The Pointe Blog

Behind the Scene: The Forgotten Ones Who Suffer From Alzheimer’s

Jeff Walls — Wed, 29 Oct 2014 16:37:00 GMT

When we think of Alzheimer’s disease we usually think of the individuals who have the illness. The individuals who lose their memories and lose who they are. It is a cruel and debilitating illness with no cure. Sometimes we forget about the others who suffer the effects of Alzheimer’s disease but don’t have the illness themselves…the family members of the person who has Alzheimer’s.

Some family members give up a lot to take care of their loved one at home. Sometimes it causes tension between marital partners when one spouse is caring for a parent with dementia. Some have given up their careers to care for a family member and therefore have lessened their own earning potential. A family member of mine retired early at a reduced rate of pension in order to care for her husband who had developed dementia. The situation had gotten to where he no longer could be left alone, ever. My family member took her early retirement to become her husband’s full time caretaker. Unfortunately, dementia does not get better and only progresses and thus the costs of caring for your loved one increases. More medication is required, more medical equipment is needed and more general supplies are necessary. This can become a true financial burden for many. As in my family member’s case, she had reduced her income by retiring early and now had more expenditures than ever anticipated.

This not only takes a toll on a family member financially but can cause health challenges. Stress-related health issues for caretakers of Alzheimer’s relatives have become a rising health concern in recent years. Caregivers will tend to focus solely on the loved one with dementia and forget to take care of their own needs. This can lead to many health conditions, exhaustion and depression for the caregiver. A recent piece in the New York Times related the effects of care giving to Post-Traumatic Stress Disorder.

In addition to all of the care they provide, they must keep and balance the finances, maintain medical records as well as the day to day cooking, cleaning and general housework.

This is what Alzheimer’s Disease looks like in 2014. Not only is the individual affected but the family is too. The saddest part of everything is the family caretaker sees the loved one slipping away day by day. My family member said that each day she would wake up and just see what the day would bring and what part of her husband would slowly disappear.

Just a little view of the people behind the scene of Alzheimer’s.

Written by Angie Garbaczewski, Program Director

(Photo courtesy of caregiver.org)

Downsizing: Tips for Older Adults

Jeff Walls — Tue, 07 Oct 2014 20:58:00 GMT

If you think about it, most us have a lot of "stuff". From the moment we are born, we have stuff. Toys, our favorite blanket, clothes, etc.....and this pretty much continues from there on. Granted, the stuff changes as we grow older, but we are still getting it. How many of us remember our parents telling us that we need to get rid of some it...there's no room for it. All of a sudden, that broken toy becomes a cherished treasure. We couldn't bear to part with it. These feelings don't change much as we grow older. People, all people, have an instinctual desire to possess things, regardless of monetary values. We easily transfer our emotions and memories into objects, that then become symbols of something greater. We all do it. My sister came across my favorite blanket. The one I came home in after I was born. I used that blanket until I was 9! I loved it. Now I am 48 years old. A grown man. My sister asked me if I wanted it...."are you kidding, hell yes I want it." I couldn't get the words out fast enough. I'm not quite sure what I will do with it once I get it, I will probably put it in a box in the closet. That's not the point though. The blanket is important for what it represents, my childhood, my home, my family. With both parents now deceased, our family dynamic has changed considerably. It happens to all families, to everyone. If a single blanket can evoke so much emotion, imagine what memories an entire house full of stuff holds. Especially for an older adult.
We tend to accumulate more and more things as we age. Add that to the difficulty of throwing things away, we end up with a lot of stuff when we are older. However, there comes a time when it is in the best interest to downsize. This could be the result of children moving away, the death of a spouse or health issues that keep you from caring for these things or maybe financially, they all have become a burden to keep. There is also the chance that a move in to a long term care community of some sort is needed, be it assisted living, nursing home, retirement community or supportive living. One of the hardest adjustments for most of our residents is not being able to bring everything they own. Imagine living in your home for 40 plus years. Everything becomes a sentimental keepsake. Not to mention the rooms full of furniture, some heirlooms. Also, there are still quite a few people who remember the depression and do not want to give up their belongings. They are a symbol of security.
Regardless of the reason for accumulating things, there is always a time to declutter and or downsize. If the need to downsize is due to a move, it is helpful to speak to professionals who may assist with this transition. The actual act of moving is stressful enough, but having to get rid of most of one's belongings can be devastating. Working with loved ones can help ease the stress. Barbara Reich, a professional organizer, provides 5 easy steps to make the process easier and more sensible. Though professionals are great, due to their unbiased judgement, family and friends are free. Your budget will most likely decide this option. Regarldess, the 5 steps remain the same:

Gift It - Whether an item is a priceless family heirloom or just a sentimental keepsake, some belongings are just too valuable to dispose of. Reich suggests that gifting such items to family and friends for birthdays and holidays is a great way to keep the items in the family and could even prevent fights later on.
Sell It - For those items that are worth money, but do not retain any sentimental value, selling them is a great way to rid yourself of unwanted items. It's hard for anyone to just throw away something if it is still worth some money. A brand new appliance, still in the box, that will never be used, is a perfect example. Someone out there can use it. With online sites such as EBay and Craig's List, it is easier than ever to get rid of unwanted stuff. It is great for furniture, because the buyer will actually move it for you.
Donate It - Not everything that has value is going to sell, or at least sell easily. Clothes are a perfect example of an item to donate. Every community has one or more organizations that are looking for clothes donations, as well as housewares, furniture, etc....Many of the places will even pick up the donated items, which saves you the muscle and the trip. Another benefit is that everything you donate is considered a tax exemption so save your receipts from the organization and write it off come tax time. (Keep in mind, that if the condition is too bad, it cannot be used or sold and may be rejected.)
Liquidate It - If you are not attached to your belongings but just don't want to deal with the hassle of removing/selling everything, a liquidation expert may be a great option. They can remove every piece of furniture from your house and sell it at estate sells. The one downside is that this industry is not regulated. Do some research, get some referrals, etc... to make sure you are dealing with a reputable company. Also, be prepared to pay for their services. Some charge as much as 35% of the sold items.
Trash It - There will undoubtedly be a large amount of stuff that gets tossed. There are several ways to handle this so it will depend on how much you are getting rid of and how much time you have to do so. Obviously local trash pick-up can handle the bags and boxes and heavy pick-up will cover the furniture and what not. If you need to get rid of a lot of heavy stuff at once, it may serve you to call a local junk hauler. If you have time, you might be able to spread out your larger stuff over several months of heavy pick ups.

Reich also recommends starting with the hardest spots in your home first. Once you have tackled them, she says you will have the confidence and the motivation to do the rest of your house. She also encourages to enlist the help of family and friends who can help keep you on track and focused. She even suggests making it a party of sorts and opening a bottle of wine or ordering a pizza. It will help relieve the stress and create a more positive atmosphere.

Have you had to downsize your home? Do you declutter your space on a regular basis? Have you helped a parent or older adult downsize? We would love to hear your tips and suggestions. Please share them here. You may help someone in a similar situation.

(Photo courtesy of vcrealtor.com)

The Threat of Dehydration Among Older Adults

Jeff Walls — Thu, 14 Aug 2014 16:41:00 GMT

Thirsty? For most of us quenching our thirst is a pretty simple task. Drinking water is easily accessible in the US and these days, there are countless options of beverages to choose from beyond the usual sodas and juices. There are vitamin infused waters, fruit flavored teas, energy drinks and of course the sports drinks made popular by athletes. The original, Gatorade, has been joined by many other brands, all filled with electrolytes and sodium, to help replenish an active body. Therefore, dehydration is a nothing but a small threat to most people. Granted, a severe case of stomach flu or food poisoning can quickly change that, but for the most part it is something we generally do not concern ourselves with. For older adults however, dehydration is not only a common threat, but a serious and even fatal one.There are several reasons why older adults are more susceptible to dehydration, including medications, heat susceptibility, decrease in overall body water content, kidney problems and even a general decline in feeling thirsty.
Medications: Medications can be a huge factor in causing dehydration. Those that are diuretic can rob the body of fluids. If the person taking them does not make a conscious effort to replace these fluids, dehydration is likely.

Heat Susceptibility: Many older adults have health issues that make it harder for them to adapt to heat. An older body is also weaker in general, making extreme temperatures harder to tolerate.

Decrease in Body Water Content: Many people are unaware that as we age, our bodies lose a large amount of our body water content. “From a physiological standpoint, as aging occurs, the water content of our bodies decreases,” says Kelly O’Connor, RD, LDN, CDE, of Mercy Medical Center in Baltimore. “Research indicates the total body water content of a 75- to 80-year-old person is nearly 50% less than a young person. For some reason not yet clear, the decline in water content is even greater in elderly women.”

Kidney Problems: Aging kidneys can fail to concentrate urine and retain water when the body is water deprived.

Feeling Thirsty: It is quite common that older adults "feelings of thirst" diminish, decreasing the amount of fluids they consume.

As these are only some of the reasons that older adults can become dehydrated and the fact that they can experience one or all of these causes, it is a serious issue. Next week, we will discuss ways to prevent dehydration and share simple, delicious recipes for refreshing, re-hydrating drinks that anyone can make, be it for themselves or someone they are caring for.

Have you ever been dehydrated? What lead to it? What were your symptoms? Please share your stories here. Your experiences could benefit others who find themselves in similar circumstances.

(PHOTO COURTESY OF wiseGEEK.com)

Can Tai Chi Slow Aging?

Jeff Walls — Fri, 01 Aug 2014 13:57:00 GMT

Here at The Pointe at Kilpatrick we have a Tai Chi instructor come in to conduct a Tai Chi Class. The residents love to listen to their teacher explain the different movements, where they come from and the benefits each one gives. Certain positions strengthen your core others help with your balance. Each movement has a specific reason it is done and it turns into a beautiful dance of sorts when all put together.

Did you know that Tai Chi may also slow the aging process? A recent study published in a magazine called Cell Transplantation found that Tai Chi can help raise the number of stem cell – CD34 cells- important to a number of the body’s functions and structures.

The researchers conducted a yearlong study comparing the rejuvenating and anti-aging effects among three groups of volunteers who engaged in Tai Chi, brisk walking or no exercise at all.

The authors of the study found that Tai Chi had benefits to people with mild to moderate Parkinson’s disease and fibromyalgia. In addition, Tai Chi also appears to help with balance, blood pressure and stress reduction.

The new study also found that those who practiced Tai Chi enjoyed a significantly higher number of CD34 cells than those from the other groups who brisk walked or had no exercise at all.

One study that was done in 2012 found that Tai Chi can also give your memory a boost. Scientists found that elderly Chinese people who practiced Tai Chi just three times a week performed better on memory tests than those who didn’t do Tai Chi.

Tai Chi originated over 2000 years ago and has stood the test of time. Even showing more and more promise as a beneficial way to slow the aging process down and stay healthier and mentally sharper longer.

-by Angie Garbaczewski, Program Director, The Pointe at Kilkpatrick

Sex Drive Over 65

Jeff Walls — Fri, 25 Jul 2014 15:38:00 GMT

In this never ending effort to provide more personalized care in long-term care communities, the industry has been going through a self named "culture change" over the past decade. Advances in research and understanding have shown that the institutionalized care of the past does not provide the high quality of life that all individuals, including older adults, deserve. Let's face it, the older generation has paid their dues and their golden years should be just that. As a group we encourage independence, free expression, socialization, etc....anything, within reason, that helps an older adult maintain the lifestyle they are accustom to and desire. The Pointe has been a pioneer of this culture change and has stressed the importance of residents' life stories playing a part in their care. Knowing what the resident's likes and dislikes are, their sleep schedules, even their favorite snacks and tv shows. Every one still receives care, they just receive the care that best fits their life style.
This brings us to the "S" word, mentioned in the title. The word that got you to read this article. Yes, there are plenty of people 65 and older that have sexual desires and are active. It is surprising the number of people who think that once you get older, those feelings disappear. Granted, the urges do decline in most people as we age, however, they still possess them. So what, as caregivers, do we do about that, if anything? After all, they are adults, with the right to make their own decisions. Part of this culture change has been to honor the residents' rights in regards to sexual activity. As one would guess, there are still a lot of variables that play into this general way of thinking. Obviously, there are cases, specifically those people living with dementia, such as Alzheimer's, where the issue becomes even more cloudy. As far as the state of Illinois is concerned, they have left it up to each long-term care community, be it a nursing home, assisted living or in The Pointe's case, Supportive Living, to establish their own policy.
Of course, one major concern are the families of these residents. How are they going to respond? There are those family members that are appalled that their loved on is sexually active and demand that all steps be taken to prevent any activity from occurring all together. Then there are those who are happy that their loved one has found someone "special" to share their time with and of course, countless other responses in between.
For the most part, communities handle these situations on a case by case basis, examining all factors. Is there a roommate who's privacy is being violated? Is one of the pair on medications that may hinder judgment and decision making? What about the spread of stds? The majority of older adults do not even consider using condoms for the fear of pregnancy is no longer an issue.
These are just a few of the concerns that caregivers run into when dealing with sexually active, older adults. Of course, as caregivers, we should never let our own moral or religious beliefs interfere with our decisions. Our job is to provide the best possible care we can and that sometimes includes unpleasant tasks or embarrassing situations.

Are you a caregiver? Have you had to deal with a patient or loved on who is sexually active? How did you handle it? How did the family react? We would love to hear your experiences. Please share them here to help guide others in similar circumstances.

(Photo courtesy of Voice of America; http://www.voanews.com/content/more-older-people-contracting-hivaids-111055989/171309.html)

Is Grandma a Druggie!?

Jeff Walls — Tue, 01 Jul 2014 19:10:00 GMT

At first glance, the title seems humorous. Grandma...a druggie? Not possible. She has never had a sip of alcohol or even tried a cigarette. But what about prescription drugs? One of the most unrecognized problems among older adults is the abuse and/or dependency of prescription drugs or drinking alcohol while taking prescription drugs. Studies are consistently showing that the misuse of prescribed drugs and even alcohol among people 60 and over is rapidly increasing. Of course, the aging of the Baby Boomers generation is going to be the most likely cause. Their generation was much more liberated, with it being more acceptable for both men and women to drink socially. There isn't the stigma that there was for previous generations. Their generation also saw a huge surge in over the counter medications over the last several decades. Medications that "fix' moods as well as a myriad of other ailments, both physical and mental. Granted, these people are not using the common narcotics that we usually associate with drug addiction, like heroine or cocaine, but the problem is just as serious. Your 85 year old dad may still like to have a few martinis before dinner. The family doesn't think anything of it. He's been doing it since they can remember. It's a tradition of sorts. It is common to hear family members say such things as "Good for him! He deserves it." or "He's old, what's it gonna hurt now anyway.". The truth is, it can be hurting a great deal. If he's 85, he is more than likely to be on medications. Even simple medications can do harm when mixed with alcohol. Also, an older body does not process alcohol the same. It can actually wear down the body's systems faster, aging the person unnecessarily.

The effects of drugs and alcohol is also harder to detect with older adults. A variety of ailments and issues may mask the symptoms of these two additions. Though we mentioned that Baby Boomers are more liberated than their predecessors, they still hold on to the ideals that a person's problem's are to be kept private. Unlike the current generations, where everyone freely shares every diagnosis and mental issue they have with everyone they meet. The Baby Boomers are less likely to admit to addiction, depression or anxieties. They may be fully aware of their problem, but too embarrassed to bring it up, or afraid they will be institutionalized. There are many adult children who may be aware of moms' drinking or dad's pill popping, but do not know how to approach them. After all, most people do not want to consider confronting a parent, regardless of their age.

If you think a loved one may be abusing their medications or that alcohol has become a problem, it is imperative that the issue be addressed immediately. Younger people can rebound from these addictions much easier than an older person. Also to be noted, is that an older adult doesn't have to drink everyday or even a lot of alcohol for it to be a problem. Any alcohol consumption can be considered a serious threat for those people on certain medications or with particular health issues. You may find it easier to consult with the person's doctor first, or spouse. Even if the abuse isn't life threatening to the individual, it may severely decrease the quality of their daily and even shorten their life span. Something to consider when you notice that you are refilling prescriptions more often than you should or are finding empty wine bottles tucked away.

For a list of medications that do NOT mix with alcohol, check out this list posted by the Geriatric Mental Health Foundation

http://www.gmhfonline.org/gmhf/consumer/factsheets/substnabuse_factsheet.ht…

Older Americans and Ageism

Jeff Walls — Thu, 12 Jun 2014 15:00:00 GMT

As I was typing out my original title, Older Adults and Ageism, it hit me that discrimination of older adults is primarily an American issue. Of course it happens all over the world, but the U.S. is notorious for valuing youth over age and, sadly, not "respecting our elders" as we should.
The majority of cultures have deep respect for the older people in their families and communities. Their age is treated as an asset, giving them wisdom, understanding and experience that younger people do not yet have. In this country, many older adults are written off as not "being in touch" with what's happening now. Television advertisements, comedians, as well as internet platforms like Facebook and YouTube, to name a few, exemplify this. Stereotypes on the surface are humorous but in reality cause opinions that Dr. Robert Butler, a Pulitzer Prize-winning expert on aging called "ageism" back in 1968. Their ideas and ideals are deemed outdated and thus worthless. With the speed of technology and the constant development of newer, more complicated systems and products, the generation gap is going to continue to expand before it begins to narrow. This gap makes it harder for generations to relate. In turn, this makes it easier for younger adults to discriminate against older ones. We have all seen someone speaking to and treating an older person like they were a child. This is very demeaning and hurtful to the older adult, who may or may not be able to express themselves. Those most often guilty of this are those most close...family members.
In many cases, as parents age, their are role reversals.....that in which adult children become caregivers to their parents. This is usually a difficult transition for all involved. Older parents still want to care for their children and don't want to be a "burden". They struggle with not being able to perform their parental duties and losing that independence. Adult children can become anxious with the thought of caring for an older parent and at times treat them as children. This transition also forces them to face their own mortality. Family dynamics are turned upside down. This can lead to resentment on both sides, especially with the adult children. I can't tell you how many times I have witnessed an adult child talking about/for their parent, who was sitting right next to them. As if they weren't there. I've even witnessed doctors and health care providers discussing an older patient with a family member all the while the older adult in question is with them. Most younger adults, even teens, would never sit by and let themselves be treated like that. Many older adults, however, have diminished self worth, feeling guilt over being a burden to their families. They do not want to cause any problems and sit by while others take over complete control of their lives. Though it begins as "caring", it can easily turn into ageism, which is a form of abuse.
Now that the Baby Boomers are aging, and the number of older adults is exploding in this country, it will be interesting to see if they demand a stop to age discrimination and abuse. There will be many more voices on the matter. Voices that may not be silenced by "over the hill" jokes and "past your prime" comments.

(Photo/Image courtesy of pauldowneyservingseniors.wordpress.com)

What's Good for the Heart is Good for the Brain

Jeff Walls — Thu, 29 May 2014 13:49:00 GMT

We all forget things sometimes. How often do you misplace your keys or glasses? Have you forgotten a person’s name after meeting them? Not one person is able to say that hasn't happened a few times. And although we commonly brush off those instances as a common part of aging and not preventing us from living a full, productive life, memory loss may be an underlying symptom of Alzheimer’s disease or other similar disorders. With that said, brain health or fitness is something that should be taken more seriously. Changes that occur in the brain that cause memory loss can occur as early as 25 and the risk of Alzheimer’s and dementia begins around the age of 65. While there currently are not any magical pills that can be taken to eradicate memory loss, there are simple things that can be done right now!

To keep your brain healthy and reduce your risk of cognitive decline and dementia you can:

Maintain your cardiovascular health – weight, blood pressure and cholesterol

Although seniors may tend to lose appetites and sense of tastes, it is important to eat a well-balanced heart-healthy diet. There are various food options that are not only good but easy to prepare as well. Make sure to incorporate whole grains, fish, lentils and beans, soy, berries, olive oil, yogurt, coffee or tea, veggies and fruits, and nuts into your diet. While heart health does not only depend on food alone, it is a great start!

Get 30 minutes of moderate cardiovascular exercise every day

There always seems to be time for every other activity in when it comes to our busy or not so busy schedule, but exercise seems to slip through the cracks. The more active you are, the better you’ll feel! So you can take a walk or attend age-appropriate exercise classes that do not conflict with any current health conditions. There are numerous options for you, but you just need to find what activity is right.

Give your brain a daily workout to help build the new neurons and synapses that form your protective cognitive reserve

We have all heard the saying, “If you don’t use it, you lose it,” and that is the same when it comes to our brains. Simple things such as trivia, crossword puzzles, and reading can keep the brain sharp. One way our residents can protect their brain health and prevent memory loss is Dakim Brain Fitness. Dakim is a clinically tested, scientifically-based brain-training program designed specifically for people over 60. The touch screen computer program exercises six essential cognitive domains to improve memory, heighten attention, enhance focus, strengthen concentration, and defend against the threat of dementia, cognitive decline and memory loss all while providing an enjoyable experience. Each session takes just 20 minutes to use three to five times per week.

Everyone needs to start focusing on their health more, and it’s never too late to start! Maintaining your brain health is crucial to your overall health and following the three, easy steps above will get you on the right track. There shouldn't be any excuses when it involves your health.

A healthy lifestyle means a healthy you!

(If you are interested in learning more about the Dakin Fitness Brain Fitness program, call 708-293-0010 to schedule a FREE session. One of our staff will be happy to set you up and get you started.)

Written by Colleen Pratl, Financial Information Coordinator, The Pointe at

Sneaking Exercise Into Your Day - Tips for Older Adults

Jeff Walls — Tue, 13 May 2014 15:02:00 GMT

The residents at The Pointe at Kilpatrick have several exercise options to choose from on our monthly calendar. They can enjoy our gentle exercise class called Body Flex, join our walking group, and take a class on Tai Chi or even belly dancing.

Many of our residents, even the active ones who already join in on the classes, were looking for more ways to incorporate exercise into their day and burn off a few of those pounds that they put on over this extremely long, cold winter. I spoke with a friend who is very fit and asked her for some tips on sneaking in more exercise into your day.

My friend advised that there are many ways to get more exercise into one's day, some of which totally surprised me. Her first suggestion was for TV watchers. She said that every time a commercial break comes on get up out of your chair and do a movement. It can be as simple as marching in place, stretching or squats. In those few short minutes you can pack in some serious movement. You can even do a different exercise for each different commercial in that commercial break. Perhaps the first 30 second commercial spot could be a movement for your arms, the next 30 second spot something for your legs and then the last 30 second spot a movement that will get your heart pumping.

I asked her if she truly felt that this small amount of additional movement could make a difference and she said absolutely! First of all if you are going from no movement to any movement that is a 100% positive change. She said that there was a study done by the Mayo Clinic that showed that people who fidgeted, yes fidgeted, during the course of the day actually burned between 350-500 more calories than one who didn't. So simply by tapping your toes or moving around while sitting can burn more calories in a day? Yes! The Mayo Clinic study actually said that they felt this might be the “dirty little secret” that helped some thinner people stay that way.

Another way is to strengthen our abdominal muscles. We can achieve that by simply straightening up! Good posture can help strengthen our core or abdominal muscles. Without a strong core you are more likely to suffer back and hip pain and are more prone to injury. A strong core also helps with balance, which is a common problem in older adults. With good balance we are less likely to trip or fall. Falling is a major cause of injury in older adults and anything you can do to cut down this risk is a very good thing.

Her last suggestion was one of my favorites; she said we should all laugh more. For every 15 minutes of laughter we were using and strengthening many different muscles and burning about 50 additional calories! What a wonderful tip! Laughter has also been shown to alleviate stress, depression and anxiety, all things that can lead to serious health issues.

So, the next time you sit down to watch your favorite shows, remember these simple tips and burn some extra calories. A few episodes of I Love Lucy will have you in better shape in no time.

Written by Angie Garbaczewski, Program Director, The Pointe at Kilpatrick

May Flowers

Jeff Walls — Fri, 02 May 2014 21:40:00 GMT

Who doesn't love flowers? No one. They are some of nature's most beautiful offerings. They can brighten a room with their vivid color and fill it with an intoxicating scent. Everyone can appreciate them and some even enjoy growing them. Caring for and tending to plants, especially flowers, can be very rewarding and even therapeutic.

The benefits of horticultural therapy, taking care of plants, have long been understood and documented. Even for those claiming not to have "a green thumb". For many older adults, their is an abundance of free time, but not always a lot of options to fill that time. Physical issues may limit movements and strength, making it hard, or even impossible to do the things they once enjoyed. Finding new hobbies or interests is important to maintaining a healthy active lifestyle, especially as we grow older. Horticulture, on any level, is a simple, daily activity that can be enjoyed in a variety of spaces, indoors and out and provide innumerable benefits, such as:

Physical activity
Relaxation and enjoyment
Skill development
Creative expression
Sensory stimulation
Intellectual and personal growth
Social interaction
Sense of productivity and self-satisfaction
Spiritual connection with life and nature

Theses benefits, in turn, help to alleviate depression, anxiety and stress which are all common maladies among older adults. Horticultural therapy is a relatively cheap and easy solution to some of these issues and can be done year round. It is also perfectly suited as an inter-generational activity.

Are you a caregiver? Have you used horticultural therapy? What were the results? We encourage everyone to share their experiences with us here.

Allergies and Aging

Jeff Walls — Thu, 24 Apr 2014 15:18:00 GMT

Winter is finally over and Spring is here!! Icy sidewalks and dirty snow piles have been replaced with buds on trees and flowers popping up....and pollen. For those of us with seasonal allergies, Spring is always a bittersweet time. We know that with the warmth and beauty of Spring comes watery eyes, runny noses and itchy throats. Allergy sufferers come in all ages, from young children to older adults. For most people, these seasonal allergies are more of an inconvenience than anything. However, for older adults, they can be more problematic.
It is not uncommon for older adults to have several chronic disorders or diseases at once. It is a part of aging. It are these other factors that make season allergies more complicated. The allergy symptoms alone can mask other, more serious symptoms or mimic them. It is important, especially for caregivers, that they know the know the allergy history of the person they look after. Dr. Christopher Randolph, member of the American Academy of Allergy, Asthma, and Immunology's Asthma & Allergic Diseases in the Elderly Committee, has presented 5 steps for caregivers to take in helping older adults get through allergy season:

Look for the signs: Allergies don't discriminate between the young and the old. Randolph says that people falsely assume that the elderly do not get seasonal allergies, when, in fact, they are just as likely as anyone else to be affected when spring blooms begin to appear. Caregivers should be on the lookout for the traditional signs of allergies: sneezing, a runny nose, and itchy eyes.
Make sure their doctor knows: Randolph points out that it can be difficult for a doctor to diagnose allergies in an older person, particularly when they're focused on a senior's larger health issues. Elderly people often have multiple chronic health problems, and it can be hard for a doctor to separate a potential allergy from an ongoing disease. A caregiver who suspects that their elderly loved one may have allergies should bring their concerns to their loved one's doctor.
Be aggressive: "Allergies have a larger impact on the lives and health of the elderly," Randolph says. It makes sense; allergy symptoms, such as a congested nose or irritated throat , can be extremely dangerous to a senior who has pre-existing cardiovascular problems. This is why Randolph feels that allergies in the elderly should be treated as rapidly and aggressively as possible.
Avoid traditional antihistamines: Antihistamines, the class of drug most commonly prescribed to treat allergies, can be dangerous to seniors. Potential side effects from these medications include: confusion, drowsiness, urinary retention, dry mouth and eyes, and dizziness. Randolph says that antihistamines can potentially cause changes in mood or behavior in the elderly and may lead to dangerous interactions with commonly prescribed medications. For the senior suffering from seasonal allergies, a doctor will likely prescribe a nasal steroid or some form of topical medication.
Be on the lookout for upcoming treatment options: Randolph says that there is a new type of treatment for allergies being developed specifically for the elderly. By combining an antihistamine with a steroid inhaler, this new treatment will be able to deliver the antihistamine directly into the nose, avoiding the unpleasant side effects traditionally associated with the drug. While it probably won't be ready in time to help seniors this season, Randolph expects the treatment will be available to the public within the next three to six months.

Hopefully these tips can help you help an older loved one enjoy Spring without the nuisance of allergy symptoms. We encourage everyone to share their ideas, tips and experiences here with us. Your suggestions may help others in a similar situation.

Break Your Fall

Jeff Walls — Thu, 03 Apr 2014 17:58:00 GMT

"Help! I've fallen and I can't get up!" This phrase, from a decades old, low budget commercial, has become famous in American culture and used as a joke. However, the issue of older adults falling is an all too real problem. You can ask any doctor or caregiver what the number one cause of injury is for older adults and they will tell you "falls".There are numerous reasons that adults become susceptible to falling as they get older, such as:

Weakened muscles
Balance impairment
Visual impairment
Medications
Gait impairment

There are many other causes that can also determine if you are a fall risk. Your doctor/caregiver can assess your situation and discover what factors may lead you to a fall or even multiple falls. When we are younger, most of us don't think of falling as a danger. We may slip and fall once in awhile. Usually, we just get back up, brush ourselves off and go about our business. The incident is usually more embarrassing than it is painful. However, as we get older, our bones become more brittle and our muscles weaker. A fall can result in serious injury, with broken bones being common. Being older makes recovering from such injuries even more difficult. This in turns creates more problems and increases the risk of falling again. Obviously, older adults should do everything they can to reduce the risk of falling. Some of the most effective ways to prevent falls are:

Exercise
Tai Chi
Home Safety

Exercise helps to strengthen muscle as well as improve gait and balance. When you feel stronger you also have more confidence in your body and it's movements.
Tai Chi is great at improving balance through simple movements. It also helps to tone muscles and improve gait.
Home safety is nothing more than modifying your surroundings to make it easier to get around. Removing small rugs that could slide under you or trip you is an example of home safety.

One of the easiest solutions to reducing fall risk is to use a cane or walker if you are noticing problems with your balance and your gait. Do not let pride or stubbornness prevent you from taking necessary precautions. Avoiding falls and injury is the most important thing to consider. We encourage everyone to speak with their doctors and caregivers to determine if they are a fall risk. Simple steps, such as medication modifications or stretching exercises may save you from injury later on.

Have you or a loved one suffered a fall? With injuries? What was the cause? How have you/they recovered? What steps do you take to prevent falls? We would love to hear from you. Please share your experiences here with us. Many others could benefit from your story.

Independence Day

Jeff Walls — Thu, 27 Mar 2014 15:33:00 GMT

As a caregiver or family member it is important to encourage independence in older adults. That independence will provide the opportunity for them to maintain a better quality of life for themselves. By participating in activities, research indicates that they can retain better cognitive function and stay healthier and live longer. In 2012 the Rush Memory and Aging Project found the benefits of older adults maintaining some independence in their daily tasks to be a major help in them maintaining the quality of their lives.

As the residents in our community grow older, daily interaction is a major contributing factor to their health and happiness and can encourage them to do things for themselves. When caring for them, it is easy to get into the habit of doing things for them rather than with them. Let’s face it, it can be more efficient to do everything yourself. With aging adults their bodies and minds give them a bit more challenges. They may need your assistance but just doing EVERYTHING for them is not a good solution. Nor will it cultivate a better quality of life.

Encouraging independence is a method of caring for older adults that promotes physical, mental, social and emotional well being. When put into practice, this philosophy focuses on the person as a whole and helps older adults live the highest possible quality of life.

The true art of care giving for our older population goes way beyond the task-oriented responsibilities and includes engaging in conversation an facilitating activities with them. For example, a nurse passing out medications can have the resident get their own glass of water, engaging them in conversation while doing so. The resident is taking part in their care, which establishes some independence and promotes cognitive thought. It could be easier to hand the resident their pills and a glass of water and be done with it, but this doesn't benefit the resident beyond the fact they took their medicine. The same goes for family members. Engage your loved ones in simple tasks, even if you are needed to perform them. Instead of shopping for supplies, such as groceries, have your loved one assist you in putting things away. Encourage them to rethink their needs. Instead of keeping the coffee in a cabinet that is now hard to reach, have the older adult choose a new place, where they can access it easier. Or if you have to do their laundry, have them help in folding it and putting it away. This way, they are taking an active role in their care and maintaining some independence that is important to an overall sense of well being.

Simple mental stimulation can help keep minds active and facilitate healthy emotional functions. Emotional stability helps seniors feel happy and optimistic, which can keep depression at bay. We all know that a positive attitude goes a long way in how we feel both physically and mentally. Keeping the older adults in our lives as independent as we can, will give help promote such a positive attitude, keeping them happier and healthier longer.

Are you a caregiver? How do you engage the older adult in your life in daily tasks? Activities? Do you notice a difference in attitude when they are more involved and independent? We would love to hear your experiences. Please share your experiences with us and our readers.

Written by Angie Garbaczewski

Get Your 40 Winks

Jeff Walls — Mon, 17 Mar 2014 16:34:00 GMT

How many of us wish we had nap-times again? Roll out our mats on our office floor and catch a few Zs.....I’m guessing most of us. As adults, our days fill up with more and more responsibilities, be they jobs, families, school, etc…. There is no time for naps. This makes a good night’s sleep even more important.

We all know that our bodies need sleep to rejuvenate and rest. However, the quality and length of slumber play just as important of a role as the sleeping itself. We all know that person who boasts they only need 4 or 5 hours a sleep a night/. They wake up feeling great, are energetic, blah, blah, blah…Studies are showing that the body, including the brain, need between 7 and 8 hours of sleep to maintain healthy functioning. This is because the body depends on the number of complete sleep cycles we get in a row. Trying to catch up on sleep isn’t really possible, since the cycles are not connected. You may feel better if you get a nap in after a sleepless night, but your body’s rhythms are off, causing stress on your systems, including blood pressure and sugar levels. As we get older, it is important that we take care of ourselves as best as possible to help fight off the chronic ailments that are associated with aging. Making sure we get a good night’s sleep is a relatively easy way to maintain good overall health. Diabetes Forecast has listed 8 steps to helping insure that one gets a full night’s sleep, each and every day:

1. Schedule It. Try to go to bed and wake up at the same time every day.

2. Exercise Early. Exercise is important, but do it at least 5 to 6 hours before bedtime.

3. Cut Out the Stimulants. Caffeine and nicotine can take up to 8 hours to wear off. Keep caffeine to the early hours and moderated and, well, don’t smoke at all.

4. Cut out Alcohol. Though alcohol can help you relax, it interrupts the sleep cycles and cause you to wake up throughout the night.

5. Keep it Dark. People sleep better when it’s dark so use blinds and curtains to block out any and all light from coming during sleeping.

6. Have a Routine. Find what makes you relax and make it part of your routine before bed. It could be reading, a warm bath, soft music…

7. Don’t Stress. Granted, this is easier said than done. If you find yourself lying awake longer than 20 minutes, find something to relax you and try again.

8. Bathroom Before Bedroom. Try to limit fluid intake before bedtime. If possible, urinate before your bedtime routine and after.

Of course, there are many physical and psychological matters that may interfer with a person’s sleep patterns. Sleep apnea, arguably the most common, can actually become dangerous to a person’s overall health, in the present and even in the future. Discussing these matters with your doctor will help get you the sleep you need.

A full 8 hours of sleep is one of the best things you can do for yourself. Eliminating or rescheduling other activities that interfere with maintaining a regular bedtime, including work, will serve you better in the short term as well as the long run.

How many hours of sleep do you average a night? Do you have any tips for sleeping well? What keeps you awake? We always appreciate out readers responses and look forward to hearing your experiences.

Heart Health and Yoga

Jeff Walls — Mon, 10 Mar 2014 15:26:00 GMT

As February comes to end, so does Heart Disease Awareness Month. We think it fitting to honor the month by sharing some information to help prevent this disease as well as maintaining a healthy heart overall. We've all heard about heart healthy diets and the importance of exercise. However, as we get older, many exercises become hard if not impossible to perform. For those looking for a new and relatively simple exercise, consider yoga.

For many, yoga draws an image of young women in seemingly impossible poses. We brush it off as something that we couldn't possibly do. However, yoga, by nature, is something that everyone, of any age and physical ability, can easily do.
As with any exercise program, you will want to discuss it with your physician before starting. They may even be able to give you information or put you in contact with an instructor or group that specializes in yoga for older adults.

If you are still uncertain that yoga is right for you, consider the many benefits that it can provide your heart and health:

Lower cholesterol
Complement cardiac rehabilitation
Improve the symptoms of heart failure
Slow heart palpitations

Yoga can also help control blood sugar levels. Stretching the muscles in your body can make them more sensitive to insulin; this in turn helps keep blood sugar at a safe level. Another helpful benefit of yoga comes from the deep breathing that is practiced throughout the session. These deep, slow breaths naturally help to lower blood pressure and decrease stress related hormones.

We encourage any older adult to add yoga to their routine, be it daily or weekly. Not only will it provide the excitement of trying something new, which is good for the brain, it adds another weapon to your arsenal of fighting heart disease and other heart related ailments. Plus, it can done year round, indoors or out and with absolutely no equipment.

Are you an older adult? Have you ever tried yoga? What is your favorite exercise routine? Please share your stories and experiences here us and our readers. Your comments and suggestions may help others.

The Gift of Companionship

Jeff Walls — Fri, 14 Feb 2014 16:31:00 GMT

Recently I was asked by a granddaughter of a resident what would be good gifts to get for someone now in a Supportive Living Community. The traditional gifts of candy or flowers are always nice but what your elderly relatives are really looking for is something completely different.

With our busy lifestyles and schedules, it is very easy to forget how priceless our time can be for our older family member. Giving of ourselves can result in the recipient’s pleasure and in a feeling of fulfillment for the giver.

In a recent article by AARP they made mention as it is important to give quality time to a younger child for their wellbeing it is equally important to give quality time to an older parent or relative for their wellbeing.

Some ideas for gifts of time and service can be as simple as:

Organizing a drawer or closet for them
Cleaning out a refrigerator (this one is especially helpful for a resident who can’t bend easily or has difficulty reading the expiration dates on containers),
Reading chapters of a new novel
Stopping by for a chat and bringing along the residents favorite magazine for topics
Bringing some homemade cookies or their favorite snack
Bringing a puzzle along on a visit and working on it together

If your loved one enjoys going out taking them for a monthly lunch or bringing them for a shopping trip to local store can be enjoyable outings. You can choose a restaurant that they always loved or perhaps pick a new one that neither of you has tried. Having your relative come with you to the store can be a fun outing for you both. You can assist with getting items from the higher or lower shelves or reading the labels that have become too small for your relative to read.

Whatever “gift” you choose to give always remember that thoughtfulness is the true gift and it will always be remembered.

Written by Angie Garbaczewski

Something Fishy Going On

Jeff Walls — Fri, 07 Feb 2014 16:32:00 GMT

An interesting article appeared in The Wall Street Journal last week (Jan. 28th), that highlighted a study on aquariums and dementia. The study, done by Purdue University, focused on the presence of aquariums in dining rooms where people with dementia ate their meals. Three different nursing homes were chosen in two states. The residents studied had a form of dementia, many with Alzheimer's disease. The introduction of the fish tanks showed an overall increase in food consumption and weight gain. Weight loss and malnutrition are two of the more serious side affects of dementia. They can easily and quickly lead to other health issues and concerns.
The article caught the attention of our Executive Director, who has been a long-time advocate of improving Alzheimer's/dementia care. It also stood out because our Alzheimer's/dementia neighborhood, New Day, has always had an aquarium in the dining room. General studies have long shown that watching fish relaxes people. You often see them in doctors'/dentists' offices to help calm patients. This was one of the reasons that an aquarium was placed in New Day. Some very common symptoms of Alzheimer's/dementia are agitation and wandering. The aquarium helps relax those residents as well as stimulate cognition and even memory. Finding out it may also help promote a stronger appetite excites us all. As was mentioned earlier, weight loss and malnutrition can be serious symptoms of Alzheimer's/dementia. Something so simple as adding a fish tank to a dining room could be monumental in fighting theses symptoms. Studies have proven that ingesting food is far superior than taking vitamins and food supplements for getting proper nutrition. Another plus is that there is absolutely no risk or side affects to adding an aquarium. Obviously, as with all items and equipment in an Alzheimer's/dementia care environment, there are precautions and safety measures that must be taken.
As was done in the study, we will start feeding the fish at meal times to see if it helps stimulates our residents' appetites. Even if it doesn't work, they can still enjoy watching some well fed fish.

We are always interested in hearing our readers' stories. Please share your experiences with us.

Older Adults Benefit from Volunteering

Jeff Walls — Tue, 14 Jan 2014 20:35:00 GMT

vol·un·teer [vol-uhn-teer] noun

1. a person who offers himself/herself for a serivce or undertaking.

2. a person who performs a service willingly and without pay.

The act of volunteering is an age old practice that has benefited societies throughout history. From firemen to candy stripers and everything in between, people have been offering their services for a variety of

reasons, but the outcome is the same, a cause/job is performed for the betterment of another. Many of us volunteer for causes that are near and dear to our hearts or personal interests. Regardless of the reasons, it's hard to deny that good feeling that comes from helping others. It's safe to say that most of us would volunteer or volunteer more often if we had the time. For one group of individuals, time isn't an issue. Retirees and older adults are an ideal group for seeking out volunteer work.

The personal benefits of volunteering are increased for those adults who are older and have stopped working. They find themselves with nothing but free time and soon realize that there isn't enough to do to fill the day. Especially those living alone. If mobility is an issue, then it can be even harder to fill those waking hours each day. Seeking out volunteer opportunities could fulfill a multitude of needs and wants. Helpguide.org outlined the various benefits of volunteering for all ages as well as for groups and individuals. For the purpose of this article, we will focus on the positives for older adults.

1. Volunteering Connects You to Others: It can be very easy for older adults to become isolated (shut ins) if they lack mobility or loved ones live far away. Volunteering can lead to new friends and contacts and help maintain existing relationships with those in the community.

2. Volunteering is Good for the Mind,Body and Spirit: It is important that everyone have a purpose. It helps build self esteem and confidence and gives us the energy that we need to deal to with day to day tribulations. As mentioned before, many older adults no longer have careers to maintain or families to raise. They no longer have a sense of purpose or feel needed. This can quickly lead to depression and feelings of uselessness. The lack of activity will also take its toll on the body, leaving the individual feeling tired and listless. Having a purpose can prevent many of these things from occurring. Knowing that there is someone, or even a group, that is relying on you, gives structure and meaning to your days. A job well done is a job well done, regardless if one is paid or not. Being active helps stimulate blood flow to both the brain and the body. This can be especially important in colder climates where winter brings on isolation and depression in many people, especially older adults.

3. Volunteering can be Fun and Entertaining: Let's face it, we all want to have fun. No one has earned that right to have fun more than older adults. Many of these people have worked for over 50 years and raised families, etc....Now is their time to enjoy life. Volunteering at this age should be fun. Connecting your interests and hobbies to your volunteer efforts is a great way to enjoy them. If you love to read, volunteer at a library. If you love children, volunteer at a school or church youth group.

Their are countless ways to volunteer your time. It may be on a personal level for a neighbor or friend. It can be on a large scale such as making phone calls for the Red Cross. Just be realistic to the physical demands that may be needed and the amount of time that may be required. It is always recommended that everyone consult their physician before attempting something that may affect their health and well being. After all, this should be rewarding experience for everyone involved.

Ghosts of Christmas Past....

Jeff Walls — Mon, 23 Dec 2013 20:34:00 GMT

Another Christmas is upon us and the holiday season is in full swing. Christmas has long been absorbed into the high tech world of social media and on line shopping. For what it's worth, the internet has provided us with the ability to stay in touch with loved ones whom we might not otherwise. Outlets, such as Facebook and Skype, let us share our lives with as many of our friends and family members as we choose, with just a sew keystrokes. These easy options have lead to a steady decline in actual holiday cards being sent by traditional mail. Instead, we are attaching our friends' heads to the bodies of dancing elves and sharing with the world. Of course, there is nothing wrong with all of these additions to the holiday season and how we celebrate. Every tradition was new at one time. The important thing is to remember those older traditions, even if we don't practice them. The best way to do this is to engage an older family member or neighbor in conversations about their childhood holiday memories.

Most traditions are passed down among generations in a family. As youngsters, the reasons may not be known or understood, but just accepted as a part of the celebration. As we grow older, it are those family traditions that stand out, making your memories more personal. For the most part, people exchange gifts, enjoy a holiday dinner, sing carols, etc.....However, it are the unique traditions that families and/or friends create that have the most lasting effects. Most of us don't remember the majority of gifts that we have received over the years, but we remember the traditions and the people associated with them.

Sitting down with an older person and asking about their Christmas traditions is a gift in itself. This gives them a chance to share beloved memories that they may not have shared in some time. As people age, family dynamics change and shift. They may not have anyone left who share the same memories as they do. Encouraging them to share, brings their memories to life. It is common for people to avoid asking older adults about their personal memories for fear that it will just make them sad. It some cases, reminiscing may bring a tear to the eye, but that is part of being human, young or old. Reminiscing helps pass on their history as well as keep the memories alive for them.

Make it a point this holiday season, or any time for that matter, to engage an older adult in conversation. If they don't want to talk about certain memories they will tell you. However, you fill find that most will be excited to tell you about there experiences and their own, unique traditions. Help them bring the ghosts of Christmas past to the present and rejoice in special memories.

(Photo courtesy of "A Maiden's Musings")

Winter Precautions for Older Adults

Jeff Walls — Fri, 13 Dec 2013 22:08:00 GMT

During the winter months the cold temperatures can make life challenging for everyone. The cold weather can cause a wide range of illnesses and injuries – especially for seniors. Here at The Pointe we have many activities that have us going outside for different trips and outings. For everyone’s safety if the temperature dips too low these outings are rescheduled for a milder day.

Cold temperatures can lead to hypothermia (literally “low-heat”). Hypothermia is a condition where the body temperature dips too low because body heat is lost to a cold environment. Your body temperature should never dip below 95 degrees. Much like high blood pressure, hypothermia can be called a “silent killer” in the sense that many of its victims are not aware of the threat. Temperatures do not have to be below freezing for hypothermia to occur, especially in vulnerable older individuals. Elderly persons may not be aware they are becoming cold as readily as younger people, and their bodies may not adjust to the changes in temperature.

To avoid being harmed by hypothermia, now that the cold weather has come to our area, here is some practical advice:

· Wear warm clothing. Instead of tight clothing, wear several loose, warm layers.

· Wear a hat and scarf to avoid significant heat loss through your head and neck.

· Stay dry. If an older individual has incontinent issues they are more susceptible to hypothermia and frostbite if there are damp clothing or damp adult diapers being worn. Moisture can seriously reduce or destroy the insulating value of clothing because water conducts body heat over 25 times faster than air.

· Eat nutritious foods and exercise. Proper diet and physical exercise will help protect against abnormal cold.

· Drink adequate amounts of water.

· Limit your alcohol intake because alcohol speeds up body heat loss.

Taking a few precautions during the winter months will have us in tip top shape when the warmer Spring weather comes along.

By: Angie Garbaczewski

An App a Day Keeps the Doctor Away

Jeff Walls — Mon, 25 Nov 2013 19:08:00 GMT

Chances are, if you are reading this, you have or have used a smart phone or device. Americans have a love affair with their phones. They have gone from a fun, convenient luxury item to a MUST HAVE! Though I am not one to stand in line for the newest phone or keep up with the latest devices, I must admit that I would be lost without my cell phone. It is my second brain, remembering things so I don’t have to. The ever increasing amount of applications has also made our phones/devices even more important. Long since the days where apps were mainly for entertainment purposes, such as games and music, there are now apps that can do almost anything, include making you healthier.

There have been plenty of apps out there that manage basic, personal fitness, such as count and track calories and carbs, track blood pressure, etc…..there are even those that go beyond the basics to monitoring chronic issues and conditions, such as arrhythmia and even diabetes. Since November is Diabetes Awareness Month, we thought we would focus on what apps are available now and what apps are awaiting FDA approval.

Currently, there are several apps available that help count/track blood sugars. There is even one geared for children to help them make better decisions when it comes to choosing food and beverages. There is also an app that will download glucose readings directly on to your phone with a special cord that can be purchased. Most experts agree that apps for diabetes would be the most used, due to the fact that people with diabetes are already used to monitoring their blood sugar and tracking the results. There is already a device for Apple that attaches to the phone/iPad and reads blood tests, giving the user instant glucose results. The app stores and tracks the information. In Europe , they are testing new devices that when worn, will relay instant blood sugar readings to the wearer. Having such information will give someone with diabetes the freedom to be more active. Instead of being afraid to exert themselves too much for fear of blood sugar drop, they can monitor their glucose and cease activity if levels drop. There isn't any guessing or waiting til it’s too late.

One of the most common features of these apps, and many health related apps for that matter, is the simple element of “reminders”. Having a device that will remind you to take your meds, test your glucose, etc…..is invaluable, especially for older adults, who may have a hard time remembering. For those who don't need reminders, but motivation, there is even a system that will text you throughout the day to keep you on track on food and beverage consumption. Designed to help people lose weight by eating healthy food and healthy portions, people with diabetes can utilize this to naturally control their sugar intake.

It's safe to say that most people don't associate older adults with using the latest in technology. Many older adults admit to either being afraid or more common, thinking that the have no use for it. Personal health apps have given them a reason to take notice. The fact they can store personal health info and track such issues will also help them better communicate with their doctor. The doctor can see the day to day results and better determine a routine for care. Overall, personal health apps can serve to prevent, control, maintain and even diagnose serious health issues. Getting older adults on board early may very well keep them out of the doctors office and in better health.

Do you or someone you know use personal health apps? How have they helped/not helped? Are there any you would recommend?

(Photo: Courtesy of Phys.org)

Your Friendly Neighborhood Pharmacist

Jeff Walls — Fri, 18 Oct 2013 19:05:00 GMT

Long before the debate over Obamacare started, America has been struggling with health care and the costs for citizens, as well as insurance companies and Medicare/Medicaid. In a recent article of the "AARP Bulletin", they state that 1 in 5 Medicare beneficiaries discharged from a hospital return within 30 days. They estimate that these hospital re-admissions cost taxpayers more than $17 billion dollars a year. Obviously, hospitals are being urged to drastically reduce these returns. Several studies, including one from Dartmouth, list patients, confusion over newly prescribed medications or changes to existing ones as one of the top contributors to re-hospitalization. Naturally, hospitals are turning to the pharmacists to step in to guide and educate not only patients, but patients' families and caregivers.

Unlike doctors, they can focus on the medications solely. Many older adults are already taking multiple prescription drugs on a daily basis. The introduction to a new medication may disrupt the effectiveness of current medication or even render the new one useless. The directions themselves may even confuse the patient or caregiver, leading to improper usage. This could easily lead to the patient not recovering or even new issues altogether. The AARP Bulletin reports that the Atlanta Medical Center utilizes a pharmacist during the patients stay and after discharge while Barnes-Jewish Hospital in St. Louis has made it easier for patients to get their new prescriptions filled before they are discharged and they screen the medications for any possible interactions.
In addition to saving the country billions of dollars, patients and caregivers are being better educated. Understanding ones own health and conditions will make it easier for us to maintain our own health and/or those of people we care for.
A continuity of care will surely reduce the number of re-admissions into our hospitals and thus reducing tax payer costs.

Pharmacists are a natural solution to this growing problem; the perfect
"middleman".  Since October is American Pharmacist Month it is the perfect time
to shine the spotlight on them and their roles in this countries overall health.


Have you or someone you cared for been readmitted to the hospital after a stay? What was the reason? If it was improper medication usage, how did the hospital respond?

Photo provided by the American Pharmacist Association at www.pharmacist.com

Shot or Not?

Jeff Walls — Thu, 10 Oct 2013 16:48:00 GMT

As winter is quickly approaching so is cold and flu season. Thus, the revival of the great debate, to get a flu shot or not. For years, coworkers, friends and even experts debate the effectiveness of getting an annual flu shot (vaccination). Some people swear by them and some people swear they still get the flu even when they get the shot. Personally, I've never received a flu shot and it's been years since I can remember having the flu. Perhaps I am lucky or have built up a strong immune system...whatever the reason, this sense of security, false as it may be, has kept me from being vaccinated. Then there are those who seem to catch everything going around and are the first in line to be vaccinated. Regardless, the flu, though common and usually harmless, can be quite serious and even deadly. The reason being that there are countless strains of flu, some being harder to treat than others. The Centers for Disease Control and Prevention (CDC), along with other organizations work hard each year to determine what strains will be more prevalent in what areas. However, just like predicting the weather, there are many factors to consider and sometimes the strains are stronger or even unexpected, leading to flu shots that may not be as effective.

The simple fact of the matter is that no one has ever claimed that a flu shot was a guarantee from getting the virus. If it was, everyone would get it without hesitation. So at best, it is a fairly reliable defense, reducing the odds that one might get the flu. For those people who are at a high risk to start with, such as older adults, there really is no debate.....GET THE SHOT!!

Older adults tend to have a weakened immune system, as well as other health issues, that make them more susceptible to viruses. A case of the flu can easily result in the development of pneumonia in an older person. Why take an added risk? We encourage all older adults to receive a flu vaccination every year. They are readily available in numerous locations throughout communities, including national drug store chains (Walgreens, CVS, ...),schools/colleges and even some work places. If you need information or would like to find the nearest location to receive the flu vaccination visit http://vaccine.healthmap.org

Do you receive the annual flu vaccination? Do you know someone over the age of 65? Do they get vaccinated annually? We would love to hear about your experiences in this and all matters discussed on our BLOG.

Just Breathe

Jeff Walls — Thu, 03 Oct 2013 14:49:00 GMT

If someone tells you that older adults are “set in their ways” or don’t want to change or learn anything new, or you just can’t teach an “old dog new tricks”, I would tell them here at The Pointe at Kilpatrick our residents embrace new ideas. Most of our “new” ideas are not exactly new but are century old practices that have become very well respected as ways of maintaining ones health.

While there are many ways to help an older loved one do all they can to maintain health, one of the best ways to improve both the physical and mental health of a senior citizen is meditation. At The Pointe we have a local meditation teacher come in to assist the residents in guided meditation. The deep breathing exercises are central to meditation and encourage oxygen enrichment to the blood. Many studies show that people who suffer with digestion problems often see immediate relief because the oxygenation of the digestive functions is empowered through meditation. This extra oxygen also boosts the immune system, helps heal the lungs and improves circulation.

Meditation also helps with increased alertness and the ability to interact with others and surroundings. The increased oxygen in the bloodstream of the elderly user of mediation will cause brain functions to improve. Meditation also calms the mind and releases stress in the body to help relieve end-of life anxiety issues. Because both the mind and body become more relaxed, the mental and physical health of the individual is improved drastically. Seniors who suffer depression can also benefit from meditation. During meditation, feelings of happiness are created in the mind, which increases daily happiness and satisfaction.

A recent study by the University of California Los Angeles, showed evidence that meditation has great potential to alleviate some of the symptoms often associated with the aging process. They also found that meditation can help with the quality of sleep and decreased pain levels.

Though our meditation classes are monthly, this is something that the residents can continue to do on their own for 10 to 15 minute increments each day. The beauty of the mediation process is that it cost nothing and can be done anywhere a quiet place to sit can be found.

Future studies will most likely confirm what the ancients realized long ago – quieting the mind will lead to better mental and physical health and well-being.

Written by Angie Garbaczewski, Program Director, The Pointe at Kilpatrick

Older Veterans - Caring for Our Heroes

Jeff Walls — Mon, 23 Sep 2013 17:12:00 GMT

We recently posted a blog about The Honor Flight program that one of our residents participated in. The program was created so that American veterans would have the opportunity to see the memorials erected in Washington DC in their honor. With the average age of WWII vets in the mid 90's, many of these men and women required the assistance of a caregiver. One of the things that was mentioned during the Honor Flight presentation was how these trips would not be possible without all of the volunteers and personal caregivers helping throughout the trip. Coincidentally, the current issue of AARP Bulletin, has an article about Elizabeth Dole and her work to highlight the role of veteran caregivers.
Dole, the former head of The American Red Cross, has long been an advocate for veteran's rights and care. While visiting her husband, Bod Dole, at Walter Reed Medical Center during an 11 month stay, she saw the struggles and hard work that military/veteran families underwent. "People just aren't aware of their needs," Dole says. Her foundation, "Caring for Military Families", not only brings awareness to the needs of the estimated one million plus veteran caregivers in America, but offers help in such areas as child care and respite. The foundation also sponsors research in veteran care.
In general, the role of caregiver is a tough one. Full of responsibilities and stress, it can be draining emotionally, physically and even financially. Caregivers for veterans often face additional, more difficult challenges when caring for a veteran. Combat injuries tend to be more severe. There is also the threat of foreign diseases/illnesses that may be harder to treat. On top of all that, the mental condition of a veteran may be affected by experiences while serving in the military, especially during a war or long deployments away from home. I've also found, in my experiences with veterans, that most are reluctant to accept assistance, of any kind. They joined the military out of a sense of duty, not for compensation and hesitate to even seek out the Veterans Benefits that are rightfully theirs. This can put a burden on themselves and/or their personal caregivers. Caregivers that are most likely a family member or close friend. It are these particular caregivers that Dole and her foundation are dedicated to helping. The mission statement of the foundation, which can be found on their website is simple and straightforward, "Our mission is to uplift American military caregivers by strengthening the services afforded to them through innovation, evidence-based research, and collaboration."

Regardless of one's political affiliations or stance on war, as Americans we can all agree that our veterans, our heroes, need to be cared for, now and as they grow older. The best way to insure this is to provide their caregivers with the resources and support they need to provide the best possible care. If you are interested in learning more, visit http://elizabethdolefoundation.org/#sthash.6QAYsps0.XEJjGw89.dpbs

Do you have a veteran in your family? Perhaps a neighbor or a friend? Who cares for them? What kind of challenges have you encountered or noticed? Please share your stories with us. Others may benefit from your experiences.