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Having a bad day or feeling down once in a while is a normal part of life, but having these same feelings day in and day out is usually a sign of something worse—depression. In older adults, depression is not just having “the blues” or being upset at the loss of a loved one. It’s a very real, but treatable, medical condition.
Senior depression is not a normal part of aging, but older adults are at higher risk for experiencing depression. According to the Centers for Disease Control, depression in seniors can often be misdiagnosed due to healthcare providers mistaking depression symptoms as a natural reaction to illness or other life changes.
While seniors are at higher risk for depression, the vast majority of seniors are not depressed. Additionally most seniors see improvements in their symptoms when treated with antidepressant drugs, therapy, or both.
Here are some tips to recognize depression in older adults and how to get help:
It isn’t always easy to recognize the signs of depression in older adults— you may notice a plate of empty food or a loss of interest in hobbies that were once pleasurable. One of the biggest tell-tale signs of depression is prolonged feelings of sadness or anxiety that can last for weeks. Older adults with depression may also be experiencing:
The exact causes of senior depression are unknown, but experts believe it may be caused by a combination of factors in a person’s life. While it’s important to know the symptoms of depression in older adults, it’s just as important to know what can put someone at risk for experiencing depression. Each person is different, but here is a list of potential factors that can contribute to depression in older adults:
As adults age, their worlds can feel increasingly isolating. Partners and loved ones can pass away; neighbors, friends, and family may move; and the ability to physically leave home may become more difficult.
Older adults may struggle after a medical procedure or illness. A surgery that doesn’t allow a person to be as active as they once were or an illness like cancer, stroke, or chronic can contribute to feelings of helplessness.
Major traumatic events in a person’s life can happen when they’re least expecting it. Seniors can be victims of abuse, experience the death of a loved one, or have financial problems that can all affect their mental state.
Certain medications can cause changes in a person’s behavior and mentality. It’s always best to talk to your doctor about how your medications are affecting you or a loved one. Alcohol consumption can also lead to similar emotional changes.
The good news is that there are plenty of ways to help and support seniors with depression. If you are concerned about a loved one who may be experiencing depression here is a list of ways you can support them:
Communication is key. Having a one-on-one conversation with a loved one is one of the best ways to know what’s going on with them. Sometimes just venting can help an older adult, other times you may find they need help, but are struggling to ask for it. Either way take some time to discuss what is happening in their life.
Moving to a senior living community is a major change for an older adult. One way to make them feel more at home is by making frequent visits or phone calls. Set up a schedule and carve out time to let your family member know you’re there for them. Simple questions like “how are you doing?” and “what did you do today?” can go a long way.
If you’re able to visit in-person, spend time playing games, going for walks, or venturing out into the local town. Set up an activity like going to a museum, a new restaurant, or seeing other friends and family to give the older adult in your life an event to look forward to.
Approach this subject delicately, as your family member may be hesitant to seek help. By offering to join an older adult to an appointment, you can show that they’re not alone no matter what they’re going through. This can also be an important step for your loved one to be diagnosed and, if needed, treated.
Moving to a senior living community can also have numerous benefits for an older adult with depression. Communities like Five Star offer a welcoming atmosphere that brings older adults together to make new connections and stay active with a suite of programs and activities.
AlerisLife and Five Star communities believe a person’s quality of life is ageless. At Five Star communities, we offer a wide range of senior living options built with a high level of service and sense of community. Contact us to find a senior living community near you.
It is a sad commentary on our current cultural worldview that sunlight is widely perceived to be harmful, a cancer-causing threat. But what does the research actually say? And does this research affect older adults differently than other people?Spectrum: For starters, we should understand that sunlight is a complex combination of photons, with different wavelengths and properties. The sun is the original full-spectrum illumination, while both incandescent and LED lights emit, as one might expect, mostly visible-spectrum light.Intensity: The other important variable is the intensity of light, measured in LUX units (a foot away from one candle): direct sun comes in at 100,000; a cloudy day at 1,000; a kitchen or office measures 500; and a living room only 50. Thats why you need to get outside.UV: At one extreme is ultraviolet light (UV), whose wavelength is slightly shorter than visible violet. With regard to our health, UV is a mixed bag.It does cause sunburns, damages DNA, and triggers the aging of skin. It is also statistically associated with malignant melanoma, although, curiously, not with increased deaths from melanoma (because these cancers are mostly treatable).On the other hand, there are numerous health benefits: UV lowers the risk of hypertension, diabetes, atherosclerosis (hardening of the arteries), blood inflammation, and COVID infections. UV also stimulates Vitamin D synthesis in the skin. A large-scale study of 500,000 Brits, with a 12-year follow-up, found that frequent UV exposure lowered all-cause mortality by 14%, with cardiovascular deaths down 21% and total cancer mortality decreased by 13%. It gives one pause to reconsider the vast sums spent on sunscreen lotions. Just wearing light summer clothing blocks 80% of UV.IR: UV radiation represents only about 3% of the sunlight that strikes the surface of the earth, while about 50% is infrared (IR), whose lightwaves are just beyond (longer) than visible reds. IR radiation is more predominant at the beginning and end of days, while UV is strongest when the sun is overhead. A thick cloud cover reduces IR significantly more than UV. In a recent superb Huberman Lab podcast, Dr. Roger Seheult touted the many benefits of IR radiation. Most severe and chronic diseases also involve mitochondrial dysfunction (mitochondria are the small organelles within a cell that produce the energy-generating chemical ATP). One aspect of aging is that we lose 70% of our mitochondrial functioning after age 40. Unlike UV, IR radiation passes through light clothing and the surface of the skin to penetrate deep into body tissues, where it significantly stimulates mitochondrial ATP synthesis.Effects: The effects of improved mitochondrial functioning are pervasive, correlated empirically with sun exposure. Dr. Seheult cited statistics demonstrating that the greatest number of all-cause mortality comes soon after the shortest day of the year, and the lowest number of deaths occurs close to the longest days.People who live far north or south of the equator where days are particularly short in winter have higher overall mortality rates, particularly in mid-winter. In a study of almost 30,000 Swedish women, avoidance of sun exposure carried the same risk of premature death, as did smoking.There is well-replicated rigorous research that moderate IR exposure lowers the risk of cancer, heart disease, diabetes, hypertension, and it reduces blood lipids and chronic inflammation. IR increases immune system response to infections, such as influenza, COVID and pre-cancerous cells.On a sunny day, just 15 minutes outside can make a big difference. If youre in a green space with lots of grasses, leaves, bushes, and trees, you can receive two to three times the IR dose because plants reflect much of the IR that strikes them (notice that most leaves dont get hot in the sun because of these reflective properties).Red Light Therapy: There are many red-light therapy devices now available if you are considering them, be sure to carefully research IR wavelengths, dosage, safety, and therapeutic benefit. One study, utilizing an IR desk unit shining only on face, neck, and hands, proved to be quite therapeutic.Forest Bathing? Dr. Seheult delighted in reminding us of the wisdom of the ancient beliefs that sunlight and fresh air promote convalescence. Forest bathing has become a thing the air around trees is infused with phytoncides that defend plants from bacteria, fungi, and insects. When inhaled by humans, they up- regulate immune functioning and lower stress levels, and reduce stress hormones. The beauty and serenity of such an environment further enhances these benefits, some of which are detectable by lab tests a month later. Furthermore, getting up with the sun (and out from behind the filtering effects of plate glass windows) helps to set your circadian rhythm, which can improve sleep patterns. Take home message: forests, parks and even golf courses soothe the soul, and the body. And early morning and late afternoon may be particularly beneficial.Sweat Benefits: Dr. Seheult is a pulmonologist who treats many respiratory infections he also reminded us about how previous generations treated patients with hot baths and hot packs, as if to sweat out infections. Its been recently discovered that body temperatures a little over 100 degrees Fahrenheit actually accelerate the production of interferon, a powerful anti-viral protein. Maybe weve been a little too quick to reduce our fevers with aspirin, Tylenol, and Advil. And maybe the saunas so favored by Scandinavians and Russians are more therapeutic than weve realized.Conclusion: As spring has sprung, we encourage everyone to get away from your screens, go outside and enjoy the benefits of the sunshine that so amply surrounds us. Residents at Kavod Senior Life have a myriad of ways to get outside, whether it be on the sunlit patio areas, in the resident gardens, on the nearby walking paths in Cherry Creek or on the many benches and sitting areas surrounding the campus. Come for a visit and see for yourself!Ben and Scott https://theagingwiselyproject.com/
By Faith Protsman, MD, Regional Medical Director, VITAS HealthcareVietnam War veterans face unique obstacles throughout the twilight of advanced illness. For hospice care providers to tailor care to meet the needs of veterans who have served in this theater of war, they must consider the tribulations these patients face as they reach the end of their lives.The Vietnam War era was a very tumultuous time to be a soldier. The United States' prolonged involvement in a war of questionable motivation left society with disdain toward the government and its institutions, especially the military.Coupled with horrific images shown on television, constant controversy was a new reality and negative public opinion formed around this conflict, of which those serving the nation were not spared.Careful consideration is necessary when treating patients facing these traumas.Tours of duty proved to be traumatizing in many ways. Young soldiers, some having just turned 18, were drafted into a war that many of them did not believe in. They were not fighting for love of country and God; rather, they were fighting for survival and out of fear for their lives.Intimate battles in the dense jungle led many to be subjected to the horrors that come with fighting in a foreign land that was only familiar to the elusive guerilla enemy soldiers.Servicemembers did not receive a warm welcome when returning home from Vietnam, often being judged and labeled as cruel and even inhumane.Moral Injury Can Impair Mental HealthThis perfect storm of trauma led to lasting moral injury that plagues many veterans for their entire lives. Veterans returning from the war were marginalized and pushed into isolation, often turning to alcohol and substance abuse, which worsened their anxiety and exacerbated their strife.Questions like Ive never spoken about the war, can I now? Was the war moral or immoral? and Was I a good soldier? come bubbling to the surface later in life as their illnesses intensify and their defenses weaken.Careful consideration is necessary when treating patients facing these traumas.The restlessness that can result from post-traumatic stress disorder (PTSD) is often treated with benzodiazepines. In most cases, these medications can bring relief through calming the patient.Yet, there is a common trend amongst veterans who cope with trauma that results in the opposite effect.Benzodiazepines can lower the walls that Vietnam veterans have built up throughout a lifetime of suppressing trauma and negative memories. This class of medications can exacerbate the symptoms of PTSD as traumatic experiences and feelings of regret resurface. Benzodiazepine-induced inhibition of neurotransmission can even lead to agitated toxic psychosis, increased anxiety, hostility, and rage.1The Value of Compassion Along with Clinical CareRemaining considerate does not end with simply staying mindful during the planning of clinical solutions. Providing care for Vietnam veterans requires a high level of empathy.A key to an empathetic approach is taking the time to listen nonjudgmentally. Though seemingly simple, practicing nonjudgmental, open communication with patients facing trauma from war can help avoid the all-too typical responses of Its okay and You did what you had to do.These patients do not need sympathy, because they have been judged enough throughout their lives. When care teams approach them without judgment, they honor the sacrifices these heroes have made.VITAS hospice care provides compassionate care approaches that are tailored to meet the distinctive needs of Vietnam veterans. With the Veterans Administration (VA) offering hospice care as part of its medical package, VITAS team members can provide empathetic psychosocial support, while utilizing clinical solutions that help manage symptoms.The qualifications for veterans to receive hospice benefits include: A life-limiting illness Treatment goals that focus on comfort, rather than curative treatments A life expectancy of 6 months or less, if their illness runs its normal course Veterans also benefit from the option to receive concurrent care through the VA. The VA can provide curative treatments as the patient simultaneously receives symptom-managing comfort care administered by the hospice care provider of their choosing.Offering solace, while remaining compassionate when patients need it most, is too often overlooked in the busy practice of healthcare. Acknowledging the adversity that Vietnam War veterans have had to face throughout their lifetimes and adapting care approaches to meet their needs is the best way for healthcare providers to give back to those who have sacrificed so much for the preservation of freedom.1Paton, C. (2018, January 2). Benzodiazepines and disinhibition: A review: Psychiatric bulletin. Cambridge Core. Retrieved November 2, 2022, from https://www.cambridge.org/core/journals/psychiatric-bulletin/article/benzodiazepines-and-disinhibition-a-review/421AF197362B55EDF004700452BF3BC6
The shorter days and cooler months may leave many seniors feeling down. While this could be the blues, it could also be seasonal depression. Seasonal mood changes can greatly impact seniors and affect their enjoyment of life and daily activities. Addressing these mood changes is important to ensure good health and happiness. Senior Helpers offers a guide to help seniors cope with seasonal depression and manage its effects.What Is Seasonal Depression?Seasonal depression, also known as Seasonal Affective Disorder (SAD), is a type of depression that comes and goes with the seasons. Symptoms can include low energy, difficulty concentrating, changes in sleeping patterns, and loss of interest in activities seniors usually enjoy. A significant factor is the lack of sunlight during the fall and winter months. It can affect the body's internal clock and serotonin levels, contributing to mood changes.Coping Strategies for SeniorsFinding effective ways to cope with seasonal depression can make a big difference. Here are some strategies that may help:Routine and Structure Establishing a daily routine provides stability and predictability. It can be comforting and help combat feelings of uncertainty.Physical Activity Regular exercise is a great mood booster. Simple activities like walking or stretching can increase serotonin levels and improve mood. Always consult with healthcare providers before starting any new exercise regimen.Light Therapy Special light boxes mimic sunlight and can help regulate mood. Using one for about 20 minutes each morning can be incredibly beneficial.Social Connections Staying connected with family and friends is one of the best ways to beat SAD. Regular phone calls, video chats, or socially distant visits can help combat loneliness and isolation.Lifestyle Adjustments for Emotional Well-BeingSmall, manageable lifestyle changes can also support emotional well-being. Here are a few to consider:Eat Balanced Meals Nutrition plays a crucial role in mood stabilization. A healthy diet of fruits, vegetables, and omega-3 fatty acids can boost overall mood.Stay ActiveSeniors should engage in activities that bring joy and help keep their spirits lifted. These could include painting, crafting, gardening, or reading.Practice Mindfulness Relaxation techniques like meditation, deep breathing, or gentle yoga can reduce stress and improve mood. Mindfulness allows you to live in the moment and avoid negative thinking.Create a Bedtime RoutineEstablishing a bedtime routine can help improve sleep quality and boost energy levels. A good night's sleep is vital for mental health.When to Seek Professional HelpSometimes, seasonal depression requires more than self-care strategies, and it is wise to know when to seek professional help. Talking to a counselor or psychologist can be beneficial if symptoms are overwhelming or persist. These professionals can offer guidance and treatment options, like talk therapy or medication. Seniors can take advantage of local resources, including support groups and mental health services, that specialize in treating seasonal depression. Reaching out for help is a sign of strength and a step toward feeling better.Senior Helpers Can Help Manage Seasonal DepressionSenior Helpers offers comprehensive, in-home senior care services designed to address the specific needs of our community's seniors. If you live in Cheyenne, Laramie, or the surrounding areas, don't hesitate to contact us today at Senior Helpers Cheyenne. We are here to help you, or your loved ones navigate these seasonal challenges with care and compassion. To learn more please call Senior Helpers at 30