It’s a difficult and stressful time when an aging loved one begins to show signs of dementia. Memory loss can be frightening and sad, but people with dementia can still live out their golden years happy and full of life, provided they receive the care that’s right for them. Moving to a memory care facility can give them the attention and stimulation they need, but how do you choose the best one? Start by asking these questions:
What are your loved one’s unique needs?
While a diagnosis may give general guidelines as to how your loved one’s dementia may progress and what sort of care they need, every individual has a different experience with memory loss. Any memory care facility that you consider should be able to understand and respond to unique needs. From physical ability to behavior considerations, the care facility’s staff should be able to demonstrate knowledge of and experience with caring for different needs associated with aging and dementia.
What level of care does the facility offer?
Depending on your loved one’s needs, you should look for a facility that offers a variety of care options. All memory care facilities should offer 24-hour supervision, medical monitoring, and help with daily activities. There are also a few specific considerations that you should be sure to ask about during the decision process, such as:
Which meals are provided, and what is the quality of those meals? Aging adults, especially those with dementia, may begin to lose their appetites. Varied meals with different colors present on the plate may keep them interested.
What type of training has the staff received?
What are their emergency response procedures?
How often are housekeeping and laundry services provided?
What is the staff to resident ratio during the day, night, and on weekends? Having too many different people caring for residents with dementia may be distressing for them, so knowing how many people are on call and how many will be providing personal care is important.
Both you and your loved one should be confident in the level of care and comfort provided by the facility before considering it further.
What sort of activities are offered?
Reports and studies published by Alzheimer’s Disease International and the Cochrane Dementia and Cognitive Improvement Group link cognitive and physical stimulation to unchanging and even improving cognitive ability in people with dementia, and therefore it’s important that a memory care facility offers a variety of activities that are fun and easy for residents of all ages and cognitive levels. Ask about how often activities are held, residents’ level of freedom, and if people are grouped by cognitive level, which may be more comforting to your loved one.
What are the facilities like?
You may think a familiar setting, such as a comfortable family home, may be better for your loved one if they are showing signs or are diagnosed with dementia, but the level of care that must be provided is hard for families or even hired caregivers in a space that is not designed with ease of care in mind. The memory care facility that you choose should be as homey as possible to help your loved one transition to living there. What type of housing do they offer? Do they have private or semi-private rooms and apartments? Are memory care buildings laid out in such a way that residents won’t get lost, confused, or anxious? The experience of living in a memory care facility should be as enjoyable as possible, so pay attention to the details.
The new care needs of your loved one when they begin to show signs of dementia can seem overwhelming, but they don’t have to be. In the right care facility, you can be sure that they are receiving the best care possible, and that they can live full lives with the assistance they need.
Thanksgiving is coming up Nov. 28th, and whether you are looking for a turkey dinner, a special holiday weekend getaway, or some unique events to celebrate the day, West Michigan has you covered. You’ll find special shopping events, festivals, Thanksgiving Day races, buffets, ready-made dinner options, Small Business Saturday deals, light shows, and more throughout the month to help make your holiday one to remember.
Thanksgiving brunch, dinner, and buffets
If there’s one holiday you would associate withCrane’s Pie Pantry Restaurant and Winery in Fennville, it’s Thanksgiving. Their famous homemade fruit pies are a perfect addition to any gathering around your family table. Crane’s will take orders for baked pies for your Thanksgiving feast up until Tuesday, Nov. 26th for a Wednesday pick-up. This year, in addition to the traditional pumpkin and apple pies, they are offering an extremely limited new Pumpkin Praline Pie, featuring layers of house-made cream cheese and pumpkin filling in their famous pie crust topped with a praline crumble. If you’re thinking of adding it to your Thanksgiving order, call Crane’s at 269.561.2297 to place your order before they run out.
Let Muskegon’s SE4SONS Gastropub create your Thanksgiving dinner. Chef Jeremy and his staff will prepare a wonderful meal, complete with all the fixings, cooking and reheating instructions, and a food thermometer. Choose your menu and place your order by Nov. 22nd and pick up your Thanksgiving meal Wednesday, Nov. 27th between 2-4pm.
Let RedWater Restaurant Group handle the cooking this Thanksgiving. Enjoy salads, roasted turkey, carved ham, prime rib or sirloin, other entrees, side dishes, desserts, and more at one of six available Thanksgiving buffets throughout Grand Rapids and Holland. Reservations are limited with seating every half hour. Visit www.redwaterrestaurantgroup.com/ for more information, or call the restaurant of your choice to reserve your spot. RedWater Restaurant locations include Cork Wine & Grille in Cascade, FireRock Grille in Caledonia, Reds at Thousand Oaks in Grand Rapids, Rush Creek Bistro in Grandville, RedRock Grille in Holland, and Boatwerks Waterfront Restaurant in Holland.
Thanksgiving weekend events
The Zeeland Turkey Trot 8K will begin at 8am Thanksgiving morning. The race begins in the middle of downtown Zeeland and will take runners through the downtown streets. This year’s event will be capped at 1,500 runners, so be sure to sign up in advance.
Muskegon’s 10th Annual Thanksgiving Day Turkey Trot takes place on the Lakeshore Bike Trail and the Muskegon Community College Fitness Center beginning at 9am. This family friendly 5K is the perfect way to jump-start Thanksgiving morning. Get festive, wear a turkey hat, and earn that extra helping at Thanksgiving dinner.
Join the Grand Rapids Public Museum for the Planetarium Double Feature showing of The Queen Light Show and Dark Side: The Light Show in the Roger B. Chaffee Planetarium on Friday, Nov. 29th at 7pm. Music enthusiasts will rock out to the music of Queen and Pink Floyd paired with stunning visuals on the planetarium dome. A cash bar will be available before the first show and during a short intermission. Tickets to the Planetarium Double Features will include both light shows, and are $8 for non-members, $4 for members.
Courtesy City of Zeeland
Light up the season during the official lighting of the South Haven community holiday tree at Holiday in the Park, Nov. 29th in Dyckman Park. Ice skating, karaoke, Santa Paws Pet Parade, luminaries, holiday treats, and more will jump-start the holiday spirit and make memories you can reminisce on for years to come.
This Small Business Saturday, the Downtown Holland merchants want to thank the entire community for supporting small business all year round! On Saturday, Nov. 30th, head to Downtown Holland to enjoy a day full of shopping small, fun giveaways, amazing contests, and free Small Business Saturday swag from American Express!
November events to kick off the holiday season
Shop till you drop along Grand Haven Main Street. Stay up late, shop the night away, and save big on all of your holiday gifts Friday,Nov. 8th, 7-10pm. Get your holiday shopping off to an early start and take advantage of the progressive discounts offered by participating merchants. Up to 20% off from 7-8pm, up to 25% off from 8-9pm, and up to 30% off from 9-10pm. Check with participating stores for details.
Get an early start to your holiday shopping… by staying up late. On Friday,Nov. 8th, participating Downtown Holland businesses will stay open late with amazing saving deals from 7-10pm. Make a night of it with dinner and drinks at one of Downtown Holland’s local restaurants or breweries and then get ready to shop and save big with discounts up to 30% for one night only.
Just because summer’s over doesn’t mean that you can’t fill your table with fresh, local and healthy food. The Holland Farmers Market is open every Wednesday and Saturday from 8am-3pm through Saturday, Dec. 21. Stop by to pick up everything you need to make your family’s favorite Thanksgiving dishes or to decorate your home for the holidays. You’ll find apples, squash, onions, potatoes, carrots, brussels sprouts, cheeses, meats, baked goods, and more at the Market, along with pumpkins, hay bales, corn shocks, wreaths, and greenery.
Nov. 9that 11am is Family Day at Krasl Art Center in St. Joseph. Family Days give adults and children time to learn and create side-by-side in these mini art activities at Krasl Art Center. Practice the art of decorating sugar cookies, while also getting to enjoy your delicious and ephemeral work of art.
The holiday season officially begins in Downtown Holland during the annual Holiday Open House on Saturday,Nov. 16 from 5-8pm. Stroll the decorated streets, enjoy the sounds of carolers singing, pose for a photograph with Santa and his favorite elf, visit the reindeer at the petting corral, and even sample a roasted chestnut. Participating businesses will have holiday merchandise on display and will be offering complimentary holiday refreshments while you shop. And don’t miss the official lighting of the Downtown Holland Christmas tree and the Christmas carol sing-along at the end of the night.
Yuletide classics trumpet the crisp air, welcoming families to holiday activities held during Dowagiac’s Christmas Open House in Southwest MichiganSaturday,Nov. 16th, from 10am to 2pm. Jolly Ole St. Nick greets children within the elegant indoor setting of Wood Fire Italian Trattoria. Enjoy the warm surroundings of the Pompeii Room, where children receive a gift from St. Nick.
Kick off the holiday season right by heading to Lansing on Friday Nov. 22 (the week before Thanksgiving) for Silver Bells in the City. The city will glow with thousands of lights, bringing together family and friends from across Michigan and beyond. The Electric Light Parade, Silver Bells Village, lighting of the State Christmas Tree, fireworks over the Capitol dome, and musical entertainment are all part of this Lansing tradition.
Courtesy St. Joseph Today
The Muskegon Museum of Art Festival of Trees returns Nov. 20th through Dec. 1st for its 15th year as a community holiday tradition. Professionally-designed themed trees and décor will be available for purchase through silent auction over the 11 days of the Festival. Raffles, music, holiday shopping, and special events will add to the fun. Special events include the popular Teddy Bear Breakfast, visits with Santa, Deck Your Halls decorating demo workshop, a holiday concert with Max & Ruth Bloomquist and Julia and the Greensides, Family Day, and Senior Day. Festival admission is $10 for adults, $5 for Museum members, $3 for children 3-17 years old, and free for children under 3. An All-Festival Pass is available for $15. The Muskegon Museum of Art Festival of Trees is open daily 10am-5pm, Sundays noon-5pm. MMA will be closed Thanksgiving day.
Experience an authentic European open-air Christmas market filled with handcrafted holiday items, delicious food, and artisan demonstrations at Holland’s Kerstmarkt 8th Street Marketplace. Open Fridays and Saturdays Nov. 23rd-Dec. 14th.
Keyed to the music of the holiday season, Let It Snow light show at Grand Rapids Public Museum features a variety of festive classics from Frank Sinatra and Chuck Berry to Burl Ives and Brenda Lee. It includes a stunning multimedia finale by the Trans-Siberian Orchestra. The soundtrack is visually enhanced with thematic animation, laser imagery, and special effects. Great for all ages, especially families, the show runs Nov. 29th through Jan. 5th.
The Zeeland City Christmas tree and Magical Christmas Parade bring the holiday season downtown on Dec. 2nd beginning at 6:15pm.
The holidays bring joy to many of us, but they aren’t always so kind to our overall health.
We may feel stressed from trying to do too much, working to please everyone, getting less sleep, exercising less and constantly trying to avoid all the unhealthy food that comes with the holidays.
To make matters worse, all that stress combined with less sleep makes our bodies crave sugar and then store it as belly fat. Yikes! Add alcohol to the mixture, and hot flashes and night sweats can occur, making the holiday roller coaster even worse.
You may think you are destined to gain extra weight during this time of year, but it doesn’t have to be that way.
You can either read this blog and feel depressed when you are done, or you can take the information and use it as a guide for how to enjoy the holidays the healthy way. All it takes is a little planning and some self control.
Let’s use a patient I’ll call Lisa as an example of how to enjoy the holidays and end up with better health.
Lisa is 51 and just starting menopause. She is taking a low dose of hormones, and she still experiences an occasional hot flash if she forgets to change her patch, gains a few extra pounds, drinks too much wine, is sleep deprived, or forgets to drink enough water.
When Lisa came to see me for her annual check up, she was very worried about the holidays—specifically weight gain.
Like many people, Lisa had several stressors she knew she would be tackling. She was trying to coordinate extended family events to be sure certain family members wouldn’t be together at the same time.
Lisa was also preparing herself mentally for the arrival of her college-age kids. She was excited to see them, of course, but she knew it would be an adjustment for everyone after settling in to their new routines. In addition, Lisa worked full time and was barely able to stick to her exercise routine because of frequent late meetings.
Adding the stress of the holidays could challenge her exercise and eating habits even more. She had just settled into a solid sleep routine and didn’t want holiday to-do lists and night sweats to upset that routine. It was time to make a plan.
Lisa had already outlined her goals, and when she came to see me, she shared them with me. She wanted to:
Not have hot flashes.
Continue her solid sleeping pattern.
Not gain weight.
Be happy and enjoy her family in the midst of potential conflicts and overload.
Lisa had already learned her symptom triggers (inadequate sleep,
wine, sugar, stress and excitement), and she knew her barriers
(full-time work schedule, extra events on her calendar, and holiday
baking and shopping for everyone). Her next step was figuring out how to
accomplish everything while avoiding triggers.
I was confident Lisa could attain her goals with planning, preparation and a few simple rules.
Lisa was aware that if she took care of herself she would be happier, healthier, able to accomplish more, and just more fun to be around. So she committed to planning out each week during the month of December.
Every Sunday afternoon she would make a prioritized list of things she needed to accomplish and break it down by daily tasks. Lisa included meal plans, exercise, work events, family time, changing her patch, taking her vitamins and sleep on her daily list. This would ensure she wouldn’t forget anything or have any excuses for not getting these things done.
Next, Lisa outlined a few rules for herself. She knew certain foods triggered issues like night sweats, weight gain and frustration, so she committed to the following rules:
No carbs after 3pm (unless one glass of wine was the sugar treat for the day).
Limit simple carbs to one serving per day.
Drink eight glasses of water per day.
Watch what she ate at holiday parties (choose lean meats, veggies and salad over carbs when available).
Exercise vigorously, even if it meant shorter workouts, to accommodate other obligations.
Make sleep a priority and stick to her pre-bedtime ritual: Five minutes of gratitude and metered breathing and no screen time. She also vowed to get up immediately in the middle of the night if she awoke (instead of tossing and turning, worrying about things she needed to get done).
As you can see, Lisa made a plan designed to help her make it through
the holidays in good health. She set goals and made some rules to help
her plan become a reality.
You can achieve success as well by setting your own goals, knowing your symptom triggers, listing your barriers and outlining the rules that will help you realize those goals.
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.
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.
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.
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.”
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.
“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.
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.
Age-related macular degeneration, or AMD, is an incurable eye disease that affects millions of older Americans, but there are a number of things you can do to reduce your risk, a vision expert says.
AMD causes blurred central vision due to damage to the macula—a small area at the back of the eye—and it is most common after age 60, according to the U.S. National Eye Institute.
AMD is also more common in women and whites. At-risk patients should get regular eye exams, advised Dr. Julie Rosenthal, a retina specialist.
She said there are a number of things people can do to help slow or possibly prevent AMD. If you smoke, try to quit. Smoking may double the risk of AMD.
Find out if you have a family history of the disease.
People with a first-degree relative with AMD have a much greater risk of developing it. If you have a family history of the disease, watch for potential symptoms such as difficulty recognizing faces, struggling to adapt to low light and seeing straight lines that appear wavy.
Eat lots of spinach, kale, Swiss chard and other leafy greens, which are high in antioxidant vitamins that help protect against cellular damage from free radicals, which can contribute to eye disease, according to Rosenthal.
If you have a poor diet, consider taking multivitamins. People at risk of advanced AMD should ask their doctor about a specialized blend of supplements called AREDS. This is “not a treatment or cure but can decrease your risk of getting the more severe forms of AMD,” Rosenthal said in a university news release.
When outside, wear sunglasses that provide protection from UV and blue light that can cause retinal damage. Sunglasses with a “UV 400” label are recommended by the American Macular Degeneration Foundation.
Maintain healthy blood pressure and weight. Poor blood circulation due to high blood pressure can restrict blood flow to the eyes, thus contributing to AMD. Losing weight is a proven way to lower blood pressure.
Use a tool called an Amsler grid to check for vision problems related to macular damage.
When staring at the grid, if you notice that the central part of your vision in one eye has become darker or the grid lines are wavy, call your doctor, Rosenthal said. Keep the grid in a place that reminds you to use it daily.
Did you know your lifestyle choices could tip the scale for whether or not you experience cancer in your lifetime?
It’s true.
No one purposefully acts to increase their cancer risk, however, not everyone knows which lifestyle choices will make a negative—or positive—difference.
Take colon cancer, for instance. Colon cancer risk is affected by lifestyle habits and can be detected early if people are aware of their risk, get timely screenings and watch for early symptoms.
Studies show there are ways we can proactively reduce our chances of developing colorectal cancer.
People who exercise daily, eat a diet high in fiber, fruits and vegetables, take adequate vitamins B6 and D, and eat fish regularly (not deep fried) have a lower relative risk of getting colorectal cancer.
People who smoke, drink more than two alcohol drinks per day and are obese have a higher risk. Hormone replacement therapy, statins and daily aspirin are also shown to be associated with a lower risk of colorectal cancer.
Many women I have cared for never thought they would get colorectal cancer. Some women think it is an older person’s disease or that only men are at risk.
Risk factors for colorectal cancer
• 50 years or older
• HPV infection
• Family history of colorectal cancer
• History of Crohn’s or ulcerative colitis
• Diet high in saturated fats and low in fiber
• Diet low in vitamins D and B complex
• More than one alcoholic drink per day
• Lack of exercise
• Obesity
How cancer develops
Cancer happens when cells start to grow out of control either from exposure to a cancer-causing agent like cigarette smoke, or damage in the process of growth control like with BRCA gene mutations.
If there is both exposure and a gene mutation, the risk is even higher. When cells grow out of control, they group together in a lump or mass and then can break free of the organ boundaries, and spread.
The earlier a cancer is caught, the easier it is to treat. Once cancer spreads, it is much harder to cure.
A cautionary tale
A patient I’ll call Susan never thought colon cancer would affect her. In her case, there was no family history, no inflammatory bowel disease, and she lived a healthy lifestyle. She is active, rarely drinks alcohol, eats low fat and takes her vitamins.
But Susan had symptoms. She ignored those symptoms, thinking it must be a yeast infection, constipation, or simply not important. Like many of us, she was so busy caring for her family she didn’t make the time to get checked out.
Her pain worsened, the discharge worsened and her bowel habits started to change more dramatically. She finally had no choice but to pursue testing. Susan learned she had Stage 4, metastatic colorectal cancer.
Susan underwent aggressive surgery and chemotherapy with a good result. Her story is one that should make us all pause and remember to seek care when something does not seem right. Another takeaway: Get your colonoscopy.
Be proactive
Donald Kim, MD, is a Spectrum Health Medical Group colorectal surgeon and cares for patients with colorectal cancer.
“Colorectal cancer is not only treatable but preventable with proper colon cancer screening,” Dr. Kim said. “Unfortunately, most patients present without symptoms, so it’s essential that you have your recommended screening colonoscopy.”
If you have risk factors for colorectal cancer, it is important you not only get an early screening, but also follow a healthy lifestyle to reduce your chances of getting cancer.
Risk factors include being 50 or over (45 and over if African American), have a first-degree relative with colorectal cancer, have a family history of colorectal cancer or genetic syndromes such as familial polyposis syndrome or Lynch syndrome. It also matters if you have a personal history of colon polyps or inflammatory bowel disease such as Crohn’s colitis or ulcerative colitis, or if you have had abdominal radiation.
The symptoms of colorectal cancer depend on the location of the tumor. They include a change in bowel habits such as new constipation or diarrhea, consistent new bloating and gas, rectal bleeding or dark tarry stools, a feeling of incomplete emptying, or persistent cramps and pain. Another sign of cancer is iron-deficiency anemia.
As the weather gets colder and the leaves begin to change, it’s time to start celebrating the fall season! While you may not be jumping in leaf piles or going trick-or-treating anymore, there are still plenty of activities to fill your days and get you in the spirit of the season as an older adult. From decorating to baking delicious treats to visiting an orchard, here are some amusements that will keep you occupied for the entirety of autumn.
Indoor activities
If cold weather isn’t your thing, there’s no need to miss out on all the fall fun! Here are four great indoor activities that will help you celebrate no matter what the outside temperature is!
Create a knitted masterpiece
Not only has knitting been proven to be good for your mental and emotional health, but it helps get you in the mood for fall with cozy yarns in fall colors. Whether you are a beginner or a master, there is a knitted craft for you! Give your masterpieces away as gifts to your family and friends to help spread the fall spirit, or keep them for yourself as a reminder of your hard work!
Watch movies
From spooky Halloween classics like Nightmare on Elm Street to heartwarming fall romcoms like You’ve Got Mail, there are movies from every genre that will be a fit for everyone’s tastes! Gather your friends together and have weekly movie nights where you eat delicious snacks and watch all your fall favorites.
Start decorating
Decorating your home is one of the best ways to bring the fall atmosphere indoors! Surrounding yourself with decorations helps you stay in the right mindset for fall, no matter which direction you look! Pick a theme like Halloween or the outdoors, or just have fun adding in touches of everything you like. Examples of decorations can include:
Displays of pumpkins and gourds
Festive fall centerpieces
An autumn wreath on the front door
Leaf and pinecone table displays
Decorative candle holders for candles with fall scents
Additional pillows and throws in fall colors like orange, brown, and red
Make some baked goods
Baking not only lets you make tasty treats, but it will also fill your home with good smells and warmth from the oven. There are the classics like pumpkin and apple pies, but try pushing yourself with new recipes for baked goods you haven’t made before! Think of ways to use in-season fruits and veggies to make mouthwatering foods for family and friends—or to keep for yourself!
Outdoor activities
Want to get outside to see all that autumn has to offer? Take a look at these four ideas for outdoor activities that will help you experience the true beauty and some of the best joys of the fall season.
See the changing colors
Getting outside doesn’t have to be a big ordeal—just taking a simple walk and enjoying the fall foliage is a great way to experience the natural beauty of autumn. Breathing in the crisp air and taking photos of the prettiest trees can be both relaxing and good for your health. If you are artistically minded, try sketching or painting some of the sights you see!
Get ahead on gardening
Gardening may traditionally be a spring activity, but fall can be the best time to get prepped for next year! Planting perennials in fall ensures you have beautiful blooms come spring—without having to do the work then! You can also try container gardening and plant some late-blooming flowers in containers that can be outside until it gets too cold, then can be brought inside to enjoy!
Visit an orchard
There are orchards abound in the midwest, and now is the perfect time to visit one! Plan an outing with the grandkids, or just go with friends your own age. Orchards have many activities, from classic apple picking to pumpkin patches to hay rides. Many have homemade treats for sale, like donuts and fresh pressed apple cider. Make a whole day of visiting the orchard, and take your spoils home to either decorate or bake with!
Build a bonfire
Fall fun isn’t just limited to the daytime! After the sun sets is a perfect time to grab a bunch of blankets and warm up in front of a bonfire. You can roast marshmallows, tell scary stories, or just enjoy the company of others and those you love—all while feeling cozy, even as the weather grows colder around you.
There are lots of ways to enjoy autumn, even as an older adult. With all these activities and more at your fingertips, there’s no way you won’t have a wonderful fall and get into the spirit of the season everyday! At assisted living communities like Vista Springs, we plan fun fall activities on each day of the calendar. Come visit Vista Springs and see the Full of Life experience for yourself!
For community members, the 4th annual South Kent Community Expo, on Saturday, Oct. 26, will be an opportunity to explore products and services from a variety of community businesses and organizations.
For local local businesses and organizations, it is an opportunity to connect with the community — and customers.
The free event, hosted by the City of Kentwood Parks and Recreation Department and Wyoming-Kentwood Area Chamber of Commerce, will be held from 9 a.m. to 1 p.m. at the Kentwood Activities Center, located at 355 48th St. SE.
“This family-friendly event is designed to connect area community members with the broad range of businesses and organizations offered in southern Kent County,” Bob O’Callaghan, president/CEO of the Wyoming-Kentwood Area Chamber of Commerce, said in supplied material. “We like to think there’s a product or service for everyone to discover at this community expo.”
In addition to community booths, the expo will feature health screenings, flu shots and food trucks. The flu shot clinic will be provided by Walgreens from 10 a.m. to noon. The cost for a flu shot will be $35 for individuals without qualifying insurance.
According to Lorraine Beloncis, assistant director of the City of Kentwood Parks and Recreation Department, this year’s event will be football themed and vendors are encouraged to decorate their table with the football theme and wear something supporting their favorite team.
There will be a Heisman trophy award for the booth with the best use of theme,” Beloncis said in supplied material.
For more information about the community event, visit here.
The number of people living with Parkinson’s disease worldwide could double in the next two decades, experts project.
In a report warning of a possible Parkinson’s “pandemic,” researchers say the stage is set for cases to surge to 12 million or more by 2040.
What’s to blame? In large part, trends that are generally positive: Older age is a major risk factor for Parkinson’s. With life expectancy rising worldwide, more people will develop the disease. At the same time, Parkinson’s patients are surviving longer, which drives up the number of people living with the disease at any given time.
Then there’s a less expected factor: Declining smoking rates. While the habit has many devastating effects, research suggests it protects against Parkinson’s.
Those are obviously trends that no one wants to reverse, said report author Dr. Ray Dorsey.
There are, however, other ways to slow the projected rise in Parkinson’s, said Dorsey, a professor of neurology at the University of Rochester Medical Center in New York.
“We believe there’s a lot we can do toward prevention,” he said.
At the top of the list is reducing people’s exposure to certain pesticides, solvents and other chemicals that research has linked to Parkinson’s risk.
As an example, Dorsey pointed to the weed-killer paraquat.
“It’s been strongly linked to an increased risk of Parkinson’s and it’s banned in 32 countries,” he said.
It’s still used in the United States, however. And, Dorsey noted, some countries that have banned it—such as England—continue to make and export it to other countries, including the United States
Then there is trichloroethylene, or TCE—an industrial solvent that is a known human carcinogen and can contaminate groundwater, according to the U.S. Department of Health.
TCE is also toxic to nerve cells and studies have tied it to Parkinson’s, Dorsey said.
Parkinson’s disease currently affects nearly 1 million people in the United States alone, according to the nonprofit Parkinson’s Foundation.
The cause is unclear, but as the disease progresses, the brain loses cells that produce dopamine—a chemical that regulates movement. As a result, people suffer symptoms like tremors, stiff limbs and balance and coordination problems. All gradually worsen over time.
Medications and other treatments can lessen those effects, but there is no cure.
The new report—co-authored by representatives of the Parkinson’s Foundation and Michael J. Fox Foundation—paints a potentially bleak picture.
Between 1990 and 2015, the number of people diagnosed with Parkinson’s worldwide doubled, to just over 6 million. And based on the aging population, Dorsey and his colleagues project that the number will double again by 2040, to about 12 million.
But that figure, they say, could actually be higher—up to 17 million—with declining smoking rates and growing industrialization factored into the mix.
“There is an urgent and pressing need for the world to wake up and recognize there is a coming wave of Parkinson’s disease,” said Dr. Michael Okun, medical director of the Parkinson’s Foundation and an author of the report.
In addition to broader bans on paraquat and TCE, Dorsey said other measures could help stem the tide.
For example, people with a history of head injury face a relatively higher risk of Parkinson’s. So preventing head injuries in the workplace, sports or recreation—by wearing helmets, for instance—could help, Dorsey said.
There’s also some evidence that certain healthy lifestyle habits are protective—namely, vigorous exercise and eating a Mediterranean diet.
But beyond prevention, health care systems have to prepare for a surge in Parkinson’s, according to Okun.
“The numbers of patients with Parkinson’s disease are growing a rates that will overwhelm the world’s health care systems,” he said.
One key step, Dorsey said, will be to find ways to bring health care to patients at home.
“If I’m an elderly person with Parkinson’s who can no longer drive,” he said, “I need the care to come to me.”
Of course, many patients will have family members who can help out. But that brings up another huge issue—the burden on family caregivers.
Already in the United States, more than 30 million people provide care to an adult aged 50 or older, Dorsey pointed out.
“The main reason,” he said, “is neurological conditions, like Alzheimer’s and Parkinson’s.”
The report was published recently in a supplement to the Journal of Parkinson’s Disease.
As we get older the chance of our suffering a fall increases, in fact according to the National Council on Aging (NCOA) 1 in 4 Americans aged 65+ falls each year. Relying on your body to catch you and keep you steady, and then losing this ability, can be a serious downfall to your mobility and morale.
Sometimes the fear of falling can be such an all-consuming worry that you may start retreating from doing the things you used to love. However, just because you may notice a drop in your confidence, movement levels, and strength, it does not mean that you can’t improve upon these things and live a fulfilling life. The key to fall prevention is that because we know which factors contribute to falls, we can work to prevent them. The National Council on Aging recommends a number of steps you can take to prevent a fall and build your confidence along the way.
1.Find a good balance and exercise program. This is vital because building up your body’s flexibility, strength, and balance enables you to avoid falling in the first place; if you do happen to fall, you’ll have the ability to get up safely. The AAAWM offers a variety of evidence-based fall prevention classes through its Healthy Aging programs such as A Matter of Balance and EnhanceFitness. There are also a number of evidenced-based programs available throughout West Michigan. Check out your local Council on Aging and Area Agency on Aging as resources to learn more about these Healthy Aging programs. You can also find a class locator here: https://www.aaawm.org/classes
2.Talking to your health care provider is the second step to fall prevention. It is helpful to go over your medical history and if you’ve experienced falls in the past. Your provider also has the ability to assess your risk level for a fall and what can be addressed to lower this risk.
3. Regularly review your medications. Some medication’s side effects can increase your risk of falling, and of course, you should take medications only as they are prescribed by your doctor.
4.Get your vision and hearing checked annually. Proper sight can help you avoid trip hazards and obstacles, and abnormalities in your inner ear can also negatively impact your balance. Treat your health as a top priority to fall prevention and check in with your doctor on these three steps to ensure your well-being.
5. Keep your home safe by removing hazards that are commonly overlooked, but easy to fix. A few things to look for: Do you have a clear pathway through your rooms? Look for rugs, cords and wires, and bulky furniture that may be in your way. Assess your stairs; if steps are uneven or broken this can cause you to fall, and make sure that your stairway is well-lit and has a handrail. In the kitchen, it is best if items are not on kept high shelves, and that your step stool is sturdy if you must use it. In your bedroom, you should have a light close to the bed within easy reach, as well as a well-lit path to the bathroom. Lastly, your bathroom should have some sort of support for you to rely on when using the toilet and bathtub, and if you have a slippery shower floor, add a non-slip rubber mat. All helpful things to keep your home safe!
6.Enlist the help of your family and friends. Let them know that you are worried about falling and would appreciate their help in making your home a safe space. They can provide an extra set of eyes and hands to rid your house of obstacles. They are also likely to help you navigate talking to your doctor, checking your vision and hearing, and reviewing your medications. Having their help will make the process less overwhelming for you. Often those around you are eager and willing to help, you just need to ask!
These six steps come together to help you avoid falls, so you can continue to do the things that you love. Getting older doesn’t mean a loss of independence; it simply means adapting your environment to best fit your needs so that you can flourish. Be sure to use the resources around you; from your doctor to a family member or friend, to help you take these preventative measures. For more information, visit the National Council on Aging’s website at www.ncoa.org.
“Even normally healthy people can get severe influenza,” she said. “You can still get hospitalized. You can still get secondary bacterial pneumonia.”
And vaccinations community-wide can protect those at greatest risk from influenza, particularly babies who are too young for the vaccine.
“Our very young and our very old are always going to be at the highest risk for severe influenza,” she said.
Also at high risk: pregnant women, people with suppressed immune systems or chronic conditions such as asthma and heart disease.
How bad will the flu season be?
“It’s really difficult to know,” Dr. Olivero said. “It has a lot to do with climate and how waves of viruses move throughout the country.”
Michigan’s flu season typically peaks after the winter holidays and sputters out by April.
Last year, the peak hit about two months late. And the flu season lingered much longer.
“It was very unpleasant,” Dr. Olivero said.
Now is the time to get the vaccine, she added. The Centers for Disease Control and Prevention, along with four other global agencies, adjusted this year’s flu vaccine to better match the influenza strains expected to circulate in the U.S. Health officials changed the two A antigen components and left the two B virus components unchanged.
“But even if the flu vaccine is not perfect and doesn’t prevent 100% of influenza cases, it can still prevent thousands of hospitalizations,” Dr. Olivero said. “That’s a big win, too.”
If you get the vaccine—and end up getting the flu—the illness likely will be less severe and of shorter duration.
In the 2018-19 influenza season, the overall vaccine effectiveness was 38 percent and yet it still paid big benefits, according to a study published in Clinical Infectious Diseases. It prevented:
7.1 million illnesses
109,000 hospitalizations
8,000 deaths
Studies by CDC researchers, published in Healio, found in recent years that flu vaccines:
In children, reduced the risk of influenza-related hospitalization by 50%.
In adults, reduced the odds of severe outcomes, including death, by 36%.
Some people mistakenly think the vaccine can make them sick, Dr. Olivero added.
“Getting the flu vaccine does not give you the flu,” she said.
Courtesy Spectrum Health Beat
You might experience a short-lived fever, feel run down or have a sore arm at the site of the injection. But that’s not because you have influenza. Those effects are signs of your immune system revving up.
“It’s normal and expected—and it’s way better than getting the flu,” she said.
Which vaccine
The CDC recommends flu vaccines for everyone 6 months and older.
Those 2 to 49 years old can receive the vaccine in a nasal spray called FluMist. But the American Academy of Pediatrics recommends injections as the primary choice for children.
“The shot is more effective, so that’s our first recommendation,” Dr. Olivero said.
Two vaccine options are designed for people 65 and older:
Fluzone High-Dose, which contains four times the antigens of a standard vaccine
Fluad, a standard-dose shot with an added ingredient designed to produce a stronger immune response.
If the flu strikes
The flu often comes on suddenly, causing a cough, sore throat, runny nose, headache and body aches. It can also cause a fever, but that is not always the case, the CDC says.
Most people recover in a few days to up to two weeks. But some develop complications such as pneumonia, which can be life-threatening.
For those who do get influenza, Dr. Olivero advised taking the antiviral drug Tamiflu, also known by its generic name, oseltamivir.
“Folks have been timid about the use of the antiviral drug,” she said.
A study shows the medication, if taken within 48 hours of first symptoms, can shorten a bout of influenza by a day. That may not sound impressive to some.
But she and other infectious disease doctors believe many benefit from it.
“If your husband is diagnosed with influenza and you get ill two days later, which is very typical, you could take (Tamiflu) the same day,” she said. “Most of us would say it turns the illness around extremely quickly, but that’s not captured in medical studies.”
Early treatment is especially important for those with chronic medical conditions.
Preventing the flu
In addition to getting a flu vaccine, the CDC recommends everyday steps to help stop the spread of influenza:
Stay away from sick people.
Wash your hands regularly to prevent the spread of germs.
If you get the flu, stay home from work or school.
Check out the Flu Information Center for local flu vaccine clinics near you, or to call the Flu Help Line at 616.486.3939.
According to the Geriatric Education Center of Michigan at Michigan State University, depression in older adults can seriously affect their quality of life and health. Stress, depression and anxiety can contribute to physical ailments including digestive disorders, sleep disturbances and lack of energy. Older adults who are depressed can also have an increased risk of substance abuse, reduced cognition, higher risk of suicide and a higher incidence of heart attacks.
Older adults can experience different reasons and risk factors for depression than younger adults. HelpGuide.org, a research-based website in collaboration with Harvard Medical School, says that common reasons and risk factors for depression in older adults can include:
Health problems – Illness and disability, chronic or severe pain, cognitive decline, damage to body image due to surgery or disease.
Loneliness and isolation – Living alone; a dwindling social circle due to deaths or relocation; decreased mobility due to illness or loss of driving privileges.
Reduced sense of purpose – Feelings of purposelessness or loss of identity due to retirement or physical limitations on activities.
Fears – Fear of death or dying; anxiety over financial problems or health issues.
Recent bereavements – The death of friends, family members, and pets; the loss of a spouse or partner.
Michigan State University Extension says that ways you can help are to learn about and recognize the signs and symptoms of depression in older adults and the elderly. Common symptoms include sadness, fatigue, abandoning or losing interest in hobbies or other pleasurable pastimes, social withdrawal and isolation (reluctance to be with friends, engage in activities, or leave home), weight loss or loss of appetite, sleep disturbances, loss of self-worth, increased use of alcohol or other drugs, or a fixation on death, suicidal thoughts or attempts.
Is it depression or dementia? According to Harvard Health Publications, here are some signs to watch for:
With depression, mental decline can happen quickly, but with dementia, mental decline happens more slowly.
When someone is depressed, they still know things like the correct time, date and where they are, but with dementia, they become confused and disoriented and sometimes lost in familiar locations.
With depression, people have a hard time concentrating, and they may worry about memory problems. People with dementia have short-term memory loss and don’t notice memory problems or seem to care.
When someone is depressed, language and motor skills are slow, but normal, whereas someone with dementia has impaired writing, speaking and motor skills.
There is good news! According to a study published by Harvard Medical School’s Harvard Health Publications, for those who stuck with treatment, depression resolved in seven out of 10 people. Completing a treatment regime can increase positive mood, strengthen personal relationships, increase satisfaction in activities of daily living and help people feel like themselves again.
If you are concerned that your loved one is suffering from depression as an older adult, help them connect to their primary care provider to assess the situation and to identify health and community resources to help them restore their quality of life.
Researchers say new drug therapies can target certain genes that play a role in the growth and spread of prostate cancer. (Courtesy Spectrum Health Beat)
A drug that targets faulty gene repair may buy more time for some men with advanced prostate cancer, a new clinical trial finds.
Experts called the study “landmark,” because it zeroed in on men with particular gene mutations that can be targeted with newer drug therapies.
It’s an approach that is already used in treating breast, ovarian and lung cancers.
Specifically, the trial tested a drug called Lynparza (olaparib), which is currently approved to treat certain patients with breast or ovarian cancers linked to mutations in the BRCA genes.
When BRCA is working properly, it helps repair damaged DNA in body cells that can lead to cancer. When the gene is altered, those repair mechanisms go awry.
BRCA mutations do not only lead to breast and ovarian cancers, though. They also help drive some cases of prostate cancer.
In the new trial, researchers recruited men with advanced prostate cancer who had alterations in BRCA or certain other genes involved in DNA repair.
The investigators found that, compared with standard hormonal therapy, Lynparza delayed patients’ cancer progression for a median of about three months. That means half the patients saw a longer delay and half a shorter one.
Along with that delay, the drug slowed down patients’ pain progression.
“Delaying the cancer from growing is meaningful,” said Dr. Maha Hussain, who led the trial, which was funded by drug makers Astra Zeneca and Merck.
“At the end of the day, patients want to live longer—and also better,” added Hussain, a professor at Northwestern University Feinberg School of Medicine, in Chicago.
She was to present the findings at the annual meeting of the European Society for Medical Oncology, in Barcelona. Studies reported at meetings are generally considered preliminary until they are published in a peer-reviewed journal.
Lynparza is one of a newer class of drugs called PARP inhibitors, which block a protein that cancer cells need to keep their DNA healthy. Without it, those cells may die. Cancer cells with defects in DNA-repair genes are especially vulnerable to PARP inhibitors.
The drug class is part of a wider trend in cancer treatment, toward “targeted therapies”—where medications are tailored to target certain molecules in cancer cells that help them grow and spread.
A range of targeted drugs are available for common cancers, such as breast and lung, but prostate cancer has “lagged behind,” Hussain said.
Dr. Eleni Efstathiou, of MD Anderson Cancer Center in Houston, described the new trial as landmark.
“Overall, these data show that, like breast and lung cancers, prostate cancer is not one but many different diseases,” Efstathiou said. “We need to start identifying different groups of patients and treating them with targeted therapy.”
She noted that only a fairly small percentage of prostate cancer patients would have alterations in DNA-repair genes—which can be inherited or arise as the cancer progresses.
And doctors do not routinely screen cancers for all those gene flaws.
Screening for inherited mutations is “becoming part of guidelines,” Efstathiou noted, but screening for non-inherited alternations is not yet done.
For the latest trial, the researchers screened 4,425 men with advanced prostate cancer that had spread to distant sites in the body and was not responding to standard hormonal therapy.
The investigators ended up with 245 patients with alterations in either BRCA or another gene called ATM. A second group of 142 patients had alterations in any of 12 other genes tied to flawed DNA repair.
Patients in both groups were randomly assigned to either take Lynparza tablets or start one of two newer hormonal therapies.
Overall, Lynparza patients saw their cancer advance more slowly, with the difference being clearer in the group with BRCA or ATM defects.
For those men, cancer progression was delayed by a median of 7.4 months, versus 3.5 months among patients on hormonal therapy. A preliminary analysis suggested their overall survival was also better—a median of 18.5 months, versus 15 months.
Lynparza does have side effects, including anemia and nausea, Efstathiou pointed out, which can make it difficult to stick with the drug. Just over 16% of Lynparza patients in the trial stopped treatment due to side effects.
The drug is not yet approved for prostate cancer, though some doctors use it “off-label” for certain patients, Hussain noted.
At this point, Efstathiou said, doctors may want to screen for DNA-repair mutations in the tumors of men with advanced prostate cancer, since “we now have evidence it can be successfully targeted.”
Like other targeted drugs, Lynparza carries a hefty price tag: Researchers have estimated that it costs more than $234,000 to extend a patient’s life by one year.
The old saying, “TV rots your brain,” could have some validity for folks as they age.
In a new study, middle-aged people who watched television for more than 3.5 hours a day experienced a decline in their ability to remember words and language over the next six years, British researchers found.
What’s worse, it appears that the more TV you watch, the more your verbal memory will deteriorate, researchers said.
“Overall, our results suggests that adults over the age of 50 should try and ensure television viewing is balanced with other contrasting activities,” said lead researcher Daisy Fancourt. She’s a senior research fellow at University College London.
For the study, researchers relied on data from a long-term study of aging involving more than 3,600 residents of England.
Participants reported the amount of hours of TV they watched daily. They also had their thinking and reasoning skills regularly tested as part of the study.
People who watched less than 3.5 hours of TV a day didn’t seem to suffer any deterioration in their brain power, Fancourt said.
But more than that amount, people became increasingly apt to struggle with words or language in tests conducted six years later.
The decline in language skills is similar to that experienced by the poor as they age, Fancourt said.
“We already know from a number of studies that being of low socio-economic status is a risk factor for cognitive decline,” Fancourt said. “If we compare the size of association for watching television for greater than 3.5 hours a day, it has a similar-sized association with verbal memory as being in the lowest 20 percent of wealth in the country.”
The worst deficits occurred in those people who watched more than seven hours of television daily, researchers found.
While only an association was seen in the study, there are a couple of potential reasons why this might happen.
“Due to the fast-paced changes in images, sounds and action, yet the passive nature of receiving these—i.e., television does not involve interaction as gaming or using the internet does—watching television has been shown in laboratory studies to lead to a more alert, but less focused, brain,” Fancourt explained.
Some TV viewing is also stressful and stress has been associated with a decline in brain power, she added.
The specific effect on verbal skills indicates that avid TV viewing could be replacing other activities that would be better for the brain, said Rebecca Edelmayer, director of scientific engagement at the U.S.-based Alzheimer’s Association.
“You’re spending more time not engaging with your family, your friends and having social conversations, because they’re specifically reporting a decrease in verbal recall,” Edelmayer said. “We know engagement with others in conversation is something that supports and protects verbal recall.”
People who want to protect their thinking skills need to socialize often and engage in other activities that “stretch” their brain, Edelmayer said.
In fact, a long-term study published just last week in the journal Neurology found that exercising both the brain and body during middle age may guard against dementia. Such mental exercise includes reading, playing music, sewing or painting, according to the report.
“The recommendation would always be to stretch yourself and stay as engaged as you can be, whatever the connection is,” Edelmayer said. “We’re asking you for best brain health to go outside your normal passive box.”
The new study was published recently in the journal Scientific Reports.
The numbers are staggering, the financial and societal costs exorbitant. According to the Alzheimer’s Association, an estimated 5.7 million Americans are living with Alzheimer’s today. By 2050, the number is expected to increase to nearly 14 million.
Courtesy Alzheimer’s Association
And here’s a sobering thought: Cognitive decline begins at the age of 25. Dementia — the deterioration of memory most often seen in aging adults — takes hold early on and starts gradually, but then accelerates when we are in our 70s and 80s.
But what if solving brain games and puzzles on a computer could reduce the chances of developing dementia and delay the debilitating loss of function?
That’s the premise behind a new clinical trial, which is seeking volunteers for a three-year study. The PACT (Preventing Alzheimer’s Disease with Cognitive Training) Alzheimer’s clinical trial needs 600 people of all ethnicities from the West Michigan area to play computer games. Overall, the study needs 7,600 people to enroll and will be conducted at 15 locations across the U.S.
The study is spearheaded by David Morgan, Ph.D., Professor of Translational Neuroscience at Michigan State University, who relocated here in late 2017 from the University of South Florida in Tampa.
The study began in East Grand Rapids this past July, and a second study location just opened this Fall in South Grand Rapids.
Specifically, participants will be provided free access to a series of computer games designed to increase your brain’s processing speed. If you qualify to help, you will complete three study visits of one hour each at the PACT Research study location nearest you. You will then complete 45 one-hour sessions on your own, in your own home, over the next three years.
“This study will definitely prove if computer games can (or cannot) reduce the risk of developing cognitive impairment leading to dementia,” said Morgan. “A critical piece is that everyone who declines cognitively during the study will receive a medical diagnosis, something not done in the earlier study.”
Participants must be over 65 years old, free of severe neurological or psychiatric illness, and able to play computer games. You may qualify if you:
are 65 years of age or older
do not have any neurological disorders
have not had a stroke or brain injury
do not have mild cognitive impairment or dementia such as Alzheimer’s disease
What’s in it for you? There’s no monetary compensation, but research has shown that brain games may:
protect against dementia such as Alzheimer’s disease
enhance mental quickness and visual attention
improve gait speed and balance
improve driving safety
maintain health and well-being
allow you to perform everyday tasks more efficiently
protect against depression
In short, all the things that money can’t buy.
If the researchers can enroll enough older adults in the trial, they will apply for a larger grant to train and monitor a cohort of participants for five to seven years. That study will include genetic testing and neuro-imaging of the brain to gain a better understanding of who is more likely to develop dementia and would benefit from this training.
“Silence is golden” or so the saying goes, but is it always a good idea? Silence is not golden when it comes to the subject of your parents’ living expenses, healthcare and elder care costs. According to the Fidelity Intra-family Generational Finance Study (FIGS), 4 out of 10 families have not had a conversation with their elderly parents about living expenses, healthcare, and elder care costs. One reason, as stated in the study, is that parents worry that their adult children are counting too much on a future inheritance, while children don’t want to upset their parents.
Because of this reasoning, the subject of money becomes taboo and needed conversations are not happening.
According to the FIGS study, children and parents didn’t believe having a conversation about living expenses, healthcare, and retirement was difficult to start. The difficulty comes with the depth and the detail of the conversation and when to start having the conversations. The important thing to remember is don’t wait until an emergency to have the conversation.
Below is a list of topics and ages when discussing retirement issues that can help avoid future emergency conversations:
Age 50
AARP Eligible, Senior Discount Programs, Catch up contributions of $1,000 for IRA and $5,500 for 401k, 403b and TSP
Age 55
401k or retirement withdrawals without 10 percent early penalty
Age 59 ½
Take from any retirement account without 10 percent early penalty including Roth IRA, as long as it’s been held for 5 years.
Age 62
Earliest age to collect Social Security. Eligible for reverse mortgages.
Age 65
Eligible for Medicare (Apply 3 months before 65th birthday) – otherwise Medicare part B and prescription drug coverage part D may cost more money
Age 66
Full retirement if born between 1943-1954 Can collect Social Security without reduction and no offset on amounts earned.
Age 70
Maximum Social Security accrual – time to start.
Age 70 ½
IRA and 401k contributions must stop. Must begin taking required minimum distributions
Before beginning a conversation on a sensitive subject such as money, you have to realize that the conversation is not a democracy; your parents have made decisions about their money all of their life and they are not about to stop now. Remember, it is your parents’ money and their decision. Below are 10 suggestions to aid in having a conversation concerning retirement, living expenses, healthcare, and elder care.
Start Discussions Early. Do not think that it will only take one talk. The earlier you begin discussions, the more time will be on your side and the easier the discussions will become.
Include all family members. Make sure all siblings are included in the discussions. This way, everyone in the immediate family is fully aware of all decisions made and are not getting information passed on to them that may or may not be accurate.
Explain the purpose of your conversation. Communication is integral. Explain your concerns about how your parents will be cared for and how they feel about their financial future.
Understand your parents’ need to control their own lives. The conversation is not about preserving your inheritance. It is about your parent’s right to be able to live their life how they want to live it.
Agree to disagree. It is okay to disagree; the conversation is not about who is right or who is wrong.
Use good communication skills. Listen to understand not to reply. If you don’t understand, then ask for clarification.
Ask about records and documentation. Do not be afraid to ask where pertinent records are located and who would need to be contacted concerning them are.
Provide information. If you come across information you deem to be useful in helping to make appropriate decisions, provide it to everyone involved in your ongoing discussions.
Re-evaluate if things aren’t working well. Do not be afraid to take some steps backwards if conversations are not being productive.
Treat your parents with respect. Always respect your parent’s wishes regarding decisions concerning their living expenses, healthcare and elder care.
If you find yourself struggling to stay alert, it could hint at an underlying medical problem—or the need for changes to your nighttime sleep routine. (Courtesy Spectrum Health Beat)
Napping isn’t just for infants and children. Adults can get in on the action, too—they need only recognize the right time, place and circumstance.
Feeling fatigued or groggy during the day? That’s a good place to start. But you first need to determine why you’re feeling that way.
A nap can be refreshing and invigorating, helping you reenergize for a trip or for the workday, or whatever activity you’re undertaking, said Mary Barr, adult nurse practitioner in sleep medicine at Spectrum Health.
But the circumstances allowing for a nap will vary.
Generally speaking, you should only be napping during the day if you’re ill or if you’re trying to relieve pain. You could also nap amid abnormal circumstances—when you’re recovering from an acute injury, for example, or managing chronic illness.
Sometimes your schedule might deprive you of some much-needed sleep. If you find there’s no way to make it through the day without stealing a few quick moments of rest—or if you’re engaged in an activity that is simply wearing you down—a short nap is entirely acceptable.
Just be sure it’s a temporary solution. You should change your activities so you can keep to your regular schedule.
If you feel sleepy while driving, pull over in a safe place and catch a few Zzzs, Barr said. Likewise, when performing tasks that require high levels of attention, consider a nap to ward off fatigue.
If you’re at work, your nap needs to happen while on break or during your lunch hour.
“A 15-minute nap—often called a power nap—can refresh you when you are feeling sluggish or inattentive, groggy or not focused,” Barr said.
Generally, a 15- to 30-minute nap is enough. You can tell if you’ve slept too long because you’ll wake up feeling more groggy than before, she said.
There’s no ideal nap time, just whenever you feel sleepy during the day. Generally, this is after lunch for most people.
Falling asleep when napping is good, although you may not necessarily fall into any deep sleep stages.
Not all naps are equal
A word of caution: Don’t nap too late in the day or too close to your typical bedtime. Such naps can interfere with normal nighttime sleep routines, Barr said.
And make no mistake—you need a good night’s sleep every single night. Usually, if your sleep routine is good, you won’t need additional napping.
Barr offered a good rule of thumb: Make sure your nap is at least six to eight hours before your normal bedtime.
She also said that napping every day could be an indication you’re not getting enough rest at night. Bad sleep habits could cause this, but there could also be a medical problem. Sleep apnea or restless legs syndrome, for example, can make people feel sleepy during the day.
One American Academy of Sleep Medicine study that found frequent napping is associated with an increased risk of Type 2 diabetes in older adults.
Adults who don’t sleep well at night should analyze their sleep habits to see what might be interrupting their sleep. Stimulants such as caffeine or nicotine could be to blame, but bad sleep habits could also be the culprit.
Some other napping tips from Barr:
Keep the nap short—ideally about 30 minutes.
Make sure the nap is in a safe, comfortable place where you won’t be disturbed.
Avoid long weekend naps, especially if you don’t nap during the week.
Don’t resort to napping to make up for sleepless nights.
If sleepless nights are a recurring problem, you may need to seek help from a sleep professional to determine if there is an underlying medical cause.
In people with buildup of amyloid brain protein, regular aerobic activity might slow degeneration in the brain region tied to memory. (Courtesy Spectrum Health Beat)
For people at risk of Alzheimer’s disease, working out a couple of times a week might at least slow the onset of the illness, new research suggests.
Regular exercise over a year slowed the degeneration of the part of the brain tied to memory among people who had a buildup of amyloid beta protein in their brain.
These protein “plaques” are a hallmark of Alzheimer’s, noted researchers at the University of Texas Southwestern Medical Center in Dallas.
Aerobic exercise didn’t stop plaques from spreading, but it might slow down the effects of amyloid on the brain, especially if started at an early stage, the research team suggested.
“What are you supposed to do if you have amyloid clumping together in the brain? Right now doctors can’t prescribe anything,” lead researcher Dr. Rong Zhang said in a university news release.
However, “if these findings can be replicated in a larger trial, then maybe one day doctors will be telling high-risk patients to start an exercise plan,” he said. “In fact, there’s no harm in doing so now.”
One expert who wasn’t involved in the study agreed with that advice.
“Exercise is an excellent way to both prevent Alzheimer’s and to help patients with Alzheimer’s disease stay stable for longer periods of time,” said Dr. Gayatri Devi, a neurologist specializing in memory disorders at Lenox Hill Hospital in New York City.
“Aerobic exercise, three to four times a week, has been shown to help grow brain cells in the part of the brain called the hippocampus, the key area for both laying down new memories and for retrieving old ones,” she explained.
In the new study, Zhang and colleagues randomly assigned 70 people aged 55 and older to either half-hour workouts of aerobic exercise four to five days a week, or less strenuous flexibility training.
All of the patients had some amyloid plaque buildup in their brains at the beginning of the study and were classed as having “mild cognitive impairment,” often a precursor to Alzheimer’s.
Followed over one year, people in both groups maintained similar mental abilities in memory and problem solving, the researchers noted.
However, those in the aerobic exercise group showed less shrinkage of the brain’s hippocampus as seen on scans.
The hippocampus is an area of the brain important to memory and one of the first areas usually affected by Alzheimer’s, Zhang’s group explained.
“It’s interesting that the brains of participants with amyloid responded more to the aerobic exercise than the others,” Zhang said. “Although the interventions didn’t stop the hippocampus from getting smaller, even slowing down the rate of atrophy through exercise could be an exciting revelation.”
To further test the effect of exercise, Zhang is heading up a five-year trial that includes more than 600 older adults, aged 60 to 85, who are at risk for Alzheimer’s.
“Understanding the molecular basis for Alzheimer’s disease is important,” Zhang said. “But the burning question in my field is, ‘Can we translate our growing knowledge of molecular biology into an effective treatment?’ We need to keep looking for answers.”
Dr. Jeremy Koppel is associate professor of psychiatry and molecular medicine at the Litwin-Zucker Center for Alzheimer’s Disease & Memory Disorders, at Feinstein Institutes for Medical Research in Manhasset, N.Y.
Reading over the new findings, he said that, on the whole, the study was “disappointing” because exercise “did not have any specific effect on tests of memory, mental flexibility or amyloid deposition in patients with mild cognitive impairment.”
While the finding regarding hippocampus size was interesting, “this was not the primary outcome measure of the study,” Koppel noted.
So, “it may be that aerobic exercise interventions are best targeted at those not suffering already from cognitive impairment,” he said.
The report was published recently in the Journal of Alzheimer’s Disease.
After age 50, many people notice increased forgetfulness and may be concerned about developing dementia. Forgetting where you parked your car or where you left your glasses can be frustrating and embarrassing, and using humor to acknowledge “a senior moment” often helps to dispel some anxiety!
Michigan State University Extension recommends staying mentally active and including daily physical activity as healthy lifestyle choices to improve memory. Eat low-fat protein, fruits, vegetables and whole grains to provide the nutrients needed to keep your brain sharp. Watch what you drink – too little water or too much alcohol can lead to confusion and memory loss. Stimulate your brain by doing puzzles, learning new skills, or taking an alternate route to a familiar destination. Play games, including free online brain games such as those offered by AARP, where you can adjust the skill level.
Other factors in addition to age that can contribute to forgetfulness include medical conditions and emotional problems. It is a good idea to review your medications with your health care provider to review possible side effects that may impact memory. Stress and depression can also contribute to memory loss, so make sure to enjoy regular social interaction with family and friends, especially if you live alone. Sleep is vital in helping your brain sort, consolidate and store your memories, so try to get seven to eight hours of sleep each day.
When you really pay attention to something, you remember it better. New information is lost from short term memory unless it is repeated again and again. Focusing your attention causes your brain to release special chemicals that strengthen learning and memory. You are more likely to remember appointments and other events if you keep track of them in a special notebook or calendar. The act of writing it down or saying it out loud will reinforce it in your memory. To avoid misplacing items, be diligent about putting your wallet or purse, keys and glasses in the same place each day. When you can’t recall a word or name, review the facts of the story or event.
Remembering other details will help trigger the memory you are searching for. Who has not walked into a room and then not remembered why you were going there? These are very common lapses that usually result from lack of attention or focus. By mentally retracing your steps or physically going back to where you were, the thought will often come back. Staying focused on your immediate task will help avoid this annoying experience. Studies show that the older we get, the more the brain has to exert effort to maintain focus. It also takes longer to get back to an original task after an interruption, so avoid multitasking to reduce distractions.
While memory loss is a common symptom of dementia, memory loss by itself does not mean that a person has dementia. Dementia is not a specific disease. It is a descriptive term for a collection of symptoms that can be caused by a number of disorders that affect the brain. Although it is common in very elderly individuals, dementia is not a normal part of the aging process.
See your doctor if you have serious memory problems that make it hard to do everyday tasks. For example, you may find it hard to drive, shop or even talk with a friend. Signs of serious memory problems may include:
Asking the same questions over and over again
Getting lost in places you know well
Not being able to follow directions
Becoming more confused about time, people and places
By taking steps to maintain memory, and seeking help with serious memory problems for ourselves or loved ones when needed, we can manage cognitive changes without allowing them to diminish our enjoyment of life.
Your periods are so heavy and irregular, you are left exhausted and weak. You never know when your period is going to appear, and during it, you can barely stay ahead of the mess. The cramps are not too bad, but once the bleeding starts, you know you are in for several bad days followed by a week of spotting. When the bleeding stops, the aftermath means being tired with less motivation to run or lift weights, let alone go for a brisk walk.
What is your diagnosis? Probably perimenopause.
Probably is an important word as just because someone might fit the story for perimenopause, it is necessary to make sure the irregular periods are not caused by anything else.
Perimenopause is the normal life phase when periods start to change as your ovaries run out of follicles, or immature eggs. Hormone levels change and fluctuate.
The result? Irregular periods, often close together or spaced out and sometimes heavy and sometimes light. These changes can also be caused by an over- or under-active thyroid, changes in weight such as rapid loss or gain, high prolactin levels, polycystic ovary, and conditions which affect the uterus such as polyps or fibroids.
Especially in women who are overweight, with diabetes or high blood pressure, it is crucial to make sure the uterine lining is not too thick, which could be caused by pre-cancer or uterine cancer.
A patient I’ll call Molly came to see me to figure out why she felt so tired all the time.
At 48, she could hardly keep up with life, including her high school kids’ schedules, spending time with her husband beyond comparing schedules, and her full-time job.
Her work was hosting a biggest loser contest, and she felt too tired and lacked motivation to start an exercise plan or make any real attempt at eating healthy in order to lose 15 pounds. Her periods interfered with work in that she had to leave a planning meeting because she felt her period start and feared she would make a mess.
What made matters worse, she was planning for a dream trip with several families and worried about bleeding while on the trip.
Her recent blood work revealed that her hemoglobin blood count was 10 and her iron (ferritin) was 15, which prompted her primary care doctor to find her a gynecologist. She had lost enough blood on a regular basis and couldn’t take enough iron to make up what her body needed.
Her doctor ruled out thyroid or prolactin problems. She had an ultrasound and came to see me, hoping for some options to get her irregular and heavy periods to stop.
She appeared otherwise healthy except for being slightly overweight. Her cholesterol and blood sugar levels were borderline high and thyroid and prolactin normal. Her ultrasound—done after a period—showed a normal lining thickness and no fibroids or any other abnormality.
We talked about the phase of life she’s in and her options.
Because her periods were so heavy, it would be a good idea to first sample her uterine lining with an endometrial biopsy. Because she did not smoke and had no family or personal history of blood clots, she was still a candidate for the low-dose birth control pills, which could be used to help her not have her period while on a trip.
Another option: bioidentical FDA-approved progesterone to take from day 10 of her cycle for 15 days, which could make the periods more regular and light, but would not provide birth control. An IUD with progesterone could also work for her as it would give her birth control as well as control heavy bleeding.
After a good discussion about the pros and cons of each option, she chose an IUD as she also needed birth control, and we placed the IUD in time to ensure her periods would at least be better, if not gone.
In terms of the other symptoms of perimenopause, she chose to focus on a healthy lifestyle now that the periods would no longer be the issue.
She chose a schedule of short daily workouts to fit in between other obligations, having been reminded she needed to care for herself in order to care for others.
This included all of the SEEDS and supporting her system with consistent sleep, water, multivitamin, Vitamin D, iron-rich foods, calcium in her diet, exercise—a bit every day—and a short time of quiet and gratitude every day.
Technology can seem overwhelming to those who didn’t grow up with it, and too often seniors give up on trying to understand new advancements. While it’s true that adapting to technology doesn’t come as naturally to seniors as it does to younger generations, there are a lot of benefits of technology that you should know about. One example is apps, a downloadable application that can be used on a phone or tablet.
1. Healthcare apps
Seniors can use apps to access healthcare information faster. Many healthcare facilities and doctors use apps to create patient portals and upload your medical information for you to view. Doctors can also have chat lines to be available after office hours for emergency medical questions.
Some healthcare apps even allow you to fill prescriptions online, saving you a phone call or doctor’s visit when you need medications refilled on short notice. You can also use a health app to monitor symptoms of chronic conditions.
Ridesharing apps allow you to get a ride without needing a car yourself. These apps will share your location with a certified driver who will pick you up and take you where you need to go for a small fee. No parking needed!
These apps are great for seniors because if you don’t have a car or don’t feel comfortable driving someplace you can have a source of transportation.
Social media apps are some of the most popular among people of all ages. While you may have a Facebook account on your computer, it can be a great asset to have the app downloaded on your phone or tablet as well. Then you can easily see photos, posts, and updates from friends and family.
Staying connected to people is an important part of senior health. Socialization is a big part of ensuring that your cognitive functions continue to operate healthily as you age. Social media apps can help you keep in contact with people, as well as sharing your own thoughts and events.
As mentioned above, finding ways to help keep your brain functions healthy is an important aspect of maintaining your cognitive and memory health. In order to help, there are apps specifically made to challenge your brain and improve your mental functions. You can learn new skills, thought patterns, and languages through apps, and most can be explored for free.
Let’s face it: grocery shopping is a chore at any age. However, it becomes especially difficult as a senior to find the time and energy to drive to the store, find everything you need, get it up on the checkout line, carry your bags to the car, haul them all inside, and put everything away. So why not use apps to cut out some of these steps?
Grocery delivery apps like Shipt and other food delivery apps can take all the travel time out of finding the foods you need to stay energized and healthy.
From simple slips to more serious reminders, it’s important to have a
system in place to help us remember when something important comes up.
Apps can help with sound and vibration notifications that capture our
attention. Different apps have features that may be better for your
memory, so play around to find one that fits your needs!
It’s the Golden Age of Television, and you don’t want to miss a minute! There are so many different television and movie watching opportunities, so having the ability to watch your favorite programs from anywhere is a great benefit of app technology.
If watching television isn’t your go-to activity, there are still plenty of ways to find entertainment with reading apps. Whether you pay for a monthly subscription with Amazon Kindle, or want to borrow library books to read online, there’s an app for you! You can even listen to books through Audible, which reads books out loud so you can hear your favorite story while doing other tasks.
If you still want more entertainment, there are an abundance of gaming apps that you can try out. Some are puzzle based, which can help build cognitive functions, some are played against other people, and some are just great for passing time.
No matter what type of games you like to play, there are apps available for you. These apps are so popular that they have an entire tab under your app store to search within! Take a look and see which apps are going to provide you with the most fun.
10. Music apps
Music is one of nearly everyone’s favorite pastimes, and is especially great for seniors. As with other forms of entertainment, there are more options available now than ever before. And, with the help of music apps, you don’t need to have any equipment beyond a phone or tablet to enjoy all your favorite songs.
For almost anything you can think of, there is an app that can help. While technology may seem overwhelming, getting some help from a younger family member or friend to really understand tools like apps can make technology a great addition to every senior’s life!
Taking medication for high blood pressure or high cholesterol can reduce the odds of stroke. Researchers also suspect improvements in diet, exercise and lifestyle are contributing to better outcomes. (Courtesy Spectrum Health Beat)
Starting in the late 1980s, stroke rates among older Americans began to fall—and the decline shows no signs of stopping, a new study finds.
The researchers found that between 1987 and 2017, the rate of stroke incidence among Americans aged 65 and older dropped by one-third per decade.
The pattern has been steady, with no leveling off in recent years.
It’s not completely clear why, according to researcher Dr. Josef Coresh, a professor at Johns Hopkins School of Public Health, in Baltimore.
Over time, fewer older adults in the study were smokers, which is a major risk factor for stroke. On the other hand, some other risk factors—such as high blood pressure and Type 2 diabetes—became more common.
Of course, those conditions can be treated. And it’s known that for any one person, getting high blood pressure, high cholesterol and diabetes under control can cut the risk of stroke, Coresh said.
“However,” he added, “at the population level, we found that the decline (in strokes) was larger than what would be predicted from risk factor control alone.”
That suggests something else is going on, Coresh said.
The findings are based on data from a long-running heart health study that began in 1987. At the outset, it recruited almost 15,800 adults aged 45 to 64 from communities in four U.S. states.
A previous study found that the stroke rate among the participants fell between 1987 and 2011—a decline seen only among people aged 65 and older.
The new analysis, published online recently in JAMA Neurology, shows that the trend continued between 2011 and 2017.
Over 30 years, Coresh’s team found, there were 1,028 strokes among participants aged 65 and older. The incidence dropped by 32% over time.
In more recent years, many more older adults were on medication for high blood pressure or high cholesterol, versus the late 1980s. But risk factor control did not fully explain why the stroke rate dropped so much, according to Coresh.
He said that other factors not measured in the study—including exercise, salt intake and overall diet—might be involved.
Dr. Larry Goldstein, a spokesperson for the American Heart Association/American Stroke Association, made another point: The study could not account for exactly how well-controlled people’s blood pressure and other risk factors were.
That could go a long way toward explaining the decline in stroke incidence, according to Goldstein, who is also a professor of neurology at the University of Kentucky.
But while the latest findings are good news, there are also more sobering stroke statistics, Goldstein said. Although strokes are most common among people aged 65 and older, they strike younger adults, too, and the incidence of stroke among younger people has been inching up in recent years.
Plus, Goldstein said, the death rate from stroke—which had been declining—has recently “stalled” and is starting to reverse course.
“It might be because folks are now having more severe strokes,” Goldstein noted.
It’s critical, he added, that people be aware of the signs of stroke and get help quickly if they think they, or a family member, is having one.
Some of the warning signs include a drooping or numbness on one side of the face; arm weakness or numbness; slurred speech; sudden confusion or difficulty seeing or walking; or, as Goldstein described it, “the worst headache of your life.”
His advice: “Don’t delay getting help. Time saved is brain saved.”
Tramell Louis Jr. has diabetes, and his friends all know it.
So when he collapsed at lunch while waiting to place his order, his buddy thought Tramell was having a diabetic attack.
He helped him out to his car and called LaGenda, Tramell’s wife, who drove to meet them outside the restaurant.
It didn’t take her long to figure out that this was no low-blood-sugar attack, so she followed her instincts and called 911.
“I’m asking him questions and he’s looking at me, but he won’t respond. So at that point I knew something was grotesquely wrong,” she said. “I just knew it wasn’t related to the diabetes.”
As she watched “his mouth go crooked,” she wondered whether he was having a stroke.
Clot retrieval
An ambulance took Tramell to the emergency department at Spectrum Health Butterworth Hospital, where doctors confirmed LaGenda’s suspicions: At age 37, her husband had suffered an acute ischemic stroke.
The doctors quickly got him hooked up to an intravenous drip and administered a clot-busting medicine known as IV tPA. As the only drug approved by the Food and Drug Administration for treating acute ischemic stroke, this is the standard of care in a case like Tramell’s.
At the same time, emergency room staff called one of the hospital’s stroke specialists, who ordered a CT angiogram to pinpoint the source of the stroke. Tramell was rushed to the interventional radiology suite for imaging.
With the images on screen, the Spectrum Health Medical Group neurointerventionalist could see that Tramell was a perfect candidate for an advanced intervention called a mechanical thrombectomy, or clot retrieval.
Tramell’s brain scans showed two blood clots—one in the carotid artery in his neck and the other lodged in the left-middle cerebral artery, a major artery supplying the brain.
This second clot had shut down the blood flow to the left side of his brain, like a dam blocking a river.
“When the doctor showed me the CT scan of his brain, you could clearly see that (one) side of his brain had no blood flow to it at all,” LaGenda recalled.
Time is brain
With stroke, speed is everything. The longer the brain is deprived of blood, the more damage the brain suffers.
Studies have shown that for every minute blood supply is blocked, approximately 2 million neurons die.
So if a patient fits the criteria for intervention, “the sooner you start the procedure, the sooner you take out the blood clot, the sooner you restore the blood flow, the better the outcomes at three months.” That’s the standard measurement in the United States today.
Thankfully, Tramell beat the clock. From the moment he arrived at the hospital to the time he underwent surgery, less than an hour had passed.
Because there were two clots, the doctor used a two-step process to retrieve them. First he inserted a catheter into a blood vessel in the patient’s groin and fed it up to the carotid artery. Using a tool called the Solitaire device, he trapped the first clot in a tiny mesh stent and pulled it out.
Photo by Taylor Ballek, Spectrum Health Beat
Then he repeated the technique, fishing out the clot in the central brain. Immediately the blood began to flow again, in what doctors call complete recanalization—the channel was open again.
The results for Tramell proved to be dramatic.
His symptoms—loss of language function and right-side weakness—improved literally overnight, said Vivek Rai, MD, a neurologist with Spectrum Health Medical Group who specializes in stroke and vascular neurology. He took over Tramell’s care after his release from intensive care.
“After the procedure, the next morning when he woke up, he was night and day,” Dr. Rai said. “And he continued to do so well.”
Now that Tramell is in the clear, Dr. Rai will see him annually in the neurovascular program’s stroke clinic, keeping tabs on his carotid artery disease, which was the cause of the stroke, and monitoring his general health. To prevent a future stroke, Tramell will need to take aspirin and cholesterol medication, and carefully control his diabetes and blood pressure.
Driven to change
At five months post stroke, Tramell is feeling better than ever.
“I feel great. I really do,” he said. “I feel healthier than I have in a long time.”
He looks and sounds healthy, too, with no lingering effects. At least, none that a bystander would notice.
“The only problem I have is my speech,” he said. “When I speak, if it’s a word I haven’t used after I had my stroke, it takes—it’s like a pause and then I have to remember the word and then it jogs it, and then I start using it fluently.”
The stroke served as a major wake-up call for the father of two. Realizing his life could be snatched from him—separating him from his wife and children—brought out strong emotions.
“I felt anger, extreme anger—with myself. I just knew I had to change. I had the worst—the worst—eating habits in the world,” he said, noting that before he started taking insulin, he weighed over 300 pounds.
Today Tramell is eating better, faithfully taking his medications, drinking more water, kicking his soda habit and “running on a treadmill like crazy”—even when his job as a shipping and receiving clerk keeps him at work late.
“My wife—she’s the one that motivates me to do all the things I do,” he said.
Making a conscious decision to let go of anger and resentment rooted in the past will help you focus on what’s important today. (Courtesy Spectrum Health Beat)
It’s surprisingly easy to hold a grudge, but whether it involves a friend, a co-worker or a loved one, it can fill you with bitterness, keep you stuck in the past and even lead to anxiety or depression.
That means you’re the one suffering from the situation—and not necessarily the subject of your anger and irritation.
Besides the emotional toll, researchers from Glasgow Caledonian University and Edinburgh Napier University, in Scotland, found that holding a grudge can also heighten feelings of physical pain, even if that pain has nothing to do with the incident in question.
So if your lower back is bothering you or you have the achiness of arthritis, your pain can feel worse if you’re stewing over the grudge.
Letting go of a grudge starts with forgiveness. That doesn’t mean you’re excusing the behavior the other person exhibited—and you may never forget it—but if you can forgive the person for their mistake, you can break free of the hold he or she has had on your life.
The benefits are wide-ranging and immediate.
Making a conscious decision to let go of the anger and resentment that keeps you rooted in the past will allow you to focus on your present and what’s important to you today.
Letting go of grudges frees you to focus on the positive relationships in your life—the ones that bring you true happiness and contentment. It also lessens feelings of anxiety and hostility while improving self-esteem and your health in general.
As you let go of grudges, they will no longer define you and you’ll feel like a burden has been lifted from your shoulders.
As the days get cooler, the autumn landscape blooms with golds, oranges, and reds of the changing leaves. From scenic drives along the Lake Michigan shoreline to winding trails through the inland forests, West Michigan celebrates the colors of the season with color tours, unique viewing experiences, and special fall stops along the way.
Driving, biking, and walking color tours
Jump into the car, onto a bike, or motorcycle and wander along the Harbor Country Fall Motor Tour. You’ll find easy stops to shop, pick a pumpkin or grapes, and ease back with great eats and an end-of-ride drink along the routes that runs between New Buffalo, Three Oaks, Union Pier, Lakeside, and Bridgman in Southwest Michigan.
The best places to view the fall colors in South Haven are on the nature trails. Hike or bike the Kal-Haven and Van Buren Trails, or kayak the Bangor/South Haven Heritage Water Trail under a canopy of fall colors.
Experience the fall colors of the Holland area as you climb Mount Pisgah, a towering dune east of Holland State Park, which is accessible via a boardwalk and stair system. With its apex 157 feet above Lake Michigan, the boardwalk culminates with scenic views of Lake Macatawa, Lake Michigan, and Big Red Lighthouse, surrounded by a heavily wooded area in vibrant hues of orange, red and, yellow. Or view the fall colors from the comfort of your car — here are a variety of driving routes around the greater Holland area.
Whether you are driving, hiking, biking or paddling, Ludington is a great place to explore the beauty of the fall season.
For the first three Saturdays in October, Muskegon and White Lake invite you to celebrate the vibrant colors of the area woods, dunes, and water with the Depot-to-Depot Fall Color Tour. Drive your car or ride your bike along this self-guided route that stretches from the Muskegon South Pierhead Light to the White River Light Station. Travel on some of Muskegon’s most scenic roads along Lake Michigan and the West Michigan Pike Byway. This tour is free and participants will receive fall refreshments and coupons to area businesses. There are also free pumpkins for the children and complimentary Visit Muskegon postcards for the grownups (while supplies last). Stamp your map at the designated stops and enter to win 2 round-trip passes for the Lake Express High-Speed Ferry between Muskegon and Milwaukee to use in the 2020 season. Check in on social media for chances to win weekly giveaways using #VisitMuskegon, #D2D19, and #LiveWhiteLake.
With Fall on its way, so is the Mecosta County Fall Color Tour. The 2nd Annual Fall Color Tour is being coordinated by Jeep Freakz of Michigan, and they’ll be riding with the Reed City Trail Rides Off Road Group. On Saturday, Oct. 5th, from 11:30am-5:30pm, the groups plan to travel to Hungerford before exploring other local trails throughout Big Rapids and Mecosta County.
You can also enjoy a Mecosta County Color Tour through self-guided canoe and kayak trips down the Muskegon River. Stop in to the Welcome Center at 127 South State Street in Big Rapids, or visit BigRapids.org to pick-up/download the Color Tour brochure.
Manistee County has two fall color seasons: Inland and Coastal. Check out the latest fall color tour routes and videos for weekly fall color updates live from around Manistee County and Northern Michigan.
Great color, beautiful scenery and interesting places to stop — you’ll find it all in the Petoskey Area. Five suggested routes take you in and around Harbor Springs, Petoskey, Charlevoix, and Boyne City — some offer lake views and all are known as favorite places to enjoy fall’s splendor.
The drive around Lake Charlevoix is a great color route; this journey will take you on the Breezeway through both East Jordan and Boyne City. The surrounding countryside is full of gently rolling hills and abundant foliage that is sure to satisfy that fall color trip you’ve been waiting for.
The contrasting evergreen and hardwood forests of the Grayling area are spectacular in autumn. Nature enthusiasts will enjoy a leisurely drive down the back roads, biking or hiking through Hartwick Pines State Park, or taking in the riverside colors while canoeing down the world famous AuSable and Manistee Rivers.
Set on the shores of Lake Superior, Travel Marquette has partnered with Noquemanon Trail Network (NTN), the leading trail network in the Central Upper Peninsula of Michigan, to deliver ‘Trail Talks’, enriching and engaging talks and expert led tours of the region throughout the 2019 summer and fall season. On Oct. 16 from 6:30-8:30pm, Travel Marquette and NTN will host a Picture This Trail Talk where expert photographer Shawn Malone shows trekkers how to capture the beauty of fall foliage with all levels of equipment including smartphones. Register for free to help organizers plan for the event. Location to meet the group: Marquette Board of Light and Power, 2200 Wright Street, Marquette, MI 49855.
Unique ways to view the fall foliage
Watch as Benzie County transforms into a kaleidoscope of color during Fall Chairlift Rides at Crystal Mountain in Thompsonville. Fall Chairlift Rides are available select dates through the month of October.
Enjoy the beautiful fall colors from the deck of the 77′ schooner Inland Seas as she sails around Suttons Bay. Fall is a relaxing season in northern Michigan as temperatures are comfortable and traffic is light. On this sail, participants can help the crew in raising the sails and steering the ship, or just sit back and relax while taking in the wonder our Great Lakes provide us. Cost is $30 for adults and $20 for children. For more information, visit schoolship.org/buy-tickets.
Courtesy West Michigan Tourist Association
Two of the Mitten’s premiere paddlesport rivers, the Pine and the Big Manistee, wind their way through beautiful river valleys, revealing new color palettes at every bend. The Pine River Paddlesports Center in Wellston is here to make your fall color tour on the river an absolute breeze.
Experience Mother Nature’s fall color show from a different perspective. Hop on the Blue Chairlift in Shanty Creek Resort’s Schuss Village in Bellaire for a colorful ride to the top of Schuss Mountain. Just $5 per person, Chairlift Rides take place from noon-4pm on Saturdays through Oct. 19th.
Take a fall foliage tour via the Chippewa River by kayak or canoe and explore the fall foliage or hike to the “elusive” mountain in Mt. Pleasant, Bundy Hill Preserve, home to the highest point in Isabella County.
Home to more than 100 lakes, including two chains of lakes, getting out on the water in Coldwater Country is the best way to see the fantastic fall foliage. Launch a boat, kayak, or canoe at one of the many public access points or rent a boat from one of the area marinas to get out on the water.
Stops to add to your color tour
Looking for the perfect spot to take in the fall color with a glass of wine in hand? Located on the 16th floor of Grand Traverse Resort and Spa in Williamsburg, Aerie Restaurant & Lounge gives you 360-degree views of Northern Michigan and Grand Traverse Bay. Best of all, Aerie is a three-time Wine Spectator Award of Excellence winner, so whether you’re looking for an Old World classic or a local favorite, you’ll find the perfect bottle.
The Courtyard by Marriott Petoskey is your perfect beginning and end to your fall color tour. Only 15 minutes from M-119, the new property offers refreshing rooms and a bistro to share with family, friends, and loved ones alike.
After a day of exploring Northern Michigan, stop in downtown Charlevoix for dinner, a craft beer, or a tasty treat. Explore downtown boutiques for fall discounts and one-of-a-kind merchandise. While taking a fall color tour, celebrate nature’s harvest at the annual Apple Festival, Oct. 11th-13th, where you can enjoy an art and craft show, a variety of food vendors, and family friendly events. Stop at Friske’s Farm Market in Atwood to enjoy numerous tasty treats like a slice of apple pie, you-pick apples, and apple cider.
Lewis Farms & Petting Zoo in New Era is the perfect place to stop for all your fall favorite goodies along the beautiful drive up US-31 between Muskegon and Ludington. Stop in the market for apple cider and fresh donuts, pick up some delicious Michigan apples, or grab a bag of our homemade kettle corn to snack on along the way.
Crane’s is a family owned, family run business that has been a treasured travel destination in West Michigan for decades, nestled in the lush, rolling hills of their family’s fruit farms just minutes from Lake Michigan’s shore.
Special events to celebrate autumn colors
An annual celebration of autumn, Chrysanthemums & More, on display now through Oct. 27th at Frederick Meijer Gardens & Sculpture Park in Grand Rapids, is the largest show of its kind in Michigan, featuring expansive chrysanthemum displays, fall foliage and family friendly activities. Mum Day, Oct. 20th will provide members and guests an opportunity to interact with horticulture staff and learn more about the fascinating chrysanthemum and fall themed plantings.
Courtesy West Michigan Tourist Association
Gaylord’s Treetops Resort will be holding a Fall Color Tour and Progressive Dinner on Oct. 5th and a Farm 2 Fork dinner on Oct. 12th.
Celebrate the vibrant fall colors of Southwest Michigan. Maple Row Sugarhouse is one of the stops on the Three Rivers Chamber of Commerce’s Fall Color Tour, which takes place Oct. 13th from 10am-5pm. Tour the Sugarbush and learn how maple sap is collected, enjoy samples of many different maple products, and learn how the French colonials made maple syrup and maple sugar.
Otsego Resort in Gaylord will host Wine & Cheese Color Tour Saturday, Oct. 19th, beginning at 2pm.
What you don’t know about bone health may hurt you. Get in the know with a doctor’s expert information about osteoporosis. (Courtesy Spectrum Health Beat)
The sunny days of summer are long gone, which means it’s time for all of us to start taking our vitamin D supplements.
Vitamin D is a necessary and crucial component of bone health. Unfortunately, we often don’t think about bone health until it is too late and the damage is done.
Osteoporosis, a condition in which the bones become brittle and fragile from loss of tissue, is often a silent disease. By the time a fracture occurs, there are usually several other bones already affected.
The good news is that osteoporosis can be prevented. And, if your bones are already weak, there are ways to keep more loss from happening and strategies to keep fractures to a minimum.
Bone mass reaches a peak
Our bones are constantly turning over and renewing. In fact, there are cells that build new bone and others that break it down to make way for new bone.
Our bone mass level and fracture risk depend on the rate of new bone growth compared to the rate of breakdown.
Most women reach a peak bone mass at age 32 and lose a small amount of bone mass every year. In the first five years of menopause, if a woman does not take estrogen, her bone loss will accelerate, increasing her risk for issues such as osteoporosis.
If we aren’t active enough, our builder cells don’t think they are needed and won’t make new bone. Osteoporosis can result, making our bones weak enough to increase the risk for a fracture from minimal trauma—like stepping off a curb awkwardly or a minor fall.
We also need to be aware of a similar but less severe disease than osteoporosis: Osteopenia can occur when the bones are thinner than they should be at a given age.
Osteoporosis has a staggering effect on women’s health.
The most common fractures occur in the hip, but can also occur in the wrist and upper leg bone, with a possibility of micro fractures in the spinal bones.
You may be surprised to learn that another, less well-known complication of osteoporosis is the loss or cracking of teeth and poor healing after dental procedures.
Unfortunately, the effects of osteoporosis impacts our lives in many different ways. There may be surgeries to repair fractures, time off work and physical therapy. Complications from surgery may also occur, including weight gain, muscle weakening, infection, pneumonia and even stroke. Chronic pain can become an issue as well, especially for spinal bone fractures.
The risk factors of osteoporosis are numerous, but the most common are aging, vitamin D deficiency, inactivity, oral steroid intake, cigarette smoking and poor calcium intake.
For women who are underweight, they are at risk of rapid bone loss due to not having enough stress on their bones. There are many other, less common risk factors, including the following: medical issues such as eating disorders and poor nutrition, excessive consumption of carbonated sodas, and poor absorption of nutrients due to colon problems (prior gastric bypass or Celiac disease).
A family history of osteoporosis, rheumatoid arthritis, early menopause due to surgery or chemotherapy, or lupus can also increase a woman’s risk of developing osteoporosis.
Options and opportunities
I had a patient I’ll call Sue several years ago who was diagnosed
with osteoporosis. I saw Sue in my office just after she started
menopause.
As I always do with my menopause patients, I asked about her risk factors for accelerated bone loss. Sue was at a healthy weight but only exercised occasionally. She didn’t have any medical risk factors and had never had a fracture before, but she had also never taken a vitamin D supplement. Because Sue was in menopause and had never taken vitamin D, I ordered a DEXA scan—an enhanced form of X-ray technology that is used to measure bone loss.
When I called Sue with the results of her DEXA scan, she was not pleased. Her results showed that she had osteoporosis, and she had a greater than 20 percent risk for an osteoporotic fracture in the next 10 years. She also had a greater than 35 percent risk of a hip fracture during the same time period.
Sue’s reaction was very typical of many others when they are told they have osteoporosis. She was angry at herself, but she was also angry at the medical community because, at that time, we were not yet routinely recommending vitamin D supplementation.
She had always been told to wear sunscreen, which she did, whenever she went outside. And now she was being told a lack of vitamin D possibly contributed to her osteoporosis diagnosis? It just didn’t seem fair.
Once Sue’s anger subsided, we discussed what she should do next. I tested her for thyroid disease, vitamin D deficiency and parathyroid disease. Since Sue was in menopause, we discussed estrogen patches and pills that are FDA-approved for the prevention of osteoporosis. Sue chose not to take estrogen, but she was open to other options.
Although the tests showed Sue’s vitamin D level was very low, her other tests were normal—good news! So, we came up with a plan to keep Sue’s bones as healthy as possible.
I explained that the most important factors for keeping bones strong and preventing fractures is to eat a healthy diet and exercise regularly. I recommended Sue start on a prescription vitamin D tablet of 50,000 IU per week for two months and then 2,000 IU per day after that. I also suggested calcium-rich foods such as dairy products, almond or soy milk, and dark, leafy greens.
For exercise, we created a routine that included walking, jogging, Zumba classes and weight lifting. On days when Sue simply couldn’t fit in a workout, I advised her to jump up and down 50 times as a way to remind her bones to stay healthy.
In addition to diet and exercise, we discussed a few different prescription drugs, such as Raloxifene or Bisphoshonates, that help treat and prevent osteoporosis.
In the end, Sue chose to look at the situation as a gift. She strove to maintain the bones she already had and make them as strong as possible.
So many women come into the office and share now familiar symptoms.
“Why am I gaining weight?”
“I do not feel like myself!”
“How do I avoid a heart attack so I do not suffer like my mom?!”
“I am afraid to go out in the winter because I do not want to break a hip.”
“How do I deal with all of my stress?!”
Women’s health is different than men’s health and the topic deserves research and attention to better recognize and offer the best prevention and treatment options to women.
Menopause symptoms are important to understand and treat as these symptoms can be a sign more is going on under the surface.
Low estrogen causes hot flashes, night sweats and vaginal dryness. It also accelerates development of heart disease, bone loss, diabetes and obesity.
Emotional changes can be a sign of the existence of a high level of stress from handling kids and aging parents. Or this can be a red flag symptom of changing levels of brain chemicals, less sleep and a need for improved coping tools.
Women who cope well with life and body changes have three things in common:
1. They believe they deserve to be happy.
2. They keep a support network around them.
3. They ask for help when they need it.
A patient I’ll call Katie came to us because she was facing the perfect storm of menopause and felt like it was a hurricane.
She had all the symptoms—hot flashes, night sweats, irritability, insomnia, bladder urgency and low sex drive.
She no longer felt motivated to get up early to exercise and ate cookies at 3 p.m. to stay awake.
She and her husband argued about minor things, especially about how to deal with their son who was failing his class. Her mom, who’d suffered a stroke, fell and broke her hip in the assisted living center.
Work seemed crazy as her boss had left and she had to do both their jobs until a replacement could be found.
Katie came to us because she heard we could help with hot flashes. We certainly could offer meds and call it a day, but we see such a situation as an opportunity to become her partner in her health and consider all options.
This included a practical plan for a healthy lifestyle using the SEEDS, tracking and treating her symptoms, and assessing her health risks for bone loss, stroke and heart attack.
We also know emotional health is a big part of healthy aging. We support this facet of wellness by listening, discussing how the SEEDS can support the body and mind, and also having a team that includes a psychotherapist who can help our patients cope with strong emotions.
Three months later, Katie had improved sleep, better moods, only a rare hot flash, and she and her husband had a plan worked out with their son. Her mom had started to heal and feel better, and she was excelling in her new role at work.
Further, she ate better, took her vitamin D and calcium, and made time for small bursts of exercise. She no longer needing cookies to stay awake.
Best of all, she had a plan to reduce her risk of stroke, heart attack and bone loss.
Her hurricane of menopause had passed and life returned to smooth sailing.
Autumn is just about here — and that means it’s time to fill your calendars with some fun, fall-themed events. This season of cool nights, brisk mornings, and changing leaves is a lovely time to refresh with new activities. Whether you’re a Pumpkin Spice Latte fan or you’re counting down the days until you taste Thanksgiving stuffing, here are some senior-friendly fall activities to enjoy autumn with your loved ones.
1. Decorate for fall
Take an hour — or if you’re inspired, a whole weekend — and put away those summertime clothes and household items you won’t need this fall. Once you’ve de-cluttered, it’s time to decorate.
Create a fall centerpiece for your table with miniature pumpkins and dried leaves.
A cozy, plaid blanket is a nice touch for a recliner or rocker.
Turn your door into a lovely autumn entrance with a festive seasonal wreath.
Collect fallen leaves to use in your decor.
Embrace warm fall colors like red, orange, and yellow.
Have fun with pumpkins. Display them on festive plates, in glass vases, or on a bookshelf.
2. Create autumn-themed artwork
Creating beautiful things is fun and therapeutic for all of us, no matter our age. During the fall months, craft stores overflow with wreaths, pumpkins, and scarecrows, and a quick internet search turns up ideas for dozens of easy projects.
Cut paper or fabric into leaf shapes and hang a garland from a fireplace or doorway.
Paint stay acorns or even dip them in glitter.
Press fallen leaves and frame them for a striking autumn wall hanging.
If in-depth craft projects aren’t right for you, an autumn-themed adult coloring book is a calming option. Psychologists recommend coloring as a relaxation technique. There is a huge variety of coloring books available today, so you’ll be sure to find one that suits your style.
3. Enjoy the brisk fall weather
For those of us who couldn’t spend much time outside during the hot summer, the autumn months are a perfect chance to relax outdoors. Many communities offer fun fall activities for the whole family, such as corn mazes, hay rides, or pumpkin patches.
To ensure a healthful day outdoors, remember to check the weather report. Fall weather can change unexpectedly, so make sure you choose appropriate clothing. Don’t forget hats and sunscreen — UV rays can still cause skin damage even on cloudy days. Also, hydration is essential even after the hot summer months, so make sure to bring extra water.
4. Enjoy autumn treats
Everyone has a favorite fall flavor, from spiced apple cider to the classic Thanksgiving pumpkin pie. Whether you’re an experienced chef, or if a trip to the local bakery is more your style, make time for a special fall meal.
If you or your loved ones are creative in the kitchen, plan a day of cooking together. For aging adults who are not as active as they once were, perhaps more able loved ones can assist with shopping for a favorite fall menu to prepare and enjoy. Some families have traditional recipes perfect for this time of year. Or you can keep it simple and just enjoy a delicious slice of pie after lunch.
These senior-friendly fall activities are a great way to have a refreshing autumn season with your family. Whether you’re crunching through piles of brightly colored leaves or carving a fat orange pumpkin with your grandchild, fall is a special season and a great time to rejuvenate.
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