The Alzheimer’s Association uses a three stage approach for classification of dementia, including mild, moderate, and severe. Understanding these varying stages can make it easier to provide support, know what to anticipate, and prevent caregiver burnout.
In dementia’s mild or early stage, most people can do things for themselves, are able to drive, and participate in favorite activities. However, they may require assistance with some activities and cues or reminders for keeping appointments or remembering words and names. They may also need help maintaining familiar routines, managing household bills, grocery shopping, or preparing full meals. Fluctuations often start early and happen throughout all stages.
The moderate or middle stage of dementia is usually accompanied by difficulty with immediate recall, logic, situational memory, language, and organization. New daily care needs may arise when routine isn’t enough. An individual may have more difficulty starting and completing tasks in order. There may also be more repeated comments or questions about the situation. They may experience confusion, depression, anxiety, agitation, irritability, suspiciousness, and repetitive behaviors. Sleep changes, physical and verbal outbursts, and wandering may occur. Loss of independence and privacy can be difficult. Instead of taking over, it may be beneficial to ask for their help or present steps in order with visual cues and participation praise.
The severe or late stage is characterized by declines in environmental response, conversational skills, and movement control. Because of motor memory damage, most time will be spent resting. The person’s immune system may weaken as the brain can shrink to 1/3 of its original size.
Automatic movements like swallowing and eating can be challenging, and liquid can build in lungs. Infections or skin breakdown may result from poor nutrition. Repositioning, slow muscle movements, singing, playing music, or saying prayers may bring comfort and relaxation. Caregivers must read facial expressions, body language, and sounds to detect pain or discomfort due to a lack of communication.
Dementia progresses differently for each individual, and their ability to function varies from week to week and day to day. Staging helps determine how much help and what kind of help loved ones may need. It’s important to observe subtle changes and patterns and remain flexible as solutions may need to be adapted.
Editor’s Note: This article was submitted by Michelle Pekich, Director of Marketing, for in-home care provider ComForCare Home Care. She may be reached at 724-759-7674 or by email at mpekich@comforcare.com.
If you live in the Pittsburgh area or youve visited here, you understand what people mean when they say the city blends the best of small-town friendliness with the benefits of big-city living.That welcoming atmosphere is also part of what makes Steel City an attractive retirement destination. It offers all the three Cs culture, cuisine, and cost of living in great supply. In this article, weve compiled a list of the top 5 reasons that make Pittsburgh one of the best places to retire in Pennsylvania.#1 Comfortable Cost of LivingWhen deciding whether or not Pittsburgh is the right place to retire for you, its important to consider the financial aspects of the city. Whats the general cost of living, and how does it compare to other locations? Does Pennsylvania tax retirement income?The short answer? Choosing senior living in Pittsburgh, PA, is a smart financial move. In general, the cost of living in Pittsburgh is lower than the national average, and the city, along with the entire Keystone State, offers some notably tax-friendly advantages for retirees. Most retirement income including Social Security income and payments from retirement accounts like 401(k)s and IRAs are tax-exempt. Pension income is also exempt from taxes, and when it comes to taxable purchases, from groceries to golf clubs, the states average total sales tax rate is among the 20 lowest in the country.#2 Dont Miss AttractionsIn addition to being kind to your bottom line, retiring in Pittsburgh, PA, presents a world of opportunities for seniors to explore, experience, and grow. Youve earned your freedom and your free time, and the metro area is a place where you can make the most of both! Pittsburgh Zoo & PPG Aquarium These two attractions are definitely not a one and done experience. With 77 acres to explore, youll want to visit the zoo and aquarium regularly to browse beautiful, well-designed exhibits that foster understanding, respect, and appreciation of wildlife. Its a wonderful experience for both adults and children perfect for a days adventure with the grandkids. State Parks If you love the great outdoors, rest assured, Pittsburgh has plenty of wonderful state and municipal parks to enjoy close to home. Whether youre into boating, hiking, biking, kayaking, or even camping, getting your fill of fun will be less than a half-hours drive. Carnegie Museum of Art Known as the first contemporary art museum in the country, Carnegie Museum of Art likes to refer to its collection as the Old Masters of Tomorrow. Its one of the Pittsburgh regions finest examples of culture and is beloved not only for its 30,000 art objects, but also for its superb interactive programming that allows patrons to engage with the collection. Very cool. The Andy Warhol Museum Artist Andy Warhol hails from Pittsburgh, PA, and The Andy Warhol Museum celebrates his career with the worlds largest collection of his artworks. In fact, its one of the most comprehensive single-artist museums anywhere. Whether youre a lover of pop art or not, you cant help but be mesmerized by Warhols bold, colorful pieces.#3 Marvelous CuisineFoodies looking to retire in Pittsburghyoure in luck. Pittsburgh dining options score high when it comes to variety, quality, and downright deliciousness. Pittsburghers (yes, thats what theyre called) hold certain dishes in high esteem, including pierogis, square-cut pizza, smiley-face cookies, potato patch fries, chipped chopped ham, and pepperoni rolls. Be sure to put the Strip District on your dining list, too, where you can enjoy the whole gamut of eateries before heading to Station Square for high-end riverfront shopping.Looking to spend time dining close to home? Luxury retirement communities like Friendship Village of South Hills offer the best of both worldsstellar on-site dining and close proximity to the citys downtown restaurants.#4 Excellent Health CareThe Pittsburgh region and its residents are fortunate to have the University of Pittsburgh Medical Center for health care. Its one of the top medical facilities in the country, an important benefit for seniors. For over 15 years, UPMC has ranked among the top 20 best hospitals in America according to U.S. News & World Report hospital Honor Roll. In addition to the flagship hospital, it boasts 40 hospitals in the system, along with 700 clinical locations, including outpatient sites and doctors offices. Living in the Steel City, youll never be far from superior health care.#5 Superb Senior Living at Friendship Village of South HillsThe 5th top reason for retiring in Pittsburgh, PA, is having the pleasure of living in a welcoming community with a resort-like feel and a wonderful carefree attitude. Thats the life that awaits you at Friendship Village of South Hills. You can enjoy an active, vibrant lifestyle and reside in a beautiful independent living- LinkOpens in New Tab apartment. And youll have peace of mind knowing youve chosen to make your home in a Life Care- LinkOpens in New Tab community that offers higher levels of care if and when your health needs change.A Great Life Awaits You in Pittsburgh Theres so much to love about retiring in Pennsylvania. When you become a resident of Friendship Village of South Hills, all the wonderful experiences the Steel City has to offer will be close at hand. If youd like to learn more about life in our welcoming community, simply complete the form below or click here and well be in touch.
Fall is upon us and it brings no shortage of fun festivities. At Friendship Village of South Hills, were looking forward to all that the changing of seasons brings.The Beauty of Fall in Upper St. ClairOn the list of our favorite things about living in a Mid-Atlantic state like Pennsylvania, getting to experience four distinct seasons would have to be near the top. Autumn in St. Clair can be quite stunning. Fall serves as a transition from the hot, lazy days of summer into the holiday season and winter months ahead. From the start of the season in September until the end of the season in late November, we get to experience the days start to cool down and get shorter while the foliage erupts into a glorious blaze of color.In addition to the changes in weather and our natural surroundings, fall also brings back-to-school season, the return of fall sports, and some very special holidays including Veterans Day, Halloween and Thanksgiving. Yes, theres a change in the air and plenty to celebrate, so weve rounded up some of our favorite fall celebrations and activities below. What (and how!) you choose to celebrate is up to you.Fall Festivities Around PittsburghIf youre interested in getting out and about to take advantage of this new season, there are plenty of fabulous events happening around Pittsburgh this fall. Drive-in theaters. Drive-in theaters are making a comeback. And what better season to enjoy an outdoor movie than fall? With a number of drive-ins around the greater Pittsburgh area showing different films throughout the fall, youre sure to find a movie that sparks your interest. Leaf peeping. Take in the peak of fall foliage at some of our best local parks and sites. Stick to spots in our neighborhood like Clair Park or the Upper St. Clair Waterfalls, or venture out a bit more and explore places like Schenley Park, Raccoon Creek State Park, the Cathedral of Learning or Fallingwater. Doors Open Pittsburgh. Spend a Saturday learning about the architecture of some of our citys historic buildings as well as newer ones in this annual event. Wine tasting cruise. Enjoy a beautiful fall evening with a different point of view from the river! Savor wines of Italy and the sights of downtown Pittsburgh during a wine tasting cruise. Pittsburgh Symphony Orchestra. The Pittsburgh Symphony Orchestra is a delight any time of year, and this fall is no exception. With performances of Beethovens Fourth Symphony, Mendelssohns Scottish, Tchaikovskys Fiery Little Russian, Griegs Beloved Piano Concerto and an evening of swing music inspired by the Harlem Renaissance, the season is filled with music to tickle your ears. Light Up Night. Close out the fall season with Pittsburghs annual Light Up Night as we prepare to usher in the holiday season. How to Celebrate Fall at HomeIf youd prefer to stick closer to home, there are still plenty of ways to make the most of the changing seasons. Foliage gazing. While there are plenty of beautiful places around the state to take in the changing autumn colors, theres no need to get in a car at all. Take in the festive foliage with a simple stroll around the neighborhood. Football fun. For many, fall isnt complete without football. Whether cheering on the Steelers or your favorite college team, an in-person watch party or virtual tailgate with friends and family is a fun way to celebrate one of the highlights of the season. Seasonal baking. If the turning seasons have you thinking about warm baked goods or the flavors of pumpkin spice, a little autumnal baking can help set the stage for a beautiful fall day. Share your treats with friends and family or keep them for yourself we wont tell! Festive decorating. If your home is your happy place, you can get it and yourself into the fall spirit with a little seasonal fluff and buff. From door wreaths and welcome mats, to throw blankets and pillows or a vase fall blooms, help usher in this season with small changes around your home that make you happy. Celebrate Fall at Friendship Village of South HillsWhether you hit the town or prefer to stay close to home, celebrate fall with a community of friends at Friendship Village of South Hills in Upper St. Clair, Pennsylvania. From the >seasonally inspired menus in our restaurants, to our on-site events and group outings, our residents will be making the most of fall all season long.Schedule an in-person or virtual visit to learn more about life at Friendship Village of South Hills. Please fill out the form below or give us a call at 724-941-3100.
As your parents reach retirement and prepare for an exciting new chapter, its important to think long-term. One of the biggest choices theyll make is in regards to their living situation. Are they planning to stay at home even if their care needs change? Do they have a plan for how they will pay for in-home care and maintain their home? Or have they considered moving to a senior living community to enjoy the stability and security such a choice offers?Though this is a question that must be addressed, the topic can be difficult to broach. If youre wondering how to get the conversation started with your parents, read on for helpful tips and essential questions to ask.How to Prepare for the ConversationThe way you approach discussing independent living communities with your parents can contribute to how receptive they are to the idea. Here are a few strategies to keep in mind: Do your homework. As Alexander Graham Bell famously said, Preparation is the key to success. Research in advance and know the details about the differences between independent living and assisted living communities, the benefits they offer, overall costs and other critical details. Pick the right time. A big life decision isnt something to bring up out of the blue. Set aside specific time in a comfortable, relaxed environment so the conversation doesnt feel like an ambush. Be an active listener. While you might have your own ideas about the best options, carefully listen to your parents thoughts and feelings. Understanding where theyre coming from will make things more productive. Dont pressure them. High-pressure tactics are a sure way to put your parents on the defensive. Ultimately this decision is about whats best for them and their long-term needs. Practice patience. Dont go into the conversation expecting an immediate decision. Most of the time it requires several discussions and some serious reflection. Be patient and let them come to a conclusion in their own time. 6 Questions to Ask Your Parents About Independent LivingKnowing the right questions to ask can help your parents think about the possibilities of moving to an independent living community and their must-have features. Try these six questions to help guide the conversation.1. Do you ever feel lonely at home?According to the Centers for Disease Control and Prevention, one-fourth of adults 65 and older are considered socially isolated. In fact, loneliness in older adults can lead to increased health risks like heart disease and stroke. If loneliness is a factor for your parents, an independent living community can provide opportunities to build meaningful friendships later in life with others who share the same interests.2. Do you feel safe at home?Safety is an important consideration with age. Whether thats concerns about slipping and falling while doing home maintenance or crime in the neighborhood, an independent living community offers solutions. Independent living communities often include maintenance and landscaping and there are security protocols in place.3. Do you have a plan if you need a higher level of care?Studies show that 70% of older adults will need a high level of long-term support and services. Things like family history and current health can be strong indicators to help plan for future needs. If access to care is a high priority, its worth looking at Life Care options. This type of senior living community guarantees access to higher levels of health services within that community, no matter how needs change over time.4. What would be most helpful to get assistance with?Maintaining a large home can be a lot of work on your own. For many older adults, the private residences offered by independent living communities are much more manageable. Instead of spending time cleaning and fixing issues, your parents can spend that time pursuing their passions. 5. Would finances be easier with a monthly bill for everything?Another advantage of independent living communities is they consolidate regular expenses into one predictable monthly fee. From select meals at restaurant-style dining venues, access to the fitness center and on-site social programs, most services and amenities are included in their monthly fee. 6. How can I help?Finding the ideal living situation for your parents is the priority. After sorting through their needs and understanding their challenges, remind them youre a resource they can rely on. Whether youre helping to schedule visits or just acting as a sounding board, let them know your desire is to find whats best for their long-term goals.Explore Independent Living Options at Friendship Village of South HillsAt Friendship Village of South Hills, our senior independent living community is dedicated to helping residents get the most out of each day. With a maintenance-free lifestyle and helpful services, every individual can spend their time in the ways they find most meaningful.If youd like to learn more about what makes our Pittsburgh-area community so special, please dont hesitate to reach out and contact us today.