Women and Alzheimer's Disease: The Caregiver's Crisis | workingmother.com

This is how Alzheimer's Disease is impacting today's working mothers.

Women and Alzheimer's Disease: The Caregiver's Crisis | workingmother.com

May is Arthritis Awareness Month

by Anne Pagnoni

According to the CDC, over 50 million Americans are living with the pain and discomfort of arthritis.  Of these, 21 million are experiencing physical limitations due to the disease.  While arthritis is a word that most of us have heard, did you know that arthritis is actually a general term used to describe joint inflammation and that the term arthritis is used to describe over 100 different conditions impacting the joints?   While osteoarthritis is the most common type of arthritis, rheumatoid arthritis, fibromyalgia, lupus, and gout are other frequently occurring forms of arthritis.  Arthritis is seen more commonly in adults over age 65, but it can impact anyone including children. 

Arthritis is seen as a public health problem as it impacts such a large number of people.  As our population continues to age, the number of people living with arthritis is going to increase.  It is predicted that the number of adults living with arthritis will increase to 67 million by the year 2030 with at least one third being impacted with limited activity as a result. 

There are a variety of factors that have been shown to increase a person's risk for arthritis.  The risk of developing arthritis increases with age. Women are at a greater chance of developing arthritis than men.  Almost 60% of all people with arthritis are women.  Certain genes can increase a person's chance of developing certain types of arthritis including rheumatoid arthritis and systemic lupus.  Excess weight can lead to someone developing osteoarthritis of the knees.  If someone has a job that involves them repeatedly bending and squatting, then they are at an increased risk of developing arthritis. 

There are things that you can do to protect your joints and help prevent osteoarthritis in particular.  Maintain your ideal body weight.  The more you weigh the more stress you're putting on your knees, back, hip, and feet joints.  Exercise regularly.  Exercise protects joints by strengthening the muscles around them.  Strong muscles keep joints from rubbing on each other.  When lifting or carrying items, use your largest and strongest joints and muscles.  This helps alleviate stress and prevent injury to smaller joints. Listen to your body.  If you're in pain, then you probably overstressed your joints. 

If you or someone you know has been diagnosed with arthritis, there are things that you can do to continue to live a relatively pain-free life.  While there are medications that can help alleviate joint pain and swelling, there are many things that can be done that don't involve medications.  Physical and occupational therapy, splints or assistive devices, and weight loss can all help control pain and maintain function.  For more suggestions on how to "do it easier" with arthritis, please visit Arthritis Today. 

For more detailed information about arthritis, please visit the Arthritis Foundation and Centers for Disease Control and Prevention. 

Take It. Share It.

In 2011, the American Diabetes Association encouraged Americans to “Join the Million Challenge” and more than 600,000 people took the Diabetes Risk Test. On March, 27, 2012, the Association will aim to top that number, inspiring people to take the all-new Diabetes Risk Test, as well as to share the test with everyone they care about - friends, family members and colleagues. With each person that takes the test and knows their risk, the Association is that much closer to stopping diabetes.

American Diabetes Association Alert Day®, which is held every fourth Tuesday in March, is a one-day, “wake-up call” asking the American public to take the Diabetes Risk Test to find out if they are at risk for developing type 2 diabetes.

The new Diabetes Risk Test asks users to answer simple questions about weight, age, family history and other potential risks for prediabetes or type 2 diabetes.  Preventative tips are provided for everyone who takes the test, including encouraging those at high risk to talk with their health care provider.

Diabetes by the Numbers

Diabetes is a serious disease that strikes nearly 26 million children and adults in the United States, and a quarter of them—7 million—do not even know they have it. An additional 79 million, or one in three American adults, have prediabetes, which puts them at high risk for developing type 2 diabetes. Recent estimates project that as many as one in three American adults will have diabetes in 2050 unless we take the steps to Stop Diabetes®.
 

Are You at Risk?

Everyone should be aware of the risk factors for type 2 diabetes.  People who are overweight, under active (living a sedentary lifestyle) and over the age of 45 should consider themselves at risk for the disease.  African Americans, Hispanics/Latinos, Native Americans, Asian Americans, Pacific Islanders and people who have a family history of the disease also are at an increased risk for type 2 diabetes.

Unfortunately, diagnosis often comes 7 to 10 years after the onset of the disease, after disabling and even deadly complications have had time to develop.  Therefore, early diagnosis is critical to successful treatment and delaying or preventing some of its complications such as heart disease, blindness, kidney disease, stroke, amputation and death. 

The American Diabetes Association has made a strong commitment to primary prevention of type 2 diabetes by increasing awareness of prediabetes and actively engaging individuals in preventative behaviors like weight loss, physical activity and healthful eating.  Alert Day is a singular moment in time in which we can raise awareness and prompt action among the general public – particularly those at risk.

Take Charge of Your Health

Studies have shown that type 2 diabetes can often be prevented or delayed by losing just 7% of body weight (such as 15 pounds if you weigh 200) through regular physical activity (30 minutes a day, five days a week) and healthy eating.  By understanding your risk, you can take the necessary steps to help prevent the onset of type 2 diabetes.
 

You can be part of the movement to Stop Diabetes® and get your free Diabetes Risk Test (English or Spanish) by visiting the Association on Facebook, stopdiabetes.com or by calling 1-800-DIABETES (1-800-342-2383). Although Alert Day is a one-day event, the Diabetes Risk Test is available year-round.

About the American Diabetes Association

The American Diabetes Association is leading the fight to Stop Diabetes and its deadly consequences and fighting for those affected by diabetes. The Association funds research to prevent, cure and manage diabetes; delivers services to hundreds of communities; provides objective and credible information; and gives voice to those denied their rights because of diabetes. Founded in 1940, our mission is to prevent and cure diabetes and to improve the lives of all people affected by diabetes. For more information please call the American Diabetes Association at 1-800-DIABETES (1-800-342-2383) or visit www.diabetes.org. Information from both these sources is available in English and Spanish.

Get Your Plate in Shape!

by Anne Pagnoni


During March we observe National Nutrition Month^®.  For 2012 the Academy of Nutrition and Dietetics encourages everyone to think about what goes on his or her plate or in his bowl through this year's theme: "Get Your Plate in Shape."

It’s important to focus our thoughts on foods like fruits, vegetables, low-fat dairy products, lean proteins, and whole grains as they contain necessary nutrients without too many extra calories.  Make sure that you eat foods from all of the food groups during the day. 

The food and nutrition experts at the Academy of Nutrition and Dietetics make the following recommendations on how to “Get Your Plate in Shape”: 

·         Make half of your plate fruits and vegetables: Eat a variety of vegetables, especially dark-green, red and orange varieties. Add fresh, dried, frozen or canned fruits to meals and snacks.

·         Make at least half your grains whole: Choose 100 percent whole-grain breads, cereals, crackers, pasta and brown rice. Check the ingredients list on food packages to find whole-grain foods.

·         Switch to fat-free or low-fat milk: Fat-free and low-fat milk have the same amount of calcium and other essential nutrients as whole milk, but less fat and calories. For those who are lactose intolerant, try lactose-free milk or a calcium-fortified soy beverage.

·         Vary your protein choices: Eat a variety of foods from the protein food group each week, such as seafood, nuts and beans, as well as lean meat, poultry and eggs. Keep meat and poultry portions small and lean. And be sure to choose seafood as the protein at least twice a week.

·         Cut back on sodium and empty calories from solid fats and added sugars: Compare sodium in foods and choose those with lower numbers, and season your foods with herbs and spices instead of salt. Switch from solid fats to healthy oils like olive and canola oil. Replace sugary drinks with water and choose fruit for dessert.

·         Enjoy your foods but eat less: Avoid oversized portions. Use a smaller plate, bowl and glass. Cook more often at home where you are in control of what’s in your food. When eating out, choose lower calorie menu options.

·         Be physically active your way: Adults need at least 2 hours and 30 minutes of physical activity every week. Choose activities that you enjoy, and start by doing as much as you can. 

For more information on how you can “Get Your Plate in Shape”, please visit the Academy of Nutrition and Dietetics’ National Nutrition Month.  

African Americans and Alzheimer's Disease

Currently, as many as 5.4 million Americans have Alzheimer’s disease. This devastating, deteriorating and debilitating disease is the ultimate thief — a thief of memories, thief of independence, thief of control, and ultimately, a thief of life.

Many Americans dismiss the warning signs of Alzheimer’s, believing that these symptoms are a part of normal aging. They are diagnosed too late and miss the opportunity to get the best care possible. This issue is of even greater concern for African-Americans, who are about two times more likely to have Alzheimer’s and other dementias than whites.

African-Americans have a higher rate of vascular disease (diseases involving blood vessels, including heart attack and stroke) – one of the suspected risk factors of Alzheimer’s disease. Often caused in part by poor nutritional habits and low physical activity levels, vascular disease may trigger cognitive decline.

To help reduce these risk factors and reverse the growing trend of Alzheimer’s disease among African-Americans, visit alz.org/africanamerican. This Web portal from the Alzheimer’s Association offers tips on brain and heart health, summarizes the 10 warning signs of Alzheimer’s and suggests methods of stress relief for the African-American caregiver.

Heart Health 101

We are proud to invite you to participate in an exciting webinar next Friday, February 17, 2012 in honor of Heart Month. Heart Health 101 will provide practical information and tips you can apply to your day-to-day life, whether you are managing an existing cardiac condition or you are healthy and keen to maintain your heart health.

Heart Health 101 is presented by Home Care Assistance and will feature renowned Cleveland Clinic heart experts Dr. Steve Nissen, chair of the Cardiac Department, and Dr. Marc Gillinov, a recognized Cardiovascular Surgeon. Drs. Nissen and Gillinov, in addition to being accomplished physicians, are the authors of Heart 411-The Only Guide to Heart Health You'll Ever Need, released last Tuesday to coincide with American Heart Month.

This free webinar will be held on February 17, 2012 at 2:00 PM (EST). We recommend this webinar for anyone who is interested in health and wellness topics, especially those who have a history of heart disease. Space is limited to the first 1000 registrants, so make sure to reserve your seat as soon as possible at www.homecareassistance.com/heartmonth.

Heart 411 has been described as the definitive guide to heart health from two of America's most respected doctors at the Cleveland Clinic, the leading hospital for heart health in America. Their book is a valuable resource for anyone interested in heart health that provides answers to common questions such as "Can a high stress job really lead to a heart attack?" and "What are the most important medical tests to run to check on heart health?" in an accessible way and provides useful health tips from which everyone can benefit.

"Good information is the key to good heart health," said Dr. Gillinov, Cardiac Surgeon at Cleveland Clinic. "Myths and misinformation abound. Our mission is to arm people with real, evidence-based medical information that will empower them to ensure their heart health."

In addition to the webinar, Home Care Assistance is also celebrating Heart Month by providing free copies of our Patient Guide to Cardiac Rehabilitation, Patient Guide to Post-Stroke Recovery and the latest book in our series, From Hospital to Home Care: A Step by Step Guide to Provide Care to Patients Post Hospitalization. For your free copies or for questions regarding the webinar or any other topic, please call us at one of our local offices.

Stay tuned for more exciting news from Home Care Assistance as we announce future webinars and other educational initiatives. If you'd like to join our mailing list for weekly updates related to health and wellness, sign up on our website at http://www.homecareassistance.com/ (enter your e-mail address in the upper right hand corner sign-up section). Thank you!

Online Dementia and Driving Resource Center Helps Families Tackle a Difficult Topic

Due to the progressive nature of Alzheimer’s, every person with the disease will eventually become unable to drive. Some people are able to continue driving in the early stages of Alzheimer’s disease, but it requires ongoing evaluation to ensure safety.

As hard as it is for people living with Alzheimer’s to give up driving, addressing the topic is often just as hard on caregivers. In response to this delicate topic and lack of resources to address it, the Alzheimer’s Association, with support from the National Highway Traffic Safety Administration, created a new Dementia and Driving Resource Center (DDRC) located online at alz.org/driving.

The DDRC was designed to inform and support the needs of both caregivers and people living with dementia in a compassionate manner. The site features four short videos depicting different scenarios for approaching driving and dementia. In addition, the DDRC has tips and strategies for planning ahead and handling resistance, common signs of unsafe driving, resources for alternative methods of transportation and additional information on driving and safety.

The Alzheimer’s Association recommends that families discuss driving, ideally while the person with Alzheimer’s is still able to participate in the conversation and decision-making process. The following are signs that it may be time for the person with dementia to stop driving:

• Forgetting how to locate familiar places 
• Failing to observe traffic signs 
• Making slow or poor decisions in traffic 
• Driving at an inappropriate speed 
• Becoming angry or confused while driving 
• Hitting curbs 
• Using poor lane control 
• Making errors at intersections 
• Confusing the brake and gas pedals 
• Returning from a routine drive later than usual 
• Forgetting the destination you are driving to during the trip  

If you are concerned that your loved one with Alzheimer's Disease or another related dementia may no longer be able to drive safely, then please visit the Alzheimer's Association's Dementia and Driving Resource Center. 

Happy Veterans Day!

As we observe Veterans Day on Friday, November 11, 2011, let’s take a minute to understand why this day is observed and who it is we are honoring.

A gentleman by the name of Raymond Weeks organized a parade in the city of Birmingham, Alabama to honor all American Veterans for their service. The parade was held on November 11, 1947. Later on, US Representative Edward H. Rees of Kansas proposed legislation that would change the name of Armistice Day to Veterans Day to honor all who have served in the United States Armed Forces.

In 1954, President Dwight D. Eisenhower signed a bill proclaiming that November 11th would be Veterans Day. He asked all Americans to rededicate themselves to the cause of peace. Issuing a presidential order, Eisenhower directed the Department of Veterans Affairs to form a Veterans Day National Committee to organize and oversee the national observance of Veterans Day.

In 1968, Congress moved Veterans Day to the fourth Monday in October. However, November 11th was historically significant to many Americans. Therefore, in 1978, Congress formally returned the observance to November 11th.

Every year on November 11th at 11am in Arlington National Cemetery, a color guard, which is comprised of a member from each branch of the military, renders honors to American’s who died in service during a tradition-rich ceremony at the Tomb of the Unknowns. Either the President or his representative places a wreath at the Tomb and a bugler plays “Taps”. The remainder of the ceremony takes place inside the Memorial Amphitheatre which is adjacent to the Tomb. Included in the ceremony is a parade of flags by members of various Veterans service organizations.

Some people ask what’s the difference between Memorial Day and Veterans Day? Memorial Day was set aside to honor those veterans who died in battle or as a result of battle-sustained injuries. Veterans Day is intended to thank and honor all who have served in the military, not only those who have died. Veterans Day aims to show appreciation to all veterans who have sacrificed and done their duty to their country.

Happy Veterans Day! Thank you, Veterans, for all that you have done for us!

Don't Ignore Signs of Caregiver Stress

Caring for a person with Alzheimer's disease can cause depression, anger and irritability, in addition to taking a physical toll that results in exhaustion and sleeplessness. These are real issues caregivers shouldn't ignore.

November is National Alzheimer's Disease Awareness Month and National Family Caregivers Month. The Alzheimer's Association offers a number of resources to help caregivers manage stress:

• The Alzheimer's Association Caregiver Notebook offers tips for care and planning for the future, as well as a list of resources to use when additional information is needed. To learn more or purchase the Caregiver Notebook, visit www.alz.org/caregivernotebook.
• Caregiver Stress Check, an interactive quiz that helps caregivers to identify symptoms of stress and provides a tailored list of helpful referrals and other support. Take the quiz at www.alz.org/stresscheck.
• Alzheimer's Association CareSource™, an easy-to-use, one-stop online portal for everything you need to widen your care options and plan for care for a person with Alzheimer's. Find out how CareSource can help at www.alz.org/caresource.

Learn more about Alzheimer's disease and caregiver stress by visiting http://www.alz.org/.

 

October is Breast Cancer Awareness Month

Every October, people from across the United States and around the world come together to raise awareness about Breast Cancer. From the Breast Cancer walks to the NFL sporting the color pink, breast cancer awareness is on the rise, which should not come as a suprise. Breast cancer is the second most common cancer in women. According to the Susan G. Komen Breast Cancer Foundation, a woman dies from breast cancer every 69 seconds. But all is not doom and gloom. Between the years of 1999 and 2006, breast cancer rates decreased by 2% per year. Mortality rates between 1998 and 2006 decreased by 1.9% per year. It is thought that part of the decrease in prevalence can be attributed to the reduced number of women receiving hormone replacement therapy. Mortality rates are declining as a result of earlier detection and advances in treatment options.

While breast cancer is most prevalent in women, men are at risk for it also. According to the Centers for Disease Control for every 100 women diagnosed with the disease, one man will also be diagnosed. While a family history of breast cancer does increase one's risk of getting the disease , the majority of diagnosed women have no family history.

The best defense is a good offense. Therefore, it is important to start getting a mammogram yearly or every other year beginning with your 40th birthday. Monthly self-breast examinations are important as are yearly breast exams by your physician.

Raising Alzheimer’s Awareness Worldwide

Alzheimer’s disease affects more than 35 million individuals worldwide and costs the global economy more than $600 billion. Alzheimer’s is an international health epidemic that impacts people from all racial and ethnic backgrounds.

September is World Alzheimer’s Month and an opportunity to raise awareness of this devastating disease on a global level. If you know an individual who is in need of information on Alzheimer’s, you can direct them to the following resources in multiple languages from the Alzheimer’s Association:

• Brain Tour – A virtual tour of the brain that helps to explain how the brain works and how Alzheimer’s disease affects it. It is currently available in 14 languages including German, Polish, French and Spanish at alz.org.

• Know the 10 Signs – An easy-to-read list describing the warning signs of Alzheimer’s disease. Available at alz.org in Spanish, Korean, Vietnamese and Chinese.

• 24/7 Helpline – A round-the-clock information and support helpline provided by education specialists and masters level counselors. Services include bilingual Spanish-speaking consultants and interpretation for more than 170 languages. Call 1.800.272.3900.

• Online portals – Fully translated microsites with an overview of Alzheimer's disease, signs and symptoms, caregiving tips and more. These sites are currently available in Chinese, Korean, Spanish and Japanese and can be accessed by visiting alz.org.

For those seeking information on Alzheimer’s in other languages, a local chapter of the Alzheimer’s Association may also be a good resource. To find the chapter nearest you, visit alz.org.

Maintaining Mental Health as We Age

by Anne Pagnoni

Oh, to be young again!  How many times have you heard yourself or someone else say this?  As Home Care Assistance of New Jersey celebrates Health Aging Month, it's important to keep in mind that healthy aging encompasses more than just physical health.  Mental health plays a big part in how well we age. 

Many people are of the impression that memory loss is a product of normal aging.  This is not true!  However, as the saying goes, use it or lose it.  Therefore, in order to maintain your mental and cognitive health, you have to make sure you're exercising your cognitive abilities.  Here are some great brain exercises that you can do on a daily basis:

• Play games that involve strategies, such as chess or bridge
• Read newspapers, books, magazines and anything else that you find challenging 
• Try to learn new things such as games, driving routes, musical instruments, a foreign language, or a topic of interest
• Do crossword and other word puzzles
• Spend time regularly with others either by phone or in person
• Volunteer your time at an organization that you believe in

While many people live in fear of losing their memory, the greatest enemy of mental health is depression.  According to the National Institute of Mental Health, older adults are disproportionately likely to die as a result of suicide.  Depression is one of the conditions most commonly associated with suicide.  The risk of depression increases when someone begins to lose his or her physical function and when other illnesses are present.  While feelings of sadness, grief, and blue mood are normal, persistent depression that interferes with someone's ability to function is not.

If you're depressed, you very well may want to lock the door to your home and not allow anyone in or venture out.  You may allow yourself to sleep or watch television all day.  These things will only make the depression worse.  Instead, you need to make yourself more active and more socially involved.  Research suggests that physical activity may be just as effective as antidepressants in treating depression.  You don't need to hit the gym for two hours per day to reap the benefits of exercise.  Instead, park a little farther from the store, do some light housework, or take a short walk.  If you're physically disabled or frail, you can always participate in chair exercises to help boost your spirits and your muscle tone.  Make sure you're enjoying the company of others.  You need support to get through a depressive episode.  Limit the time you spend alone.  Keep in touch over the phone or email if you're unable to get out of the house regularly. Participate in activities that you enjoy.  Get a pet to keep you company.  Laugh!  If you don't feel like you have anything to laugh about, then watch a comedy or read a funny book. 

If you have made some lifestyle changes but are still experiencing depression, then seek help.  Talk to your family physician about how you're feeling.  Therapy, support groups, and medications are all effective treatments for depression.  Don't go it alone. 

The key to maintaining mental health as we age is to continue to find meaning in our lives.  While we may no longer be working and our children may live further away, we can find other things that will give us a sense of purpose in our lives.  Keep moving forward instead of focusing on the past. 

As Mark Twain said, "Age is an issue of mind over matter. If you don't mind, it doesn't matter."  Make sure you're giving your mental health as much attention as your physical health!

Keeping Yourself Safe at Home

by Anne Pagnoni

Home is where the heart is. Most people want to stay in their homes for the duration of their lives. While it's inevitable that we'll experience physical changes as we age, there are some things that we can do to make sure that we're able to remain safely in the family home.

The biggest thing which forces an older adult from his or her home is a fall. According to the Centers for Disease Control, one out of three adults over age 65 falls each year and is the leading cause of injury death. Falls are also the most common cause of nonfatal injuries and hospital admissions due to trauma. Keep in mind that a fall can cause a hip fracture, pelvis fracture, or head injury all of which carry their own complications. All is not lost, however, as many falls do not "just happen" but can many times be avoided.

One of the most important things to do to ensure safety in the home is to make sure that your house is well-lit. If you have areas in your home that are dim, then consider adding additional lighting fixtures or table lamps. Have working light switches at the top and bottom of all stairs.

Stairs can be particularly hazardous. Make sure that all stairs are in good repair and clutter free. You should have handrails on both sides of the stairs. If you have wooden or concrete steps, then you may consider painting a strip of contrasting color on the edge of each step to guard against a misstep. Avoid carrying large items up or down the stairs. If you absolutely must carry something, then make sure you carry the item in one hand and hold onto the hand rail with the other. Never let the item that you're carrying block your view of the steps.

Throw rugs, pets, electric cords, coffee tables, and cluttered high-traffic areas all pose a tripping risk. All throw rugs should either be removed or tacked down. Pets have a tendency to get under foot. Make sure you always know where your pet is as you are walking around your home. Electric cords and telephone cords should all be taped down if they are crossing the floor in a traffic area. Coffee tables tend to be knee level as opposed to eye level. Make sure your coffee table is in an area that you don't frequently walk. Keep all walkways clutter free.

Avoid using waxy cleaners on hardwood, tile, or vinyl flooring as wax makes floors slippery. If you must use wax, then choose a non-skid formula. Do not walk on wet floors as they are slippery. Allow ample time to make sure that floors are dry before walking on them. During the winter months, make sure that you have salt or sand by any exterior doors that are used. Icy surfaces are slippery, too!

The bathroom is another room in the house that is full of fall hazards. To avoid falls in the shower, make sure that you have a non-skid surface in the tub/shower. If you have a bath rug or bath mat outside of the shower, make sure that it is secured to keep it from slipping when you step on it. Grab bars should be present and anchored securely to the inside of the tub or shower. If it is difficult for you to shower standing up, then consider purchasing a bath seat and a hand-held shower head. Both will allow you to continue tending to your personal care while reducing your risk of falling while showering. If you have difficulty getting on or off of the toilet, make sure that you have a toilet with a raised toilet seat and securely anchored grab bars near the toilet.

While a fall might not be the biggest concern to someone who is preparing a meal in the kitchen, there are a variety of other accidents waiting to happen. Keep your canned goods, other staple items, and pots and pans in an easy to reach location. Heavier items should be stored in lower cabinets while lighter items can be stored in higher cabinets. Make sure you have a stable step stool handy so that you can safely reach items that are outside of your reach. Keep a working fire extinguisher readily accessible to the kitchen. Avoid wearing loose fitting clothing while cooking on the stove top as they may catch fire.

For added security, have a telephone in all bedrooms, the living room, and kitchen. Make sure you have a list of emergency numbers next to each phone. If you have chronic health conditions or take medications that have a tendency to make you dizzy, then you may benefit from wearing an emergency call pendant. Should you happen to have a fall or another mishap in a part of the house where you aren't able to get to a phone, an emergency call pendant just may save your life. By pressing a button on a pendant that you wear either around your neck or on your wrist, you have access to an emergency response team 24 hours per day, 7 days per week.

By exercising caution and making some minor home improvements and changes to the way you do things, you will greatly reduce your risk of injury in the home.

Social Support Activities Lead to Better Quality of Life As One Ages

by Anne Pagnomi

How important is social support as a person ages? This may seem like an easy question to answer. Most people would not choose isolation and loneliness versus spending time with companions. However, can lack of social support really hinder a person’s overall quality of life?

Lack of social support is related to negative impacts on health and well being, especially for older people. Having a variety of positive social supports can contribute to psychological and physical wellness of elderly individuals. Support from others can be important in reducing stress, increasing physical health and defeating psychological problems such as depression and anxiety.

When considering who provides social support for an elderly individual our first thoughts are of family members. While it is true that most support does come from family members, there are many circumstances in which family members cannot be supportive (stress due to responsibilities, illness, death, financial problems, job relocation). In the United States the fastest growing age group of individuals are those 85 years and older. Due to this fact, family supports will inevitable decrease for these older individuals. A need for community-based services is more important now then ever before.

Community-based services can be extremely useful for elderly individuals. Services for older persons can encompass many areas, but one of the most important areas as discussed previously is social support. Support for elderly persons can be found in many places including: senior centers, assisted living facilities, meal delivery, religious affiliations, adult day care centers, etc. These services can provide positive social supports that can help older persons defeat loneliness and isolation. However, social support must encompass more then physical presence or conversation. Studies have shown that social support services should contain quality activities. These activities should promote positive self-awareness.

Self-awareness is key to a person’s overall quality of life and satisfaction. Many leisure social activities can be used to help increase an individual’s self-awareness. Activities for elderly individuals may include reminiscence groups, journal writing, readings of favorite book passages, group exercise, singing groups, etc. Individuals may also feel more self-satisfied if they are part of the planning of social activities that take place.

Two of these community-based service centers that provide quality social support services for elderly individuals are discussed below.

Senior Citizen Centers
Today, there are estimated to be about 15,000 senior centers across the United States. Senior centers act as a focal point for older Americans to receive many aging services. The most common services offered at a senior center include health programs (including Zumba and Yoga), arts/humanities activities, intergenerational programs, employment assistance, community action opportunities, transportation services, volunteer opportunities, education opportunities, financial assistance, senior rights counseling/legal services, travel programs and meal programs. These programs and activities can help promote positive self-awareness.

Lori Beckle describes how participating in her local senior citizens center has given her the independence and life satisfaction she thought was lost when her husband died in 2009. “ I was devastated and so frightened for my future without Ed. He was my only friend and the one I turned to when I felt alone. My daughter invited me to attend our local senior center where a bereavement group was being held for those who had lost a loved one. I met Phyllis during the group and now I have a new friend I call when I become afraid. Phyllis has helped me develop the skills to get through the tough times and focus on my immediate happiness.”

Adult Day Care Centers
According to the National Adult Day Services Association (NADSA), there are currently more than 4,600 adult day care centers nationwide. Adult day care is a program in which activities are provided to promote social support and health services to an older adult during the daytime. Most centers operate Monday through Friday during daytime hours. Social support services at an adult day care can consist of musical entertainment and singing groups, group games such as cards, gentle exercise, discussion groups (books, films, current events), holiday/birthday celebrations and local outings. Not only are these social activities provided, but participants of the program can also develop lasting relationships with staff and other participants. Adult day care centers also provide meals and health services. Adult day care centers differ from other programs for elderly individuals, because they allow the participants to develop and increase self-awareness by encouraging independence.

Amanda describes her experience as a volunteer at her local adult day care center. She stated, “ I was involved in planning the activities for Thursday afternoons. I wasn’t sure what kind of activities my older friends would enjoy so I had them share their favorite activities they participated in when they were my age (23). I soon realized that I was hearing the most fascinating stories of hopping trains, college dances, swimming in the lake, etc We decided Thursday afternoons would be spotlights of each individuals’ lives as a twenty-something. One of the participants told me that Thursdays became a highlight for her week.”

Adult Day Care Centers and Senior Citizen Centers help to provide an elderly individual the opportunity to participate in social support activities. Social support activities found in these programs can be beneficial to a person’s quality of life and overall satisfaction. With a higher self-awareness and quality of life an individual can reduce the risks of mental and physical health problems as they age.

Safer Travel for Those with Dementia

Summer is the time of year when many Americans plan summer and holiday travel. Whether you’re considering a weekend getaway or an extended stay, traveling with an individual who has Alzheimer’s requires additional thought and preparation.

People with Alzheimer’s and their caregivers need to be prepared for a change in schedule and environment. Even if it is a trip you have taken before, it may feel new for the person with the disease.

Additionally, as Alzheimer’s progresses, negotiating changes in environment will become increasingly challenging. Be prepared for the individual with the disease to experience some confusion or disorientation. Exercise caution, as wandering and getting lost are more likely during transitional times. The checklist below will help you plan for the trip and make it successful and safe.
Before going

• Call the Alzheimer’s Association chapter in the area you will be visiting. Let them know you will be staying in the area and ask about available resources. You can locate any chapter by calling 1.800.272.3900 or visiting www.alz.org/apps/findus.asp.

• Enroll the person in MedicAlert® + Alzheimer’s Association Safe Return®, a 24-hour nationwide emergency response service for individuals with Alzheimer’s or a related dementia who wander or have a medical emergency. You may also want to consider the Alzheimer’s Association Comfort Zone®, powered by Omnilink, a Web-based GPS location management service or Alzheimer’s Association Comfort Zone Check-InTM.

• If you are already enrolled in MedicAlert, update your records with temporary contact information (call 1.888.572.8566).

Upon arrival

• Let neighbors know a person with Alzheimer’s is staying next door and ask them to keep their eye out for wandering or other unsafe behavior.

• During the first few days after arrival, keep your schedule light with lots of down time.

• Create opportunities to re-acclimate the person to the new environment.

• Keep familiar things around.

• Limit access to money and credit cards.

• Limit access to driving.

• Be aware that the change can be chaotic for the person.

• Recognize the warning signs of anxiety and agitation.

For more tips on safety for people living with Alzheimer’s disease and related dementias, including concerns about wandering, disaster preparedness, home and medication safety, visit the Alzheimer’s Association Safety Center at www.alz.org/safetycenter or call 1.800.272.3900 to find the Alzheimer’s Association chapter closest to you.

The Dangers of Osteoporosis

by Anne Pagnoni

Osteoporosis, which is a disease in which the bones become weak and brittle, is a condition affecting almost 10 million Americans with another 34 million being at risk for the condition. Of these almost 20% are men. While osteoporosis may not sound like a devastating disease, consider the fact that bones can become so weak and brittle that even mild stressors such as bending over, sneezing, or coughing can cause a bone fracture.

When we're younger, breaking a bone isn't necessarily a serious condition. Think of the young child who falls and breaks an arm while bike riding. He often returns to school with a cast on his arm and a marker so that all of his friends can sign it. Breaking a bone when we're older, however, is a serious condition. Broken bones due to osteoporosis most likely occur in the spine or hip both of which directly support our weight. Hip fractures in older adults can lead to disability and even death due to postoperative complications.

Some people with osteoporosis find themselves with spinal fractures even though they haven't fallen or otherwise injured themselves. This is a result of the bones in the back becoming so brittle that they begin to compress on each other. Compression fractures tend to be very painful and require a long recovery.

There are a variety of risk factors for osteoporosis - some we can change and some we can't. Risk factors that we can change include maintaining an adequate amount of calcium in our diets; stopping smoking; getting regular exercise; avoiding excessive alcohol consumption; and, if possible, avoiding the long-term use of corticosteroid medications. Risk factors that can't be changed include being a woman; increasing age; being either white or of Asian descent; having a family history of osteoporosis; being of a small body frame; possessing too much of the thyroid hormone; or having certain medical conditions including celiac disease and Crohn's Disease.

Certain medications can be prescribed to help slow bone loss and maintain bone mass. Hormone therapy, particularly estrogen, can help maintain bone density if started shortly after menopause; however, this can increase the risk of developing a plethora of other ailments including blood clots, breast cancer, and even heart disease. Physical therapy is another option which can be helpful in improving bone strength.

If you find yourself diagnosed with Osteoporosis, there are a few things that you can do to work to maintain your independence. Maintain good posture as this can help alleviate stress on your spine. If you need to lift something, make sure that you bend at your knees and not your waist, and lift with your legs. Wear low-heeled shoes with nonslip soles. Make sure that you don't have any tripping or fall hazards at home including electrical cords, throw rugs, and slippery surfaces. Keep your home brightly lit and install grab bars both inside and outside of your shower door. If you are in chronic pain, then discuss this with your doctor. Chronic pain can begin to limit your mobility, which will result in even more pain.

When it comes to osteoporosis, prevention truly is the best medicine. Make sure that you're getting adequate amounts of calcium and vitamin D in your diet. If you aren't sure that you're getting enough, then talk to your doctor about supplements that you can take. Exercise regularly. While you don't have to be a body builder, make sure that you're incorporating strength training with weight bearing exercises.

Living with Arthritis

By Anne Pagnoni

According to the CDC, over 50 million Americans are living with the pain and discomfort of arthritis. Of these, 21 million are experiencing physical limitations due to the disease. While arthritis is a word that most of us have heard, did you know that arthritis is actually a general term used to describe joint inflammation and that the term arthritis is used to describe over 100 different conditions impacting the joints? While osteoarthritis is the most common type of arthritis, rheumatoid arthritis, fibromyalgia, lupus, and gout are other frequently occurring forms of arthritis. Arthritis is seen more commonly in adults over age 65, but it can impact anyone including children.

Arthritis is seen as a public health problem as it impacts such a large number of people. As our population continues to age, the number of people living with arthritis is going to increase. It is predicted that the number of adults living with arthritis will increase to 67 million by the year 2030 with at least one third being impacted with limited activity as a result.

There are a variety of factors that have been shown to increase a person’s risk for arthritis. The risk of developing arthritis increases with age. Women are at a greater chance of developing arthritis than men. Almost 60% of all people with arthritis are women. Certain genes can increase a person’s chance of developing certain types of arthritis including rheumatoid arthritis and systemic lupus. Excess weight can lead someone developing osteoarthritis of the knees. If someone has a job that involves them repeatedly bending and squatting, then they are at an increased risk of developing arthritis.

There are things that you can do to protect your joints and help prevent osteoarthritis in particular. Maintain your ideal body weight. The more you weigh the more stress you’re putting on your knee, back, hip, and feet joints. Exercise regularly. Exercise protects joints by strengthening the muscles around them. Strong muscles keep joints from rubbing on each other. When lifting or carrying items, use your largest and strongest joints and muscles. This helps alleviate stress and prevent injury to smaller joints. Listen to your body. If you’re in pain, then you probably overstressed your joints.

I f you or someone you know has been diagnosed with arthritis, there are things that you can do to continue to live a relatively pain-free life. While there are medications that can help alleviate joint pain and swelling, there are many things that can be done that don’t involve medications. Physical and occupational therapy, splints or assistive devices, and weight loss can all help control pain and maintain function. For more suggestions on how to “do it easier” with arthritis, please visit Arthritis Today.

For more detailed information about arthritis, please visit the Arthritis Foundation and Centers for Disease Control and Prevention.

MyCareCommunity Hosts a Free Webinar for New Jersey Caregivers

by Anne Pagnoni

According to the National Alliance for Caregiving, there are more than 65 million Americans spending an average of 20 hours per week providing care for a loved one. The value of these caregiving services is estimated to be $375 billion a year. This is almost double the amount spent on home care and nursing home services combined. As a service to these caregivers, MyCareCommunity of New Jersey is hosting an educational web conference entitled, "For Those in Transition…A Community Behind You". The program will address which community support services are available, should you or your loved one choose to remain at home. Also discussed in the program will be variety of senior healthcare and housing options that are available should you or your loved one choose to move from your home.

Kevin McClarren, president and care manager of Home Care Assistance in Warren Township, has partnered with MyCareCommunity both to promote the resources that it offers to caregivers and to pull together a local panel of experts, who will be present on the webinar. “This webinar is an excellent one-stop shop for caregivers to gain insight into the variety of care options that are available to their loved ones both in the home and in other care settings. Caregivers will have the ability to ask questions and interact directly with the panel, which includes experts in the field of home care, independent living, and assisted living.”

This live and interactive consumer-oriented event will be offered April 28, 2011, at 12:00 PM EST. The hour long program will explore options regarding utilizing the services of a Senior Real Estate Specialist; Assisted Living; Independent Living; Home Care; and Geriatric Care Management.

Preregistration for the event is required. Sign up today by visiting http://www.mycarecommunitynj.org/ and clicking on the registration link. Caregivers who are unable to attend the live webinar will be able to view a playback of the presentation provided that they are preregistered for the event.

About MyCareCommunity

MyCareCommunity is a free, online caregiver support program providing caregivers and their families the support and information they need to manage their many caregiving responsibilities. For more information, please visit http://www.mycarecommunitynj.org/.

Using Your Home Equity for Long Term Care

by Anne Pagnoni
For many seniors the equity in their home is their largest single asset, yet it is unavailable to use unless they use a home equity loan. But a conventional loan really doesn't free up the equity because the money has to be paid back with interest.

A reverse mortgage is a risk-free way of tapping into home equity without creating monthly payments and without requiring the money to be paid back during a person's lifetime. Instead of making payments the cash flow is reversed and the senior receives payments from the bank. Thus the title "reverse mortgage".

Many seniors are finding they can use a reverse mortgage to pay off an existing conventional mortgage, to create money to pay off debt, make home repairs, or for remodeling.

For those seniors who are in need of long term care and want to stay in their home, a reverse mortgage can create the money needed to pay for in-home personal and medical care. They can also pay for needed medical equipment and handicap adaptation to their home.

There are no income, asset or credit requirements. It is the easiest loan to qualify for.

A reverse mortgage is similar to a conventional mortgage. As an example:

•The bank does not own the home but owns a lien on the property just as with any other mortgage

•You continue to hold title to the property as with any other mortgage

•The bank has no recourse to demand payment from any family member if there is not enough equity to cover paying off the loan

•There is no penalty to pay off the mortgage early

•The proceeds from a reverse mortgage are tax-free and can be used for any legal purpose you wish

False Beliefs Regarding Reverse Mortgages

•"The lender could take my house." The homeowner retains full ownership. The Reverse Mortgage is just like any other mortgage; you own the title and the bank holds a lien. You can pay it off anytime you like.

•"I can be thrown out of my own home." Homeowners can stay in the home as long as they live, with no payment requirement.

•"I could end up owing more than my house is worth." The homeowner can never owe more than the value of the home at the time the loan is due.

•"My heirs will be against it." Experience demonstrates heirs are in favor of Reverse Mortgages.

Virtually anyone can qualify. You must be at least 62, own and live in, as a primary residence, a home [1-4 family residence, condominium, co-op, permanent mobile home, or manufactured home] in order to qualify for a reverse mortgage.

The amount of reverse mortgage benefit for which you may qualify, will depend on

•your age at the time you apply for the loan

•the reverse mortgage program you choose

•the value of your home

•current interest rates

•and for some products, where you live

As a general rule, the older you are and the greater your equity, the larger the reverse mortgage benefit will be (up to certain limits, in some cases). The reverse mortgage must pay off any outstanding liens against your property before you can withdraw additional funds.

The loan is not due and payable until the borrower or borrowers no longer occupy the home as a principal residence (i.e. the borrower sells, moves out permanently or passes away). At that time, the balance of borrowed funds is due and payable, all additional equity in the property belongs to the owners or their beneficiaries.

The most popular reverse mortgages are the so-called HECM loans. HECM loans require that the applicant meet with a government approved counseling agency to be sure the applicant understands the reverse mortgage process.

The Federal Trade Commission states:

“Before applying for a HECM, you must meet with a counselor from an independent government-approved housing counseling agency. Some lenders offering proprietary reverse mortgages also require counseling. The counselor is required to explain the loan’s costs and financial implications, and possible alternatives to a HECM, like government and nonprofit programs or a single-purpose or proprietary reverse mortgage. The counselor also should be able to help you compare the costs of different types of reverse mortgages and tell you how different payment options, fees, and other costs affect the total cost of the loan over time. Most counseling agencies charge around $125 for their services. The fee can be paid from the loan proceeds, but you cannot be turned away if you can’t afford the fee.”

A Reverse Mortgage Specialist in your area can answer your questions, calculate the amount of loan you can receive and advise the type of loan for your needs.

The National Care Planning Council (http://longtermcarelink.net/a7reversemortgage.htm) has a list of Reverse Mortgage Specialists in your area.

New Report Reveals Nearly 15 Million Alzheimer's Caregivers

According to the 2011 Alzheimer's Disease Facts and Figures released March 15 by the Alzheimer's Association, there are nearly 15 million Alzheimer's and dementia caregivers in the United States - 37 percent more than reported last year. In 2010, these individuals provided 17 billion hours of unpaid care valued at $202.6 billion.

The rising prevalence of Alzheimer's places increasingly intense demands - emotional, physical and financial -on the millions of family members and friends who care for those with Alzheimer's. "Alzheimer's disease doesn't just affect those with it. It invades families and the lives of everyone around them," said Harry Johns, president and CEO of the Alzheimer's Association.

As the Alzheimer's epidemic continues to escalate, more and more Americans will experience the strain of this disease. Today, an estimated 5.4 million individuals are living with Alzheimer's. It is the sixth-leading cause of death in the country and the only cause of death among the top 10 in the United States that cannot be prevented, cured or even slowed.

2011 Facts and Figures also includes a special report focusing on early detection and diagnosis. Increasing evidence suggests that early diagnosis of Alzheimer's and timely intervention is beneficial both for people with the disease and their caregivers. Experts believe that early detection of Alzheimer's disease and early interventions with improved therapies provide the greatest hope to delay or stop additional damage to the brain.

To help, learn the 10 Warning Signs of Alzheimer's Disease© and be aware of them in yourself and others. The signs are a key tool in increasing recognition of changes that indicate Alzheimer's or another dementia.

10 Warning Signs of Alzheimer's Disease

• Memory changes that disrupt daily life

• Challenges in planning or solving problems

• Difficulty completing familiar tasks

• Confusion with time or place

• Trouble understanding visual images and spatial relationships

• New problems with words in speaking or writing

• Misplacing things and losing the ability to retrace steps

• Decreased or poor judgment

• Withdrawal from work or social activities

• Changes in mood and personality

If you or someone you care about is experiencing any of the 10 warning signs, please see a doctor to find the cause. For more information about the signs, early detection and diagnosis or the Facts and Figures report, contact the Alzheimer's Association via the web or 1.800.272.3900.