Monthly Archives: January 2016

Stimulating Activities for Alzheimer's Patients

Dementia can cause seniors to withdraw from friends, family and activities. But maintaining those relationships and interests reduces the effects of severe cognitive impairment, leading to a better quality of life.

The most common form of dementia, Alzheimer’s disease impairs memory, thinking and behavior. According to the Alzheimer’s Association, Alzheimer’s accounts for 50-80% of dementia cases. While memory loss may start out mild in early stages, the disease worsens over time. Eventually, it can restrict a person’s ability to carry on a conversation or even respond to people or surroundings.

Activities Bring Pleasure to People With Alzheimer’s

Keeping people active in hobbies and interests that gave them pleasure in the past is important after an Alzheimer’s diagnosis. Those activities help:

  • Stir memories
  • Foster emotional connections with others
  • Encourage self-expression
  • Lessen the anxiety and irritability that Alzheimer’s may bring
  • Make people with Alzheimer’s feel more engaged with life

What activities best suit people with Alzheimer’s? That depends on the individual. As AARP.org describes, activities for Alzheimer's should be stimulating and meaningful, not just done to fill time. Consider interests they had in the past, knowing that some activities may need to be modified for safety or practicality. Keep in mind that Alzheimer’s affects behavior and senses in addition to memory. So, activities that a person once enjoyed may become overwhelming or even frustrating now.

Suggested Activities for Alzheimer’s Patients

Here are 10 activities to try with your loved one. Certain activities may work better at different times of day. Understand that the person’s level of interest or involvement may decline as Alzheimer’s progresses.

  1. Sing songs or play music.
  2. Do arts and crafts, such as painting or knitting. Keep tools and patterns simple.
  3. Organize household or office items, particularly if the person used to take pleasure in organizational tasks.
  4. Clean around the house. Sweep the patio, wipe the table, fold towels or try other household tasks that help the person feel a sense of accomplishment.
  5. Tend the garden or visit a botanical garden.
  6. Read the newspaper.
  7. Look at books the person used to enjoy.
  8. Cook or bake simple recipes together.
  9. Work on puzzles.
  10. Watch family videos.

Take a Supportive, Flexible Approach

If your loved one resists an activity, take a break. You can try again later, or ask your loved one how the activity can be changed to make it more enjoyable for them.

Remember to concentrate on the process of an activity and not the results. It does not matter if you never get the puzzle put together. What matters is that your loved one enjoyed the time spent on it and felt useful.

American In-Home Care refers care providers that specialize in Alzheimer's and dementia care, providing your loved one with compassionate, stimulating care specific to memory loss. Contact us today at 1-844-505-0004 for more information, or to schedule your free in-home consultation.

This article previously appeared on Alzheimers.net 

Reverse Mortgages for Elder Care

As our loved ones start to get older, we want to do all we can to help them age comfortably. Often times this means caring for them in the safety and comfortable environment of their own home. However,  if and when there comes a time that you need a professional hourly or live-in caregiver to take care of your loved one, the issue of cost can certainly be a concern, especially as we realize that our loved ones might need more care than they have allotted for in personal savings.

So what can you do? Accessing home equity to pay for in-home care through a Home Equity Conversion Mortgage (HECM) loan, commonly known as a reverse mortgage, is one possibility. Below is a simple guide to understanding how these loans work and how paying for elder care with reverse mortgages is possible.

What are reverse mortgages?

Reverse mortgage loans are a popular way for seniors who own homes to turn part of their home equity into cash. The money from this type of loan can be used to pay for anything, including in-home care services

Will my loved one get enough money to pay for care?

This questions is dependent on many factors. When trying to determine how much the loan would be worth, you should consider the amount of equity that the borrower (home owner) has in the home, the age of the borrower, current interest rates, the home's appraised value, and the borrower's mortgage balance.

What type of reverse mortgage is best for my aging parents?

The federally-insured Home Equity Conversion Mortgage (HECM) is a popular reverse mortgage because it is protected by the Federal Housing Administration (FHA). This means that the borrower is protected from ever owing more than the value of the house when sold. Also, with this type of loan, the home is the only asset that can be used to repay the loan.

How are the proceeds from the reverse mortgage paid?

Reverse mortgages are flexible in their payment options. Borrowers can get the funds through a lump sum, monthly installments, a line of credit, or a combination of the three.

Can my loved one stay in their home if they get a reverse mortgage?

If your loved one gets a reverse mortgage on their home, they will be able to stay as long as they comply with loan obligations.  These obligations include the borrower living in the home as their primary residence, and not leaving the home for more than 12 consecutive months.  They are also responsible for paying property taxes, homeowner’s insurance and home maintenance.

What happens to the family home?
If your loved one leaves the home for any reason, any part of the loan that hasn’t yet been disbursed remains as equity in the home. The reverse mortgage becomes due and the heirs are given a reasonable time to sell the home. If the home is sold, the loan balance is paid off from the sale of the home, and any remaining balance will go to the estate.

To determine if a reverse mortgage is right for your and your loved one, take the time to research reputable reverse mortgage lenders who are members of the National Reverse Mortgage Lenders Association. Next, speak with a reverse mortgage professional who will take the time to understand your loved one’s specific situation, calculate estimated proceeds you could receive from a reverse mortgage loan, and provide information on loan risks and benefits.

Once you have determined if a reverse mortgage is right for you and your family, you can look into care options for your loved one. Whitsyms refers qualified and credentialed hourly and live-in care providers that perform a wide variety of services to help your loved one age in place. Call us today at 1-800-952-3881 to schedule your free, no-obligation consultation to discuss the best options for your loved one.

 

Senior Nutrition: The Real Brain Foods

We've heard about eating right for our heart, but what about eating right for our brain? Healthy eating and a balanced diet has been shown to have many benefits, such as lowering risk for heart disease, hypertension, and diabetes, but there is also increasing evidence that certain foods and proper senior nutrition can help lower the risk for developing Alzheimer's and dementia.

Alzheimer's disease and dementia are some of the most notable conditions that we wish to prevent, or to lower our risk as we age, and as there is increasing evidence that certain foods can actually lower our risk for these conditions. Take a look at the list of foods below that have been shown to increase brain function and lower the risk of Alzheimer's, and start incorporating these brain foods into your regular diet.

1. Oils

Oils are a great source of Vitamin E and healthy fats, which are essential to the proper functioning of your brain. A potent antioxidant, vitamin E may help protect neurons or nerve cells. In Alzheimer’s disease, neurons in certain parts of the brain start to die, which jump-starts the cascade of events leading to cognitive deterioration. So beefing up your Vitamin E intake now might help stop this process later.

Coconut Oil and Olive Oil are two of the best natural oils for your body and your brain, and can be added into your diet through salad dressings, baking, and as a base for sautéing foods. Avocado Oil, Almond Oil, and Sesame Oil are also great to use and are packed with healthy Vitamin E and omega-3. However, stay away from Corn Oil and Soybean Oil, as they are rich in omega-6, which can cause inflammation in excess.

2. Fish

Salmon, mackerel, tuna, and other fish are rich in heart-healthy omega-3 fatty acids, including docosahexaenoic acid (DHA). The good news is that DHA has also been shown to be beneficial to brain health because it seems to be very important to the normal functioning of brain neurons.

So adding fish to your diet is a great way to take care of your brain and your heart, and might also help you eat less red meat in your diet, as it is packed with saturated fats which can aid in clogging arteries. However, try to stay away from farm-raised salmon, shark, Atlantic Bluefin Tuna, American Eel, Chilean Sea Bass, and imported shrimp due to high mercury content, antibiotics, and unsustainable fishing practices.

3. Dark green, leafy vegetables

Kale, collard greens, spinach, and broccoli are good sources of vitamin E and folate. For example, one cup of raw spinach has 15% of your daily intake of vitamin E, and 1/2 a cup of cooked spinach has 25% of your daily intake.

Exactly how folate may protect the brain is unclear, but it may be by lowering levels of an amino acid known as homocysteine in the blood. High levels of homocysteine may trigger the death of nerve cells in the brain, but folic acid helps break down homocysteine levels. High homocysteine levels have also been linked to an increased risk for heart disease.

4. Avocado

Good news for all the avocado lovers out there: this creamy treat is also a rich source of antioxidants and vitamin E. Foods rich in vitamin E are associated with a lower risk of developing Alzheimer’s. Avocados are also packed with Vitamin C, which boosts the immune system and overall health, and healthy fats.

Avocados can be a great addition to any meal, and can be added to smoothies, used on top of salads or omelettes, or used as a spread on whole grain toasts for a morning treat.

5. Seeds

Seeds, including sunflower seeds, are also good sources of vitamin E. One ounce of dry-roasted sunflower seeds contains 30% of your recommended daily intake. Chia seeds, flax seeds, and pumpkin seeds are all great sources of vitamin E, and can be sprinkled on top of your salad, eaten as a snack, or added to baked goods to give your brain a boost.

6. Almonds and almond butter

Although both are high in fat, almonds and almond butter are a source of healthy fats, necessary for a healthy brain and heart, and they are also packed with vitamin E. There has been some very good research that diets that are high in healthy fats, low in saturated fat and trans fats, and rich in whole grains, green leafy vegetables, and nuts are good for the brain and the heart.

Both nuts and nut butters may help keep the heart and brain healthy and functioning properly. Other good choices are cashews, hazelnuts, and walnuts.

7. Red Wine 

Research shows that drinking in moderation is heart healthy, and can be good for your brain too, potentially lowering the risk for Alzheimer's. Moderation is considered one daily drink for women, and two for men.

Alcohol relaxes the blood vessels and reduces the blood's ability to clot, making it a useful preventative method for heart disease. Less is known about how red wine and alcohol work to lower the risk of Alzheimer's, as it is difficult to pinpoint alcohol as the contributing factor, rather than other healthy lifestyle choices.

8. Berries

The latest research presented at the National Meeting of the American Chemical Society in Boston found that blueberries, strawberries, and acai berries may help slow down age-related cognitive decline by preserving the brain’s mechanism to get rid of toxic proteins, which wanes with age.

Berries can be added to smoothies and salads, eaten alone as a snack, and also make a great dessert mixed with nuts and coconut flakes.

9. Whole Grains

Fiber-rich whole grains are important to brain health, and can include whole wheat, whole oatmeal, bulgar, brown rice, buckwheat, whole grain barley, whole rye, and quinoa. Whole grains are an integral part of the Mediterranean diet, which is also loaded with fruits, vegetables, nuts and seeds, olive oil, and wine. Research out of Columbia University Medical Center in New York City shows that a Mediterranean diet may be linked to lower risk of mild cognitive impairment that can lead to Alzheimer’s disease.

This type of diet may reduce inflammation, oxidative stress, and other vascular risk factors such as high blood pressure—all of which may have a role in increasing risk for brain and heart diseases.

10. Exercise

No, you can't eat exercise. But there is substantial evidence that regular exercise is crucial to staving off many age-related conditions, including Alzheimer's. Setting up an exercise regimen, and eating a diet rich in healthy oils, fruits, vegetables, fish, whole grains, and nuts will go a long way in lowering your risk for developing Alzheimer's or dementia, and will help you feel energized, fit and fulfilled.

American In-Home Care always refers qualified, credentialed, screened, care providers that can assist with a wide variety of services in-home or in facilities, including diet monitoring, meal preparation, and grocery shopping. Contact us at 1-844-505-0004 to schedule your free consultation to assess your in-home care needs, and determine which care options are right for you.

 

 

 

 

 

 

Physical Signs of Alzheimer's Disease

Alzheimer's Disease is the 6th leading cause of death in the United States. With statistics like this, it is important to recognize the signs and symptoms so that you can get the proper help and treatment for a loved one that is suffering. Because of the unfortunate commonness of the disease, most people recognize the usual cognitive symptoms - memory loss, inability to remember names or places, difficulty speaking, and mood swings - however, the physical signs are not as well known, but recognizing them is equally, if not more important to catching Alzheimer's in its early stages.

The physical signs of Alzheimer's Disease are important to recognize because often the cognitive symptoms are much more discreet and hard to determine, especially if your loved one is naturally forgetful, or if you aren't able to spend time with them regularly. By becoming familiar with the physical signs, it is easier to recognize Alzheimer's, even in its early stages, allowing you to get your loved one the help they need as soon as possible.

1. Repeating Actions

Keep an eye out to see if your loved one is repeating unusual actions. You might be able to carry on a coherent conversation with them, but repeating actions such as opening and closing the refrigerator repeatedly, aimlessly walking back and forth between rooms, or continually looking for an item that they have already found might alert you that they are suffering from Alzheimer's.

2. Wearing The Same Outfit

If you notice that your loved one has been wearing the same outfit the past several times that you have seen them, this could be symptomatic of Alzheimer's. Another sign associated with the disease is lack of personal hygiene - including doing laundry - either from forgetfulness or apathy. So if you notice that they haven't changed their clothes or dressed for the occasion, especially when that is uncharacteristic, this is an alerting factor.

3. Unexplained Bruising

This is an especially important physical sign to be aware of, especially if you aren't with your loved one every day. If when you see them and they have fresh bruises and cuts, and can't remember where or how they got them, this could be symptomatic of Alzheimer's. Common cognitive symptoms of Alzheimer's are sundowning and wandering, both of which are very dangerous. These habits could be where the bruises and cuts are coming from, and it is important to get under control so that your loved one doesn't get hurt or taken advantage of.

4. Loss Of Fine Motor Skills

Fine motor skills are what is required to hold on to small objects and make precise movements, and are affected by adverse brain activity, such as a stroke.  This is particularly noticeable at dinnertime when your loved one is trying to grip the utensils. If they are having a very difficult time grasping or holding on to these, that could be a sign that something isn't right.

5. Stressed or Pained Physical or Facial Expressions

Take a moment to notice your loved one's expressions when you are with them. Facial expressions such as frowning, looking frightened, grimacing, keepeing eyes tightly closed, or rapidly blinking could all be signs of Alzheimer's and physical and emotional pain that are associated with it. Physical expressions such as rigid body posture, fidegting, rocking, or changes in walking patterns are also signs of this.

Because Alzheimer's disease is easiest to manage when it is detected early, it is important to recognize these symptoms and to be able to get your loved one help as soon as you might expect something isn't right. Do not hesitate to call your doctor, as they will be able to help you get all the resources that you need.

If your loved one is diagnosed with Alzheimer's or dementia, hiring a respite, hourly, or live-in care provider to help your loved one be comfortable and safe in their home is a great idea, as taking on sole caregiving duties can be taxing on personal lives and relationships.

Whitysms refers qualified nurses, Home Health Aides, Certified Nursing Assistants, and companions that can help you and your loved one by specializing in Alzheimer's care and other services. Contact us today at 1-800-952-3881 for a no-obligation consultation to determine what care options are best for your family.