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Dementia: Improving Communication with Improv | Overview is part of a six-part series. Dementia is a degenerative neurological condition that affects millions of people worldwide. As the disease progresses, individuals with dementia may experience difficulties with communication, including problems with memory, language, and understanding. This can make it challenging for caregivers and family members to connect with their loved ones and provide the best possible care. However, there is a promising solution to this challenge: improv. In this six-part series, we will explore how improvisational theater techniques can be used to improve communication and connection with individuals with dementia. By tapping into the power of improv, caregivers can learn how to communicate more effectively, build rapport, and create meaningful experiences with their loved ones.
Dementia is a debilitating condition that affects millions of people around the world. It is a progressive disease that affects memory, thinking, behavior, and the ability to perform daily tasks. As the disease progresses, individuals with dementia may have trouble communicating and may become withdrawn and isolated. However, with the right approach and support, individuals with dementia can still achieve good quality of life.
One approach to supporting individuals with dementia is to meet them where they are at. This means that care providers should strive to understand the individual's unique perspective, experiences, and needs. This approach can help to reduce frustration, confusion, and anxiety and promote a sense of well-being and connectedness.
To meet individuals with dementia where they are at, care providers can use a range of strategies. These may include:
Communication: Communication can be challenging for individuals with dementia. Care providers should use clear and simple language, speak slowly, and allow time for the individual to process information. They should also use non-verbal cues, such as facial expressions and gestures, to convey meaning.
Activities: Activities that are meaningful and engaging can help individuals with dementia to stay connected and maintain a sense of purpose. Care providers should focus on activities that the individual enjoys and are tailored to their abilities and interests.
Environment: The physical environment can have a significant impact on the well-being of individuals with dementia. Care providers should create an environment that is familiar and comfortable, with minimal distractions and noise.
Personalized care: Personalized care can help individuals with dementia to maintain a sense of identity and autonomy. Care providers should take the time to get to know the individual and their preferences and involve them in decision-making as much as possible.
Emotional support: Individuals with dementia may experience a range of emotions, including fear, anxiety, and frustration. Care providers should provide emotional support and validation, acknowledging the individual's feelings and concerns.
Meeting individuals with dementia where they are at requires a holistic and person-centered approach. By understanding the unique needs and experiences of the individual, care providers can support them to maintain a sense of dignity and quality of life, even as the disease progresses.
Communication is a complex process that involves sending and receiving messages, both verbal and nonverbal, between individuals. Effective communication requires the ability to understand and interpret messages, express oneself clearly, and respond appropriately to feedback. For people with dementia, communication can become more challenging as the disease progresses and affects their cognitive and language abilities.
Communication in people with dementia can be impaired due to a variety of factors, including memory loss, difficulty finding the right words, and impaired processing and comprehension of language. This can lead to frustration and anxiety for both the person with dementia and their caregivers. It is important to understand how communication can be affected by dementia and to develop strategies for effective communication.
It is also important to remember that communication is a two-way street, and caregivers and healthcare providers must also be good listeners. Active listening, which involves paying attention to the person with dementia, acknowledging their feelings, and responding appropriately, can help build trust and understanding.
Improved communication with individuals with advanced dementia can lead to several benefits, including better social interaction, reduced feelings of anxiety, and improved quality of life. It can also help caregivers better understand the needs and preferences of the person with dementia, resulting in more personalized care and enhanced well-being for both the caregiver and the person with dementia.
Several studies have explored the benefits of improving communication with individuals with advanced dementia. For example, a systematic review of communication interventions found that these interventions can lead to reduced agitation and aggression among people with dementia, as well as improved quality of life and social engagement (Van't Leven et al., 2013). Another study showed that individualized communication training for caregivers can lead to significant improvements in communication quality and overall well-being for both caregivers and individuals with dementia (Graff et al., 2006).
Moreover, incorporating improvisation techniques, such as mirroring, storytelling, and music, can be particularly beneficial in enhancing communication with individuals with advanced dementia. A randomized controlled trial of music therapy showed that it led to significant improvements in communication and social interaction among individuals with advanced dementia (Raglio et al., 2015). Another study showed that using storytelling and role-playing techniques can lead to significant improvements in communication and emotional well-being among individuals with advanced dementia (Hsu et al., 2018).
Improving communication with individuals with advanced dementia can lead to several benefits for both the person with dementia and their caregiver. Incorporating improvisation techniques can enhance the effectiveness of communication interventions and improve overall well-being.
The components of improv can be applied to dementia care to help improve communication, build trust, and enhance the overall care experience for both the caregiver and the person with dementia.
Components of improv for dementia care include:
Acceptance: Accepting and building on the ideas of others is a key component of improv. In dementia care, acceptance can involve acknowledging and validating the thoughts and feelings of individuals with dementia, even if they are not based in reality. This can help build trust and improve communication.
Listening: Active listening is essential in improv. In dementia care, listening involves paying attention to verbal and nonverbal cues, as well as being open to new ideas and adapting to the needs of the person with dementia.
Agreement: In improv, performers agree to the reality of the scene and build on it. In dementia care, agreement can involve finding common ground with the person with dementia and building on their ideas and interests.
Creativity: Improv is all about creativity and thinking outside the box. In dementia care, creativity can involve finding new ways to communicate, engage, and connect with the person with dementia.
Flexibility: Improv requires performers to be flexible and adapt to changing situations. In dementia care, flexibility can involve being open to new ideas and adjusting communication strategies as needed to accommodate the needs and abilities of the person with dementia.
Playfulness: Improv often involves a playful and lighthearted approach to communication. In dementia care, playfulness can involve using humor and creativity to make communication more enjoyable and engaging for the person with dementia.
Using improv techniques can help caregivers communicate more effectively with individuals with dementia by fostering flexibility, active listening, engagement, and humor. These techniques can help improve the quality of communication and enhance the overall care experience for both the caregiver and the individual with dementia.Improv can help communicate with someone who has dementia by:
Emphasizing flexibility: Improv involves being open and flexible to new ideas and situations. This approach can help caregivers communicate more effectively with individuals with dementia, who may have difficulty following a specific train of thought or conversation. By being flexible and open to new ideas, caregivers can adapt to the needs and abilities of the person with dementia, allowing for more successful communication.
Encouraging active listening: Improv requires active listening and responding to what is being said in the moment. This approach can help caregivers communicate more effectively with individuals with dementia, who may have difficulty following a conversation or articulating their thoughts. By actively listening and responding to the person with dementia, caregivers can help them feel heard and understood.
Fostering a positive and engaging environment: Improv involves creating a positive and engaging environment that encourages participation and creativity. This approach can help caregivers communicate more effectively with individuals with dementia, who may become easily disengaged or frustrated during communication. By creating a positive and engaging environment, caregivers can help individuals with dementia feel more comfortable and open to communication.
Using humor and playfulness: Improv often involves using humor and playfulness to communicate and connect with others. This approach can help caregivers communicate more effectively with individuals with dementia, who may respond well to humor and playfulness. By using humor and playfulness, caregivers can help lighten the mood and make communication more enjoyable and less stressful for everyone involved.
There are many improv techniques that can be used on a client with dementia. By incorporating these techniques into their care approach, caregivers can help improve communication, reduce stress, and enhance the overall care experience for the person with dementia.Here are a few examples:
Using improv techniques in caregiving can greatly enhance the caregiver's relationship with their loved one with dementia. By accepting and validating the individual's experience, caregivers can build trust, improve communication, and increase their loved one's sense of safety and comfort. Improv also allows for creative problem-solving and flexibility, which can be crucial in adapting to the individual's changing needs and abilities. Ultimately, incorporating improv as a form of communication can lead to a more positive, meaningful, and fulfilling relationship between the caregiver and their loved one with dementia.
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Read all of the articles in this six-part series on Dementia: Improving Communication with Improv
Dementia: Improving Communication with Improv | Overview
Dementia: Improving Communication with Improv | "Yes and..." Technique
Dementia: Improving Communication with Improv | Mirroring Technique
Dementia: Improving Communication with Improv | Storytelling Technique
Dementia: Improving Communication with Improv | Role-playing Technique
Dementia: Improving Communication with Improv | Musical Improvisation technique
Author: Kathleen Warshawsky, BSN, RN | Publisher Seniors Blue Book Greater Dallas | https://www.linkedin.com/in/kathleenwbsnrn/
Alzheimer's Association. (2021). Communication and Alzheimer's. Retrieved from https://www.alz.org/help-support/caregiving/daily-care/communications
Goldsmith, L., & Goldsmith, J. (2019). Communication and dementia. American Family Physician, 99(11), 684-691.
Graff, M. J., Adang, E. M., Vernooij-Dassen, M. J., Dekker, J. H., Jönsson, L., Thijssen, M., ... & Rikkert, M. G. (2006). Community occupational therapy for older patients with dementia and their care givers: cost effectiveness study. BMJ, 333(7580), 1196.
Guzmán, A., & Hegarty, J. (2018). A systematic review of drama therapy interventions for dementia care. Aging & Mental Health, 22(10), 1309-1319.
Hsu, M. H., Flowerdew, R., Parker, M., Fachner, J., & Odell-Miller, H. (2018). A thematic analysis exploring group music psychotherapy for people with dementia in the UK. Journal of Applied Arts & Health, 9(1), 75-87.
Kales, H. C., Gitlin, L. N., & Lyketsos, C. G. (2015). Assessment and management of behavioral and psychological symptoms of dementia. BMJ (Clinical research ed.), 350, h369.
Raglio, A., Bellelli, G., Traficante, D., Gianotti, M., Ubezio, M. C., Villani, D., ... & Stramba-Badiale, M. (2015). Efficacy of music therapy in the treatment of behavioral and psychiatric symptoms of dementia. Alzheimer Disease and Associated Disorders, 29(2), 158-163.
Raglio, A., Gianotti, M., Manzoni, V., Bolis, S., Ubezio, M. C., Villani, D., & Stramba-Badiale, M. (2016). Effects of improvisational music therapy vs enhanced standard care on symptom severity among patients with Alzheimer disease: The IMT-ALZ randomized clinical trial. JAMA Neurology, 73(7), 797-805.
Van't Leven, N., Prick, A. E., Groenewoud, J. G., Roelofs, P. D., de Lange, J., Pot, A. M., & Van't Leven, N. (2013). Communication enhancement between dementia care professionals and dementia patients during daily care. Aging & Mental Health, 17(5), 555-568.
Dementia and OCD Lead to Compulsive ShoppingTavis SchrieferCEO @ teleCalm, Phone service for Alzheimers & dementia, both at home and in senior livingMarch 1, 2024Obsessive-compulsive disorder (OCD) is a mental health condition that affects about 1.2% of U.S. adults. People with OCD experience unwanted and intrusive thoughts (obsessions) that cause them anxiety or distress. They also perform repetitive behaviors (compulsions) to try to reduce or neutralize their anxiety. For example, someone with OCD may have a fear of germs and compulsively wash their hands or even develop a compulsive shopping disorder.OCD can be a chronic and disabling condition that interferes with daily functioning and quality of life. Unfortunately, some people with OCD may also be at a higher risk of developing dementia, a group of brain disorders that affect memory, thinking, and behavior. Dementia is more common in older adults, especially those over 65 years old, and it can cause cognitive decline, confusion, and personality changes.How OCD is linked to dementiaAccording to a recent study published in the Journal of Clinical Psychiatry , people with OCD are more likely to develop dementia than people without OCD. The study used data from a large insurance database in Taiwan and followed 1,347 people with OCD and 13,470 matched controls without OCD for an average of 11 years. The researchers found that:People with OCD had a higher risk of developing Alzheimers disease, vascular dementia, and unspecified dementia than people without OCD.People with OCD developed dementia about 6 years earlier than people without OCD (70.5 years versus 76.7 years).People with OCD had a higher rate of early-onset dementia (before age 65) than people without OCD (1.7% versus 0.1%).The exact reasons why OCD is associated with dementia are not clear, but some possible explanations are:OCD may share some genetic or environmental risk factors with dementia, such as the APOE gene or chronic inflammation.OCD may cause chronic stress or damage to the brain over time, which may increase the vulnerability to dementia.OCD may make it harder to detect or treat dementia symptoms, as some cognitive impairments or behavioral changes may be attributed to OCD rather than dementia.How OCD and dementia affect compulsive shoppingOne of the possible consequences of having both OCD and dementia is compulsive shopping, which is the uncontrollable urge to buy things that are not needed or wanted. Compulsive shopping can cause financial problems, family conflicts, and emotional distress for the person and their caregivers.Compulsive shopping can be triggered by different factors in people with OCD and dementia, such as:Obsessions: People with OCD may have obsessive thoughts about buying certain items or completing certain collections, which may drive them to shop compulsively.Compulsions: People with OCD may use shopping as a way to cope with their anxiety or to perform rituals related to their obsessions, such as buying multiples of the same item or checking prices repeatedly.Memory loss: People with dementia may forget what they have already bought or why they bought it, which may lead them to buy the same things again or buy things they dont need.Impulsivity: People with dementia may lose their ability to control their impulses or plan ahead, which may make them more prone to buy things on a whim or fall for marketing tricks.Boredom: People with dementia may feel bored or lonely due to their cognitive decline or social isolation, which may make them seek stimulation or comfort through shopping.Compulsive shopping can be especially problematic when it involves purchasing products from home shopping channels and other ads on TV. These sources of shopping may be more accessible, appealing, or persuasive for people with OCD and dementia, as they may:Provide constant exposure to new products and offers that may trigger obsessions or impulses.Use high-pressure tactics such as limited-time deals, scarcity cues, testimonials, or guarantees that may exploit cognitive biases or vulnerabilities.Offer easy payment methods such as credit cards, phone orders, or online transactions that may bypass rational decision-making or budgeting.Deliver products directly to the home without requiring transportation or social interaction that may deter or limit shopping.How teleCalm service can helpIf you have a loved one who suffers from both OCD and dementia and engages in compulsive shopping from home shopping channels and TV ads, you may feel frustrated, worried, or helpless. Fortunately, there is a service that can help you manage this issue: teleCalm.teleCalm is a phone service that is designed specifically for seniors with dementia and their caregivers. It works with any existing phone and phone number, and it offers several features that can prevent or reduce compulsive shopping, such as:Blocking unwanted outgoing calls to home shopping channels and TV adsBlocking ALL incoming calls from telemarketers, scammers, and any other numbers you choose.Allowing only trusted callers to reach your loved one, such as family, friends, doctors, or emergency services.Viewing your loved ones phone activity and alerting you of any suspicious or unusual calls, such as repeated calls to the same number or calls at odd hours.Providing you with a dashboard on an app where you can control and customize your loved ones phone settings, such as call blocking, call filtering, or call scheduling.By using teleCalm, you can protect your loved one from compulsive shopping and its negative consequences, while also preserving their dignity, independence, and connection. You can also reduce your own stress and worry, knowing that your loved one is safe and supported.If you are interested in learning more about teleCalm, please visit teleCalmProtects.com or call 1-888-701-0411.
Did you know there are financial assistance programs available to veterans who need assisted living care? Our veterans made numerous sacrifices to uphold the freedom we enjoy today while their families kept the home fires burning. They are entitled to many benefits in appreciation for all they endured for America.Veterans benefits for senior living are available for qualifying veterans and their surviving spouses, as long as the veteran served at least 90 days of active duty, including at least one day during a wartime period, and received an honorable or general discharge.Veterans Aid and Attendance for assisted living careOffered through the Department of Veterans Affairs, Aid and Attendance is a monthly pension benefit that can help cover the costs of assisted living care. It is available for wartime veterans and their spouses who have limited income and require the regular attendance of a caregiver.Aid and Attendance is designed for individuals who need assistance from another person to complete everyday activities such as bathing, dressing and assistance with other daily activities. A veterans need for this benefit does not need to be the result of their military service.Funds received from Aid and Attendance benefits can offer a monthly benefit to help pay for assisted living and long-term care for a qualifying veteran and their spouse. The actual monthly benefit is determined by the veterans assets, income and medical expenses and conditions.Contact your local county Veterans Services office with questions on how to apply by visiting www.benefits.va.gov/vso.MedicareMedicare will pay for short-term care at nursing and rehabilitation facilities for seniors who need these services after an illness or injury that requires hospitalization. Medicare does not cover the cost for assisted living, home care or other senior living services.Long-Term Care BenefitsThe Veterans Administration provides both short- and long-term care in skilled nursing settings for veterans who cannot care for themselves. This benefit does not cover assisted living or home care.Housebound BenefitsVeterans confined to their homes and requiring assisted living care may be best suited to receive Housebound benefits. This program provides an increased monthly pension amount for those confined to their home due to a permanent disability.Applying for BenefitsThe Veterans Administration has regional offices that provide Veteran Service Organization representatives who may be able to answer simple questions about assisted living benefits, as well as provide free, basic advice on the application process.Many veterans seeking advice on applying for assisted living benefits hire a qualified attorney accredited by the VA or an accredited claims agent, who has passed a written exam about VA laws and procedures.The application process for assisted living benefits is often very lengthy. It is important to be thorough when completing the application and have all required documentation gathered and ready to submit.There are additional financial options to pay for assisted living care for individuals who do not qualify for veterans benefit. Click to find out more about financial options for senior living.Country Meadows offers affordable assisted living or personal care on its nine campuses in Pennsylvania and one in Frederick, Maryland. Our friendly co-workers are always available to help! Contact us today for more information.
The journey of Alzheimers and dementia is not only a medical challenge but a profound emotional experience that impacts not only the individuals affected but also their loved ones. At the heart of this journey lies the art of communication, a skill that gradually slips away as the conditions progress. In this blog post, we will explore the intricacies of communication in the realm of Alzheimers and dementia, understand the challenges faced, and uncover strategies that can help bridge the gap and bring comfort to our senior loved ones.Alzheimers and dementia are neurodegenerative disorders that cast a shadow over memory, cognition, and communication. These conditions affect millions of individuals worldwide, causing memory loss, cognitive decline, and difficulties in processing and understanding information. As caregivers and loved ones, understanding the landscape of these conditions is essential to provide appropriate care and support.Challenges in CommunicationCommunication is a fundamental aspect of human interaction, but Alzheimers and dementia disrupt this crucial channel of connection. Seniors battling these conditions often face various challenges that hinder their ability to express themselves and engage in meaningful conversations. These challenges include:Word-Finding Difficulties: The gradual decline in vocabulary leads to pauses and hesitations as seniors struggle to recall and articulate words.Limited Vocabulary: Over time, the richness of their vocabulary diminishes, leaving them with a limited range of words to express themselves.Impaired Comprehension: Understanding spoken and written language becomes increasingly challenging, making it difficult for them to follow instructions or engage in discussions.Repetitive Speech: Memory lapses can lead to the repetition of phrases, questions, or stories, reflecting their frustration and need for reassurance.Non-Verbal Communication Issues: The ability to interpret facial expressions, gestures, and body language diminishes, causing misunderstandings and frustration.Navigating the Effects on Language and MemoryThe impact of Alzheimers and dementia goes beyond communication challenges, affecting memory and cognitive abilities:Memory Loss: Both short-term and long-term memories are compromised, making it difficult to remember recent events or even recognize loved ones.Language Comprehension: The ability to understand complex sentences and abstract concepts becomes progressively challenging, contributing to the breakdown in communication.Reading and Writing Difficulties: Declining linguistic abilities can lead to struggles in reading and understanding written material, and in some cases, even writing coherent sentences.Speech Changes: The rhythm and fluency of speech are disrupted, leading to fragmented sentences and pauses, which can be frustrating for both the individual and their caregivers.Social Isolation: Communication difficulties often result in seniors withdrawing from social interactions due to embarrassment or frustration, leading to increased isolation and potentially exacerbating cognitive decline.Strategies for Effective CommunicationAs caregivers and loved ones, it is our responsibility to adapt our communication strategies to better connect with seniors battling Alzheimers and dementia. Here are some proven strategies to enhance communication:Patience and Empathy: Practicing patience and showing empathy are foundational to effective communication. Taking the time to understand their emotions and being present with them can create a sense of security.Simple Language: Using clear and concise language reduces confusion. Break down complex ideas into smaller, understandable pieces to facilitate smoother conversations.Non-Verbal Cues: Engaging in non-verbal communication through touch, eye contact, and gestures can convey emotions and provide a bridge when words fall short.Offering Choices: Providing choices empowers individuals and fosters engagement. It also simplifies decision-making and encourages their participation in conversations.Visual Aids: Visual aids such as pictures, diagrams, or objects can help convey messages and ideas, transcending language barriers and making communication more accessible.Validation: Acknowledging their feelings and experiences validates their reality. By responding empathetically, you build trust and strengthen the connection.Dealing with Challenging BehaviorsCaring for seniors with Alzheimers and dementia requires understanding and addressing challenging behaviors:Responding with Understanding: Challenging behaviors often stem from frustration or confusion. Responding with patience and understanding rather than confrontation can defuse tense situations.Redirection: Gently redirecting their attention from the behavior to a more positive activity can help shift their focus and reduce agitation.Managing Sundowning: Seniors with Alzheimers may experience increased confusion and agitation during the evening, a phenomenon known as sundowning. Establishing calming routines and minimizing stimuli can ease this transition.Addressing Wandering: Wandering is another common behavior associated with Alzheimers and dementia. Minimize safety hazards, use visual cues, and engage them in purposeful activities to curb this behavior.Empowering Communication with Tools and ResourcesEnhancing communication also involves utilizing various tools and resources:Assistive Technologies: Speech-generating devices, augmentative and alternative communication apps, and text-to-speech software offer alternative means of expression, empowering seniors to communicate effectively.Support Groups: Connecting with others facing similar challenges in support groups provides a sense of community, validation, and shared experiences.Professional Guidance: Speech-language pathologists and healthcare professionals offer expertise in developing personalized communication strategies tailored to the individuals needs.Recommended Reading: Exploring literature on effective communication techniques, active listening, and understanding cognitive disorders equips caregivers with valuable insights and strategies.In the midst of the challenges posed by Alzheimers and dementia, effective communication becomes a beacon of hope. By understanding the unique hurdles seniors face, adopting empathetic communication strategies, and harnessing the power of assistive technologies and resources, we can bridge the gap between the world of words and the world of emotions. In doing so, we illuminate the path for our loved ones, enriching their lives and fostering connections that endure beyond the shadows cast by these conditions.
If You Have A Hearing, Vision Or Mobility Problems Accessing Or Using A Telephone - You May Qualify For A Free Telephone! 4 out of 5 Americans over the age of 60 have some hearing, vision or mobility loss. There is help however and it is paid for by you through a government program called STAP, Specialized Telecommunications Assistance Program, by a small charge each month on your telephone bill. Why not take advantage of a benefit youre paying for already? Contact Laura Carr, STAP to learn more about this program and show you what equipment youre eligible to receive FREE OF CHARGE! To qualify, you must be a Texas resident with a problem with vision, hearing or mobility. You are entitled to one FREE phone every 5 years. You can get a cell phone, landline, smartphone or tablet, depending on your disability. Must provide proof of residency. Acceptable forms of residency include:* Texas Drivers License* ID card with address* Voters Registration card* Letter from facility on their stationery* Utility Bill (current - showing address)* Vehicle registration card* Medicaid ID* Medicare Summary This program is for any Texas Resident that has a Vision, Hearing, Mobility- including cognitive problems. They are entitled to FREE telephone equipment (just the device) and they have to pay their monthly charges to their telephone service provider. Depending on their impairment, they may qualifiy for a Landline Telephone with a medical alert system; a Regular Cell Phone (where they can make calls, text, take photos including a medical alert button on the back. If they have a hearing problem, they can receive a 2-way texting device - an Android Smart Phone or Android Tablet. They have to provide their proof of residency for the State of Texas: a current drivers license, Texas ID, Voters Registration Card or a Utility bill showing their name & current address & date. Laura can assist with completing an application, take a photo of their proof of residency - attach to their signed application & send it to STAP headquarters in Austin, Texas. The State processes their application & mails the Voucher for the equipment, directly to the Resident. Once they receive the Voucher, they contact Laura and she will deliver the equipment that is authorized on the voucher to the Resident. NO MONEY CHANGES HANDS. Laura Carr, STAP Specialist has worked with this program for 16 years.Contact Laura at 214-388-0088 or LauraCarr@prodigy.net
Dont Let a Stroke Ruin Your RetirementYour risk of stroke and cardiovascular disease increases as you age. But the good news is 80% of stroke and cardiovascular disease CAN be prevented.1 If you are age 50 or older, you should be screened.Often there arent any symptoms of a stroke before it occurs, in fact for 4 out of 5 people who have a stroke the first symptom of any illness is the actual stroke.2 But, you can take steps to find out if youre at risk.Life Line Screening is a premier provider of preventive screenings for stroke and cardiovascular disease risk. A simple appointment can identify your risk factors and provide peace of mind or early detection.Screenings are easy, painless, non-invasive and dont require any messy prep work.Life Line Screening has over 14,000 locations across the United States so you can find one close to you.Getting screened is affordable. The most popular package at Life Line Screening includes 5 screenings in 1 appointment for $149.Get the most out of your life! Find out your stroke and cardiovascular disease risk with Life Line Screening so you can be in control and do something about it.***CLICK HERE*** to schedule your appointment! A simple screening can be worth a lifetime.1 American Heart Association https://www.heart.org/en/get-involved/advocate/federal-priorities/cdc-prevention-programs2 Hackam DG, Karpral MK, et al. Most stroke patients do not get a warning, a Population Based Cohort Study. Sept. 2009. Neurology, 73, 1074-1075.