STAP (Specialized Telephone Assistive Program)

The Success of Lecanumab (Leqembi) in Treating Alzheimer's DiseaseAlzheimer's disease is a debilitating and progressive brain disorder that affects more than 6.5 million Americans. It slowly erodes memory and thinking skills, and eventually the ability to carry out simple tasks. Despite the efforts of researchers and scientists, the specific causes of Alzheimer's disease are still not fully known. However, the disease is characterized by changes in the brain such as amyloid beta plaques and neurofibrillary tangles that result in the loss of neurons and their connections. These changes impact a person's ability to remember and think, leading to a decline in cognitive function.Leqembi, also known as lecanemab-irmb, is a new treatment for Alzheimer's disease that as of January 6th, 2023, has been approved by the U.S. Food and Drug Administration (FDA) through the Accelerated Approval pathway. This new treatment represents an important advancement in the ongoing battle against Alzheimer's disease, as it targets the fundamental pathophysiology of the disease, rather than merely treating its symptoms.Leqembi's efficacy was evaluated in a double-blind, placebo-controlled, parallel-group, dose-finding study of 856 patients with Alzheimer's disease. The study showed that patients receiving the approved dose of Leqembi (10 milligrams/kilogram every two weeks) had a statistically significant reduction in brain amyloid plaque compared to the placebo arm. The amyloid beta plaque was quantified using positron emission tomography (PET) imaging, and was estimated in a composite of brain regions that are expected to be widely affected by Alzheimer's disease pathology.The results of this study support the accelerated approval of Leqembi, which is based on the observed reduction of amyloid beta plaque, a marker of Alzheimer's disease. The prescribing information for Leqembi includes a warning for amyloid-related imaging abnormalities (ARIA) and a risk of infusion-related reactions. However, the most common side effects of Leqembi were infusion-related reactions, headache, and ARIA.The FDA granted Leqembi Fast Track, Priority Review, and Breakthrough Therapy designations, highlighting the significance of this new treatment for Alzheimer's disease. Leqembi's approval marks a major milestone in the fight against Alzheimer's disease, providing hope for patients and their families who have been affected by this devastating condition.Leqembi has been proven to be an effective treatment for Alzheimer's disease, offering a new hope for patients and their families. The results of the clinical trial demonstrate a significant reduction in brain amyloid plaque, a hallmark of Alzheimer's disease, and provide a strong foundation for further research and development in this field.References:      U.S. Food and Drug Administration. (2023, January 6). FDA Grants Accelerated Approval for Alzheimers Disease Treatment. [Press Release]. Retrieved from https://www.fda.gov/news-events/press-announcements/fda-grants-accelerated-approval-alzheimers-disease-treatment      Leqembi. (n.d.). Medication Guide. Retrieved from https://www.leqembi.com/-/media/Files/Leqembi/Medication-Guide.pdf?hash=d4e8f584-6cf3-41c4-a7f3-34bda6abb800Author: Kathleen Warshawsky, BSN, RN | Publisher Seniors Blue Book Greater Dallas | https://www.linkedin.com/in/kathleenwbsnrn/Other articles you may like:Aducanumab and Lecanemab: How are they different?The Success of Lecanumab (Leqembi) in Treating Alzheimer's DiseaseThe Success of Aducanumab in Treating Alzheimer's Disease

Caregiver Burnout: How Home Care Can HelpCaring for a loved one at home can be a fulfilling and rewarding experience, but it can also be incredibly challenging and exhausting. The demands of caregiving can take a significant toll on the physical, emotional, and mental health of the caregiver, leading to a phenomenon known as caregiver burnout. However, there is help available in the form of home care services that can provide much-needed relief to caregivers.Caregiver Burnout Causes and ImpactCaregiving can be a demanding and stressful responsibility, and caregivers may experience a range of physical, emotional, and financial challenges that can contribute to caregiver burnout. According to the National Alliance for Caregiving, more than 60% of caregivers reported experiencing high levels of stress and feeling overwhelmed, while nearly 40% reported experiencing depression.One common cause of caregiver burnout is conflicting demands on the caregiver's time and energy. Caregivers may need to balance the needs of the care recipient with the demands of work, other family members, and personal obligations. This juggling act can be challenging, and caregivers may feel like they are constantly on-call and unable to take time for themselves.Financial stress is another common cause of caregiver burnout, as caregivers may struggle to manage the costs associated with their loved one's care. Caregivers may also feel like they lack control over their loved one's finances or struggle to access the resources they need to provide adequate care.Role confusion is also a factor that can contribute to caregiver burnout. Caregivers may struggle to separate their roles as caregivers from their roles as parents, siblings, or spouses, leading to conflicts and emotional strain. In some cases, caregivers may also feel like they are not qualified or equipped to provide the level of care that their loved one needs, which can exacerbate feelings of inadequacy and stress.Unreasonable demands on the caregiver, whether from the care recipient or other family members, can also be a source of stress and burnout. Caregivers may feel like they are constantly putting their own needs and well-being on hold to meet the needs of others, leading to exhaustion and frustration. Finally, unrealistic expectations regarding the impact of caregiving efforts on loved ones with progressive diseases such as Parkinson's or Alzheimer's can contribute to burnout as caregivers may feel like they are not making progress or that their efforts are not appreciated.Caregivers may face a range of challenges that can contribute to caregiver burnout, it is important for them to recognize the significant impact it can have on the overall health and wellbeing of the caregiver. According to a study published in the Journal of the American Medical Association, caregivers of dementia patients had a 63% higher mortality rate than non-caregivers, indicating the potential impact of caregiver burnout on physical health (Schulz & Beach, 1999). Caregivers may experience exhaustion, fatigue, and physical health issues such as high blood pressure, chronic pain, and heart disease (National Institute on Aging, 2020).In addition to physical health effects, caregiver burnout can also lead to mental health issues such as depression and anxiety. According to the National Alliance for Caregiving, 17% of caregivers reported feeling depressed, and 30% reported feeling overwhelmed (AARP, 2020). Caregiving can also strain relationships with spouses, partners, and family members, leading to increased stress and isolation (Zarit et al., 2015).Signs of Caregiver BurnoutCaregiving can be a rewarding experience, but it can also be physically and emotionally exhausting. Caregiver burnout is a state of physical, emotional, and mental exhaustion that can result from prolonged and intense caregiving. It is a real problem that affects millions of people worldwide who care for their loved ones. According to a study published in the Journal of Gerontological Nursing, some of the common signs of caregiver burnout include feeling overwhelmed and constantly stressed, changes in appetite or sleep patterns, frequent headaches or other physical symptoms, mood swings, irritability, or depression, feeling isolated and alone, lack of interest in activities that you once enjoyed, difficulty concentrating or making decisions, neglecting your own needs such as hygiene or exercise, and substance abuse or other risky behaviors.Preventing Caregiver BurnoutWhile caregiving can be challenging and stressful, there are steps that you can take to prevent burnout and improve your well-being. According to the Family Caregiver Alliance, some strategies that can help prevent caregiver burnout include taking breaks and practicing self-care, seeking support, setting boundaries, practicing stress-reducing techniques, and considering respite care.Taking breaks and practicing self-care is important for preventing caregiver burnout. This could involve taking a short walk, reading a book, or doing something that you enjoy. Seeking support from friends, family, or a professional caregiver can also provide a safe space to share your experiences and connect with others who are going through similar challenges. Setting boundaries is also crucial. Establishing clear boundaries and communicating them with your loved one and other family members can include setting limits on the amount of time you spend caregiving, delegating tasks, or saying no to requests that you cannot manage. Practicing stress-reducing techniques like deep breathing, meditation, and yoga can help you manage your stress levels and improve your overall well-being. Additionally, respite care can be a valuable resource for caregivers. Respite care is temporary care provided to your loved one by a professional caregiver, which allows you to take a break and recharge.Caring for a loved one can be incredibly demanding and often leads to caregiver burnout, a serious issue affecting millions worldwide. Family caregivers experience high levels of stress and fatigue due to the demands of caregiving. Taking proactive measures to address and prevent caregiver burnout is essential to ensure caregivers maintain their own health and well-being while providing the best possible care for their loved ones. Fortunately, caregivers can seek support from professional caregivers, such as home health aides or respite care providers, who can provide them with a much-needed break (Family Caregiver Alliance, 2021). This can involve hiring home care services or arranging a short-term stay at a respite care community, such as an assisted living or residential care home.Caring for a loved one can be incredibly demanding and often leads to caregiver burnout, a serious issue affecting millions worldwide. Family caregivers experience high levels of stress and fatigue due to the demands of caregiving. Taking proactive measures to address and prevent caregiver burnout is essential to ensure caregivers maintain their own health and well-being while providing the best possible care for their loved ones. Fortunately, caregivers can seek support from professional caregivers, such as home health aides or respite care providers, who can provide them with a much-needed break (Family Caregiver Alliance, 2021). This can involve hiring home care services or arranging a short-term stay at a respite care community, such as an assisted living or residential care home. Home Care: What is it and how can it help with caregiver burnout Home care is a type of service that enables individuals to receive care and assistance in the comfort of their own home. Home care services can include a wide range of supports, such as assistance with activities of daily living, medication management, meal preparation, and transportation to medical appointments. Home care can be provided on a part-time or full-time basis, depending on the needs of the individual and their caregiver. Respite CareOne of the most significant benefits of home care is the provision of respite care. Caregiving can be an all-consuming task that leaves caregivers feeling overwhelmed, exhausted, and stressed. Respite care provides caregivers with a break from their caregiving duties, enabling them to take time to rest and recharge. This break can be for a few hours, a day, or even a week, depending on the caregiver's needs. Respite care can be provided in various forms, such as in-home respite care, adult day care, or overnight care. In-home respite care involves a home care provider coming to the individual's home and taking over caregiving responsibilities, allowing the caregiver to step away for a while. Adult day care involves dropping off the individual receiving care at a facility for a few hours, providing them with socialization and activities while the caregiver takes a break. Overnight care involves a home care provider staying with the individual receiving care overnight, providing the caregiver with a much-needed break and a full night's sleep. Reduced Caregiver StressCaregiving is a demanding and stressful task that can take a toll on the caregiver's physical and mental health. Home care services can help reduce caregiver stress by providing additional support and assistance with caregiving tasks. This support can ease the burden on the caregiver, reducing their stress levels, and leading to better physical and mental health outcomes. Home care providers can assist with various tasks, such as bathing, dressing, medication management, and meal preparation. This assistance can help reduce the caregiver's workload and provide them with the time and energy to focus on their own needs, such as exercise, socialization, and hobbies. It also allows the family caregiver to spend quality time doing a social activity with their loved one instead of providing care. Spending quality time with a loved one can help to strengthen the bond between caregiver and care recipient. This can be especially important in cases where the care recipient has a cognitive impairment, such as dementia, as social interaction can help to improve their overall well-being and quality of life (Brodaty & Donkin, 2009). Engaging in social activities together can help to reduce caregiver stress and improve their mental health. Studies have shown that social support can have a positive impact on mental health and well-being and can even help to reduce the risk of depression and anxiety (Liu & Zhang, 2017). It can also help caregivers to feel more fulfilled and satisfied with their caregiving role. This can help to reduce feelings of burnout and increase caregiver resilience (Bevan & Meichsner, 2020). Improved Quality of CareHome care services can help improve the quality of care provided to the individual receiving care. Caregivers may not have the necessary training or experience to provide certain types of care, such medication management. Home care providers are trained professionals who can provide specialized care and support, improving the overall quality of care provided. Home care providers can also work with the individual's healthcare team to ensure that they receive the appropriate care and support. This collaboration can help improve the individual's health outcomes and ensure that their needs are being met. Increased SocializationIsolation and loneliness are common issues for individuals receiving care, which can lead to depression and other negative health outcomes. Home care providers can offer companionship and socialization, helping to improve the individual's overall well-being. Home care providers can engage the individual in activities they enjoy, such as playing games, going for walks, or simply having a conversation. Home care providers can also provide transportation to social events, such as community outings or family gatherings, enabling the individual to maintain their social connections and avoid isolation. Peace of MindHome care services can provide caregivers with peace of mind knowing that their loved one is receiving the care and support they need. This can help reduce caregiver anxiety and worry, leading to better physical and mental health outcomes for both the caregiver and the individual receiving care. Home care providers can communicate regularly with the caregiver, providing updates on the individual's health and well-being. This communication can help alleviate the caregiver's concerns and provide them with the reassurance they need to continue providing care for their loved one. Home care services can provide significant benefits to both the individual receiving care and their caregiver. It can provide caregivers with a much-needed break, reducing their stress levels and preventing burnout. Home care services can also improve the quality of care provided, increase socialization, and provide peace of mind for caregivers. It can have a positive impact on the well-being of both the caregiver and the care recipient and can help to strengthen the bond between them.   If you are a caregiver feeling overwhelmed or struggling to provide the necessary care and support for your loved one, home care should be considered as an important component of your caregiving plan. Resources for Respite Care: Home Care | Assisted Living | Adult Day Care in the Dallas - Fort Worth Metroplex View SeniorsBlueBook.com Home Care Directory View SeniorsBlueBook.com Assisted Living Directory View SeniorsBlueBook.com Adult Day Care Directory Author: Kathleen Warshawsky, BSN, RN | Publisher Seniors Blue Book Greater Dallas | https://www.linkedin.com/in/kathleenwbsnrn/"This article is also posted on LinkedIn: https://www.linkedin.com/pulse/caregiver-burnout-how-home-care-can-help-kathleen-warshawsky-bsn-rn.References: AARP. (2020). Caregiving in the U.S. 2020. National Alliance for Caregiving.Bevan, J. L., & Meichsner, L. (2020). Positive aspects of caregiving and caregiver resilience: A review of the literature. Journal of Gerontological Social Work, 63(1), 1-17. Brodaty, H., & Donkin, M. (2009). Family caregivers of people with dementia. Dialogues in Clinical Neuroscience, 11(2), 217-228. Family Caregiver Alliance. (2016). Caregiver Burnout: Causes and Prevention. https://www.caregiver.org/caregiver-burnout-causes-and-prevention Family Caregiver Alliance. (2021). Caregiver burnout: Causes and prevention. https://www.caregiver.org/caregiver-burnout-causes-and-prevention/ Meuser, T. M., & Marwit, S. J. (2001). A Comprehensive, Stage-Sensitive Model of Grief in Dementia Caregiving. The Gerontologist, 41(1), 6582. https://doi.org/10.1093/geront/41.1.658 National Institute on Aging. (2020). Caregiver stress and burnout. https://www.nia.nih.gov/health/caregiver-stress-and-burnout National Institute on Aging. (2021). Caregiver Burnout. https://www.nia.nih.gov/health/caregiver-burnout National Institute on Aging. (2023). Caregiving: Financial Issues. Available at: https://www.nia.nih.gov/health/caregiving/financial-issues. Accessed on March 22, 2023. National Institute on Aging. (2023). Alzheimer's Caregiving Tips: Confusion. Available at: https://www.nia.nih.gov/health/alzheimers-caregiving-tips-confusion. Accessed on March 22, 2023. Osterberg L, Wahlin T-BR. Psychological health and burden of spouses of patients with Parkinson's disease and Alzheimer's disease. Qual Life Res. 2004;13:567576. Schulz, R., & Beach, S. R. (1999). Caregiving as a risk factor for mortality: The caregiver health effects study. Jama, 282(23), 2215-2219. Liu, Y., & Zhang, Y. (2017). Relationship between social support and depression: A path analysis. Journal of Nervous and Mental Disease, 205(6), 446-452.

Hoarding: What it is? - Why do they hoard? - How can families help?Hoarding is a serious issue that can significantly impact the quality of life of older adults. It is a behavioral disorder that involves an excessive accumulation of possessions, often to the point where the individuals living spaces become unmanageable. Older adults may be especially prone to hoarding behavior due to a variety of factors, including changes in physical and cognitive abilities, social isolation, and past traumatic experiences. In this article, we will explore the reasons why hoarding occurs in older adults and provide some guidance on how families can help their loved ones overcome this difficult issue.What is hoarding?Hoarding is a complex disorder that is often misunderstood. The American Psychiatric Association defines hoarding disorder as a persistent difficulty discarding or parting with possessions, regardless of their actual value. This behavior leads to the accumulation of possessions that clutter and congest living spaces, interfere with their intended use, and pose risks to health and safety.In the Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5), hoarding disorder is characterized as a separate and distinct disorder from obsessive-compulsive disorder (OCD), which it was previously classified under in the DSM-IV.According to the DSM-5, hoarding disorder is defined as a persistent difficulty discarding or parting with possessions, regardless of their actual value, due to a perceived need to save them, a fear of losing them, or a strong attachment to them. The accumulation of possessions leads to clutter that interferes with the intended use of living spaces, and can cause significant distress or impairment in social, occupational, or other areas of functioning.In order to meet the diagnostic criteria for hoarding disorder, an individual must demonstrate all of the following:1.            Persistent difficulty discarding or parting with possessions, regardless of their actual value, due to a perceived need to save them, a fear of losing them, or a strong attachment to them.2.            The difficulty discarding possessions results in the accumulation of clutter that interferes with the intended use of living spaces.3.            The hoarding behavior causes clinically significant distress or impairment in social, occupational, or other areas of functioning.4.            The hoarding behavior is not attributable to another medical condition, such as a brain injury, or to the direct effects of a substance, such as drugs or alcohol.5.            The hoarding behavior is not better explained by the symptoms of another mental disorder, such as OCD, major depressive disorder, or schizophrenia. The DSM-5 notes that hoarding disorder is associated with a range of negative outcomes, including social isolation, family conflict, financial problems, and health and safety risks. It also acknowledges that the disorder can be difficult to treat and often requires a multidisciplinary approach, including psychotherapy, medication, and/or behavioral interventions.Overall, the DSM-5 characterizes hoarding disorder as a serious and distinct mental disorder that can significantly impact an individual's quality of life and requires specialized treatment and support. Hoarding is often accompanied by an intense emotional attachment to possessions, which can make it difficult for individuals to recognize the negative impact of their behavior on their living conditions and relationships with others. Hoarding can also interfere with daily activities such as cooking, cleaning, and sleeping, and may even lead to social isolation and other mental health issues.Why do older adults hoard?Hoarding is a complex issue that can be caused by a variety of factors, including genetics, environment, and life experiences. While anyone can develop hoarding behavior, older adults may be especially prone to this disorder due to a variety of reasons.One of the primary reasons why older adults hoard is that they may have experienced significant losses in their lives, such as the death of a spouse or close friend, retirement, or declining health. These losses can trigger feelings of loneliness, depression, and anxiety, which can lead to hoarding as a way to cope with these emotions.Another factor that may contribute to hoarding in older adults is a decline in physical and cognitive abilities. As individuals age, they may experience physical limitations that make it difficult to maintain their homes and belongings. Additionally, cognitive decline may make it challenging for individuals to recognize the negative impact of their behavior and to make decisions about what possessions to keep and what to discard.Finally, social isolation is another factor that may contribute to hoarding in older adults. As individuals age, they may become more isolated from their social networks, which can lead to feelings of loneliness and a lack of purpose. Hoarding can provide a sense of comfort and security, as well as a way to fill the void left by the absence of social connections.How can families help?Hoarding can be a challenging issue for families to address, as it often involves deeply ingrained emotional attachments to possessions. However, there are several strategies that families can use to help their loved ones overcome hoarding behavior and improve their quality of life.The first step in helping an older adult who hoards is to approach the issue with compassion and understanding. It is important to recognize that hoarding is a complex issue that may be rooted in past experiences and emotions. Rather than criticizing or shaming the individual, families should try to approach the issue with empathy and a willingness to listen.Once a family has established an open and compassionate dialogue with their loved one, they can begin to explore strategies for addressing the hoarding behavior. One effective strategy is to work with a mental health professional who specializes in hoarding disorder. A therapist can help the individual understand the root causes of their behavior and develop strategies for overcoming it.Another strategy that can be effective is to work with a professional organizer who specializes in hoarding disorder. A professional organizer can help the individual sort through their possessions and determine which items are most important to them. They can also help the individual develop strategies for organizing and storing their belongings in a way that is safe and manageable.In some cases, families may need to consider more extreme measures to address hoarding behavior. For example, if the individuals living conditions are unsafe or unsanitary, it may be necessary to involve local authorities or social services to address the issue. However, it is important to approach this process with compassion and sensitivity, and to work with the individual to develop a plan that is respectful of their needs and preferences.Finally, it is important for families to recognize that overcoming hoarding behavior is a long-term process that requires patience and persistence. It may take several months or even years for an individual to fully overcome their hoarding behavior and develop healthy habits for managing their possessions. However, with the support of their loved ones and the guidance of mental health professionals, it is possible for individuals to overcome hoarding behavior and improve their quality of life.ConclusionHoarding is a serious issue that can significantly impact the quality of life of older adults. It is a complex disorder that is often rooted in past experiences, emotional attachments, and cognitive or physical limitations. However, with the support of their loved ones and the guidance of mental health professionals, it is possible for individuals to overcome hoarding behavior and improve their quality of life.If you are concerned about a loved one who may be hoarding, it is important to approach the issue with compassion and understanding. Work with a mental health professional and a professional organizer to develop strategies for addressing the hoarding behavior and be patient and persistent as your loved one works to overcome this difficult issue. With the right support and guidance, it is possible for individuals to overcome hoarding behavior and improve their quality of life.Hoarding Resources in DFWOrganized + TidyThe Junkluggers DFW and NationalWayforthThe Family House CompanyElderly Care ConciergeAstute Back-OfficeAlzheimer's AssociationDallas Area Agency on Aging - Older AdultsRedfield Realty TeamPerimeter Behavioral Hospital DallasWellbridge HealthcareThe Senior SourceMedical InformationMayo Clinic Hoarding DisordersAmerican Psychological Association - Treating people with hoarding disorderNon-Profit OrganizationsThese non-profit organizations offer valuable resources and support for individuals and families affected by hoarding disorder, and can help connect individuals with the specialized treatment and resources they need to overcome this condition. 1.   International OCD Foundation (IOCDF): The IOCDF is a non-profit organization that is dedicated to improving the lives of individuals affected by OCD and related disorders, including hoarding disorder. They offer resources for individuals and families, including a directory of treatment providers, suInternational OCD Foundationpport groups, and online resources.2.   Children of Hoarders (COH): COH is a non-profit organization that provides support and resources for individuals who have a parent with hoarding disorder. They offer online support groups, webinars, and educational resources to help individuals better understand and cope with their parent's hoarding behavior.3.   Institute for Challenging Disorganization (ICD): The ICD is a non-profit organization that is dedicated to addressing the needs of individuals with chronic disorganization and hoarding behavior. They offer training and certification programs for professional organizers, as well as resources for individuals and families, including support groups, educational materials, and a directory of professional organizers.4.   National Association of Professional Organizers (NAPO): NAPO is a non-profit organization that represents professional organizers and provides resources and support for individuals and families dealing with hoarding disorder. They offer a directory of professional organizers who specialize in hoarding behavior, as well as educational resources and support groups for individuals and families.5.   Anxiety and Depression Association of America (ADAA): The ADAA is a non-profit organization that provides resources and support for individuals with anxiety and depressive disorders, including hoarding disorder. They offer educational resources, online support groups, and a directory of treatment providers.Author: Kathleen Warshawsky, BSN, RN | Publisher Seniors Blue Book Greater Dallas | https://www.linkedin.com/in/kathleenwbsnrn/

Aducanumab and Lecanemab: How are they different?Aducanumab and Lecanemab are both medications for the treatment of Alzheimer's disease. Aducanumab is a monoclonal antibody that targets beta-amyloid, a protein that accumulates in the brain and is associated with the development of Alzheimer's. Lecanemab is also a monoclonal antibody but it targets a different structure of beta-amyloid, called N3pG, which is believed to play a key role in the formation of amyloid plaques in the brain.The main difference between Aducanumab and Lecanemab is their mechanism of action. Aducanumab works by removing beta-amyloid from the brain, while Lecanemab works by blocking the formation of amyloid plaques in the brain.In clinical trials, Lecanemab has been shown to remove amyloid more quickly than Aducanumab or another medication called gantenerumab. Lecanemab has also shown a lower incidence of a side effect called ARIA (amyloid-related imaging abnormalities) compared to Aducanumab in clinical trials.It is important to note that both medications are still under investigation and more research is needed to fully understand their benefits and limitations. The choice of medication will ultimately depend on a patient's specific needs and circumstances, and should be made in consultation with a healthcare provider.Additionally, Aducanumab is approved for use in some countries, including the U.S., but is still awaiting approval in others. Lecanemab as of January 6th, 2023, has been approved by the U.S. Food and Drug Administration (FDA) through the Accelerated Approval pathway.Both Aducanumab and Lecanemab are part of a growing body of research into new treatments for Alzheimer's disease, which remains one of the most challenging and devastating neurological conditions. There are currently limited treatment options for Alzheimer's, and the development of new and effective therapies is a major priority for researchers and clinicians.While both medications show promise in their ability to target beta-amyloid, it is important to remember that treating Alzheimer's is a complex process that involves addressing multiple factors, including genetics, lifestyle, and environment.In conclusion, the differences between Aducanumab and Lecanemab lie in their mechanism of action and stage of development. Further research is needed to determine the long-term safety and efficacy of these medications in the treatment of Alzheimer's disease. As with any medical treatment, it is important to consult with a healthcare provider to determine the best course of action for an individual patient.Author:  Kathleen Warshawsky, RN, BSN | Publisher Seniors Blue Book | https://www.linkedin.com/in/kathleenwbsnrn/Other articles you may like:Aducanumab and Lecanemab: How are they different?The Success of Lecanumab (Leqembi) in Treating Alzheimer's DiseaseThe Success of Aducanumab in Treating Alzheimer's Disease#memoryloss #aducanumab #lecanemab #leqembi #treatalzheimers #bestmemorymedicine #alz #alzheimersresearch

Empowering Individuals, at Home; The Impact of Wearable Technology on Home CareIn todays evolving world of technology wearable devices have emerged as powerful tools that are revolutionizing the field of home care specifically for seniors. These innovative technologies enhance the quality of life for individuals while also offering numerous advantages to home care providers; enabling seniors to remain in the comfort of their own homes.Wearable Technology; A Glimpse into the FutureFrom smartwatches to health monitoring sensors wearable devices have become components of the digital healthcare revolution. For seniors who choose to age in their homes these technologies serve as a bridge towards greater independence improved health outcomes and enhanced connectivity.Monitoring Health and Ensuring Swift ResponseEquipped with features such, as heart rate monitoring, fall detection and GPS tracking wearable devices empower home care providers by providing real time insights into the well being of their clients. For instance smartwatches can continuously monitor signs. Automatically trigger emergency alerts if any irregularities or falls occur. Being able to offer responses is incredibly valuable as it enables assistance, reduces response times and may even aid in preventing more serious health issues.Managing MedicationsOne of the challenges, in taking care of individuals at home involves ensuring that they adhere to their medication schedules. Wearable devices equipped with medication reminders help seniors take their medications at the correct times. These devices can send notifications providing assistance to both seniors and their caregivers in managing medication routines. Ultimately this improves health outcomes and lowers the risk of complications.Promoting Physical ActivityEngaging in activity is crucial for maintaining health among seniors. Wearable fitness trackers can monitor activity levels motivating seniors to stay active while also offering caregivers insights, into their well being. Adopting this approach helps prevent a sedentary lifestyle, obesity and other associated health problems.Supporting Cognitive HealthWearable devices now incorporate features specifically designed to support the well being of seniors. These features include memory prompts, cognitive training exercises and applications that engage adults in activities.By addressing concerns related to health these technologies make a contribution by helping to maintain cognitive function and delay the onset of conditions, like dementia.Benefits for Providers of Home Care ServicesRemote Monitoring of PatientsWearable technology brings benefits to providers of home care services through remote monitoring of patients. By receiving real time data on the health parameters of older adults, caregivers can keep track of trends to identify unusual patterns and take action when necessary. This ability to monitor seniors well being remotely enhances the effectiveness of home care services and a preventive approach to care.Informed Decision Making with DataThe data collected from these devices provides insights into seniors daily routines and health patterns. Home care providers can utilize this information to make decisions based on data that results in tailoring their care plans to meet each individuals needs. This personalized approach improves the effectiveness of home care interventions.Improved Communication and ConnectivityWearable technology facilitates communication between seniors and their caregivers. Features such as video calls, messaging and emergency alerts create a connected environment that reduces feelings of isolation experienced by individuals. This enhanced communication supports the well being of seniors along with offering reassurance to their families and caregivers.Streamlined Operations, for Enhanced EfficiencyThe integration of technology streamlines home care operations and efficiencies. From streamlining the collection of health data, to optimizing communication channels, these technologies play a role, in improving efficiency. Home care providers can effectively allocate resources to respond promptly to emerging issues and enhance the delivery of care services.The advent of technology has revolutionized the field of home care offering advantages for seniors and their caregivers. By harnessing the power of wearables providers can enhance the quality of care promote independence and create a more connected environment for seniors who prefer aging in their homes. As technology continues to advance, integrating these devices with home care services presents an avenue for care that focuses on sustainability and personalization.By embracing technology home care providers actively contribute to advancing healthcare delivery. The future of home care is intricately intertwined with innovation, connectivity and a commitment to empowering seniors to enjoy fulfilling lives within their surroundings.Checklist for Incorporating Wearable Technology in Home CareSmartwatches and Fitness TrackersMonitors vital signs such as heart rate, sleep patterns and physical activity. They assist caregivers and healthcare professionals, in monitoring health status while detecting issues.Fall DetectionAutomated fall detection systems are designed to identify falls and promptly alert caregivers or emergency services. This immediate assistance can significantly reduce response time during accidents ensuring timely help reaches those, in need.Medication RemindersDevices that provide medication reminders have the functionality to send alerts for medication schedules and proper dosage. These reminders play a role in helping seniors adhere to their medication plans, ultimately improving their health outcomes.GPS TrackingDevices offer real time location tracking for individuals wearing them. This feature proves beneficial for locating individuals with dementia or those who have a tendency to wander enhancing their safety and providing peace of mind.Health monitoring smart clothing Integrates sensors into garments to monitor signs without being intrusive. This non intrusive approach offers a way to collect health data enabling monitoring for better insights into ones well being.Smart shoes with gait analysis capabilities Smart shoes can analyze walking patterns and detect irregularities. By identifying mobility issues and assessing the risk of falls these shoes contribute significantly to healthcare management.Hearing aids equipped with connectivityConnections with smartphones or other devices with personalized settings. This connectivity improves communication and enhances the quality of life for seniors with hearing impairments.Emergency response These wearables consist of buttons or pendants that connect users directly to emergency response services. They provide users with a means of calling for help during emergencies, ensuring assistance when it. Is needed the most.Continuous glucose monitoring (CGM) systems CGM systems are designed to monitor glucose levels in real-time, enabling individuals to stay informed about their blood sugar levels throughout the day. It is an essential device for people with diabetes as it enables them to effectively manage their condition and receive immediate interventions.Wearable Devices for Cognitive HealthMonitors cognitive functions and provides alerts for potential problems. They assist in detecting a decline.Keep in mind that the usefulness of technology varies depending on requirements and preferences. Caregivers should collaborate closely with healthcare professionals to select the devices for their loved ones.Examples of wearable technology designed for seniors:Apple WatchSamsung Galaxy WatchFitbitGarminAmazfitHuawei WatchWithingsTicWatch by MobvoiOura RingVerily Study WatchLively WearableLife Alert HELP ButtonBose SoundControl Hearing Aids Eversense Continuous Glucose Monitoring SystemTo Find Home Care CLICK HERE!

Dementia: Improving Communication with Improv | Overview is part of a six-part series. Dementia is a degenerative neurological condition that affects millions of people worldwide. As the disease progresses, individuals with dementia may experience difficulties with communication, including problems with memory, language, and understanding. This can make it challenging for caregivers and family members to connect with their loved ones and provide the best possible care. However, there is a promising solution to this challenge: improv. In this six-part series, we will explore how improvisational theater techniques can be used to improve communication and connection with individuals with dementia. By tapping into the power of improv, caregivers can learn how to communicate more effectively, build rapport, and create meaningful experiences with their loved ones.Dementia is a debilitating condition that affects millions of people around the world. It is a progressive disease that affects memory, thinking, behavior, and the ability to perform daily tasks. As the disease progresses, individuals with dementia may have trouble communicating and may become withdrawn and isolated. However, with the right approach and support, individuals with dementia can still achieve good quality of life.One approach to supporting individuals with dementia is to meet them where they are at. This means that care providers should strive to understand the individual's unique perspective, experiences, and needs. This approach can help to reduce frustration, confusion, and anxiety and promote a sense of well-being and connectedness.To meet individuals with dementia where they are at, care providers can use a range of strategies. These may include:Communication: Communication can be challenging for individuals with dementia. Care providers should use clear and simple language, speak slowly, and allow time for the individual to process information. They should also use non-verbal cues, such as facial expressions and gestures, to convey meaning.Activities: Activities that are meaningful and engaging can help individuals with dementia to stay connected and maintain a sense of purpose. Care providers should focus on activities that the individual enjoys and are tailored to their abilities and interests.Environment: The physical environment can have a significant impact on the well-being of individuals with dementia. Care providers should create an environment that is familiar and comfortable, with minimal distractions and noise.Personalized care: Personalized care can help individuals with dementia to maintain a sense of identity and autonomy. Care providers should take the time to get to know the individual and their preferences and involve them in decision-making as much as possible.Emotional support: Individuals with dementia may experience a range of emotions, including fear, anxiety, and frustration. Care providers should provide emotional support and validation, acknowledging the individual's feelings and concerns.Meeting individuals with dementia where they are at requires a holistic and person-centered approach. By understanding the unique needs and experiences of the individual, care providers can support them to maintain a sense of dignity and quality of life, even as the disease progresses.Communication is a complex process that involves sending and receiving messages, both verbal and nonverbal, between individuals. Effective communication requires the ability to understand and interpret messages, express oneself clearly, and respond appropriately to feedback. For people with dementia, communication can become more challenging as the disease progresses and affects their cognitive and language abilities.Communication in people with dementia can be impaired due to a variety of factors, including memory loss, difficulty finding the right words, and impaired processing and comprehension of language. This can lead to frustration and anxiety for both the person with dementia and their caregivers. It is important to understand how communication can be affected by dementia and to develop strategies for effective communication.It is also important to remember that communication is a two-way street, and caregivers and healthcare providers must also be good listeners. Active listening, which involves paying attention to the person with dementia, acknowledging their feelings, and responding appropriately, can help build trust and understanding.Improved communication with individuals with advanced dementia can lead to several benefits, including better social interaction, reduced feelings of anxiety, and improved quality of life. It can also help caregivers better understand the needs and preferences of the person with dementia, resulting in more personalized care and enhanced well-being for both the caregiver and the person with dementia.Several studies have explored the benefits of improving communication with individuals with advanced dementia. For example, a systematic review of communication interventions found that these interventions can lead to reduced agitation and aggression among people with dementia, as well as improved quality of life and social engagement (Van't Leven et al., 2013). Another study showed that individualized communication training for caregivers can lead to significant improvements in communication quality and overall well-being for both caregivers and individuals with dementia (Graff et al., 2006).Moreover, incorporating improvisation techniques, such as mirroring, storytelling, and music, can be particularly beneficial in enhancing communication with individuals with advanced dementia. A randomized controlled trial of music therapy showed that it led to significant improvements in communication and social interaction among individuals with advanced dementia (Raglio et al., 2015). Another study showed that using storytelling and role-playing techniques can lead to significant improvements in communication and emotional well-being among individuals with advanced dementia (Hsu et al., 2018).Improving communication with individuals with advanced dementia can lead to several benefits for both the person with dementia and their caregiver. Incorporating improvisation techniques can enhance the effectiveness of communication interventions and improve overall well-being.The components of improv can be applied to dementia care to help improve communication, build trust, and enhance the overall care experience for both the caregiver and the person with dementia.Components of improv for dementia care include:Acceptance: Accepting and building on the ideas of others is a key component of improv. In dementia care, acceptance can involve acknowledging and validating the thoughts and feelings of individuals with dementia, even if they are not based in reality. This can help build trust and improve communication.Listening: Active listening is essential in improv. In dementia care, listening involves paying attention to verbal and nonverbal cues, as well as being open to new ideas and adapting to the needs of the person with dementia.Agreement: In improv, performers agree to the reality of the scene and build on it. In dementia care, agreement can involve finding common ground with the person with dementia and building on their ideas and interests.Creativity: Improv is all about creativity and thinking outside the box. In dementia care, creativity can involve finding new ways to communicate, engage, and connect with the person with dementia.Flexibility: Improv requires performers to be flexible and adapt to changing situations. In dementia care, flexibility can involve being open to new ideas and adjusting communication strategies as needed to accommodate the needs and abilities of the person with dementia.Playfulness: Improv often involves a playful and lighthearted approach to communication. In dementia care, playfulness can involve using humor and creativity to make communication more enjoyable and engaging for the person with dementia.Using improv techniques can help caregivers communicate more effectively with individuals with dementia by fostering flexibility, active listening, engagement, and humor. These techniques can help improve the quality of communication and enhance the overall care experience for both the caregiver and the individual with dementia.Improv can help communicate with someone who has dementia by:Emphasizing flexibility: Improv involves being open and flexible to new ideas and situations. This approach can help caregivers communicate more effectively with individuals with dementia, who may have difficulty following a specific train of thought or conversation. By being flexible and open to new ideas, caregivers can adapt to the needs and abilities of the person with dementia, allowing for more successful communication.Encouraging active listening: Improv requires active listening and responding to what is being said in the moment. This approach can help caregivers communicate more effectively with individuals with dementia, who may have difficulty following a conversation or articulating their thoughts. By actively listening and responding to the person with dementia, caregivers can help them feel heard and understood.Fostering a positive and engaging environment: Improv involves creating a positive and engaging environment that encourages participation and creativity. This approach can help caregivers communicate more effectively with individuals with dementia, who may become easily disengaged or frustrated during communication. By creating a positive and engaging environment, caregivers can help individuals with dementia feel more comfortable and open to communication.Using humor and playfulness: Improv often involves using humor and playfulness to communicate and connect with others. This approach can help caregivers communicate more effectively with individuals with dementia, who may respond well to humor and playfulness. By using humor and playfulness, caregivers can help lighten the mood and make communication more enjoyable and less stressful for everyone involved.Improv TechniquesThere are many improv techniques that can be used on a client with dementia. By incorporating these techniques into their care approach, caregivers can help improve communication, reduce stress, and enhance the overall care experience for the person with dementia.Here are a few examples:"Yes, and..." technique: This technique involves building on the ideas of the person with dementia, rather than shutting them down or correcting them. For example, if the person with dementia says, "I want to go to the moon," instead of saying "That's not possible," the caregiver can say "Yes, and maybe we can pretend to go to the moon by looking at pictures of space."Mirroring technique: This technique involves mirroring the body language and facial expressions of the person with dementia to help build rapport and understanding. For example, if the person with dementia is smiling, the caregiver can mirror their smile to help create a positive and engaging environment.Storytelling technique: This technique involves creating a story with the person with dementia by building on their ideas and interests. For example, the caregiver can start a story with "Once upon a time, there was a cat who loved to play in the garden," and then ask the person with dementia what they think happens next.Role-playing technique: This technique involves engaging the person with dementia in role-playing activities to help stimulate their imagination and memory. For example, the caregiver can suggest playing "restaurant" and ask the person with dementia to be the customer, while they act as the waiter.Musical improvisation technique: This technique involves using music to engage the person with dementia and create a positive and engaging environment. For example, the caregiver can sing a familiar song and ask the person with dementia to join in or use music to help create a calming environment during a potentially stressful situation.Using improv techniques in caregiving can greatly enhance the caregiver's relationship with their loved one with dementia. By accepting and validating the individual's experience, caregivers can build trust, improve communication, and increase their loved one's sense of safety and comfort. Improv also allows for creative problem-solving and flexibility, which can be crucial in adapting to the individual's changing needs and abilities. Ultimately, incorporating improv as a form of communication can lead to a more positive, meaningful, and fulfilling relationship between the caregiver and their loved one with dementia.To Receive Continuing Education Credit for Nursing, Texas Social Work, Texas Licensed Professional Councilor Click HERE.Read all of the articles in this six-part series on Dementia: Improving Communication with Improv Dementia: Improving Communication with Improv | OverviewDementia: Improving Communication with Improv | "Yes and..." TechniqueDementia: Improving Communication with Improv | Mirroring TechniqueDementia: Improving Communication with Improv | Storytelling TechniqueDementia: Improving Communication with Improv | Role-playing TechniqueDementia: Improving Communication with Improv | Musical Improvisation techniqueAuthor: Kathleen Warshawsky, BSN, RN | Publisher Seniors Blue Book Greater Dallas | https://www.linkedin.com/in/kathleenwbsnrn/To Receive Continuing Education Credit for Nursing, Texas Social Work, Texas Licensed Professional Councilor email Kathleen@SeniorsBlueBook.com for the link.References:Alzheimer's Association. (2021). Communication and Alzheimer's. Retrieved from https://www.alz.org/help-support/caregiving/daily-care/communicationsGoldsmith, L., & Goldsmith, J. (2019). Communication and dementia. American Family Physician, 99(11), 684-691.Graff, M. J., Adang, E. M., Vernooij-Dassen, M. J., Dekker, J. H., Jnsson, L., Thijssen, M., ... & Rikkert, M. G. (2006). Community occupational therapy for older patients with dementia and their care givers: cost effectiveness study. BMJ, 333(7580), 1196.Guzmn, A., & Hegarty, J. (2018). A systematic review of drama therapy interventions for dementia care. Aging & Mental Health, 22(10), 1309-1319.Hsu, M. H., Flowerdew, R., Parker, M., Fachner, J., & Odell-Miller, H. (2018). A thematic analysis exploring group music psychotherapy for people with dementia in the UK. Journal of Applied Arts & Health, 9(1), 75-87.Kales, H. C., Gitlin, L. N., & Lyketsos, C. G. (2015). Assessment and management of behavioral and psychological symptoms of dementia. BMJ (Clinical research ed.), 350, h369.Raglio, A., Bellelli, G., Traficante, D., Gianotti, M., Ubezio, M. C., Villani, D., ... & Stramba-Badiale, M. (2015). Efficacy of music therapy in the treatment of behavioral and psychiatric symptoms of dementia. Alzheimer Disease and Associated Disorders, 29(2), 158-163.Raglio, A., Gianotti, M., Manzoni, V., Bolis, S., Ubezio, M. C., Villani, D., & Stramba-Badiale, M. (2016). Effects of improvisational music therapy vs enhanced standard care on symptom severity among patients with Alzheimer disease: The IMT-ALZ randomized clinical trial. JAMA Neurology, 73(7), 797-805.Van't Leven, N., Prick, A. E., Groenewoud, J. G., Roelofs, P. D., de Lange, J., Pot, A. M., & Van't Leven, N. (2013). Communication enhancement between dementia care professionals and dementia patients during daily care. Aging & Mental Health, 17(5), 555-568.

Nourishing Your Golden Years: Supplements for Aging GracefullyAs we gracefully embrace the golden years, it becomes increasingly important to prioritize our health and well-being. Aging brings about various changes in our bodies, and one way to support ourselves through this journey is by incorporating essential supplements into our daily routines. Here are five key supplements associated with supporting different aspects of aging.Omega-3 Fatty Acids: Nurturing Your Mind and HeartOmega-3 fatty acids are renowned for their multifaceted benefits, particularly in supporting cognitive function and heart health. As we age, maintaining mental sharpness and cardiovascular well-being becomes paramount.Benefits:      Anti-Inflammatory: Omega-3s possess powerful anti-inflammatory properties, potentially reducing the risk of chronic diseases.      Heart Health: Regular intake is associated with a lower risk of heart disease and improved overall cardiovascular function.      Cognitive Support: Omega-3s play a crucial role in supporting brain health and may contribute to maintaining cognitive function.Sources:      Fatty Fish: Salmon, mackerel, and sardines are excellent sources of omega-3s.      Fish Oil Supplements: Convenient supplements for those seeking an extra boost.      Algae-Based Supplements: Ideal for vegetarians and vegans, providing a plant-based alternative.Vitamin D: The Sunshine Vitamin for Bone Health and ImmunityVitamin D, often referred to as the "sunshine vitamin," plays a pivotal role in bone health and immune system support. As we age, ensuring adequate vitamin D levels becomes crucial for maintaining overall well-being. Benefits:      Crucial for Bone Health: Vitamin D aids in calcium absorption, promoting strong and healthy bones.      Immune Support: Adequate vitamin D levels are associated with a strengthened immune system. Sources:      Sunlight: Limited exposure to sunlight allows the skin to naturally produce vitamin D.      Fortified Foods: Some foods, such as fortified dairy and cereals, can contribute to vitamin D intake.      Vitamin D Supplements: Especially important for individuals with limited sun exposure. Calcium: Building and Preserving Strong BonesCalcium is an essential mineral that plays a vital role in maintaining strong and healthy bones. As we age, the risk of osteoporosis increases, making calcium supplementation an integral part of senior health. Benefits:      Essential for Bone Health: Calcium is a primary building block for bones, preventing the development of osteoporosis.      Osteoporosis Prevention: Adequate calcium intake helps in preventing bone density loss. Sources:      Dairy: Milk, cheese, and yogurt are rich sources of dietary calcium.      Leafy Greens: Broccoli, kale, and collard greens offer plant-based calcium.      Fortified Foods: Some foods, like fortified orange juice, provide additional calcium.      Calcium Supplements: Especially recommended for those with dietary restrictions or difficulty meeting calcium needs through food alone. Vitamin B12: Sustaining Nerve Function and Cognitive MaintenanceVitamin B12, a vital nutrient found primarily in animal products, plays a crucial role in nerve function, red blood cell production, and cognitive maintenance. As we age, ensuring adequate B12 levels becomes essential for overall health. Benefits:      Nerve Function: B12 supports the health of the nervous system, aiding in proper nerve function.      Red Blood Cell Production: Essential for the production of healthy red blood cells.      Cognitive Maintenance: B12 is associated with cognitive health, potentially reducing the risk of cognitive decline. Sources:      Meat, Fish, and Eggs: Animal products are rich sources of B12.      Dairy: Milk and cheese also contain B12, albeit in smaller amounts.      B12 Supplements: Particularly important for individuals with limited animal product intake, ensuring sufficient B12 levels. Coenzyme Q10 (CoQ10): Powering Your Cells and Protecting Your HeartCoenzyme Q10, or CoQ10, is a naturally occurring antioxidant that supports cardiovascular health and energy production at the cellular level. As we age, the body's natural production of CoQ10 may decline, making supplementation beneficial. Benefits:      Antioxidant Properties: CoQ10 acts as a potent antioxidant, protecting cells from oxidative stress.      Cardiovascular Support: Regular intake is associated with improved heart health and overall cardiovascular function.      Energy Production: CoQ10 plays a key role in cellular energy production, supporting vitality. Sources:      Meat and Fish: Beef, chicken, and fatty fish are dietary sources of CoQ10.      Whole Grains: Certain whole grains also contain CoQ10, albeit in smaller amounts.      CoQ10 Supplements: Convenient supplements for those looking to ensure optimal CoQ10 levels. Embracing the golden years involves a holistic approach to health and well-being. Incorporating these five supplementsomega-3 fatty acids, vitamin D, calcium, vitamin B12, and Coenzyme Q10into your daily routine can provide comprehensive support for various aspects of aging. As always, it's advisable to consult with a healthcare professional before making significant changes to your supplement regimen, ensuring that your choices align with your individual health needs. With the right combination of nutrition, lifestyle choices, and supplementation, you can empower yourself to age gracefully and enjoy the golden years to the fullest. Author: Kathleen Warshawsky, BSN, RN Disclaimer:The information provided in this article is for educational purposes only and is not intended as medical advice. It is not a substitute for professional healthcare advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read in this article.The author, Kathleen Warshawsky, BSN, RN, is a registered nurse, but the content presented here is based on general knowledge and should not be considered a personalized medical recommendation. Individual health needs vary, and only a qualified healthcare professional can provide advice tailored to your specific circumstances. Before initiating any changes to your supplement regimen or overall health practices, consult with your healthcare provider to ensure that they are appropriate for your individual health status and medical history. The author and any associated entities are not responsible for any adverse effects or consequences resulting from the use or misuse of the information provided in this article.

This past year, my mother developed symptoms of heart disease requiring intervention and treatment. Like most women she ignored and hid her symptoms from those around her. Did you know?       Americans suffer more than 1.5 million heart attacks and strokes each year      Heart disease is the leading cause of death for women in the United States      One in Four women die from heart disease each year      Almost two-thirds of women who die suddenly of coronary heart disease have no symptoms      Ninety percent of women have one or more risk factors for developing heart disease      Women are less likely then men to call 9-1-1 when experiencing symptoms of a heart attack Signs of a Heart Attack in Women       Pain, pressure, squeezing, or fullness in the center of the chest, lasting more than a few minutes or that goes away and then comes back      Pain or discomfort in one or both arms, neck, back, jaw, or stomach      Shortness of breath with or without chest pain/discomfort      Nausea, lightheadedness, or breaking out in a cold sweat      The most common symptom of a heart attack is chest pain/discomfort, but women frequently experience some of the other common symptoms such as shortness of breath, nausea, vomiting and back or jaw pain. Call 9-1-1 immediately if you have any of these signs, so you can get to a hospital right away How can you improve your heart health?       Weight reductiono   Maintain a normal body weight      Eat a healthy dieto   Recommend the DASH eating plan. Eat a diet rich in fruits, vegetables, low fat dairy and reduced in fat. Lower your cholesterol by significantly reducing saturated fats, and avoiding trans fats.      Exerciseo   At least 30 minutes almost every day of the week. Dancing and walking are great at any age.      Stop smokingo   Smoking raises your blood pressure, which increases your risk for heart attack and stroke      Restrict sodium intakeo   Limit sodium/salt intake to less then 1,500mg per day      Moderation of alcohol consumptiono   No more than 1 drink per day for women (2 drinks per day for men)      Control your blood pressureo   Blood pressure measures the force of blood pushing against the walls of the arteries. If your blood pressure stays high for a long time, you may suffer from high blood pressure or hypertension. High blood pressure increases your risk for heart attack or stroke more than any other risk factor. Making life long changes is the key to preventing heart disease.  By Kathleen Warshawsky, BSN, RN Publisher of Seniors Blue Book Greater Dallas and President of Dallas Area Gerontological Society. Kathleen may be reached at Kathleen@SeniorsBlueBook.com | August 2017

 Elder Fraud and Scams: A Growing Problem and How to Protect YourselfAs our population ages, elder fraud and scams have become an increasingly serious problem. Seniors are often targeted by scammers because they are seen as vulnerable and more trusting, making them easy targets for fraudsters who prey on their emotions and vulnerabilities. Elder fraud and scams can lead to devastating financial consequences for seniors and their families, leaving many in dire financial straits. In this article, we will discuss the growing problem of elder fraud and scams, some statistics surrounding the issue, the most common scams, how to prevent them, and how to report fraud in Texas.The Growing Problem of Elder Fraud and ScamsElder fraud and scams are a growing problem, with more and more seniors falling victim to scams every year. According to the Federal Trade Commission (FTC), consumers over the age of 60 filed more than 143,000 fraud reports in 2020, with a total reported loss of more than $621 million. This represents a significant increase in the number of fraud reports filed by seniors over the past decade, indicating a growing problem.Most Common Scams Targeting SeniorsThere are many different types of scams that target seniors, but some are more common than others. The following are some of the most common scams targeting seniors:1.     Tech Support Scams: Scammers will call or email seniors claiming to be tech support personnel from a reputable company, such as Microsoft or Apple. They will then claim that there is a problem with the senior's computer and ask for remote access to fix the issue. Once they gain access to the computer, they can steal personal information or install malware.2.     Grandparent Scams: Scammers will call seniors posing as their grandchild, claiming to be in trouble and in need of money. They will ask the senior to wire money or purchase gift cards and provide the card numbers to the scammer.3.     Sweepstakes Scams: Scammers will call or send mail to seniors claiming that they have won a sweepstakes or lottery. They will ask for payment of taxes or fees before releasing the winnings, but the winnings never materialize.4.     Medicare Scams: Scammers will call seniors claiming to be Medicare representatives and ask for personal information, such as their Social Security number, in order to send them a new Medicare card. They will then use this information to commit identity theft. Scammers may use a sense of urgency to try to pressure the elderly into making quick decisions. They may threaten legal action or claim that they are from a government agency, such as the IRS, in an attempt to scare the elderly into giving them money or personal information.Preventing Elder Fraud and ScamsTo prevent elder fraud and scams, there are several steps that elderly individuals and their loved ones can take. 1.     Never give out personal information over the phone or via email unless you are certain that the request is legitimate.2.     Do not wire money or send gift cards to anyone who calls or emails you asking for money.3.     Verify any requests for personal information or money by calling the company directly using a phone number you know is legitimate.4.     Do not click on links or download attachments from emails or websites you do not trust.5.     Sign up for the National Do Not Call Registry to reduce the number of telemarketing calls you receive.6.     Be wary of unsolicited phone calls or emails that ask for personal information or money. Overall, elder fraud and scams are a growing problem that is impacting thousands of elderly individuals across the country. By educating oneself about the different types of scams and taking steps to prevent them, elderly individuals and their loved ones can protect themselves from becoming victims. Reporting scams to the appropriate authorities is an important step in preventing further fraud and holding scammers accountable for their actions. Elder fraud and scams are a growing problem, and seniors need to take steps to protect themselves.  Reporting Elder Fraud and Scams in Texas If an elderly individual believes that they have been the victim of a scam, it is important to report it immediately. In Texas, individuals can report fraud or scams to the Texas Attorney General's office or to the Texas Department of Aging and Disability Services. Reporting scams is important not only to prevent further fraud, but also to help law enforcement investigate and bring scammers to justice.Here are the steps to report elder fraud and scams in Texas:1.     Contact local law enforcement: If you suspect that an elder is being scammed or defrauded, the first step is to call the local police department or sheriff's office. You can also call 911 if the situation is an emergency. The police will take your report and investigate the matter. 2.     Contact Adult Protective Services (APS): If the elder is a vulnerable adult or has a disability, you can contact APS to report the fraud or scam. APS is a state agency that investigates reports of abuse, neglect, and exploitation of vulnerable adults. You can contact the Texas Adult Protective Services (APS) Central Intake by phone at 1-800-252-5400 or online at https://www.txabusehotline.org/Login/Default.aspx. 3.     Contact the Texas Attorney General's office: If the scam or fraud involves a business or company, you can contact the Texas Attorney General's office. The office has a Consumer Protection Division that investigates consumer complaints and takes legal action against businesses that engage in fraudulent practices. You can file a complaint online at the Attorney General's website. Texas Attorney General's Consumer Protection Division by phone at 1-800-621-0508 or online at https://www.texasattorneygeneral.gov/consumer-protection/file-consumer-complaint. 4.     Contact the Federal Trade Commission (FTC): The FTC is a federal agency that investigates consumer fraud and identity theft. File a complaint with the Federal Trade Commission (FTC) to report fraud and scams by phone at 1-877-FTC-HELP (1-877-382-4357) or online at https://www.ftc.gov/complaint. 5.     Contact the Better Business Bureau (BBB): If the fraud or scam involves a business, you can also contact the BBB. The BBB collects complaints about businesses and works with them to resolve consumer issues. You can file a complaint online at the BBB's website.  It's important to note that reporting elder fraud and scams can help prevent others from becoming victims. If you suspect that someone you know is being scammed or defrauded, encourage them to report it as soon as possible. Additional Resources to Prevent or Address Elder Abuse in the Greater Dallas DFW Area Elder Financial Safety CenterThe Senior SourceAdult Protective ServicesTexas Attorney GeneralAARPMcNair Dallas LawteleCalm  Author: Kathleen Warshawsky, BSN, RN | Publisher Seniors Blue Book Greater Dallas | https://www.linkedin.com/in/kathleenwbsnrn/

Why Assisted Living Communities Should Invest in Print Advertising Assisted living communities are a crucial aspect of the health and wellness industry, providing support and care for elderly or disabled individuals. Despite the growing popularity of digital advertising, print advertising still plays an important role in promoting and marketing assisted living communities. Here are some reasons why: 1.    Targeted Demographics: Print advertising allows assisted living communities to reach their target demographic, which is typically older adults and their families. Older individuals are more likely to have a preference for traditional media, such as newspapers and magazines, and therefore, print advertising can be a more effective way to reach this audience.2.    Trust: Print advertising has a level of trust and credibility associated with it. It provides a tangible way for assisted living communities to present themselves and their services, making it easier for potential residents and their families to make informed decisions.3.    Reach: Print advertising allows assisted living communities to reach a wider audience, including those who are not connected to the internet. This is especially important for communities located in rural areas, where access to digital technologies may be limited.4.    Cost-Effective: While the cost of print advertising can vary, it is often more cost-effective than other forms of advertising, such as television or radio. This makes it a budget-friendly option for assisted living communities of all sizes.5.    Long Shelf-Life: Print materials, such as brochures and flyers, have a longer shelf-life than digital advertising. They can be displayed in waiting rooms, common areas, and given out to potential residents and their families, providing a continual source of information. Print advertising is a valuable tool for assisted living communities to reach their target demographic, build trust, reach a wider audience, be cost-effective, and have a long shelf-life. While digital advertising is important, print advertising should not be overlooked as a crucial component of an overall marketing strategy.By Kathleen Warshawsky, BSN, RN | Publisher Seniors Blue Book Greater Dallas

The Success of Aducanumab in Treating Alzheimer's DiseaseAducanumab is a medication that has received a lot of attention in recent years for its potential in treating Alzheimer's disease. Alzheimer's is a progressive neurological disorder that affects memory, thinking, and behavior, and there is currently no cure for the condition. Aducanumab is a type of drug called a monoclonal antibody, which works by targeting and removing sticky deposits of a protein called beta-amyloid that build up in the brains of individuals with Alzheimer's.Aducanumab has shown promising results in treating Alzheimer's disease. It is a monoclonal antibody that targets beta-amyloid, a protein that accumulates in the brain and is associated with the development of Alzheimer's. The drug works by removing beta-amyloid from the brain, slowing the progression of the disease and potentially improving cognitive function.In clinical trials, Aducanumab has been shown to reduce beta-amyloid levels in the brain and slow cognitive decline in patients with early Alzheimer's disease. The results of these trials have been highly promising and have led to the approval of Aducanumab by regulatory agencies in several countries.One of the most significant findings of the clinical trials was the observation of a statistically significant reduction in clinical decline in patients who received Aducanumab. This reduction in decline was observed in measures of cognitive function, such as memory and thinking skills, as well as in measures of daily functioning, such as the ability to perform basic activities of daily living.Another important finding from the trials was the observation of a favorable safety profile for Aducanumab. The majority of patients who received the medication did not experience significant side effects, and those that did were generally mild and manageable.In November 2021, the United States Food and Drug Administration (FDA) granted accelerated approval for Aducanumab as a treatment for Alzheimer's disease. This decision was based on evidence from clinical trials, as well as on the need for new treatments for Alzheimer's, which is a growing global health crisis. The FDA has required the manufacturer of Aducanumab, Biogen, to conduct additional studies to confirm the drug's benefits and to better understand its risks and side effects.The development of Aducanumab has been the subject of numerous clinical trials, with positive results seen in early trials in reducing beta-amyloid deposits in the brains of individuals with Alzheimer's. It is important to note however, that more recent trials have produced mixed results, with some studies showing a slowing of cognitive decline in individuals taking Aducanumab and others showing little to no effect.Aducanumab is a promising new treatment option for Alzheimer's, although more research is needed to determine its long-term safety and effectiveness. Individuals and their families should discuss with their healthcare provider the potential benefits and risks of taking Aducanumab, as well as other treatment options that may be available.In conclusion, Aducanumab is a medication that has received attention for its potential in treating Alzheimer's disease. The drug works by targeting and removing beta-amyloid deposits in the brain, which is believed to contribute to the progression of the disease. While the results of clinical trials have been mixed, the FDA has granted accelerated approval for Aducanumab as a treatment for Alzheimer's, with additional studies required to confirm its benefits and risks. Individuals and their families should consult with their healthcare provider to determine if Aducanumab is the right treatment option for them.References:      Alzheimer's Association. (2021). Aducanumab.      Biogen. (2021). Aducanumab.      FDA. (2021). Aducanumab Approval Letter.      National Institute on Aging. (2021). Alzheimer's Disease and Dementia. Author: Kathleen Warshawsky, BSN, RN | Publisher Seniors Blue Book Greater Dallas | https://www.linkedin.com/in/kathleenwbsnrn/Other articles you may like:Aducanumab and Lecanemab: How are they different?The Success of Lecanumab (Leqembi) in Treating Alzheimer's DiseaseThe Success of Aducanumab in Treating Alzheimer's Disease

Dementia: Improving Communication with Improv | Mirroring Technique is part of a six-part series. Dementia is a degenerative neurological condition that affects millions of people worldwide. As the disease progresses, individuals with dementia may experience difficulties with communication, including problems with memory, language, and understanding. This can make it challenging for caregivers and family members to connect with their loved ones and provide the best possible care. However, there is a promising solution to this challenge: improv. In this six-part series, we will explore how improvisational theater techniques can be used to improve communication and connection with individuals with dementia. By tapping into the power of improv, caregivers can learn how to communicate more effectively, build rapport, and create meaningful experiences with their loved ones.Dementia is a debilitating condition that affects millions of people around the world. It is a progressive disease that affects memory, thinking, behavior, and the ability to perform daily tasks. As the disease progresses, individuals with dementia may have trouble communicating and may become withdrawn and isolated. However, with the right approach and support, individuals with dementia can still achieve good quality of life.One approach to supporting individuals with dementia is to meet them where they are at. This means that care providers should strive to understand the individual's unique perspective, experiences, and needs. This approach can help to reduce frustration, confusion, and anxiety and promote a sense of well-being and connectedness.To meet individuals with dementia where they are at, care providers can use a range of strategies. One of these strategies is the Mirroring technique. Learning the Mirroring technique can ultimately improve the quality of life for individuals with dementia and their caregivers.Mirroring techniqueThe mirroring technique is an improvisation technique that involves reflecting the body language, facial expressions, and verbal communication of another person to build rapport and establish a connection. The goal is to create a safe and comfortable space for communication by demonstrating empathy and understanding.When using the mirroring technique, the caregiver or healthcare provider closely observes the person with dementia and mirrors their movements, posture, facial expressions, and vocal patterns. This technique can help the person with dementia feel validated and understood, even if they are unable to express themselves verbally.The mirroring technique involves the following steps:Observe the person with dementia: Watch the person carefully, paying attention to their movements, facial expressions, and vocal patterns. Take note of any gestures or expressions that seem to communicate an emotion or a need.Mirror the person's body language: Mirror the person's movements, posture, and gestures. For example, if the person is leaning forward, the caregiver may lean forward as well. If the person is using hand gestures, the caregiver may use similar gestures.Mirror the person's facial expressions: Mirror the person's facial expressions, such as smiling, frowning, or raising eyebrows. This can help the person feel understood and validated.Mirror the person's vocal patterns: Mirror the person's tone of voice, volume, and pacing. This can help the person feel that they are being heard and understood.Gradually introduce communication: Once a connection has been established through mirroring, the caregiver or healthcare provider can gradually introduce communication, such as asking questions or making statements that reflect the person's emotions or needs.By using the mirroring technique, caregivers and healthcare providers can establish a connection with the person with dementia, creating a safe and comfortable space for communication and building trust. This technique can help improve communication and reduce feelings of frustration or anxiety for the person with dementia.Teaching The Mirroring TechniqueTeaching someone to use the mirroring technique can be a helpful way to improve communication with someone with dementia. Here are some steps you can follow to teach someone how to use the mirroring technique:Explain the concept: Start by explaining what the mirroring technique is and how it can be used in communication. Explain that the goal is to repeat what the other person is saying, using the same tone of voice and body language. Emphasize that this can help the other person to feel heard and understood.Model the technique: Demonstrate the technique by having a conversation with the person and using the mirroring technique. Start by saying something and then repeat what the other person says, using the same tone of voice and body language. For example, if the person says, "I'm feeling confused," you might respond, "You're feeling confused." Make sure to emphasize the importance of using the same tone of voice and body language.Practice the technique: Give the person the opportunity to practice the technique. Start by having them say something and then repeat what they say, using the same tone of voice and body language. Encourage them to focus on the other person's words and emotions and to reflect those back to them.Provide feedback: As the person practices the technique, provide feedback and encouragement. Help them to identify areas where they can improve and emphasize the importance of using the same tone of voice and body language.Reinforce the technique: Encourage the person to use the mirroring technique in their daily communication. Reinforce the technique by reminding them to repeat what the other person says, using the same tone of voice and body language.Example of how the mirroring technique can be used with someone with advanced dementia:Imagine a caregiver is visiting a person with advanced dementia in a care facility. The person with dementia is sitting in a chair, looking down and not engaging with the caregiver. The caregiver wants to try the mirroring technique to build rapport and help the person feel more comfortable.The caregiver approaches the person and sits down in a chair across from them. The caregiver notices that the person is frowning, so they mirror this facial expression by furrowing their own brow. The caregiver then slowly begins to shift their facial expression to a more neutral one, and they notice that the person with dementia begins to relax their own facial expression as well.The caregiver continues to mirror the person's body language and facial expressions as they interact. When the person leans back in their chair, the caregiver does the same. When the person leans forward, the caregiver follows suit. As they continue to mirror each other, the person with dementia begins to make eye contact with the caregiver and smile.The caregiver then uses this positive engagement to begin a conversation with the person, asking open-ended questions and using the "yes, and" technique to build on their responses. Using the mirroring technique, the caregiver was able to build rapport and create a positive and engaging environment for the person with advanced dementia.Using the mirroring improv technique in caregiving can greatly enhance the caregiver's relationship with their loved one with dementia. By accepting and validating the individual's experience, caregivers can build trust, improve communication, and increase their loved one's sense of safety and comfort. Improv also allows for creative problem-solving and flexibility, which can be crucial in adapting to the individual's changing needs and abilities. Ultimately, incorporating improv as a form of communication can lead to a more positive, meaningful, and fulfilling relationship between the caregiver and their loved one with dementia.Read all of the articles in this six-part series on Dementia: Improving Communication with Improv Dementia: Improving Communication with Improv | OverviewDementia: Improving Communication with Improv | "Yes and..." TechniqueDementia: Improving Communication with Improv | Mirroring TechniqueDementia: Improving Communication with Improv | Storytelling TechniqueDementia: Improving Communication with Improv | Role-playing TechniqueDementia: Improving Communication with Improv | Musical Improvisation techniqueAuthor: Kathleen Warshawsky, BSN, RN | Publisher Seniors Blue Book Greater Dallas | https://www.linkedin.com/in/kathleenwbsnrn/References:Alzheimer's Association. (2021). Communication and Alzheimer's. Retrieved from https://www.alz.org/help-support/caregiving/daily-care/communicationsGoldsmith, L., & Goldsmith, J. (2019). Communication and dementia. American Family Physician, 99(11), 684-691.Graff, M. J., Adang, E. M., Vernooij-Dassen, M. J., Dekker, J. H., Jnsson, L., Thijssen, M., ... & Rikkert, M. G. (2006). Community occupational therapy for older patients with dementia and their care givers: cost effectiveness study. BMJ, 333(7580), 1196.Guzmn, A., & Hegarty, J. (2018). A systematic review of drama therapy interventions for dementia care. Aging & Mental Health, 22(10), 1309-1319.Hsu, M. H., Flowerdew, R., Parker, M., Fachner, J., & Odell-Miller, H. (2018). A thematic analysis exploring group music psychotherapy for people with dementia in the UK. Journal of Applied Arts & Health, 9(1), 75-87.Kales, H. C., Gitlin, L. N., & Lyketsos, C. G. (2015). Assessment and management of behavioral and psychological symptoms of dementia. BMJ (Clinical research ed.), 350, h369.Raglio, A., Bellelli, G., Traficante, D., Gianotti, M., Ubezio, M. C., Villani, D., ... & Stramba-Badiale, M. (2015). Efficacy of music therapy in the treatment of behavioral and psychiatric symptoms of dementia. Alzheimer Disease and Associated Disorders, 29(2), 158-163.Raglio, A., Gianotti, M., Manzoni, V., Bolis, S., Ubezio, M. C., Villani, D., & Stramba-Badiale, M. (2016). Effects of improvisational music therapy vs enhanced standard care on symptom severity among patients with Alzheimer disease: The IMT-ALZ randomized clinical trial. JAMA Neurology, 73(7), 797-805.Van't Leven, N., Prick, A. E., Groenewoud, J. G., Roelofs, P. D., de Lange, J., Pot, A. M., & Van't Leven, N. (2013). Communication enhancement between dementia care professionals and dementia patients during daily care. Aging & Mental Health, 17(5), 555-568.

Navigating Senior Care: The Digital Age Solutions for Savvy Seniors and Their FamiliesIn an era where technology has become integral to everyday life, seniors and their families are increasingly turning to online resources to find the best senior care and services. Seniors Blue Book is bridging the gap between traditional print and digital platforms, making the process of seeking senior care more accessible, efficient, and tailored to individual needs.The Need for Comprehensive Senior Care SolutionsAs the population ages, the demand for senior care options continues to grow. According to the World Health Organization, the number of people aged 60 years and older is expected to double by 2050, reaching nearly 2.1 billion. With this demographic shift comes the challenge of ensuring access to high-quality senior care services that cater to diverse needs and preferences.Traditionally, families have relied on word-of-mouth recommendations, local directories, and community resources as the starting point for finding senior care options. While these methods provide initial information, consumers often seek more comprehensive details to make informed decisions. This is where the synergy between print and online resources becomes invaluable. Recognizing the evolving needs of seniors and their families, Seniors Blue Book expanded their services, seamlessly blending print and online platforms to enhance the search for senior care, making it simpler and more accessible for everyone involved. The Rise of Online Platforms in Senior CareThe internet has revolutionized the way information is accessed and shared, and senior care is no exception. Online platforms provide a wealth of resources, including directories of senior living communities, home care agencies, medical providers, and support services. These platforms allow users to compare care and housing options, read reviews, and gather essential information such as pricing, amenities, and available care options.Moreover, online platforms offer convenience and accessibility, allowing seniors and their families to conduct research from the comfort of their homes. This is particularly valuable for seniors with mobility limitations or those residing in remote areas where access to traditional resources may be limited.Seniors Blue Book: Bridging the Gap Between Print and OnlineSeniors Blue Book has successfully integrated print and online resources to meet the needs of today's seniors and their families. Founded in 1982, Seniors Blue Book initially began as a printed directory of senior care resources, serving as a valuable reference for families seeking assistance. Over the years, the company has adapted to changing technology and consumer preferences, expanding its offerings to include robust online platforms complementing its print directories.Through its website platform, Seniors Blue Book provides a comprehensive database of senior care providers, organized by location and type of service. Users can search for assisted living communities, memory care facilities, in-home care agencies, and other senior-related services, with detailed profiles outlining amenities, services, and contact information.Furthermore, Seniors Blue Book offers informative articles, guides, and blog posts covering various topics related to senior care, such as navigating Medicare, understanding different types of care options, and tips for aging in place. These resources empower seniors and their families with knowledge and insights to make informed decisions about their care needs.The Future of Senior Care: Embracing Innovation and CollaborationAs technology continues to evolve, the future of senior care will undoubtedly be shaped by innovation and collaboration. Companies like Seniors Blue Book play a crucial role in leveraging technology to enhance the senior care experience, making it more personalized, efficient, and accessible.Looking ahead, the integration of emerging technologies such as artificial intelligence, telemedicine, and smart home solutions holds the promise of further improving senior care outcomes and quality of life. Additionally, partnerships between senior care providers, technology companies, and healthcare organizations will foster innovation and drive positive change in the industry. The digital age has transformed the way seniors and their families access senior care services, offering a wealth of online resources and platforms to streamline the search process. Seniors Blue Book listened and responded to these changing preferences, providing a comprehensive blend of print and online solutions to meet the diverse needs of today's seniors. By embracing innovation and collaboration, the future of senior care holds tremendous potential for enhancing the well-being and quality of life for older adults around the world.

Navigating the Extra Day: A Journey Through Leap YearsLeap years, those quadrennial anomalies in our calendar, have intrigued and puzzled people for centuries. While the concept may seem simple, the implications of leap years are far-reaching, affecting the lives and experiences of individuals across generations.The Earth's orbit around the sun takes approximately 365.25 days. To account for this fractional day, our calendar includes an extra day, February 29th, every four years. This additional day is what we commonly refer to as a leap day.The leap year calendar, also known as the Gregorian calendar, is the most widely used calendar system in the world. It was introduced by Pope Gregory XIII in October 1582 to reform the Julian calendar and correct inaccuracies in the calculation of leap years.Under the Gregorian calendar, a leap year occurs every four years, except for years that are divisible by 100 but not by 400. This rule helps synchronize the calendar year with the solar year, making it a more accurate representation of the Earth's orbit around the sun. Imagine reaching the remarkable milestone of 100 years old. Those fortunate enough to celebrate a century of life would have experienced numerous leap years. By the time someone reaches the age of 100, they would have witnessed 25-26 leap years. If you were born on February 29, 1924, and you want to count the leap year in which you were born, then you would experience 26 leap years by February 29, 2024. This includes the leap year of your birth in 1924 and all subsequent leap years every four years, up to and including 2024. The baby boomer generation, born between 1946 and 1964, has experienced a varying number of leap years depending on their current age. As of 2024, the youngest baby boomers would be around 60 years old, having experienced 15-16 leap years. Those born in the mid-1940s would be in their late 70s, with 19-20 leap years under their belts. The number of leap years increases with age, contributing to the diversity of experiences within the baby boomer generation.For individuals aged 55 and above, leap years hold a unique significance. These extra days serve as reminders of the passage of time, providing an opportunity for reflection and celebration. Leap years often coincide with major life events, such as milestone birthdays or anniversaries. The occurrence of an extra day in the calendar can be seen as a symbolic bonus, a chance to appreciate the gift of time and the memories accumulated over the years. Leap years, with their irregular but predictable cadence, add a layer of complexity to our understanding of time. For centenarians, baby boomers, and those in the 55+ age group, these extra days contribute to the tapestry of memories and experiences that shape their lives. As we navigate the twists and turns of our temporal journey, let us embrace the quirkiness of leap years and appreciate the additional moments they provide for reflection, celebration, and gratitude. Happy Birthday to all the Leap Day Babies!

Are Senior Housing Communities the Secret to Longevity? NORC Study Indicates Senior Housing Residents Live LongerDallas, TX (March 5, 2024) A groundbreaking study conducted by NORC at the University of Chicago has shed light on the positive relationship between senior housing communities and the longevity and well-being of older adults. The research, supported by a grant from the National Investment Center for Seniors Housing & Care (NIC), compares the health outcomes of older adults residing in senior housing communities to those living independently in the community.The study, spanning two years and analyzing various health measures, unveils compelling evidence in favor of senior housing. Key findings indicate that older adults who move into senior housing communities not only live longer but also receive more home health services and benefit from greater rehabilitative and preventive care compared to their counterparts in the community.The six measures analyzed include mortality, days alive, days away from home due to adverse health events, days receiving home health care, preventative and rehabilitative health services days, and days on anti-psychotics. The results paint a vivid picture of the advantages senior housing offers:Increased Longevity: On average, older adults who move into senior housing live more than one week longer than those living in the community, showcasing a lower mortality rate among senior housing residents.Enhanced Home Health Care: Senior housing residents receive an additional 10 days of home health care services compared to older adults living independently in the community.Greater Preventative/Rehabilitative Services: Older adults in senior housing receive four more days of preventative and rehabilitative services at home, contributing to a comprehensive approach to healthcare within these communities.Reduced Anti-psychotic Medication Use: Senior housing residents spend three fewer days on anti-psychotics than their counterparts in the community, highlighting a potential decrease in the need for such medications in a senior housing environment.Furthermore, the study breaks down the variations across different types of private-pay senior housing communities, including continuing care retirement communities (CCRCs), independent living communities (IL), assisted living communities (AL), and memory care communities (MC). Notably, residents in the top 25% of communities live 70 days longer than those in the bottom 25%, emphasizing the importance of quality care within senior housing settings.Ray Braun, CEO and president of NIC, emphasizes the opportunity for senior living sectors to integrate healthcare and housing, meeting consumer preferences and potentially reducing the overall cost of care over time. Lisa McCracken, NIC's head of research and analytics, points out that while the research demonstrates the overall value of housing and care, there is still much to learn from consistently top-performing communities.The study, the third part of a four-part project supported by NIC, aims to assess the health and well-being of senior housing and care residents. It builds upon previous studies that explored the vulnerability of senior housing residents, access to healthcare providers, and will culminate in assessing the overall health outcomes of residents in senior living settings.As the demand for comprehensive health and wellness support within senior housing grows, Dianne Munevar, vice president of health care strategy at NORC, suggests that senior housing operators can capitalize on this trend by differentiating the scope of preventative health services available in their communities.The NORC study provides compelling evidence that senior housing communities play a crucial role in extending and enhancing the lives of older adults, offering a holistic approach to healthcare that goes beyond traditional housing models. As the aging population continues to grow, understanding and implementing best practices from top-performing communities will be key to improving the overall health and well-being of residents in senior housing settings.

Dementia: Improving Communication with Improv | "Yes and..." Technique is part of a six-part series. Dementia is a degenerative neurological condition that affects millions of people worldwide. As the disease progresses, individuals with dementia may experience difficulties with communication, including problems with memory, language, and understanding. This can make it challenging for caregivers and family members to connect with their loved ones and provide the best possible care. However, there is a promising solution to this challenge: improv. In this six-part series, we will explore how improvisational theater techniques can be used to improve communication and connection with individuals with dementia. By tapping into the power of improv, caregivers can learn how to communicate more effectively, build rapport, and create meaningful experiences with their loved ones.Dementia is a debilitating condition that affects millions of people around the world. It is a progressive disease that affects memory, thinking, behavior, and the ability to perform daily tasks. As the disease progresses, individuals with dementia may have trouble communicating and may become withdrawn and isolated. However, with the right approach and support, individuals with dementia can still achieve good quality of life.One approach to supporting individuals with dementia is to meet them where they are at. This means that care providers should strive to understand the individual's unique perspective, experiences, and needs. This approach can help to reduce frustration, confusion, and anxiety and promote a sense of well-being and connectedness.To meet individuals with dementia where they are at, care providers can use a range of strategies. One of these strategies is the "Yes and..." technique. Learning the "Yes and..." technique can ultimately improve the quality of life for individuals with dementia and their caregivers."Yes and..." techniqueThe improv - yes and is a communication technique that can be particularly effective when communicating with someone with dementia. This technique involves accepting what the person is saying and building on it, rather than correcting or contradicting them. Here are a few ways in which improv - yes and can be useful when communicating with someone with dementia:Validation: By using improv - yes and, you are validating the person's experience and showing that you are listening and accepting what they are saying. This can help to reduce frustration and increase a sense of connection and understanding.Building on the conversation: Rather than trying to correct or redirect the conversation, using improv - yes and can help to build on what the person is saying and keep the conversation flowing. This can be particularly helpful when the person is struggling to find the right words or is experiencing memory loss.Encouraging creativity and imagination: Improv - yes and can also encourage creativity and imagination. By accepting and building on what the person is saying, you are creating a safe and supportive environment where they can express themselves freely and without fear of judgement.Reducing anxiety: Communication can be stressful and anxiety-provoking for individuals with dementia. Using improv - yes and can help to reduce anxiety by creating a positive and supportive atmosphere, where the person feels heard and understood.Using improv - yes and can be a powerful tool when communicating with someone with dementia. By validating their experiences, building on the conversation, encouraging creativity and imagination, and reducing anxiety, you can help to create a positive and supportive communication environment that can benefit both the person with dementia and their care provider.Teaching someone the improv - yes and communication technique: Explain the concept: Start by explaining what the improv - yes and technique is and how it can be used in communication. Explain that the goal is to accept what the other person is saying and build on it, rather than correcting or contradicting them.Model the technique: Demonstrate the technique by having a conversation with the person, using improv - yes and. Start by saying something and then build on what the other person says. For example, you could say, "I love to dance" and the other person could respond, "Yes, and I love to sing while you dance." Make sure to emphasize the importance of accepting and building on what the other person says.Practice the technique: Give the person the opportunity to practice the technique. Start by having them say something and then respond with improv - yes and. Encourage them to be creative and build on what the other person says.Provide feedback: As the person practices the technique, provide feedback and encouragement. Emphasize the importance of accepting and building on what the other person says and help the person to identify areas where they can improve.Reinforce the technique: Encourage the person to use the improv - yes and technique in their daily communication. Reinforce the technique by reminding them to accept and build on what the other person says, rather than correcting or contradicting them.Teaching someone the improv - yes and communication technique can be a fun and engaging process. By explaining the concept, modeling the technique, practicing, providing feedback, and reinforcing the technique, you can help the person to improve their communication skills and create a more positive and supportive communication environment.Example of using the "yes and" technique with someone with advanced dementia:Caregiver: "Hi there, it's such a beautiful day outside, isn't it?"Person with advanced dementia: "I don't know. I can't see it from in here."Caregiver: "Yes, it's true that we can't see outside from in here, but maybe we can imagine what it looks like. Do you remember a time when you enjoyed being outside?"Person with advanced dementia: "I used to love going for walks with my dog in the park."Caregiver: "That sounds like a wonderful way to enjoy being outside. What kind of dog did you have?"Person with advanced dementia: "She was a black lab. Her name was Sadie."Caregiver: "Oh, I love labs! They are such loyal companions. What did you and Sadie enjoy doing on your walks?"Person with advanced dementia: "We used to play fetch and run around in the park. It was so much fun."Caregiver: "Yes, that sounds like it was a lot of fun. It's great that you have those happy memories to think about. Thank you for sharing them with me."In this example, the caregiver uses the "yes and" technique to validate the person's feelings and experiences, even though they may be experiencing some confusion or disorientation due to their advanced dementia. By acknowledging the person's memories and encouraging them to share more, the caregiver can create a positive and engaging communication environment that helps the person with advanced dementia feel heard and understood. The caregiver also reinforces the person's memories by acknowledging the positive experiences they had with their dog Sadie, which can help to promote a sense of well-being and connection.Using the "Yes and..." improv technique in caregiving can greatly enhance the caregiver's relationship with their loved one with dementia. By accepting and validating the individual's experience, caregivers can build trust, improve communication, and increase their loved one's sense of safety and comfort. Improv also allows for creative problem-solving and flexibility, which can be crucial in adapting to the individual's changing needs and abilities. Ultimately, incorporating improv as a form of communication can lead to a more positive, meaningful, and fulfilling relationship between the caregiver and their loved one with dementia.Read all of the articles in this six-part series on Dementia: Improving Communication with Improv Dementia: Improving Communication with Improv | OverviewDementia: Improving Communication with Improv | "Yes and..." TechniqueDementia: Improving Communication with Improv | Mirroring TechniqueDementia: Improving Communication with Improv | Storytelling TechniqueDementia: Improving Communication with Improv | Role-playing TechniqueDementia: Improving Communication with Improv | Musical Improvisation techniqueAuthor: Kathleen Warshawsky, BSN, RN | Publisher Seniors Blue Book Greater Dallas | https://www.linkedin.com/in/kathleenwbsnrn/References:Alzheimer's Association. (2021). Communication and Alzheimer's. Retrieved from https://www.alz.org/help-support/caregiving/daily-care/communicationsGoldsmith, L., & Goldsmith, J. (2019). Communication and dementia. American Family Physician, 99(11), 684-691.Graff, M. J., Adang, E. M., Vernooij-Dassen, M. J., Dekker, J. H., Jnsson, L., Thijssen, M., ... & Rikkert, M. G. (2006). Community occupational therapy for older patients with dementia and their care givers: cost effectiveness study. BMJ, 333(7580), 1196.Guzmn, A., & Hegarty, J. (2018). A systematic review of drama therapy interventions for dementia care. Aging & Mental Health, 22(10), 1309-1319.Hsu, M. H., Flowerdew, R., Parker, M., Fachner, J., & Odell-Miller, H. (2018). A thematic analysis exploring group music psychotherapy for people with dementia in the UK. Journal of Applied Arts & Health, 9(1), 75-87.Kales, H. C., Gitlin, L. N., & Lyketsos, C. G. (2015). Assessment and management of behavioral and psychological symptoms of dementia. BMJ (Clinical research ed.), 350, h369.Raglio, A., Bellelli, G., Traficante, D., Gianotti, M., Ubezio, M. C., Villani, D., ... & Stramba-Badiale, M. (2015). Efficacy of music therapy in the treatment of behavioral and psychiatric symptoms of dementia. Alzheimer Disease and Associated Disorders, 29(2), 158-163.Raglio, A., Gianotti, M., Manzoni, V., Bolis, S., Ubezio, M. C., Villani, D., & Stramba-Badiale, M. (2016). Effects of improvisational music therapy vs enhanced standard care on symptom severity among patients with Alzheimer disease: The IMT-ALZ randomized clinical trial. JAMA Neurology, 73(7), 797-805.Van't Leven, N., Prick, A. E., Groenewoud, J. G., Roelofs, P. D., de Lange, J., Pot, A. M., & Van't Leven, N. (2013). Communication enhancement between dementia care professionals and dementia patients during daily care. Aging & Mental Health, 17(5), 555-568.