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Let’s start with what most of us know about Parkinson’s disease (PD). Comparatively common in older adults, it’s a neurological disorder estimated to affect nearly 2% of those over age 65, estimated by the National Parkinson’s Foundation to be one million Americans in 2020. Public figures, such as the popular actor Michael J. Fox, who has PD, have increased the public’s awareness and understanding of the disease.
Now let’s consider the side of PD less talked about: Parkinson’s Disease Dementia (PDD). Usually, the condition is depicted as auditory and visual hallucinations of imagined occurrences, delusion, and paranoia that follow the more visible motor dysfunction typical of Parkinson's. In fact, the dementia component of PD usually does not appear earlier than a year or more after the diagnosis. The average time from onset of Parkinson’s to signs of dementia may be around ten years if certain studies are correct. The phenomenon may also be more common than most people think. That’s why, to recognize April as Parkinson’s Awareness Month, we’re focusing on the dementia phase of the disease.
Recognizing PDD
The University of California, San Francisco, Weill Institute for Neurosciences Memory and Aging Center outlines the symptoms of PDD: 1
The Alzheimer’s Organization states that “an estimated 50 to 80 percent of those with Parkinson’s eventually experience dementia as their disease progresses.” There's no single test or combination of tests that can give a conclusive diagnosis of PDD, which may partly account for the wide range in the statistics. An original diagnosis of Parkinson’s will be based on movement irregularity, with PDD symptoms at least a year off. This puts greater importance on working closely with a physician for an early diagnosis. Sadly, the deterioration of brain cells by PDD can't be stopped or slowed. Drug therapy can alleviate some of the symptoms.
The difference among various dementias can be confusing, and dementia should never be self-diagnosed instead of consulting with a neurology specialist. First, consult your primary physician. The International Parkinson and Movement Disorder Society provides a directory of movement disorders specialists to search for a specialist in your area.
Dementia with Lewy bodies (DLB) is a spectrum of dementia-related to Parkinson's, which is also characterized by the formation of Lewy bodies, clumps of protein that form in the brain. PDD symptoms resemble DLB, which also causes changes in thinking, behavior, and movement. The difference between PDD and DLB is that with DLB behavior and cognition impairment symptoms occur first, whereas Parkinson’s will present as movement impairment with dementia appearing later.2 While the cause of PDD is unknown, scientists think the progression of Lewy body protein build-up first affects motor control, and eventually, enough nerve cells die that the first signs of dementia appear.
Different clumps of protein form in a brain affected by Alzheimer's Disease (AD). Another difference between Alzheimer’s and similar dementia is that Parkinson’s tends to affect attention and executive function more than memory. An essential and hopeful distinction: although the symptoms are similar, people with PDD are not at risk of developing Alzheimer’s Disease, according to the Pacific Brain Health Center. Nor is long-term memory likely to be as affected. The characteristic loss of recognition of loved ones and a general awareness that affects Alzheimer’s patients is not typical of PDD.3
Johns Hopkins Medicine states: “The older you are, the greater your risk of developing Parkinson disease.”4 The Michael J. Fox Foundation, in its downloadable brochure Navigating Cognitive Changes in Parkinson’s, also notes "Cognitive changes from Parkinson's often are different or more than you'd expect with age." The example they offer is a helpful illustration of the difference between ordinary changes in memory function due to age and those caused by Parkinson's. Ordinarily, you'll forget where you left your keys, and this may become more common as you age. By contrast, forgetting what your keys are used for or how to use them signifies a more severe dysfunction related to dementia.
Caregiving at Home
People with PD may get along well with home caregiving with the help of a spouse for years. The onset of PDD can change this significantly, primarily in disrupting the ability to communicate. Be prepared that the disorientation will change a person’s behavior. They may not be able to be left alone and may become moody, impulsive, and annoyed.
A few simple communication techniques are recommended for the caregiver:
Try to establish a gentle regimen for your loved one with PDD. It will be difficult to change old habits, and those that are not harmful might be comforting. But some boundaries may need to be set to add years of a higher quality of life. These are things to encourage the person with PDD to do:
Be socially active – Engaging with friends exercises your cognitive skills, remembering names, etc.
Caregiver stress shows up on your face and in your manner in subtle ways that nonetheless are easily picked up by your loved one. Give yourself a break. Dementia will place demands on your relationship, and this is natural. You should get enough sleep and regular nutrition. Seek counseling from your specialist to help you stay on even keel.
Assisted Living, Memory Care and Nursing Homes
There are no long-term care residences exclusively for people with Parkinson's. Assisted Living and Memory Care residences are typically equipped for their particular needs because of the prevalence of the disease. There will very likely become a point where loved ones will not care for themselves in significant ways, such as getting dressed and preparing food. Dementia, of course, will further inhibit their abilities. Assisted Living is a good option for earlier PD stages. Still, the onset of dementia, which can take years, will require Memory Care for optimum therapy and assistance with daily living. It is worth considering whether an inevitable move from Assisted Living to Memory Care is desirable or if Memory Care is the best initial choice. Memory Care residences should include specific physical design to aid dementia patients in navigating to and from and within their rooms or apartments. Staff should be highly trained and compassionate. Programming should rely on the best medical practice and cognitive science. Either Assisted Living or Memory Care, or a nursing home, will provide meals, assistance with daily living routines, and emergency care. The costs and level of care among the three vary widely. Interview the residence director and health care director to assess the level and quality of care the residence can provide.
For More Information About Parkinson's:
If you or your family has questions about Parkinson’s disease and Parkinson’s Disease Dementia, want information about treatment, or need to find support, consult your primary care physician and contact any of the following organizations:
The American Parkinson Disease Association.
800-223-2732
apdaparkinson.org
National Institute of Neurological Disorders and Stroke
800-352-9424
braininfo@ninds.nih.gov
www.ninds.nih.gov
Michael J. Fox Foundation for Parkinson's Research
800-708-7644
www.michaeljfox.org
Parkinson's Foundation
800-473-4636
helpline@parkinson.org
www.parkinson.org
We all know that exercise is important for our bodies to stay healthy and happy, especially as we age. However, finding a good exercise routine that is gentle enough for seniors, but keeps your body healthy and moving, can be a real challenge. Below are six morning exercises for seniors that are easy to mix into your morning routine. Regular exercise and stretching can improve range of motion, stability, and all around mental health.Why Exercise For Older Adults is ImportantExercising helps to slow the progression of many diseases and can even slow the aging process. Studies have shown that older adults, those age 55+, who have been active for most of their lives actually have the similar aerobic fitness of people 30 years younger than them.For older adults who have not been able to stay active their whole life, its not too late to start. Starting now will help not just in the long-term, but there are also plenty of short-term benefits to exercises for seniors.Exercise is essential in managing many long-term health conditions such as heart disease, diabetes, asthma, or back or joint pain. For example, exercise can help improve high blood pressure and can lower your risk of heart disease progression.Daily Exercises for SeniorsThis exercise routine is meant to be versatile and flexible. Do the exercises that feel the best for you and your unique needs. As you make the routine your own, be sure to start slowly and stop if there is any bad pain.Make sure you have a clear space with plenty of room to move your arms and legs. A chair, water bottle, and towel may also be helpful to have close to you.Also, always start with some nice stretches to get you going.Sit to StandThe sit-to-stand exercise is among one of the best exercises for seniors. It strengthens your lower body and can improve general mobility, and helps make standing up from a chair easier. Eventually, as your strength improves, the goal is to do the sit-to-stand exercise without using your hands.It is normal to feel mild stretching, pulling, tightness, or discomfort as you do this exercise, but you should stop right away if you feel pain.How to do the exercise: Sit on a sturdy chair. Your knees should be bent and your feet should be flat on the floor and shoulder-width apart. Place your hands lightly on each side of the seat. Keep your back and neck as straight as possible, with your chest slightly forward. Breathe in slowly. Lean forward and slightly shift your weight to the front of your feet. Breathe out as you slowly stand up. Try to use as little support from your hands as possible. Stand and pause for a full breath in and out. Breathe in as you sit down slowly. Tighten your core and abdominal muscles to control your lowering as much as possible. Breathe out slowly. Rest for 1 minute, then do another set of 5-8 repetitions. Repeat for a total of 3 sets if comfortable. Knee ExtensionsKnee extension exercises are used to strengthen thigh muscles. These are big muscles in our body and improving thigh muscle strength can improve mobility, reduce knee injury risk, and rehabilitate knee injuries.How to do the exercise: Sitting up tall with your shoulders back and down. Lifting one leg up, extending at the knee. Hold briefly at the top of the movement, squeezing the muscles at the front of the thigh before lowering your leg back down. Ensure the movement is slow and controlled. Alternate legs, ensuring full knee extension (leg completely straight). Rest for 1 minute, then do another set of 5-8 repetitions. Repeat for a total of 3 sets if comfortable. Core twistsCores twists are a fantastic exercise that not only improve the strength of your trunk muscles, including back and ad muscle, but they also help with twisting mobility.How to do the exercise: Grab a medicine ball (or similar object). Sit comfortably in the chair toward the edge of the seat for extra room. Keep the core (abs and lumbar) tight. Stick the chest out. Both hands should be in front of the body gripping the sides of the medicine ball, with elbows bent. Lift the ball a couple inches off the lap then rotate the upper body to the right, keeping the ball in front of the body. Rotate to the middle of the body then rotate to the left, finish by rotating back to the middle. Each rep is one full rotation. Rest for 1 minute, then do another set of 5-8 repetitions. Repeat for a total of 3 sets if comfortable. Seated Shoulder PressThis exercise will help to increase strength and mobility of the shoulders. Please be cautious with this exercise if you have any shoulder contraindications, and/or consult with your physician.How to do this exercise: Choose a pair of low weight dumbbells or do without weights. Sit comfortably in the chair with the hips as far back as possible. Ensure that the back is firm to the backrest of the chair. Keep your core tight. Start with both elbows spread to the sides of the body and align them under the shoulders. Stick the chest out. Face the body straight, palms forward, gripping the dumbbells. Extend the arms up, reaching above the head until theyre fully extended (or get to a range that feels most comfortable). Dont touch the hands together and keep both arms parallel to each other. Once the arms extension limit has been reached, slowly bring the hands down to the starting position, keeping the elbows spread. Dont tuck the elbows toward the middle of the body, extend them out till the top of the back feels a pinching sensation (not hurting) at the shoulder blades. Seated Knee LiftsKnee lifts exercise and strengthen the hip flexors, and quads. Each is an important muscle for sitting and standing.How to do the exercise: Sit on a sturdy chair, keeping the back straight and holding the sides for support if needed. Avoid leaning back. Slowly lift the right knee slowly towards your chest, then back to the beginning position with control. Repeat the motion using the left leg. Alternate the legs. Remember to keep your back straight and avoid leaning back to gain new heights. Seated Chest PressThe seated chest press will exercise your chest muscles, shoulders, and triceps.How to do the exercise:This exercise can be done with a resistance band, dumbells or with no weight all. Choose the option that best meets your fitness level. Place the resistance band/weights/or empty fists at a point on the chair where its directly behind the back just under where the shoulder blades would be. Ensure that the resistance band isnt able to move on the back of the chair; moving it during the exercise can result in injury or target the wrong muscle groups. Sit comfortably in the chair with the hips as far back as possible. Ensure that the back is firm to the backrest of the chair. Keep the core muscles tight. Stick your chest out. Keep both palms down, elbows bent and parallel to the shoulders. Both hands should be positioned just outside of shoulder width. Push the resistance band forward until the arms are fully extended in front of the body (dont touch hands together). Slowly reverse the movement back to starting position. Some General TipsRemember, starting a new exercise routine will take some practice and getting used to. Dont get discouraged if you cant do an exercise or can only do a few repetitions.Here are few things that are normal when starting a new exercise regimen. Its normal to: feel tired when starting an exercise routine. have muscle soreness that lasts a few days. As you get stronger, you may not feel muscle soreness. Here are some tips that can help make your new exercise journey easier: Use smooth, steady movements. Do not hold your breath during strength exercises. This can cause unsafe changes in your blood pressure. Breathe in slowly through your nose, and breathe out slowly through your mouth. Most importantly, Always consult with a physician before beginning any exercise program.Keeping Seniors in Their Homes, Its What We Do.At Senior LIFE, we focus on taking care of the whole person so that they can maintain their independence for as long as possible. We offer various types of therapy for members. Depending on members individual care plans, they may receive any or all of the therapies we offer. Occupational Therapy Physical Therapy Speech/Language Therapy Recreational Therapy We are committed to keeping members independent as long as possible. There are no limits on rehabilitation or the amount of therapy services a member can receive.Our care offerings dont stop at therapies. We also offer all the medical and supportive services our members need. These services can include physicians and specialists, nursing care, physical, occupational and speech therapies, personal and home care, medications, meals and nutritional counseling, eye, dental and foot care, durable medical equipment and other medically necessary services.The LIFE Program is a Medicare and Medicaid approved long-term care program that provides complete medical care and supportive services for persons 55 years and older so that they can remain living in their home. The LIFE Program is an alternative to nursing and personal care homes. https://seniorlifepa.com/aboutTo learn more about the LIFE Program, or to see if its the right fit for you and your loved ones, contact us today! https://seniorlifepa.com/contact
National PACE (Programs of All-inclusive Care for the Elderly) Month is an annual celebration in the United States that takes place in the month of September. This month-long event aims to raise awareness about the PACE program and the important role it plays in enhancing the lives of elderly individuals. Senior LIFE is a provider of the PACE program, called LIFE in Pennsylvania. The innovative model of care allows seniors with long-term care needs to remain living in their community for as long as possible, as independently as possible. More than 95 percent of PACE participants live outside of a nursing home.The COVID-19 public health emergency taught everyone the value of community and the feeling of belonging. Loneliness and isolation have long been been issues for our seniors. This year, during National PACE Month, we celebrate the connections and communities that LIFE/PACE organizations can foster. This years theme is PACE: Where you Belong.Understanding the PACE ProgramThe LIFE/PACE program is a comprehensive, community-based healthcare model for elderly adults who need long-term care services. It provides a range of medical and social services to seniors, helping them live independently in their own homes and communities. LIFE is designed to provide personalized and coordinated care that takes into account the unique needs of each individual.The Goals of National PACE MonthNational PACE Month serves several important goals: Raising Awareness: The month-long celebration aims to increase public awareness about the existence and benefits of the PACE program. Many seniors and their families may not be familiar with this valuable resource, and National PACE Month seeks to change that. Highlighting Success Stories: It provides an opportunity to showcase the success stories of PACE participants and the positive impact the program has on their lives. Sharing these stories helps inspire others to explore the possibilities offered by the PACE program. Advocacy and Education: National PACE Month also serves as a platform for advocacy, education, and information sharing. It encourages discussions and exchanges about best practices, innovations, and policies related to senior care and the PACE program. Getting InvolvedAnyone can get involved in National PACE Month and help promote its goals. Here are a few ways to participate: Spread the Word: Share information about the PACE program with friends, family, and your community. Use social media platforms to raise awareness and share success stories. Attend Events: Participate in local events, workshops, and webinars organized by PACE programs or community organizations. Learn more about the program and the services it offers. Volunteer: Consider volunteering at a PACE program or a local senior center. Your skills, time, and companionship can make a significant difference in the lives of seniors. Advocate: Contact your local representatives and policymakers to advocate for the expansion and enhancement of the PACE program. Support legislation that promotes access to comprehensive care for elderly individuals. Senior LIFE and National PACE MonthSenior LIFE will recognize PACE Month with a special week long celebration held at each of the LIFE Health and Wellness Center. The special week recognizes the efforts, volunteerism, and extraordinary talents of the Senior LIFE staff and members.This years event will be held September 5th September 8th at each of the LIFE Health and Wellness Centers.The annual week-long event will be filled with activities and events that will engage Senior LIFE with the local community. Past years have featured events such as scavenger hunts, wheel chair races, and carnival days.All activities will take part at the LIFE Health and Wellness Centers. At the center, members of the LIFE Program can see their Primary Care Physicians and participate in rehabilitation programs.LIFE is a team-based model of care based on the idea of effectively and efficiently treating patients with multiple chronic conditions outside of the hospital setting. The LIFE Program takes a comprehensive approach to care management: providers, homecare coordinators, transportation drivers, nurses, social workers, physical and occupational therapists, dietitians, recreational therapists, and others, who evaluate LIFE members and develop an individualized plan of care. Medical and supportive service services are provided with the intention of putting preventive support in place that sets seniors up to remain living in their homes long term, all at no cost to seniors on Medicaid who live in the community.National PACE Month is an important opportunity to raise awareness about the PACE program and its impact on the lives of seniors. By coming together as a community, we can celebrate the successes, advocate for improvements, and ensure that the PACE program continues to provide exceptional care and support to our elderly population. Lets make National PACE Month 2023 a time of gratitude, recognition, and a catalyst for positive change in senior care. To find out more about the LIFE Program, or to see if you qualify for the program, please contact us today!
As we age, staying active and maintaining a healthy lifestyle becomes increasingly important. One way to do this is by walking more. In fact, research suggests that taking just 500 extra steps per day can have a significant impact on senior health.Health Benefits of WalkingWalking is a low-impact form of exercise that can have numerous health benefits, especially for older adults. It can help improve cardiovascular health, strengthen bones and muscles, and reduce the risk of chronic conditions like osteoporosis, diabetes, and heart disease. In addition, walking can improve balance and reduce the risk of falls.The Benefits of 500 Extra StepsTaking just 500 extra steps per day may not seem like much, but it can have a significant impact on senior health. Research suggests that taking an extra 500 steps per day can lead to a decrease in the risk of developing chronic conditions like heart disease and diabetes. In addition, it can lead to improved mental health, better sleep, and increased energy levels.A study conducted by the American Heart Association found that for people ages 70 and older who walked an additional 500 steps per day, or an additional quarter mile of walking, experienced a 14% lower risk of heart disease, stroke or heart failure. Also, compared to adults who took less than 2,000 steps per day, adults who took about 4,500 steps per day had a 77% lower observed risk of experiencing a cardiovascular event.Strategies for Walking MoreTaking an extra 500 steps per day may sound like a daunting task, but there are many strategies that can help seniors achieve this goal. Here are a few tips: Take multiple short walks throughout the day: This can help add up to 500 extra steps without requiring a lot of time commitment. Use a pedometer or fitness tracker: Tracking steps can help seniors stay motivated and monitor their progress. Find a walking partner: Walking with a friend or family member can make it more enjoyable and provide social interaction. Set achievable goals: Start small and gradually increase the number of steps taken each day. Choose scenic routes: Walking in a park or nature trail can make it more enjoyable and provide additional health benefits. In conclusion, taking 500 extra steps per day can have a significant impact on senior health, and its an achievable goal for most people. Walking can help improve cardiovascular health, reduce the risk of chronic conditions, and improve mental health and overall well-being. By incorporating walking into their daily routine, seniors can help maintain their independence and enjoy a higher quality of life.Senior LIFE can help you with your goalsAt Senior LIFE, our goals align with the goals of many seniors to stay in the comfort of their homes, and out of a nursing home. We work with seniors and their caregivers to help seniors maintain independence by providing medical and supportive services including physician and nursing services, medication management, in-home care, and so more more! For a full list of services, please visit us online at: Senior LIFE ServicesSenior LIFE (Living Independence for the Elderly) is state and federally funded Medicare and Medicaid Program that provides long-term care for seniors, 55 years of age or older, so that they can remain living at home and out of a nursing facility.Senior LIFE Services are provided at NO COST to those on Medicaid who live in the community.To speak with a Senior LIFE representative about the program, and to learn if you or a family member may be eligible, please contact us via our website or email us at info@SeniorLIFEPA.com
From the floor-to-ceiling windows in the grand lobby to the outdoor patio and fireplace, Ridgecrest was designed to give you a life of adventure. Here, your days can be full of new opportunities, favorite pastimes, and good friends. Residents at Ridgecrest enjoy everything their maintenance-free lifestyle offers, spending their days doing exactly what they want and capping it off with drinks with friends in the cocktail lounge. Welcome home to Ridgecrest, where contemporary senior living and personalized support are ready for you. Active Senior Living in McCandless, PAResidents at Ridgecrest can approach their day with ambition. You can skip your usual chores (well take care of it) and instead meet friends for breakfast, check out a new museum, or visit one of the nearby shops, parks, and restaurants. Or stay on-site and enjoy the fresh outdoors, complete with a patio and fireplace, bocce ball court, and putting green. Or take a dip in the indoor heated pool. As your needs change, we can change with you, offering the right level of care wherever you are to maintain your independence. Our team of professional caregivers is there to provide support when you need it, tailored to your needs and preferences. Rest assured, any support you need will be delivered with dignity and privacy.
For those living with Alzheimers disease or another type of dementia, the right memory care setting can make all the difference when it comes to overall health and wellness. Memory Care is based on Legends approach to deliver noticeable results at The Remington. Our evidence-based therapies improve quality of life, slow cognitive decline, and enhance memory functioning. At The Remington, our innovative approach to memory care combines comfortable routines with multisensory therapeutic interventions, all customized to each residents needs and history.Caregivers are specially trained in the best dementia care practices and receive ongoing education to stay updated with the latest research. And family members are always invited to learn more through our family events and educational support groups.
Focused on providing first-class amenities and exceptional hospitality, The Remington is the backdrop for seniors to live their best lives. Enjoy a maintenance-free, vibrant lifestyle with personalized assistance when needed at The Remington in McCandless, PA. Welcome to The Remington, a boutique-style residence where opulent luxury meets an active lifestyle. Personal Care in McCandless, PALife at The Remington is about providing an independent lifestyle with discreet and personalized assistance thats never too far away. Youll enjoy opportunities to socialize, meet new friends, learn something new, and live the stress-free life you deserve. Our team of professional caregivers is there to provide support when you need it, tailored to your needs and preferences. As your needs change, we can change with you, offering the right level of care wherever you are to maintain your independence.Upscale Senior Living In The North HillsLife at The Remington is full of pleasant surprises with services and amenities designed to make wellness more convenient in your daily routine. Residents at The Remington enjoy access to:Vibrant Life Enrichment calendar featuring daily activities, events, workshops, and excursionsThoughtfully designed common areas for fun and conversationFull-service, restaurant-style dining featuring gourmet meals, seasonal menus, and healthy choicesBistro & Coffee BarGame room with shuffleboardMulti-media libraryBeautifully landscaped outdoor areasCourtyardOutdoor patio with fireplaceSpa, Salon & Fitness CenterLarge, comfortable theaterPet-FriendlySpacious private apartments with a variety of senior-friendly floor plans to support your independence, each with a kitchenette, curbless shower, and individually controlled heating & air conditioning.