Dementia, Alzheimer’s and Sundowner’s Syndrome
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Did you know that nearly seven million adults in the U.S. over the age of 65 are living with dementia? By 2060, that number is projected to be almost 14 million(Opens in a new window). One in three seniors dies with dementia, that’s more people than breast cancer and prostate cancer combined. More than 11 million people in the United States serve as unpaid caregivers for people with Alzheimer's and other forms of dementia, providing an estimated 18 billion hours of care each year.
What is dementia?
Dementia is a general term for cognitive decline that can be caused by several different neurodegenerative disorders affecting the brain and causing damage to brain cells. A person with dementia has difficulties with cognitive function, including reasoning, judgment and memory. While some cognitive decline is common in aging, dementia is not a normal part of aging.
People who have dementia typically have some memory loss and difficulty in at least one other area, such speaking and writing coherently, understanding what is said or written, recognizing familiar surroundings, and accomplishing multi-step tasks. Early signs of dementia include mild changes in the ability to think and learn, but because a person in early stage dementia can still participate in daily activities and dialogue, it may appear to others that the person does not have dementia.
What triggers anger in dementia patients?
Sometimes, a person with dementia will become suddenly verbally or physically aggressive. This can happen for no apparent reason or as the result of a frustrating situation. Physical discomfort, environmental factors and lack of communication can cause a person with dementia to become agitated, but remembering that it’s not the person’s fault can help you cope more effectively. When dealing with dementia and anger, try to identify the immediate source of the anger or aggression and make sure it is not pain. Focus on the person’s feelings and stay calm. Try transitioning to a relaxing activity, like music, massage or exercise, and limit distractions. If you need to walk away and take a moment for yourself, do so, but only after making sure your loved one is safe.
Alzheimer's vs. Dementia
Irreversible dementia is chronic and progressive, and the most common type of irreversible dementia is Alzheimer’s disease, accounting for 60 to 80 percent of all cases. However, while Alzheimer’s is a form of dementia, all dementia is not Alzheimer's disease. Alzheimer’s disease is a degenerative brain disease that comes on slowly and worsens over time. The most common early sign of Alzheimer's is trouble with memory, because that is the part of brain affected first. The early stages of Alzheimer's can last for years, but as the condition advances, symptoms get more advanced. Disorientation, confusion and behaviour changes are common symptoms, and as Alzheimer's progresses to the end stages, speaking, swallowing and walking become difficult.
What is Sundowning?
Also called Sundowner’s Syndrome, sundowning is agitation and restlessness that typically occurs late in the day. The reasons behind sundowning are not well understood, but certain factors can trigger it. These may include unmet physical needs like tiredness, hunger, or pain, lack of sunlight exposure during the day, overstimulation or disturbance to the person’s body clock from damage occurring in the brain. Disturbed levels of hormones, sensory impairment, or depression, or side effects of prescribed drugs can also cause sundowning.
Pay attention to signs of sundowning, like increased confusion or anxiety, pacing, wandering, yelling, rocking in a chair or crying. Try to determine the cause of the behaviour and listen calmly to your loved one’s concerns, offering reassurance. Reduce noise and clutter, try distractions and strive to make early evening a quiet time of day, playing soothing music, softening the lights, reading or going for a walk. You can also reduce the risk of sundowning by helping the person get some sun exposure and regular exercise and sleep enough at night. Avoid serving caffeine and alcoholic drinks, and do not plan too many activities in one day.
Tips for Caring for a Senior with Dementia
Caring for a loved one with dementia can be stressful. At times, the challenges faced by a family caring for someone living with dementia can be heart-breaking. Expert caregiving tips can be very helpful, like the following.
- Make sure the home is safe. Depending on your loved one’s condition and stage of disease, there are different levels of safety measures you will need to put into place. Remove trip hazards like throw tugs, as dementia patients face fall risks. Provide mobility assistance, using walkers and grab bars. Hide the car keys because most people with dementia should not drive. Only allow outdoor access in protected, enclosed areas, and install a sturdy shower chair, to support unsteadiness. Talk to your loved one’s care provider about additional safety measures you should take.
- Put a routine in place. It is important for a person with dementia to have a routine, with a planned day that allows more time for activities that provide meaning and enjoyment. Bathing, dressing, meals and sleep times should be consistent every day.
- Make mealtime simple. People with dementia experience changes in spatial awareness, vision, attention and sometimes temperature tolerance. This can make mealtime overwhelming, but you can make it easier by following a few guidelines. Reduce distractions and choose plates that contrast with the food and table setting. Don’t use patterned tablecloths and placemats because it can be confusing and make it difficult for the person to distinguish the food from the setting. When served multiple foods they can find it hard to decide on which food to eat first. Offering one or two foods at a time can help alleviate confusion.
- Anticipate sundowning. A phenomenon known as sundowning is associated with day turning to night, and this can cause a person with dementia to experience increased confusion, memory loss and irritability. Symptoms of sundowning include crying, agitation, restlessness, depression and pacing. By understanding and anticipating this, you can reduce the risk by sticking to a routine and providing an activity, like a puzzle or board game, to occupy the person’s attention.
- Give your loved one reasonable independence. It is important to involve someone living with dementia as much as possible in daily activities, allowing the person to perform as many tasks as he or she can. This serves the dual purpose of keeping the person occupied while also providing tactile and mental stimulation to promote a sense of calm.
- Avoid arguing. Because a person with dementia does not have the ability to reason and think the same way other people do, arguing will only cause upset. Rather than arguing, divert your loved one’s attention to a task.
- Keep naps to a minimum. Avoiding long or multiple naps during the day can minimize the risk of creating abnormal sleep patterns and sundowning.
- Make the most of music. Make your loved one a playlist of favorite songs from when he or she was young. Music from their youth can help people with dementia regain some of their old personality. Further, a recent study determined that listening to meaningful music can actually make small changes in the brain’s neural pathways, which could improve memory for dementia patients. Provide comfortable headphones to avoid sensory overload and eliminate any competing noises.
- Practice self-care. While you are caring for others, make sure you also take care of yourself. If you don’t give yourself time to rest and recharge, you may be too exhausted to provide the best care for your loved one. If you are having trouble finding time for self-care, respite care can be a great option to give you a break from caregiving to focus on other things for a little while.
- Try not to take it personally. As dementia progresses, your loved one will get more confused and forgetful, and they may even forget who you are. It doesn’t mean that the person loves you any less, or even that all the memories you have shared are gone. Older memories tend to last the longest.
- Asking for help. Partnering with a home care agency can help alleviate the pressure on family members. Professional caregivers trained to understand and manage dementia-specific behaviours can ease the burden on the family and provide care and support to the person with dementia.
BrightStar Care® Provides Expert Alzheimer's and Dementia Care
At BrightStar Care, we keep up with evolving research so that we can give our clients the very best care. We are committed to providing home care services for all stages of Alzheimer’s disease and other forms of dementia, assisting clients and their families when they need our care. When you need help meeting the physical, mental and emotional needs of an older relative, trust BrightStar Care for excellence in home health care.
Find a BrightStar Care® Location Near You
Looking for in-home care services or assisted living for your loved one or a reliable medical staffing partner for your organization? Our experienced local care team members are ready to help. Find a location near you, contact us online, or call 866.618.7827 to speak with a local care expert and learn more about how BrightStar Care offers A Higher Standard®.
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Creating a Vibrant Lifestyle at The Glenview
When Rachel Ritter first walked through the doors of The Glenview, she wasnt leading concerts, organizing excursions, or planning community-wide celebrations.She was 15 years old, bussing tables in the dining room.Today, more than three decades later, Rachel has come full circle as The Glenviews new Lifestyle Director a role that perfectly combines her lifelong dedication to the community with her passion for enriching the lives of residents.Along the way, Rachel earned both a nursing degree and a degree in history, supported in part by a scholarship from The Glenview Scholarship Fund. She worked at The Glenview throughout college, held numerous leadership roles in Dining Services, and built lasting relationships with residents and team members alike.Now, she has found what she calls her true calling.After 31 years at The Glenview, Ive discovered that my greatest passion is creating a vibrant lifestyle for our residents, said Rachel. Dining Servies allowed me to create exceptional experiences around the table, but I wanted to contribute even more to daily life here. My goal is simple: every resident should wake up each morning with something exciting to look forward to.That philosophy is reflected in every square of The Glenviews bustling Activities Calendar. A Calendar Packed with PossibilityRachels vision is ambitious: create enough variety that every resident can find something that sparks joy, curiosity, connection, or purpose.Its my job to bring joy to peoples lives, said Rachel. I take that responsibility very seriously.Each month, residents enjoy an extraordinary mix of entertainment, education, wellness, social events, and excursions. Signature Events & EntertainmentTwo to three major events each month bring the community together for unforgettable experiences. From jazz ensembles and classical concerts to vocal performances and thought-provoking lectures by college professors, residents can explore topics ranging from history and philosophy to pop culture and current events. Culinary ExperiencesFood lovers eagerly await the monthly cooking demonstrations led by Executive Chef David Chidsey or Pastry Chef Ashley Yedeski. Residents learn professional techniques, enjoy generous tastings, and occasionally see favorite recipes make their way onto the dining room menu.The culinary fun continues with themed luncheons and tea parties. Recent favorites have included French and Asian-inspired lunches, farm-to-table seasonal luncheons, a Southern Tea Party, and a whimsical Mad Hatter Tea complete with imaginative desserts.Ashley has a gift for creating memorable pastries, said Rachel. Together, we love finding ways to surprise residents with something delicious and unexpected. Wellness for the Whole PersonAt The Glenview, wellness extends far beyond exercise.Working alongside Director of Health & Wellness Navigation Kari Bone, Rachel helps create programming that supports all eight Dimensions of Wellness: physical, emotional, social, spiritual, intellectual, vocational, health services, and environmental health.Recent speakers have included cardiologists, dietitians, meditation specialists, IT & fraud advocates, and other experts all lectures paired with refreshments and opportunities for discussion.Our residents are incredibly curious and engaged, said Kari Bone. Its a pleasure working with Rachel to bring in exceptional speakers on topics that matter most to the quality of life for our seniors. Lifelong learning is alive and well at The Glenview!Residents can also choose from 13 fitness classes every week, including yoga, meditation, cardio exercise, balance training, chair fitness, Tai Chi, and specialized classes led by physical therapy professionals. For independent workouts, the Fitness Center offers access to state-of-the-art equipment seven days a week. Adventure Awaits in Pelican BayWhile there is always something exciting happening on campus, Rachel also loves taking residents on the road. Recent outings have included a Rhythm & Blooms Jazz Concert at the Naples Botanical Garden, rooftop happy hour at The Perry Hotel, and visits to every new exhibition opening at the Artis Naples Museum.Rachel also coordinates transportation for residents who are season ticket holders for Naples Players productions and Artis Naples Masterworks Concerts.One of the best parts of my job is helping residents continue exploring the community they love, said Rachel. Theres always another adventure waiting in Pelican Bay. The Power of Shared InterestsSome of the communitys most beloved activity programs are resident-led. Book lovers can join either the Fiction Book Club, led by resident Lynn Nolan, or the Non-Fiction Book Club, led by resident Cynthia Bye. Creative residents can gather for the Social Crafting Bee, where simple projects are paired with cookies, lemonade, and conversation. The newest project a handmade greeting card was suggested and organized by resident Carol Levy.The Card Room is always a hub of activity at The Glenview. Card players gather regularly for bridge, Mexican Train, mahjongg, and other favorite games, while movie enthusiasts enjoy Saturday matinees complete with buttered popcorn.Rachel has a remarkable talent for turning resident ideas into reality, said Lynn Nolan, resident and Chair of the Lifestyle Committee. She listens, encourages participation, and helps create the sense of community that makes The Glenview so special. Rachel is much loved by all our residents. Giving Back TogetherSome activities focus on something even bigger than fun.Through a partnership with Meals for Hope, residents participate in quarterly philanthropy events that help organize and distribute food for local families in need.Many residents want hands-on ways to serve others, Rachel said. This program allows them to make a direct impact while working together as a community.The Glenview knitting group has found a similarly meaningful mission by connecting with the global non-profit Knitted Knockers, where they create soft knitted prostheses for women recovering from breast surgery.Its amazing to watch residents use their talents to comfort someone theyve never met, said Rachel. The project gives purpose to every stitch. A Scholarship That Came Full CircleOne activity especially close to Rachels heart is the monthly Scholarship Bingo fundraiser. All proceeds benefit The Glenview Scholarship Fund, which helps employees further their education.I was fortunate enough to receive one of those scholarships myself, said Rachel. It changed the course of my life. Every time we host Scholarship Bingo, Im reminded of how much this community invests in its people. Always Looking AheadRachel is already looking to expand the already full Activities Calendar.A new Dining Out Club is in development, giving residents opportunities to explore local restaurants together. Rachel is also working with yoga instructor Marjorie to launch a Senior Salsa class and continues partnering with the resident-led Lifestyle Committee to bring new ideas to life.The best ideas often come from residents, said Rachel. When people share their passions, we can create even more opportunities for connection and fun.Resident Judy Johansen agrees. Rachels enthusiasm is contagious, said Judy. She creates opportunities for everyone to get involved, make friends, and try something new. Theres always something exciting on the horizon here.For Executive Director Daniel Gomez, Rachels impact is impossible to miss. Rachel brings tremendous energy, creativity, and heart to everything she does, said Daniel. Her decades of experience at The Glenview, combined with the genuine relationships shes built with residents, make her truly irreplaceable. She helps create the culture of joy that defines this community.Rachel sums up her vision with characteristic enthusiasm: I want The Glenview to feel like a cruise ship that never leaves the dock, she said. There should always be great food, lively conversation, and exciting activities waiting around every corner!Judging by the packed calendar and the smiles it creates Rachel has certainly contributed to making The Glenview a destination of choice for seniors.We invite you to experience The Glenview personally. Join us for lunch, tour the community, meet the residents, and see firsthand why so many discerning individuals choose to call it home.To learn more about our community or schedule a visit, call us at (239) 977-9744 or complete our Contact Us form.
Meet Kari Bone: Helping Residents Optimize Life at The Glenview
When you move to The Glenview, youre gaining more than a beautiful apartment home. Youre gaining a trusted guide dedicated to helping you stay healthy, connected, independent, and confident as you embrace this exciting new chapter.That guide is Kari Bone, Director of Health & Wellness Navigation.My goal is simple, Kari said. I want every resident to feel supported, confident, and excited about whats ahead. Whether someone needs help finding a new physician, has questions about available services, or wants to learn new ways to stay healthy and active, Im here for them.Its a role thats part educator, part advocate, part problem-solver and one that helps residents truly optimize life at The Glenview.Wellness That Helps You Live Your Best LifeWellness at The Glenview isnt measured by the number of fitness classes on the calendar. Its about creating opportunities to live with greater purpose, energy, and peace of mind. Kari develops engaging programming that supports all eight Dimensions of Wellness physical, emotional, social, spiritual, intellectual, occupational, financial, and environmental health giving residents new ways to learn, connect, and thrive.On the first Wednesday of every month, residents gather for Health & Wellness Presents, a popular speaker series featuring physicians, therapists, dietitians, wellness experts, and other specialists discussing topics that matter most as we age.Our residents are incredibly curious, Kari said. Every month we have a wonderful turnout because people genuinely enjoy learning something new. They ask great questions, share their experiences, enjoy a healthy lunch or cooking demonstration, and spend time with friends. You leave feeling a little smarterand a little happier.Recent presentations have explored everything from heart health and nutrition to mobility, meditation, fraud prevention, and healthy aging. Interactive demonstrations and lively discussions turn every program into an opportunity to learn something practical while building meaningful friendships.Between presentations, Kari also shares practical advice through her popular Navigator Nuggets easy-to-save wellness guides included in the monthly resident newsletter. Covering topics like hydration, fall prevention, and seasonal wellness, theyre another way The Glenview helps residents make informed choices that support healthy, independent living.More Than Answers Peace of MindKari also introduces residents to the many services available to support successful aging in place, including GlenCare, The Glenviews personalized in-home support program.I never want someone to feel like theyre on their own, Kari said. Whatever question comes up, whatever challenge they face, well figure it out together. Thats what were here for.That reassurance begins long before move-in day.Kari is a results-driven leader with a humanitarian heart, said Krisandra Panting, Director of Marketing & Sales. Shes an incredible resource for prospective residents and their families because she has a solution for virtually every question or concern. She has a remarkable way of helping people feel comfortable, cared for, and confident about their decision to move to The Glenview.Helping Residents ThriveThis October, Kari will launch LifePlus, an exciting new wellness initiative built around four pillars of healthy aging: Connection, Movement, Nutrition, and Longevity. The program debuts with a week-long celebration featuring presentations given by nationally recognized physicians, wellness talks, fitness classes, interactive demonstrations, pop-up events, and the One Million Step Challenge, where residents join forces to track their steps throughout the month, turning walking and healthier habits into a shared community goal.Kari brings so much heart to everything she does, said Daniel Gomez, Executive Director. She doesnt just organize outstanding programs she builds relationships. She helps people discover new interests, make new friends, and feel confident that theyre supported every step of the way. Her guidance is one of the many things that makes life at The Glenview so special.For Kari, thats the real purpose behind every program, every conversation, and every connection.When someone chooses The Glenview, theyre choosing so much more than a place to live, she said. Theyre choosing a community that wants them to feel their best, keep learning, stay connected, and enjoy every stage of life. Seeing residents discover new friendships, new interests, and new confidence thats why I love what I do.Optimizing your life isnt about doing more. Its about living in a community where youre encouraged to be healthier, stay curious, build meaningful relationships, and embrace each day with confidence.Thats the difference youll discover at The Glenview.We invite you to experience The Glenview personally. Join us for lunch, tour the community, meet the residents, and see firsthand why so many discerning individuals choose to call it home.Schedule your private visit today by calling (239) 977-9744 or click here.
I Only Wish Id Moved Sooner: Jeanne Findlaters Glenview Story
For Jeanne Findlater, moving to The Glenview at Pelican Bay wasnt just a change of address it was a discovery. I wish Id done it years ago, she said. I simply didnt realize what this lifestyle could offer.Jeanne knows a thing or two about recognizing exceptional opportunities. In 1979, she made history as the first woman in the country to lead a television station in a Top 10 market, when ABC appointed her Vice President and General Manager of WXYZ-TV in Detroit. Today, the Michigan Journalism Hall of Fame member, says one of the best decisions shes ever made was choosing The Glenview. I love having my own home and my privacy, Jeanne said. But I also love knowing that everything is taken care of. I dont worry about maintenance, repairs, or the little things anymore. Its incredibly freeing.The Freedom to Enjoy Every DayMost afternoons, Jeanne relaxes with a glass of wine, a mystery novel, and sweeping views of the Gulf before heading to dinner in The Glenviews elegant dining room. When shes ready to be social, all she has to do is open her front door. Its like living in a beautiful boutique hotel, Jeanne said. There are concerts, lectures, fitness classes, bridge, mahjongg, and wonderful people everywhere. It all comes together to create a very rich life.An Unmatched LocationFor Jeanne, The Glenviews location is equally extraordinary. Theres nothing else like it, she said. Were surrounded by the beauty of Pelican Bays protected mangroves, and I can take the complimentary tram to the beach whenever I want, enjoy lunch by the Gulf, then walk to waterside shops, the Artis Naples Performing Arts Center, or the Baker Museum. Everything is right here.A Home Thats Truly Her OwnJeanne also appreciates that residents own their homes, allowing her to create a space thats uniquely hers. I opened up my kitchen, added granite, and created a home thats perfect for entertaining, she said. It feels exactly the way I wanted it to.The Difference is the PeopleAbove all, Jeanne says its the people who make The Glenview exceptional. The staff is extraordinary, she said. Theyre caring, thoughtful, and always looking out for us. You feel supported every single day.Looking back, Jeanne has only one regret. I waited too long, she said. Life here is everything I hoped retirement could be.
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BrightStar Care of Naples & Ft. Myers
Non-Medical 2545 Northbrooke Plaza Drive, Naples, Florida, 34119BrightStar Care is a leading in-home care agency that has been serving Lee and Collier counties since 2006. With a wealth of experience spanning 18 years, we have become a trusted name in providing compassionate and professional care to individuals within the comfort of their own homes. At BrightStar Care, we offer a wide range of services to meet the diverse needs of our clients, including both Medical and Non-Medical Care. Our non-medical care, also referred to as non-skilled care, includes assistance with IADLs such as transportation, meal preparation, medication reminders light housekeeping, laundry and ADLs such as assistance with personal care needs, transferring, and feeding. Our medical care, also referred to as skilled care, services encompass more complex medical needs with care being provided by an LPN or RN. Some of the Skilled services we offer include case management, medication management, medication administration and teaching, wound care and wound vac, disease education and monitoring, IV treatments and line maintenance, catheter and ostomy care, home safety evaluation and much more. In addition to non-skilled and skilled care, BrightStar Care takes pride in offering physical therapy (PT) and occupational therapy (OT) services. Our team of licensed therapists collaborates closely with clients to develop personalized treatment plans, aiding in the restoration of independence, improvement of mobility, and enhancement of overall quality of life. Another aspect that sets BrightStar Care apart is our medical staffing services. We understand the significance of having qualified and reliable healthcare professionals in various settings, such as hospitals, clinics, and long-term care facilities. Through our medical staffing solutions, we provide healthcare organizations with certified nursing assistants, skilled nurses, therapists, and other healthcare professionals on either a temporary or permanent basis. As an organization, we hold the prestigious Joint Commission Accreditation, which represents the gold standard in healthcare. This accreditation validates our commitment to delivering the highest standard of in-home care through quality and safety. Our dedication to providing top-notch care is further exemplified by our rigorous care team member selection and training processes. We carefully choose and train our care team members to ensure they possess the necessary skills, knowledge, and compassion to provide exceptional care to our clients. Furthermore, our thorough screening process, including background checks, drug testing, and reference verifications, instills peace of mind in our clients. Additionally, all our care team members undergo extensive hands-on training with our Director of Nursing, which includes comprehensive skills review, disease-specific training programs, as well as Dementia Live and our own Alzheimer's training called Bright Connections. What truly distinguishes us, however, is our genuine commitment to providing personalized care tailored to the unique needs of our clients. Our Rns create a comprehensive personalized plan of cares for each client. We believe in cultivating meaningful relationships with our clients and their families, creating a warm and supportive environment that promotes overall well-being which is why we created our own program called Purposeful Engagements.In recognition of our efforts to provide peace of mind to clients and their families, BrightStar Care has received numerous awards, including the Home Care Pulse awards for Provider of Choice, Employer of Choice, and Leader in Excellence. When it comes to in-home care, BrightStar Care is the agency of choice for those seeking exceptional care, compassion, and support. Our mission is to enhance the lives of our clients, enabling them to live comfortably and independently in their own homes through delivering a higher standard of in home care and providing peace of mind. Having proudly served Lee and Collier counties for over 18 years, we are excited to continue delivering exceptional in-home care services to our community.
BrightStar Care of Naples & Ft Myers
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