Dementia versus Alzheimer’s: What’s the Difference?

Have you ever walked into a room and forgotten why you walked in there? Or have you frantically looked for your car keys thinking that you knew exactly where they were, but they were nowhere to be found? Those types of situations, looked at individually, do not mean you are developing dementia. They could simply be classified as mild forgetfulness, which is a normal part of aging. However, if you find your keys, but don’t know what to do with them, you may want to seek medical advice.

I often hear statements like, “My mother has Alzheimer’s disease” or “My father-in-law has dementia.” These terms seem to be used interchangeably frequently. Many people believe they mean the same thing; the fact that they have different meanings confuses patients, families and caregivers.

Dementia is the general loss of cognitive functions, like thinking and remembering things. Alzheimer’s disease is one of several types of dementia. Types of dementia include (but are not limited to):

• Alzheimer’s disease
• Lewy body dementia
• Frontotemporal disorders
• Vascular dementia

Alzheimer’s Disease

According to the Center for Disease Control, the 5.4 million people with Alzheimer’s disease account for 50 to 70 percent of all dementia cases. This is the most common form of dementia, which is why many people use these terms interchangeably.

Plaque may build-up between nerve cells and tangles (twisted fibers of another protein) inside cells, which may happen as people age. This plaque is much more developed for those people with Alzheimer’s.

Symptoms of Alzheimer’s may include impaired thought or speech, and confusion. The symptom that is most common in the early stages of Alzheimer’s is difficulty remembering something new. That is why someone might remember an event from decades earlier, but not what they did earlier that day. Over time, however, this recall may continue to get worse. Other symptoms may develop, such as deepening confusion, mood changes, more serious memory loss and even difficulty speaking, swallowing and walking.

Unlike some other forms of dementia, Alzheimer’s is degenerative; currently there is no cure for it. Scientists are trying to figure out how the plaque build-up affects this disease. The good news is that there has been a lot of progress in the last 15 years that could lead to new treatments to help reduce its effects or possibly provide a cure.

Lewy Body Dementia

Named for scientist, Friederich H. Lewy, who discovered irregular protein deposits in the brain stem in the early 1900’s, Lewy Body dementia (LBD) affects approximately 1.4 million Americans. These abnormal protein deposits found in the brain stem disrupt the brain's normal functioning.

The symptoms of Lewy Body dementia are similar to Alzheimer’s disease and Parkinson’s disease dementia, so this lesser-known form of dementia has been underdiagnosed. However, the core features of LBD include:

• Cognition impairment, with attention and alertness deficits

• Visual hallucinations

• Sudden Parkinson-related symptoms

Because of the type of disease, people with LBD require wide-ranging treatment. The goal is to find the best treatment for each portion of the disease, without worsening symptoms from other areas. However, these treatments will simply slow the progression of the disease; there is no cure for it at this time.

Frontotemporal disorders

Frontotemporal dementia is caused by nerve cell damage to the frontal or temporal lobes of the brain. The degeneration of the lobes can cause a decline in behavior and personality, language, and muscle/motor skills. This disease generally affects people in their 50s and 60s, but has been found in people as young as in their 20s or as old as in their 80s.

At this time, the only known risk factor for frontotemporal dementia is genetics, which is the leading cause in about a third of these dementia cases. Unlike other forms of dementia, this disorder does not have any treatments to delay the progression of the disease, only medication to reduce anxiety or depression.

Because of the decline in muscle and motor skills, patients tend to wind up wheelchair or bed-bound, with issues chewing, swallowing, moving and other motor skills.

Vascular dementia

Vascular dementia is caused by a lack of blood flow to the brain, caused by a variety of conditions. A lack of blood flow to any part of the body could kill cells, but it is even more damaging to the brain, where there is the biggest network of blood vessels in the body. This might happen after a stroke and could get worse if a person has a series of small strokes.

When the brain does not get enough blood, the result is a decline in thinking skills. This decline could be mild, but could worsen if a person has a series of strokes or other conditions that block the blood flow.

Symptoms of vascular dementia (or vascular cognitive impairment, a term some experts want to use) can vary depending on what area of the brain is damaged from the lack of blood flow. If the portion of the brain that controls memory is not affected, a person’s memory may not be affected either. Other symptoms may include confusion, disorientation, difficulty speaking and/or vision loss. These symptoms may be more obvious right after someone has a stroke, but could improve during recovery. However, symptoms could get worse if a person has another stoke or a series of mini-strokes.

As with other forms of dementia, there is no cure for this disease. Controlling risk factors, such as no smoking, lowering blood pressure and weight, exercising and maintaining a healthy weight could help prevent additional decline.

What can you do?

If you think you or your loved one may have more pronounced memory loss, your doctor can perform a series of screenings, such as blood tests, brain scans or mental evaluations, to confirm the type of dementia you or a loved one has.

Our owner, Richard Ueberfluss, has earned the designation of Certified Dementia Practitioner® from the National Council of Certified Dementia Practitioners. This Council was formed to promote standards of excellence in dementia education to professionals and other caregivers who provide services to dementia clients. Its goal, as is the goal of its members, is to develop and encourage comprehensive standards of excellence in direct-care skills, education and sensitivity in the area of dementia care. Richard is committed to those standards and shares them with everyone at Assisting Hands^® Home Care.

We provide our clients with home care so they get the help they need, whether they have mental or physical struggles. We want them to stay safely in their own home for longer. We also provide a respite for you, the family caregiver. Whether you need someone to be with your senior loved one during the day, in the evening or overnight, our at-home care can accommodate your needs. You will have peace of mind knowing that they aren’t home alone when they need help with medication, fall prevention, personal care, eating or other needs.

Contact us today to schedule your free in-home fall prevention assessment at 630-305-9100. To learn more about our in home senior care from LaGrange to Naperville, Wheaton to Willowbrook, click here.

Is Your Loved One Ready for Winter?

As the song goes, ‘Baby, it’s cold outside.’ The temperature has dipped below zero and there is snow on the ground. Whether or not the calendar says it is officially winter, it certainly feels like it.

This is the time of the year when kids might be outside building a snowman, sledding or having snowball fights. They, and you, have your winter gear out and ready to use.

But what about your senior loved ones? Along with the cold winter months come additional hazards, especially for older adults. Are they prepared?

Here are a few senior safety tips to make sure your loved ones have a safe and healthy winter:

• Accidents While Driving.

  This time of the year the roads are icy and it gets dark very early. Anyone could have a hard time stopping. If an older adult’s reflexes are slower or if their eyesight isn’t what it used to be, it makes them even more likely to have an accident when the weather is bad. According to the CDC, 600 older adults are injured or killed in vehicular accidents every day.

What can you do?

Suggest that they only drive during the day or when the weather is clear.

Make sure their vehicle is tuned up, and their brakes and tires checked (and replaced if needed).

If they have a cell phone, even just for emergencies, make sure they keep it charged and with them in the car in case of an emergency.

• Falls.

  If anyone steps on a patch of ice or snow the wrong way, you could fall. That is even more of an issue for older adults, especially if they are unsteady on their feet. According to the National Institutes of Health (NIH), more than one in three adults over 65 years old will fall each year, with more than 1.6 million older Americans having to go to the emergency room because of falls. Studies show that there is a high correlation between cold weather and falls in older adults.

What can you do?

If your loved one lives in a house, make sure their driveway and walkways are clear of snow and ice. If you or they can’t clear it, hire someone to do it for them.

Make sure they have proper footwear for winter – boots or shoes with non-skid soles to give them better traction on a slippery surface.

If they use canes or walkers, replace the rubber tip if it is worn out.

If they don’t have to go out in cold, icy weather, then they shouldn’t. They could be said for adults and kids too!

• Snow shoveling injury.

  If your loved one is capable and in a house, they might want to get out and shovel the snow or ice from their walkways and driveway. If you have shoveled wet snow, you know that it can become very heavy very quickly. This could cause a strained back, arms, or legs; a fall; or even a heart attack.

What can you do?

Shovel the snow for them. It’s a little extra exercise for you and it takes the burden away from your loved one.

If you can’t shovel for them and they, or you, can afford it, pay someone else to shovel the snow.

If they choose to shovel, make sure they have a good, ergo dynamic shovel or even a snow blower (if they are comfortable using it).

Ask them to take breaks when shoveling so they don’t get too winded.

Make sure they shovel correctly, bending from their knees, not from their back.

At Assisting Hands® Home Care, our goal is to provide our clients with the help they need to keep them safely in their own home for longer. We also provide a respite for a family caregiver who needs a break from their caregiving duties or who can’t manage all those duties by themselves any longer. We can be there for your loved one if they need to go out in the cold, icy weather so you don’t have to worry about them falling.

Whether you need someone to be with your loved one during the day, in the evening or overnight, our at-home care can accommodate your needs. You will have peace of mind knowing that they aren’t home alone when they need help with medication, fall prevention, personal care, eating or other needs.

Contact us today to schedule your free in-home fall prevention assessment at 630-305-9100. To learn more about our in home senior care, click here.

3 Ways to Protect your Loved One from Skin Damage

It’s summertime and you know what that means? Time outside enjoying the warm weather; shorts and flip-flops; bar-b-ques and cook outs! You know what it also means? Skin Damage!

We are in the time of the year when UV exposure is the strongest in the United States, which means you are more easily at risk for skin damage. Skin damage may lead to premature aging of the skin, wrinkles, uneven skin tone, age spots and possibly skin cancer.

You can damage your skin if you are out in the sun at any time of the year, so keep these 3 tips in mind in order to protect yourself and your loved ones from skin damage all year long:

•  Stay in the Shade. If you can find a shady spot for yourself of your loved ones, do it! This is most important during the middle of the day when the sun’s UV rays are the strongest. Keep in mind that UV rays reach the ground even on cloudy days, so just because the sun isn’t shining brightly doesn’t mean you let your guard down.
• Wear Protective Clothing. No one wants to be bundled up in the middle of summer when it is hot out, but if you or your loved ones will be outside, think about a light-weight garment to protect your skin from the sun, a hat and/or a pair of sunglasses. These items will all help to block the UV rays from your skin. Again, keep in mind that if you can see through the piece of clothing, so can the sun, so this will only provide partial protection.
• Use Sun Screen. Whether you are outside for an hour or all day, you should use sun screen. Since all sun screens are not created equal, make sure you buy one that blocks UVA and UVB rays, or broad spectrum sun screen. Even when sun screen is used, if you are in the sun you are still exposed to the sun’s rays, so you are not completely protected. Apply sun screen often and make sure to reapply after being in the water or sweating.

Don’t let the appeal of a summer tan cause irreparable damage to your skin that you will regret later. Take the appropriate steps to protect yourself and your loved ones from harmful UV rays.

At Assisting Hands Home Care we will make sure that your loved one is properly protected if he or she is outside. We provide them with safe transportation to and from doctors and other appointments, grocery shopping or other errands and make sure they are getting the appropriate nutrition and exercise that is appropriate for them. Whether you need someone to be with them during the day, in the evening or overnight, we can accommodate your needs. You will sleep better knowing that they aren’t home alone when they need help with medication, fall prevention, personal care, eating or other needs.

Contact us today to schedule your free in-home fall prevention assessment at 630-305-9100.

What is Your Risk of Developing Cataracts?

As Cataract Awareness Month comes to a close, we want to talk a little bit about this serious eye disease. A cataract is a cloudy area in the lens of your eye that may affect your vision. A person with cataracts may experience fuzzy or cloudy vision, double vision, or extreme glare from headlights or the sun.

In many cases, cataracts are small and do not affect a person’s vision. A doctor can perform a physical exam to see if you may have cataracts. As a cataract grows, it may cause the issues noted above. If the cataract becomes big enough that a person’s eyesight, or lack of it, causes a reduction in their quality of life, surgery can be performed.

But let’s start with the risk factors associated with cataracts. There are a few that stand out, such as:

• Age. As we get older, we develop a higher risk for cataracts.
• Genetics. If your family history includes cataracts, you are more likely to be predisposed to it.
• Diabetes. High blood sugar levels can cause damage to the lens of the eye.
• Glaucoma. If you have surgery to treat glaucoma, unfortunately you are more at risk for cataracts.
• Smoking. Smoking may also damage the lens of the eye by forming chemicals called free radicals. High levels of these chemicals can damage cells, including the cells in the lens of the eye.
• Ultraviolet Radiation. UVB rays, specifically, can increase the development of cataracts.
• Steroid Medication. If you are taking steroid medication for conditions such as asthma or emphysema on a long-term basis, you have a higher risk of developing cataracts.

Currently there is no way to PREVENT cataracts altogether, but there are things you can do to slow it down, such as:

• Eat Healthy and Exercise. We cannot overstate the positive benefits that come from having a healthy lifestyle, including eating healthy and getting regular exercise. Diabetes can cause a host of other health issues, so avoiding it should be at the top of your list.
• Stop Smoking. This is also a habit that may cause a lot of other negative health issues, including cancer, heart disease and stroke.
• Wear Sunglasses and a Hat in the Sun. If you are out in the sun, take the necessary precautions to protect your skin and eyes like wearing a hat and sunglasses and using sunscreen.
• Don’t Use Tanning Beds. You are getting an extra dose of ultraviolet radiation, which may cause skin cancer in addition to cataracts.
• Reduce Usage of Steroid Medication. If you are on long-term steroid medication, consult your doctor to see if there is another non-steroid medication that will be as effective.

At Assisting Hands Home Care we can provide your loved one with safe transportation to and from doctors and other appointments, grocery shopping or other errands. We can also make sure they are getting the appropriate nutrition and exercise that is appropriate for them. Whether you need someone to be with them during the day, in the evening or overnight, we can accommodate your needs. You will sleep better knowing that they aren’t home alone when they need help with medication, fall prevention, personal care, eating or other needs.

Contact us today to schedule your free in-home fall prevention assessment at 630-305-9100.

Is your senior loved one safe at home?

In-home safety is the number one concern of adult children for their aging parents. “Will they be safe staying in their home?” It’s a question we hear all the time. The answer is usually ‘yes’ (with exceptions, of course), but there are things that the children need to do for their parents to make sure they can stay at home safely.

Since June is National Safety Month, we want to provide 7 tips for making your loved one’s home safe as they get older:

• Consider a medical alert system. You remember the commercial, “I’ve fallen and I can’t get up!” That could happen to your loved one. Make sure they can easily reach out for help if they need it.
• Get up slowly. When they get up from a sitting or sleeping position, make sure they do it slowly so they don’t get light-headed and lose their balance.
• Remove throw rugs. They may protect the carpet, but they can easily create a tripping/falling hazard. Your loved ones need an unobstructed path throughout their home.
• Remove items that can block their path. Following up to the point above, your loved ones need a clear path not just from removing throw rugs, but also from furniture, paper piles, cords, or other hazards. Their route should be free from all obstructions.
• Remove step stools. The risk of injury from a fall increases exponentially for every foot you are above the ground. If something is out of reach from your loved one, move it so it is within reach when they are on the ground.
• Install railings. If your loved ones are unsteady on their feet, install railings throughout the house, inside and out, including places like the shower. This will give them one more place to steady themselves if they need it.
• Consider a stair lift or have stairs with non-slip surface. If your loved ones live in a two story house and they need to access the upstairs often, you may want to consider a stair lift if they are not steady going up and down. At the very least, make sure the stairs have a non-slip surface.
• Use assisted devices in the home. Does your loved one use a cane or walker when they go out, but they don’t think they need to use it in their home? Most falls occur going from bedroom to bathroom. Make sure those devices are near their bed so when they get up they can easily reach them.
• Have lights on throughout the house. It may be well-placed nightlights, but make sure your loved ones have a little illumination at night so they don’t have to fumble for a light switch in the dark and they can see where they are going.

At Assisting Hands Home Care, it is important to us that your loved ones are in a safe environment. We can provide you with a free in-home fall prevention assessment so you know the best way to protect them while they are in their home. Our skilled in-home care associates can also provide your loved one with safe transportation to and from doctors and other appointments, grocery shopping or other errands.

Whether you need someone to be with them during the day, in the evening or overnight, we can accommodate your needs. You will sleep better knowing that they aren’t home alone when they need help with medication, fall prevention, personal care, eating or other needs.

Contact us today to schedule your free in-home fall prevention assessment at 630-305-9100.

Could You Identify Someone Having a Stroke?

Since May is National Stroke Awareness Month, we want to share some facts and prevention tips about strokes:

• Did you know that strokes are the number 5 cause of death and the number 1 cause of disability in the United States?
• Did you know that a stroke is caused by blood flow being cut off from the brain? There are 2 types of strokes: 1) ischemic stroke, which is when a clot obstructs blood flow to the brain; or 2) hemorrhagic stroke, which is when a blood vessel ruptures and prevents blood flow to the brain.
• Did you know that if blood flow is cut off from various parts of the brain, the body functions that that part of the brain controls won’t function as they should? 40% of stroke patients will have moderate to severe impairments that require special care! This is why strokes are the number 1 cause of disability.

It is important for people to control lifestyle and medical risk factors that contribute to a stroke. These include (but are not limited to):

• Eating habits
• Physical activity (or lack of it)
• Smoking
• Alcohol consumption
• High blood pressure
• High cholesterol
• Diabetes
• Circulation problems

In other blogs we have discussed preventing some of these risk factors. Check out these blogs - How Can Your Senior Loved One Eat Healthier?, Do You Know the 4 Tips to Avoid Getting Type 2 Diabetes?, or Five Simple Changes to a Healthier Heart.

Knowing these facts, if someone does have a stroke, every minute counts; the faster they can get treatment, the better their chances of recovery.

Think F.A.S.T.:

• F – Face Drooping: Is one side of their face drooping or numb? If their smile is uneven it could be a sign of a stroke.
• A – Arm Weakness: Is one arm weak or numb? Can they raise both arms? If one drifts down it could be a sign of a stroke.
• S – Speech Difficulty: Is their speech slurred, hard to understand or they can’t speak at all? This could be a sign of a stroke.
• T – Time to Call 911: If someone exhibits any of these symptoms, even if they seem to go away, call 911 and get them to the hospital immediately. Every second matters. Also, check the time so you know when these symptoms first started. Doctors will use that to track how long the brain may have been without blood flow.

Assisting Hands® Home Care we can be with your loved one when you can’t be there. Our caregivers are trained to look for these symptoms and can get help quickly. Whether you need someone to be with your loved one during the day, in the evening or overnight we can accommodate your needs. You will have peace of mind knowing that your loved one isn’t home alone when they need help with medication, fall prevention, personal care, eating or other needs.

Contact us today to schedule your free in-home fall prevention assessment at 630-305-9100.

Is Your Mother Okay?

This Sunday is Mother’s Day, a day to recognize and thank our mothers for all the hard work they’ve done throughout the years to raise us right. Whether or not you see your mother often, you may go to see her on Mother’s Day. There might be flowers, candy or a meal out. You will talk and laugh, letting her tell stories. With any luck, it will be a nice day so you can enjoy it together.

But will you really pay attention to your mother – not just listening to what she has to say, but watching what she does, how she moves and the condition of her house?

Is your mother okay? Here are 4 tips to make sure you understand her physical and mental condition when you are together:

• Watch Your Mother.  How is she walking? Is she moving slower than the last time you saw her? How does she look? Is she clean and groomed? We don’t mean that she has to be dressed like June Cleaver, but you’ll be able to tell a lot by her appearance.
• Listen to Your Mother.  When she speaks, is she as clear as she was the last time you saw her? Does she have a hard time remembering things that happened recently? Is she starting to repeat herself, even in the same conversation? The changes might be slight, but it is good to keep note of them to see a progression. One forgetful moment does not mean someone has dementia, but you will be able to see a pattern over time.
• Check out Your Mother’s Kitchen and Bathroom.  Is there healthy food in the refrigerator? Is the food that is there still fresh or should it have been thrown out weeks ago? In her medicine cabinet, what prescriptions are there? Are they pills that she should be taking? Based on the fill date, try to tell if they are being taken regularly. Also look to see if there are any rugs that could be a tripping hazard. Be wary of any rugs in front of sinks or even in hallways.
• Ask Your Mother How She is Feeling.  While you are talking, ask your mother how she is doing; there is nothing wrong with just asking the question. Sometimes a parent just needs a little encouragement to talk about things. She may say she’s fine and based on what you see, you believe her. You may also want to question things she says if it doesn’t match up with what you see. 

If your mother is still driving, ask where she has been and what time of day. Ask what route she takes to get there. She should know exactly how she gets around.

Ask about any medications she is taking as well. Hopefully she has a weekly pill case so it is easy for her to track which medications should be taken each day (or at certain times of the day). Make sure that case is full when you leave and she clearly understands what she needs to take and when.

You have been learning from your mother all your life; Mother’s Day is the perfect time to watch and learn some more from her, this time to help her!

At Assisting Hands Home Care we can provide your mother with safe transportation to and from doctors and other appointments, grocery shopping or other errands. Whether you need someone to be with her during the day, in the evening or overnight, we can accommodate your needs. You will sleep better knowing that your mother isn’t home alone when she needs help with medication, fall prevention, personal care, eating or other needs.

Contact us today to schedule your free in-home fall prevention assessment at 630-305-9100.

Risk of Daily Low-Dose Aspirin is Outweighed by Benefits to Prevent Heart Attacks and Strokes

A Senior Journal story related the fact that more than half of older Americans – those age 45 through 75 – take an aspirin every day, even though this use is not recommended by the Food and Drug Administration for most people who have not yet had a heart attack or stroke.

The American Journal of Preventive Medicine quotes a story that confirms that aspirin use is continuing to surge, especially among adults who are using it for "primary prevention."  Essentially seniors take aspirin in order to prevent an initial cardiovascular event, and in some cases to prevent cancer.

A national survey of more than 2,500 respondents aged 45-75, 52 percent reported current aspirin use, and another 21 percent had used it at some point in the past. The average age of respondents in the survey was 60. A different report found that aspirin use increased 57 percent between 2005 and 2010.

The downside of aspirin use is that it is essentially a blood thinner and can cause bleeding events, which is a primary reason some medical experts recommend caution in its use, even at the "baby aspirin" dose of 81 milligrams often used for disease prevention. The FDA has determined that in primary use to prevent a first heart attack or stroke, for every such event that's prevented, there's approximately one major bleeding event that's caused, such as gastrointestinal bleeding.

Despite the risks, the U.S. preventive Services Task Force recently issued a recommendation that men and women aged 50 to 69 consider taking low-dose aspirin if they are at a high risk for heart attacks and strokes.

Several cardiologists took exception to the recommendation due to the bleeding risks. They want to see the recommendations carry more restrictions.

However, the physicians do admit that for men and women aged 50 to 69 who are at an increased risk from cardiovascular disease, the benefits of low-dose aspirin outweigh the risks. As an added benefit, a low-dose aspirin regimen also helps decrease the risk of colorectal cancer.

   

Some other findings of the survey include:

• The strongest predictor of regular aspirin use was a patient having discussed aspirin therapy with a health care provider.
• About 35 percent of people who don't objectively have risk factors that might merit aspirin therapy still use it.
• About 20 percent of people who have already had a heart attack or stroke, and should be on aspirin therapy, do not use it.
• A majority of both current and previous aspirin users rated themselves as being somewhat or very knowledgeable about it.
• Among aspirin users, the reasons cited for its use by respondents was for heart attack prevention, 84 percent; stroke prevention, 66 percent; cancer prevention, 18 percent; and prevention of Alzheimer's disease, 11 percent.
• Significant predictors of aspirin use included people who were physically active, ate healthy foods, had achieved a healthy weight, managed their stress, tried to quit smoking, and/or had undergone health screenings.

Research Confirms Exercise is Top "Prescription" for Arthritis

In the old days, seniors who were suffering from arthritis were advised to take it easy. Sit down most of the day so as not to stress your joints, well-meaning doctors would say. Sit in a rocking chair for easy, soothing motion, at the most. Rest your joints. If it hurts, don’t do it.

We know now that this was very bad advice. Multiple studies show that inactivity not only raises the risk of arthritis, but also leads to increased joint damage and pain when a person has arthritis. Exercise helps keep the joints lubricated and strengthens the muscles that support the joints. It also helps seniors maintain a healthy weight—one of the most important things we can do to be kind to our joints. According to the Arthritis Foundation, “Exercise is the most effective non-drug treatment for reducing pain and improving movement in osteoarthritis.”

How much, and what type, of exercise is best for seniors with arthritis? Researchers from Northwestern University tracked the activity level of a group of people with arthritis. They reported, “As expected, more time spent in moderate or vigorous activity was associated with lower reports of disabilities, but researchers were pleased to find that greater time spent in light intensity activities also was related to fewer disabilities.” Said lead researcher Prof. Dorothy Dunlap, “We were delighted to see that more time spent during the day, simply moving your body, even at a light intensity, may reduce disability. Now people with health problems or physical limitations who cannot increase the intensity of their activity have a starting place in the effort to stay independent.”

Walking is often called the perfect exercise. Reporting on recent research, the American College of Rheumatology said, “Walking an additional 1,000 steps each day was associated with between a 16 percent to 18 percent reduction in incident functional limitation two years later. Walking less than 6,000 steps daily was the best threshold for identifying those who developed functional limitation.” 6,000 steps might sound like a lot, but it’s only about an hour of walking, and can be spread out over the course of a day.  

But exercising with arthritis isn’t a simple thing. If movement causes some discomfort, it can seem counterintuitive to keep doing it. And, some exercises may be bad for a person with arthritis. This all may lead to uncertainty and anxiety that tempts a person to head right back to that rocking chair.

Beginning an arthritis-friendly exercise program

The first step is to get a “prescription” for an exercise plan that’s right for a person’s particular type and degree of arthritis from the doctor or physical therapist. This will most likely include low-impact, joint-friendly activities from four main categories:

• range-of-motion exercises to improve flexibility and relieve stiffness
• strengthening exercises to help muscles support the joints
• balance exercises to reduce the risk of falls
• aerobic or endurance exercises to reduce swelling in some joints and help maintain a healthy weight

Seven ways home care helps

The next step is to stick with the exercise plan. For many seniors, this is where home care is a valuable partner. When arthritis, as well as other health conditions that are common in senior adults, make it hard to be safe and active at home, home care is a great addition to a senior’s health management regimen. Here are ways professionally trained caregivers help senior clients follow their healthcare provider’s exercise “prescription”:

Supervision and support for exercise at home. Even when seniors have been given the green light by their doctor to begin an exercise program, they are sometimes hesitant. It’s hard to change old habits of caution. But having a professional caregiver nearby provides the extra measure of confidence to take exercise to a new level—maybe even the recommended 6,000 steps. Caregivers help clients follow the exercise prescription, use weights or other special equipment, or play an exercise DVD or video.

Venturing outdoors. The doctor will most likely recommend walking as a great overall exercise, but it can be hard to stay motivated after you’ve walked around your own block a hundred times. Professional caregivers and clients can plan outings that provide exercise and a nice change of scenery. How about a trip to the park or zoo? Or a mall walk on blustery days, or just to go shopping?

Housekeeping, laundry and personal care. While these standard home care services might not seem like part of an exercise program, they are activities that can be hard for a person with arthritis. Living in a dirty home and wearing rumpled clothing can be depressing and tempt a person to just spend the day in front of the TV.

Preparing nutritious meals. When a person has stiffness of the fingers and other joints, it’s tempting to live on prepackaged foods. This can lead to an unhealthy weight gain—one of the top factors that worsens arthritis pain. Caregivers prepare meals and snacks that both meet the nutritional needs of clients and help them maintain a healthy weight.

Fall protection. The top impediment to exercise for people with arthritis is joint pain, but the fear of falling is a close second. According to the Centers for Disease Control and Prevention (CDC), people with arthritis are twice as likely to experience a fall injury. To reduce the risk of a fall, and to create confidence that the home environment is safe, trained caregivers are alert to remove clutter and other hazardous conditions that could cause a senior to trip.

Transportation to healthcare appointments and exercise class. Arthritis management often requires several different healthcare providers, and many seniors take part in special arthritis-friendly exercise classes, yoga or tai chi, balance training and other interventions. But arthritis can make it unsafe to drive. Professional caregivers take clients to all these appointments, and also help them remember instructions to better manage their healthcare.

Medication management. Analgesic and anti-inflammatory medications relieve pain and reduce inflammation, but it’s important to take them correctly. Home caregivers can provide medication reminders, pick up prescriptions, and help clients use pillboxes and other organization devices to keep track of prescription and over-the-counter medications.

Learn More

The Arthritis Foundation (www.arthritis.org) is the sponsor of National Arthritis Awareness Month. Their website offers information about the benefits of exercise, including information about when it’s safe to work out with arthritis, and when patients should refrain. Above all, talk to your doctor if you have questions about your arthritis exercise program.

Source: Assisting Hands Home Care in association with IlluminAge. Copyright © IlluminAge, 2016.

How Can Your Senior Loved One Eat Healthier?

Your eyesight might not be what it used to be or the dinners that you once made without needing the recipe are harder to remember. As people age, their needs become a little greater, even with things that they once took for granted.

But it is very important, especially as we age, that we be aware of what we are eating. As we close out National Nutrition Month, we want to share 5 tips to healthier nutrition for seniors:

• Limit Processed Foods: It might seem easy to load up your loved one’s freezer with ‘healthy’ frozen dinners, but those meals are likely loaded with salt and sugar. Just because a package says ‘healthy’ doesn’t mean it really is. Instead, make a recipe for your loved one once a week and divide it into single servings that can be heated in the oven or microwave. This way you can control the ingredients and you will know they are healthy.
• Eat More Fruits and Vegetables: Fruits and vegetables have a lot of vitamins and fiber, are lower in calories, and are generally unprocessed (beware of canned fruits and vegetables). Instead of buying chips and dip, make sure your loved one has plenty of cut up vegetables and hummus or ready-to-eat fruit available.
• Be Wary of Hidden Sugars: They are everywhere – in condiments like BBQ sauce and ketchup to cereals, yogurt and sodas. Find cereal that is low in sugar and get plain yogurt without added sugar. Your loved one can add the cut up fruit (see above point) to it to give it a great flavor. 

Eating too much sugar can increase your risk of diabetes, heart disease and some cancers. When you buy packaged food for your loved one, look at the ingredients to see where sugar is listed (keep in mind sugar goes by a lot of names like glucose, high fructose corn syrup, etc). If it is listed at the top, skip it. If it is listed toward the bottom or not at all, it should be okay.

• Be Wary of Salt/Sodium: Even if a product is low in sugar, don’t forget to see how much sodium it has. Too much salt can cause high blood pressure. Instead of using salt as a seasoning, substitute with other herbs and spices to create a great tasting meal that is low in sodium.
• Eat More Whole Grains: Your loved one doesn’t have to skip bread altogether; instead get whole grain instead of white bread. The same holds true for pastas and rice – get whole wheat pasta and brown rice instead of white. As with other processed foods, be wary of products that claim they are whole grain, but they are not. 

As with a lot of processed foods, packaging can be misleading. Read the ingredient label to be sure you are getting what you really want for your loved one. If your loved one isn’t eating healthy yet, take these changes one at a time. If done correctly, they may welcome the change. It is never too early to start eating better; healthy habits can last a lifetime.

At Assisting Hands Home Care we can provide your loved one with healthy meals and daily activity to keep their mind and body in as good a condition as possible. Whether you need someone to be with your loved one during the day, in the evening or overnight, we can accommodate your needs. You will sleep better knowing that your loved one isn’t home alone when they need help with medication, fall prevention, personal care, eating or other needs.

Contact us today to schedule your free in-home fall prevention assessment at 630-305-9100.

When Is It Time For A Daily Money Manager?

By Wendy Einspar

Think of the mail coming into your home, the bills that need to be paid, the calls or emails that should be made about your insurance, wills, retirement planning and more. Now imagine handling all this with impaired eyesight, decreased hearing, arthritic hands, or failing memory.

Many of us wish we had someone to handle the day-to-day personal paperwork, bill paying and interactions with advisors. Daily Money Managers can fill that role. However, the support of a Daily Money Manager (DMM) is even more critical for seniors.

A DMM for busy professionals often works alone in the clients’ homes (or virtually from theDMM’s office) while the clients are at work. DMMs for seniors, more often than not, work with their clients in their homes and have special skill sets to help their clients navigate between dependence and independence. In addition, the DMM for seniors needs to have an incredible array of resources available to guide the senior and the senior’s family to the right decisions about legal documents, long-term care planning, housing options, care management, financial asset management, household management, and more.

 Signs That a Daily Money Manager Is Needed By a Senior:

• Complaints of too much paper
• Bills not being paid
• Medicare, secondary insurance, and medical bills are piling up and not being addressed
• No Power of Attorney, Health Care Proxy, Advance Directives in place to provide back up for the senior when he or she is no longer able to handle his or her own affairs
• A spouse has passed away and the widow(er) does not know how to settle the deceased spouse’s affairs and/or does not know how to handle the finances going forward
• Estate planning needs to be done, but there is no clear information about what assets are involved
• A sense of confusion is communicated in conversations
• Letters are coming in from the IRS that taxes have not been filed
• Rent, mortgage and/or insurance has not been paid, electricity is about to be shut off
• Medicaid may be needed, but the process of getting everything together to apply is overwhelming

Early on, DMMs need to sort through accumulated papers: locate bills that need to be addressed immediately; identify important documents and file appropriately or note which documents need to be collected. DMMs help organize and file estate planning, tax and financial documents for the client; work with doctors and insurance companies to sort out what needs to be paid by the insurance company or the client; and prepare budget and spending reports.

How Do I Finding a Daily Money Manager

Search on the website of the American Association of Daily Money Managers(www.aadmm.com) – click “Find a DMM” and search by zip code. In the same area of the website, you can find a list of excellent questions to ask when hiring.

If you have any questions please feel free to contact Wendy Einspar for a free consultation at:

Phone 630.728.1257

Email – wendy@einspardmm.com

Internet – www.einspardmm.com

Richard Ueberfluss, PT

www.assistinghands.com/naperville

630.305.9100

Is Suffering from a Broken Heart Real?

We’ve all heard about people suffering or even dying from a broken heart, and assumed it was a heart attack.  But the American heart Association  suggest that broken heart syndrome, also called stress-induced cardiomyopathy or takotsubo cardiomyopathy, can strike even if you’re healthy. (Tako tsubo, by the way, are octopus traps that resemble the pot-like shape of the stricken heart.)

Women over 60 are more likely than men to experience the sudden, intense chest pain — the reaction to a surge of stress hormones — that can be caused by an emotionally stressful event. It could be the death of a loved one or even a divorce, breakup or physical separation, betrayal or romantic rejection. It could even happen after a good shock (like winning the lottery.)

Broken heart syndrome may be misdiagnosed as a heart attack because the symptoms and test results are similar. In fact, tests show dramatic changes in rhythm and blood substances that are typical of a heart attack. But unlike a heart attack, there’s no evidence of blocked heart arteries in broken heart syndrome.

In broken heart syndrome, a part of your heart temporarily enlarges and doesn’t pump well, while the rest of your heart functions normally or with even more forceful contractions. Researchers are just starting to learn the causes, and how to diagnose and treat it.

The Wall Street Journal recently noted that a new study of 10 women who experienced  the broken heart syndrome found that their chest pain  was actually caused by a nervous system issue related to stress that kept suffers from being able to calm down.

Now medical experts are suggesting that when people experience chest pain brought about stressful situations these symptoms may subside simply by using relaxation methods such as yoga and meditation.

But it would be a mistake to minimize the danger of broken heart syndrome.  The Wall Street Journal notes that “There were 6,230 cases of people in the U.S. hospitalized with broken heart syndrome in 2012.  Patients usually heal within days or weeks without residual damage to the heart. But complications can occur as well as fatalities.”

This condition is most often treated with beta blockers that control adrenaline flow that overwhelms the heart, but some medical experts are questioning whether this is the best course of treatment.

In fact, The New England Journal of Medicine cited a study that found that beta blockers “are not effective in preventing tokotsubo cardiomyopathy.” Although there is some feeling that patients with hypertension symptoms may have impacted the study results.

The bottom line is that stress is a contributing factor to the broken heart syndrome.  Experts recommend that when stress triggers are reduced, it also reduces the potential for experiencing broken heart syndrome.

Richard Ueberfluss
www.assistinghands.com/hinsdale