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Aging Wisely Guest Post: Reducing Signs of Brain Age

  
  
  
  
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Brain health is a topic we get asked about a lot at Aging Wisely and some of our most popular materials include our information on Memory Loss terminology, Alzheimer's Disease and Sundowner's Syndrome.  Our guest blogger from SharpSeniors.com has explored the topic of brain aging and some preventative, protective steps we can take as we age to give the brain its best chance for healthy aging.  You can read more about the author in the bio at the bottom of the article as well.

Family Caregiving Snapshot: Eldercare and Elder Rage

  
  
  
  
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Elder Care and Elder Rage: Know the Warning Signs of Alzheimer's

Elder Care Management for Memory Loss/Dementia Concerns

  
  
  
  
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In this post, we offer some key tips and resources for those of you managing the elder care of a loved one with memory loss, dementia or Alzheimer's disease:

Alzheimer's Awareness, Tips and Advice

  
  
  
  
September is World Alzheimer's Awareness Month. As eldercare professionals, we work with a lot of families facing the diagnosis of Alzheimer's or another form of dementia and we help families navigate everything from diagnosis to planning ahead, dealing with concerns such as wandering to healthcare and end of life needs. We have a number of resources for families regarding Alzheimer's dementia, from fact sheets to specific topics such as paying for long-term care and handling driving concerns. In honor of this month dedicated to raising awareness, we wanted to create a quick reference to some of these resources for you:

Memory Loss: Old Age, Alzheimer's, Dementia--What is it?? A handout explaining some of the terminology and an overview.

Recommended Reading on Dementia


10 Warning Signs of Alzheimer's and What's Normal?

Dealing with Sundowner's Syndrom (or sundowning behavior)

A variety of resources for elders and caregivers including an Alzheimer's quiz and fact sheet and general eldercare information.

We also offer a wide variety of posts in our blog about the range of topics facing families/caregivers. You can subscribe to our Aging Wisely blog for updates or review our old blog posts anytime. We also encourage you to sign up for our email newsletter for an easy monthly review of the latest news and topics.

If you or your loved one is experiencing memory loss, has recently been diagnosed with Alzheimer's disease or is struggling with caregiving and eldercare options, contact us about our eldercare consultations.



The Alzheimer's Disease Epidemic

  
  
  
  
CNN recently aired a special hosted by Larry King about Alzheimer’s Disease. On the special, “Unthinkable: The Alzheimer’s Epidemic”, King hosted celebrities such as Seth Rogan, Leeza Gibbons, Maria Shriver, Ron Reagan and Angie Dickinson, all of whom have been affected personally by the disease in their families. King also interviewed experts and visited the Mayo Clinic and Lou Ruvo Center for Brain Health at Cleveland Clinic and discussed new diagnostic advances and research. CNN will be rebroadcasting the show on Saturday, May 7th if you did not get the opportunity to view it. We thought we would share some thoughts from the show, especially the nuggets of wisdom shared through the celebrities’ personal experiences.

Maria Shriver reiterated the importance of families communicating and mentioned that while caregiving often falls to women, it should not be thought of as solely a women’s domain. She stated, “Daughters, talk to your brothers. Men can do this too.” Her message that families need to come together around caregiving duties and discuss how they will handle things is so important.

However, it is not always easy and many families struggle with relationships that were already strained before dealing with Alzheimer’s, which is certainly stressful on any relationship. At the same time, many families come together and grow through their caregiving experiences. For those that have concerns, consider seeking a counselor, geriatric care manager or family mediator to assist.

In the course of our work, we often meet with families who are setting off on the caregiving journey to help them think through different considerations and weigh decisions. Later, we’re often involved with families who feel the need for a professional geriatric assessment to have a comfort level that they are making the best decisions. This can be particularly helpful if families are in disagreement (or there is concern over future disagreement, questioning of decisions). Family mediation is a more formal process for settling disagreements.

Leeza Gibbons talked about her reaction to her mother’s diagnosis…as she said she “went in to it kicking and screaming” and was in denial. She mentioned that everyone in the family went in to their corner. Everyone reacts in their own way to such a tough diagnosis and it is important to remember that and consider allowing family members to have the space and time to come to terms with it. Again, a professional counselor or care manager can help facilitate discussions as needed as well. Leeza also talked about the difficult reality of the time when her Mom no longer recognized her, which she described as a “stab to the heart”.

Ron Reagan emphasized that the chances of having the disease or being a caregiver are very high. He said it was important for his father to bring awareness to the disease and he would have hoped that his sharing his diagnosis did that. He also made a very important point that Alzheimer’s patients can feel the love and the emotional temperature in the room. Even when faced with the difficult situation of a loved one not recognizing you, your visit and the warmth the person feels can make a difference in his or her day.

It was great to see Seth Rogan and his wife discussing her mother’s struggle with early-onset Alzheimer’s Disease. Seth is concerned that the disease gets very little attention, especially from people in the younger age groups. It is often associated with old age, but more and more young people are dealing with it, whether in grandparents, as caregivers for someone with early-onset or as the children of parents who are caregivers for their spouse or parent with the disease. It is nice to see him speaking out and important to have a younger presence in the world of awareness.

Angie Dickinson made a wonderful statement (paraphrasing), “You should love them—with your touch, your company, whatever pleasure may still be there for them”. Angie also mentioned that she was comforted by being able to provide the care and ensure someone was with her sister all the time. The emotional impact of the disease is just as challenging for someone who can afford services, but certainly being able to pay for care and ensure her sister had help eased the situation for the family and helped keep her sister cared for and safe. In situations where other family members are also seniors, it may be difficult for them to provide the care, especially hands-on personal care. Having quality home healthcare providers to turn to can make a big difference for those families.

Those featured on the show were hopeful about research advances and finding better treatments, if not a cure, in the future. But, as many pointed out, this disease is already an epidemic which many families struggle with and is only expected to impact more as our population ages. The crisis for families is right now, caregivers are struggling. It was good to see attention not only for the disease and research, but also spotlighting the personal struggles and the need for services and support for caregivers. We at Aging Wisely have been dedicated to helping caregivers for over 10 years and continue to develop expertise and services to support families.

Sign up for our newsletter for tips, news and information on eldercare and Alzheimer's caregiving to help save you time navigating through the extensive information available.

Caregiver Tips for Hospitalization of an Alzheimer's Patient

  
  
  
  
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If you are caring for a loved one with Alzheimer's, it is important to be well-prepared for potential hospitalizations. Gary LeBlanc, author of Common Sense Caregiving, recently covered this important topic in his column and we'd like to share some additional tips to help you.

1. Prepare by maintaining a record of key information for your care recipient. You can use a notebook (if you are local) or an online medical/caregiving record keeping system (we will be providing a review of some of these systems in future newsletters-fill out our easy subscription section on the lower right of this page to begin receiving our newsletters).

Important information to keep: list of medications (as well as past medications that have been discontinued and why, so that you can discuss those with providers and note if things are being prescribed that have been a problem before), family member and important contact information, doctors and providers' information (for example, home health agency or therapy company so that you can update them or provide their information as your preferred provider), allergies and sensitivities, diagnoses and general medical history. Having this information handy will help you to better communicate and feel less stress. Ask for copies of information and keep notes during the hospital stay and follow up visits.

2. Stay with your loved one, or make arrangements for someone to be there. A person with Alzheimer's often experiences a great deal of confusion with all of the change during the hospitalization and this can cause major problems. They most likely need someone by their side to reassure them, as well as communicate and advocate with hospital staff and providers. This helps providers, as it is challenging for them to do a proper job when someone cannot communicate well and it will lead to better outcomes.

You can hire a home health aide as a sitter (ideally, you have caregivers that have worked with your loved one before, and this may be one reason to consider establishing such a relationship). Just make sure you have armed them with the information they need and that they are well-versed in dementia care. If you are at a distance, a geriatric care manager can fill this role for you through monitoring and advocacy, and communicate to you about the situation. Even if you are local, a care manager serves as a useful caregiver advisor and can help you navigate the healthcare system.

3. Communicate and anticipate. Find out who is managing your loved one's care, if it is not your regular physician, and determine when they will visit or how you can best communicate with them. Many physicians with outside practices visit before or after office hours, so don't expect you will see them during business hours. Also find out if a case manager has been assigned, especially if you are going to have to make decisions about rehabilitation or care after the hospital.

Ask the questions you need to feel comfortable with decisions, and talk things over with an outside party when you are undecided or feeling pressured. Decisions can feel rushed in the hospital, and things may come at you suddenly. Plan ahead with family members about how to handle this and communicate to each other. Express your concerns and be vigilant. For example, if you feel that your loved one is not ready to be discharged, you must be the advocate who expresses succinctly and strongly why you believe this.

4. Say thanks. Hospitals can be a challenging environment and not everyone will take the time to understand your loved one's needs, but hospital staff work hard and many will go out of their way to help you. When they do, express your thanks. Working together is in the best interest of your loved one. Know who to talk to if you have concerns as well.

Contact Aging Wisely at 727-447-5845 for help with hospitalizations. We provide peace of mind for out of town caregivers, taking care of the above tasks and helping you make informed decisions. We also provide crisis intervention and consultation for any family facing the hospitalization of a loved one. Let us help you with questions to ask, things to consider, resources and assessment of next steps.

Alzheimer's Caregivers Eldercare Tips: Dementia Behavior Issues

  
  
  
  

Alzheimer's Caregivers' Experiences and Support

  
  
  
  
As an Alzheimer’s caregiver, it can be helpful to hear from others who are also caring for a loved one. Caregivers get a lot out of attending a support group, from lessening their feelings of isolation to getting great tips and resources. Some support groups offer respite care so that the caregiver can attend without worries about what they will do with their loved one during that time. Another option is to get online support, via various websites or groups on social media where caregivers share information and concerns.

As you face particular challenges, seeking out professional help and guidance may be the best route for identifying solutions that will work. A professional geriatric care manager can provide advice for your specific situation, or do an evaluation/assessment to give you recommendations based on their professional observations combined with your knowledge as the caregiver.

We offer some recommended reading for caregivers as well, which may help you during your Alzheimer’s caregiving journey. We recently came across a book entitled Staying Afloat in a Sea of Forgetfulness: Common Sense Caregiving by Gary LaBlanc. The book is a compilation of articles written during his caregiving experience. Gary writes with a straightforward approach, and you can read short excerpts as you have time, versus trying to digest a large amount of material.

We asked Gary to share some information on his journey as an Alzheimer’s caregiver in a recent interview:

Give us a brief overview of your background as a caregiver. My Father and I worked side by side for 18 years in our co-owned used bookstore. So I actually got to witness the disease of Alzheimer’s from day one all the way to the devastating end. I became my father’s caregiver for the last decade of his life.

How did you decide to begin writing on the subject and how did the book come about? I was actually working on a third novel of a trilogy, when I briefly started writing short stories about my experiences of caring for my dad. Everyone who I allowed to read them, all said the same thing, "You need to do something with these." This is what got me to start my column "Common Sense Caregiving," which has now been published every week for the past two years. After my father past in July of ‘09, I decided to take 65 of my articles, rewrite them with the main goal of making sure they were in a caregiver-friendly manner as possible.

What did you find to be the greatest challenge as a caregiver? I honestly have to say that the delusions and hallucinations my father went through were extremely difficult for me to deal with. But, toward the end of the campaign, the lack of sleep was the hardest physical element I dealt with.

What were some of your rewards or growth experiences as a caregiver? The satisfaction of knowing that by keeping my dad in the comfort and safety of his own home, he had a feeling of content and his demeanor in general was positive. I believe he got the most, out of a horrible situation, and that was rewarding.

As for the growth part, being a caregiver, you well find that there is more endurance inside of you, than you ever believed. Without a doubt, when this crusade is over, you will become a morally stronger person.

What do you think are some of the unique challenges of caring for someone with Alzheimer’s Disease or another form of dementia? Learning to have patience and learning to make sacrifices. For example: Putting your social life on hold.

What is your #1 recommendation for caregivers? One word; Routine!

Contact us to find out how we can help you during your journey as an Alzheimer's Caregiver.

Dementia Costs & Alzheimer's Care: World Report 2010

  
  
  
  
The total estimated worldwide costs of dementia are $604 billion in 2010, according to the newly released World Alzheimer Report 2010: The Global Economic Impact of Dementia from Alzheimer’s Disease International (ADI). Dementia care costs around 1% of the world’s gross domestic product (GDP). By 2030, worldwide societal costs will increase by 85% (a very conservative estimate considering only increases in the number of people with dementia).

In the Report, costs were attributed to the direct costs of medical care (the costs of treating Dementia and other conditions in primary and secondary care), direct costs of social care (provided in residential care settings and by community care professionals), and informal care (unpaid care provided by family caregivers and others).

“This report clearly illustrates that dementia is already affecting health systems around the world, and for the families who are forced to face Alzheimer’s the anguish is universal,” said Harry Johns, Alzheimer’s Association President and CEO. “The World Alzheimer Report 2010 urges all countries – including the U.S. – to develop national plans to deal with the disease.”

In the U.S., according to the Alzheimer’s Association’s Alzheimer’s Disease Facts & Figures 2010, there are as many as 5.3 million Americans living with the disease and every 70 seconds someone in America develops Alzheimer’s. In 2010, there will be a half million new cases of Alzheimer’s. By 2050, there will be nearly a million new cases of Alzheimer’s every year. Nearly 11 million U.S. family members and other unpaid caregivers provided 12.5 billion hours of care for people with Alzheimer’s and other dementias, valued at $144 billion.

Every day, we see the impacts of Alzheimer’s disease on individuals and families, from the emotions of seeing a loved one deteriorate to the stress of caregiving and financial sacrifices. We are offering a series of blog postings and caregiver tips through our social media pages to address different aspects of Alzheimer’s caregiving and provide expert tips. Our goal is to assist Alzheimer’s caregivers to reduce the stress of trying to find high quality information that really helps. Visit us on Facebook or Twitter for these tips and the latest news.

We also offer one-on-one caregiver consultations for family members caring for a loved one with Alzheimer’s Disease or another form of dementia, or anyone concerned about memory loss.

Alzheimer's Caregivers: Words of Wisdom

  
  
  
  

Caring for a loved one with Alzheimer's Disease brings its own unique challenges. The process of caregiving in general can be draining and overwhelming, but Alzheimer's caregiving is like learning a whole new profession, sometimes each and every day. Just as each moment may be new for the person with Alzheimer's disease, each moment may be something new to face for the Alzheimer's caregiver.

We have provided some information in the past that many family caregivers shared was helpful to them. If you are involved in Alzheimer's caregiving you may wish to review our post on Sundowner's Syndrome/Sundowning for tips and hints on the issue of "sundowning" in Alzheimer's patients (the phenomena of disturbed behavior and agitation late in the day). We also provide one on one consultations with our expert geriatric care managers, who can help you troubleshoot ways to build routines and overcome challenges involved in caring for a loved one who has dementia. Sign up for our email newsletter for additional tips, or contact us today at 888-807-2551 for immediate assistance.

We will be interviewing Alzheimer's caregiver Gary LeBlanc in future blog posts. Gary is the author of Staying Afloat in a Sea of Forgetfulness: Common Sense Caregiving, a book which brings together his wisdom and writings from his years caring for his father. Here are some words of wisdom from some of Gary's articles, that may help you as a caregiver:

"The dread of failure is every caregiver’s nightmare. Try to relax and observe your loved one closely. Learn as much as possible day-to-day. Don’t be so hard on yourself. Remember every Alzheimer’s patient responds differently in most instances."

"Personally watching a loved one dissolve in front of your eyes is one of the hardest undertakings a caregiver must endure."

"You will go through stages when you feel strong and you are. It requires a special individual to be caregiver to a mind-impaired patient. Anticipate that you will get worn down. That burn out stage does absolutely nothing but cause harm for everybody. So put your pride aside and let others help. This is a job that can’t be done alone."

We look forward to sharing more words of wisdom from Gary and other Alzheimer's caregivers, as well as providing good professional advice on caring for a loved one with dementia.

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