Seniors in Transition: How Senior Move Managers Simplify Moving and Relocation

Parkinson's Disease (PD) is a progressive neurological disorder primarily affecting movement. Named after the British physician James Parkinson, who first described its symptoms in 1817, PD is characterized by a variety of motor and non-motor symptoms that can significantly impact an individual's quality of life. Here are some of the most important aspects to understand about Parkinson's Disease:Symptoms: The hallmark symptoms of Parkinson's Disease include tremors, bradykinesia (slowed movement), rigidity (stiffness in the limbs and trunk), and postural instability (difficulty with balance and coordination). These motor symptoms often start on one side of the body and eventually affect both sides as the disease progressesNon-Motor Symptoms: Parkinson's Disease can also present as a range of non-motor symptoms, including cognitive changes (such as difficulty with memory and executive function), mood disorders (such as depression and anxiety), sleep disturbances, constipation, loss of sense of smell, and autonomic dysfunction (such as hypotension and urinary problems).Diagnosis There is no specific test for Parkinson's Disease, so diagnosis is based primarily on medical history, a physical examination, and the presence of characteristic symptoms. Neuroimaging techniques such as MRI and Datascan may be used to help rule out other conditions that can mimic PD.Progression: Parkinson's Disease is progressive, meaning symptoms worsen over time. However, the rate of progression varies from person to person. In some cases, individuals may experience relatively mild symptoms for many years, while in others, the progression may be more rapid and debilitating.Causes: The exact cause of Parkinson's Disease is not fully understood, but it is believed to involve a combination of genetic and environmental factors. Mutations in certain genes, have been linked to an increased risk of developing PD. Environmental factors such as exposure to particular toxins may also play a role.Neurodegeneration: Parkinson's Disease is characterized by the progressive degeneration of neurons in the brain, particularly in an area called the substantia nigra, which is involved in the production of dopamine, a neurotransmitter that helps regulate movement. As dopamine levels decrease, the motor symptoms of PD become more pronounced.Treatment: While there is currently no cure for Parkinson's Disease, there are medications and therapies available to help manage symptoms and improve quality of life. Dopamine replacement therapy, using medications such as levodopa and dopamine, is the mainstay of treatment for motor symptoms. Other medications may be prescribed to address non-motor symptoms, and physical therapy, occupational therapy, and speech therapy can also be beneficial. Exercise programs designed especially for people with PD such as Rock Steady Boxing are available nationally (https://www.rocksteadyboxing.org)Lifestyle Factors: While medication and therapy are important components of managing Parkinson's Disease, lifestyle factors such as regular exercise, healthy diet, adequate sleep, and social engagement can also have a significant impact on symptom management and overall well-being.Surgical Interventions: In some cases, surgical interventions such as deep brain stimulation (DBS) may be recommended for individuals with advanced Parkinson's Disease who are not adequately controlled with medication. DBS involves implanting electrodes into specific areas of the brain and using a pacemaker-like device to deliver electrical stimulation, which can help alleviate motor symptoms.Support Network: Parkinson's Disease can be challenging to manage, both for individuals diagnosed with the condition and their caregivers. Building a strong support network that includes healthcare professionals, family members, friends, and support groups (both online and in person) can provide invaluable emotional support and practical assistance throughout the journey with PD.In summary, Parkinson's Disease is a complex neurological disorder characterized by a range of motor and non-motor symptoms that worsen over time. While there is currently no cure, advancements in research and treatment options continue to improve the management of symptoms and enhance quality of life for individuals living with PD.

Whether you're traveling from across the street or across the country, holiday gatherings provide an excellent opportunity to assess the well-being of your aging family members. These festive occasions, filled with dinners, gift exchanges, and parties, offer a natural setting to observe any changes in behavior or lifestyle that may have occurred since your last visit.Changes in an elderly relative's condition can range from obvious to subtle. To help you gauge their current physical and mental state, we've compiled a comprehensive list of areas to observe and questions to consider during your time together.EnvironmentThe condition of your loved one's living space can offer valuable insights into their ability to maintain their home and overall well-being. Look for the following:Signs of damage or disrepair in and around the houseAccumulation of trash or clutterBurned-out light bulbs left unchangedDecline in cleanliness, particularly in the kitchen and bathroomUnopened mail piling upItems stored in unusual or potentially hazardous locationsDamage to their vehicle, such as unexplained scratches or dentsThese observations can indicate difficulties with home maintenance, mobility, or cognitive function.Food and NutritionProper nutrition is crucial for seniors. During your visit, pay attention to:The quantity and quality of food in the refrigerator and pantryPresence of expired or spoiled food itemsSigns of weight loss or malnutritionIndications that meals are being skipped or forgottenPoor nutrition can significantly impact an elderly person's health and may signal the need for additional support.Mood and BehaviorChanges in mood or behavior can be early indicators of cognitive decline or other health issues. Watch for:Withdrawal from social activities or abandonment of once-enjoyed hobbiesNew friendships or organizational affiliations, especially those involving frequent contact or requests for donationsIncreased confusion or repetition in conversationsSigns of irritability, apathy, or sadnessGeneral withdrawal or changes in typical demeanorThese behavioral shifts may warrant further investigation or professional assessment.Personal HygienePersonal care habits can provide valuable clues about an individual's physical and mental state. Look for:Decline in overall grooming and appearanceWearing dirty clothes or not changing clothes regularlySkipping showers or bathsBruises or injuries that might indicate falls or accidentsPoor hygiene can be a sign of physical limitations, depression, or cognitive impairment.Financial ManagementWhile not always easy to observe, changes in financial management can be crucial indicators of cognitive decline or potential exploitation. If possible, discreetly assess:Bill payment habits and any signs of financial distressUnusual or large purchasesUnfamiliar names on financial documentsSudden changes in banking habits or account managementFinancial mismanagement can have serious consequences and may require prompt intervention.Medication ManagementFor seniors taking multiple medications, proper management is essential. Observe:Organization of medicationsPresence of expired prescriptionsSigns of missed doses or confusion about medication schedulesMedication errors can lead to serious health complications and may indicate the need for additional support.Social ConnectionsMaintaining social connections is vital for seniors' mental and emotional well-being. Take note of:Frequency and quality of interactions with friends and neighborsParticipation in community activities or religious servicesUse of technology to stay connected with family and friendsSocial isolation can contribute to depression and cognitive decline in older adults.Remember, this list is not exhaustive but serves as a guide to help you check in on your aging loved ones. By observing these areas and initiating conversations early, you can identify potential issues and provide timely support. If you notice concerning changes, consider consulting with healthcare professionals or senior care experts for guidance.The holiday season offers a wonderful opportunity to spend quality time with your elderly relatives. Use this time to observe, listen, and engage meaningfully. Your attentiveness can make a significant difference in ensuring their continued well-being and quality of life.Aging Life Care Managers are an excellent resource for support. Working with families, an Aging Life Care Manager is a strategic planner offering options and solutions that best fit a persons individual needs and resources. Their guidance leads families to the actions and decisions that ensure quality care and an optimal life for those they love, thus reducing worry, stress, and time away from work for family caregivers.

Caring for an older adult with cognitive difficulties, such as dementia or Alzheimers disease, requires patience, empathy, and a thoughtful approach to daily activities. As our loved ones with dementia might have communication challenges, we become more attuned to observing body language and facial expressions. The right activities can provide a sense of purpose, stimulate memory, and improve overall well-being. However, choosing the wrong activities can lead to frustration or confusion. This guide offers practical advice on the dos and donts of engaging loved ones with cognitive decline.Do:        Simplify tasks and break them down into smaller steps.For example, if your loved one enjoyed cooking, involve them in simple tasks like stirring ingredients or setting the table. This allows them to participate without feeling overwhelmed by the complexity of the activity.Familiar rote tasks can provide a sense of purpose and success i.e.: folding towels or setting the table.Dont:        Set up for failureAvoid setting high expectations for perfection or completion of tasks. The goal is engagement, not mastery. If your loved one loses interest or struggles with a task, its okay to move on to something else without pressure. Try active listening techniques.Do:        Promote social interactionEngage in activities that foster social interaction, like looking through old photo albums, reminiscing about the past, or participating in small group activities. Social engagement is crucial for older adults as it helps combat feelings of isolation and keeps their minds active. Offer prompting open-ended questions to encourage engagement. Consider looking for a local Adult Day Center near you that might offer activities and social interaction.Dont:        Overwhelm with large gatheringsAvoid large social gatherings or unfamiliar environments that could cause sensory overload or anxiety. Instead, keep interactions small and personal, with familiar faces and settings to provide a sense of security and comfort.Do:        Watch television: many of us utilize television for entertainment but it can often become the primary source of structure and activity for the day.Watching cooking shows can be good if you are looking to improve appetite but can also cause overeating.Watching nature programs with positive content is engaging, however cycle-of-life or aggressive programming (like natural disasters) can produce anxiety. Baby animal shows can be a particular favorite as there is no plot to follow.Watching beloved shows can be nostalgic and comforting, and comedy skit shows also have no plot to follow.Consider what types of programs are watched at different times of day something with no speaking and just photography is good for resting, and sports might spark a desire for more activity.Dont:        Allow TV to cause anxiety or be a substitute for activity or personal interactionWatching the news can be distressing for some and cause anxietyConfrontational talk show formats can be confusing and angry participants may display unwanted behaviors.Sitting in front of the TV all day isnt good for anyone, and this is not engaging in socialization or cognitive stimulation.Do:        Incorporate music and artUse music and art as therapeutic tools. Older adults with cognitive difficulties often respond well to music from their youth or simple art activities like coloring or painting. These activities can stimulate the senses and provide a creative outlet, even for those with advanced cognitive impairment.Dont:        Use Activities that require complex decision-makingAvoid activities that require complex decision-making or too many choices. This can be overwhelming and may lead to frustration. Instead, offer simple, clear options that allow for easy participation. Offer a choice between two things such as menu items or daily clothing choices.Do:        Accept help when caregiving becomes overwhelming.Consider hiring an Aging Life Care Manager.  An Aging Life Care Manager can provide expert guidance, help coordinate care, and offer support in making decisions for your loved one.  Dont:        Set your expectations too high or schedule too full.Try to go with the flow and understand things might not go exactly as planned and thats okay. Schedule in extra time for activities or to get to appointments. If you feel frustrated, step away, regain composure (your loved one if not being difficult on purpose) and try again with a new energy. Read tips on how to deal with caregiver stress.As you consider what activity choices to offer your loved one, consider variety and time of day. Include exercise and socialization, as well as hygiene and rest. Modify, modify, modify. If they seem overwhelmed with an activity, try simplifying to a point they can successfully engage. For example: a puzzle with fewer and larger pieces, simple matching games, and activities to stimulate fine motor skills. Remember not to infantilize your loved one, but rather adjust to their needs. Be mindful of your loved ones response to an activity and be flexible with both them and yourself.