Brain Exercises for Older Adults

Sunrise in the Morning

As we age, our bodies undergo a number of physical changes. Just as our joints and muscles can stiffen up with age, so can our brains. In fact, according to the National Institute of Health, aging causes changes to the brain size, vasculature and cognition. The normal aging process can bring subtle changes in cognitive abilities that can impact our ability to learn something new, recall names, and cause us to occasionally forget appointments. However, we have the ability to slow down the aging process by instilling healthy habits that promote brain stimulation and sharpness.

Supporting a Healthy Brain

Our bodies and brains are interconnected and when we take care of one, we take care of the other. Implementing small, healthy changes into our daily routine can help protect our brains from cognitive decline and help prevent mood disorders such as depression. According to U.S. News, here are a few ways you can support brain health each day:

Exercise. Physical exercise isn’t only good for our bodies, but also for our brains. They work to control our muscles and coordination and help us slow down and speed up. Exercises such as ballroom dancing, yoga and biking require our brains to think about next steps and move sequences.

Stay socially engaged. Human interaction is proven to keep our brains sharp by reducing feelings of stress and promoting the release of endorphins, which are the body’s natural feel-good hormone. Spending time with friends and family members can provide the mental stimulation needed to strengthen our cognitive skills and mental clarity.

Quit smoking. While smoking is bad for you for a number of health reasons, it can also severely impact brain function. Smoking just one cigarette a day for an extended period of time can actually reduce cognitive ability, thinking and memory. When you stop smoking, circulation can improve almost instantly.

Eat a healthy diet. Heart-healthy diets can support brain health, help maintain a healthy weight, and reduce the risk of developing chronic illnesses and cognitive issues. Gut health and cognitive function are closely linked. The more we focus on creating a healthy gut microbiome, the better our brains will be able to function.

Focus on good sleep. Sleep helps our bodies repair from both emotional and physical stress. When we don’t get enough quality sleep, it can disrupt our brain’s ability to perform certain biological changes.

Mental Exercises for Brain Sharpness

In addition to implementing healthy habits into your daily routine, there are other ways you can support brain health. Doing certain brain exercises can help boost your memory, improve concentration and focus. Improving brain health can make daily tasks, like remembering appointments or balancing your check book, feel easier. According to Healthline Magazine, here are a few evidence-based exercises that can help support brain health:

  • Jigsaw puzzles. Research has shown that puzzles require us to use multiple cognitive abilities including spatial awareness and problem-solving. Working on a jigsaw puzzle for just a few minutes a day can improve cognitive thinking and help keep your brain sharp.
  • Cards. Like puzzles, card games also ignite different areas of the brain and help improve memory and thinking skills. Card games such as solitaire, bridge, gin rummy, poker, hearts and crazy eights are entertaining and help support brain health.
  • Dancing. Certain types of dance can actually help increase your brain’s processing speed and memory. Salsa, tap dance, Zumba and ballroom dancing require you to anticipate next movements and remember a sequence of steps, all of which require the brain to work hard, improving cognitive function and memory skills.
  • Listen to music. Research has shown that happy, upbeat music can help generate creativity and brain power. This can help us with problem-solving and make learning new things feel easier.
  • Meditate. Daily meditation can promote calmness and reduce stress and anxiety. However, most people don’t know that meditation can also improve memory and increase our brain’s ability to process new information.
  • Practice tai chi. Regularly practicing tai chi can help reduce stress, enhance sleep quality and even improve our memory. Some studies suggest that long-term tai chi practice can even increase brain volume.

Prioritizing Brain Health at Maple Knoll Village

At Maple Knoll Village, we know how important it is to preserve cognitive function well into our later years. That’s why many of our offerings, from meal options to activities, are designed to support brain health in a number of different ways. To learn more about these offerings or to schedule a tour, please contact us!  

Skin Care Tips for Seniors

Skin Care Essentials

Sunlight exposure is essential for important bodily functions, such as maintaining circadian rhythm and producing vitamin D, which helps our muscular, skeletal and nervous systems work properly. However, too much sunlight can cause short and long-term skin damage such as sunburn, aging spots, wrinkles and even cancer. In fact, skin cancer is the most common cancer in the United States and worldwide, with nearly 1 in 5 Americans diagnosed by the age of 70. As we age it’s important to pay special attention to how our skin changes and understand how to identify abnormal changes.

How Our Skin Changes as we Age

Just as our internal organs age, so does our skin. As we get older its common for our skin to become thinner, lose fat, and no longer look as smooth or firm as it did in our younger years. You might notice your veins becoming more noticeable or that scratches and cuts take longer to heal. According to the National Institute on Aging, here are some of the most common ways our skin changes as we age and what we can do to protect our skin:

Dry Skin and Itching

Many older adults experience dry skin patches as they age. It’s common to develop dry skin from not drinking enough liquids, spending too much time in the sun, living in a dry climate, smoking, feeling stress, or losing sweat and oil glands. However, dry skin can also be caused by various health problems like diabetes and kidney disease. Using moisturizers, taking fewer baths and bathing in warm, not hot water can help resolve these issues.

Bruises

It’s common for older adults to bruise more easily than younger people. Certain medications and illnesses can cause bruising and make the healing time longer. If you notice excessive bruising and do not know the cause, it’s important to contact your healthcare provider.

Wrinkles

As we age, it’s normal for our skin to wrinkle. Wrinkles can develop for a number of reasons including UV rays from the sun, diminished skin elasticity, and certain habits such as overexposure to the sun and smoking.

Age Spots and Skin Tags

Age spots, or flat brown spots caused by sun exposure, commonly show up on the face, hands, arms, back and feet. Skin tags, which are more common in women, can be found on eyelids, neck, armpit, chest and groin.

Skin Cancer

The main cause of skin cancer is the sun and can also be caused by sunlamps and tanning booths. There are three types of skins cancers including basal cell carcinoma and squamous cell carcinoma, both of which grow slowly and rarely spread to other parts of the body. The third type of skin cancer, melanoma, can spread to other organs. Checking your skin for new growths, bleeding moles, and sores that don’t heal can help you identify signs of cancer and allow you to seek treatment sooner.

Tips for Healthy Skin

While too much sun can be damaging to our skin and negatively impact our health, some sun can be good for you! As you continue to enjoy the summer weather and do more activities outside, there are a few ways you can protect your skin:

  • Limit time in the sun. During the summer months, it’s important to try and avoid being out in the sun during times where the sun is the strongest, usually between 10 a.m. and 4 p.m. Also keep in mind you can get sunburned even during cloudy and overcast days.
  • Wear protective clothing. If you have to be in the sun, you might consider wearing loose, lightweight, long-sleeved shirts and long pants. A hat with a wide brim can protect your neck, ears, eyes and head.
  • Use sunscreen. According to AARP, a 2013 study found that daily use of sunscreen significantly slowed skin aging in healthy men and women. In addition to decreasing the risk of developing various types of skin cancer, sunscreen can also prevent wrinkling, coarser skin and age spots.

How to Effectively Use Sunscreen

Using sunscreen isn’t as straightforward as we might think. The overwhelming number of sunscreen options, levels of strength, and different brands can make choosing the right sunscreen feel daunting. However, there are a few tips you can keep in mind the next time you reach for a bottle of sunscreen:

  • Pay attention to the SPF. Manufactures can sell sunscreens with SPFs higher than 50, however, many researchers and dermatologists believe that the higher numbers may not make a difference. It’s important to choose a sunscreen that offers broad spectrum protection as it ensures protection against UVA and UVB rays.
  • Tanning can put you at risk. If you’re tanning in the sun, even while wearing sunscreen, you aren’t as protected as you might think. Once your skin begins to visibly darken, it’s a sign that UV rays have penetrated deeper into the skin. If you’ll be out in the sun for an extended period of time, it’s important to add hats and big sunglasses to your outfit.
  • Pay attention to moisturizers. Daily moisturizers with added SPF is a great option for days you plan on being outdoors, but not sweating. Perspiration can reduce the sun protection from moisturizers, making you more vulnerable to the effects of the sun. It’s important to reapply sunscreen often, especially if you are sweating.
  • Apply generously. Dermatologists and researchers both agree that a dab of sunscreen here and there is not enough. In fact, it’s recommended to use two tablespoons of sunscreen to cover your face and body, keeping in mind that this should be reapplied every two to three hours.
  • Avoid spray sunscreens. If you’re applying sunscreen to your face, be sure to avoid spray sunscreen as it can irritate the lungs. Sprays are also highly flammable, so be sure to avoid using them if you are grilling, sitting by a fire, or have plans to use fireworks.

As you continue to enjoy outdoor activities this summer, be sure to protect your skin. It’s never too late to start wearing sunscreen and taking other protective measures to ensure skin health.  

What is Hospice Care? And why is it so important?

Hospice Care and its Importance

Hospice care provides physical, psychological, social and spiritual support for those who are in their last stages of a terminal illness. Typically, hospice care is suggested by a healthcare provider when a patient has six months or less to live. Many individuals who are experiencing terminal and chronic conditions such as cancer, heart disease, dementia and kidney failure use hospice as a way to prepare for the last stages of their journey. In addition, hospice care can help families cope with the forthcoming loss of a loved one through counseling and respite care. While hospice care is often focused on meeting the physical needs of a patient, many people are unaware of its robust offerings for both the individual receiving care and their family members.

What Does Hospice Care Provide?

Many hospice care providers take different approaches to services and types of support, however all hospice providers are required to offer certain services. According to the American Cancer Society, here are a few of the most common types of hospice services provided for patients:

Palliative care

Palliative care, or symptom management, is provided as a part of hospice and is designed to prevent or treat any symptoms related to an individual’s illness. Palliative care helps address any pain or discomfort in order to allow the patient to enjoy the last stage of life with their loved ones. The main goal of palliative care is to ensure the patient is comfortable and knows their options.

Home care

Most hospice care is given directly from an individual’s home. However, there may be some situations where hospice care needs to be given from a hospital or long-term care facility. A hospice team can arrange for care no matter where you are, and will be involved with your care plans and family members.

Spiritual care

In addition to managing pain and controlling symptoms, hospice care also provides an individual with spiritual or religious care, depending on their beliefs and preferences. Spiritual care can help an individual prepare to say goodbye to their loved ones to with planning a religious or spiritual ceremony and burial plans.

Family meetings

A hospice care team will meet regularly with family members and keep them informed about their loved one’s condition and help manage expectations. These meetings allow family members to discuss their feelings, ask questions and prepare for the death of their loved one. In addition, the hospice care team will share daily updates and make routine visits.

Coordination of care

The hospice care team is responsible for coordinating care for the individual and sharing information to those involved in providing medical care. This might include an inpatient facility, pharmacists, clergy and even funeral directors. Hospice care teams are also available anytime during the day or night if a question or problem were to arise.

Respite care

Caregiving can be extremely challenging for spouses and other family members. That’s why hospice services provide respite care. During respite care, an individual is cared for in the hospital or a nursing home so their caregivers can rest at home, attend to other responsibilities or simply take a break.

Bereavement care

After a loved one dies, the hospice care team will provide support to the family during the grieving process. Trained volunteers, clergy members or professional counselors will provide visits, phone calls, support groups or counseling sessions to members of the family. The hospice care team can also provide resources and other professional care when needed.

Who makes up a Hospice Care Team?

According to the Mayo Clinic, a hospice care team is made up of professionals ranging from healthcare providers to volunteers and home health aides. If you or your loved one is receiving hospice care, here’s who you can expect to be on your care team:

  • Doctors. Those who receive hospice care will be under the supervision of a primary care doctor, hospice doctor or medical director. Each patient will be able to choose their primary doctor who will oversee their care.
  • Nurses. Nurses will provide care in any setting, depending on where the individual is receiving hospice services. Nurses are also responsible for coordinating the hospice care team.
  • Home health aides. Home health aides provide additional support with daily activities such as bathing, dressing, eating and other routine tasks.
  • Spiritual counselors. Chaplains, priests, lay ministers and other spiritual counselors or advisers can help provide spiritual care and guidance to the individual receiving care and their family members.
  • Social workers. Social workers provide counseling, support, and referrals to other support systems and resources both for the patient and their families.
  • Pharmacists. Pharmacists provide medication management and offer suggestions on how to best relieve symptoms and manage pain.
  • Volunteers. Trained volunteers often provide a variety of services including respite care, transportation services and help with additional needs.
  • Other professionals. Speech, physical and occupational therapists can provide therapy when needed.
  • Bereavement counselors. Trained bereavement counselors offer support and guidance to family members after the death of their loved one.

Benefits of Hospice Care

Watching a loved one go through their final stages of life is hard for everyone involved. Hospice care provides comprehensive care that supports both the individual and their family members through this difficult time. While hospice can be provided in a hospital or long-term care facility, it can also be provided in the comfort of one’s own home, which allows patients to feel more comfortable and relaxed. Hospice also provides a comprehensive care plan, which takes the burden off of family members and allows them to spend quality time with their loved one without worry for the future. In addition, hospice care can be personalized to fit the needs of the individual and support their wishes for the future.

Making Cardio a Part of Your Life

Old Man doing workouts in GYM

As we age, our bodies undergo physical changes that can impact our activity levels and the way we function day-to-day. However, research suggests that physical decline associated with aging is linked to increased inactivity, rather than aging itself. Starting a regular exercise program can help delay and reduce the effects of aging and even reverse some of the decline that’s occurred already. Cardiovascular exercise, while important at any age, is beneficial to older adults looking to start a fitness routine. In fact, cardiovascular exercise can help lower resting heart rate, reduce blood pressure and cholesterol levels, and help lower the risk of heart disease. In addition, cardio can help with weight management, increase lung capacity, help strengthen bones, and decrease stress and anxiety. Implementing cardio into your daily life doesn’t have to be daunting. According to the American Heart Association, just 150 minutes of moderate exercise per week, or 30 minutes for 5 days, can help improve overall cardiovascular health and provide many benefits.

Cardiovascular Exercises for Seniors

The most important element of any exercise routine is that you keep your body moving. The Centers for Disease Control and Prevention recommends staying as active as your body allows. This means sitting less and moving more. As you begin to implement cardiovascular exercises into your routine, it’s important to focus on low-impact forms of exercise, and tone down the intensity of your workouts until you build strength and stamina.

Walking is a safe and easy form of cardiovascular exercise that can be done pretty much anywhere. You don’t need to use equipment, however, walking on a treadmill gives you the ability to control difficulty level. Walking on an incline can help build muscle, strengthen the heart, and improve balance. The National Institute on Aging suggests walking in a mall for exercise to avoid environmental factors such as inclement weather and tripping hazards, such as uneven pavement. 

Weight bearing cardio and strength training are both important elements of a cardiovascular exercise routine. Weight-bearing cardio exercises, like playing tennis and dancing, not only strengthen your heart and muscles, but also improve bone health, which is especially important for older adults. Strength training is linked to a decreased risk of disease, longer life expectancy and overall well-being. If you plan to add in strength training exercises to your routine, be sure to seek professional help, especially if you are a beginner. A personal trainer can show you effective exercises and proper form to help prevent injury.

Swimming is a low impact cardiovascular exercise that is great for individuals with joint pain and osteoporosis. Water aerobic exercises is also a safe option that allows you to reap the same benefits of other cardiovascular exercises. Group exercises led by an instructor can help keep you safe, accountable and motivated.

What is Intensity?

Cardiovascular exercises can be adapted to meet anyone’s physical ability, but it’s important to consider the frequency and intensity of an exercise before setting a routine. Aerobic or cardiovascular activities elevate the heart rate and strengthen the heart muscles by improving overall cardiorespiratory fitness. Intensity refers to how hard your body is working during a physical activity. As you get stronger, the intensity of a particular exercise can change.  

To reap the health benefits of cardiovascular exercise, moderate to vigorous-intensity activities are recommended. Examples of moderate activities include water aerobics, tennis, biking, and brisk walking. These activities will increase your heart rate and cause you to breathe harder, but you should still be able to talk. Vigorous exercise will force you to work a little harder. Sweating and heavy breathing will occur, and you might find it more difficult to have a conversation. These activities include hiking uphill, swimming laps, heavy yardwork, and running. If you prefer vigorous exercise, the American Heart Association, recommends just 75 minutes of activity per week. Remember, it’s important to consult your doctor before adding in new exercises to your routine or preforming vigorous physical activities.

How Should I Get Started?

It’s never too late to improve your fitness level but having a plan in place can help you stay on track to achieve your goals. If you’re wondering make cardio a part of your life, here are a few suggestions to help you get started:

Know your limits

Before you start any new fitness routine, it’s important to get cleared by your healthcare provider. Scheduling an annual physical examination before trying any new exercises will help keep you safe and avoid injury. This would be a good time to ask if any medications you’re taking, especially for blood pressure and heart disease, will affect your ability to exercise. Ask your doctor to identify any symptoms to watch out for during exercise, such as chest tightness, irregular heart beat or joint pain.

Create a plan

If you have an exercise plan put into place, you’re more likely to see better results and stay motivated longer. When your motivation goes away, self-discipline is more likely to kick in if you have a set routine. As you create your action plan, identify which exercises you will do, the intensity level, the length of the workout, and the frequency. For example, you might start with 30 minutes of water aerobics for three days a week and 30-minute walks for the other two days. After four weeks or so, you may need to reexamine your fitness routine and change the level of intensity or add in weight-bearing exercises.

Get creative

Exercise is not supposed to a daunting task or something we dread to do each day. In fact, it’s important to look at exercise as a way of honoring of our bodies and all they do for us. While walking and swimming are great cardiovascular exercises, another way to stick to your plan is to do activities you love. Playing in the park with your grandkids, dancing, or even doing simple chair exercises while you watch your favorite TV show are great ways to get in some physical activity while also having fun.

Staying Active at Maple Knoll Communities

At Maple Knoll Communities, we offer a variety of ways to add cardiovascular exercises into your daily routine. Regularly scheduled exercise classes, water aerobics, and our wellness center are available to all residents, as well as personal trainers and coaches. To learn more about our offerings or to schedule a tour, please contact us.  

How Much Do You Know About Your Parent’s Health?

Adult children with Parent at Maple Knoll Village

With nearly 10,000 baby boomers reaching retirement age every day, the demand for caregivers increases each year. According to a report from Families Caring for An Aging America, at least 17.7 million individuals in the U.S. are caring for an older adult with various health needs. For many families, this responsibility often falls on a family member, such as a spouse or an adult child. In fact, data suggests that more than half of older adults between the ages of 85 and 89 require a family member’s help because of health or other functional issues. However, many older adults require help much sooner than this. Other conditions which are common among older adults such as Alzheimer’s disease, stroke, heart-attack or heart-disease, and fall-related injuries can result in needing assistance with basic daily tasks. Sometimes the need for assistance is quite obvious and other times it can go unrecognized for long periods of time.

For long-distance adult children, it can be difficult to know when a parent needs extra support. Many older adults either learn how to hide their condition or don’t want to burden their children with asking for help. It’s not uncommon for adult children to be surprised by their parent’s condition after going long periods of time without visiting, especially due to the COVID-19 pandemic. It’s even more common for adult children to wonder why their parent isn’t asking for help when they need it.

Why isn’t your parent asking for help?

Whether your loved one is experiencing normal age-related forgetfulness or decreased mobility, it might come as a surprise when they don’t ask for help. However, there are a number of reasons why parents hesitate to ask their adult children for assistance:

  • Denial. As humans, we can rationalize any situation no matter its severity. Even if your loved one is experiencing changes in their memory or physical health, they may not have accepted these changes yet. Instead, your parent might be placing blame on others around them.
  • Cognitive decline. When adults develop Alzheimer’s or dementia, they may not realize that they are putting their safety at risk. In addition, it’s not uncommon for those with memory conditions to hide their symptoms from their loved ones.
  • Fear of losing autonomy. Oftentimes older adults worry that receiving more care and assistance results in a loss of independence. They might fear losing the ability to drive, take care of themselves, or live in their home independently.

Understanding the Warning Signs

Whether you’re already noticing signs of declining health in your loved one, or aren’t exactly sure what to look for, there are some common warning signs that can help you identify a problem. The Mayo Clinic has developed a list of signs and symptoms of various health conditions that should spark concern. The next time you visit your loved one, you may consider asking these questions:

Are your parents able to take care of themselves?

Failure to keep up with basic daily routines, such as bathing and brushing teeth, could be a sign of depression, dementia, or other physical impairments. The next time you’re with your parents, pay attention to their physical appearance. In addition, any changes in the way your parents do things around their home could also provide insight into their health. Are they paying the bills on time? Are the dishes clean? Neglecting housework or having problems buying groceries could also be signs of depression or dementia.

Are your parents experiencing memory loss?

It’s common for older adults to experience sporadic forgetfulness, however, there is a difference between these normal changes and memory loss that interferes with daily life. Warning signs of abnormal memory loss can include: asking the same questions repeatedly, getting lost in familiar places, not being able to follow instructions, and becoming confused about time, people and places.

Are your parents safe in their home?

Take a look around your parents’ home and look for anything out of the ordinary. Are they able to refill their medications and take them consistently? You may consider looking around for any fall hazards or signs they have recently fallen.

Are your parents safe on the road?

If your parents become confused while driving or you have concerns about their ability to drive—especially if you have noticed any new scratches or dings in their vehicle, it might be time to have a conversation about driving alternatives.

Have your parents lost weight?

Losing weight without trying could be a sign that something is wrong. Weight loss can be related to many different factors including difficulty cooking, loss of taste or smell, social issues and underlying conditions such as malnutrition, dementia, depression, or cancer.

Are your parents still social?

If your parent is neglecting their normal social activities, it could be a sign of depression or dementia. If you notice your parent withdrawing from their hobbies or avoiding their friends, it may be time to address your concerns.

Next Steps

If you’ve noticed any warning signs in your loved one, it can be difficult to know what to do next, especially if you live cross-country or far away. However, there are many steps you can take to ensure your parent is getting the support and care they need. Here are a few ways to get started:

  • Consider a CCRC. Continuing care retirement communities are great options for older adults who want access to different levels of care in one place. CCRCs offer independent living, assisted living and skilled care nursing. These are also great options for couples who prefer to age together, especially in situations where one spouse requires more care than the other.
  • Share your concerns. Talk to your parents about your concerns and ask them to visit their health care provider. If you are long-distance, you may ask a trusted friend or family member to accompany them.
  • Address immediate safety concerns. If you notice any threats to your parents’ health or safety, such as malnourishment or fall-hazards, it’s important to address these first. This might include hiring additional support, such as a personal care attendant, or installing grab bars around the home.
  • Contact your parent’s healthcare provider. If your parents dismiss your concerns, it may be time to seek help from their healthcare provider. Sharing your concerns with their doctor will help them look for warning signs at their next appointment or conduct assessments to diagnos memory loss or other conditions. You parent may be more open to hearing feedback from a trusted doctor or other healthcare provider.

At Maple Knoll Communities, our main priority is the health and safety of our residents in all levels of care. We work together with family members to provide support, address concerns, and offer peace of mind. If you’re interested in learning more about our offerings or to schedule a tour, please contact us.

Noticing Memory Loss in Loved Ones

Group of Old Peoples Enjoying

As we age, it’s very common to notice changes in our physical and cognitive abilities.  While these conditions might spark worry and concern about their overall health, they can be normal age-related changes. However, when it comes to memory, it’s important to understand the difference between normal mild forgetfulness common with aging and serious memory problems. Nearly 50 million people worldwide have been diagnosed with dementia, which is group of symptoms affecting memory, thinking, and social abilities. While some memory loss is common with aging, dementia is not a normal part of aging. Alzheimer’s, which is the most common form of dementia makes up 60-70% of all dementia cases and is the sixth leading cause of death in the United States. While Alzheimer’s disease and dementia can look different on each individual, many people first notice changes in their memory and cognitive abilities. While it can be tempting to ignore the warning signs in a loved one, it’s important to address them early on in the disease. The first step in addressing memory loss in a loved one is to get familiar with the warning signs of Alzheimer’s disease and dementia.

Signs and Symptoms of Alzheimer’s disease and Dementia

The warning signs of Alzheimer’s disease can be very subtle and difficult to identify at first, especially for the individual who is experiencing symptoms. In many cases, family members often notice changes in their loved one first. While every case is different, the Alzheimer’s Association has compiled a list of the most common warning signs of Alzheimer’s disease. It’s important for family members to become familiar with these signs to ensure an early diagnosis for their loved one.

  • Memory loss that disrupts daily life. One of the most common signs of Alzheimer’s disease, especially in the early stages, is forgetting newly learned information. You might notice your love one repeating questions, using memory aids like notes and alarms, or relying on family members for tasks they were once able to handle themselves. It is normal for older adults to occasionally forget appointments, but remember them later on.
  • Difficulty with problem solving. It’s normal for older adults to make occasional errors when managing finances or household bills, however, those with dementia may experience progressive difficulty managing their finances or following instructions in a recipe or keeping track of monthly bills. If this interferes with daily life, it could be a warning sign of dementia.
  • New problems with words in speaking or writing. Those with Alzheimer’s may have trouble following along in a conversation. You may notice your loved one repeating themselves often, struggling with recalling words, or calling objects by a wrong name.
  • Misplacing items. As we age, we may misplace things from time to time but are able to retrace steps to find them. However, those with dementia or Alzheimer’s disease may put things in unusual places, misplace items and be unable to retrace steps to find them again. Some individuals may accuse others of stealing as the disease progresses.
  • Changes in mood and personality. Some individuals with dementia and Alzheimer’s disease may experience mood and personality changes, such as becoming confused, suspicious, anxious, fearful or depressed. This can occur at home or when they are out of their comfort zones.

What to Do When You Notice Changes?

If you’re noticing warning signs in your loved one, it can be difficult to know what steps to take next. However, it’s important to address these concerns as an early diagnosis can ensure your loved one gets the support and care they need as the disease progresses. According to Psychology Today, here are some steps to take if you are noticing signs of memory loss in your loved one:

Write down what you observe

As you prepare to talk to your loved one about memory loss, it’s important to write down what you notice. For example, perhaps your loved one is getting lost going to the grocery store, leaving food burning on the stove, or is mismanaging finances.

Pay attention to any stressors

Write down when you began to notice the changes and note if they or gradual or sudden. It’s also helpful to note if the changes correlate with any sudden life changes such as losing a spouse or a move to a different home or new area.

Share concerns in a compassionate way

Sharing your concerns with your loved one is not an easy conversation to have at any time. However, preparing beforehand can make things easier. Think about the time and place that would be best to have the conversation and explain why you’re worried. This is a good opportunity to share your observations and ask if they’ve noticed any changes themselves. Reassuring your loved one that you are in this together and you are there to support them can also be helpful.

Help your loved one go to the doctor

Getting an early diagnosis can help your loved one access treatment options, participate in clinical trials, and make lifestyle changes that can help manage the symptoms of Alzheimer’s disease and dementia. It’s important to ask your loved one to make an appointment with their primary care physician as soon as you notice symptoms. The earlier they receive a diagnosis, the sooner they can manage the disease and help preserve cognitive function.

What if your loved one is resistant?

If your loved one quits talking or doesn’t want to listen to your concerns, you may have to start the conversation at another time. Receiving a diagnosis can be painful and scary, so giving your loved one time to accept their own cognitive changes may be necessary. You can always ask another individual who is close with your loved one or a healthcare provider to assist if appropriate.

Living with Memory Loss at Maple Knoll Communities

Our priority at Maple Knoll Communities is to provide high-quality support for all residents at every level of care. We provide additional assistance, spiritual care, and support groups for those experiencing memory loss, caregivers and family members. If you’re interested in learning more about these offerings, please contact us!

Everything You Should Know About Parkinson’s Disease

Parkinson Diseases And Its Measures

The month of April marks Parkinson’s Awareness Month and provides a great opportunity to learn more about the disease. According to the National Institute on Aging, Parkinson’s disease (PD) is a brain disorder that leads to shaking, stiffness, difficulty with walking, balance, and coordination. PD is a progressive nervous system disorder that affects the area of the brain that controls movement. Parkinson’s can cause changes within the brain that can begin to interfere with cognition, judgement, posture and facial expressions.

Parkinson’s disease is common among older adults, in fact, according to the Alzheimer’s Association, PD affects nearly two percent of older adults over the age of 65 and is the second most common age-related neurodegenerative disease after Alzheimer’s disease. While the symptoms of PD can look different depending on the individual, there are some commonalities in most cases of Parkinson’s.

Symptoms of Parkinson’s Disease

Symptoms of PD can begin gradually and often get worse as the disease progresses. However, in the beginning stage of the disease, the symptoms can be so subtle that they often go unnoticed. People with PD may have difficulty walking and talking, and also experience mental and behavioral changes, such as depression and fatigue. According to the Mayo Clinic, signs and symptoms can include the following:

  • Tremor. A tremor, or shaking, usually begins in a limb, often your hand or fingers. You may rub your thumb and forefinger back and forth, known as a pill-rolling tremor. Your hand may tremble when it’s at rest.
  • Slowed movement (bradykinesia). Over time, Parkinson’s disease may slow your movement, making simple tasks difficult and time-consuming. Your steps may become shorter when you walk. It may be difficult to get out of a chair. You may drag your feet as you try to walk.
  • Rigid muscles. Muscle stiffness may occur in any part of your body. The stiff muscles can be painful and limit your range of motion.
  • Impaired posture and balance. Your posture may become stooped, or you may have balance problems as a result of Parkinson’s disease.
  • Loss of automatic movements. You may have a decreased ability to perform unconscious movements, including blinking, smiling or swinging your arms when you walk.
  • Speech changes. You may speak softly, quickly, slur or hesitate before talking. Your speech may be more of a monotone rather than have the usual inflections.
  • Writing changes. It may become hard to write, and your writing may appear small.

Causes and Risk Factors

According to Johns Hopkins Medicine, “there are no biomarkers or objective screening tests that indicate one has Parkinson’s disease.” However, there are some environmental and genetic factors that are linked to this disease. In addition, researchers have suggested that some specific genetic mutations are directly related to Parkinson’s disease. Experts believe that the majority of Parkinson’s cases are caused by a combination of environmental exposure, such as pollution and pesticides, and genetic makeup. While researchers are still gathering data on the causes and risk factors of the disease, here’s what we do know:

Age. The biggest risk factor for developing Parkinson’s disease is progressing age. Most people begin recognizing symptoms of PD at 60.

Gender. Men are more are 1.5 times more likely to be diagnosed with PD than women.

Genetics. Those with a family history of Parkinson’s disease are more likely to develop the disease compared to those who no family history of the disease.

Environmental causes. Medical experts believe that exposure to toxins, especially farming chemicals and heavy metals, detergents, and solvents are linked to the disease. However, it is unlikely that most people who develop Parkinson’s disease do so primarily due to environmental toxins.

Head trauma. Repeated head traumas, due to sport injuries or accidents, have also been linked to Parkinson’s disease. However, researchers are still studying the impact of head trauma on the development of Parkinson’s disease. While experts aren’t sure if head trauma can cause PD, there is thought that two could be related.

Treatments for Parkinson’s Disease

Treatment for Parkinson’s disease is usually based on an individual’s symptoms, as there is no medication to reverse the effects of the disease. Treatments often include a variety of medications designed to manage tremors, stress, anxiety, and sleep disturbances. Lifestyle changes are also suggested to help minimize symptoms. Exercise and therapies to help improve flexibility and balance, and reduce rigidity are often helpful for PD patients.

In more severe cases, surgery can be a helpful treatment option. Depending on the individual, lesion surgery, deep brain stimulation and neural grafting or tissue transplants can provide comfort and help ease the symptoms. It’s important to remember that surgery is designed to help with symptoms, but cannot reverse the effects of the disease or stop its progression.

Navigating Life with Parkinson’s

Receiving a Parkinson’s diagnosis can be difficult for everyone involved. As part of the diagnosis, the biggest challenges can be managing overall health and wellness including managing medication appropriately, getting enough exercise while remaining flexible, and managing stress and anxiety. Managing Parkinson’s can feel like a full-time job. Transitioning into a continuing care retirement community (CCRC) can help carry the burden of the disease by providing additional support and high-quality medical care. Here are a few ways CCRCs can help manage life with Parkinson’s disease:

Health and wellness-One of the most important elements in maintaining independence with a Parkinson’s diagnosis is to focus on overall health and wellness. CCRCs can provide medical teams to help with medication managements, individualized care, and provide nutritionally balanced and healthy meals.

Physical exercise- Experts recommend consistent exercise routines for those living with Parkinson’s. Physical activity can help slow down the progression of the disease and improve motor function. Most retirement communities have recreation facilities that offer daily group exercise classes and individual fitness programs to help increase flexibility.

Support groups- Stress and anxiety can actually make Parkinson’s symptoms worse. CCRCs can help manage stress by offering support groups, individual counseling, music therapy and social programs.

Managing Parkinson’s at Maple Knoll Village

Those who have been diagnosed with Parkinson’s disease are likely to need both physical and emotional support. At Maple Knoll Village, our staff are highly skilled in caring for those with Parkinson’s in many ways, such as providing medical attention and offering activities designed to promote physical and mental wellness. If you’re interested in learning more about our offerings, please contact us!

Using Diet to Boost our Memory

Fresh produce

According to the Alzheimer’s Society, “nearly 40% of people over the age of 65 experience some form of memory loss, or age-associated memory impairment, which is considered a part of the normal aging process.” Nearly 5 million people worldwide live with dementia, a general term for the impaired ability to remember, think, or make decisions, which can interfere with daily activities. Whether you or a loved one have been diagnosed with a memory disorder, or are experiencing normal age-related memory loss, research shows that making small changes to your diet can help you increase and maintain cognitive health. 

Our bodies are exposed to free radicals that can come from both internal and external sources. Certain factors, like poor diet, long-term stress, and environmental influences such as pollution, can increase the risk of developing free radicals, which can impact our cognitive function. However, nutrients from our diet can help protect our brains from free radicals and heal the damage that occurs as a result. Certain nutrients, such as antioxidants, help protect our bodies from free radicals while also promoting the electric signaling between our nerve cells, which allows our brains to communicate with our bodies. Other nutrients found in our diet, like vitamins B12, B6, and B9 are critical for brain function.

Foods that Boost Memory

While family history and genetics play a role in developing age-related memory loss and memory disorders, we can use our diets to help reduce our risk of disease and promote overall wellness. Here are some foods that contain memory-boosting benefits that can be easily added into our diets:

Pumpkin Seeds

Pumpkin seeds contain zinc, magnesium, copper and iron, which are all important nutrients for optimal brain health. Zinc plays an important role in nerve signaling, which is crucial for overall cognitive function. Low levels of zinc have been linked to Alzheimer’s disease. Magnesium is important for learning and memory, while low iron levels can lead to brain fog.

Fish

Fish, such as salmon, trout, mackerel, herring and sardines, contain omega 3 fatty acids, which is known to promote brain health. Low levels of omega 3 fatty acids have been linked to an increased risk of dementia. In addition to promoting overall cognitive function, omega 3 fatty acids can also help relieve depression symptoms.

Blueberries

Blueberries, along with other deeply colored berries, contain numerous health benefits, especially when it comes to brain health. Blueberries contain antioxidants which help relieve oxidative stress and inflammation, and also reduce the risk of brain aging. Some of the antioxidants found in blueberries are linked to improved communication between brain cells. Antioxidants have also been found to improve or delay short-term memory loss.         

Coffee

The antioxidants and caffeine contained in coffee can actually help your brain work better. While the caffeine in coffee can help promote sharpened concentration for short periods of time, some studies have suggested that drinking coffee long-term is linked to a reduced risk of Alzheimer’s disease and Parkinson’s disease.

Broccoli

Broccoli is packed with antioxidants and vitamin K, which has been shown to improve memory function and reduce inflammation.

Eggs

While eggs might not come to mind when thinking of brain foods, they do contain some brain-boosting properties. Choline helps regulate mood and memory while vitamins B6, B12, and folate can help relieve the symptoms of depression.

Tips for Improving Brain Health

In addition to making small changes to your diet, adding other lifestyle changes can have a big impact. Quality sleep, proper hydration, exercise, and reducing stress are all factors in brain health and overall wellness.

Power of Pets for Seniors

Older man with Pet

According to a 2018 AARP survey, nearly one in three Americans suffer from loneliness, a rate which is only expected to rise as more older adults choose to age in place, often living alone. When left untreated, chronic loneliness can lead to inflammation, excess weight gain, depression, and cognitive decline. In fact, loneliness increases the likelihood of mortality at the same rate of smoking 15 cigarettes per day and can increase the risk of developing dementia. To combat this public health concern, many older adults are finding reprieve in the comfort of pets. In addition to pacifying feelings of loneliness and depression-related symptoms, pets can also lower blood pressure and heart rate, reduce the stress hormone cortisol and increase the body’s natural mood booster, serotonin, in their owners.

Animals have a profound effect on the symptoms of depression, isolation and feelings of loneliness. Acting as constant companions, dogs and cats live in the moment and encourage older adults to be present, instead of dwelling on the future, which can be a frightening concept as we age. In addition, animals give their senior owners purpose and responsibility, which can lead to feelings of accomplishment, pride and a sense of security. The simple act of petting an animal releases serotonin, prolactin, and oxytocin all of which play a part in elevating moods.

For many older adults, having a pet provides motivation to move more than they would normally. The greatest health benefit comes to dog-walking owners whose extra activity throughout the day can reduce feelings of anxiety and depression; plus, the extra vitamin D is good for improving mood, bone health and promoting overall wellness. Researchers have also suggested that spending time with a pet can increase appetite and promote nutrition, which comes as benefit for the 30 percent of older adults who struggle with changes in diet and feelings of decreased hunger.

Alternatives to Pet Ownership

Pet ownership might not be a viable option for all senior citizens. However, there are a variety of ways to reap the benefits of having a pet without all of the commitment. One popular option, especially for those living with Alzheimer’s disease or another type of dementia, is purchasing a robotic pet. Most robotic pets mimic the feel and look of real pets and can ease feelings of loneliness and depression without all of the responsibility.

Pet therapy is also a great alternative, especially for those who live in a residential senior living community. Many hospitals and long-term care communities invite volunteers with therapy animals to conduct regular visits with residents. While these visits are typically short, there is evidence that just 15 minutes of bonding with an animal can increase levels of serotonin, our body’s natural “feel good” hormone.

The cost of adopting and caring for a pet can be a deterrent for some older adults. However, organizations like Pets for the Elderly helps pay animal shelter fees for seniors who adopt a companion dog or cat. In addition, local human societies will often offer senior discounts to make adoption for more accessible for those who need companionship. At Maple Knoll Communities, our Outreach Services program offers low income seniors with access to pet food and other necessities.

While loneliness and depression continue to be a public health concern among older adults, pet ownership can provide benefits that allow seniors to live more joyful and healthy lives. 

Preventing Caregiver Burnout

White and Gray Snowy Mountain Minimalist

As more than 10,000 baby boomers turn 65 each day, more caregiving services are being provided by people who aren’t healthcare professionals. According to the National Alliance for Caregiving and AARP Public Policy institute, an estimated 43.5 million American adults are unpaid caregivers, and 85% were caregivers for someone related to them, and half of these caregivers provided care for a parent. While caregiving can have many rewards, it can also be emotionally, mentally, and physically demanding. Caregiver burnout can occur when the stress of caregiving goes unaddressed, which can have negative long-term effects on one’s health. While there are many happy and fulfilled caregivers, burnout is very common. In fact, the National Alliance for Caregiving reported that 40% of caregivers feel emotionally stressed and 20% of caregivers experience physical pain and discomfort. Caregiver burnout can look different on each individual; however, there are some common symptoms that can serve as warning signs.

Symptoms of Caregiver Stress and Burnout

Caregivers are often stressed for time and many put the needs of their loved ones above their own. Many caregivers don’t realize their health is suffering until they’ve already reached the burnout stage. According to the Mayo Clinic, here are some of the most common signs and symptoms of caregiver stress:

  • Feeling overwhelmed or constantly worried
  • Feeling tired often
  • Getting too much sleep or not enough sleep
  • Gaining or losing weight
  • Becoming easily irritated or angry with the person you’re caring for
  • Losing interest in activities you used to enjoy
  • Feeling sad, helpless and hopeless
  • Having frequent headaches, bodily pain or other physical problems
  • Abusing alcohol or drugs, including prescription medications
  • Your life is centered around caregiving, but gives you little fulfillment
  • You have trouble relaxing, even when you have help
  • You are beginning to neglect your own needs like eating and exercising

Causes of Caregiver Burnout

According to Johns Hopkins Medicine, burnout is a state of emotional exhaustion that results from failing, wearing out, or feeling totally used up due to too many demands on one’s energy, strength or resources. Burnout can occur for a number of different reasons, depending on an individual’s situation. The researchers at Johns Hopkins have compiled a list of some of the most common causes of burnout among caregivers, which include the following: 

Emotional demands

Caring for a loved one is a full-time job that often goes unrecognized and underappreciated. There’s an extreme demand on emotional and physical support when caring for a loved one. It can often feel like there is not enough of you to go around.

Demand of constant care

Trying to meet the needs and demands of everyone can create conflict and stress. Balancing your own life with the needs of your loved one can feel impossible and create unattainable standards.

Workload

Caregivers can often feel as if there’s not enough time in the day to complete all the tasks on their to-do lists. This can be completely overwhelming and lead to feelings of stress and worry. 

Lack of privacy

It’s common for caregivers to get very little time alone, especially if there are people coming in and out of the home to assist with care. To make matters more confusing, caregivers can also feel a sense of isolation while also experiencing the need for privacy and alone time.

Isolation

When dealing with the needs of someone who requires fulltime support and care, a caregiver can feel isolated from others. Caregivers might often feel tied to the home, especially if their loved one can’t be left alone, leaving little time to run errands, exercise, or do something for themselves.

Guilt

When caregivers are on the brink of burnout, it’s not uncommon for them to experience guilt. This is often accompanied by feelings of increased stress levels, and feeling like they aren’t providing as much comfort or care as they want to provide.

Long-term Effects of Caregiver Stress

While experiencing some stress is a normal part of life, long-term stress can having negative effects on one’s health. In fact, long-term stress can lead to health problems like depression and anxiety, which can also raise your risk for other health issues, like heart disease and stroke. Stress can also cause a weakened immune system, making it harder to recover from sickness and injuries, and can even decrease the effectiveness of vaccines. Some caregivers who experience long-term stress may notice weight-gain, which can increase the risk of other health conditions such as heart disease and diabetes. High levels of stress, when combined with depression and anxiety, can increase the risk of chronic diseases like cancer, arthritis, diabetes, and heart disease. Untreated stress can also cause problems with short-term memory, decrease attention span, and affect overall cognitive health.

Tips for Preventing Caregiver Burnout

Caregivers often feel powerless, which can contribute to burnout and feelings of depression. It’s common for caregivers to feel like they lose autonomy of their own lives as their goal is to provide and care for a loved one. However, changing this state of mind can help reduce the risk of burnout and decrease depressive feelings. Here are a few simple ways to get started:

Practice acceptance. It’s so tempting to ask yourself why your loved one is suffering and why you’re in this particular situation. However, that won’t change any outcome. Instead, work towards acceptance. You might consider making journaling a consistent practice or start a list of things you are grateful for and make sure to read it every day.

Celebrate the small wins. When you start to get discouraged, break up your day and celebrate every task, no matter how small. Even if you don’t get anything done in a day, take some time to celebrate all the effort you put into caring for your loved one.

Caregivers often feel unappreciated, despite their efforts to support and care for their loved one. Studies have shown that caregivers who feel appreciated have better physical and emotional health. Here are a few ways to get the appreciation you need:

Lean on your support group. When you’re feeling like you need some encouragement, you might need to ask for it. Choose a supportive family member or friend who will be sure to listen to you and acknowledge your efforts.

Acknowledge your own efforts. If you ever feel like you’re not doing enough, make a list of all the ways your caregiving is making a difference in the lives of the people you love. Reading this list whenever you feel unappreciated might help remind you that your work is worth being celebrated.

Caregiving is a hard job to do alone. Asking for help can be difficult for many caregivers, but you might be surprised to know how many people are willing to help. Instead of trying to do it all alone, try asking for help in these ways:

Respite care. You might ask a trusted family member or friend to help you out with a few tasks around the house or to care for your loved one while you make time for yourself. If you don’t have anyone who can help, some Medicare plans cover the cost of respite care for several days. This can help you get a break to rest and make time for the things you love to do.

Practice saying “yes.” Don’t be afraid to accept help when offered. If a friend or family member offers to help, be prepared with a small list of tasks that others could help with, like going to the grocery or driving your loved one to an appointment.

At Maple Knoll Communities, we know how hard caregivers work to take care of their loved ones. Our communities offer caregiver support groups, dining services, and on-site medical care to make caregiving feel a little less stressful. To learn more about our offerings or to schedule a tour, please contact us.