Staying Healthy As You Age

How to Feel Young and Live Life to the Fullest

From: helpguide.org

Authors: Jeanne Segal, Ph.D. and Gina Kemp, M.A. Last updated: August 2015.

Staying healthy and feeling your best is important at any age and that doesn’t change just because you have a few more grey hairs. As we grow older, we experience an increasing number of major life changes, including career changes and retirement, children leaving home, the loss of loved ones, and physical changes. How we handle and grow from these changes is the key to staying healthy. These tips can help you maintain your physical and emotional health and live life to the fullest, whatever your age.

Finding and following your formula for staying healthy as you age

Coping with change is difficult, no matter how old you are. The particular challenge for adults over 50 is the sheer number of changes and transitions that start to occur—including children moving away, the loss of parents, friends, and other loved ones, changes to or the end of your career, declining health, and even loss of independence. It’s natural to feel those losses. But if that sense of loss is balanced with positive ingredients, you have a formula for staying healthy as you age.

Healthy aging means continually reinventing yourself as you pass through landmark ages such as 60, 70, 80 and beyond. It means finding new things you enjoy, learning to adapt to change, staying physically and socially active, and feeling connected to your community and loved ones. Unfortunately, for many, aging brings anxiety and fear instead. How will I take care of myself late in life? What if I lose my spouse? What is going to happen to my mind? However, many of these fears stem from myths about aging that are exaggerated by the media or simply untrue. The truth is that you are stronger and more resilient than you may think.

Myths About Healthy Aging

MYTH: Aging means declining health and/or disability.

Fact: There are some diseases that become more common as we age. However, getting older does not automatically mean poor health or that you will be confined to a walker or wheelchair. Plenty of older adults enjoy vigorous health, often better than many younger people. Preventive measures like healthy eating, exercising, and managing stress can help reduce the risk of chronic disease or injuries later in life.

MYTH: Memory loss is an inevitable part of aging.

Fact: As you age, you may eventually notice you don’t remember things as easily as in the past, or memories may start to take a little longer to retrieve. However, significant memory loss is not an inevitable result of aging. Brain training and new learning can occur at any age and there are many things you can do to keep your memory sharp. The sooner you start, the sooner you’ll reap the benefits.

MYTH: You can’t teach an old dog new tricks.

Fact: One of the more damaging myths of aging is that after a certain age, you just won’t be able to try anything new or contribute things anymore. The opposite is true. Middle aged and older adults are just as capable of learning new things and thriving in new environments, plus they have the wisdom that comes with life experience. If you believe in and have confidence in yourself, you are setting up a positive environment for change no matter what your age.

Staying healthy as you age: Tips for coping with change

As you age beyond 50, there will be periods of both joy and stress. It’s important to build your resilience and find healthy ways to cope with challenges. This ability will help you make the most of the good times and keep your perspective when times are tough.

• Focus on the things you’re grateful for. The longer you live, the more you lose. But as you lose people and things, life becomes even more precious. When you stop taking things for granted, you appreciate and enjoy what you have even more.
• Acknowledge and express your feelings. You may have a hard time showing emotions, perhaps feeling that such a display is inappropriate and weak. But burying your feelings can lead to anger, resentment, and depression. Don’t deny what you’re going through. Find healthy ways to process your feelings, perhaps by talking with a close friend or writing in a journal.
• Accept the things you can’t change. Many things in life are beyond our control. Rather than stressing out over them, focus on the things you can control such as the way you choose to react to problems. Face your limitations with dignity and a healthy dose of humor.
• Look for the silver lining. As the saying goes, “What doesn’t kill us makes us stronger.” When facing major challenges, try to look at them as opportunities for personal growth. If your own poor choices contributed to a stressful situation, reflect on them and learn from your mistakes.
• Take daily action to deal with life’s challenges. When a challenge seems too big to handle, sweeping it under the carpet often appears the easiest option. But ignoring the problem doesn’t make it go away; it allows both the problem and your anxiety to build. Instead, take things one small step at a time. Even a small step can go a long way to boosting your confidence and reminding you that you are not powerless.

Staying healthy as you age: Tips for finding meaning and joy

A key ingredient in the recipe for healthy aging over 50 is the continuing ability to find meaning and joy in life. As you age, your life will change and you will gradually lose things that previously occupied your time and gave your life purpose. For example, your job may change, you may eventually retire from your career, your children may leave home, or other friends and family may move far away. But this is not a time to stop moving forward. Later life can be a time of exciting new adventures if you let it.

Staying healthy over 50 means finding activities that you enjoy

Everyone has different ways of experiencing meaning and joy, and the activities you enjoy may change over time. If your career slows down or you retire, or if your children leave home, you may find you have more time to enjoy activities outside of work and immediate family. Either way, taking time to nourish your spirit is never wasted.

If you’re not sure where to get started, try some of the following suggestions:

• Pick up a long-neglected hobby or try a new hobby
• Play with your grandkids, nieces, nephews, or a favorite pet
• Learn something new (an instrument, a foreign language, a new game)
• Get involved in your community (volunteer or attend a local event)
• Take a class or join a club
• Travel somewhere new or go on a weekend trip to a place you’ve never visited
• Spend time in nature (take a scenic hike, go fishing or camping, enjoy a ski trip)
• Enjoy the arts (visit a museum, go to a concert or a play)
• Write your memoirs or a play about your life experiences

The possibilities are endless. The important thing is to find activities that are both meaningful and enjoyable for you.

Staying healthy through humor, laughter, and play

Laughter is strong medicine for both the body and the mind. It helps you stay balanced, energetic, joyful, and healthy at any age. A sense of humor helps you get through tough times, look outside yourself, laugh at the absurdities of life, and transcend difficulties.

Staying healthy as you age: Tips for staying connected

One of the greatest challenges of aging is how your support network changes. Staying connected isn’t always easy as you grow older—even for those who have always had an active social life. Career changes, retirement, illness, death, and moves out of the local area can take away close friends and family members. And the older you get, the more people you inevitably lose. In later life, getting around may become difficult for either you or members of your social network.

It’s important to find ways to reach out and connect to others, regardless of whether or not you live with a spouse or partner. Having an array of people you can turn to for company and support as you age is a buffer against loneliness, depression, disability, hardship, and loss.

The good news is that there are lots of ways to be with other people. It doesn’t matter what you do, so long as you get out of the house (if possible) and socialize:

• Connect regularly with friends and family. Spend time with people you enjoy and who make you feel upbeat. It may be a neighbor who you like to exercise with, a lunch date with an old friend, or shopping with your children. Even if you are not close by, call or email frequently to keep relationships fresh.
• Make an effort to make new friends. As you lose people in your circle, it is vital to make new connections so your circle doesn’t dwindle. Make it a point to befriend people who are younger than you. Younger friends can reenergize you and help you see life from a fresh perspective.
• Spend time with at least one person every day. Whatever your living or work situation, you shouldn’t be alone day after day. Phone or email contact is not a replacement for spending time with other people. Regular face-to-face contact helps you ward off depression and stay positive.
• Volunteer. Giving back to the community is a wonderful way to strengthen social bonds and meet others, and the meaning and purpose you find in helping others will enrich and expand your life. Volunteering is a natural way to meet others interested in similar activities or who share similar values. Even if your mobility becomes limited, you can get involved by volunteering on the phone.
• Find support groups in times of change. If you or a loved one is coping with a serious illness or recent loss, it can be very helpful to participate in a support group with others undergoing the same challenges.

Staying healthy as you age: Tips for boosting vitality

Don’t fall for the myth that growing older automatically means you’re not going to feel good anymore. It is true that aging involves physical changes, but it doesn’t have to mean discomfort and disability. While not all illness or pain is avoidable, many of the physical challenges associated with aging can be overcome or drastically mitigated by eating right, exercising, and taking care of yourself.

It’s never too late to start! No matter how old you are or how unhealthy you’ve been in the past, caring for your body has enormous benefits that will help you stay active, sharpen your memory, boost your immune system, manage health problems, and increase your energy. In fact, many older adults report feeling better than ever because they are making more of an effort to be healthy than they did when they were younger.

Staying healthy as you age: Tips for eating well as you age

As you age, your relationship to food may change along with your body. A decreased metabolism, changes in taste and smell, and slower digestion may affect your appetite, the foods you can eat, and how your body processes food. The key is to figure out how to adapt to your changing needs. Now, more than ever, healthy eating is important to maintain your energy and health.

• Load up on high-fiber fruits, vegetables, and whole grains. Your whole digestive system does slow as you age, so fiber is very important. Consume fiber-rich foods such as whole grains, fruit, and vegetables. They will help you feel more energetic and give you fuel to keep going.
• Put effort into making your food look and taste good. Your taste buds may not be as strong and your appetite may not be the same, but your nutritional needs are just as important as ever. If you don’t enjoy eating like you used to, put a little more effort into your meals, including the way you flavor, prepare, and present your food.
• Watch out for dehydration. Because of physical changes, older adults are more prone to dehydration. So make sure you are drinking plenty of fluid, even if you don’t feel thirsty. If you’re not getting enough water, you’re not going to be as sharp and your energy will suffer.
• Make meals a social event. It’s more enjoyable to eat with others than alone. If you live alone, invite other people over. It’s a great way to stay in touch with friends and you can share cooking and cleanup duties.

Staying healthy as you age: Tips for exercising as you age

Many adults don’t exercise as they get older. However, exercise is vital for staying healthy throughout life. It helps you maintain your strength and agility, gives your mental health a boost, and can even help diminish chronic pain. Whether you are generally healthy or are coping with an ongoing injury, disability, or health problem, regular exercise will help you stay physically and mentally healthy and improve your confidence and outlook on life.

• Check with your doctor before starting any exercise program. Find out if any health conditions or medications you take affect what exercise you should choose.
• Find an activity you like and that motivates you to continue. You may want to exercise in a group, like in a sport or class, or prefer a more individual exercise like swimming.
• Start slow. If you are new to exercise, a few minutes a day puts you well on the way towards building a healthy habit. Slowly increase the time and intensity to avoid injury.
• Walking is a wonderful way to start exercising. Exercise doesn’t have to mean strenuous activity or time at the gym. In fact, walking is one of the best ways to stay fit. Best of all, it doesn’t require any equipment or experience and you can do it anywhere.

Staying healthy as you age: Tips for sleeping well as you age

Many adults complain of sleep problems as they age, including insomnia, daytime sleepiness, and frequent waking during the night. But getting older doesn’t automatically bring sleep problems. Poor sleep habits are often the main causes of low–quality sleep in adults over 50.

• Naturally boost your melatonin levels at night. Artificial lights at night can suppress your body’s production of melatonin, the hormone that makes you sleepy. Use low-wattage bulbs where safe to do so, and turn off the TV and computer at least one hour before bed.
• Make sure your bedroom is quiet, dark, and cool, and your bed is comfortable. Noise, light, and heat can interfere with sleep. Try using an eye mask to help block out light.
• Develop bedtime rituals. A soothing ritual, like taking a bath or playing music will help you wind down.
• Go to bed earlier. Adjust your bedtime to match when you feel tired, even if that’s earlier than it used to be.

Staying healthy as you age: Tips for keeping your mind sharp

There are many good reasons for keeping your brain as active as your body. Keeping your brain active and maintaining creativity actually may help to prevent cognitive decline and memory problems. The more you use and sharpen your brain, the more benefits you will get. This is especially true if your career no longer challenges you or if you’ve retired from work altogether.

• Try variations on what you know. For some people, it might be games. Other people may enjoy puzzles or trying out new cooking recipes. Find something that you enjoy and continue to try new variations and challenges. If you like crosswords, move to a more challenging crossword series or try your hand at a new word game. If you like to cook, try a completely different type of food, or try baking if you’ve mostly been cooking over the stove.
• Work something new in each day. You don’t have to work elaborate crosswords or puzzles to keep your memory sharp. Try to work in something new each day, whether it is taking a different route to work or the grocery store or brushing your teeth with a different hand.
• Take on a completely new subject. Taking on a new subject is a great way to continue to learn. Have you always wanted to learn a different language? Learn new computer skills? Learn to play golf? There are many inexpensive classes at community centers or community colleges that allow you to tackle new subjects. Volunteering is also a great way to learn about a new area. Taking classes and volunteering is a great way to boost social connections, which is another brain strengthener.

Original link: http://www.helpguide.org/articles/aging-well/staying-healthy-as-you-age.htm

Alzheimer’s Care

Taking it to the next level!

The Alzheimer’s Association promotes the Habilitation Method of care for their Alzheimer’s clients. The goal of Habilitation Therapy is to promote a positive response in the person with dementia. It is an approach that maximizes their strengths and abilities and minimizes their limitations. It helps the care giver connect with the client on an emotional level. While other parts of the brain are being ravaged by the disease the emotional center of the brain remains intact. Alzheimer’s clients react and understand from an emotional level. When they are cared for from this perspective difficult behaviors are held in check and most important the persons quality of life improves and is maintained as long as possible.

Anyone who has ever cared for a parent or spouse with Alzheimer’s knows the struggle and pain of watching helplessly as this horrendous disease slowly takes away the person bit by bit. Pathologically the brain is being reduced in size, weight and substance. Somehow their ability to feel and express emotions is left alone. It is through this emotional connection the Habilitation Method can make a difference and help us care for the person; improving their quality of life and those responsible for the persons care.

Habilitation Therapy is not rehabilitation, it focuses on strengths and abilities and does not focus on their limitations or try to teach them what they’ve lost. It has 5 areas of concentration called domains: communication, the physical environment, approach to personal care, purposeful engagement and behavior as communication.

Recently I had the opportunity to train 10 care givers in this approach to care. They’re now as excited as I am in being able to improve the care and  quality of life of our Alzheimer’s clients. While it improves the quality of life of our clients it also assists the family members and loved ones struggling with how to best care for their loved one.

The scourge of Alzheimer’s effects a multitude of people; the patient, the spouse, children, friends. The frustration and pain of watching as the person you love deeply is slowly, bit by bit taken from you, the patient initially able to fake it and then slowly receding into their own world of silence and confusion. It has been my goal to try and find a better way, a way to help us relate to our loved one. This Habilitation Therapy offers us a method of care to reach through the haze and confusion and still making a connection.

Jeff Bond CEO

Understanding Alzheimer’s Disease

Sometimes, you may feel that you don’t know how to care for the person with AD. You’re not alone. Each day may bring different challenges. Learning about AD can help you understand and cope with these challenges. Below, we discuss the stages of AD and tell you how to learn more about the illness.

Stages of AD and What They Mean

Alzheimer’s disease consists of three main stages: mild (sometimes called early-stage), moderate, and severe (sometimes called late-stage). Understanding these stages can help you plan ahead. You will find information about coping with behavior problems often seen in each stage of AD in Challenge: changes in personality and behavior.

Mild Alzheimer’s disease. In mild AD, the first stage, people often have some memory loss and small changes in their personality. They may forget recent events or the names of familiar people or things. They may no longer be able to solve math problems or balance a checkbook. People with mild AD also slowly lose the ability to plan and organize. For example, they may have trouble making a grocery list and finding items in the store.

Moderate Alzheimer’s disease. This is the middle stage of AD. Memory loss and confusion become more obvious. People have more trouble organizing, planning, and following instructions. They may need helpgetting dressed (PDF, 176K) and may start having problems withincontinence. This means they can’t control their bladder and/or bowels. People with moderate-stage AD may have trouble recognizing family members and friends. They may not know where they are or what day or year it is. They also may lack judgment and begin to wander, so people with moderate AD should not be left alone. They may become restless and begin repeating movements late in the day. Also, they may have trouble sleeping. Personality changes (PDF, 978K) can become more serious. People with moderate AD may make threats, accuse others of stealing, curse, kick, hit, bite, scream, or grab things.

Severe Alzheimer’s disease. This is the last stage of Alzheimer’s and ends in the death of the person. Severe AD is sometimes called late-stage AD. In this stage, people often need help with all their daily needs. They may not be able to walk or sit up without help. They may not be able to talk and often cannot recognize family members. They may have trouble swallowing and refuse to eat.

How to Learn More About AD

Here are some ways to help you learn more about AD:

• Talk with a doctor or other health care provider about AD. Ask your doctor to refer you to someone who specializes in AD.
• Ask your doctor or AD specialist about good sources of information.
• Check out books, CDs, DVDs, or videos on AD from the library.
• Go to educational programs and workshops on AD.
• Visit websites on AD such as www.nia.nih.gov/alzheimers, www.alzheimers.gov, or www.alz.org. Use search engines to find more information.
• Talk about AD with friends and family to get advice and support.
• Try to find a support group for caregivers. You want a group in which the caregivers are taking care of someone who is in the same stage of AD as the person you are caring for. Also, you may be able to find an Internet-based support group. This is helpful for some caregivers, because it means they don’t have to leave home to be a part of the group. The Alzheimer’s Association (www.alz.org) is a good resource to help find support groups.

Original Link: https://www.nia.nih.gov/alzheimers/publication/caring-person-alzheimers-disease/understanding-ad

Alzheimer’s foundation reflects on 20 years of research, previews what’s ahead

Published November 10, 2015  -  FoxNews.com

More than 35 million people worldwide have Alzheimer’s disease, making it the most common form of dementia and the fifth leading cause of death. With November marking Alzheimer’s Awareness month, one foundation is working to raise awareness and more funds toward research as they race to provide better treatment and ultimately find a cure for the neurodegenerative disease.

The Fisher Center for Alzheimer’s Research Foundation has for the past 20 years worked to educate patients, caregivers and fellow researchers on the disease, which affects 5.3 million Americans. The privately funded foundation distributes more than 85 percent of donations to various missions dedicated eradicating the disease, and it has made significant strides along the way.

Led by Nobel Laureate and neuroscientist Dr. Paul Greengard, researchers in the foundation’s lab say they have emerged from the dark ages of Alzheimer’s research and are experiencing a renaissance period.

“The foundation and Dr. Greengard have two main priorities,” Dr. Marc Flajolet, assistant research professor at the Fisher Center for Alzheimer’s Research Foundation, told FoxNews.com. “One is to understand the disease, and the other is to use this knowledge to transform it into a cure.”

Flajolet explained that one breakthrough involves understanding the very beginning stages of Alzheimer’s that involves several small molecules of genes. He said the next step is for the lab to develop drugs with medicinal chemists to use the molecules as a way to block that step and reduce the buildup of amyloid plaques, which is a hallmark of the disease. He is also optimistic about more accurate clinical trials due to information that wasn’t available 10 years ago. While acknowledging it’s hard to judge how far away researchers are from finding a cure, Flajolet hailed the work being done to find new treatments.

“For sure we have better treatments coming,” he said. “They are not necessarily yet curing the disease, but they are really helping with many types of symptoms. The cure will be down the road. At this point it’s really just hard to tell if it’s going to take another five to seven years.”

One of the most important aspects of finding a cure is ensuring that funds continue to come in so researchers and scientists can continue their work.

“We know very well the expression ‘Time is money,’” Flajolet said. “I think in research it’s true as well, but I think in research it’s really the other way around— money is time. Really the more money we have, the more time we can save. And in this case, when we are racing against time for this disease, I think obviously the more money we have, the more we can do.”

Murray Rubin, secretary of the Fisher Center for Alzheimer’s Research Foundation, told FoxNews.com that one of the reasons the center can allocate funds so well is they don’t have to rely on major fundraising events. Sponsors, networking and private donations comprise a majority of the contributions.

“We spend more than 85 percent of our money contributions on our mission, so we’re a lean, mean organization so to speak,” said Rubin, who also spoke of the foundations 4-star charity navigator rating. “We don’t spend a tremendous amount on fundraising— we don’t have mass mailings, we don’t have advertising, we’re totally privately funded.”

Rubin said that the foundation’s website ALZInfo.org not only provides a place for people to find answers to any questions they may have, but it also reports updates from the lab and directs users on how to donate. The Fisher Center also circulates a magazine titled “Preserving Your Memory” three times per year.

The nonprofit has established goals once they eradicate Alzheimer’s, as researchers have along the way discovered pathways in the brain that relate to other neurodegenerative diseases. Rubin said the foundation is dedicating to fulfilling whatever the mission is that needs to be fulfilled.

Original Link: http://www.foxnews.com/health/2015/11/10/alzheimers-foundation-reflects-on-20-years-research-previews-whats-ahead.html

Habilitation Therapy for Alzheimer’s and Dementia Care

By Deborah Bier, PhD

According to Silverman, Flaherty and Tobin (2006), …”[I]t is a better understanding of the psychology of dementia – how a person thinks, feels, communicates, compensates, and responds to change, to emotion, to love – which may bring some of the biggest breakthroughs in treatment….”

A parent, sibling or spouse has been just diagnosed with Alzheimer’s Disease or a related dementia (ADRD). In a somewhat perfect world, family members would receive an orientation to the disease, and learn how it affects their loved one’s behavior. They would quickly begin to learn how to deliver daily care and maintain best function. They would find out how to prevent many common, difficult behaviors, and address those that arise with some consistently applied, fairly easy-to-use psychosocial interventions.

The entire family and all other members of the care team in this somewhat perfect world would receive training and ongoing support to learn and apply Habilitation Therapy (HT), accepted as the best standard of care and psychosocial intervention by the Alzheimer’s Association (Massachusetts/New Hampshire Chapter), where it was first developed in the 1990s. (Alzheimer’s Association, Massachusetts/New Hampshire Chapter, 2011.) HT is considered the best practice in ADRD day-to-day care, in creating good environments for ADRD patients, and within all their relationships and activities. Though powerful and effective, HT is fairly simple to learn; even a child can understand and apply aspects of it.

So, what is this seemingly magical thing called Habilitation Therapy? Well, it’s not magic, but a comprehensive behavioral approach to caring for people with dementia. It focuses not on what the person has lost due to the illness, but on his or her remaining abilities. HT creates and maintains positive emotional states through the course of each day. The dementia patient’s capabilities, independence and morale are consistently engaged to produce a state of psychological well-being. In this way, difficult symptoms can be reduced or eliminated, even as the illness progresses.

Habilitation Therapy also benefits the patient’s family, friends and professional caregivers. The ability to enjoy time together and to share a relationship, activities, and feelings with a person with dementia can be uplifting for everyone involved. HT can reduce much of the stress and workload involved in living with Alzheimer’s Disease and other related dementias.

Note that this is “Habilitation Therapy,” not “Rehabilitation Therapy” (Alzheimer’s Association, Massachusetts/New Hampshire Chapter.) Rehabilitation returns patients to earlier, higher levels of functioning. There is no known rehabilitation for ADRD. Habilitation focuses on optimizing and extending what is possible now, not what was possible in the past.

The very best natural caregivers tend to spontaneously develop similar approaches to HT. Usually, though, they are unable to articulate why they do what they do, teach others except through example, or discover by themselves the totality of what Habilitation could teach. It can take months or years for talented caregivers to uncover just some of the techniques that could have been taught to them in a few hours through Habilitation Therapy training. Though it makes logical sense to provide such training on a regular, widespread basis, it is far from the norm.

A deeper understanding of Habilitation Therapy starts by looking at the way the brain is affected through dementia, and how large a presence emotions represent. This will be explored further in Part 2.

In this somewhat perfect world, medications such as antipsychotics would not be needed to manage the illness’s behaviors. (An antidepressant might be prescribed to help support positive mood and functioning, however.) Special dementia-specific behavioral methods — plus interventions such as gentle massage, music and art therapy, and wellness activities — would help the dementia patient be peaceful and happy, functioning best with what abilities still remain even as they decline. Caregivers (called “care partners”) would be happier and more peaceful, too.

People with ADRD living in this somewhat perfect world would be able to maintain as much independence as they safely could through an appropriately organized physical environment. Daily, they would experience a variety of emotions, including feeling safe, cared about, respected, purposeful and valued. Such positive emotional experiences bring them pleasure, comfort, laughter, happiness and even joy.

Nearly to the very end, they would share positive relationships and emotional experiences with their care partners – both family and professional – who experience time spent together as a close and profound (though not necessarily easy) experience. Most ADRD patients would live their final days in their homes, or would be stay living at home significantly longer due to this type of compassionate daily care. (Mittleman, Ferris, Shulman, Steinberg, and Levin, XXXX.) If and when they found themselves living in a facility, the entire staff, from janitors to nurses to administrative staff, would be fluent in the use of Habilitation Therapy.

Even in this somewhat perfect world, there would still be many, many tasks for care partners to perform every day. There would still be an emotional, physical and financial cost to delivering all the care necessary. The disease would still remain progressive, and the patient would continue to decline. Family and friends would still grieve as their loved one with dementia became more and more dependent and eventually died. But grief and loss would not be the only feelings those left behind would hold in their hearts and memories. There would be the close, enjoyable times that existed through much of the course of the disease.

This somewhat perfect world already exists in small pockets. A good or better quality of life could exist right now for many, many ADRD patients, their families, friends, and professional caregivers. One of the huge missing factors for the further manifestation of this somewhat perfect world is a lack of widespread awareness, training and adoption of Habilitation Therapy.

Original Link: http://psychcentral.com/lib/habilitation-therapy-for-alzheimers-and-dementia-care/

References

Silverman, N. M., Flaherty, G., Tobin, T. S. (March 2006). Dementia And Wandering Behavior: Concern for the Lost Elder. New York: Springer, p. 24.

Alzheimer’s Association, Massachusetts/New Hampshire Chapter. (August 2, 2011.) Caring for People with Alzheimer’s Disease: A Habilitation Training Curriculum [Training Course]. (Lawrence, MA)

Mittelman M.S., Ferris S.H., Shulman E., Steinberg G., Levin B. (1996). “A family intervention to delay nursing home placement of patients with Alzheimer disease. A randomized controlled trial.” Journal of the American Medical Association. Dec 4; 276(21):1725-31.

Alzheimer’s Association, Massachusetts/New Hampshire Chapter. (n.d.) Caring for People with Alzheimer’s Disease: A Habilitation Training Curriculum. (Watertown, MA). p. 62.

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Contact us at 484-580-8157 to learn more about Habilitation Therapy!

Six Surprising Signs That Impaired Seniors May Wander

By Steve Barlam

Family members and caregivers of seniors with cognitive impairment are well aware of the risk that an impaired senior might wander away.  The mere combination of memory problems and the ability to walk makes it likely.  According to the Alzheimer’s Association, more than 60% of individuals with Alzheimer’s will wander at some point.

The triggers, too, are familiar and intuitive to many.  Emotions such as fear and confusion, mental-health events such as delusions or even a simple change of environment can set off a wandering episode that’s potentially dangerous, and frightening to all.

So it’s tempting when thinking about wandering prevention to focus on managing the triggers.  Yet while this can help, it’s equally—if not more—important to recognize the warning signs that wandering is likely to take place. They may come as a surprise to you.

1. Restlessness and pacing.
When seniors with cognitive impairment appear restless or pace around their environments, there may be a wandering episode in store.

2. Engaging in repetitive but unproductive tasks.
Repetitive behavior that appears productive but leads nowhere is also a warning sign. Examples of such actions are moving pots and pans from the cupboards then replacing them, rearranging household objects and returning them to their original location, and going through the motions of doing other chores or partaking in hobbies without results.

3. Having trouble locating familiar rooms.
This manifests with unsuccessful searches for the bathroom, dining room, bedroom or other spaces in a home where a senior has lived for decades, or in any other environment she or she would typically recognize.

4. Returning later than usual.
When a senior returns home later than his or her usual time from regular excursions such as walks, doctor’s appointments or social gatherings, caregivers should be on the alert.

5. Going to “work.”
A senior on the verge of wandering off may attempt to go to work or participate in a professional event like a meeting or conference even if he or she has been retired for many years.

6. Looking for deceased family and friends.
Does a senior ask the whereabouts of family members and friends, including those who have passed on or moved away? This is another sign to watch for.

Beyond recognizing the warning signs, there are a few key preventative steps to take. First, family and caregivers should examine the structure of the senior’s day, tracking the times of day when restlessness and discomfort occur and making sure to be especially vigilant then.

It’s also important to make sure the senior is always comfortable, and that all of his or her needs have been met.  Is he or she too warm or too cold? Hungry? Uncomfortable? Does he or she need to use the bathroom? If the answer to any of these is yes, the situation should be remedied as soon as possible.

Environmental approaches, too, can be effective. Seniors can perceive a flat, black spot as a hole, for example, so placing a black carpet circle on the floor in front of a door can deter a senior from approaching the door. Murals can also be used to disguise doors as other household objects such as bookshelves so that seniors approaching them won’t recognize them or try to exit.

Original link: http://www.parentgiving.com/elder-care/six-surprising-signs-that-impaired-seniors-may-wander/

7 Winter Safety Tips for Seniors

Prepare older people for the unique challenges of wintertime weather.

Andrea Lee, Contributor

During the winter months, ice, snow and cold temperatures can make life challenging for everyone. Slippery sidewalks and cold weather can cause a wide range of injuries and illnesses — especially for seniors.

Here is some helpful advice for preventing common winter dangers that the elderly population faces.

1. Avoid Slipping on Ice
   Icy, snowy roads and sidewalks make it easy to slip and fall. “Unfortunately, falls are a common occurrence for senior citizens, especially during the winter months,” says Dr. Stanley Wang, a physician at Stanford Hospital in Palo Alto, Calif. Often these falls cause major injuries such as hip and wrist fractures, head trauma and major lacerations.

   While younger people often recover relatively quickly from such injuries, older adults face complications, which Dr. Wang says are a leading cause of death from injury in men and women over the age of 65.

   Make sure to wear shoes with good traction and non-skid soles, and stay inside until the roads are clear. Replace a worn cane tip to making walking easier. Take off shoes as soon as you return indoors because often snow and ice attach to the soles and, once melted, can lead to slippery conditions inside.

   To find out more, read our article on Preventing Senior Falls

2. Dress for Warmth
   Cold temperatures can lead to frostbite and hypothermia — a condition where the body temperature dips too low. According to the CDC, more than half of hypothermia-related deaths were of people over the age of 65.

   So don’t let indoor temperatures go too low and dress in layers. Going outside? Wear warm socks, a heavy coat, a warm hat, gloves and a scarf. In very cold temperatures, cover all exposed skin. Use a scarf to cover your mouth and protect your lungs.

   Your body temperature should never dip below 95 degrees — if it does get medical assistance immediately.

3. Fight Wintertime Depression
   Because it can be difficult and dangerous to get around, many seniors have less contact with others during cold months. This can breed feelings of loneliness and isolation.

   To help avoid these issues, family members can check in on seniors as often as possible; even a short, daily phone call can make a big difference. Seniors can also arrange a check-in system with neighbors and friends, where each person looks in on one or two others daily.

   For more information on this topic, read our article on Getting Help with the Holiday Blues

4. Check the Car
   Driving during the winter can be hazardous for anyone. But it is especially dangerous for older people, who may not drive as often anymore or whose reflexes may not be as quick as they once were. Get your car serviced before wintertime hits — or ask a family member to bring it to a garage for you. Checking things like the oil, tires, battery and wipers can make a big difference on winter roads. Also make sure your AAA membership is up-to-date in case of emergencies.

   Learn the Warning Signs a Senior Shouldn’t Be Driving

5. Prepare for Power Outages
   Winter storms can lead to power outages. Make sure you have easy access to flashlights and a battery-powered radio in case the power goes out. Stockpile warm blankets. Longer power outages can spoil the food in your refrigerator and freezer so keep a supply of non-perishable foods that can be eaten cold on hand. If the power goes out, wear several layers of clothing, including a hat. Move around a lot to raise your body temperature. Check out this winter weather checklist from the CDC to make sure you have everything you may need.
6. Eat a Varied Diet
   Because people spend more time indoors and may eat a smaller variety of foods, nutritional deficits — especially Vitamin D deficiency — can be a problem. Nicole Morrissey, a registered dietician in southwest Michigan, recommends consuming foods that are fortified with Vitamin D, such as milk, grains and seafood options like tuna and salmon.
7. Prevent Carbon Monoxide Poisoning
   Using a fireplace, gas heater or lanterns can lead to carbon monoxide poisoning. Ensure your safety by checking the batteries on your carbon monoxide detector and buying an updated one if you need to.

The most important tip to keep in mind during the colder months is to ask for help. If you need to clear your property of snow and ice, don’t hesitate to ask a family member or neighbor, or hire a professional. Arrange rides to the grocery store and doctor’s appointments. Many communities have shuttle services specifically for seniors. Don’t be afraid to reach out for help.

Wintertime certainly poses challenges for seniors, but with a bit of planning and awareness, you will stay healthy and experience the joys of springtime soon enough.

Andrea Lee lives in Silicon Valley, Calif., and is a part-time college instructor and a full-time mom of two boys — one in college, the other in preschool.

Original Link: https://www.care.com/a/7-winter-safety-tips-for-seniors-1212110232

10 Essential Health Tips For Seniors

From baby boomers to senior boomers: 10 tips to keep you healthy and fit.

The first wave of baby boomers are turning 65 years old this year and becoming “senior boomers” and Medicare-eligible. In fact, more than 10,000 baby boomers a day are now turning 65—that’s one every eight seconds, a pattern expected to continue for the next 19 years.

Happily, aging is different now than it was for our parents and grandparents. Today, there are more people living longer than at any other time in history. In fact, boomers will number 78 million by 2030. “This generation, associated with social change including the civil rights and anti-war movements in the 1960s, has another important cause—staying healthy,” says soon-to-be 65-year-old Arthur Hayward, MD, a geriatrician and clinical lead physician for Kaiser Permanente. “We need to become activists in promoting healthful behaviors and try our best to remain active and healthy the rest of our lives.”

How to do it? Dr. Hayward recommends these 10 easy health tips for seniors to help baby boomers live longer and thrive:

1. Quit smoking. Take this critical step to improve your health and combat aging. Smoking kills by causing cancer, strokes and heart failure. Smoking leads to erectile dysfunction in men due to atherosclerosis and to excessive wrinkling by attacking skin elasticity. Many resources are available to help you quit.
2. Keep active. Do something to keep fit each day—something you enjoy that maintains strength, balance and flexibility and promotes cardiovascular health. Physical activity helps you stay at a healthy weight, prevent or control illness, sleep better, reduce stress, avoid falls and look and feel better, too.
3. Eat well. Combined with physical activity, eating nutritious foods in the right amounts can help keep you healthy. Many illnesses, such as heart disease, obesity, high blood pressure, type 2 diabetes, and osteoporosis, can be prevented or controlled with dietary changes and exercise. Calcium and vitamin D supplements can help women prevent osteoporosis.
4. Maintain a healthy weight. Extra weight increases your risk for heart disease, diabetes and high blood pressure. Use the Kaiser Permanente BMI (body mass index) calculator to find out what you should weigh for your height. Get to your healthy weight and stay there by eating right and keeping active. Replace sugary drinks with water—water is calorie free!
5. Prevent falls. We become vulnerable to falls as we age. Prevent falls and injury by removing loose carpet or throw rugs. Keep paths clear of electrical cords and clutter, and use night-lights in hallways and bathrooms. Did you know that people who walk barefoot fall more frequently? Wear shoes with good support to reduce the risk of falling.
6. Stay up-to-date on immunizations and other health screenings. By age 50, women should begin mammography screening for breast cancer. Men can be checked for prostate cancer. Many preventive screenings are available. Those who are new to Medicare are entitled to a “Welcome to Medicare” visit and all Medicare members to an annual wellness visit. Use these visits to discuss which preventative screenings and vaccinations are due.
7. Prevent skin cancer. As we age, our skin grows thinner; it becomes drier and less elastic. Wrinkles appear, and cuts and bruises take longer to heal. Be sure to protect your skin from the sun. Too much sun and ultraviolet rays can cause skin cancer.
8. Get regular dental, vision and hearing checkups. Your teeth and gums will last a lifetime if you care for them properly—that means daily brushing and flossing and getting regular dental checkups. By age 50, most people notice changes to their vision, including a gradual decline in the ability to see small print or focus on close objects. Common eye problems that can impair vision include cataracts and glaucoma. Hearing loss occurs commonly with aging, often due to exposure to loud noise.
9. Manage stress. Try exercise or relaxation techniques—perhaps meditation or yoga—as a means of coping. Make time for friends and social contacts and fun. Successful coping can affect our health and how we feel. Learn the role of positive thinking.
10. Fan the flame. When it comes to sexual intimacy and aging, age is no reason to limit your sexual enjoyment. Learn about physical changes that come with aging and get suggestions to help you adjust to them, if necessary.

Original Link: http://www.parentgiving.com/elder-care/10-essential-health-tips-for-seniors/

When a loved one has Alzheimer’s disease, practical tips can help patient, caregiver: MAYO CLINIC NEWS NETWORK

Anyone caring for a loved one with Alzheimer’s disease likely can relate to former first lady Nancy Reagan, who called the illness suffered by former President Ronald Reagan “a truly long, long goodbye.”

Mrs. Reagan was a tireless advocate for Alzheimer’s patients and their families, recalls Mayo Clinic neurologist Dr. Ronald Petersen, who knew the Reagans well.

“In many respects, Mrs. Reagan was the optimal caregiver, providing love and support for the president in a fashion similar to many other Americans whose families deal with this difficult diagnosis,” he said.

In 2015, an estimated 5.3 million Americans had Alzheimer’s disease, according to the Alzheimer’s Association. As the disease progresses, once-simple tasks become difficult or impossible.

Practical tips can help your loved maintain a sense of independence and dignity.

To limit challenges resulting from Alzheimer’s:

— Schedule wisely:  Establish a routine to make each day more predictable and less confusing. Schedule the most difficult tasks, such as bathing or medical appointments, for the time of day when your loved one is most calm.

— Adapt your routine, as needed:  For example, if your loved one insists on wearing the same outfit every day, consider buying a few identical outfits. When your loved one is bathing, switch the worn outfit for a clean one.

— Take your time:  Expect things to take longer than they once did. Schedule more time to complete tasks, so you don’t need to hurry your loved one.

— Involve your loved one:  Allow your loved one to do as much as possible with the least amount of assistance. For example, perhaps your loved one can dress alone if you lay out the clothes in the order they go on.

— Limit choices:  The fewer the options, the easier it is to decide. For example, provide two outfits to choose between — not a closet full of clothes. Eliminate belts or accessories that are likely to be put on incorrectly.

— Reduce distractions:  Turn off the TV, and minimize distractions at mealtime and during conversations, so your loved one can better focus on the task at hand.

To keep your loved one with Alzheimer’s safe:

— Prevent falls:  Avoid scatter rugs, extension cords and any clutter that could cause your loved one to trip or fall. Install handrails or grab bars in critical areas.

— Use locks:  Install locks on cabinets that contain anything potentially dangerous, such as medicine, alcohol, guns, toxic cleaning substances, dangerous utensils and tools.

— Check water temperature:  Lower the thermostat on the hot-water heater to prevent burns.

— Take fire safety precautions:  Keep matches and lighters out of reach. If your loved one smokes, make sure he or she does so with supervision. Have an accessible fire extinguisher and smoke alarms with fresh batteries.

Caring for the CaregiverAlzheimer’s caregivers need all the support they can get. If you know someone who’s caring for a loved one who has Alzheimer’s disease, here’s how to help:

— Be specific when you offer help:  If you want to support a friend caring for a loved one, make a concrete offer. For example:

— “I’m going to the grocery store. What can I pick up for you?”

— “I’ve got a few free hours tomorrow. May I sit in for you, while you run errands or take time for yourself?”

— “I doubled my meatloaf recipe, so I could share with you. I brought enough to last you for several meals.”

— “Does your yard need to be mowed? I’d be happy to take care of it this weekend.”

– Check in with the caregiver:  Sending a card or calling a caregiver can be a meaningful way to show support. Emails and text messages work, too; however, personal visits can be better. Contact with the outside world can lift a caregiver’s spirits.

_________________________

Original Link: http://azdailysun.com/lifestyles/health-med-fit/when-a-loved-one-has-alzheimer-s-disease-practical-tips/article_53937c93-b2cb-585b-a61b-145c4fd86a40.html

Patient Care: The Healing Power of Your Environment

Your surroundings can have a positive impact on your health. Using this power can help speed healing, with steps as simple as bringing flowers and cheery colors into a room.

By Deborah Quilter

Traditionally, people bring flowers to sick people. But this type of patient care may do more than just cheer them up. According to a study in the Cleveland Clinic Journal of Medicine, the physical environment has important implications for the disease process. “It makes sense to view health care as a comprehensive approach to combat all factors contributing to the disease process. The integration of all therapies—peaceful and comforting surroundings, stress reducers, caring health care providers, together with evidence-based medicine—creates a healing environment,” writes the study’s author, Jone Geimer-Flanders, D.O. of the Hawaii Heart Brain Center, Division of Cardiology, at the North Hawaii Community Hospital in Kamuela, Hawaii.

The effect of a patient’s environment and aesthetic surroundings and the spiritual component of healing cannot be ignored, wrote Dr. Geimer-Flanders. This healing environment can even include everything from the art on the wall to healing-oriented design and architecture.

Dr. Geimer-Flanders promotes “blended medicine,” which mixes the use of complementary and alternative medicine together with traditional medicine. Blended medicine has been found to promote stress reduction, faster healing, decreased infection rates and staff and patient satisfaction and lower hospital operating costs. “It has been argued that high-tech treatment [like subspecialty care and advanced imaging] accounts for 20 percent of healing while ‘high-touch’ treatment [complementary and alternative medicine therapies] and a healing environment account for the remaining 80 percent (and that most treatment centers leave out this 80 percent),” Dr. Geimer-Flanders pointed out.

In another study about people who were recovering from gall bladder surgery, one group of patients had windows that looked onto trees. A second group looked on to a brick wall.

The patients with the beautiful view of nature healed nearly a whole day faster than those with the brick wall. They also required less pain medication.

“As a physical therapist, I encourage healing by paying attention to the environment,” said Dustienne Miller, MSPT, of H&D Physical Therapy in Manhattan. Miller works with a lot of people who have had chronic pain, and she helps her patients understand the connection between stress and their symptoms. During treatments, Miller plays relaxing music and uses soft, diffuse lighting instead of harsh fluorescent overhead fixtures. “People have remarked at how soothing it is to have music and non-fluorescent lighting,” she said. And, while people may have a lot of stressors in their lives, they do have some control over their environment and can use that power to help themselves heal at home.

From Sick Room to Sanctuary

How can you transform a sick room into a healing sanctuary for better patient care? First, take an objective look at the room. What would you see if you were lying in the patient’s bed or sitting in the chair? Are you looking at a pile of old newspapers or a vase of fresh blooms? Is there inspiring artwork on display, or reminders of chores undone? Does the air smell fresh or are there strong perfumes or chemical smells? Systematically notice the factors listed below. Each element can help–or hinder–the healing process.
Here are some ideas to consider:

• Flower Power. Keep fresh flowers or green, living plants around. If the patient has a view of nature, all the better! Growing plants remind us of our own power to renew ourselves.
• Aroma. Is there a musty, stale or unpleasant odor in the room? Air it out if so; burning scented candles or oils can help, too. Just be sure they aren’t overpowering and don’t leave them unattended.
• Color. Painting rooms in soothing colors can have a calming effect. Cheery colors can energize.
• Sound. Reduce unnecessary noise or a install white noise machine to temper what you can’t change.
• Playing inspiring music can uplift the spirit. Like color, music can lull or enliven, depending on what’s needed.
• Lighting. Lowering the lights can instantly effect stress reduction. Use non-fluorescent bulbs if possible. Pink light bulbs are especially nice, because they make you look good.
• Art and beauty. According to Dr. Geimer-Flanders, “Research from the Center for Health Design has shown that the more attractive the environment, the higher the perceived quality of care and the lower the anxiety of patients.” You can install pleasing paintings, posters and statues. You can also include inspirational quotes.
• Pets. The presence (and unconditional love) of a beloved cat or dog can be very comforting to a sick person. They can also be a welcome distraction from pain.
• TLC. Tender loving care can’t be bought for any amount of money, but works better than any drug in terms of psychological health.
• Good Vibes. Staying positive and upbeat around sick people brings out the best in both of you. Many people who work in the healing arts realize that they are affected by their environment as much as their clients are, so making these changes enables them to feel relaxed, and give more relaxing treatments as a result. Says Miller, “Having a serene environment makes me a better practitioner, and my patients have a better experience.”

One more thought: If these things help sick people, imagine what effect they have one someone who’s well! Take a look at your own living space and see what you can improve.

Original Link: http://www.parentgiving.com/elder-care/patient-care-the-healing-power-of-your-environment/

The 15 Most Common Health Concerns for Seniors

Getting older can bring health challenges. By being aware of these common chronic conditions, you can take steps to stave off disease as you age.

By Madeline R. Vann, MPH    Reviewed by Pat F. Bass, III, MD, MPH

Take steps now to ensure a healthful future.

People in America today can expect to live longer than ever before. Once you make it to 65, the data suggest that you can live another 19.3 years, on average. For many, then, senior living includes carefully managing chronic conditions to stay healthy. “You need to be physically active and eat a healthy diet,” and also make healthy lifestyle choices, like quitting smoking and losing weight, to avoid senior health risks, explains Jeanne Wei, MD, director of the Reynolds Institute on Aging at the University of Arkansas Medical School in Little Rock. Also, including a geriatrician, a doctor who specializes in the health concerns of aging, on your senior health care team can help older adults learn how to live better with any chronic diseases. Then you too can be among the 41 percent of people over 65 who say their health is very good or excellent.

1. Arthritis

“Arthritis is probably the number one condition that people 65 or older contend with,” said geriatrician Marie Bernard, MD, deputy director of the National Institute on Aging in Bethesda, Maryland. It affects 49.7 percent of all adults over 65 and can lead to pain and lower quality of life for some seniors. Although arthritis can discourage you from being active, it’s important to work with your doctor to develop a personalized activity plan that, along with other treatment, can help maintain senior health.

2. Heart Disease

According to the U.S. Centers for Disease Control and Prevention (CDC), heart disease remains the leading killer of adults over age 65, accounting for 488,156 deaths in 2013, the most recent statistics. As a chronic condition, heart disease affects 37 percent of men and 26 percent of women 65 and older. As people age, they’re increasingly living with risk factors, such as high blood pressure and high cholesterol, that increase the chances of having a stroke or developing heart disease. Dr. Bernard’s advice for addressing this senior health risk not only helps with heart disease but can improve senior health across the board: “Exercise, eat well, get a good night’s rest. Eating well means eating in a fashion that will allow you to keep a healthy weight with a well-balanced and healthy diet.”

3. Cancer

Cancer is the second leading cause of death among people over age 65, with 407,558 deaths in 2013. According to the CDC, 28 percent of men and 21 percent of women over age 65 are living with cancer. If caught early through screenings such as mammograms, colonoscopies, and skin checks, many types of cancer are treatable. And though you’re not always able to prevent cancer, you can improve quality of life as a senior living with cancer, including during treatment, by working with your medical team and maintaining their healthy senior living recommendations.

4. Respiratory Diseases

Chronic lower respiratory diseases, such as COPD, are the third most common cause of death among people 65 and older, annually taking 127,194 lives. About 10 percent of men and 13 percent of women are living with asthma, and another 10 percent of men and 11 percent of women are living with chronic bronchitis or emphysema, according to the CDC. Although having a chronic respiratory disease increases senior health risks, making you more vulnerable to infections such as pneumonia, getting lung function tests and taking the correct medications or using oxygen as instructed will go a long way toward preserving senior health and your quality of life.

5. Alzheimer’s Disease

Alzheimer’s disease accounted for 83,786 deaths of people over age 65 in 2013, according to the CDC. The Alzheimer’s Association reports that one in nine people age 65 and older, which is about 11 percent, live with Alzheimer’s disease, but because diagnosis is challenging, it’s difficult to know exactly how many people are living with this chronic condition. However, experts acknowledge that cognitive impairment has a significant impact on senior health across the spectrum, from issues of safety and self-care to the cost burden of care in the home or a residential facility.

6.Osteoporosis

“Osteoporosis can contribute to becoming less mobile and potentially disabled should you fall and have a fracture or as the collapse of vertebral bodies,” Bernard said. The National Osteoporosis Foundation estimates that 54 million Americans over the age 50 are affected by low bone mass or osteoporosis, putting them at risk for a fracture or break that could lead to poor senior health and reduced quality of life. What’s more: They estimate that by the year 2020 that number will rise to 64.4 million.

7.Diabetes

About 24 percent of men and 18 percent of women older than 65 are living with diabetes, a significant senior health risk. According to CDC data, diabetes caused 53,751 deaths among adults over age 65 in 2013. Diabetes can be identified and addressed early with simple blood tests for blood sugar levels. The sooner you know that you have or are at risk for diabetes, the sooner you can start making changes to control the disease and improve your long-term senior health outlook.

8. Influenza and Pneumonia

Although the flu and pneumonia are not chronic conditions, these infections are among the top seven causes of death in people over age 65, just behind diabetes. Seniors are more vulnerable to these diseases and less able to fight them off. Senior health care recommendations include getting an annual flu shot and getting the pneumonia vaccine if recommended by your doctor to prevent these infections and their life-threatening complications.

9. Falls

The risk for falls requiring emergency room care increases with age In 2013, 473 per 10,000 men and 767.2 per 10,000 women found themselves at the hospital because of falls, data from the CDC shows. That is more than any other age group.. And, one-third of people who go to the emergency department for a fall may find themselves there again in one year, reports an August 2015 study published in the American Journal of Emergency Medicine. Be aware: most falls occur in the home, where tripping hazards include area rugs and slippery bathroom floors, according to a 2013 Journal of Injury and Violence Research study.

10. Substance Abuse

An analysis of data from the National Epidemiologic Survey of Alcohol and Related Conditions suggests that one in five people over 65 have had a substance or alcohol abuse problem at some point in their lives. Alcohol and tobacco topped the list of nonmedical substances abused by survey participants. Substance and alcohol abuse are a concern for senior health because of possible interactions with prescription medications, their impact on overall health, and the increased senior health risks, such as falls, associated with intoxication.

11. Obesity

Obesity is an important senior health risk factor for heart disease, diabetes, and cancer — chronic conditions that impact quality of life.  As the numbers on the scale increase, so does the risk for disease. Of the adults between 65 and 74, 76.9 percent of men and 73.8 percent of women are overweight—meaning that their body mass index is greater than or equal to 25. It can also be a signal that an older adult isn’t as active or mobile as he or she once was.

12. Depression

According to the American Psychological Association, 15 to 20 percent of Americans over 65 have experienced depression, a threat to senior health Depression can lower immunity and can compromise a person’s ability to fight infections. In addition to treatment with medication and therapy to improve mood, possible solutions to improve senior living might be to increase physical activity — 59.4 percent of adults 65 and older do not meet national recommendations for exercise — or to interact more socially — seniors report spending just 8 to 11 percent of their free time with family and friends.

13. Oral Health

Healthy teeth and gums are important not just for a pretty smile and easy eating, but also for overall senior health. According to the CDC, 25 percent of adults over 65 have no natural teeth. As you age, your mouth tends to become dryer and cavities are more difficult to prevent, so proper oral health care, including regular dental checkups, should be a senior health care priority, Dr. Wei said.

14. Poverty

In 2013, 45 percent of adults ages 65 and older had incomes below the poverty level, according to a 2015 Kaiser Family Foundation report. This number takes into account: available financial resources, including liabilities such as taxes, value benefits such as  food stamps, out-of-pocket medical expenses, geographic variations in housing expenses, and other factors. Older women are slightly more likely than men to be living in poverty, however; that gap widens in those over 80. Single older adults are also significantly more likely to live alone with fewer resources. Poverty affects senior health if you’re unable to afford doctor visits, medication for chronic conditions, and other essential senior health care needs.

15. Shingles

Remember that bout of chicken pox you had as a kid? It comes back as shinglesas an adult: one out of three people over 60 will get it. The National Institutes of Health say that 50 percent of all American will experience shingles before they are 80. It usually affects only one side of your body and starts out with severe pain or tingling, and then develops into an itchy rash and possibly blisters. There is a vaccine available, so talk to your doctor about it.

Additional reporting by Carey Rossi

Original Link: http://www.everydayhealth.com/news/most-common-health-concerns-seniors/

Helping Seniors Avoid Isolation

October 19, 2015 By Ryan Malone 

As we age, the tendency to rely solely on ourselves is not uncommon. Relying too heavily on our own person can be isolating though, especially among senior citizens. While relying on the help of family or nursing staff can quickly become frustrating, it can also cause seniors to feel like a burden on others, thus creating the desire to isolate themselves. For this, and many other reasons, it is very important that senior citizens avoid isolation.

There other dangers associated with senior citizens being alone are very serious and include:

• Risk of injury. A senior citizen may suffer an injury during their time alone. This can be as minor as a cut or bruise, or as serious as a trip and fall accident. If the injury is severe, they may not be able to access a telephone to call for help.
• Risk of   depression  . Senior citizens are at risk of suffering from depression, especially if they isolate themselves. Depression can lead to suicidal thoughts, which will require the help of severe medical attention.

How can you help prevent or resolve the issue of senior isolation?

Provide transportation. Senior citizens need a method of transportation to get to the store, to visit a friend, or to simply go for a walk outside. Whether that means picking them up and taking them out or investing in a mobility scooter, provide a way for your senior citizen to get around. There are a number of options when it comes to walking assistance devices, all you have to do is find one that is right for their individual situation.

Visit often. Visits from family mean everything, especially to a senior citizen that lives in some kind of care facility. Even if they are short, 20-minute weeknight pop-ins, a visit is a visit. Spending quality time together allows your senior citizen to feel loved, appreciated, and wanted, and will help keep them busy instead of sitting quietly alone. If you begin to notice that they are isolating themselves more, try to stop by more frequently. If their isolation persists, you may want to have them medically examined, just in case they have slipped into a depression.

Encourage visits to worship. For many seniors, religion has been an integral part of their upbringing. Many people return to their religion in old age because they have more time for it. Senior citizens slipping into a state of isolation should be encouraged to revisit their religion, and extend their practice once again. The sense of purpose that comes with worship can rejuvenate a senior and bring them out of their quiet isolation.

Boost self-confidence. Fostering friendships is one way to do this. Encourage your loved one to participate in the activities that their facility offers. Having a friend their age to confide in and share with will certainly boost their self-worth. Another simple way to boost self-confidence this is to encourage a senior to participate in daily physical activity. The endorphin rush, along with a more toned physique, can really amp up their confidence levels.

Make their home a special place. This is perhaps one of the best ways to pull a senior citizen out of their anti-social slump. Many senior citizens live in assisted care facilities or nursing homes that can feel dreary at times. Help to turn the space into a place of their own with pictures, indoor plants, and other memorabilia. This might spark them to invite friends from their facility into their space, encouraging conversation and helping to foster relationships.

Original Link: http://www.insideeldercare.com/health/helping-seniors-avoid-isolation/ 

10 Tips for Caring for Aging Parents

Family caregivers have options to reduce and manage these personal sacrifices.

By Philip Moeller | Staff Writer July 18, 2011, at 11:22 a.m.

Caring for an aging parent may be the highest calling of your life. But it also can rob you of time, money, and your own experiences. In some cases, these personal sacrifices can create bitterness and regret, causing ill will toward the very people you love and have pledged to help.

MetLife's aging and retirement research unit, the Mature Market Institute (MMI), measured the financial costs and sacrifices of family caregiving in a study released last month. More recently, it used those findings to create recommendations for how family members might cope with the financial stresses of caregiving.

The number of people taking care of an aging parent has soared in the past 15 years. MetLife estimates that nearly 10 million adult children over age 50 now care for an aging parent. In 1994, only 3 percent of men and 9 percent of women helped provide basic care for a parent. In 2008, 17 percent of men and 28 percent of women provided such care, which is defined as helping with dressing, feeding, bathing, and other personal care needs. This level of help goes well beyond grocery shopping, driving parents to appointments, and helping them with financial matters. And it's more stressful as well.

In taking the time to provide family care, MetLife said, working Americans lose an estimated $3 trillion in lifetime wages, with average losses of $324,044 for women and $283,716 for men. With these costs and other money issues in mind, MMI researchers put together 10 tips about the financial consequences of caregiving.

1. Think very carefully before quitting a job to help a parent. Gaining time may be offset by not only your loss of current income but also damage to your retirement savings. If you leave work, what are the odds of finding work in the future? Would your job skills still be attractive to prospective employers if you didn't work for several years?

2. Would you lose other helpful benefits if you left your job? In addition to your own health insurance, are there employee disability, life insurance, and long-term care insurance policies that would be very costly to replace? Check out your employer's flex-time and family leave policies. Perhaps they would allow you to keep your job.

3. Make a caregiving budget. Before making a lifestyle decision with financial consequences, put together a comprehensive look at what you are spending on caregiving. Make a companion list of your parent's resources and how they might be better used to support caregiving activities.

4. Explore free or low-cost public benefits. Several websites can provide help in identifying and getting help with caregiving tasks. Check out the government's eldercare locator. The National Council on Aging operates a benefits checklist service, and the National Association of Area Agencies on Aging has extensive information on caregiving help, plus an online locator to a local office in your area.

5. Learn about Medicare and Medicaid. Think Medicare covers nursing-home stays? It does not? Medicaid does, but only people who have exhausted most of their assets qualify for Medicaid-paid nursing home benefits. What kind of Medicare coverage does your parent have? Do they also have a Medigap or Medicare Advantage policy? A drug plan? What are the co-pays, out-of-pocket limits, and other financial aspects of their insurance? Check out MetLife's own primer on Medicare and Medicaid.

6. Understand the costs of keeping your parent in their home. Most people want to grow older in their own home, surrounded by possessions and memories. How much will such "aging in place" cost, and can you find help? MetLife has an Aging in Place Workbook. For a detailed look at in-home and institutional care costs, look at the 2011 Genworth Cost of Care study.

7. Consider professional help. If your parent's needs are extensive and challenging, consider hiring a geriatric-care manager who can put together a care plan for you, and can often identify community resources to reduce your own expenses and time. The National Association of Professional Geriatric Care Managers can explain professional standards and services, and also has a locator to help you find a professional nearby.

8. Watch out for financial scams. Financial abuse of the elderly has, sadly, become a growth industry during the nation's tough economic times. Make sure your parents are protected from making hasty, poor, and expensive financial decisions.

9. Have "the conversation." Make sure you understand what your parent want should you wind up with the legal power and responsibility to make decisions for them. This conversation may be uncomfortable for both of you, but it is essential. If you don't know the ins and outs of a power of attorney, a living will, or a healthcare proxy—and few people do—find an eldercare expert or attorney to help.

10. Make your own retirement plan. How are you fixed for retirement? Will you be able to support yourself? How might your financial future be affected by taking care of a parent? Are there steps you need to take to deal with these implications?

Original Link: http://money.usnews.com/money/blogs/the-best-life/2011/07/18/10-tips-for-caring-for-aging-parents

Alzheimer’s Care - Taking it to the next level.

-The Alzheimer’s Association promotes the Habilitation Method of care for their Alzheimer’s clients. The goal of Habilitation Therapy is to promote a positive response in the person with dementia.

-It’s an approach that maximizes their strengths and abilities and minimizes their limitations. It helps the care giver connect with the client on an emotional level.

-While other parts of the brain are being ravaged by the disease the emotional center of the brain remains intact. Alzheimer’s clients react and understand from an emotional level. When they are cared for from this perspective difficult behaviors are held in check and most important the persons quality of life improves and is maintained as long as possible.

-Anyone who has ever cared for a parent or spouse with Alzheimer’s knows the struggle and pain of watching helplessly as this horrendous disease slowly takes away the person bit by bit. Pathologically the brain is being reduced in size, weight and substance.

-Somehow their ability to feel and express emotions is left alone. It is through this emotional connection the Habilitation Method can make a difference and help us care for the person; improving their quality of life and those responsible for the persons care.

-Habilitation Therapy is not rehabilitation, it focuses on strengths and abilities and does not focus on their limitations or try to teach them what they’ve lost. It has 5 areas of concentration called domains: communication, the physical environment, approach to personal care, purposeful engagement and behavior as communication.

-Recently I had the opportunity to train 10 care givers in this approach to care. They’re now as excited as I am in being able to improve the care and  quality of life of our Alzheimer’s clients. While it improves the quality of life of our clients it also assists the family members and loved ones struggling with how to best care for their loved one.

-The scourge of Alzheimer’s effects a multitude of people; the patient, the spouse, children, friends. The frustration and pain of watching as the person you love deeply is slowly, bit by bit taken from you, the patient initially able to fake it and then slowly receding into their own world of silence and confusion. It has been my goal to try and find a better way, a way to help us relate to our loved one. This Habilitation Therapy offers us a method of care to reach through the haze and confusion and still making a connection.