According to the 2017 U.S. Census Bureau and American Fact Finder, there were approximately 2,582,410 grandparents providing primary care to their grandkids under the age of 18. While this number has held steady in recent years, it is considerably lower than 2,687,216 in 2011 and 2,733,807 in 2013. When a parent is not able to care for their child, grandparents will fill this role to keep the family together.
The parent has a mental illness or is incarcerated.
The grandchild is suffering abuse and neglect at the hands of their biological parents.
The parent is in the military.
Tips for grandparents
AARP offers suggestions for grandparents that are welcoming grandchildren into their home. Due to the nature of addiction, incarceration and the sudden deployment of military, grandparents are typically thrust into the role of the primary caregiver with very little notice. Keeping good notes and staying organized is key to success. Keep birth certificates, social security cards, medical and dental records, attorney or custody papers, as well as other important documents, in a file folder or file cabinet.
Courtesy Michigan State University Extension
AARP recommends making lists of small tasks that could be helpful and sharing with well-minded neighbors, extended family and others. They will want to help. Another suggestion is to divide up tasks and make daily plans of what needs to be accomplished.
Michigan State University Extension recommends beginning conversations with the child’s teacher, building principal, pediatricians, counselor, school social worker and lawyers (if needed) about changes that are occurring in the child’s life. According to “Grandparents Raising Grandchildren” from HelpGuide, grandparents need to acknowledge their feelings. Anger, resentment, stress, worry, guilt and grief are typical feelings that will be triggered when grandparents take on their new role as parent. They can, however, expect to feel joy, love and peace in seeing the child in a stable environment learning, growing, making friends and more.
Grandparents absolutely must find moments to take care of their own spiritual, mental, emotional and physical health. It is difficult to be a caregiver when we are out of energy. They may be financially burdened by this new situation as well. Seeking help from support groups is very beneficial and highly recommended. It is not something that needs to be done alone.
Finally, while this may be difficult for grandparents, children will have mixed feelings as well in their new living arrangements. This is especially true for children who have lost their parents to death. In any situation, they may express feelings of abandonment, sadness, mistrust, confusion, anxiety and may act aggressively or exhibit other inappropriate behavior. Over time, children will begin to settle into the new situation and feel safe to express their feelings. Support the child as they work through the roller coaster of emotions they are experiencing.
MSU Extension recommends supporting children by establishing predictable routines, accepting input on house rules, how they would like to decorate their room, providing private space and offering consistent, unconditional love and attention to help them feel secure.
Familial hypercholesterolemia can be diagnosed with a simple blood test and a look at family history. Genetic testing can confirm the diagnosis. (Courtesy Spectrum Health Beat)
High cholesterol is a risk factor for heart disease, but not all forms of it are the same.
An underdiagnosed genetic condition called familial hypercholesterolemia can cause dangerously high levels of cholesterol at an early age.
While scientists have determined familial hypercholesterolemia is caused by genetic mutations that affect the body’s ability to remove LDL, or “bad” cholesterol, they haven’t pinned down all the genes involved for nearly 1 in 3 people who have it.
But that may be beginning to change.
Scientists presented preliminary research at the American Heart Association’s Vascular Discovery conference in Boston this week showing more clues to the genetic roots of familial hypercholesterolemia.
National Heart, Lung, and Blood Institute researchers screened 19,114 genes and identified transgelin as one of the genes of interest. Previous studies have found this gene could be associated in LDL metabolism.
When researchers disabled the gene in cells, some cells tried to compensate.
“The cell tries to make more cholesterol because cholesterol is vital for the cell to survive,” said Diego Lucero, the study’s lead author and a postdoctoral fellow at the institute. “Understanding this is important because it might have impacts on the magnitude of the clinical presentation of the disease.”
People with familial hypercholesterolemia are exposed to chronically high levels of LDL from an early age and their risk for premature heart disease is 20 times greater than the general population, according to the Familial Hypercholesterolemia Foundation.
Over time, the condition can lead to atherosclerosis—the buildup of plaque and narrowing of artery walls. As a result, signs of heart disease can show up decades earlier in people with familial hypercholesterolemia compared to the general population.
The condition affects approximately 1 in 250 U.S. adults. Yet, it remains largely underdiagnosed and undertreated.
“Less than 10 percent of those who have (familial hypercholesterolemia) have actually been diagnosed, which leads to a lot of premature morbidity and mortality,” said Dr. Samuel Gidding, chief medical officer for the foundation.
Someone who carries the altered gene has a 50% chance of passing it on to their children.
Yet, the challenge is diagnosing familial hypercholesterolemia.
Health care providers may not understand the difference between general high cholesterol and familial hypercholesterolemia and may not screen high-risk people, said Gidding, who was not involved in the new study.
Familial hypercholesterolemia can be diagnosed with a simple blood test and a reported family history of cardiovascular disease. Doctors look for LDL levels over 190 in adults and over 160 in children, and onset of heart disease before age 60 in men and before 50 in women. Genetic testing can confirm the diagnosis.
Once identified, there are effective ways to treat the condition, Gidding said. Early treatment with medications, as well as maintaining a heart-healthy lifestyle, can lower the risk of premature heart attacks and strokes.
The new research and further work identifying new genes involved in the development of familial hypercholesterolemia could lead to better diagnosis and treatment, Gidding said.
“Anytime an individual gene like this could help explain variations in lipid level, it could be a drug target.”
Have you seen my heart somewhere in your castle of yellow leaves?
A Waltz for Zizi, written by Yoko Kanno
Now Serving
Today’s the day! The Cheesecake Factory at Woodland Mall officially opens today. Started in 1978 in Beverly Hills, the popular restaurant, which has more than 30 different types of cheesecake, has its roots in Michigan. While living in Detroit, Everlyn Overton found a cheesecake recipe in a local newspaper. She made some tweaks and well, you can taste the results at the new restaurant, which also has 250 different entrées on its menu.
Just a ‘Goofus’
It was a single duck that brought a group of Wyoming residents together this summer. Freelance writer Estelle Slootmaker shared the story of Goofus, a Pekin duck, who along with another was left at Wyoming’s Lamar Park. Goofus proved, as Slootmaker put it, “different birds of a feather could flock together.”
Santa is Coming! Order Tickets Now!
The Grand Rapids Public Museum announced its popular Breakfast with Santa will return this year with the event taking place Dec. 14. There will be two sessions, 8:30 a.m. and 10: 30 a.m. with about 100 spots available for each. Tickets are expected to sell fast, so if you are interested make sure to snap them up quickly! For more, click here.
Fun Fact: On the Move
Anyone who has every visited the Niagara Falls probably have seen a boat lodged near the top of the Canadian falls. The boat, called a scow, has been lodged on the falls since 1918 and for more than a hundred years has rested against an outcrop of rock. That is until Halloween night, Oct. 31, when winds from a severe storm caused the scow to “flip on its side and spin around” bringing it closer to the falls. For more about the scow’s movement, click here. For more on the history of the scow, click here.
The Health Forum of West Michigan event hosted by Grand Valley State University last week included panelists, from left, Andrew Brisbo, executive director of the new Marijuana Regulatory Agency for the State of Michigan; Dr. Mandeep Bath, addiction psychiatrist for Pine Rest; Scott Rifenberg, deputy chief, Grand Rapids Police Department; and John Titley, partner and corporate attorney for Varnum LLP. (GVSU/Kendra Stanley-Mills)
By K.D. Norris ken@wktv.org
A panel of experts on the medical and legal aspects of existing medical, and pending recreational, marijuana use discussed a multitude of issues at Health Forum of West Michigan event hosted by Grand Valley State University last week.
While the event was focused on the implications of legalized marijuana for the health care industry, a wide range of information was presented and topics discussed, including how police will deal with suspected driving under the influence of marijuana, the current medical-community research on the short- and long-term effects of marijuana use, and ongoing state regulatory actions in preparation for the pending legalization of recreational marijuana.
Adult-use retail sales of marijuana is set to start by the end of the first quarter 2020, and while many local cities and townships have opted-out of having legal marijuana sales within their jurisdiction — including both Kentwood and Wyoming — the state is busy establishing rules and regulations associated with its sales and use.
At the forum, Andrew Brisbo, executive director of the new Marijuana Regulatory Agency for the State of Michigan, discussed the state’s new recreational marijuana commercial licensing and regulatory program, including that there will be a 10 percent excise tax collected on sales to fund state and local regulation and enforcement costs, that there is an initial $6,000 application fee and that the actual license fee will range from 3,000-$50,000, and that there will be specific rules for consumption at temporary events and “designated consumption establishments.”
The Nov. 1 free-to-the-pubic event was part of a planned series of health-care related forms hosted by the university’s Office of the Vice Provost for Health in the DeVos Center, on the Pew Grand Rapids Campus.
The Health Forum of West Michigan event hosted by Grand Valley State University last week included panelists, from left, Andrew Brisbo, executive director of the new Marijuana Regulatory Agency for the State of Michigan; Dr. Mandeep Bath, addiction psychiatrist for Pine Rest; Scott Rifenberg, deputy chief, Grand Rapids Police Department; and John Titley, partner and corporate attorney for Varnum LLP. (GVSU/Kendra Stanley-Mills)
Other panelists included Dr. Mandeep Bath, addiction psychiatrist for Pine Rest; Scott Rifenberg, deputy chief, Grand Rapids Police Department; and John Titley, partner and corporate attorney for Varnum LLP.
Bath detailed known and in-study health issues involving marijuana use, and included in his details were:
Approximately 2.6 percent to 5 percent of the global population (119-221 million individuals) use cannabis, with the rate of cannabis use in high-income countries almost twice the rate in low-income countries. A 2013 survey reported 7 percent of 8th graders, 18 percent of 10th graders, 22.7 percent of 12th graders used marijuana in past month up from 5.8 percent, 13.8 percent and 19.4 percent survey results from 2008.
Medical studies suggest 8.9 percent of cannabis users would become dependent on cannabis at some point in their lives.
While most of Dr. Bath’s discussion contained dry if sobering information, one bit of medical data drew a humorous reaction:
“During intoxication, user’s sociability and sensitivity to certain stimuli like colors is heightened, perception of time is altered, and appetite to sweet and fatty foods is stimulated,” he said, reading from a powerpoint script, before adding impromptu, “… the munchies.”
The event was moderated by Susan DeVuyst-Miller is associate professor of pharmacy practice at Ferris State University and clinical pharmacist for Cherry Health Services.
The next Health Forum of West Michigan will be “New Discoveries in Genetics” on Friday, Dec. 6, with guest Caleb Bupp, M.D., a medical geneticist with Spectrum Health.
GVSU’s DeVos Center us located at 401 Fulton St. W.. For more information on planned health forums, visit gvsu.edu/vphealth .
The City of Wyoming will host a Veterans Day Breakfast on Monday, Nov. 11. The breakfast, which is at 9 a.m., is free for veterans and $10 for all others to attend.
This year’s keynote speaker will be Diane Cimchowicz, who retired from the Navy. Also in attendance will be Mayor Jack Poll, who will host the breakfast, as well as Wyoming City leaders.
Last year, the City of Wyoming decided to change its Veterans Day program from an outdoor evening ceremony to a morning breakfast. The response to last year’s breakfast was very good, according to city staff.
The breakfast will be at the Wyoming Senior Center, 2380 DeHoop Ave. SW. Those interested in attending should pre-register by clicking here or contact the Wyoming Parks and Recreation Department at 616-530-3164. You can also email parks_info@wyomingmi.gov or stop by the parks and recreation office, located in City Hall, 1155 28th St. SW.
On the latest episode of WKTV Journal In Focus, we talk with Michigan State Sen. Peter MacGregor, who represents the City of Wyoming as part of a widespread Kent County area included in the 28th Senate District.
MacGregor is in his second term in the Senate, and is both the Senate majority floor leader and chairman of the important Appropriations Subcommittee on Health and Human Services.
We talk with the senator about health and human services issues, changes coming to the state’s auto insurance laws, and — of course — budget battles between the Republican-controlled legislature and first-year Democratic Gov. Gretchen Whitmer.
Taking about the budget process, in which the legislature develops and presents a budget to the governor for approval — or line-item veto — Sen. MacGregor said “The Governor was not as involved as she thought she should be. Not that we did not want them involved, just that there is a lot of politics involved with a split government.”
WKTV Journal In Focus airs on cable television in the Wyoming and Kentwood areas on Comcast WKTV Channel 26 and on AT&T Channel 99 Government channel (see our Weekly On-air Schedule for dates and times). All individual interviews included in episodes of WKTV Journal In Focus are also available on YouTube at WKTVvideos.
In 2017, more than 85,000 people were treated in U.S. emergency rooms, doctors’ offices and clinics for injuries related to luggage. Know your limits before you pack that suitcase. (Courtesy Spectrum Health Beat)
With holiday travel comes the risk of injury from toting heavy luggage.
In 2017, more than 85,000 people were treated in U.S. emergency rooms, doctors’ offices and clinics for injuries related to luggage, according to the Consumer Product Safety Commission.
“Hurting your neck, back, or shoulders can put you out of commission for a long time,” Dr. Charla Fischer, an American Academy of Orthopaedic Surgeons spokesperson and orthopedic spine surgeon, said in an academy news release.
“You can prevent that by packing lightly, using sturdy luggage with wheels and handles, and using good form when carrying or lifting bags,” she suggested.
Here are some luggage safety tips, courtesy of American Academy of Orthopaedic Surgeons.
Don’t buy luggage that’s too heavy or bulky when empty. Try to place items in a few smaller bags instead of one large one. When lifting luggage, stand alongside it and bend at the knees, lifting the luggage with your leg muscles. Once lifted, hold luggage close to your body.
Don’t twist when lifting and carrying luggage. Point your toes in the direction you’re going and turn your entire body in that direction. Don’t carry bulky luggage for long periods of time. When possible, use the airline’s baggage service when you have heavy luggage.
Carry luggage in both hands, rather than one hand off to the side. This can decrease stress to the spine and reduce the risk of developing elbow problems.
Carry, don’t drag, rolling luggage when climbing stairs.
If you’re using a backpack, it should have two padded and adjustable shoulder straps to equally balance the weight. Pack heavier items low and towards the center.
When using a duffel or shoulder bag, switch sides often.
David Stults stood in front of a packed auditorium at Lowell High School, sharing his medical journey with students.
Even though the cause of his irreversible lung damage is, of all things, microwave popcorn, Stults has learned that vaping can cause similar damage. And he wants students to know it. Before they suffer a similar fate.
Stults, now 59, started feeling short of breath about 10 years ago when he’d go up and down the stairs at his house.
“Your initial thought is, OK, it’s time to push away from snacks and do some exercise, which I began to do,” the Walker, Michigan, resident said. “The symptoms only became worse. I went to my PCP. He listened to my lungs and said, ‘Something doesn’t sound right.’”
The doctor referred him to Michael Harrison, MD, a Spectrum Health pulmonology disease specialist.
In late 2009, lung function tests put Stults in the 70% to 80% range.
“For a healthy 49-year-old man, that was alarming,” Stults said. “Imaging showed some very ugly air trapping. He did all the breathing testing and put me on a pretty aggressive regimen of prednisone and inhalers.”
But time would not be a healer.
By February 2010, his lung function had worsened, dipping to the 60% range.
“It’s heading south quickly,” he said. “I was taking 60 to 80 milligrams of prednisone a day, as well as other inhalers. I started doing breathing treatments a couple of times a day.
Photo by Taylor Ballek, Spectrum Health Beat
“By March or April, I was down to 30%,” he said. “I couldn’t walk up half a flight of stairs without stopping to catch my breath. Any kind of incline was a challenge. Even the gentle incline of the drive walking from the mailbox to my home, I’d have to catch my breath.”
By May, he continued to slide downhill, requiring weekly pulmonology appointments.
Medical mystery
Dr. Harrison suspected Stults may be suffering from an autoimmune issue. A rheumatologist started aggressive treatment with Rituxan, a drug normally used to fight cancer.
“I felt great afterwards,” he said. “I had more energy. I didn’t feel as short of breath.”
The diagnosis came in May 2010: bronchiolitis obiliterans, a severe lung inflammation that is both progressive and irreversible.
Doctors confirmed the diagnosis after three days of intense testing.
He returned home on oxygen.
“They said, ‘You need to go home and get your affairs in order,’” Stults said. “My wife (Barb) and I are both very committed and devoted Christians. We reached out to our family and friends and let them know we were asking for prayer. I can tell you from that day forward, my lung capacity has increased from 41% to 43% and has never gotten worse.”
Still, Stults wondered how he could have contracted this untreatable condition.
Dr. Harrison asked if he had been exposed to insulation, factory or foundry chemicals.
No. Stults had always worked white collar jobs.
He launched a massive internet search on his condition.
“Up popped this article on popcorn lung,” Stults said. “It told the story of these plant workers at various microwave butter-flavored popcorn manufacturers who were dying at this incredibly crazy rate. It was only the employees in these cities, working at these plants. A dozen employees died over six months. It was ridiculous.”
Federal agencies such as OSHA and NIOSH launched an investigation and learned the chemical used to create the butter flavoring, diacetyl, when it’s heated, creates a potentially toxic vapor.
Photo by Taylor Ballek
“My wife and I loved microwave butter-flavored popcorn,” he said. “My secretary at the office would make me a bag every day. I really enjoyed it, almost to an addictive level—opening the bag and sniffing in the fumes. I was breathing in the diacetyl on a daily basis. We had done that for 30 years.”
Stults’ condition may be irreversible and incurable, but he’s trying his best to reverse the actions of students who vape.
“We were talking with some friends of ours who are 20 years younger than we are and they have high school age boys,” Stults said. “She’s kind of the cool mom of Hudsonville. They have a nice home with an indoor basketball court. All of the guys in her son’s class hang out there.
“Because she’s so cool and engaging, the boys started to confess to her that a lot of them were vaping and couldn’t stop,” he said. “They were reaching out to an adult that they trust.”
She did some research and found that diacetyl is one of the many chemicals used to create different flavors in vaping pods.
“She knew my story and called me,” Stults said. “Besides nicotine, which is incredibly addictive, there’s asbestos and formaldehyde. You wouldn’t live with it in the attic and you’re going to suck it into your lungs?”
Snuffing out vaping
According to a series of national surveys recently released by the federal government, about 40% of high school seniors have vaped, double from the year prior.
Stults teamed up with Spectrum Health Medical Group pulmonologist Shelley Schmidt, MD, to set up talks at schools, with the goal of shining a light on the dangers of vaping pod chemicals and nicotine addiction.
“I get at least a phone call a week from a principal saying, We don’t know what to do. It’s out of control,’” Stults said. “Students are addicted. They don’t know how to stop.”
Stults aims to portray the real-life picture of what the chemicals do.
“I tell them, ‘Here’s what you’re setting yourself up for—40% lung capacity,’” he said. “Dr. Schmidt explains addiction and what’s going on in your lungs.”
Stults said they’ve only done a handful of presentations so far, but as principals talk to each other, engagement requests are growing.
“These kids do it walking down the hall in the school,” Stults said. “They do it in the classroom. They sneak it. Other than kind of a fruity smell, there are no fumes.”
Glenn VanOtteren, MD, a Spectrum Health Medical Group pulmonary disease specialist, said popcorn lung is rare but it could become more of an issue as vaping data becomes available.
“With the removal of diacetyl from heated food, we saw it rarely,” Dr. VanOtteren said. “We don’t have data on the rates of vaping-induced lung disease because the use of vaping has accelerated in the last two to three years.”
Dr. VanOtteren said Stults is doing well, despite limitations.
Photo by Taylor Ballek, Spectrum Health Beat
“His lung disease is stable,” Dr. VanOtteren said. “He is short of breath with stairs. He requires daily medicine and has flares of his disease about two times a year when he gets worse and needs additional medications. His lungs can continue to decline because of these flares.”
Dr. VanOtteren said he’s impressed Stults and Dr. Schmidt are sharing lung lessons with students.
“This is such a contemporary and important topic,” he said. “Providing education at this early age is super impactful.”
At approximately 11:30 pm on Nov. 3, officers from the Wyoming Department of Public Safety responded to a commercial burglary alarm at Russell and Ballard Jewelers (5751 Byron Center Ave SW). The suspects had forced entry into the business and stole an undisclosed amount of jewelry before fleeing the store.
The suspects are described as two males with hoods pulled over their faces. We are working on obtaining video surveillance footage from the business and will release photos of the suspects as soon as they are available.
Community Action:
Anyone with information about this incident is asked to contact the Wyoming Department of Public Safety at 616-530-7300 or Silent Observer at 616-774-2345.
Many people who visited the former Grand Rapids Public Museum’s home on Jefferson may remember the Moorland Mastodon.
The almost complete mastodon was found on a farm in Moorland, Michigan in 1904. The Kent Scientific Museum of Grand Rapids (now the Grand Rapids Public Museum) acquired the mastodon for $75 with the goal of putting it on display at the museum. According to a 1940 Grand Rapids Herald article, the skeleton measured “18 feet long, 10 feet high and 6 feet wide, with the tusks themselves being nearly 6 feet in length.”
This photo from the Ravenna Times shows what the Moorland Mastodon looked like on display at the former home of the Grand Rapids Public Museum. (Ravenna Area Historical Society)
When the museum moved to its current location, the mastodon was not moved over as it was starting to deteriorate, said GRPM Science Curator Dr. Cory Redman.
Instead, the bones were transferred to the museum’s collections, where it was dismantled so as it could be preserved for future generations to look at and study.
In this segment about the museum’s collections, Redman discusses the importance of the preservation work being done, some of which is to correct past-museum practices, and the techniques being used.
Only about 10 percent of the museum’s collection is on display with the rest housed in the museum’s collections facility. The museum has about 250,000 items in its collection. To see some of those items or to learn more, visit grpmcollections.org.
“All art is good, all is worth doing. Some is even worth seeing.
Norman Kentwood
Classic poster for a classic opera (Weir Collection)
Opera anyone?
Opera Grand Rapids will present Gilbert and Sullivan comedic opera “The Mikado” Nov. 1 and 2 at St. Cecilia Music Center, 24 Ranson Ave. NE. The performances are at 7:30 p.m. both days. More information here.
Elton John has announced a new concert date at the Van Andel Arena on April 23, 2020, as part of his sold-out Farewell Yellow Brick Road tour after selling out a previous show in Grand Rapids. Tickets go on sale Nov. 1. More information here.
May Erlewine (Supplied/Michael Poehlman)
May’s music anyone?
West Michigan’s own May Erlewine’s latest full-length album release, Second Sight, hits the streets Nov. 1 at all the usual places. More information (and a little review/preview) here.
Fun fact:
Friday Night Death Slot, anyone?
The “Friday Night Death Slot” is a perceived graveyard slot for American television as programs scheduled on Friday evenings (typically, between 8 and 11 p.m.) are likely to be canceled. Why? People go out and do things! (Wikipedia)
For people recently diagnosed with dementia, or caretakers, friends, and loved ones of someone with dementia, changes in behavior can be frightening and difficult to deal with. Yet it’s important to understand that the person with dementia is not any less themselves because of their condition. Being able to recognize responsive behaviors and realize what causes them to occur can help bridge the gap between someone with dementia and those around them.
What is Dementia?
Dementia refers to a number of different causes of loss of cognitive functioning, including Alzheimer’s, frontotemporal disorders, Lewy body dementia, and vascular dementia. It is characterized by loss of capacity to remember and reason such that it interferes with a person’s life. Functions such as memory, language skills, hearing, visual perception, focus, and problem solving may gradually become impaired. In some cases, people may lose control of their emotions or display seeming changes in personality.
Despite common perceptions, dementia is not a normal part of aging, and it can be managed with proper memory care. Part of this care is ensuring a secure, stable support network for the diagnosed person, but this can be hard when many dementia behaviors are misunderstood or misinterpreted.
Responsive Behaviors
People with dementia will often display responsive behaviors to stimuli — or lack thereof — for which they do not have a response that is considered “normal” or “acceptable” for others. Yet these behaviors are not intended to upset others, and may be the best way the diagnosed person can convey an idea, wish, or concern. Unfortunately, some common responsive behaviors are misread as rude or inappropriate, creating further communication barriers and potentially, more emotional distress for the person with dementia.
Some common responsive behaviors include screaming, babbling, making strange noises, restlessness, grabbing people, and aimless wandering. It’s important to note that some responsive behaviors, such as swearing, violent contact, and sexual impulses can be distressing to others, and should not be dismissed as normal behavior. However, you should always be mindful of the possible causes of such behavior, and attempt to reach a solution that prevents further harm to either party.
There are a number of factors that could contribute to causing responsive behavior. These include:
Physical:
Is the person hurt, sore, or uncomfortable? Is she hungry or thirsty? What visible changes can you see that could indicate physical distress? Someone who is physically uncomfortable may have less control over her reactions, and resolving the discomfort could help with addressing the behavior.
Emotional:
Have you noticed the person becoming more anxious, teary, or melancholy? Does he seem to be lonely? Has he become suspicious of others, or fearful of something? While shifts in emotion are harder to address than physical needs, distracting the person with dementia could help them regulate negative emotions. Try reminiscing about happy times in earlier life, as long-term memories are more likely to remain readily accessible to those with dementia.
Intellectual:
Have you noticed that the person has had more trouble forming sentences, or loses her train of thought halfway through a conversation? Has she had recent issues with memory, or with performing activities of daily living? In many cases, the person with dementia may be aware of their loss of cognitive functioning, an experience that is frightening, frustrating, and embarrassing. Try not to point out areas of difficulty, and use clear instructions and visual cues to help them perform tasks.
Environment:
Environmental factors can play a large part in the comfort of a person with dementia. For example, if the lights are too bright or too dim, the person may be overwhelmed or unable to see clearly, causing distress. Is the area too noisy? Is there enough stimulation to give him something to focus on? Small changes in environment can ensure the person is comfortable with their surroundings.
Social:
Are there hints from the person’s background that may give insight into their responsive behaviors? Because long-term memories are often more accessible than short-term, people with dementia may draw upon scenarios and behaviors that they learned growing up, routines they learned at school or during their professional life, or cultural or religious practices.
Capabilities:
A natural reaction for caretakers of loved ones with dementia is to attempt to do everything for them, but loss of control and self-management can be distressing and even hurtful to the diagnosed person. As a result, responsive behaviors may be a reaction to underestimating (or overestimating) a person’s ability to perform certain activities of daily living. Enabling them to perform self-care tasks for themselves may help slow loss of function and manage responsive behaviors.
Actions of Others:
Is there anything that you or others are doing that could upset the person with dementia? While asking them to remember something or explaining why a behavior is inappropriate may seem harmless, and indeed necessary to a caregiver or friend, the person may interpret such statements as disappointment, anger, or frustration. Be understanding, offer an apology, and distract them with a new topic of conversation or something to do with their hands.
The most important thing to remember when working towards understanding dementia behaviors is that responsive behaviors are purposeful. While it may seem that the diagnosed person is lashing out or performing behaviors unconsciously, they are actually reacting to a circumstance in a way that seems natural to them. Part of providing memory care — whether formal or informal — is the ability to recognize and work through these responsive behaviors, creating better communication between the person with dementia and their caregivers.
Lamar Park’s lake has been my family’s happy place a long time. My dad caught turtles there in the 1930s and was the lifeguard in the 1940s. My parents began taking me there in the late 1950s. I remember seeing African American children for the first time at its beach, specifically a little girl my age with rich dark skin and lovely pink palms. My mom simply stated, “We are all the same on the inside.”
In the 1960s, I learned to swim in that lake on chilly 7 a.m. summer mornings and, during even chillier winters, raced and beat the boys ice skating. I found out about kissing there in 1970s. In the 1980s, I brought my own kids there to swim. The last time we went, my son Andy dove underwater and came up with a ten-dollar bill. So many good times!
Lamar Park neighbors were able to capture Goofus’ buddy, Sir Lancelot. (Photo by Daniela Georgescu)
These days, I love walking around the lake that’s now home to so many interesting wildlife creatures. Huge, rust-colored carp, silver trout, quick diving turtles, and the flocks of geese and ducks. This past summer, one duck in particular caught my eye — a huge, white, domestic Pekin duck who was quite at home with a flock of much smaller, wild, brown mallards. I named him Goofus, though later I found out “he” was probably a “she.” Other friends of this little lake we’re enamored with Goofus, as well. One called her “Goofy,” another “Donald.” Donna Batdorf called her “Guinevere.” No doubt others had their own name for this somewhat laughable, but fabulous femme fatale.
Why do I say fatale? Well, for one, Goofus and another Pekin duck did not come to Lamar Lake on their own accord. Some cruel human ditched the ducks, even though they couldn’t fly (wings clipped) and would no doubt die of cold as soon as the next winter blew in. Humans with a more compassionate nature were able to rescue Goofus’ partner. But Goofus was too smart for them.
Goofus and Sir Lancelot (Photo by Daniela Georgescu)
Batdorf posted about the duck’s plight on Facebook. She shares, “… a girl named Rachel stepped forward to help. Rachel has other ducks in a pond on her property and feeds them and makes sure that they’re healthy all winter long by providing shelter. She lives over Allendale way, but came over to Lamar Park and was able immediately to capture the first duck, a male. I hadn’t named him yet, but now I’m going to, and let’s say he was Sir Lancelot, since she was Guinevere. Rachel took Lancelot home and he immediately blended in with her flock. She came back several times alone and sometimes we’d meet and tried to capture Guinevere. We tried various food techniques, and we tried even putting a large pen on the shore to lead her into and then we were going to shut the door real fast. We tried luring her with the previous duck that she knew, but nothing worked.”
Many other folks tried on many other occasions. Each time, Goofus escaped. Lamar neighbor, Marcy Kale, had plans to winter Goofus at her house, if caught. As the attempts continued to fail, another Lamar neighbor, Renee Kooiman posted on Nextdoor, “She’s very wary now and her girl squad of mallards flank her!”
Ah yes, her Mallard family. Goofus taught me that birds of different feathers flock together. These ducks of color welcomed Goofus into their family with open wings. She swam with the flock, slept with the flock, and squawked with flock — although her goofy, loud duck honk was a good deal louder. We humans think we are the superior species. Ha!
I cried the day I learned that Goofus died. I’m not sure how this big, silly bird got a hold of my heart, but she sure did. Unaware that Lamar neighbors were trying to rescue her, I had put in my own message to Wildlife Rehab Center. But before any of us had a chance to spare Goofus from life alone after the mallards migrated and the sure death a cold winter would bring, a not-so-woke human ran her down and killed her in the road. Goofus and her friends were on their way to eat some seed at a neighbor’s feeder. Honestly, who would not see a bright white duck the size of a toddler child crossing the residential, park-side street (speed limit 25)?
That’s when I found out about Goofus’ human admirers on Nextdoor. Somehow, I felt comforted knowing that they shared my grief. In that brief online encounter, I had a flock. I hope one of these days, as I walk around the lake, I might run into one or two of them. Who knows, even if we aren’t of the same feather, we could have a very nice chat about a very impressive Pekin duck named Goofus, er … uh … Guinevere — no, Donald. Or was it Goofy?
With more than 11 million U.S. children living gin food insecure homes, hunger is no longer just a city concern.
“People don’t understand or realize that poverty does not have a zip code anymore,” said Cheryl Hondred, founder and CEO of Hand2Hand, a local organization that partners with area churches and schools to provide weekend food to area children. “Actually urbanization has caused people to move into the rural areas, suburbs, so every single school now has students who go home over the weekend, that 68-hour gap in the week, with limited food resources.”
Cheryl Hondred, founder and executive director of Hand2Hand
The need for food resources continues to grow, according to Hondred. Hand2Hand works with 111 area churches to help about 6,356 children in 192 schools. Through the program, there are about 5,200 volunteers.
“We are in the places you wouldn’t expect, Rockford, Caledonia, Jenison, Grandville, Hudsonville, Wyoming, Byron Center,” Hondred said, adding that more schools wish to have Hand2Hand in their school.
Hand2Hand’s model is to partner with a local school to provide the weekend food to the students. Hondred said. Hand2Hand works with the church to train members, set up food pantries and organizer foods.
So the biggest challenge for Hand2Hand has been to find churches to partner with to provide the nutritious food to students for the weekends.
Currently the organization is hosting an initiative in school districts of Kentwood, Godwin Heights, and Godfrey-Lee where Hand2Hand is offering seed money to churches to purchase pantry items, shelving, bins and additional food items if the church would be willing to help with a school in one of those districts.
For more about the Hand2Hand program, click on the link above featuring WKTV’s Donna Kidner-Smith talking to Hondred about the program or visit h2hkids.org.
Wyoming resident Beth Kiurski at her second marathon in Germany. It was during training for this marathon that Kiuski was diagnosed with Type 1 diabetes. (Supplied)
This weekend more than 50,000 runners from around the world will be converging on New York City for the largest marathon in the world, the New York City Marathon. On Friday, Wyoming resident Beth Kiurski will be heading out to join the crowd.
Kiurski is part of a group of 30 runners who make up the estimated 9,000 charity runners attending this year’s race. She will be running for the Beyond Type 1, a nonprofit organization dedicated to helping those live with Type 1 diabetes, a condition that Kiurski herself was diagnosed with about 16 months ago. Type 1 Diabetes, once known as juvenile diabetes, is a chronic condition in which the pancreas produces little or no insulin, which the body needs to allow sugar to enter cells to produce energy.
“I remember the exact spot on the freeway when I got the call,” she said about when she received the news on June 4, 2018. “The nurse called and she said my blood sugar is 800. I said ‘Is this bad?’ and she responded, ‘Oh honey, you are diabetic.’”
Looking back, Kiurski said she noticed signs such as running had become “so much harder,” the excessive amount of water she was drinking (more than 100 ounces outside of other beverages), and her fiancé noticed she was losing weight.
“I kept saying it was because I was running so hard,” she said.
None of it was due to the running, but to the Type 1 diabetes.
“That night [of the diagnosis] I learned how hard it was going to be right away as they gave us a prescription for insulin and when we stopped to get it filled. It was $700,” Kiurski said. “They don’t ease you into diabetes.”
As Kiurski learned how to manage her Type 1 diagnosis she found herself becoming restrictive on her diet, reducing it to certain items such as lettuce, spinach, cheese, and sunflower seeds.
“I just decided to eat certain items because that would mean I would not have to have insulin and I just was not comfortable with stopping everything so I could give myself a shot,” said Kiurski, who is a teacher at Holland’s Black River Public School.
Beth Kiurski on a recent hiking trip. (Supplied)
A scheduled backpacking trip had Kiurski researching how people with Type 1 diabetes handle these types of adventures. She discovered the Dexcom CGM System, which provides continuous glucose monitoring systems for diabetes management. The Dexcom CGM System consists of three parts: a small sensor that measure glucose levels just underneath the skin, a transmitter that fits onto the sensor and sends data wirelessly to a display device, and a small receiver or compatible smart device that displays real-time glucose information.
“No one wants to stop and check their sugar in front of everybody” said Kiurski, who has a Dexcom G6. “It tells me when I going low so I know to eat something. In fact, I have an Applewatch, so I can just look at my watch and no one knows that I am checking my sugar.”
Within months after being diagnosed, Kiurski was asking for a Dexcom and an insulin pump.
“It’s a little unusual in that most people get those in a year,” she said. “There are number of reasons why, such as insurance, but they also want you to know how to do it by hand in case the technology does not work.”
About a year and half later, Kiurski has discovered she does not have to stop running — or living — because she has Type 1 diabetes, something she hopes others will learn from her story.
“People with diabetes don’t have to be limited because of the disease,” Kiurski said. “As a teacher, you don’t want anyone to be based on their ability or their disability. You see everyday that there are different challenges and different struggles and people can do what they want to do.
“In the end, it’s what you bring to the table.”
Or in Kiurski’s case, to the road. As she prepares to take to the New York City streets for the 26.22-mile marathon on Nov. 3, Kiurski revealed that along with demonstrating that people can live with Type 1 diabetes and raising money for Beyond Type 1, she does have a personal marathon goal as well.
“For my first marathon, my goal was between 4 and 4:20 [hours] and I did it in 4:24,” she said. “My second one, which during training I was diagnosed, I did it in 4:40. I am hoping to do this one in 4 or 4:20,” and with a laugh, “but I heard the hills in New York can be tough.”
Whatever the weather, disc golf is in season; and donating to the Kentwood food bank is also always in season. (Wikimedia Commons)
By City of Kentwood
The City of Kentwood and Great Lakes Disc Golf have partnered to offer the third Fall Fling event, a doubles disc golf tournament and food drive, on Saturday, Nov. 9.
Community disc golfers of all levels are invited to participate in the event at Old Farm Park, which is located at 2350 Embro Dr. SE. On-site registration begins at 9 a.m. Players will meet at 9:45 a.m. to begin the first round of the “best shot” doubles tournament.
The cost to register is $40, along with one canned food donation per team. Proceeds raised will go towards maintaining the course and food donations will go to Kentwood’s Little Free Pantry, where area residents are encouraged to take or donate food and household supplies for community members in need.
“Not only is the Fall Fling a fun event for our area disc golfers to come together to soak up the mild fall weather before winter comes, it is also for a good cause,” said Val Romeo, Kentwood Parks and Recreation director. “Each fall disc golf tournament we’ve held has been successful in bringing a great turnout and, ultimately, restocking the pantry for our community with dozens of canned goods.”
The Kentwood Little Free Pantry initiative began as a community service project in honor of Martin Luther King Jr. in 2017. The small food pantry is open year-round and designed to fill an immediate and local need. The premise is similar to that of the Little Free Library movement: Take an item (or items) when needed and leave an item when you can. No applications necessary. No questions are asked.
Odds are you know the feeling: You wake up from a nap and your arm is asleep. Or your foot’s gone numb.
As you move it around, it starts to prickle and tingle. Gradually it wakes up, and a minute or two later you’re back to normal.
What’s this uncanny sensation all about? Is it normal or something to be concerned about?
The short answer is: It depends.
If it’s fleeting and infrequent
The medical term for this feeling of numbness or tingling is paresthesia, and its cause is the compression of a nerve, according to Paul Twydell, DO, a fellowship-trained neuromuscular medicine specialist with Spectrum Health Medical Group.
Paresthesia typically happens if you lie on a nerve while asleep or hold the same position for too long while sitting—like when you’re driving or reading.
If the feeling goes away quickly, this phenomenon is called transient paresthesia, and it’s typically nothing to worry about.
People will wake up with tingling in their hands and think they have a circulation problem, Dr. Twydell said, but that’s not the case.
“It’s just that a nerve is being compressed in the wrist or elbow. And the reason it happens at night is we often sleep with our wrist or elbow flexed or underneath us, or in a strange position.”
A nerve is a bundle of “wires” surrounded by a layer of insulation called myelin, Dr. Twydell explained. Myelin helps speed the movement of electricity along the nerve.
“When that myelin is compressed, that means the messages aren’t getting through very well,” he said. “A lot of times it’s when the compression is released that (the tingling) happens”—as communication is being restored along the nerve.
The nerves most prone to compression are found in the wrist, elbow, knee and upper arm.
If it’s persistent or abnormal
So when might numbness or tingling be a cause for concern? Dr.
Twydell recommends that people talk to their doctor if they experience
any of the following:
Persistent numbness or tingling in the hands. This is often a sign of carpal tunnel syndrome, which is treatable—the sooner the better to avoid severe damage and the need for surgery.
Tingling in the feet, especially at night. This might be an early sign of a degenerative nerve disease called peripheral neuropathy,
which is most often caused by diabetes or heredity. Neuropathy isn’t
reversible, but it can sometimes be slowed down, Dr. Twydell said.
Weakness of a limb in conjunction with numbness. This can be a sign of more severe damage to a nerve.
Numbness or tingling that ascends up the legs or into the abdomen.
This can be a sign of spinal cord inflammation or compression.
Numbness involving half of the body or face. This can be an indicator of stroke, which requires emergency care. Call 911.
If you have persistent symptoms of numbness or tingling, your doctor may order a test of the nerves called electromyography, or EMG. This nerve study can help pinpoint the source of a problem and help guide treatment.
Carpal tunnel syndrome is the most common problem investigated by Spectrum Health Medical Group Neurology in the EMG lab, Dr. Twydell said.
Tips for good nerve health
Your best bet is to avoid activities that cause prolonged nerve
compression, Dr. Twydell said. Change positions frequently. Get up and
walk around throughout your workday.
“If nerves are compressed over and over again, you can have more persistent symptoms that can eventually lead to weakness or disability,” he said.
Here are Dr. Twydell’s tips for preventing that numb or tingling feeling in your extremities:
Wear wrist splints at night to ease problems with carpal tunnel syndrome.
Avoid lying on your elbow while sleeping, and try wearing an elbow pad to bed to keep the elbow straight.
Don’t cross your legs, with one knee draped over the other. That can compress the fibular nerve, which can lead to foot drop, a cause of tripping.
Avoid the habit of sleeping with your arm stretched out or
underneath your partner. Over time this can damage the radial nerve,
leading to wrist drop.
Avoid leaning on your elbows for extended periods. Try adding gel pads to the armrests of chairs, wheelchairs or cars.
If you do a lot of computer work, use a gel wrist rest. Avoid
holding the wrists in either a flexed or an extended position, which can
damage the median nerve.
Eat a well-balanced, low-carb diet. This is especially important for people with diabetes, who are more prone to neuropathies.
Avoid alcohol in excess, which can cause neuropathy.
Avoid taking zinc and vitamin B6 in excess, which can cause nerve problems.
Dr. Twydell admits that some of these tips are easier said than done.
For example, it’s hard to change the way you sleep, he said. Yet,
people who sleep in a way that compresses the ulnar nerve in their elbow
“can cause some pretty significant weakness in the hand.”
And if you’re one of those people who rarely experiences numb or prickly limbs, consider yourself lucky. Some people are more prone to nerve compression than others, Dr. Twydell said.
Michele Suchovsky with a Paws with a Cause friend. (Photo by Colleen Pierson)
By Colleen Pierson WKTV Contributing Writer
Paws with a Cause CEO Michele Suchovsky loves her job.
“I love the puppies and seeing the impact of the work we do with them,” she said. “We find the right dog for the right client and help people be independent.”
Paws With A Cause® enhances the independence and quality of life for people with disabilities nationally through custom-trained Assistance Dogs.
Michele was recently awarded the Marge Wilson Community Service Award from the AMBUCS. The event took place at Marge’s Donut Den. Numerous political figures, previous winners of the award, and community supporters came out to celebrate with the 2019 award recipient.
“I was shocked—blown away, so deeply honored to receive this highly prestigious award,” Suchovaky said with a face breaking grin.
The award goes to individuals who work hard in improving the lives of individuals with disabilities.
Marge Wilson, owner of Marge’s Donut Den and the person for whom the Marge Wilson Community Service Award is named after, watches as Michele Suchovsky receives the award. (Photo by Colleen Pierson)
Suchovsky, who has been with Paws for a year, is an experienced nonprofit leader. She has served for 15 years as executive director of two nonprofit organizations — the first is the arts and disability organization Very Special Arts and the second is The Grand Rapids Student Advancement Foundation. Suchovsky has always helped to impact and improve the lives of people throughout West Michigan.
Her work is far from over. At Paws With a Cause, she is looking forward to placing more service dogs with appropriate clients.
“In the next five years we want to increase placement by 60 percent,” she said. “We are also working with K-12 schools.”
On the latest episode of WKTV Journal In Focus, a special interview with retiring Kentwood Police Chief Thomas Hillen, who after more than 10 years leading the department — and more than four decades in public safety — is moving on to what’s next in his life.
During his tenure in Kentwood, he has led a team of more than 90 personnel, including 70 sworn police officers. Among the many accomplishments of his tenure was placing a local officer on the FBI Joint Terrorist Task Force and appointing the first female captain in the department’s history.
We talk with The Chief about his career, his department’s accomplishments, and how law enforcement has changed since he first sat in a patrol car — and believe us and him, a lot has changed.
WKTV Journal In Focus airs on cable television in the Wyoming and Kentwood areas on Comcast WKTV Channel 26 and on AT&T Channel 99 Government channel (see our Weekly On-air Schedule for dates and times). All individual interviews included in episodes of WKTV Journal In Focus are also available on YouTube at WKTVvideos.
The Kent County Chiefs of Police, local police departments, and the Michigan State Police announced this week that Kent County residents can participate in a fingerprinting program that would help identify a lost person with special health care needs.
Both Wyoming and Kentwood police departments are participating agencies. The cost is $30 for the state’s processing fee, but participating agencies will waive local processing fees through the month of November. The general police department telephone numbers for Kentwood is 616-698-6580 and for Wyoming is 616-530-7309.
According to supplied material, in Michigan, a parent, legal guardian or power of attorney of an individual with special needs may voluntarily provide the person’s fingerprints and photograph for inclusion in a State of Michigan database. This includes a single or married individual whose normal capacity for education and self-support may be reduced due to a disease or medical condition.
Fingerprints and a photo of the individual are captured electronically and then securely stored along with additional demographic information, including a home address, and contact information for the person legally responsible for the individual.
Once enrolled, law enforcement has the ability to access the information to quickly identify someone who may have trouble identifying him/herself.
“This fingerprinting program gives us an unprecedented advantage to help individuals who are considered vulnerable or impaired get to a familiar and safe environment in a timely manner, while maintaining their dignity,” Kentwood Police Chief Thomas Hillen, president of Kent County Chiefs of Police, said in supplied material. “Not only will we have access to crucial identifying information, but it also provides families some peace of mind. Once enrolled in the program, should anything happen to their loved one, local law enforcement is already one step closer to finding that individual.”
Interested parties must get printed in their jurisdiction of residence and should contact their local law enforcement agency for details regarding its enrollment process. IN addition to Wyoming and Kentwood police departments, participating agencies include Kent County Sheriff’s Office, Grand Rapids police, Walker police, Grandville police, Rockford police, Lowell police and the Michigan State Police’s Rockford Post.
If desired, a parent or guardian may also make a written request to the department to have the fingerprints and photograph of an individual with special health care needs removed from the automated fingerprint identification system database and the statewide network of agency photos.
Each week WKTV features an adoptable pet—or few—from an area shelter. This week’s beauty is from Crash’s Landing. Crash’s Landing and Big Sid’s Sanctuary rescue organizations were founded by Jennifer Denyes, DVM (Dr. Jen), who is on staff at Clyde Park Veterinary Clinic (4245 Clyde Park Ave SW).
Drop-dead gorgeous Devereaux (ooh, so fancy!) came to us back in the summer of 2016 laden with intestinal parasites and looking for indoor housing. She quickly earned the title of ‘diva’, demanding constant attention and affection (the volunteers were happy to accommodate), and made her presence known to all who came to gaze upon her.
In January of the following year a love-connection was made, and Dev was adopted and taken into a home she could claim all for her own, which could not have been more perfect for this pretty princess. Jan and Dev lived quite harmoniously together for about a year and a half, but then our gorgeous girl developed some unbecoming litter box habits.
Over the next year, she was a frequent clinic visitor, Dr. Jen had many conversations about how to try to curb Miss Piddlepuss’s behavioral urination issues. Sadly everything we tried was ineffective in the long run, although multiple, hopeful respites were seen in between, Dev simply could not get her act together permanently.
So, three years after her initial arrival into our program, darling Devereaux (born in late 2013) once again graced us with her presence. Let’s just say that her return was anything but simple and serene; in fact, she had to spend several days at the clinic simply chilling in her cage in order for she and Dr. Jen to come to an agreement about handling her. With the help of a pheromone calming collar, Dev and Dr. Jen were soon seeing eye to eye, and then it was make-or-break time—to head on down to Crash’s and get acquainted and immersed into a multi-cat lifestyle once again.
As you can imagine she has had quite a bit to say about things, and we have made the following observations:
“Devereaux definitely thinks she is a princess. She hates the other cats with a passion but is doing okay since she has learned to avoid them. She likes attention, but only on her terms. As long as she has a cozy bed to snuggle down into she is very content. She needs to be an only cat—no dogs or kids. Don’t get me wrong, as she’s a very nice girl who deserves another chance, but with someone who understands she is a wee bit temperamental and is patient with her.
“There have been no reports of inappropriate litter box habits since she has been back (her bio was written about 2 months after her re-arrival).”
We completely understand that finding the perfect home for her is going to be a tall order to fill, as Jan was single, it was just the two of them and Dev still couldn’t behave. We’ve considered making her a permanent resident, but she hasn’t had a single accident outside of the box since she returned, so she deserves a second chance.
Why her manners have surfaced now is beyond us—maybe it is the fact we have boxes in every room, or perhaps she is being diligent in the hopes of being sprung from this ‘prison’ of sorts—but whatever the case is, we are happy that she is following the rules.
We are working on her entitled attitude, so we honestly do see a great deal of untapped potential waiting to emerge.
More about Devereaux:
Domestic Medium Hair
Tortoiseshell
Adult
Female
Large
House-trained
Vaccinations up to date
Spayed
Prefers a home without other cats, dogs, children
Want to adopt Devereaux? Learn about the adoption process here. Fill out a pre-adoption form here.
A blood test may seem like a simple thing, but it can do so much.
It can diagnose disease, reveal how well your organs work and whether a course of treatment is effective or not, experts say.
Some blood tests require patients to fast before the blood is drawn. It’s crucial that you avoid eating before such tests, which require blood that is clear of nutrients, such as fats and sugars.
Glucose and lipid testing are the most common types of fasting blood tests, said Carole Andrews of Penn State Health in Hershey, Pa., where she’s a supervisor in the department of pathology and laboratory medicine.
“The amount of fats and glucose (sugars) will increase in the blood if a person has recently eaten,” Andrews explained in a Penn State news release. “This will affect the results of these specific tests.”
You may also wonder why technicians take so many blood samples.
Vials used to collect samples may contain additives that keep blood from clotting before the lab can test it. Tubes are color-coded according to the type of test. For example, a purple-colored vial is used for a blood count and a green-colored vial may be used for a chemistry profile, Andrews said.
How much blood is collected depends on the number and type of tests ordered by your doctor.
And there’s no need for concern if multiple vials of blood are taken. Most people have between 4,500 to 5,700 milliliters of blood.
“Even if you had 10 tubes of blood taken, that’s less than 60 milliliters,” Andrews said. “It’s not going to make an impact because your body is designed to replace what is lost.”
You can make the process easier by drinking plenty of fluids beforehand, she suggested. This will make it easier for the technician to poke into a vein.
“Also, it is easier if the patient is relaxed and comes in with a good attitude,” Andrews said. “If they tense up too much, it can make the venipuncture difficult.”
For the sake of illustration, let’s pretend a man’s picture of good health falls someplace on a horizontal line.
On one end, you’ve got the late John Candy; on the other, you’ve got the very much alive Dwayne “The Rock” Johnson.
For the average guy, there’s probably going to be a comfortable middle somewhere along that vast spectrum.
You may, for instance, be content with a body type more akin to the one Leonardo DiCaprio had on display one recent summer when he was photographed vacationing someplace warm and expensive.
Always the picture of prepossessing boyishness, the Oscar winner looked, in this instance, more like a cuddly dad from Des Moines and less like a toned Titan of Tinseltown.
And if the Internet’s collective brilliance has the last word on the matter, that’s perfectly OK.
Sometime in recent years, folks began dubbing this look the “dad bod.”
Countless celebrities have been photographed unabashedly displaying their dad bods—an online search bears infinite entertaining results—and millions of fathers have been consigned to this body type ever since the developed world became less agrarian and more sedentary.
One college newspaper writer gained some notoriety for suggesting that the dad bod maintains, perhaps, a certain kind of appeal.
It’s a fleshy-but-not-obese physique that suggests, “Let’s skip the gym this weekend, because I’m down for DiGiorno and a Game of Thrones binge.”
Who could say no to that?
But here on the cusp of another summer, an important question lingers: Apart from the cringe-worthy moniker, is the dad bod an acceptable standard of health? Not aesthetically, but medically?
It all depends on you.
If you’ve got a body like Leo, Seth Rogan or Adam Sandler, a discerning doctor is likely to be less concerned with how you look today and more concerned with how you looked five years ago.
To assess a guy’s overall level of fitness, you have to account for
how his body has changed from past to present, Dr. Holman said.
“You can’t just assume from one single picture what their lifestyle is,” he said.
You need context.
Explained Holman: “So, if Leonardo had a six pack and all of a sudden he’s looking like that?”
Not so good.
“But somebody who looks like that—who had a BMI that was 50, and obviously over the last year they’ve made some pretty big changes?”
Pretty good.
Body Mass Index, or BMI, is a decent indicator of a person’s fitness.
“First thing is, we’d see where your BMI is,” Dr. Holman said. “We shoot for a BMI of between 20 and 25.”
Many online sites will calculate your BMI, which is your weight, in kilograms, divided by the square of height in meters. (A 6-foot-1 man who weighs 215 pounds, for instance, has a BMI of about 29—slightly over the recommended cutoff of 25.)
But BMI is not the Holy Grail.
“Depending on your BMI, another indicator could be your waist circumference,” Dr. Holman said.
A man of average height should have a waist circumference of less than 40 inches. Anything over that, Dr. Holman said, and it’s an indication of a possible risk for metabolic syndrome.
You could make the argument that a dad bod that’s heavy in the middle is simply cuddlier and more lovable, but that’d be the only argument you’ve got.
Excess fat around the waist indicates a higher risk for heart disease and type 2 diabetes, Dr. Holman said.
“Obviously that extra fat around the abdomen … if celebrities or media are promoting that, that’s a little concerning,” he said.
Genetics, circumstance
Substantial physical change may prove frustratingly elusive for some fellas, but that’s only because their genes are tight—so tight, they’re never letting go.
“To be honest with you, there are genetics behind weight,” Dr. Holman said.
“You don’t really have control over that,” he said. “Focus on what you have control over. What do you put in your mouth every day? What do you do every day?”
If you’re eating healthy and you’re exercising, there’s a fair chance, bad genes or good, your body will reap the benefits.
And, dad bod or not, be leery of any message that says beer and pizza are acceptable regular components of any diet.
“When people start saying that’s cool, maybe we’ve gone too much the other way,” Dr. Holman said.
Here he’s alluding to those opposing ends on that John Candy-Dwayne Johnson spectrum. There really is a happy middle. (You can have a piece of pizza and a beer once in a while; just don’t make them fixtures of your diet.)
“When everyone needed a six-pack, some people gave up trying for that,” he said. “Hopefully they would, in the media, kind of promote more healthy living instead of focusing on what the picture of the abs looks like.”
Write your history—and your child’s
There’s a good reason they call it the “dad bod.”
Once men and women procreate, those little people called children commandeer every aspect of their lives, leaving precious few moments for time-intensive exercise regimens.
“There is that weight gain that dads get,” Dr. Holman said. “It often goes along with moms gaining weight, too. You become more focused on caring for your kids than yourself sometimes.”
Dr. Holman’s advice to patients, and parents: Focus less on looks and more on healthy activities and healthy meals.
And promote the same things in your kids.
Because apart from genetics, how you look today has something to do with how you grew up.
“A lot of weight depends on what you were early on,” Dr. Holman said. “Your body kind of sets a standard weight by the time you’re a teenager.”
If a poor diet and sedentary lifestyle were hallmarks of your childhood, your journey to health in adulthood may be fraught with more pain and slower gains.
If, however, you were active as a kid—youth sports, a love of outdoors and the like—you may find it easier to bounce back as an adult, even in your later years.
“Some people feel like it’s always going to be hard work to get under that weight that your body has set as its baseline weight,” Dr. Holman said. “It’s not that you can’t overcome it. It’s just that it gets a little bit harder to overcome.”
Mind your body
So, really, do looks matter? To a degree, yes. More accurately, what matters is the measurement of your looks. Your BMI and waist circumference will play roles in what your doctor has to say about your health and fitness needs.
But your health history—your weight today versus a year ago, or two years ago—is just as important. You should celebrate steps toward better health, no matter how small, and also recognize when your health is slipping.
“If the BMI is above 30, usually I will order a blood test,” Dr. Holman said. “A common blood test checks cholesterol, diabetes and thyroid.”
That’s the introductory assessment.
“That shows how urgent it is for them to make some lifestyle changes,” he said.
If your BMI is 30 but your cholesterol level is great and you’re not diabetic, “it’s not nearly as urgent as someone whose BMI is 30 but they’re starting to get pre-diabetes,” he said.
A normal blood sugar level is typically lower than 100. Anything greater than 125 is considered diabetes. Pre-diabetes is the range in the middle.
“There’s that gray zone between 100 and 125,” Dr. Holman said, “when people can make a huge lifestyle change and prevent getting diabetes.”
And who knows—you might also prevent the complete onset of a dad bod.
How soon after securing their first job should a young person start investing? Immediately! Sound crazy? It’s not.
Setting aside money for long-term goals is an uncommonly wise act for a teenager. In fact, teenagers have something every older saver and investor wants yet can’t get, and that is time. Michigan State University Extension has numerous resources that can help young people learn key personal finance skills including how to manage and invest money.
Perhaps when it comes to building wealth, time truly is much more valuable to increasing the investment than the actual amount invested or the interest rate earned. The sooner a teen begins to set aside money in a savings or investment account, the longer those funds will earn interest and therefore the more money that will accumulate.
A smart teenager will set aside a portion every time they receive money, including wages from a job, money received as a gift, an increase in allowance, etc.; even just $10 here or $20 there will add up. A wise young person will then invest the amount saved. Those investments and those earnings will compound over time; what starts out as a dribble of deposits and earnings will build over time to a substantial stream of money. The longer the funds are left in the account, the faster the funds will grow.
How does that happen? It is all thanks to the magic of compound interest. Even Albert Einstein was impressed by it, “Compound interest is the eighth wonder of the world. He who understands it, earns it… [and] he who doesn’t… pays it.”
Compound interest can be explained by the following simplified scenario: Adrienne saves $20 a week in a savings account for a year. She then transfers $1,000 of those savings to an investment account that earns 6% interest per year. At the end of the first year, her account will earn 6% interest on the $1,000, so she will have $1,060.00. At the end of the second year, Adrienne will earn 6% on the $1,060.00; her account will be valued at $1,123.60. After five years, without any additional deposits, Adrienne’s initial investment of $1,000 will be worth $1,338.23. Adrienne earned $300 interest on her $1000 deposit; it was the compounding of the interest that earned her the additional $38.23.
If Adrienne is financially savvy and continues to save $20 each week over that same period, she will be able to deposit $1,000 into her account at the beginning of each subsequent year. At the end of five years, her $5,000 investment will be valued at $5,975.33. Adrienne earned $900 in interest on the $5,000 she deposited; the $75.33 was the result of compound interest. Adrienne has let compound interest work for her; she might well consider this free money.
The magic here is that Adrienne is earning interest on the money she actually deposited into the account plus the money that her account has earned for her. It may not seem like a lot of money initially, but with regular deposits and annual interest earnings, the fund will grow significantly.
Michigan State University Extension and Michigan 4-H Youth Development help to prepare young people for successful futures. As a result of career exploration and workforce preparation activities, thousands of Michigan youth are better equipped to make important decisions about their professional future, ready to contribute to the workforce and able to take fiscal responsibility in their personal lives. For more information or resources on career exploration, workforce preparation, financial education, or entrepreneurship, contact 4-HCareerPrep@msu.edu.
Pinewood Middle School eighth grader Shay Wilks said she reads four to six books a month. While visiting the school library recently, she commented on the book, “Blended” by Sharon M. Draper. The main character is a biracial girl. It’s one of her favorites.
“She has my same skin tone,” Shay said. “Sometimes she would get bullied for her skin tone, and sometimes I do too.”
Eighth grader Allie Watkins discovered the book ‘Warcross,’ by Marie Lu, during a challenge to read diverse books
Shay said the fact she related to the character was one reason she loved the book.
That kind of connection is what Kentwood educators are seeking in stocking teachers’ classroom libraries with diverse books that reflect students’ cultures and backgrounds, and through which students can learn about others’ cultures and circumstances.
“We are the most diverse district in the entire state and seventh in the nation. We are very proud of that,” said Melisa Mulder, secondary ELA intervention coach, who is leading the effort.
Mulder attended a Michigan Reading Association Conference on the importance of classroom libraries, which prompted her to survey middle and high school teachers about the number of books in their rooms and if they consisted of diverse titles. “My hunch was our libraries were not as diverse in terms of the amount of books they should have or in showing what our kids represent.”
Minority cultures remain underrepresented in books. In 2015, according to statistics compiled by the Cooperative Children’s Book Center, just 7.6% of children’s books had African or African American characters; 3.3% had Asian or Asian American; 2.4% had Latino; and 0.9% had Native American.
“It’s really about inclusion and wanting them all to be represented,” Mulder said.
Eighth grader Shay Wilks peruses the school library
Mission: Stock Libraries
The survey found most classroom libraries did not have the minimum 300 books recommended by the Michigan Reading Association, and the ones they did have lacked diversity. 75% of teachers had about 100 books, with the majority of teachers using their own money to buy them.
Mulder presented a plan to to Evan Hordyk, executive director for secondary education, who supported her efforts. The Board of Education approved the purchase of $1,500 in books for each secondary English language arts teacher, about 78 district-wide. The goal is to allocate $1,000 per teacher next school year, too, and $300 every other year to follow to keep titles current. Teachers, using a list of considerations about creating diverse book collection, ordered the books they wanted, and replaced outdated titles.
Pinewood’s library clerk, Kelly Austin, is championing the effort. Last year she and librarians at Crestwood and Valleywood middle schools started “Books for Us,” a program in which students are challenged to read a minimum of six books representing diverse authors and characters.
Last school year, more than 50 students read, journaled and held lunch meetings to talk about the 10 books, which were chosen by the librarians. The culminating event included hearing a guest speaker, a catered lunch and voting on their favorite book. Students received a T-shirt, commemorative bookmark and swag bag. The challenge starts again in November.
Another way to get books in students’ hands is through the KDL Bookmobile,which visits Pinewood every three weeks. Students can check out books right from the traveling library. The district has also ensured that all students have a library card.
The overarching goal, Mulder said, is equity. Students who feel connections with books are more motivated to read, and therefore will become more skilled at it.
Eighth grader Shay Wilks has learned how books can be a mirror and a window for a reader
Finding ‘That Book for that Kid’
Added Austin, “If I have books in here that are not by diverse authors and do not represent the kids, that’s not equitable because you can’t come in here and find a book about your experience. …“To me, it’s important to listen to them and to get their input about what books we have, what books they are enjoying.”
She said finding a reluctant reader a book she or he loves can help them develop a joy for reading.
“Building the love of reading is like the icing on the cake… If I don’t try to keep my library current and diverse I may never find that book for that kid.”
English-language learner teacher Diana McDiarmid said her students are benefiting from the new books on her shelves. She’s had trouble finding books for students who come from all over the globe. “It’s going to impact them a lot because they will actually have books they want to read… It’s something they can connect with.”
Eighth grader Allie Watkins read all 10 titles in the “Books for Us” challenge, and loved “Warcross” by Marie Lu, which represents the Chinese culture. “I thought it was so cool to learn how different people react to different situations,” Allie said.
She said her classmates will like finding books that reflect their culture and through which they can learn about others.
“It will benefit them because their are people here from all different cultures. It will be nice for them to read books from many cultures.”
For more stories on area schools, visit the School News Network, schoolnewsnetwork.org.
Deer hunters aren’t the only ones geared up for action, however.
Michigan hospital emergency staff sees hundreds of hunting-related injuries every year.
While some injuries are minor, Spectrum Health Butterworth Hospital averages about 14 hunting-related hospitalizations a year.
The 2018-19 season landed 20 patients in the hospital due to injuries sustained from falling out of tree stands. One of those had a spinal cord injury, 11 had vertebral fractures, and one suffered a pelvic fracture.
2009-18 hunting accident statistics
Total of 128 admissions due to fall from a tree stand
No deaths
11 spinal cord injuries
Multiple vertebral, pelvic, arm and leg fractures
These stats don’t include all the people who go to the emergency room for injuries that aren’t serious enough for overnight—or much longer—stays in the hospital or in rehabilitation units.
Alistair Chapman, MD, a Spectrum Health Medical Group critical care surgeon, helped lead a study into falls from tree stands and their impact on trauma centers. He knows first-hand how dangerous the season can be for hunters, especially for those who are overweight or fall from a height of 20 feet or more.
“Tree stand falls cause significant injury,” he said.
Emergency department doctors and trauma surgeons are particularly concerned about the increase in life-changing traumas such as spine fractures, brain injuries and paralysis from these falls.
“The infrequent use of safety harnesses is alarming,” Dr. Chapman said, sharing that less than 3% of the injured hunters in their study used a harness. In a couple of cases, the harnesses broke.
What gives? In 1997, the Michigan Department of Natural Resources changed hunting rules to allow firearm hunters to hunt from raised platforms. Since that time, the accident rate has climbed.
“The majority of deer hunters in Michigan are firearm hunters, so an increase in injuries was expected,” said Bruce Murray, MD, a Spectrum Health emergency medicine specialist.
An avid hunter himself, Dr. Murray added: “What’s unfortunate is that these are injuries that, in most cases, could be prevented.”
Records show that fall victims with arm and leg fractures account for the most injuries. Spine injuries comes in at a close second. Chest wall trauma is the third-leading cause of injury.
A broken limb may not sound like a big deal—unless you experience one. And Dr. Murray also quickly pointed out that the severity of these injuries is sometimes shocking.
“We see life-altering injuries every year,” he said.
So what can hunters do to avoid injury? Drs. Murray, Chapman and other safety experts have many suggestions.
Hunting safety tips you need to know:
Tree stand safety is as important as gun safety. Follow that same approach to the tree stand as you do your gun.
Never use drugs, alcohol or sedatives while hunting.
Check permanent tree stands each time before use. Replace any worn or weak lumber before it breaks.
Always wear a safety harness or belt while checking or using a stand.
Read, understand and follow the manufacturer’s instructions when installing a ready-made tree stand.
Inspect portable stands for loose nuts and bolts before every single use.
Know what you should do if you slip while using a safety device. Make a plan.
Use a haul line to raise or lower equipment.
Keep firearms unloaded and arrows in a covered quiver when going up or down.
Choose a tree large enough to support your weight.
Never hurry to set up your stand. Take your time to check it over.
Make sure someone knows the location of your tree stand and when you will be there, every time.
Stay awake and alert. Always be aware of your position on the tree stand platform.
Use a short tether between you and the tree when attaching your fall restraint device. This is to keep you in the stand if you slip or fall, not to catch you after you have fallen.
Always carry a cell phone or other device to call for help if you need it. Keep it easily accessible.
WKTV offers on-demand viewing of the Wyoming and Kentwood high school sports, community events, and government meetings. (WKTV)
By K.D. Norris ken@wktv.org
The state of State and Kent County mental health services funding, and some astounding statistics surrounding Kent County’s recycling efforts, were among the topics discussed as part of a wide-ranging inter-governmental leaders meeting Monday, Oct. 14, at the Wyoming-Kentwood Area Chamber of Commerce’s Government Matters Committee’s monthly forum at Kentwood City Hall.
State Sen. Peter MacGregor, who represents the City of Wyoming as part of his 28th Senate District and chairs the important Appropriations Subcommittee on Health and Human Services, gave the group a report from Lansing on the topic of mental health funding and the state budget battles.
Darwin Baas, the director of the Kent County Department of Public Works, also reported on the good, the bad and the ugly of recycling and trash disposal in the county — and what actions are being done to lessen the amount of trash going into limited landfill space.
The Government Matters meeting brings together representatives from the cities of Wyoming and Kentwood, Kent County commissioners, local Michigan state senators and representatives, as well as often representatives of Michigan’s U.S. senators and U.S. congressman who represent the Wyoming and Kentwood area.
The next meeting — a special on-location meeting honoring Veterans Day at the AMVETS Post 23, 98 52nd Ave. — will be Nov. 11, from 8 a.m. to 9:15 a.m.
The intergovernmental discussion hosted by the chamber focuses on issues that effect residents and businesses in the two cities.
For more information about the chamber and Government Matters visit southkent.org .
The meetings are on the second Monday of each month, starting at 8 a.m. WKTV Journal will produce a highlight story after the meeting. But WKTV also offers replays of the latest meeting on Wednesdays at 7 p.m., as well as on select Saturdays, on Comcast Cable Government Channel 26. For a highlight schedule of WKTV cable programs visit wktvjournal.org .
Anyone searching for senior care options has probably come across the term “continuum of care” — but what does it really mean, and why is it important? A community with a continuum of care is one that offers senior care services from independent living up the scale to assisted living, memory care, and in some cases, skilled nursing and hospice. These communities provide significant benefits to their residents in terms of quality of life and care. Here are a few:
1. Peace of Mind
The unknown can be frightening, especially when health and wellness situations can change by the minute for seniors. The primary benefit of communities that offer a continuum of care is the breadth and depth of senior care services offered. From independent living, where seniors may only need help with arduous tasks, to memory care, many assisted living communities are recognizing the need for a place where retirees can establish themselves while they pursue the retirement they want.
This peace of mind not only benefits residents of assisted living communities, but also their friends and loved ones. When retirees choose to age in their family homes, it can be frightening to know that there are periods of time during which they may not be able to get the help they need, and 24-hour in-home care options can be cost-prohibitive for many families. With assisted living, staff members are available to respond to your loved one’s needs whenever they may arise.
2. Stronger Communities
Social isolation is a problem for our elderly population. As people retire, they lose their everyday contact with others in the workplace, and aging can lead to limited mobility that makes it harder to attend other social functions such as church or hobby groups.
Assisted living communities that provide a continuum of senior care services can facilitate stronger relationships between residents and with staff because seniors don’t have to move around to receive appropriate care. With plenty of common areas, shared dining options, and stimulating activities to get residents out and about, it’s much easier to stay connected and avoid the dangers of isolation.
3. Increased Flexibility
Senior care services aren’t one-size-fits-all. Two people utilizing assisted living services likely won’t need the same level of assistance for every task, and only providing one level of care is unnecessarily restricting for seniors who may be able to complete many activities of daily living (ADLs) on their own. If a resident enjoys cooking and only wants one meal provided a day, one blanket care plan that includes all meals isn’t the right choice for them.
With a continuum of care, assisted living staff are much better equipped to offer tailored solutions to their residents’ problems. Residents can then get the input of their families, loved ones, and care professionals to determine what best suits their changing needs, and care can continuously be reevaluated as conditions change.
4. Early Detection of Problems
Prevention may be the best medicine, but it can’t catch everything. People in our society are living longer than ever before, and with aging comes unexpected health issues that even the best planning may not be able to account for.
In the cases where preventative care can’t eliminate an issue, early detection is the key to effective treatment. But identifying a health problem early is easier said than done, as small signs can go unseen to the untrained eye. In an assisted living setting, trained on-site staff members can spot early indicators much faster than an in-home caregiver. For example, if a resident usually keeps a clean house but care staff find a mess, that could be an indication of a developing health issue that can then be addressed.
5. More Stability
Does anyone really like moving? Sure, the prospect of a new place can be exciting, but with all the packing, downsizing, and logistics that go into actually making a move, the entire process is long and exhausting. So why do it more than you have to? Assisted living communities that offer a continuum of care make it much easier for residents to receive the care they need without having to move several times over the course of their retirement: think family home, downsized home, assisted living, then skilled nursing.
That’s not to say some decluttering isn’t good. We accumulate a lot of stuff over the course of our lives, and making one big move is a great way to prioritize what you really need. Making the move to an assisted living community that offers a continuum of care allows your loved one to sort through the memories in their home, then carry the most important ones to a new start.
Having a single community that provides safety, structure, and a sense of belonging can go a long way to happier retirement living. And for those who prefer a retirement on the move? Assisted living staff can help with maintaining the home base so your loved ones can travel worry-free.
On the latest episode of WKTV Journal In Focus, we continue our efforts to inform and support veterans — and their families and friends — through a discussion with Paul J. Ryan, Captain, US Navy Reserve (Retired) and a member of the West Michigan Veterans Coalition.
The Coalition is a group which describes itself as “a collaboration among local military-friendly organizations that provide support, information and resources to veterans and their families.”
Most recently, the Coalition was part of the West Michigan Freedom Cruise and Gold Star Family Honor Ride, held annually at the Fifth Third Ball Park in Comstock Park. But that is only one of the most visible activities of the Coalition.
We talk with Mr. Ryan about the direct services his group provides and how it works with other veterans support groups, how essential it is to bring employers into the discussion when we talk about supporting veterans, and about the Coalition’s mission including service to “anyone who served in the Armed Forces” and why that means more than honorably discharged vets.
WKTV Journal In Focus airs on cable television in the Wyoming and Kentwood areas on Comcast WKTV Channel 26 and on AT&T Channel 99 Government channel (see our Weekly On-air Schedule for dates and times). All individual interviews included in episodes of WKTV Journal In Focus are also available on YouTube at WKTVvideos.
“What is the essence of life? To serve others and to do good.”*
Aristotle
*Aristotle probably would have said it this way: “Ποια είναι η ουσία της ζωής; Να υπηρετείς άλλους και να κάνεις καλό.” But in Ancient Greek and with waaaaay more accent marks.
Sounds like a dare
Ask Me Anything! is Nov. 2 at Kentwood Library. Learn about your community and your neighbors in a fun, relaxed environment. Visit the branch to “check out” different members of our community for a chance to learn from them and ask them anything. More info here.
In the ‘mark your calendar’ category…
Courtesy Grand Valley State University
Zapatos Rojos | Red Shoes is an itinerant installation originally organized in 2009 by artist and architect Elina Chauvet in Ciudad Juárez, Mexico. Comprising 33 pairs of red shoes donated by the women of Ciudad Juárez — each pair representing a woman who had disappeared in that community — the piece is designed to draw attention to the fact that women were being killed without any consequences. Nov. 1, 2019-Feb. 28, 2020. Get the details here.
Do some good — here’s how
The SpartanNash Foundation invites store guests to join the fight against hunger during its companywide fundraising effort, Oct. 23 to Nov. 3. The SpartanNash Foundation’s retail scan campaign supports more than 100 local food pantries and food banks, and 100 percent of dollars raised will support food pantry partners in eight states. Learn more here.
Fun fact:
Volunteering keeps you young
Volunteering not only engages your mind and body, but it can actually help you age well and reduce the risk of age-related diseases such as dementia and Alzheimer’s disease.
Plenty of research has been done on the importance of socialization to improve the mental and emotional health of seniors. But what can you do when your loved one is in an assisted living community to ensure that they are meeting socialization goals? Here are six ways you can help your family member stay social and engaged while they are in a senior living community.
1. Look for signs of isolation
It can be hard for seniors to admit that they are feeling lonely and want to make new connections. It can also be the case that older adults who are new to senior living communities may want to avoid interacting with others and choose instead to isolate themselves. You can help your loved one avoid this social slump by looking for signs of isolation, including:
Loss of interest in activities that used to excite them
Changes in appetite
Weight loss or gain
Lethargy
Decline in cognitive functions
Self-loathing or a drop in self-worth
If you see some of these signs, it might be a signal that you should start encouraging your loved one to talk with neighbors and interact with staff members more regularly.
2. Recommend exercise
You can help your loved one socialize by encouraging them to exercise and partake in group activities. Not only do these give your family member a chance to interact with others, but exercise can improve self-worth and self-image in seniors. Improving self-image can be a step towards seniors wanting to motivate themselves to socialize more with others.
There are many different exercise and activity groups for seniors, including groups for older adults who have limited mobility. More mobile seniors may enjoy outdoor activities, which are great for meeting others. Sports like golfing and bowling are group activities, and can help seniors make new connections. Even a walk in the park can help seniors get out of their senior living home and in a place where they can socialize with others.
3. Find groups and clubs to join
Another way for seniors to interact with others is to find clubs to join. Clubs and groups are able to provide weekly or monthly times where your loved one has scheduled social interactions. Being part of a club or group can help seniors feel motivated to go out and engage with others.
Clubs can also help seniors meet new people out of their regular network of friends and family. Examples of clubs many seniors enjoy include:
A major barrier for seniors is getting to the places where they have a chance to interact with others. Offering transportation and rides to events for your elderly loved one is a great way to help them socialize.
Having a source of transportation can also help seniors feel more independent. When they have options for socialization beyond what is offered at their senior living home, they can feel more comfortable exploring places and groups that otherwise would be unavailable to them.
5. Encourage new hobbies
Finding new things to do can help seniors want to get out and socialize with more people. A new hobby requires learning and cognitive thinking, which alone is a great exercise for seniors. In addition, seniors may need to gather new information from others with the same hobby, which provides another way for seniors to meet others and socialize.
Most hobbies aren’t limited to specific age groups, which can expand an older adult’s social circle beyond the friends and family they already are familiar with. Having new sources of excitement can also stop a loved one’s descent into social isolation.
6. Explain social apps and technology
Technology provides a great platform for seniors to be able to make new friends, connect, and interact with others. It may be difficult for older adults to understand how to utilize technology and social apps, so you can help out by being patient and clearly explaining technology such as:
Apps like Facebook and Skype can help seniors stay in contact with distant friends—along with seeing what the grandkids are up to in daily life.
Lyft and Uber can help your senior loved one travel around town if you live far away to help provide rides.
Online games like Words with Friends can help seniors meet new people without having to leave home.
While technology is a great way for seniors to connect and stay in touch with people, help them understand internet safety as well. By helping your loved one stay active on social media, you can help them avoid isolation even if you are unable to visit often.
Seniors need socialization for more than just making friends. Socializing can help seniors avoid isolation and depression. Interacting with others can also help seniors maintain their cognitive functions. You can help your loved one stay healthy for longer by encouraging and helping them with their socialization skills.
New guidelines for ADHD treatment emphasize the need for ongoing medical care and coordination within the school and community. (Courtesy Spectrum Health Beat)
Attention-deficit hyperactivity disorder is in the news a lot and now newer research has prompted a leading pediatricians’ group to update its guidelines for diagnosing and treating the disorder for the first time since 2011.
Dr. Mark Wolraich, lead author of the guidelines, noted that there weren’t any dramatic differences between these and previous guidelines.
But, he said, these latest updates keep the American Academy of Pediatrics guidelines in sync with the same diagnostic and treatment criteria used by child and adolescent psychiatrists.
ADHD “is not a ‘new’ diagnosis. It’s a real diagnosis that needs treatment,” Wolraich said.
“There are two forms of treatment effective for ADHD: medications, especially stimulant medications, and behavioral treatments. Neither treatment is curative,” he said, but they can help manage the symptoms.
Wolraich is an emeritus professor at the University of Oklahoma, in Oklahoma City.
More than 9% of U.S. children between the ages of 2 and 17 have been diagnosed with ADHD, according to the guideline authors.
Boys are more than twice as likely as girls to be diagnosed with the disorder. Kids with ADHD often have symptoms of another mental disorder—such as depression or anxiety—and they may also have learning and language problems.
Updates to the guidelines include:
Changing the age at which symptoms need to have first started. Previously, symptoms needed to begin before age 7. That’s now been raised to age 12.
In patients older than 17, fewer problem behaviors are needed to make an ADHD diagnosis. Wolraich said as children get older, symptoms can change and behaviors such as hyperactivity usually diminish.
Emphasizing the need to rule out other causes of ADHD-like symptoms and to identify other conditions that may occur with ADHD, such as depression, anxiety, substance use, autism or trauma.
Highlighting the need for ongoing medical care and coordination within the school and community.
Recommending parent training in behavior management as a first-line treatment for preschoolers. Wolraich said behavior modification is an effective treatment that generally has two phases of treatment. The positive phase rewards a child for appropriate behavior—and the reward may just be praising, such as, “Johnny, I like the way you’re sitting in your chair.” The second phase includes consequences, such as “time-out.” But, he said, if you don’t have the positive side of treatment, time-out isn’t as helpful.
While the guidelines didn’t specifically recommend behavior management training for teachers and parents in high school students with ADHD, they noted that studies have found some value in this treatment for older kids.
Dr. Victor Fornari, vice chair of child and adolescent psychiatry at Zucker Hillside Hospital in Glen Oaks, N.Y., said it’s important for pediatricians to be familiar with the up-to-date guidelines, because “as many as 10% of all kids meet the criteria for ADHD and many children with mild to moderate symptoms can be evaluated and treated by their pediatrician.”
Fornari said if treatment doesn’t go smoothly or there are ongoing behavior problems or other mental health concerns, pediatricians can often collaborate with a child and adolescent psychiatrist to get additional guidance.
Both Wolraich and Fornari said pediatricians play a vital role in ADHD diagnosis and treatment because they already have an established relationship with the child and family.
“People may not fully appreciate that ADHD that’s untreated can lead to adverse outcomes. Failing to treat can lead to academic and conduct disturbances, and earlier substance use disorders. Children who are identified earlier and treated are more successful,” Fornari said.
The new guidelines were published online recently in the journal Pediatrics.
Every now and then, a news article comes along and tells us about how some strangers have committed fraud or scammed the elderly. Although scams and fraud are common, it is not nearly as common as the exploitation taking place by people who our elderly citizens come to trust. According to the National Adult Protective Services Association (NAPSA) 90 percent of elder financial exploitation is committed by trusted people such as caretakers, family members, neighbors, friends, attorneys, bank employees, doctors, nurses and pastors.
NAPSA statistics also stated one in nine elders have been exploited within the past 12 months while one in 20 said they have perceived mistreatment recently. Sadly, only one out of every 44 cases is ever reported, and of those reported physical abuse and neglect is usually included. Financial abuse has increased dramatically over the past ten years in both number and complexity and has become widespread and deadly. Exploitation has a dramatic effect on the elderly and can lead to a loss of trust, loss of security, depression, the inability to provide long-term care and even the loss of an elder’s primary residence.
Why are the elderly attractive targets? The elderly become easy targets because isolation, loneliness and disabilities lend themselves to the trusting of people who are willing to give them time and attention. Along with this, advanced technology has made managing finances more and more difficult and the elderly are less likely to take action against perpetrators.
Some of the most common exploits by family members are:
Abuse of Power of Attorney – Stealing monies for own use.
Abuse of joint bank accounts – Family members take advantage by using for themselves.
Stealing checks and ATM cards – Withdrawing money from victim’s accounts.
Threatening abandonment or physical abuse – Doing so gives the perpetrator what they desire.
Refusing care or medical services – By refusing care the abuser can keep assets available for their own use.
Some ways to intervene and prevent exploitation are:
Reduce isolation – Frequent visitations can help keep an elderly family member from seeking suspect relationships with untrustworthy individuals.
Close joint bank accounts – Instead, help with writing out checks for bills but keep accounts in the individuals name to prevent others from taking advantage.
Revoke Power of Attorney – If an individual is suspected of abusing the Power of Attorney, have them removed and assign the Power of Attorney to a trusted member of the family.
Restart utilities if they are shut off – Assist in negotiating and paying to have utilities restored.
Find a responsible party to manage funds – If family members cannot be trusted, then find a trusted agency to aid in managing funds.
Report suspected exploitation to proper authorities – Report to multiple agencies including law enforcement. Work with financial institutions to better recognize financial abuse.
Remember to include elderly family members in your family activities; after all, they were never too busy for you when you needed them. For additional information visit: http://www.stopfraud.gov/protect-yourself.html
Michigan State University Extension offers financial management and homeownership education classes. For more information about classes in your area, visit MI Money Health. Also, if you are wondering about your financial health, take a financial health survey from MI Money Health to get your financial health score! It is confidential and your answers never connect back to your name. This survey can help you evaluate your current financial situation, provide ideas on how you may improve your financial health and connect you to resources in your local community.
Good medicine is about getting back to the basics and leading a healthy lifestyle. And there’s no better way to do this than to start your day with a healthy meal.
I know this can be difficult some days, especially if you are in a hurry. If you are like me, you are lucky to get out the door on time to get to work, school, exercise class, or an early-morning meeting.
I want to help you be prepared for whatever may come your way throughout the day.
Even if you make an unhealthy choice (or two) later in the day by eating or drinking something high in sugar and low in nutrition, at least you know you started your day the healthy way. Adding veggies, protein, hydration and nutrition to your breakfast can help you lean more toward a healthy lifestyle.
Smoothies are a good choice for breakfast because you can add so many different (and healthy) ingredients to help you stay full all morning.
It’s important to remember that not all smoothies are the same. Some are full of sugar and lacking in nutrition. My favorite green smoothie is full of nutrients because, remember, our bodies need vitamins (vitamin D, calcium, B vitamins), minerals (iron), protein, fat and carbohydrates every day.
The ingredients in my green smoothie help in several areas of wellness, including heart health, protection from cancer and maintaining strong bones. I have listed the ingredients separately, including an explanation of what each ingredient brings to the smoothie.
I make this smoothie for breakfast most days, not only because it tastes great but also because it can prevent colon cancer.
Colorectal cancer is the third most common cause of cancer death in the United States, and the second most common cancer in women.
This is just one more excellent reason to give this smoothie a try for breakfast tomorrow and every day thereafter.
Colorectal cancer is preventable in most cases by early detection, though you can also improve colorectal health by maintaining a healthy weight and eating a proper diet—rich in fiber and antioxidants (like the ingredients in my green smoothie), low in saturated fats and red meat, and high in vitamins.
“Remember that sometimes not getting what you want is a wonderful stroke of luck.“
Dalai Lama XIV
Say yes to saying no
Just say no
Do your part to keep prescription drugs out of our waterways and out of the hands of kids and teens — Oct. 26th is National Drug Take Back Day, and the cities of Kentwood and Wyoming are taking part. Last fall, Americans turned in nearly 469 tons (more than 937,000 pounds) of prescription drugs at nearly 6,300 sites operated by the U.S. Drug Enforcement Administration and almost 5,000 state and local law enforcement partners. The details are right here.
Lucky flag is going home
The Grand Rapids Public Museum (GRPM) and OBON Society are in the process of returning a rare Japanese “Good Luck Flag” to its rightful family. OBON Society provides reconciliation between American and Japanese families through the return of personal items acquired during World War II. A Grand Rapids resident donated the flag, along with a WWII newsreel and a map of Iwo Jima, to the GRPM in 2015. The items were possessions of the donor’s deceased father, a former American soldier, who collected the flag during the war. Read all about it here.
Say ‘hello’ to ‘Farewell Yellow Brick Road’
Elton John is coming to the Van Andel Arena on April 23, 2020, and tickets go on sale to the general public beginning Friday, Nov. 1 at 10am local time. But highfalutin American Express® Card Members can purchase tickets before the general public beginning Thursday, Oct. 24 at 10am local time through Monday, Oct. 28 at 10pm local time. Tickets and VIP packages can be purchased at EltonJohn.com. Don’t delay! More details here.
Fun fact:
>1,000
Elton John has over 1,000 pairs of shades. Rumor has it that he has to book a separate hotel room to accommodate all of them.
