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162 College Highway
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Now Hiring! We are currently looking to
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at Wiscasset is underway, with plans to open in Spring of 2025.
As we get older, particularly into our 50’s and 60’s, cataracts can become a common eye condition experienced by both men and women. Cataracts are a leading cause of vision loss in the United States, so it’s important to know how to protect your eyes to reduce your risk for cataract and to be able to recognize the signs of a developing cataract.
Like the rest of the body, the eyes and the structures that support the visual system undergo significant change as we age. One of the structures that undergoes the most change is the lens in the eye. The lens of the eye is located behind the pupil and the colored iris. The lens helps to focus images onto the retina, which then transmits the images to the brain. Normally the lens is “crystal clear.”
Aging, and other medical conditions can cause the lens to become cloudy and yellow. This can cause mildly blurry vision, resulting in changes in your eyesight. If the crystalline lens loses significant transparency and clarity, then a cataract has formed. A cataract is the clouding of the eye’s lens, causing blocks or changes in the passage of light into the eye.
If you have cataracts, you may notice changes in your vision, such as:
The only way to treat cataracts is to remove them surgically. The longer cataracts are left untreated, the more difficult it can be to successfully remove the cataract and restore vision.
Cataracts can affect you even if you’ve had normal vision and relatively healthy eyes throughout your life. This is because, for most people, cataract development is a part of the normal aging process.
Certain health and lifestyle conditions and use of certain medications can increase your risk for developing cataracts, such as:
Early detection and treatment of cataracts is critical to preserving your vision. Even though cataract formation may be an inevitable part of the aging process for many of us, there are things you can do to preserve eye health and reduce your risk for cataracts having a significant negative impact on your quality of life.
Move that Body. Moving your body enough to elevate your heart rate for 30 minutes each day is not just good for your heart, lungs, joints, and muscles—it’s good for your eyes. Whatever you enjoy for movement, do it. Exercise, such as walking, swimming, yoga, tai chi, weight training, hiking, increases circulation, carrying oxygen-rich blood and nutrients to all the vital organs, including the eyes.
Get More Greens. Dark, leafy green vegetables contain antioxidants, vitamins A and C, and minerals that support the health of the eyes (and the whole body!). Increase your intake of broccoli, collards, spinach, dark leaf lettuces, sprouts, etc. to obtain these nutrients.
Be Cool, Wear Shades. UV-protective eyewear is essential year-round. In the summer, the days are longer, and sun exposure increases as we spend more time outdoors. In winter, the sun is lower in the sky and often can feel like it’s “at eye level” with us while we drive or are outdoors. Just because it is colder outside, does not diminish the impact of UV light on our eyes. If you boat or engage in winter sports, the glare of the sun off the water and the snow increases the damaging effects of UV rays. So…no matter the season, you’ve got to wear shades!
If you are concerned about changes in your vision, or experiencing any of the symptoms listed, it may be time to adopt healthier habits, make changes in your vision care plan, or consult with an ophthalmologist. The health and wellness team at each of the Everbrook Senior Living communities are here to support and guide you.
Resources
American Academy of Ophthalmology “What are Cataracts?” https://www.aao.org/eye-health/diseases/what-are-cataracts
Prevent Blindness https://preventblindness.org/cataract-awareness-june-2022/
Residents in senior living communities often delight in receiving visitors, especially when those visitors include children. Even so, it can be quite difficult, emotionally, to bring the kids along to a long term care facility. With a little preparation, patience and compassion, a family’s first visit to an elder care community can be made meaningful for all family members—especially for the elder and grandchildren.
Your aging loved one, who is residing in long term care, may have changed a great deal as a result of their physical and emotional health. They may display different behaviors, personality changes, and memory deficits that even the most well-prepared adult can struggle to see. So, how do you prepare a child for their first visit with a grandparent who is residing in an elder care community?
Prepare the Kids Before they Arrive at the Senior Living Facility
A few days before the visit to see their grandparents or other aging loved ones who are in residence at a senior living facility, invite the children to sit down and talk about the upcoming visit. Start by asking the children what they remember most about this family member. Reinforce that those positive qualities and memories they have will always be in their hearts, and the elder’s heart, too. It just might be harder for grandma or grandpa to remember all of those wonderful memories.
Talking with Very Young Kids about a Loved One in Elder Care
For very young kids, under the age of 10, you’ll want to remind them of the physical and cognitive limitations the older adult has, but in simpler terms. Rather than giving the kids a long list of “Don’ts” (Don’t jump on grandpa, don’t try to dance with grandma, don’t leave your shoes on the floor in her room)… focus on the person they are visiting and the kind of caring attention they need from all family visitors:
Grandma is not as strong as you are. You are much younger. Remember to be gentle with your hugs and handshakes.
Grandpa is not able to run and jump and play like he once did. While he can’t play catch with you, he can play cards and board games. It would be nice to bring some games with us.
You know how we all forget things from time-to-time? (Give an example of forgetting items at the grocery store or leaving things at school) Well, Mimi’s memory is not so great anymore. That can happen when you get older and have SO many memories in your head. They can get mixed-up. She might even forget your name! Just remind her and try not to get upset that she forgot; she feels badly when she does not remember. Just encourage her to learn your name again while we are there and she may start to recall all kinds of great memories with you.
Sometimes granny or pappy gets easily upset if his things are touched or moved around. You know, how you sometimes get upset when someone takes your toy without asking. It’s a good idea to ask before you touch things in the room.
Remember not to give pap pap any food or candy, even if he asks for it. He has to follow a special diet that help his medications work best.
It is a good idea to let the children speak to the elder family member by phone a few times before you arrive. This may lead to any questions about how the grandparent sounds or speaks.
Talking with Older Kids about a Loved One in Elder Care
Children age 10 and up can handle more information, including basic medical information. You might say:
Nana has a medical condition called “_____” which affects her ability to (remember, walk, speak for long periods, breathe easily) and can make them feel (tired/easily agitated/sad).
Allow older kids the time to ask questions. If they are teenagers, they may be keen on learning more. You can research information online; the health association websites for particular medical conditions are a good place to start (Alzheimer’s Association, for example).
Regardless of the age of our children, always be honest with them and use age-friendly language. Remember to emphasize why your loved one is living in an elder care community and how their life is being made better (more comfortable, convenient) there because they live with other people in similar situations and can receive the daily living care and healthcare that they need.
Inform the Community of Your Planned Visit
This is a step that families don’t often think about when they visit a senior living or long term care facility with children. Yet, it’s important that the facility know the age of the children coming to visit and when you will be there. The facility concierge can inform you of the schedule of the day, may have tips to share about making the visit go smoothly, alert you to any events or gatherings at the community, and prepare you if there have been unexpected changes in your loved one’s health.
Some elder care communities will have a special area for families with young children to meet, especially if your loved one’s room is not spacious enough for more than a few people. These spaces can give young children a little extra room to roam, to observe, and to try to make sense of their grandparent’s new situation.
Plan an Activity
As mentioned above, it’s a good idea to bring an activity that your child and the elder family member can share together. Sometimes the community will have these things on site, as well. Bring an activity that will keep your child busy if they become uncomfortable or bored, such as a digital device, a favorite toy, or something else they really like to do.
Some other activities include:
If the weather is nice, plan to walk (or transport in a wheelchair) your family member outside for fresh air and conversation.
You might also bring pictures to serve as conversation starters and recollection of fond memories from days past.
A Word About Taking Photos
Of course, you want to capture memories with your elder family member. Do be prepared for the possibility that the elder or the children may not want to take photos. The elder may not want to be remembered as being ill. Likewise, even some teenagers have trouble seeing their grandparents in a weakened state and standing alongside for a photo may make them uncomfortable. Now is not the time to argue, but to accept their wishes and continue to have a happy visit.
Every Everbrook Senior Living community is intentionally designed to meet the needs of your elder family member in a compassionate, vibrant and caring atmosphere. From personal and health care needs to dining, recreation, wellness and therapeutic activities, your family member has access to all the services they need to experience the best quality of living throughout their older adult years. All of us here at Everbrook understand what it means to care for an older adult, both those in good health and those whose health is in decline. We are committed to providing a community for elders and their beloved family members where authenticity, trust, compassion, and respect are paramount.
If you are considering elder care for your aging loved one, contact us to schedule a visit at one of the Everbrook Senior Living communities.
Resources
Elder Care Alliance https://eldercarealliance.org/blog/tips-for-bringing-kids-to-visit-elder-care-communities/
Today’s Caregiver https://caregiver.com/articles/nursing-home-visits/
No matter your age or activity level, you reap numerous health benefits from spending time in nature. Not only is time spent outdoors good for physical health, it is especially good for brain health. New research from the fields of psychology, health, medicine, and environmental science consistently shows that, for people of all ages, who spend as little as 15 minutes a day interacting with the natural world, experience lower blood pressure, less frequent headaches, and are at lower risk for anxiety and depression. With so much natural beauty surrounding the Everbrook Senior Living Communities, it’s easy to get your daily dose of “nature’s medicine.”
Enough research has been done to strongly indicate that people who spend the least amount of time outdoors have greater detriment to their well-being: higher risk of mental health conditions, obesity, high blood pressure, and other chronic illnesses. There’s even a name for the ill-effects of not spending enough time in nature—it’s called “nature-deficit disorder.” Nature deficiency contributes to the following health issues:
Even though nature-deficit disorder is not yet regarded as a medical condition, both conventional and holistic health practitioners recognize the significance of the detrimental health effects stemming from lack of contact with nature. In fact, in Canada, doctors can now prescribe national park passes to patients who are at risk for, or who are struggling with depression, anxiety, and certain other mental and physical health conditions. Many more physicians around the world have come to recognize nature-deficit as a nonclinical syndrome that can impair the emotional, cognitive, and physical functioning of adults and children.
The Health Benefits of “Nature’s Medicine”
A variety of scientific studies have looked at nature experiences such as wilderness therapy, backpacking and biking excursions, recreational hiking and camping, time simply sitting in a park or spent working in a garden. These studies have shown remarkable effects on health, particularly for the brain:
Nature’s Effect on Brain Health
Spending time in nature stimulates neural and sensory pathways (the pathways to and from the sense organs and the brain). This helps promote “neuroplasticity,” the process by which the brain forms new, and strengthens existing, neural connections. Additionally, research shows that neural pathways that have been exhausted by stress and the use of technology can be revitalized with regular time spent in nature.
Nature’s Effect on Physical Health
Some of the health benefits of time spent in nature can be noticed immediately while others happen over time, including improved function of the circulatory system, the heart and lungs, and the musculoskeletal system. We also receive an abundance of natural light when we are outdoors, helping to boost the body’s natural production of Vitamin D, which is important for many physical processes, including a healthy immune system.
Whether for 15 minutes or a few hours, there are many ways to experience the health benefits of nature:
Forest Bathing. This is not a dip in a river. It's not a hike with a destined path to follow. Forest bathing or shinrin-yoku, is a Japanese tradition that only dates back to the 1980s! Simply, forest bathing is a meditative immersion in which you slow down and intentionally turn your attention to the smells, textures, tastes, and sights of the forest (or trail, or park, or beach as the case may be).
Observe the Night Sky. Before going to bed in the evening, stand outside (away from artificial light) and gaze at the night sky. Try shifting your awareness from the whole sky to a cluster of stars, to a single star.
Take a Stroll. Leave the fitness tracker at home: This is not a goal-oriented, step-counting walk. Just stroll of as little as 5 minutes up to as long as you desire. As you walk, just breathe and observe. Try not to allow your mind to get caught up in any particular thought sequence. This is meditative walking.
Sit Outside. When was the last time you simply sat in your own backyard or on front porch? Or visited a park near your home or the office? Get there – without the phone – and just be present.
There are so many other outdoor pursuits you can learn (also good for the brain!). From paddleboarding, to taking a plein-aire art class, to joining a conservancy group to help with cleaning the trails – the point is to get outside and give your brain and body a healthy dose of nature’s medicine!
The Wonders of Nature, Just Outside Your Everbrook Front Door
The residents of Everbrook Senior Living Communities need not venture far to enjoy the great outdoors and the health benefits of spending time in nature. Our communities are nestled among tree-lined streets, near local parks and nature preserves, and New England’s finest trails and waterways are never too far. Discover all that Everbrook Senior Living has to offer… just outside your front door:
Colebrook Village - meander the historic villages and towns in and around Hebron, CT.
Stonebrook Village - sit alongside Enfield Falls (CT) or sojourn nearby hiking, biking, and fishing areas.
Elmbrook Village - explore colonial-era history by foot or take to the trails at Hopemeade State Park (CT).
Cedarbrook Village - venture into historic Ware, MA; enjoy the verdant hills, trails, and waterways.
Hillsbrook Village - nestled just outside Concord, NH and near Bear Brook State Park. This community is scheduled to open in Fall 2022.
Resources
National Park Service “Get Outside” Program
National Environmental Education Foundation
Natural Attraction Ecology video
"Why is nature beneficial?: the role of connectedness to nature." Mayer, F. S., Frantz, C. M., Bruehlman-Senecal E., Dolliver K. Environment and Behavior. 2009; 41(5):607–643. doi: 10.1177/0013916508319745.
"What Is the Best Dose of Nature and Green Exercise for Improving Mental Health? A Multi-Study Analysis." Barton, J., and J. Pretty. Abstract. Environmental Science & Technology 44, no. 10 (May 15, 2010): 3947-3955.
"Green perspectives for public health: a narrative review on the physiological effects of experiencing outdoor nature." Haluza, D., Schanbauer, R., Cervinka, R. International Journal of Environmental Research and Public Health. 2014;11(5):5445–5461. doi: 10.3390/ijerph110505445.
"Examining group walks in nature and multiple aspects of well-being: a large-scale study." Marselle, M. R., Irvine, K. N., Warber, S. L. Ecopsychology. 2014;6(3):134–147. doi: 10.1089/eco.2014.0027
"The restorative benefits of nature: toward an integrative framework." Kaplan, S. Journal of Environmental Psychology. 1995; 15(3):169–182. doi: 10.1016/0272-4944(95)90001-2
"The relationship between nature connectedness and happiness: a meta-analysis." Capaldi, C. A., Dopko, R. L., Zelenski J. M. Frontiers in Psychology. 2014; 5, article 976 doi: 10.3389/fpsyg.2014.00976. [PMC free article] [PubMed]
The Experience of Nature: A Psychological Perspective. (1989) Kaplan, R., Kaplan, S. Cambridge, UK: Cambridge University Press; Republished by Ulrich's, Ann Arbor, Mich, USA, 1995.
Feeling a sense of purpose or meaning in life is associated with a 19% reduced rate of clinically significant cognitive impairment later, according to findings from a review of evidence led by researchers at University College London (UCL).
The UCL researchers examined several positive psychological constructs (e.g., maintaining a positive mood, being optimistic, having a sense of life purpose) to determine if these constructs have a significant association with reduced risk for dementia and other cognitive impairment in later life.
The results showed that having purpose and meaning in life were key factors consistently associated with reduced risk of dementia years later:
For this study, the UCL research team conducted what is known as a systematic review and meta-analysis, which involves and in-depth approach to pooling and analyzing data from multiple studies. The researchers gathered evidence from nine previously published studies, yielding data from 62,250 older adults (age 50+) across three continents. This makes the findings quite meaningful because they have relevance across different demographics.
Meaning in Life: How Does it Protect the Brain from Impairment?
One theory about how purpose and meaning, as well as other positive psychological factors, may protect against cognitive decline has to do with the physiological effect that positive mood and resiliency has in the body, including the brain.
Positive mood promotes a state of balance (homeostasis) in the body. This reduces the circulation of stress hormones and other chemicals that are known to increase inflammation in the cells and tissues, Inflammation, which causes damage to cells and can alter physiological function, is a known underlying factor in many disease processes, including Alzheimer’s Disease and heart disease among others.
Having a sense of purpose in life seems to promote positive mood, which supports resiliency from stressful events; in turn, this reduces inflammation in the brain—both of which are linked with reduced risk of dementia.
Reinforcing the positive psychological effects that come with having a sense of purpose is the fact that, when people feel their life has meaning and purpose, they are more likely to engage in activities that support their health: exercising, socializing with peers, doing volunteer work—all of which may protect against dementia risk.
The researchers suggest that prevention programs for people at-risk for cognitive impairment and dementia should prioritize activities that help bring purpose and meaning to one’s life. Staff who work with older adults can devote programming time to helping the elder identify what is important them, what their values are, and how they might act in alignment with these priorities and values. The researchers suggested “taking small steps.” For example, if an elder values “education for all,” they could benefit from volunteering as a literacy coach or as a reading buddy in a local school.
Everbrook Senior Living Residents Find Meaning, Purpose in Ageless Communities
The Everbrook philosophy is that, in later life we become ageless: As we fully accept our health and functional status, and that of our friends and neighbors, we recognize how interdependence helps to preserve independence. Our staff design and deliver activities that are suitable for all residents without regard to their functional status (independent living, assisted living, memory care). It is very important to all of us at Everbrook—and to our residents—that there is mutual respect and support among residents and that all residents experience belonging.
To promote a sense of belonging, meaning, and purpose (as suggested by the research study), our staff plans activities that enrich intellectual, social, and emotional wellbeing and help to give residents a sense of control over their aging process. Our interdisciplinary team is well-trained to deliver stage-appropriate activities that are matched to a resident’s functional and cognitive abilities. We employ adaptive methods of communication to evoke and sustain a positive emotion throughout the day.
Our Wellness 4 Later Life™ program model encompasses seven dimensions of wellness: physical, spiritual, emotional, social, intellectual, vocational, and environmental, as are advocated by the International Council of Active Aging. We help our residents discover what is significant in their life, now. Residents, with as much support as is needed, identify ways to add meaning/purpose to their self-care, in their activities at Everbrook, and in the community beyond Everbrook.
Original Research
“Positive psychological constructs and association with reduced risk of mild cognitive impairment and dementia in older adults: A systematic review and meta-analysis” by Georgia Bell et al. Ageing Research Reviews. The study was supported by the Alzheimer’s Society
Supporting Research, Resources
Dockray, S., & Steptoe, A. (2010). Positive affect and psychobiological processes. Neuroscience and biobehavioral reviews, 35(1), 69–75. https://doi.org/10.1016/j.neubiorev.2010.01.006
Ong, A. D., Mroczek, D. K., & Riffin, C. (2011). The Health Significance of Positive Emotions in Adulthood and Later Life. Social and personality psychology compass, 5(8), 538–551.https://doi.org/10.1111/j.1751-9004.2011.00370.x
National Institute on Aging. Positive Mood in Older Adults Suggests Better Brain Function. (2020, Research Highlights
Since older adults tend to need fewer hours of sleep – around 7 hours a night – than younger people, it might surprise you to learn that sleep deprivation can be quite common in older adults. Not only that, symptoms of sleep deprivation can also be confused for dementia in older adults.
Many people are aware that there is a connection between sleep and brain health. The changes in brain chemistry that occur when we don’t sleep leads to impairment of physical performance, decision making skills, and how well we manage our emotions. Poor quality sleep as well as insufficient hours of sleep makes us sluggish, causes muscle tension and physical fatigue, and can lead to changes in appetite and mood. The longer we go without good quality and sufficient hours of sleep, the more imbalanced brain chemistry and hormones become – and that is not good for the brain.
For older adults, who are less physically resilient to the stresses of poor sleep, the effects on their cognitive abilities can be significant. So much so, family members may wonder if their loved on is showing signs of dementia.
Before you start calling assisted living centers about memory care services, you’ll want to carefully observe the sleep habits and behaviors of the older adult you are concerned about. First, you’ll want to understand the different symptoms of sleep deprivation versus dementia:
Symptoms of Sleep Deprivation
Early Symptoms of Dementia
As you observe your loved one for these symptoms, think about their sleep routine. Ask them (or observe):
Make notes based on your observation and talk with your loved one and their doctor about their sleep habits. If helping them get consistent quality sleep alleviates the symptoms you’ve observed, then you know they experienced sleep deprivation. With quality rest, you should see a return of healthy cognitive function.
If the symptoms you’ve observed don’t improve with better quality sleep, dementia may be developing. Now is the time to plan for your loved one’s quality of life as the symptoms of dementia will inevitably worsen.
At Everbrook Senior Living, our exceptional clinical and recreation teams work synergistically to support residents in living a purposeful life. From independent and assisted living to memory care, our programs and services are designed using the latest evidence-based research on aging. Our residents with early to mid-stage memory impairment are surrounded by a compassionate and caring environment – equipped with high-quality amenities designed to support their emerging needs. To learn more about our newly-built, premier communities for older adults, contact Everbrook Senior Living, today.
This month we are celebrating the health benefits of sleep for mind and body! National Sleep Awareness Week is March 13-19, 2022—it’s the perfect time for older adults to learn new ways to improve their sleep routine.
Throughout the COVID-19 pandemic, adult sleep habits were affected in many ways. Some people slept more while others didn’t sleep enough. Many of us were tossing and turning through the night. Additionally, many adults got into some pretty poor sleep habits… staying up late or falling asleep in front of a mobile device.
Poor-quality sleep is detrimental to the health of the brain and the body. In fact, there’s 25 years of scientific research that supports the health benefits of good sleep hygiene for adults (and kids, too).
In order to understand the effects of sleep deprivation on our physical and mental health, scientists study how the brain and body respond when we don't sleep enough.
Insufficient Sleep Increases Risk for Illness
Insufficient sleep increases a person’s risk for chronic disease. When you get less than 8 hours of sleep a night on a regular basis you raise you risk for:
While You Were Sleeping: How Does Sleep Affect Health?
No matter your age, sleep effects brain chemistry and the hormones that circulate through your body. Put another way, sleep influences the functioning of the nervous, immune, and endocrine systems.
When you get sufficient, quality sleep a lot of amazing things happen in your body:
As you can see, sleep affects a lot of what goes in the body and how healthy (or unhealthy) your body can be.
Throughout the lifespan, the amount of sleep we need changes. Also, regardless of age, the amount of sleep you need is influenced by the quality of the sleep you do get, your activity level, and genetics (e.g., some of us really are night owls). Adults typically need 7 to 9 hours of sleep with older adults on the lower end of the range. A very physically active older adult might need more than a sedentary or less active older adult.
5 Tips to Help an Older Adult Develop and Maintain Good Quality Sleep
The following tips can help older adults maintain good quality sleep habits:
The Golden Rule for A Good Night's Sleep: You should only be in bed for two things—sleep and making whoopie! Any other activities performed in bed (reading, computer work, phone calls) can disrupt sleep hygiene.
A good guide for determining your sleep requirement is this: If you do not wake up feeling refreshed, you may not be getting enough, proper sleep.
Stay tuned next month as we'll be discussing how sleep deprivation in seniors can mimic signs of dementia. If seniors can't get better rest, and if symptoms don’t resolve it may be time to consult your doctor, and even consider memory care or assisted living services.
Sources
Gottlieb DJ, et al. Association of Sleep Time with Diabetes Mellitus and Impaired Glucose Tolerance, Archives of Internal Medicine. 2005 Apr 25; 165(8): 863.
King, CR et al. Short Sleep Duration and Incident Coronary Artery Calcification, JAMA, 2008: 300(24): 2859-2866. http://www.ncbi.nlm.nih.gov/pubmed/19109114
Cohen S, et al. Sleep Habits and Susceptibility to the Common Cold, Arch of Intern Med. 2009 Jan 12; 169 (1):62-67.
Spiegel K, et al. Impact of Sleep Debt on Metabolic and Endocrine Function, Lancet. 1999 Oct 23: 354(9188): 1435-9.
This Valentine’s Day we want to remind you of a special relationship between physical health and level of risk for cognitive decline. You may already be aware that, when you engage in physical activity you are building both physical and mental fitness. What you may not know is there is a “brain-heart-health connection” that influences your risk of cognitive decline: The healthier your heart, the lower your level of risk is for dementia and Alzheimer’s Disease (AD).
The brain-heart-health connection isn’t particularly complex. In a nutshell, a healthy brain requires 3 things:
Look over those items once more time. Numbers 1 and 3 on the list are directly related to your diet---what, how often, and how much you eat. Number 2 – a strong blood supply--is related to heart health. So how does heart health relate to brain health?
Your brain relies on a strong heart to pump oxygenated blood into all regions. Scientists now believe that the disease process that leads to Alzheimer’s Disease begins when brain tissue degrades and nerve tissue becomes damaged. Poor circulation to the brain is a key factor in causing such damage to brain tissue.
If you have a history of heart disease, high blood pressure, stroke, have diabetes, or other cardiovascular risk factors, it’s not only your heart that is at risk for disease, your brain is as well. For example, a type of dementia called vascular dementia can happen as a result of a series of small, “silent” strokes, sometimes called “mini-strokes.” Also, repeated or prolonged stress on the heart (such as from lack of physical activity, smoking, and stress) can lead to blockages and high blood pressure, which in turn affects circulation to the brain.
The good news is, many of the same things that strengthen the heart also help keep your brain fit and healthy.
Exercise Daily. Exercise helps to strengthen the heart making it more efficient with each contraction; it improves the elasticity and strength of blood vessels; helps to lower blood pressure and improve circulation. When you exercise to build a healthy heart you are also supporting the health of your brain.
Manage Stress. Stress elevates hormones in the body that increase inflammation which, over time, contributes to illness. Meditation, yoga, and mindful walking are stress management activities that put a damper on stress hormones and support the health of the heart, brain and body.
Smart Food. As we age, our bodies can become less efficient at digesting food and absorbing nutrients. Exercising and choosing nutrient-rich foods helps maintain healthy digestive processes, and provides the fuel the brain, heart and body need to maintain vital health.
There are many other heart-healthy strategies you can use to support brain health. These include maintaining a sleep routine for adequate rest; reducing your intake of caffeine, processed foods, sugars, and alcohol; and of course, not smoking.
Remember, the disease process that leads to Alzheimer’s evolves slowly, over as many as ten to twenty years! But the onset of dementia and AD can feel sudden because of the way it robs people of their vitality, memories, and quality of life. You have so many years ahead of you to take care of your heart and your brain...why not start today so that you can have a fitter, healthier future in your Golden Years!
From delicious, nutritious food to wellness and fitness activities to meet a wide variety of interests and needs, Everbrook Senior Living boasts a wide array of health and wellness solutions for every stage of life. Our cutting-edge wellness activities help participants achieve improvements in cardiovascular fitness, strength, and balance. These outcomes help residence reduce risk of injury from falls and risk for cardiovascular disease.
The Wellness 4 Later Life program embodies the seven dimensions of wellness: physical, emotional, social, intellectual, vocational, spiritual and environmental. Our highly experienced team of professional nurses, physiologists, therapists, and instructors delivers a customized, safe, and fun exercise program for each of our older adults. Enrichment activities help round out the needs of each resident, through activities that build community, strengthen cognitive skills, and support emotional wellbeing.
Sources
CDC.com “Brain Health is Connected to Heart Health” Accessed 18 Jan 2022:https://www.cdc.gov/heartdisease/brain_health.htm
Natural Healing: Prevent Illness and Improve Your Life. The Mayo Foundation for Medical Education and Research (2017). (print)
TED Radio Hour. "Lisa Genova: Can Alzheimer's Disease be Prevented?" Accessed 10 Apr 2018:https://www.npr.org/2017/07/21/537016132/lisa-genova-can-alzheimers-disease-be-prevented
NIA.NIH.gov "What Causes Alzheimer's Disease?" Accessed 10 Apr 2018:https://www.nia.nih.gov/health/what-causes-alzheimers-disease
Smith G.E., "Healthy Cognitive Function and Dementia Prevention." Am Psychol. (2016, May-June). 71:4, 268-275. Accessed 9 Apr 2018:http://psycnet.apa.org/journals/amp/71/4/268/
Healthy Aging and Prevention: Alzheimer's Disease Research Center at Emory University.http://alzheimers.emory.edu/healthy_aging/index.html
Many people, even those who are in good health and eat a balanced, robust and healthy diet, take nutritional supplements. In fact, vitamins, minerals, and herbs are the most widely used over-the-counter products among people of every age and every lifestyle. Many older adults take nutritional supplements and they tend not to inform their physician (or even other family members) they are doing so. Mixing certain nutritional supplements with prescription medicines can result in a dangerous interaction and seniors could be putting their health—or even their life—at risk: Many nutritional supplements alter the way prescription medications work in the body. This can lead to a dangerous situation in which medications do not work as they should for a given medical condition and can result in a life-threatening interaction.
Every physiological process in the body relies upon vitamins, minerals, enzymes, and other compounds that facilitate processes necessary to maintain your physical and emotional health. For people of all ages who eat a variety of healthy foods most of the time, we tend to get the nutrients we need. As we age, however, our bodies change in every respect.
Consequently, we may not digest food as well, can develop food intolerances, may take medications that affect nutrient absorption, and a variety of other factors can affect how effectively nutrients are getting to the places where the body most needs them. This can prompt senior citizens to take nutritional (dietary) supplements purchased over-the-counter.
Taking nutritional supplements is not risk-free: If you take prescription medications for health concerns such as menopause, a heart condition, cholesterol management, high blood pressure, cognitive decline to name a few, the dietary supplements you take could be changing the way your prescription medicines work inside your body. Some of these interactions can include:
Many types of supplements can have these effects, depending upon the medication you are taking. This includes vitamins, minerals, herbs, and enzymes/enzymatic formulas. The nutritional supplement can be in a capsule, tablet, or a tea and still be a risk for interaction with prescription medication.
Information to Give Your Doctor about Supplements You are Taking
It is so important for your doctor to know about all supplements you are taking. Tell the doctor:
Common Nutritional Supplements that Interact with Prescription Meds
The following nutritional supplements* can interact with prescription medications and alter how they work in the body:
*This is not a complete list.
Tips for Preventing a Nutritional Supplement & Prescription Drug Interaction
To prevent dangers reactions from taking supplements with prescription drugs, follow these tips:
If you experience a medication interaction while also taking an nutritional supplement, report it using this form and report it to your physician.
Exceptional, High-Level Care for Senior Living
At Everbrook Senior Living, our exceptionally well-trained professional staff are attentive to the various medications, supplemental nutrition support, and special dietary and lifestyle needs of every one of our residents. Whether you are living with us independently or are a part of our assisted living or memory care community, your health and wellbeing is our staff’s top priority. When you, or a loved one, are ready to move to a transitional care community rich with exceptional amenities, world-class medical expertise, and a devoted staff, schedule your visit with Everbrook Senior Living.
Sources
Food and Drug Administration
National Council on Patient Information and Education
National Center for Complementary and Integrative Health
Council for Responsible Nutrition
The Dana Foundation: Gateway to Responsible Information about the Brain. “What is ‘Healthy’ Cognitive Aging?”
http://www.dana.org/News/What_is_‘Healthy__Cognitive_Aging_/
During the holidays as we gather with family, young and old alike, we may feel concern for a senior family member who is showing signs of difficulty with memory and cognition. While there’s no cure for Alzheimer’s Disease, the leading cause of dementia, engaging your elderly loved one in “brain games” can help to protect brain function, lower the risk for, and even slow the progression of dementia. So, put on your ugly holiday sweaters and gather everyone ‘round for these festive holiday games to stimulate thinking, cognition, recall, and problem-solving.
Holiday-themed Word Search
Crossword puzzles and other types of word-search games are fantastic activity for sharpening reasoning skills and stimulating multiple areas of the brain. Word searches generally involve using clues to solve a word-puzzle. This stimulates recollection from stored knowledge and memories, uses problem-solving skills, and provides a sense of reward when finding the right word to fit the space. You can find crossword books and games (in the app stores) that cover any theme and are suitable for any level. If your loved one is already struggling with signs of dementia, consider using a crossword designed for school-age children, which will utilize simpler words and clues.
Festive Jigsaw Puzzles
Jigsaw puzzles are a great activity to do with family members of all ages. This provides your elder family member with a sense of inclusion. Jigsaw puzzles require reasoning, problem-solving skills, and creativity. To personalize jigsaw puzzles, you can have one made of a favorite family photo or destination that is meaningful to your senior. Imagine their joy to put together a puzzle depicting a happy memory! This can spark conversation about the “time when” or the events that are associated with the photo. And don’t forget the many other types of puzzle games… from Rubik’s Cube to Sudoku!
Board Games
Plenty of board games have holiday twists to them… we’ve listed a few below. Much like jigsaw puzzles, playing board games stimulates multiple brain functions: recall, retention, formation of new memories, problem-solving, use of logic (and wit), creativity, and much more. Also, games with two or more players reinforce social skills, communication skills, and collaboration.
Here are just a few games that you can find through a quick search online:
Though this may not sound like a big deal, fun games like these can improve a senior’s cognitive function. Try them out with your loved one and see what they like best. Everyone has different preferences.
Many other board games have holiday themes, based on the beautiful range of holiday spiritual traditions from around the globe; others have a festive take on a popular game. Many games that were once only board games also have counterparts for mobile devices and are suitable for multiple players. If your elder loved one is savvy with a smart phone, they can play Monopoly, Life, Battleship, and the online platform Luminosity is a popular brain training game site.
While you are spending time with your elderly loved one, keep tabs on how they are functioning. The following are just a few of the signs that may raise concern about memory decline or dementia in seniors:
Is it Time for Memory Care for Your Elderly Loved One?
If you’ve observed your elderly family is struggling with age-related memory decline, it’s time for a thorough medical evaluation and consideration as to whether or not it is best for them to remain living on their own or in a family member’s care. The ongoing care of someone who is in cognitive decline requires a tremendous commitment of time and resources emotionally, mentally, and financially.
Have you asked yourself: Is now the time for compassionate memory care arrangements for my loved one?
At Everbrook Senior Living Communities, we provide a range of high-quality, compassionate care to support the social, emotional, and physical needs of older adults at every stage of later life. Our residents—your loved one—is considered an extended member of our own family. Through our Memory Care Program we provided enhanced support and specialized services to address memory impairment, while the caregivers need to revitalize their own lives so that the time they spend with their afflicted loved one is of high quality.
Every aspect of the Everbrook Memory Care Program is designed using evidence-based research combined with personalized care and services delivered by well-trained professional medical and attentive support staff.
If you feel that your loved one is ready for memory care, you can speak with an Everbrook community advocate right from our website. Our advocates provide compassionate guidance to help you make the best choice for your elder family member.
Ready to visit? Schedule an on-site tour of an Everbrook Community.
Sources
“3 Cognitive Games for Seniors that You Have to Try” Port St. Lucie Hospital Blog
“The Best Free and Paid Games for Seniors” Sixty&Me Blog
Brain Health Initiative Newsletters (presented by Harvard Health)
The holiday season can be one of the most difficult times of year for our elderly loved ones. Do you know how to recognize the concerning signs that can indicate your older adult family member is struggling with more than just the holiday blues?
There are several reasons why an elderly family member may experience sadness around the holidays, any of which can be a common part of growing older:
Grieving over any type of loss and the range of emotions that comes with it is to be expected and it varies by person. However, when grief, sadness, despondency, or other difficult emotions are prolonged and interfere with a senior’s day-to-day vitality, they may be suffering from depression.
More than two million of the 34 million Americans age 65 and older suffer from some form of depression. Depression in seniors can be recognized by concerning signs, such as
Perhaps you have taken steps to address some of these concerning signs:
If the concerning signs you’ve observed in your elderly family member have not improved, then they may be experiencing more than just the holiday blues. Your older-adult family member may have clinical depression—it may be more than they or you can handle on your own.
You may be asking yourself: Is it time for compassionate assisted living care for my elderly loved one?
At each of the Everbrook Senior Living Communities, we provide a range of high-quality, compassionate care to support the social, emotional, and physical needs of older adults at every stage of later life. Our residents—your loved one—is considered an extended member of our own family. Through our Assisted Living Program we provide “life at home, with a little help.” We design every aspect of the assisted living program using evidence-based research combined with personalized care and services delivered by well-trained professional medical and community staff. We continually evaluate and implement an up-to-date menu of services to meet the needs of your loved one. It is our passion for service excellence that places each of our senior living communities at the very pinnacle of the industry.
If you feel that your loved one is ready for assisted care, you can speak with an Everbrook community advocate right from our website. Our advocates provide compassionate guidance to help you make the best choice for your elder family member.
Ready to visit? Schedule an on-site tour of an Everbrook Community.
Sources
Learn More about Everbrook Assisted Living
Sadovsky, R., “Prevalence and recognition of depression in elderly patients,” American Academy of Family Physicians, 57;5 (1998):1096.
National Institute of Mental Health:
Twitter Chat on Older Adults and Depression
MHANational.org: Depression and Older Adults: More Facts
The winter solstice (Dec. 21st) plays a role in vitamin D deprivation. Often seniors will suffer from bone softening, nausea, cognitive difficulties and frailty. Each of these symptoms can be mistaken for any number of illnesses but could quickly be identified as a lack of Vitamin D by a physician.
The CDC has determined that osteoporosis affects 16% of all seniors. The condition carries serious health risks, potentially leading to falls and other home safety hazards. The clear connection between vitamin D and bone health in the elderly helps defend against bone softening. Vitamin D improves senior mental health, combating prevalent issues like elderly depression. A 2017 study of more than 5,600 older adults found a link between lower levels of vitamin D and depressive symptoms, such as loneliness, lack of enjoyment, and restless sleep.
Study participants with the least amount of vitamin D reported more pronounced mental health concerns. As a result of this emerging science, researchers continue to investigate a potential vitamin D antidepressant.
Sunshine is one of the best natural sources of vitamin D. Take an afternoon walk or invest in a UV lamp for colder months.
Beyond these natural sources, a doctor or dietitian may recommend a vitamin D supplement, after ruling out medication interactions or other health risks.
Sources:
Madi M, et al. “The association between vitamin D level and periodontal disease in Saudi population, a preliminary study.” sciencedirect.com
Yao P, Bennett D, Mafham M, et. al. “Vitamin D and calcium for the prevention of fracture.” jamanetwork.com
Kweder H, Eidi H. “Vitamin D deficiency in elderly: Risk factors and drugs impact on vitamin D status.” ncbi.nlm.nih.gov.
Here at Everbrook Senior Living we like to make you aware of companies who we believe align with our vision and offer resources that can help aging adults in our communities.
One such company is Medicare Advantage Plans. At MedicareAdvantagePlans.org, their mission is to help current and future subscribers develop their understanding of Medicare so that they can navigate this complex system with confidence. Their most recent guide was designed to walk seniors and their families through the different medicare plans to find the best one that meets both their medical and financial needs.
You can learn more about some of their helpful guides here:
Figuring out if you qualify for Medicare Advantage and what benefits you’re entitled to can be confusing. Medicare Advantage Plans can help you figure out if you’re eligible.
Contact us today to schedule a visit.
Everbrook Senior Living was proud to host our first virtual event on May 20, 2020 featuring Pamela Atwood, MA, CDP, CLL, and the founder and owner of Atwood Dementia Group. Atwood led the group with ideas and exercises to practice at home, as many daily activities and plans have shifted during the COVID-19 pandemic. Atwood gave insight on strategies to connect with seniors in meaningful ways with items you can find in your home.
Were you unable to join us for the presentation? No worries! You can watch the following videos at your convenience to learn the tips and tricks from professionals. We'll be offering a virtual event each month. So check back soon for new and different educational webinars with top professionals in the field.
In the Month of April, the American Heart Association promotes everyone to MOVE MORE! This month we encourage everyone to participate in more physical activity. Make it your goal to move more and sit less. Staying active is one of the best ways to keep our bodies healthy, maintain our quality of life and keep our independence longer as we age. Start adding more activity into your day one step at a time.
How long have you been sitting today? You sit while you eat your meals, drive your car, work at your desk, reading a book, watching TV, while you’re on your computer, or talking on the phone. It all adds up. People now spend a majority of their waking days sitting. The Journal of the American Medical Association published a study in 2019 that stated adults in the U.S. spent more than 6.4 hours a day sitting.
Try to reduce the amount of time you spend sitting every day to help improve your health. No matter how active you are, even if you’re getting the weekly recommended amount of exercise (150 minutes of moderate exercise), you still might be sitting too much.
Making small changes in your daily routine will allow you to move more. Fit in 2, 5, 15, 30 minutes when possible. Be active however and wherever you can. Here are some tips to get yourself to move more throughout the day. Get up and move at least once every hour. If you’re watching TV, during the commercials take a walk down the hallway. After reading 20 pages in your book stand up, stretch and walk around. Walk while you’re talking on the phone. Park further away from the store when you go out shopping. Vacuum or dust the house. If you can’t walk or stand try seated knee lifts, arm circles, or straight leg raises. The important thing is to remember to move more, sit less.
The outbreak of COVID-19 or Coronavirus has spread fear much more virulently than the disease itself although older adults being at high risk of mortality from coronavirus certainly have much to fear. Self-isolation as a method to reduce transmission risk may not be an optimal response to the coronavirus threat for very old adults because social isolation and loneliness have been shown to be detrimental to the physical and mental well-being of seniors. Isolating seniors amid such high tension can only serve to heighten the risk to their mental and physical health. Social isolation and loneliness are prevalent among the elderly because their social networks tend to shrink in later life due to losses of friends, family or from age related functional loss. As whole communities retreat into isolation to ease concerns about acquiring coronavirus, the vulnerable elderly living in near isolation will be forced to deal with fears of dying or media reports of impending doom all alone. What an alarming development!
All gatekeepers to the elderly should increase urgency to help seniors stay connected socially during the coronavirus crisis. What seniors in later life need more than ever are peers sharing similar feelings of distress about coronavirus who can band together and help each other through this most difficult period. Gatekeepers to the elderly are reminded that social isolation and loneliness though not the same, are widely recognized among health experts as a cause of poorer health among the elderly. Social isolation is measured objectively by the number of contacts we have which can drop sharply as we age.1 Loneliness is measured subjectively as the difference between one’s desired and achieved levels of social connectedness which can increase as we age.2
This month in Gym Talk we will be focusing on brain health. When most people think of exercise and physical activity they think of building strength, improving balance and flexibility, or going for a walk. However, exercising the mind is just as important as exercising the body. The mind needs to be challenged daily in order to keep the brain working to the best of its ability for as long as possible.
As we age, maintaining a sharp mind is a top priority. Activities you do to improve your body also benefit your brain. Exercise can increase the blood flow and oxygen to your brain as well as help your brain grow new neuronal connections. Mentally stimulating activities for your brain are just as important. Brain games help individuals to stay focused on the task at hand, remember instructions and improve our working memory so we have the skill to remember and use relevant information while performing an activity. Try participating in arts and crafts, do word puzzles and logic games, work on a jigsaw puzzle, attempt a sudoku puzzle or trivia game to help exercise your mind.
Try a few tasks that target memory and attention:
There are many ways to exercise the mind through brain games and activities. Try the game below for fun! Say aloud what color you see in every word, NOT the word you read as quick as possible. Go from left to right, from top to bottom.
Ready. Set. Go!
Winter has arrived so it only makes sense that this month’s gym talk is about trying to prevent the common cold and flu. The start of flu season begins when levels of the flu are high, which usually begins around October and can last until May. The flu does share symptoms with the common cold; however, the flu can take a much greater toll on the body. The influenza virus or better known as the flu can not only effect humans, but nearly every other mammal and even birds on the planet making it easy for the flu to spread around the world. There are three main types of the flu: influenza A, influenza B, and influenza C. There has been no epidemics caused by influenza C, whereas Influenza A is the most common around the world. Influenza A can infect humans and animals as well as birds, unlike Influenza B, which is only carried in humans.
Symptoms of the flu include constant cough, runny nose, fever, sore throat, chills, muscle cramps/aches, headaches, diarrhea and/or vomiting. Just because you have some of these symptoms does not mean you have the flu. The common cold has similar symptoms, but usually does not get more severe then a fever and stuffy nose and only lasts for a few days. More severe symptoms lasting longer than a couple of days indicates you should get tested by a doctor.
Could sun dried mushrooms and tank-top shirts be keys to reducing vitamin D deficiencies in later life thus reducing fall risks? Well, yes and let’s discuss why. Vitamin D is often called the sunshine vitamin as it is made from cholesterol in skin and as the sun’s ultraviolet B (UVB) penetrate skin cells it causes production of vitamin D3. 1The dilemma for seniors is that older skin cannot synthesize vitamin D as efficiently while outside activities are often greatly reduced: and, while there are few foods that actually contain vitamin D, older seniors need more vitamin D, approximately 800 IU (international units) daily, as opposed to 600 IU daily for their younger counterparts. 2(According to the Institutes of Medicine, a serum 25 (OH) D level of 25 ng/ml is adequate for most populations while deficiency is defined as less than 20 ng/ml, with insufficiency being less than 30 ng/ml. Through a process called hydroxylation, the liver and kidneys turn stored vitamin D into an active form the body uses.)
Because older adults are vulnerable to muscle weakness and falls, maintaining sufficient levels of vitamin D is important: there is evidence that sufficient vitamin D levels can strengthen bone and muscles in older adults which leads to reductions in falls3 – the primary benefit of vitamin D is to maintain serum calcium and phosphorus levels within normal ranges to support metabolic function, neuromuscular transmission, and bone mineralization.4 In fact, vitamin D deficiencies are linked to a multitude of health risks. For seniors in later life, vitamin D deficiency has been linked in studies to such conditions as cognitive decline, depression, osteoporosis, diabetes, cardiovascular disease, and cancer, although there is debate about the strength of the link. 5Vitamin deficient older adults living in areas prone to inadequate exposure to sunlight have increased risk of experiencing cognitive decline. 6Vitamin D deficient older adults may experience a loss of bone density which causes fractures and falls.7 Vitamin D deficient older adults may experience increases of risk factors for cardiovascular disease. 8Vitamin D deficient older adults may experience increases of risk factors for depression and other psychiatric conditions.9
This month’s topic for October’s Gym Talk is breast cancer awareness. October is breast cancer awareness month and we thought we’d share some eye-opening facts on breast cancer. One in eight women in the United States will be diagnosed with breast caner in her lifetime. Breast cancer is also the most commonly diagnosed cancer in women and the second leading cause of cancer death among women. However, there has been a gradual reduction in female breast cancer incidence rates for those aged 50 and older and death rates have also been declining. There are over 3.3 million survivors in the United States Today.
The process of cell growth does not always go perfectly causing uncontrolled growth and spread of abnormal cells resulting from damage to DNA. When this occurs a buildup of cells occurs called a tumor. Both male and female are born with breast cells and yes, even a male can develop breast cancer, but it is very rare. Less than one percent of all breast cancer cases develop in men.
Fears of being placed in a nursing home preoccupy a supermajority of older adults as in surveys about their course of aging they consistently ranked memory loss, financial insecurity and losing independence as their top three concerns.1 Yet, after age 80, the risk of being placed in a nursing home increases significantly. Seniors of advanced age experience what is termed “functional aging”, that is an inevitable, progressively declining continuum in functional ability from having a stable capacity to perform daily activities through a state of physical vulnerability (influenced by cognitive loss) in which the person is losing independence.2 At advanced ages, some caregiver support becomes necessary for many, and for some, a nursing home admission.
Although most seniors accept that the aging process accelerates physical and cognitive decline after age 80, they want to know whether they have any means to control the degree or pace of their functional losses. This article discusses the evidence-base showing that changes in lifestyle, particularly engaging in exercise targeted to improving functional fitness even in seniors who were mostly sedentary, can slow and in some cases reverse functional impairment, which in turn reduces the risk of being placed in a nursing home. In fact, there is strong evidence that long-term habitual exercise is linked to a slowing of the biological aging process, which certainly enhances independence.3: but, studies also show that even sedentary older adults who begin to exercise in later life can see significant improvements in physical and cognitive health.4
Functional impairment is caused by not only age, cognitive decline, multiple chronic medical conditions or following an acute medical event, but also from lifestyle choices- a sedentary lifestyle is shown to decrease functional fitness levels which in turn increases functional impairment while engaging in a physically active lifestyle appears to derive a polar opposite effect.5 Functional impairment reduces ability to perform activities of daily living, “ADL’s”:6 and, consequently, the most common reason that very old adults are placed in a nursing home is loss of ability to perform ADL’s.7 (Over 80% of nursing home residents need assistance with 3 or more ADL’s). Thus, when functional fitness is improved through exercise, that is, when an older adult experiences an enhanced ability to the summon strength, energy and executive function needed to carry out basic ADL’s, independence is retained for longer which reduces the risk of being placed in a nursing home.8
Hello! It’s National Healthy Aging Month in the month of September! What is healthy aging you ask? Healthy aging is defined as the process of developing and maintaining the functional ability that enables well-being in older age.
As we age, a lot of things about our body change both physically and mentally. It’s very important to be open to adapt healthy habits and behaviors as we grow. Physically, getting involved in an exercise program with friends or within your community. You can use preventative services and manage your health conditions regularly by seeing your physician once/twice a year with follow-ups to make sure you’re in the best possible health. Going over medications with your MD and knowing, as well as understanding, risk factors as you age is also important. Maybe that blood pressure medication you were put on before is not needed now due to improved health! Making changes in nutrition is important as well, such as less sodium intake in the foods you eat. Make a goal to stop smoking or smoke less than you used to before. Get your balance and vision checked to prevent falls. These are all great things you can do to maintain a strong healthy body.
This month’s topic for Gym Talk is "Heat Safety Awareness".
Hot weather can be dangerous, and seniors over the age of 65 are among those most at risk for heat exhaustion. Now that the hot weather has arrived it's important to know the signs of heat exhaustion and how to stay cool.
The human body regulates temperature through sweating, until exposed to more heat than the body can handle. As you become older the ability to notice changes in your own body’s temperature decreases. Others at risk for heat illness include infants and young children, people who are ill, those with chronic health conditions or on certain medications, and people who are overweight. Health conditions can make the body less able to adapt to the heat. Also, some medicines can contribute to dehydration.
Posted in the senior resource series by Everbrook Senior Living
VA Aid & Attendance, “A&A”, is a monthly long-term care benefit available to low-income veterans age 65 or older or disabled if younger (and/or surviving spouses as that term is further defined by VA rules) who served active duty for at least 90 days during a period of war, having been discharged other than dishonorably and who show a need for assistance or supervision with activities of daily living due to physical disability, cognitive impairment or both. Once an applicant is medically and financially qualified, he or she receives a monthly check. A&A has long been an important means to fund assisted living. The Maximum Annual Pension rate, MAPR, available to eligible veterans or spouses is*:
2019 Basic A&A Maximum Annual Pension Rate
Veteran with no dependents: $22,577
Veteran with spouse: $26,765
Surviving Spouse: $14,529
*Dependent children are also part of the calculation but not discussed here.
Recently, the Department of Veteran’s Affairs (VA), has amended regulations governing financial eligibility for A&A, imposing for example a bright-line net-worth requirement as well as spend-down penalties for veterans who transfer assets for less than fair market value looking-back 3-years from date of application. Critics of the rule revamp warn that many needy veterans will be denied benefits and while technically accurate, the tightening of financial means testing will reduce the numbers of veterans who becomes eligible for the VA long-term care benefits but overall will help more middle-class veterans who are receiving long-term services become eligible for A&A benefits.
This month we’ll be focusing on exercise and brain health. This is a topic that usually doesn’t get a lot of attention but is very important as far as one’s mental health is concerned. When we talk about exercise were always referring to the physical part of exercise and tend to leave out the mental part, so we wanted to share some awesome news on this topic!
Let’s talk about an overview of the brain first. The brain is one of, if not the most complex, organs in our body. The human body cannot physically and mentally run without a brain. The brain produces our every thought, action, memory, feeling and experience of our lifetime. It weighs about 3 pounds containing millions of neurons (nerve cells) working hard each day so what better way to treat your brain than to exercise it with physical activity and nutrition!
Posted in the Senior Care Topics Series by Everbrook Senior Living
Seniors reading or watching the news are informed that Medicare, through its parent agency, Centers for Medicare and Medicaid, CMS, is now covering some essential non-medical services such as in-home care, transportation, and soon phone consultations with the doctor. In brief, Medicare following passage of the CHRONIC Care Act of 2017 and through reinterpretation of its own rules, has empowered only Medicare Advantage Plans, “MA”, to offer a broader array of supplemental benefits including vision/hearing screens to name a few and now non-skilled home-health to beneficiaries who demonstrate a medical need for such services. A supplemental benefit under Medicare is defined as:
Although seen universally as a positive step toward the continuing trend to reform coverage rules so medical providers can be paid to treat longer term chronic illness, in reality, seniors in need of home-health aides to support disabilities or who hope to talk to their doctor over the phone instead of having to travel their office will likely have to wait several years to receive those benefits in manners which make real improvements to their quality of health and life. Yet, for seniors with complex chronic illness which includes many senior living residents, MA plans appear to be the best option to get the most comprehensive coverage including essential supplemental benefits not available in traditional Medicare like in-home care or telehealth benefits, although with some uncertainties to work through. Medicare Part D amendments and other payment models being tried at CMS are not discussed here.
Nutritional fads come and go. But one fad which seems to have elevated to a gold-standard of credibility has been the so-called "Mediterranean Diet". The Mediterranean diet recommends eating lots of plant-based foods mainly fruits, vegetables, and legumes and foods infused with monounsaturated fat such as olive oil. This popular diet acquired high acclaim in the US as a nutritional best-practice in preventing heart disease after a five-year study by a group of Spanish nutrition scientists caused the New England Journal of Medicine, NEJM, to publish its conclusions suggesting that the Mediterranean diet can decrease risk of heart attack and strokes. The study concluded: prolonged exposure to the Mediterranean diet produced a substantial reduction in risk of major heart disease among high-risk people.
Recently, a statistical sleuth named John Carlisle exposed many flaws in the study namely its claim to have assigned people randomly to the study and other anomalies. Carlisle’s analysis refuted the study’s findings thus discrediting it, causing the NEJM in the summer of 2018, to retract the original publication. This turn of events has re-ignited the debate on what is optimal diet for seniors in later life and whether nutrition can have a positive impact on the health and wellness of very old adults? Ironically, much the Mediterranean diet compares agreeably to nutritional best-practice recommendations of public health organizations and other accredited bodies but without all the feigned notoriety. Yet, to deliver nutritional best-practices in later stages of life requires that special accommodation be made to address health-status changes.
