Hi, this is Teri. I am a 3rd generation Alzheimer’s
Survivor and a co-caregiver of a parent who is surviving and thriving despite
having Alzheimer’s Disease.
This week we will
talk about medications that can create and cause memory loss. Over an extended
period, memory loss might develop into Alzheimer’s Disease.
To be clear, I AM
NOT A MEDICAL DOCTOR. While I worked in a pharmacy for the last 4+ years with two
of the most amazing mentors, I am not a Doctor of Pharmacy either. I am not a
nurse. I am not a medical assistant. I am an individual who can take complex
information and recompose it so nonmedical individuals can understand it enough
to know if this affects them or their loved ones. With this knowledge,
they can schedule an appointment and talk to their doctor. Also, I can
make suggestions for some supplemental nutritional solutions to help.
Most of us know some
of the things that can impair memory, including alcohol and drug abuse, heavy cigarette smoking, head
injuries, stroke, sleep deprivation, severe stress, vitamin
B12 deficiency, and
depression. Over the last few years, we have added illnesses like
Covid-19 to that list.
What many people
don’t realize is that a number of commonly prescribed drugs and over the counter
(OTC) medications also can interfere with memory. The medications
I am most concerned about are those with anticholinergic properties. This means
that the medications block the effect of acetylcholine.
Acetylcholine is an important brain chemical and neurotransmitter that becomes
less plentiful in the aging brain (those of
us over 40). These medications have an impact on
brain cells by occupying that cell’s receptor molecules and can help
people gain relief from symptoms of insomnia, irritable bowel syndrome, or
several other medical conditions.
The consequences of
anticholinergic medication usage can be serious. Side effects include dry
mouth, dry eyes, constipation, or urinary retention may occur. The toxic
effects of anticholinergic medications on the brain include confusion, memory
disturbance, agitation, and even dementia. The classifications of the medications
are:
Antianxiety drugs
(benzodiazepines)
Benzodiazepines are
used to treat a variety of anxiety disorders, agitation, and seizures. Because
benzodiazepines have a sedative effect, they are often used to treat insomnia and
the anxiety that can accompany depression.
Examples: Alprazolam (Xanax), chlordiazepoxide, clonazepam
(Klonopin), diazepam (Valium), flurazepam, lorazepam (Ativan), midazolam,
quazepam (Doral), temazepam (Restoril) and triazolam (Halcion).
How
they can affect memory: Benzodiazepines
reduce activity in key parts of the brain, including those involved in the transfer of
information and experiences from short-term to long-term memory. They’re used
in anesthesia for this very reason.
Alternatives: Benzodiazepines should be prescribed only rarely in
older adults, and then only for short periods. It takes older people much
longer than younger people to flush these drugs out of their bodies, and the
ensuing buildup puts older adults at higher risk for not just memory loss but
delirium, falls, fractures, and motor vehicle accidents. Benzodiazepines are
easily very addictive and almost impossible to stop.
If you or your loved
one take any of these medications, and you are concerned about memory loss, you
must weigh the benefits vs the risks. It is common to see Benzodiazepines
used to treat Alzheimer’s patients who are sundowning. This is an instance
where quality of life needs to be considered.
NEVER STOP TAKING
THESE MEDICATIONS COLD TURKEY! You MUST consult your health care
professional before stopping or reducing the dosage of any benzodiazepine.
Sudden withdrawal can trigger serious side effects, so a health
professional should always monitor the process.
Antiseizure drugs
Antiseizure drugs or
anticonvulsants are used to treat epilepsy and symptomatic seizures. A
neurologist will select the medication based on the type of seizure, side
effects, drug interactions, and other health conditions. These medications
can also be prescribed for nerve pain, pain after surgery, bipolar disorder,
mood disorders, and mania.
Examples: Carbamazepine (Tegretol), gabapentin (Neurontin),
lamotrigine (Lamictal), levetiracetam (Keppra), oxcarbazepine (Trileptal),
pregabalin (Lyrica), rufinamide (Banzel), topiramate (Topamax), valproic acid
(Depakote), phenobarbital (Luminal), primidone (Mysoline) and zonisamide
(Zonegran).
How they can
affect memory:
Anticonvulsants are believed to limit seizures by dampening the flow of signals
within the central nervous system (CNS). Drugs that depress signaling in the
CNS can cause memory loss. One thing to note: These medications can be
sedating, making it hard to separate what is a true cognitive decline from
simple sedation.
Alternatives: Many patients with seizures do well on phenytoin
(Dilantin), which, at lower doses, has less of an impact on memory. Patients
with chronic nerve pain find that venlafaxine (Effexor) – which also spares
memory – alleviates their pain.
NEVER STOP TAKING
THESE MEDICATIONS COLD TURKEY! You MUST consult your health care
professional before stopping or reducing the dosage of any antiseizure
medication. Sudden withdrawal can trigger serious side effects, so a
health professional should always monitor the process.
Tricyclic antidepressants
This is an older
class of antidepressant drugs and is prescribed less often these days, but some
people still use tricyclics for depression, anxiety disorders,
obsessive-compulsive disorder, and nerve-related pain.
Examples: Amitriptyline (Elavil), clomipramine (Anafranil),
desipramine (Norpramin), doxepin (Silenor), imipramine (Tofranil),
nortriptyline (Pamelor), protriptyline (Vivactil) and trimipramine (Surmontil).
How
they can affect memory: Tricyclic
antidepressants block the action of serotonin, norepinephrine, and other
chemical messengers in the brain, which can lead to several side effects,
including memory lapses.
Alternatives: Newer antidepressants like fluoxetine (Prozac),
sertraline (Zoloft), and other selective serotonin reuptake inhibitors (SSRIs)
don’t have the same anticholinergic effects as tricyclic antidepressants and
therefore don’t interfere with cognition.
NEVER STOP TAKING
THESE MEDICATIONS COLD TURKEY! You MUST consult your health care
professional before stopping or reducing the dosage of any antidepressant.
Sudden withdrawal can trigger serious side effects, so a health
professional should always monitor the process.
Narcotic painkillers (opioids)
Narcotics are used
to relieve moderate to severe pain from surgery or injuries. In some instances,
they can also be used to treat chronic pain. Narcotics are easily addictive and
almost impossible to stop.
Examples: Fentanyl (available as a patch), hydrocodone
(Vicodin), hydromorphone (Dilaudid, Exalgo), morphine, and oxycodone
(Oxycontin). These drugs come in many different forms, including tablets,
solutions for injection, transdermal patches, and suppositories.
How
they can affect memory:
These drugs work by stemming the flow of pain signals within the central
nervous system and by blunting one’s emotional reaction to pain. Both
these actions are mediated by chemical messengers that are also involved in
many aspects of cognition, so the use of these drugs can interfere with long- and short-term
memory, especially when used for extended periods. Researchers have also found
a link between opioid use and dementia in older adults.
Alternatives: In patients under the age of 50 years, nonsteroidal
anti-inflammatory drugs (NSAIDs) are the frontline therapy for pain.
Unfortunately, NSAID therapy is less appropriate for older patients,
who have a much higher risk of gastrointestinal bleeding.
Acetaminophen (Tylenol)
may be another option, but again, it’s important to consult your doctor about
risks, side effects, and drug interactions for all medications.
NEVER STOP TAKING
THESE MEDICATIONS COLD TURKEY! You MUST consult your health care
professional before stopping or reducing the dosage of any narcotics. Sudden
withdrawal can trigger serious side effects, so a health professional
should always monitor the process.
Sleeping aids
(nonbenzodiazepine sedative-hypnotics)
Sleeping aids are
used to treat insomnia and other sleep problems. They are also prescribed for
mild nighttime anxiety and sundowning. Sleeping aids are highly addictive!
Examples: Eszopiclone (Lunesta), zaleplon (Sonata), and
zolpidem (Ambien).
How
they can affect memory: Although
these are molecularly distinct from benzodiazepines, they act on many of the
same brain pathways and chemical messengers, producing similar side effects and
problems with addiction and withdrawal. These sleeping aids also can
cause amnesia and sometimes trigger dangerous or strange behaviors, such as
cooking a meal or driving a car with no recollection of the event upon
awakening.
Alternatives: There are alternative drug and nondrug treatments
for insomnia and anxiety, so talk with your healthcare
professional about options. Melatonin, for instance, can help to reestablish healthy
sleep patterns. Cognitive behavioral therapy for insomnia (CBT-I) is the
first-line treatment for the sleep disorder.
NEVER STOP TAKING
THESE MEDICATIONS COLD TURKEY! You MUST consult your health care
professional before stopping or reducing the dosage of any sleeping aid
medication. Sudden withdrawal can trigger serious side effects, so a
health professional should always monitor the process.
Incontinence drugs
(Anticholinergics)
Incontinence medications
are used to relieve symptoms of overactive bladder and reduce episodes of urge
incontinence, an urge to urinate so sudden and strong that you often can’t get
to a bathroom in time.
Examples: Darifenacin (Enablex), oxybutynin (Ditropan XL),
solifenacin (Vesicare), tolterodine (Detrol), and trospium (Sanctura). Another
oxybutynin product, Oxytrol for Women, is sold over the counter.
How
they can affect memory: Patients
who take anticholinergics can have complications with their long-term memory.
These medications have been associated with an increased risk of dementia, and
that heightened risk can persist even after the medication
has been discontinued.
Older adults are
particularly vulnerable to the other adverse effects of anticholinergic drugs,
including constipation (which, in turn, can cause urinary incontinence),
blurred vision, dizziness, anxiety, depression, and hallucinations.
Alternatives: As a first step, it’s important to make sure that
you have been properly diagnosed. Check with your doctor or another health
professional to see if your urinary incontinence symptoms might stem from
another condition (such as a bladder infection or another form of incontinence)
or a medication (such as a blood pressure drug, diuretic, or muscle relaxant).
Once these are ruled
out, try some simple lifestyle changes, such as cutting back on caffeinated and
alcoholic beverages, drinking less before bedtime, and doing exercises to
strengthen the pelvic muscles that help control urination.
Some urologists are
treating overactive bladder with Botox injections to help the muscle relax.
Solutions beyond the medicine aisle can also come in handy. There have been
huge improvements in protective undergarment items. Please do not call them
diapers! Party pants sound a lot more fun.
Antihistamines (first
generation)
Antihistamines are used to
relieve or prevent allergy symptoms or symptoms of the common cold. Some
antihistamines are also used to prevent motion sickness, nausea, vomiting, and dizziness,
and to treat anxiety or insomnia.
Examples: Brompheniramine (Dimetane), chlorpheniramine
(Chlor-Trimeton), clemastine (Tavist), diphenhydramine (Benadryl), promethazine
(Phenergan) and hydroxyzine (Vistaril).
How
they can affect memory: These
medications are prescription and available over-the-counter. They inhibit
the action of acetylcholine, a chemical messenger that mediates a wide range of
functions in the body. In the brain, they inhibit activity in the memory
and learning centers.
Alternatives: Newer-generation antihistamines such as loratadine
(Claritin) and cetirizine (Zyrtec) are better tolerated by older patients and
do not present the same risks to memory and cognition. My favorite solution to
replace an antihistamine is a product from OrthoMolecular called D-Hist (adults)
and D-Hist Jr. (kids). It is just as effective as any antihistamine I
have ever used, but it is natural without negative side
effects. For more information on D-Hist – click here: https://amzn.to/3A9SWeQ .
One of the best
lessons I learned in my years working at an independent pharmacy was not to judge
anyone for their use of any medication. Not only was it none of my business,
but I don’t know anything about what our patients have lived through.
There were always
patients who lied about why they needed their pain medications, Adderall or
Ambien early. Some of those patients had a new excuse every month for the
4 years that I was there. But as I got to know all of our patients better, I
understood that everyone self-medicates or self-soothes themselves in one way
or another.
Some take a pill to
go to sleep so they stop thinking about the trauma, abuse, and/or
neglect they experienced when they were younger. Often the pill they take
to escape those thoughts at night requires them to take a pill in the morning
to get up and go. But when they can get up and go, they spend their time
serving others. So don’t judge.
Other people cut
themselves, binge eat, drink until they pass out, abuse their family members,
shop, abuse street drugs, become sexually inappropriate (whatever you define as
inappropriate), rage, fight, or scroll videos on their phones to
self-soothe themselves to a point where they can relax, find peace and
sleep.
As you review your
and your loved one’s prescription, OTC or recreational drug keep this in
mind. There was a trigger that started the drug use.
If your 85-year-old Dad needs an
Ativan every afternoon at 3pm so he can find some peace and not rage as he is
experiencing Alzheimer-related sundowning, OK.
If at 32 you want an Ativan to go with a glass of wine. Talk to your
doctor. You might benefit from therapy to address an issue from your past
and a low-dose CBD/THC gummy to relax. Every situation is different and a
loving and kind decision can be made without judgment.
If you are interested in supplementing your body &
brain to optimize brain health, this is what I suggest:
All Adults over 40 should take the following:
MultiVitamin
EPA/DHA
Fish Oil
Vitamin
D3 +K2
Methylated
B Vitamins
Tumeric/Curcumin
Berberine
Choline
Multi
Vitamin Options
Metagenics
PhytoMulti
https://amzn.to/3Sp2KrC
Global
Healing
https://amzn.to/3WqtLw4
Pure
Encapsulations
https://amzn.to/3LFjsiO
Brain
Health Options
Metagenics
Magnesium L-Threonate
https://amzn.to/3LMThXm
Pure
Encapsulations Cogni-Mag (Magnesium Threonate)
https://amzn.to/3LOFJut
Pure
Encapsulations Choline
https://amzn.to/4c2ah6M
Pure
Encapsulations Brain Reset (Lion’s Mane)
https://amzn.to/4c1F03Y
EPA/DHA
Fish Oil
Metagenics
OmegaGenics EPA/DHA 100
https://amzn.to/4c2SMU1
Pure
Encapsulation EPA/DHA
https://amzn.to/3A1EA0e
Vitamin
D3 +K2
Metagenics
D3 +K2
https://amzn.to/3LHukN7
Pure
Encapsulations D3 +K2
https://amzn.to/3yh9np8
Methylated
B Vitamins
Metagenics
Glycogenics B Complex
https://amzn.to/3SvB2cT
Pure Encapsulations
- B Complex Plus
https://amzn.to/4doqxAh
Gaia Pro B
Complex
https://amzn.to/3SqCgX1
Tumeric/Curcumin
Metagenics
Inflavanoid Intensive Care
https://amzn.to/4bYMuV
Pure Encapsulations
Curcumin 500
https://amzn.to/3yjmAOm
Berberine
Metagenics
Berberine GT
https://amzn.to/3LI5flm
Pure
Encapsulations Berberine UltraSorb
https://amzn.to/4doqxAh
Gaia Pro
Berberine
https://amzn.to/4dlbQ0J
Choline
Pure
Encapsulations Choline
https://amzn.to/4c2ah6M
Standard
Process Choline
https://amzn.to/3WogFj9
As our loved ones age, many prefer to remain in the comfort and familiarity of their own homes. This desire for independence, however, comes with the responsibility of ensuring their living environment is safe and secure. By taking proactive steps to prevent accidents and address potential hazards, we can help our older family members maintain their independence while minimizing risks.Conducting a Home Safety AuditThe first step in creating a safe living environment is to perform a thorough home safety audit. This involves carefully examining every room and area of the house, paying close attention to potential hazards that could lead to accidents or injuries.Stairs and WalkwaysStart by inspecting the stairs and walkways. Ensure that handrails are securely fastened and extend the full length of the staircase. Look for any loose carpeting or floorboards that could cause tripping. Remove throw rugs or use non-slip backing to prevent slipping.Bathroom SafetyThe bathroom is a common site for accidents. Install grab bars near the toilet and in the shower or bathtub to provide support. Consider adding a shower chair and a non-slip mat to reduce the risk of falls. Ensure the bathroom is well-lit and easily accessible, especially during nighttime hours.LightingAdequate lighting is crucial for preventing accidents. Install bright lights in hallways, stairways, and bathrooms. Consider using motion-sensor lights for nighttime navigation. Ensure that light switches are easily accessible and clearly visible.Emergency PreparednessBeing prepared for emergencies is essential for older adults living independently.Emergency Contact ListCreate a comprehensive list of emergency contact numbers and place it near every phone in the house. Include numbers for:Emergency services (911)Poison Control (1-800-222-1222)Healthcare providersFamily members or trusted friendsPersonal Emergency Response SystemsFor added security, consider investing in a personal emergency response system. These devices, worn as necklaces or bracelets, allow the user to quickly call for help in case of a fall or other emergency.Fall Prevention StrategiesFalls are a significant concern for older adults. Implementing fall prevention strategies can greatly reduce the risk of injury.Regular Health Check-upsEncourage your loved one to have regular check-ups with their healthcare provider. These visits can include fall risk assessments and recommendations for exercise programs designed to improve balance and strength.Proper FootwearEnsure that your loved one wears appropriate footwear inside the house. Non-slip slippers or shoes with rubber soles can provide better traction on smooth surfaces.Mobility AidsIf your loved one uses a cane or walker, make sure they use it consistently and correctly. Ensure that these aids are in good condition and properly adjusted to the user's height.Fire SafetyProtecting against fire hazards is another crucial aspect of home safety for older adults.Smoke AlarmsInstall smoke alarms on every level of the home, including inside and outside sleeping areas. Check the batteries regularly and replace them as needed.Escape PlanDevelop and practice a fire escape plan with your loved one. Ensure that all exits are clear and easily accessible.Medication ManagementProper medication management is essential for preventing accidental poisoning and ensuring that prescribed treatments are followed correctly.Organized StorageKeep medications in a well-organized, easily accessible location. Consider using a pill organizer to help track daily doses.Medication ReviewRegularly review medications with a healthcare provider to ensure they are still necessary and to check for potential interactions.Creating a Support NetworkWhile these safety measures are crucial, it's equally important to establish a support network for your loved one.Regular Check-insSet up a system for regular check-ins, either in person or by phone. This not only provides social interaction but also allows you to monitor their well-being.Community ResourcesResearch local community resources that can provide additional support, such as meal delivery services, transportation assistance, or social programs for seniors.Professional Home Care ServicesIf your loved one requires more extensive assistance, consider professional home care services. Companies like Caring Mission can provide individualized care plans tailored to your loved one's specific needs, ensuring they receive the support they require while maintaining their independence.By implementing these safety measures and creating a strong support system, we can help our older loved ones continue to live independently in their own homes with greater peace of mind. Remember, home safety is an ongoing process that may require periodic reassessment as needs change over time. With careful planning and attention to detail, we can create a safe and comfortable living environment that promotes both independence and well-being for our aging family members.
When a senior is ready to leave the hospital after surgery, illness, or another medical event, the transition to home or another care setting can be overwhelming for both the patient and their family. This is where discharge planners play a crucial role in ensuring a smooth, safe, and well-coordinated discharge process. At Assisted Living Locators North Pittsburgh, we work closely with discharge planners to help seniors and their families navigate the complexities of post-hospital care and find the right long-term living arrangements.What Is a Discharge Planner?A discharge planner is typically a nurse, social worker, or case manager within a hospital setting. Their main responsibility is to ensure that patients are prepared to leave the hospital and transition to the next stage of their recovery or care. For seniors, this often involves coordinating care and resources to support them as they move back home, to a rehabilitation center, or to an assisted living or long-term care facility.The Key Responsibilities of a Discharge PlannerAssessing Post-Hospital Care Needs:Discharge planners work with doctors and nurses to assess a patient's medical needs after leaving the hospital. For seniors, this might include ongoing therapies, medications, or specialized care for chronic conditions.Coordinating Care and Services:After assessing the patient's needs, discharge planners arrange services such as in-home care, physical therapy, and transportation to medical appointments. For seniors who can no longer live independently, discharge planners can help identify more supportive living arrangements like assisted living communities.Education and Guidance:Discharge planners provide families with vital information about medications, treatments, and care requirements. They also educate families on recognizing warning signs of potential health issues and offer guidance on how to best support their loved one during recovery.Linking Patients to Resources:Many seniors require additional support post-discharge. Discharge planners connect families with local resources, such as senior care services, financial assistance programs, and transportation options.Navigating Insurance and Paperwork:Managing healthcare can be daunting, especially when it comes to insurance and coverage for post-hospital services. Discharge planners help families navigate insurance claims and ensure that all necessary paperwork is completed to secure ongoing care.How Assisted Living Locators North Pittsburgh Works with Discharge PlannersAt Assisted Living Locators North Pittsburgh, we understand the critical role that discharge planners play in ensuring that seniors receive the appropriate care after leaving the hospital. We collaborate closely with discharge planners to provide families with personalized, comprehensive support as they consider long-term care options. Here's how we can help:Identifying the Best Senior Care Options:Discharge planners often work with seniors who can no longer safely return home due to their need for more extensive care or a supportive environment. We step in to help families explore the wide range of senior living options, from independent living to assisted living, memory care, or skilled nursing facilities.Providing Guidance on Senior Care Communities:Assisted Living Locators North Pittsburgh helps families navigate senior care communities that meet the medical, social, and emotional needs of their loved ones. We ensure that seniors find the right place to call home, with the support and services they require for a high quality of life.Personalized Support During Transitions:We provide hands-on support during the transition from the hospital to a senior living community, ensuring a smooth process. Whether it's arranging tours of local communities, helping with paperwork, or providing guidance on what to expect, we make the transition as stress-free as possible for both seniors and their families.Ongoing Advocacy and Support:Even after the move to a senior living community, our commitment continues. We check in regularly to ensure that the senior is settling in well and receiving the care they need, and we are always available to address any concerns.ConclusionDischarge planners are invaluable in ensuring that seniors receive the care and resources they need after leaving the hospital. At Assisted Living Locators North Pittsburgh, we work alongside these professionals to ensure that families find the best long-term care solutions for their loved ones. Together, we ensure that seniors transition smoothly from the hospital to a senior living community where they can continue to thrive.If your loved one is preparing for hospital discharge and you're exploring senior care options, Assisted Living Locators North Pittsburgh is here to help. Contact us today for expert guidance and personalized support in finding the perfect senior living solution.
As we grow older, our needs and priorities evolve, often making our living spaces feel less suitable than they once were. For seniors, the comfort of home becomes even more essential, yet the task of organizing and maintaining a home can become overwhelming. At A Call to Order Professional Organizers, we understand the emotional and physical challenges that seniors face. Our mission is to provide compassionate, expert assistance to help seniors feel at home, wherever they choose to live. Through our personalized services, we strive to create spaces that are not only organized but also nurturing and comfortable.Understanding Seniors' Needs1. Emotional Attachment to BelongingsFor many seniors, their homes are filled with a lifetime of memories and cherished belongings. Each item tells a story and holds sentimental value. The thought of sorting through these possessions can be daunting and emotionally taxing.Tips for Respectful Decluttering:Listen with Empathy: Take the time to listen to the stories behind the items. This shows respect for their memories and makes the process less about discarding and more about cherishing.Gentle Guidance: Encourage seniors to keep items that bring joy and consider donating or gifting those that don't. Highlight the positive impact of giving items a new life.Memory Preservation: Offer creative solutions to preserve memories, such as creating photo albums or digital archives of beloved items that can't be kept.2. Safety and AccessibilityAs mobility becomes a concern, its crucial to ensure that a seniors living space is safe and easily accessible. Organizing with a focus on safety can prevent accidents and make daily tasks more manageable.Strategies for a Safe Home:Clear Pathways: Ensure that hallways and living areas are free from clutter to reduce the risk of falls.Accessible Storage: Place frequently used items within easy reach to minimize the need for bending or stretching.Adaptive Solutions: Incorporate adaptive equipment and furniture arrangements that cater to mobility issues, such as grab bars in the bathroom and stable seating options.Creating a Sense of Home1. Personalized SpacesA home should reflect the personality and preferences of its inhabitants. For seniors, maintaining a sense of identity through their living environment is vital for emotional well-being.Personalization Tips:Favorite Items: Make sure that favorite belongings, like a beloved armchair or treasured photographs, are prominently displayed and easily accessible.Comfort Zones: Create cozy areas where seniors can relax, read, or engage in hobbies. A well-placed chair by a window, a dedicated crafting table, or a garden nook can enhance their quality of life.Warm Aesthetics: Use colors, textures, and decorations that evoke warmth and comfort. Familiar and favorite colors can make a space feel more inviting and homely.2. Encouraging IndependenceHelping seniors maintain their independence is crucial for their self-esteem and happiness. An organized home can empower them to perform daily tasks more efficiently and confidently.Empowering Through Organization:Logical Layouts: Arrange items in a logical order that matches their routines. For example, keep kitchen utensils near the stove and daily medications by the bedside.Simplify Systems: Implement simple organizational systems that are easy to maintain. Clear labels, color-coded bins, and straightforward filing systems can reduce confusion and make upkeep manageable.Regular Check-ins: Offer ongoing support to adjust the organization as needs change. Regular visits can help keep the home functional and address any new challenges that arise.At A Call to Order Professional Organizers, our commitment goes beyond mere organization. We aim to create environments where seniors feel safe, comfortable, and truly at home. By understanding their unique needs and providing compassionate, personalized support, we help transform living spaces into nurturing havens. Our approach ensures that every senior we assist not only enjoys an organized home but also experiences an enhanced quality of life filled with joy, dignity, and independence. If you or a loved one is facing the challenges of aging in place, we are here to help you feel at home, every step of the way.