age 50 who haven’t previously received the recommended pneumococcal conjugate vaccine.
This is one area where vaccination history matters. Your loved one may have received an older pneumococcal vaccine years ago, so ask the healthcare provider to look at exactly what they received and whether anything else is recommended now.
The shingles vaccine is another important one for aging adults. Shingles can be painful and difficult to recover from, and vaccination is recommended for adults age 50 and older. The current shingles vaccine is given as a two-dose series.
RSV has also become an important part of the conversation for older adults. Current CDC guidance recommends one RSV vaccine for everyone age 75 and older. Adults ages 50 through 74 who have an increased risk of severe RSV illness may also be advised to receive it. Risk may be higher for people living with certain chronic heart or lung conditions, weakened immune systems, frailty, or those living in long-term care settings.
Unlike the flu vaccine, RSV vaccination isn’t currently an annual vaccine. If your loved one has already received it, let the healthcare provider confirm whether anything else is needed.
Adults should also stay current on protection against tetanus, diphtheria, and pertussis. If your loved one has never received a Tdap vaccine as an adult, their provider may recommend one. After that, a Td or Tdap booster is generally recommended every 10 years.
Ask the healthcare provider what’s currently recommended based on your loved one’s age, health conditions, previous doses, and the vaccines available now.
You don’t have to keep every changing recommendation in your head. You simply need a healthcare professional who can help you make decisions based on your loved one’s needs today.
Keep Vaccination Information in One Place
Caregivers already know how frustrating it can be when important medical information lives in several different places.
One record may be at the doctor’s office. Another vaccine may have been given at the pharmacy. Something else may have happened during a hospital stay. Months later, nobody can remember the exact date or whether another dose was needed.
Make it easier on yourself by keeping one vaccination record with the rest of your loved one’s medical information.
Record the vaccine, the date it was given, where it was received, and whether another dose or booster will be needed later. Keeping that information with the medication list or appointment paperwork can make future conversations with the healthcare team much easier.
The goal isn’t perfect recordkeeping. The goal is making the next decision easier.
Pay Attention to Timing
Not every vaccine needs to be given at the same appointment.
Your loved one may be sick, starting a new medication, dealing with another health concern, or have a history of reactions that needs to be discussed first. Their healthcare provider may also recommend a particular schedule based on their medical history.
This is why the caregiver’s role isn’t to decide the vaccination schedule alone.
Your role is to ask questions, keep track of the information, follow up, and make sure preventive care doesn’t quietly fall through the cracks.
Talk With Your Loved One, Not Just About Them
Aging doesn’t erase a person’s right to understand what’s happening with their health.
If your loved one is able to participate in these conversations, include them. Explain what the healthcare provider recommended and give them space to ask questions.
If they’re nervous or resistant, listen before immediately trying to convince them.
Sometimes resistance comes from fear. Sometimes it comes from a bad experience in the past. Sometimes they simply don’t understand why another vaccine is necessary.
A conversation may get you further than an argument.
Caregiving should protect your loved one while still respecting the person receiving the care.
If you would like to read more on this subject, check out the previous blog Stick With Your Immunizations for National Immunization Awareness Month.
Please note: Since that blog was published, vaccine recommendations for your aging loved ones have continued to change, making it even more imperative for family caregivers to review their loved one’s vaccination history and speak with their healthcare provider about what’s recommended today..
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Although Phil had access to a long-term care insurance policy and other resources, he waited to use them because he believed he might need them later. Roz reminds caregivers that the time to ask for help is often much earlier than they realize. When a loved one moves into the home, the family should begin identifying gaps in care, exploring available benefits, and creating a support plan before exhaustion and crisis take over.
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