Sometimes its easy to know when a family member needs care and assistance. For instance, maybe he or she has a major disability or requires additional help following a hospital stay. In other cases, however, it isnt immediately obvious that your senior is in need of help with the activities of daily life.As people who have had to wrestle with our own family decisions, we thought it useful to provide early guidance, so other families might know when a more careful assessment of their seniors needs is required.Below is a list of questions to consider when determining if a loved one is in need of additional care: Pay Attention to How They Look Appearance can be a sign that they are being limited either physically or mentally from completing normal daily tasks. Are they wearing dirty or stained clothing? Have they brushed their teeth? Listen to the Senior Listening to how seniors speak can tell you a lot about their current mental status. Dont assume that old age is causing these problems. Have they forgotten to refill prescriptions or take their medicine? Have they missed doctors appointments? View the Seniors Surroundings Looking at their food and medications can help you determine if they are eating healthy or even worse, taking expired medicine. Do they have fresh and stocked pantry items? Are there piles of unopened bills? Use Your Nose Using your nose as an indicator can help you determine if your family member is bathing properly or participating in otherwise normal activities. Does their living environment possess any unpleasant odors? Are they bathing regularly? If you sense a problem based on the above indictors, you and other family members should waste no time in taking the appropriate next steps. As difficult as the process might be, keep reminding yourself that by being proactive you will not only provide safety for your family member, but will also keep them happy and healthy for years to come. Editors note: This article was submitted by Patricia Preztunik (201-483-8490) and Rich Fracaro (201-773-4900), local owners of BrightStar, a full-service in-home medical and non-medical agency offering caregiving to seniors and disabled adults. They would gladly provide assistance in these matters.

A discount dental plan is a program that allows anyone to go to a board-certified dentist in their own neighborhood and pay a reduced rate (usually half) for any work they need done. Discount dental services are fortunately available to everyone. You don't have to be part of a company or a group.There are literally thousands of dentists in the tri-state area that are willing to offer significant discounts on all services, including braces.These discounts can go as high as 60%. Coverage in these programs begin immediately without any kind of pre-existing condition clause and they have no annual maximum.Editor's Note: This exact program is also available in Health Discounts. To find out more about either plan call Mark Heller toll free at 888-866-8451.Author: Mark Heller 

Recent research has found important connections between cardiovascular wellness and brain health. So important are these links that the Center for Disease Control and the National Alzheimer's Association has launched Maintain Your Brain initiatives. A daily walk can benefit both physical and mental health for all ages and provide powerful benefits for your brain according to the 2005 Sept 22/29 issue of JAMA, the Journal of American Medical Association. The article notes that older adults who walk the most have lower risk of dementia and intellectual decline.We all know the obvious benefits of exercise but knowing the statistics of what happens to your body if you are not active may be motivating, because every system of the body is affected, according to the Journal of Neuroscience, Sept. 2005. Immobility affects strength, which decreases 10-20% per week of immobility. Meanwhile muscle strength decreases 15% per decade from age 50-70 and at a rate of 30% after the age of 70. Bone density - of particular concern for women - can decrease 1-2% for every week of immobility. Cardiovascular resting heart rate increases 1 beat for every 2 days of immobility. The respiratory system is affected with mechanical restriction of breathing, building up mucus secretions. A general lack of flexibility causes muscle contractures. And skin is affected with decreased immobility causing edema or fluid retention and general breakdown of the skin. Knowing this, it's time to get up off the couch!Exercise derives its meaning from a Latin root meaning to maintain, to keep, to ward off. In order for exercise to be successful, according to medical professionals, exercise should be planned, structured and repetitive to improve or maintain physical fitness - even a simple walk 30 minutes a day will be helpful.Every year there are a multitude of walking events that offer walk opportunities to raise awareness of health issues and provide fun ways to stretch your walking goals. Examples include the Alzheimer's Memory Walk, see www.alz.org/memory walk, or for a bigger challenge check out the breast cancer 3 day walk at www.the3day.org. Beginners should review www.thewalkingsite.com, which offers advice on how to begin a walking program. The journey of a thousand miles begins with a single step start now.Editor's Note: This information was submitted by Emma Justice, MSA, Marketing Director at Senior Care & Activities Center Adult Day Care. She can be reached at 973-783-5589.

How to Select a Subacute Rehabilitation FacilityA Subacute Rehabilitation Facility (SAR) provides short term nursing and rehabilitation care to assist you or your loved one, to recuperating from a hospitalization and returning to their previous lifestyle. The SAR provides a high level of supervision and patient interaction, which will assist in attaining or maintaining the highest level of physical, social and emotional well-being. After a hospitalization, your doctor may recommend or you may request a transfer to a Subacute Rehabilitation Facility. Planning Rehabilitation for RecoveryChoosing a Subacute Rehabilitation Facility can be planned ahead of time when you or a loved one are facing an elective operation such as a Joint Replacement, Heart Surgery, or Abdominal Surgery or while your loved one is unexpectedly hospitalized and a discharge is anticipated.. Subacute Rehab after an unexpected hospitalization assists someone in a weakened state to be provided with a plan of care to assist an individual to recuperate prior to returning to their previous lifestyle. Planning a visit to Subacute Facilities is important to allow you to evaluate all discharge options and to make a fully informed decision. Checklist of Concerns prior to Choosing a Subacute Rehabilitation: Tour and observe the facility to for cleanliness and a pleasant environment Is the facility Accreditated by The Joint Commission Can my primary care physician remain in charge of my care? Is physical, occupational and speech therapy provided by in house staff seven days a week? Is a physician specializing in Rehabilitation Medicine involved in the care and treatment planning? Do residents and families participate in developing the plan of care? Is there a dining area available that is attractive and inviting with dietary choices to meet my needs? Are consulting physicians on staff such as podiatrists, dentists, surgeons, psychiatrist and orthopedists? Does the facility provide outpatient rehabilitation therapy so I can continue with the same therapist? Are the rooms spacious, attractive and comfortable? Is there private space for visiting? Is the staff attentive, courteous and positive to residents and visitors? Is there an Activities Program?Making Your Decision Once you are comfortable with the Subacute Rehabilitation Facilities which you have simply asked your physician and or social worker at the hospital about your decision to transfer to that facility. The choice is yours and it is important you are part of the decision whether it is for yourself or a loved one.Editors Note: This article was provided by Paul Jendrek, M.D., Fellow of the American Academy of Physical Medicine and Rehabilitation. Dr. Jendrek is currently an attending at the Regent Care Center, Polify Road, Hackensack, New Jersey.He has been in practice 20 years. Dr. Jendrick trained at Rusk Institute for Rehabilitation NYU Medical Center and now sub-specializing in Subacute Rehabilitation since 2003. He can be reached at 201-646-1166.