Sink, check. Toothbrush, check. Shower head? Yes, add the shower head to your checklist of things to replace or clean in the bathroom. (Courtesy Spectrum Health Beat)
You no doubt think that stepping into your shower will wash away dirt and germs, but a new study shows your shower head might instead dump nasty bacteria on you that may cause lung infections.
Most people know to keep their bathrooms clean, especially the toilet and sink. But researchers discovered that places in the United States and Europe where germs called mycobacteria are found in abundance in shower heads are the same places where bacterial lung infections are most common. In America, that includes parts of Southern California, Florida and New York.
“We live in a world covered in bacteria, and the bacteria in our shower heads follow some interesting geographic trends, and can be altered by our water source and water chemistry,” said study lead author Matthew Gebert.
“We’re exposed to microbes constantly in our day-to-day lives, some beneficial, some innocuous and a few potentially harmful,” Gebert explained.
He’s a research associate at the University of Colorado’s Cooperative Institute for Research in Environmental Sciences.
Bacteria thrive in shower heads and water distribution systems. Although most of these bacteria are harmless, some can cause lung infections, he said.
Still, just because mycobacteria live in your shower head doesn’t mean you’ll get sick or are more likely to get a respiratory infection, Gebert added.
In fact, researchers can’t say that a person with a respiratory infection got it through showering, but understanding the sources of mycobacterial exposure is important.
“We don’t want people rushing home and throwing away their shower heads or obsessively cleaning them every day, nor should anyone change their showering habits—swallowing the water is OK,” he said.
For the study, Gebert and his colleagues analyzed shower heads from homes around the United States and Europe, and found an abundance of bacteria. The kind of germs varied by location, and by the chemistry of the water and where it came from.
An interesting finding was that homes whose water was treated with chlorine disinfectants had high concentrations of certain germs, the researchers noted.
The study was published recently in the journal mBio.
“I don’t think there are necessarily any negative implications from the study,” Gebert said. “But because bacteria that can cause illness live in our shower heads, it’s important to understand how people can be exposed to them.”
Dr. Marc Siegel, a professor of medicine at NYU Langone Medical Center in New York City, noted that bacteria grow in wet places like shower heads.
“This is a reminder to clean your shower head, which nobody does,” he said, though “most of us are likely to tolerate mycobacteria and not get sick from it.”
Bacteria in shower heads won’t cause an outbreak of lung infections, but people who are run down or who have a compromised immune system or a chronic condition may be vulnerable, Siegel suggested.
Bacteria also live on your toothbrush and in your sink—any moist surface, he said.
Siegel recommends cleaning your shower head every week or two with a disinfectant that contains ammonia to be sure you kill all the germs nesting there.
“Add your shower head to the list of things in the bathroom that need cleaning,” he said.
Despite all the stereotypes about seniors who simply don’t understand technology, a majority of adults age 65 and over are now using the internet. According to a report by the Pew Research Center, over 67% of this group uses the internet regularly, and as many as 40% own a smartphone. However, while seniors and technology may be more compatible than people think, it doesn’t change the fact that this generation was raised without it, and may not be familiar with some of the risks. We’ve put together 18 important tips for safer internet surfing:
General Safety & Security
Make sure your passwords are unique and secure. Use strong passwords that don’t include any personal information, and try to avoid dictionary words and common phrases. Many websites recommend a mix of lower and uppercase letters, numbers, and symbols. In addition, never use the same password for more than one account.
Use anti-malware software and other protective tools. Be sure that your computer has some sort of trusted security software installed, and set it to automatically update so that you’re protected against the latest risks. Ask an expert or trusted tech-savvy person if you’re unsure what to install.
Don’t download unknown attachments and software. Never download documents, images, or software if you don’t know and trust the source. Scammers and hackers will often disguise viruses and other malware as “free” software tools or interesting content to download.
Consider authorizing a trusted friend or family member to access your accounts. In case of emergency, it can be difficult or impossible for trusted friends and family to access online email, bank, and file storage accounts. Plan ahead and work with an attorney to authorize someone you trust to access your accounts.
Email and Social Media
Understand “spam” filters. Spam refers to unwanted, unsolicited emails. Most email providers have spam filters that remove these emails from your main inbox.
Use social media privacy settings. Be aware of what you’re posting on any social media sites, and use privacy settings to restrict access to your posts to people you trust with personal information.
Report any and all instances of abuse. Cyberbullying may be associated with children and teens, but that doesn’t mean that adults don’t get abused online. Don’t respond. Instead, report abuse – both to the platform you’re on and to people who can help, and remember that abuse is not your fault.
Know the signs of a scam. If it’s too good to be true, it usually is. Offers of low-priced or free big-ticket items such as vacations, electronics, and medicines are usually scam attempts. On the other hand, scammers will sometimes send you requests for money from friends’ personal accounts; never reply or send funds without first verifying the request with the person in some other way.
Money and Purchasing
Look for secure websites. Whenever you’re prompted to enter your payment information into a website, first check that the website is secure. In the URL bar at the top of your internet browser, look for “https://” for a secure site. (The “s” stands for secure.)
Understand and avoid phishing attempts. Be wary of links to sites that ask you to make a purchase or enter your payment information. One common scam, “phishing,” makes a phony site look like a trusted site, then gives your information to the scammer. Look for grammatical errors, spelling mistakes, and URLs that look different than you’re used to. When in doubt, enter the web address you know to be correct directly into the URL bar.
Do not enter personal or payment information into an unknown site. On a similar note, be sure to verify the website if you’re going to enter personal or payment information. Look for reviews of online retailers, and in the case of banking or government portals, never respond to requests for information. Banks and government agencies will never solicit passwords, Social Security numbers, or payment information.
Monitor your financial accounts. Even when you take every precaution, there is a chance that your payment information may be leaked or stolen from a trusted vendor. Watch your bank accounts and credit cards for unauthorized purchases.
Meeting New People
Exercise caution. Unfortunately, not everyone on the internet is who they say they are. There are many online opportunities to meet new people, from dating sites to hobby groups and forums, but not everyone is trustworthy. Be cautious when interacting with new people, and don’t give out too much personal information where people can find it.
Do not send money to new acquaintances. Similarly to personal information, some people will use the relative anonymity of the internet to get close to their targets, then request money and never be heard from again. Don’t be swayed by stories of personal tragedy or requests for money to visit unless you’re positive of the person’s good intentions.
When meeting up in person, be safe. If you choose to meet someone from a dating website or a friend you met online, choose a public place and let a friend or family member know where you’re going and who you’re meeting. You can never be too safe, even if you feel you know the person well.
Well-being and Health
Know fact from fiction. Websites such as news publishers and health advice blogs often make money by attracting visitors to view and click ads on their pages, and will publish sensational headlines to get those views. Not everything published on a website is true, no matter how official it may look.
Avoid self-diagnosis and armchair healthcare advice. It’s incredibly easy to look up your symptoms on a search engine and find a list of possible diseases, or a forum discussing a diagnosis. Only a licensed healthcare professional who understands your health background should make diagnoses and prescribe treatments. Attempting to use the internet to do so could mean the condition goes untreated or becomes worse.
Follow up with a professional. Of course, not every piece of health advice on the internet is life and death. There are many helpful resources online for nutrition advice, well-being, and fitness, but it’s always good to consult a professional before making any changes that could impact your health, such as a new diet or exercise plan.
The internet is a helpful tool for staying connected and getting informed, but there are some risks inherent to its use. By educating yourself, you can stay safe from the unpleasant aspects of technology while continuing to reap the benefits.
“I loved sugar, and I still do,” says Kelsey Haynes, a community relations specialist for Spectrum Health. (Photo by Taylor Ballek, Spectrum Health Beat)
No candy or cookies. No soda pop. No hazelnut syrup in your coffee.
The idea filled Kelsey Haynes with dread at first. A self-described “sugar addict,” she didn’t know how she could give up her sweet ways.
But three weeks into a sugar-free challenge, she likes the results. She’s lost a few pounds. She feels energized. She has broken her afternoon candy-jar habit.
“I loved sugar, and I still do,” she says. “I just don’t crave it. It’s changing my habits.”
Sugar-free challenges are popping up on the internet lately, urging folks to cut added sweeteners from their diets for a set period of time, as a growing number of health advocates identify added sugars as a prime culprit behind rising obesity and diabetes rates.
Haynes followed a suggestion from a New York Times columnist, who advised readers to try going a month without sugar.
Most sugar-free campaigns don’t target the sugars naturally found in fruit and dairy products.
They focus on the sweet stuff added to food to make our taste buds happy. Sugar lurks in some surprising places―bread, crackers, ketchup, breakfast cereal, salad dressing and pasta sauce―that don’t seem at all sweet.
Low-calorie artificial sweeteners are eliminated in the sugar-free challenge, as well, because they help fuel the sweet-tooth habit.
“A 30-day (no-added-sugar) challenge is not such a bad idea,” says Christy McFadden, MS, RDN, a dietitian and supervisor of medical nutrition therapy for Spectrum Health. “I think people can learn a lot about how much sugar is in the food that they are eating.”
Haynes meal preps her health lunches to bring to work. Picture above is her cauliflower rice recipe. (Photo by Taylor Ballek, Spectrum Health Beat)
The challenge requires people to read nutrition labels and discover the many ways sweeteners appear in prepared food. Instead of sugar, the ingredients might include honey, agave, nectar, molasses, cane juice or sucrose―all forms of added sweeteners.
“Fifty-seven things are actually sugar on a label,” McFadden says.
With sugar incorporated into so many foods, people can develop a preference for the sweet stuff without realizing it.
“We want to eat more of it or want to overeat in general,” she says. “When we go away from that for a while and make a conscious effort to avoid it, you can retrain your taste buds to prefer other foods or just not love sugar so much.”
The 10 percent guideline
Haynes, a community relations specialist for Spectrum Health, has long been interested in nutrition and fitness. She already read nutrition labels and had a good idea of the amount of sugar in food.
But she still struggled with a longing for sweets.
“When people would ask me what my favorite sugar was, my answer would be, ‘Yes,’” she says. “That sugar packet on the table―I would open it up and eat it.”
Eliminating added sugars helped her focus on more nutritious options.
“I still eat a decent amount of sugar in fruit form,” she says.
A typical morning smoothie consists of kale, ginger, chia seeds, kefir, a half-banana and an orange.
She also developed an efficient way to plan a week’s worth of meals and snacks―to keep her healthy eating plan on track. She keeps menus and matching grocery lists on file in her computer, so she can print up a list before she heads to the store.
McFadden says the focus on healthier foods is a key benefit of a short-term no-sugar challenge.
Haynes has long been interested in nutrition and fitness. With a serious sweet tooth, she wasn’t sure she could give up her sweet ways. But three weeks into a sugar-free challenge, she likes the results. (Photo by Taylor Ballek, Spectrum Health Beat)
“I think it does force you to make healthier choices for a while and be conscious of that, too,” she says.
Americans get 13 percent of their calories from added sugar. But they should keep it under 10 percent, according to federal dietary guidelines.
Going beyond that point could mean either consuming excess calories or not eating enough nutritious foods.
For those aiming to limit sugar intake, upcoming changes in food labels will help. By July 2017, the Food and Drug Administration will require manufacturers to list added sugars on the labels for most foods. The labels must state the amount of sugar in grams and as a percent of daily calories.
The ultimate goal of a no-sugar challenge should not be to avoid all types of sugar forever, McFadden says. It should be to develop a healthy diet―one that includes fruits, vegetables, whole grains and lean proteins.
“Milk, yogurt and fruit have a lot of natural sugars. It’s not a pure evil,” she says. “But they come with all these other nutrients. In soda pop, there’s nothing there except sugar.”
Reliance on caregivers doubles as people near death, and half of those caregivers—typically unpaid family members—report having no time for themselves, a new study indicates.
The research used a nationally representative sample of about 2,400 older adults in the United States. The study authors found that caregivers provided nearly twice the number of hours of help each week to dying individuals than to those not at the end of life.
“We were certainly aware when dealing with end-of-life care that families are mostly involved, but we couldn’t quantify that prior to this [research],” said study author Dr. Katherine Ornstein. She’s an assistant professor of geriatrics and palliative medicine at the Icahn School of Medicine at Mount Sinai in New York City.
More than 34 million Americans provided unpaid care to an adult aged 50 or older in the past 12 months, according to 2015 figures from the National Alliance for Caregiving and AARP. Most caregivers are female.
Ornstein and her team drew from two nationally representative surveys in which caregivers in the United States reported their experiences caring for dying adults over age 65. The researchers contrasted this data with that of other caregivers providing ongoing care.
Older adults were classified as being at the end of life if they died within 12 months of the surveys’ completion.
The study found that dying adults had an average of 2.5 caregivers assisting them. Those near the end of life received 61 hours of help per week compared to 35 hours of help per week for older adults who weren’t at the end of life.
More than one-third of the end-of-life caregivers reported physical difficulty related to their duties. Just over half reported having no time for themselves. These figures were 21 percent and 40 percent, respectively, for other caregivers.
Nearly nine in 10 caregivers are unpaid, according to the study. For end-of-life caregivers who were spouses, nearly two-thirds reported receiving no help from family or friends.
“What we see now is, on average, there are 2.5 people helping someone at the end of life. You can imagine if they don’t have that, it’s much more difficult,” Ornstein said. “When spouses are serving as caregivers, the majority are reporting doing it alone and have the [most challenging] consequences.”
Barbara Coombs Lee is president of Compassion & Choices, a Washington, D.C.-based advocacy organization for patients’ rights and end-of-life issues. She pointed out that the caregivers surveyed in the new study didn’t necessarily know ahead of time that the person they were caring for was at the end of life.
This lack of awareness may have increased caregivers’ stress levels, she said.
“This told me the caregivers were probably struggling, not knowing this was an end-of-life situation. Our [organization’s] research indicates that uncertainty about decision-making is an inherent and extremely powerful source of stress,” Lee said.
“I would guess that many of these people didn’t know they were dying … so they pursued heroic, torturous, futile treatment,” she added. “Often the default decision [to continue treatment] increases the caregiver burden.”
Ornstein said she hopes greater awareness of the family burden of caregiving, especially at the end of life, comes from her research.
“We need to think about expanding access to palliative care services, which can help facilitate the delivery of supportive services to families earlier,” she added. “And we can see how we need to provide more paid family leave so families can provide the support we’re pretty much expecting them to provide.”
Lee agreed with the need for expanded access to hospice and palliative care.
“One of the big barriers to access to hospice is [an] information gap,” Lee said. “People don’t understand that hospice is appropriate to them in their journey in their illness. Palliative care utilization would go up if people had more candid conversations and were privy to information that physicians have but aren’t sharing.”
The study was published in the journal Health Affairs.
Very few people will be surprised that in a study of popular New Year’s resolutions in the United States, getting more exercise topped the list, along with eating healthier and spending less money. For aging adults, getting active can be a difficult goal, but it’s an important one. If you’re pursuing active senior living in 2019, but are feeling discouraged, we’ve got a few tips on how to get back on track.
1. Have Fun With It
Exercising isn’t everyone’s cup of tea, but getting active doesn’t have to be a chore. The key is to pick an exercise or activity that is fun and interesting for you. Ideally, you should think of something that will get you excited to get going; for example, if you love the feeling of slipping into a pool, try swimming every day, or if you’ve always enjoyed being out in nature, go for a walk or short bike ride whenever you can. Alternatively, explore some fun exercises that are new to you, like dance fitness, spinning classes, or yoga.
If you can’t find anything that speaks to you, incorporate hobbies and activities that you love into simple exercises. Try listening to audiobooks, music, or podcasts while you run or lift weights, or help out friends and neighbors with dog-walking.
2. Start Slow
One of the big reasons that people fail to keep their New Year’s resolutions is that they set goals, then get discouraged when they don’t see immediate results. Whether your goal is to lose weight, run a 5K, or simply pursue active senior living, it can’t happen overnight. Ease into daily exercise by starting with five or ten minutes of activity, and gradually increasing to 15, then 20, then 30 minutes every day. Starting slow will also help you stick to it — jumping in at 30 minutes a day gets exhausting when your body isn’t use to that much exercise, leading to procrastination, frustration, and avoidance.
3. Keep Your Doctor Involved
It’s not empty advice — you really should talk to your doctor before you begin a new exercise routine. Not only can they evaluate your heart, lung, muscle, and bone health so you have a good baseline to start from, but they can also recommend activities that will be the most beneficial for your body, age, and goals.
4. Make It Part of Your Daily Routine
Making a lifestyle change is never easy, which is why you should try to incorporate exercise and activity into your daily routine from the moment you set your goal. Set aside time before breakfast, or right before you shower at night. Maybe you want to do strength exercises while your favorite show is on TV. Whatever time makes sense for you, just be sure to hold yourself to a schedule until exercising becomes routine.
5. Get Others Involved
Getting active is so much more fun when you do it with friends. Get together with others who have resolved to achieve active senior living in 2018 and come up with a few things you can do together, like weekly jogging or a community fitness class. Even having one fitness buddy can help you stay motivated and enthusiastic about your goals. Share your progress, get feedback, and make exercising part of your social life.
Keeping your resolution to get active in 2019 may seem hard now, but by starting slow and having fun, you’ll be amazed at how much you’ll be able to achieve.
With the aging of baby boomers, chances are there will also be an increase in the number of informal caregivers. Michigan State University Extension recognizes that caring for an aging parent may seem like a natural progression of life; however, many are ill prepared to deal with the social, emotional, physical and financial decisions that will arise. If you’re caring for a loved one, a family caregiver meeting can help you navigate the many decisions that need to be made.
If you are making these decisions on your own (for example, if you are an only child), then your scope of consulting would mostly fall between you and your parent. It may be helpful to include a social worker, your care receiver’s medical care providers and perhaps their religious advisor. The final decisions, however, are up to you and your parent.
If you have siblings, your decision-making circle is much larger and has the potential to be highly emotional. It may include a variety of opinions and be loaded with family relationship baggage. Siblings can be a major source of support and a major source of stress. Not everyone thinks alike or has the same amount of time or talent to devote to caregiving. For these reasons, you may want to consider having a family caregiver meeting. A family caregiver meeting can help you work on specific problems, give people a chance to share thoughts, make a list the needs of your loved one and opens discussion about who can best fill those needs and how.
Whom you invite depends on your own family dynamics. You may want to consider being more inclusive rather than being exclusive. You may assume someone is not interested or involved enough; however, that person may end up being someone who really has the time and would love to pitch in. More hands tend to make less work. If possible, be sure to include your loved one, as they are the expert on their thoughts, wishes and needs. If relationships with your siblings are typically contentious, you may want to invite a social worker or religious leader to help mediate.
A caregiver family meeting should not be much different from staff meetings at work to address tough issues or lawyers meeting to discuss a plea bargain. Both situations have the potential to be emotionally charged. However, the difference is in the planning. Imagine a lawyer going into a plea bargain meeting unprepared, with no notes, no facts, and just relying on raw emotion. You could be almost sure their client would not be getting the best representation that they need or deserve. A lawyer or a boss goes into a meeting at a set date, time, place with certain people invited. There is an agenda, rules of communication to follow, there is productive discussion, notes are taken, decisions are made, and subsequent meetings may be scheduled. Caregiver family meetings can be run the same way.
Whether you have no siblings or many, a planned and organized caregiver family meeting can help you all make the best decisions possible for your loved one. For more information about caregiving, you may wish to consider signing up for a Powerful Tools for Caregiver class. During six lessons, groups of caregivers explore and share tools for focusing on self-care in order to be able to provide the best care possible to a loved one. To find a class near you visit www.msue.msu.edu and search for Powerful Tools for Caregivers. You can also call your local Michigan State University Extension Office to inquire about starting a class in your area.
Photos (except where noted) by Chris Clark, Spectrum Health Beat
With the wind in her face and the reins in her hands, Shanna Ruffner guides Jag, her quarter horse, through corkscrew-like barrel racing drills at a farm near her Otsego, Michigan, home.
Ruffner, 39, has been steering horses through barrels since age 2.
She’s always felt freedom and exhilaration aboard a horse’s back. Until last year.
After many repetitive motions at work, she felt pain.
The pain in her hands started like a slow walk, waking her up at night about this time last year. By November, the sensation had galloped into her daily life, affecting just about everything she attempted to do.
Taking a toll
Ruffner has worked for years for General Motors in the Lansing Delta plant, assembling Traverse and Enclave vehicles.
“I do a lot with the main wiring harness for the motor, plugging in different things and bolting things to it,” Ruffner said. “I also torque down the strut, tie bar and hub on the front end and attach radiators to the undercarriage before it gets married to the body.”
It’s important work, but repetitive work. And it eventually took a toll on her.
“I started experiencing numbness in my fingers about a year ago,” she said. “It finally got to the point in November that I could no longer sleep because it was waking me up. My hands would completely go numb in the middle of the night. They would go numb and they would burn. It was just unbearable.”
It became increasingly more difficult to work, and also risky to ride.
“It made it difficult to ride a strong, powerful horse because my hands would go numb while I was riding,” Ruffner said. “I ride a very powerful gelding. It’s a good thing we have a good bond because if it were any other horse, I don’t think I’d be able to ride.”
Still, the pain sometimes outweighed the fun. It was a crushing blow for Ruffner, who followed in her dad’s hoofprints so many years ago.
Her dad, George, who died in 1996, rode competitively and taught his daughter all he knew about barrel racing.
Photo by Chris Clark, Spectrum Health Beat
As a child, Ruffner competed in Michigan, Indiana, Ohio and Texas.
But in the last year, she felt like her condition was holding her over the barrels.
“It made it hard to pull and made it hard to hang on,” she said. “It just didn’t feel quite right. I didn’t have as much control as I would have liked to have.”
A horse wasn’t the only thing that became difficult to steer. She experienced trouble driving a car.
Ruffner’s commute from Otsego to Lansing spans an hour and 15 minutes. About 10 minutes into her drive, her hands would go numb. And eventually, they’d be numb before she even turned on the ignition.
She enjoyed taking her sons, Trenton, 18, and Brady, 15, to the movie theater for family outings. But the numbness closed the curtain on those outings, too.
“I got to the point I didn’t want to go to the movie theater because I knew my hands would bother me by the time I got there,” she said.
‘It was simple’
Last spring, with pain and numbness continuing to canter, Ruffner saw a specialist in Lansing for a nerve test.
“They basically hooked up different electrodes to see how the nerves react,” she said. “The nerve testing came back that I needed surgery on both my hands.”
In June, she consulted with Peter Jebson, MD, a Spectrum Health Medical Group orthopedic hand and upper extremity surgeon.
“It was simple,” Ruffner said. “I felt a little pressure when they were cutting (the ligament), but as far as anything else goes, the worst part of it was the shot of the local (anesthetic) to numb my hand. It was a piece of cake.”
Ruffner needed only Tylenol to keep the pain at bay.
“It’s felt really good,” she said.
Photo by Chris Clark, Spectrum Health Beat
Dr. Jebson said he’s pleased with Ruffner’s progress.
“With carpal tunnel, you have pain, particularly at night,” he said. “You can have bothersome numbness and tingling and also functional loss. She had the entire constellation of symptoms. But she’s already experiencing 100 percent pain relief and 90 percent of the tingling has improved. She is doing very well and the incision looks good.”
Dr. Jebson said carpal tunnel release surgery has come a long way in recent years. It used to be performed in an operating room in a hospital or outpatient surgery facility, under general anesthesia, which is significantly more expensive. The new technique, developed in Canada, saves patients money, pain and healing time.
“It also used to be a larger incision,” he said. “The patient used to be casted or splinted after surgery. We’ve progressed to where we now do minimally invasive incisions.”
Dr. Jebson and his Spectrum Health Medical Group team of hand specialists—Drs. Kevin Chan, Randy Lovell and Levi Hinkelman—perform about 750 in-office hand surgeries each year, including carpal tunnel release, trigger finger, trigger thumb, De Quervain’s tendonitis release, simple tendon laceration repairs and ganglion cyst excisions.
Dr. Jebson estimates performing procedures in the office suite saves patients and health care insurers $2,000, “which is significant with the increasing shift of financial responsibility to patients with higher co-pays and deductibles,” he said.
“Not only does it save patients a significant amount of out-of-pocket expense because they’re not using anesthesia and they’re not at a surgical center, patients don’t have to go for any preoperative testing, which saves them a lot of time,” Dr. Jebson said. “And this doesn’t require IV antibiotics.”
Office-based surgery is also environmentally friendly, producing only one bag of waste for a day’s worth of surgeries versus one bag for every procedure.
“It’s a significant savings to society in general,” he said. “It’s a multiple win and provides true value for patients. It’s the future—it will be the standard of care in three to five years across the country. We’ve been doing it for four years now and happen to be a nationally recognized program.”
Ruffner is pleased—especially that she’ll be able to return to work soon.
“I’m a self-admitted workaholic,” she said. “Being home all the time is difficult for me.”
Photo by Chris Clark, Spectrum Health Beat
It may be a bit before she bounces back to barrel racing—her saddle weighs 19 pounds and she has a 5-pound weight restriction.
But she has plans beyond lifting saddles. She aims to have surgery on her left hand, too.
“By the time this journey is all said and done, I will have had surgery on both hands,” Ruffner said. “I want to get it done and over with and be pain-free and resume a normal life.”
She hopes to be running barrels again by mid-September, with both hands healed and weight restrictions lifted.
“It’s a rush,” she said of barrel racing. “I love the adrenaline. You get to go out and run as fast as you can around three barrels without hitting them on a 1,000-pound animal that has a mind of their own. They have a personality and temperament all their own. You learn the true meaning of teamwork. It’s one thing to be a team with another human. It’s entirely different to be a team with an animal.”
But Ruffner said she truly appreciates the teamwork with Dr. Jebson and other Spectrum Health staff, in getting her back to where she wants to be.
“Anybody that is fearful of having carpal tunnel release surgery done should know, the way Dr. Jebson does it, they shouldn’t be fearful,” Ruffner said. “Have the surgery and take care of it as opposed to waiting until your hands are completely numb all the time. This experience has been so easy.”
Home pregnancy tests are commonplace, but that doesn’t mean that every type of self-test for health issues is reliable.
And even if results are accurate, you shouldn’t forgo getting advice from your health care provider, especially if the condition is life-changing and requires very targeted treatment.
Some kits that let you test at home are fast and inexpensive. They can uncover problems before symptoms start, allowing for early treatment and lowering the risk of later complications. Others help you monitor your health.
Home glucose test—some of the most common—show how well you’re controlling diabetes, but even these everyday tests require input from your doctor. So take precautions when using a home test, and remember that they don’t replace regular health-care visits.
The U.S. Food and Drug Administration considers home tests medical devices and, in light of this rapidly growing category, is working to set standards for the tests and establish rules on how to regulate them.
Many home tests are reliable, including those for hepatitis C and HIV.
But some are more problematic, like DNA tests—genetic testing for your own disease risk and for genes associated with disorders that could be passed on to a child.
Before you buy a store kit, look for the words “FDA-approved” on the package. Be sure to read any disclaimers to understand a test’s limitations and heed the advice to get health counseling for positive results.
And no matter what type of test you do, always discuss results with your doctor, even if you get a normal finding. Most results should be evaluated along with your medical history and a physical.
Also, many DNA home kits do not test for every possible genetic mutation, so you can get false negatives as well as false positives. Take your findings to your doctor and discuss whether more comprehensive testing will help you get more accurate answers.
In our modern culture of endless choices, food waste has become a hot topic among food policy advocates and environmental officials. According to the Food Waste Alliance, about 80 billion pounds of food are tossed in American landfills each year, which contributes to increased greenhouse gas emissions and billions of dollars wasted. If aggregated into one giant heap, this amount of wasted food would fill the Rose Bowl Stadium, which would make for a pretty pungent football game!
Fortunately, the USDA and EPA have teamed up in an effort to cut U.S. food waste in half by the year 2030. While this goal addresses over half of the food waste in landfills, it fails to address the nearly 50 percent of food waste generated by residential and consumer sectors. Therefore, it is important to recognize the steps we can take to reduce food waste. Below are five easy strategies for repurposing and revitalizing food right in your home kitchen. Such creative, simple solutions can help reduce personal food waste while consequently stretching your food budget!
Look for inner beauty. When shopping for fruits and veggies, do not judge a book by its cover! Just because produce might look odd or unconventional, it is still as delicious and nutritious as its more traditionally shaped peers. Oftentimes these ugly veggies are deemed inedible by shoppers and left to rot in the store and eventually thrown away. Save the ugly produce! Reserve bizarre fruits for smoothies and jams. Chop up peculiar veggies for soups, stews, sauces and salads. You can oven roast them, or feature them whole in a crudité. More and more companies, such as Imperfect Produce on the West Coast and Hungry Harvest on the East Coast, are hopping on the ugly produce bandwagon. Additionally, super markets such as Walmart have started discounting misshapen produce to lessen their food waste footprint. While such systematic initiatives have not yet sprouted in Michigan, take it upon yourself to be an ugly produce hero and rescue these poor edible outcasts. For more ugly inspiration, follow @UglyFruitandVeg on social media.
Create a broth bag. This genius idea from The Kitchn.com gives purpose back to all those vegetable “odds and ends” and redirects them into flavor-boosters for soups, stews, stocks and sauces. When cutting up your vegetables, save those nubs, cobs, ends and tops and freeze them in a container or freezer bag for a later use. Otherwise demoted to the garbage heap, these odds and ends are filled with optimal flavor potential. For a decadent, next-level soup, add your leftover hard cheese rinds to the broth bag and freeze.
Preserve your herbs. Chop your leftover herbs and freeze in ice cube trays topped with a bit of olive oil. Once frozen, pop them out and store in freezer bags for a later use. Drop cubes into sauces, soups, stews or any other time you are in the market for an herb-infused olive oil.
When in doubt, make pesto. Pesto is traditionally a sauce made with basil, parmesan cheese, olive oil, pine nuts (or walnuts), garlic and lemon. Get creative by using kale, carrot tops or beet greens along with or instead of the basil.
For all other food scraps, compost. You have heard of composting. You know, that cyclic concept of conserving all of your food scraps, coffee grounds, egg shells, peels and skins and turning them back into fertile soil for future growth. Though it sounds idyllic, it is oftentimes associated with smelly, rotting food, which can be a major barrier for those considering composting. Services such as Organicycle and other similar programs aim to eliminate that barrier and make composting about as hassle and smell-free as it gets with curbside pick-up for a low cost, and for those ambitious gardening folk out there, Michigan State University Extension offers programs and resources to manage your own compost pile!
We can all do our part to reduce food waste. Just employing a few of these tricks can cut back on your residential waste and might even save you a buck or two! For additional resources on food waste reduction, head to MSU Extension.
By Ronald Christian Rivera, LMSW, Outpatient Therapist, Leonard Street Counseling Center
Courtesy Cherry Health
We know that sleep problems can cause some forms of obesity, irritability, memory problems, immune concerns, anxiety and depression. Check out this article with a list of 10 things we can do to promote a good night’s sleep:
Understand that every person needs at least 7 to 8 hours of sleep per night.
Develop a sleep hygiene plan that becomes routine every night, if possible.
Get rid of your television and i-technology in your bedroom.
Go to bed at the same time every night.
Do not eat a heavy meal before bedtime, but do eat some small carbohydrate before bed.
Exercise daily but not at night.
Avoid emotional conversations or arguments right before going to bed.
Don’t drink too much caffeine or alcoholduring the night.
Don’t nap during the day…exercise instead.
If you can’t sleep, get up and clean your toilet instead or wash your floors.
It is mid-afternoon and the vending machine down the hall is calling out to you. Do you take the calling and grab a candy bar and soda to satisfy the afternoon snack attack? This might leave you with feelings of guilt or feeling sluggish an hour or two later. Many people, especially those who work desk jobs, struggle with this battle on a daily basis. What is the key to beating the vending machine blues?
Michigan State University Extension says that planning is the number one weapon against the “vending machine assault.” If you know you are always hungry at 2 p.m., then it makes sense to have snacks handy when hunger strikes. We often run into problems when we wait to decide what to eat until we are very hungry and we then reach for the closest, quickest option. Having something quick and healthy that is readily available before we get to that point helps us to choose better options. To prevent eating unhealthy foods, MSU Extension recommends the following tips:
Try to pack snacks for a whole week or several days at a time and select a variety of options to choose from, so that there is always something appealing regardless of how you are feeling. Some days you may want a salty, crunchy snack like nuts or trail mix, whereas other days something sweet like fruit may be more of what you have a craving for.
Most offices have a refrigerator to store lunches or snacks, so bringing along a small stock of yogurt or cheese, which gives you a protein packed snack that is readily available, will give you a healthy option to curb your afternoon hunger.
Similar to yogurt or cheese, stocking up on carrots or jicama and hummus can help to provide you with the kick you need to finish off your day.
By packing foods at home you can control the portion size of your snack. Sometimes our best laid-out plans still go awry and we end up at the vending machine anyway. If this is the case, try to choose snacks that are lower in calories such as baked plain chips instead of regular flavored ones and tea or sparkling water instead of soda.
Remember that everything is fine in moderation, so if you generally make healthy choices, it is okay to occasionally splurge on that candy bar or bag of chips when the vending machine comes calling. Being prepared ahead of time will help make the vending machine habit a once in while occurrence rather than a once a day choice.
Your life partner has a much greater influence on your longevity than the genes you inherited from your family, according to a new analysis of the family trees of more than 400 million people.
“While it is a widely held belief that lifes pan heritability ranges from approximately 15 to 30 percent, the findings discussed in this paper demonstrated that the heritability of human longevity is likely well below 10 percent,” said lead researcher Cathy Ball. She is a chief scientific officer for Ancestry, the popular genealogy website.
Earlier estimates were skewed because they didn’t account for the strong influence that a person’s spouse or life partner can have on their longevity, Ball and her colleagues said.
People tend to select partners who share traits like their own, the researchers explained. If you have a lifestyle that’s going to contribute to a longer life, you’ll likely choose a mate who shares that lifestyle.
Dr. Gisele Wolf-Klein is a geriatrician with Northwell Health in Great Neck, N.Y. She said, “Chances are you’re going to try to partner with someone with equal interests in terms of health habits. If you find someone who wants to run a marathon with you rather than be a couch potato, chances are you’ll keep running more marathons.”
Wealth could be another nongenetic trait shared by mates, the researchers suggested. If income contributes to lifespan and wealthy people tend to marry other wealthy people, that could also add to their longevity.
After correcting for the effects of such mating, Ball’s team concluded that genetics contributes not more than 7 percent to longevity, and possibly even less.
“The research findings expose the complex dynamics of longevity,” Ball said. “Although there is a genetic component, this study shows that there is a major impact from many other forces in your life.”
For the study, researchers combed through 54 million public family trees generated by Ancestry.com subscribers, which represented 6 billion ancestors.
From there, the team refined the records until they wound up with a set of human pedigrees that included more than 400 million people, each connected to another by either birth or marriage.
Things got interesting when the researchers started looking at people related only by marriage. They found that siblings-in-law and first-cousins-in-law had similar life spans, even though they aren’t blood relatives and generally don’t live under the same roof.
Further analysis showed that factors important to life span tend to be very similar between mates. People are choosing folks who share values that will either shorten or extend longevity, the researchers noted.
The findings were published Nov. 6 in the journal Genetics.
“I think it’s a very optimistic and positive message for us,” said Wolf-Klein, who was not involved in the research.
“It outlines something that’s becoming more and more obvious to all of us—we have a certain control over who we are and what we become,” she added. “Regardless of your genetics, if you adhere to good diet, good exercise, healthy habits, you can overcome some of the dooms of genetics.”
It’s that time of year for residents of the northern states to drive south in search of warmth and sunshine, leaving the cold and snow behind. For others it’s time to take that long-awaited family road trip, escaping harsh weather for more mild conditions. No matter the distance or length of the road trip, what’s at the top of everyone’s list is arriving there safely. For individuals with diabetes, getting there safely becomes more than just safe driving.
For a person who is insulin-dependent, blood glucose level is paramount to the ability to drive safely. Experiencing a rapid drop in insulin levels (a severe hypoglycemic event) could possibly bring on symptoms of double vision and disorientation. Clearly problems for any driver behind the wheel.
For road trip safety, understand your physical health, chart your blood glucose levels frequently and don’t skip meals. Be prepared. Talk with your doctor about fast-acting glucose products that can be used in the event of an emergency. Your doctor and diabetic nurse educator are the best people to talk to regarding which glucose products are right for you.
Keep a glucose kit in your car at all times, it should be tolerant to warm and cold temperatures.
Before driving any distance be aware of your levels; think about how you are feeling, don’t be afraid to ask someone else to drive you if you’re feeling tired or stressed.
Carry your cell phone with pre-programmed numbers of 911 and family members in the case of an emergency.
Stop often, don’t skip meals, eat the right foods and sugars which will keep you active and alert.
As always, buckle-up, don’t text and drive and enjoy your road trip!
Michigan State University Extension recommends the following professional diabetes resources:
An older adult’s health care provider can help to determine if they’re experiencing normal aging or if Type 2 diabetes is present. (Courtesy Michigan State University Extension)
According to the Michigan State University Geriatric Education Center of Michigan, Type 2 diabetes continues to increase in the United States population. For adults over the age of 65, diabetes occurs in approximately 27 percent and pre-diabetes occurs in 50 percent of this population. When caregivers think about the overall goals of care for their loved one, it is important to understand how diabetes affects the quality of life for older adults.
The American Geriatrics Society says that older people with diabetes experience higher rates of mental and physical disability and premature death. They are also more prone to develop other illnesses, like high blood pressure, heart disease and stroke. In addition, they also have a greater risk for several conditions associated with the aging process, such as depression, reduced mental function, urinary incontinence, harmful falls, persistent pain and over-medication.
Is it normal aging or is it because of Type 2 diabetes?
In order to figure out how your loved one is affected by Type 2 diabetes, it is important to know how to recognize the difference between normal aging and health problems caused by diabetes. Aging and symptoms of Type 2 diabetes have some similarities: they both can bring on poor eyesight, fatigue, high blood pressure, depression, as well as more frequent urination and higher rates of heart disease and stroke.
Michigan State University Extension says that symptoms can also look similar, but for different reasons. With aging, there may be gait changes because of arthritis and osteoporosis, but gait changes with diabetes may result from neuropathy.
Restlessness and confusion sometimes occurs with normal aging, but with diabetes it results from very high or low blood sugar. Slower reaction time often occurs with normal aging, but for people with diabetes, it can be a result of high or low blood sugar.
These and other symptoms should be signs that our loved one needs to be assessed by your health care provider to determine if they are experiencing normal aging or if Type 2 diabetes is present. Signs of very high blood sugar (hyperglycemia) include increased urination for several days, dehydration, which develops because the person doesn’t drink enough liquids and a change in alertness from generalized fatigue to stupor, coma or seizures. These changes may be mistaken for a stroke or mental illness.
How can your health care provider help?
You will need to work with your older adult’s health care provider to determine plans that are based on the status of your loved one: the high functioning individual, older adults with memory loss and elders at the end of their life. Planning also needs to take into account the living situation of the older adult, how much caregiving and support the older adult needs and how much they actually have.
After a thorough assessment, your health care provider will determine a medicine regime. Insulin will be the quickest way to get a very high blood sugar under control. Then, it will be crucial for you and your loved one to attend diabetes education classes in your community.
The major goal is blood sugar management. Besides medications to resolve high blood sugar, the American Diabetes Association says that it’s also important to help your loved one to improve healthy eating habits and physical activity. Supporting your older loved one to manage their Type 2 diabetes is a real challenge. Reach out to the many community resources available to help you and your family meet the challenge of helping your loved one maintain a high quality life.
Boost your metabolism by eating a wholesome breakfast each day. This is just one of a few ways to rev up your calorie-burner. (Courtesy Spectrum Health Beat)
By Spectrum Health Beat Staff
Unfortunately, it’s true: Our metabolism slows down as we age.
On average, we lose 2 to 8 percent of our muscle mass per decade, and that slows our metabolic rate.
A recent article in U.S. News & World Report cites the importance of maintaining lean muscle to combat the decline.
“Strength training can help decrease this process, but adjusting your diet to eat less is also critical,” said Jill Graybill, a registered dietitian at Spectrum Health.
You can speed up your metabolism, but don’t be fooled by claims that popping a few supplements or eating certain foods will get the job done, Graybill cautioned.
“There is a lot of misinformation on this subject,” she said. “Most of it is smoke and mirrors.”
Genetics can give some people an edge, but the best way to increase your metabolism is to adopt a few good habits, including these:
1. Build resistance
Use resistance exercise to build more lean muscle mass. More muscle burns more calories, even at rest.
2. Eat breakfast
The morning meal has been shown to jump-start the metabolic process.
3. Eat every four hours
This little trick speeds up your metabolism. Skipping meals slows it down.
4. Think protein
Include protein each time you eat. It takes more energy to break down, again, revving up your metabolic rate. Sources include dairy, nuts, seeds, beans, eggs and meat. Plus, protein is slower to digest, so you feel full longer.
5. Eat enough
Yes, even while losing weight. A diet that is too low in calories slows your metabolism to a crawl. Don’t sabotage your efforts by eating too little. Most people should not go lower than 1,200 calories a day or they risk not meeting their nutritional needs. Only go lower if you’re under medical supervision.
Obesity has a way of creeping up on us. Naturally, throughout our lifespan our weight increases, but if you have seen a dramatic increase in you or your child’s weight, especially around the waistline, it may be time to think about what is contributing to the excessive weight gain.
Obesity is a complex problem in our society, there is no easy fix. According to the Center for Disease Control & Prevention, genetics, drugs and disease can all affect weight along with social and cultural factors such as our environment, how we eat, what we eat and when we eat.
The topic of obesity is constantly in the media, and is a component of the nutrition education offered by Michigan State University Extension. The four-part documentary series, Weight of the Nation, which premiered on HBO in 2012 examines how it has been possible that the epidemic has grown almost undisturbed, stealing self-identity and our health by talking to experts ranging from geneticists, to professors to pediatric endocrinologists.
It is easy to recognize obesity and yet feel no connection to the obesity epidemic. This lack of attachment is part of the reason why it flourishes, but if we are honest with ourselves and believe the statistics, we can see that the obesity epidemic lurks very close to home.
When we are overweight, our bodies begin to break down over time, making us more prone to certain chronic diseases. Chronic health risks associated with obesity include:
Coronary heart disease, stroke and high blood pressure
Type 2 diabetes
Cancers, such as endometrial, breast and colon cancer
High total cholesterol or high levels of triglycerides
Liver and gallbladder disease
Sleep apnea and respiratory problems
Degeneration of cartilage and underlying bone within a joint (osteoarthritis)
Reproductive health complications such as infertility
Mental health conditions
Disease prevention and self-management are ammunition in the battle against obesity. Regularly visiting your doctor is the first point of contact in developing prevention and self-management strategies.
Other strategies include good nutrition, being physically active and controlling your weight. Other weight management resources include Michigan State University Extension’s weight management, chronic disease, and disease prevention management programs, along with the Center for Disease Control, Overeaters Anonymous and the National Institute of Mental Health.
Regardless of whether you love or hate winter weather, sometimes going outside for some exercise is impossible during the colder months. But even when it’s chilly, staying active is a must for health and happiness. Here are four great tips for active senior living when snow, ice, and freezing temperatures have you stuck inside:
1. Do simple exercises any time, anywhere
Who needs equipment? There are a variety of strength, flexibility, and balance exercises that don’t require anything but a stable floor. Be sure to stretch before working out, and talk to a doctor about which exercises are best for you.
Strength
Squats: With your arms straight in front of you for balance, bend your knees slightly and hold for a few breaths.
Push-ups: Try keeping your knees on the floor as you press your body up slowly.
Flexibility
Seated toe-touch: Don’t worry if you can’t reach your toes right away. Go slow!
Arm lifts: From a standing or seated position, lift your arm to shoulder height, then next to your ear, then bring it down to your side with control.
Balance
One-legged stand: Use supports, and don’t lift your leg higher than it wants to go.
Stair step-ups: No need for speed as you step onto a stair or low stool one foot at a time, then back down. Hold on one leg for a few breaths if possible.
Use walls, sturdy chairs, and handrails for support.
2. Hit the gym
Getting your cardio in is harder and less fun when you can’t head outside for a walk, run, or swim. Gym equipment like treadmills, stationary bikes, and ellipticals, as well as indoor pools, tennis courts, and more are great ways to keep your body moving when the outdoors isn’t an option. In an assisted living community, check out gym spaces and workout rooms; otherwise, check around local gyms to find an affordable option that works with your schedule.
3. Check out a fitness class
New fitness classes are springing up everywhere! Check out community boards, websites, and local gyms for senior-friendly courses. Try different variations of yoga, tai chi, low-impact barre, or dance classes like ballroom or Zumba. These fitness trends are exciting and get you motivated to exercise. The best part is that there’s a class for everyone!
4. Get active with gaming
Gaming isn’t just for couch potatoes any more. There are lots of fun games designed to get people interested in exercising. Take a look at Wii Fitness for the Nintendo Wii, which has a variety of mini-games, including yoga and strength training, stretches, and some silly exercises. You won’t even believe you’re working out!
A more recent development in gaming technology is virtual reality headsets. With these types of systems, you control the games with your body. These games get you moving, and they’re also great with family and friends. Try something new, and who knows? You might love it.
When exercising, always remember to not push yourself too far. Healthy, active senior living is about taking care of your mind and body all the time. Staying fit, limber, and strong contributes to overall wellness, so even when the weather outside is frightful, keep yourself moving!
The holidays are always a time of year full of fun and a flurry of activities. Some people may be afraid that living in a senior community means missing out on some of the good times, but that couldn’t be further from the truth. Assisted living communities have a lot of great ways to celebrate the holidays, from religious and spiritual services to festive activities and holiday outings.
We have put together a list of our favorite ways to celebrate the holidays, many of which are already happening in our Vista Springs communities. We’re wishing all of our community members joy this holiday season!
Trips to local churches or chapel
Many churches and other places of worship have special holiday
services that you may want to attend. Assisted living communities will
often organize trips to visit places, or if there is a service you want
to attend that doesn’t have a specially planned trip, speaking to your
event organizer can help you plan a visit.
Visits from local dance and music groups
Local dance companies, choirs, and bands have winter or Christmas
programs that they love to share. Many senior living communities like
Vista Springs will invite these groups to come and perform, so make sure
have get an event schedule so you don’t miss out on anything.
Pop-up vendors and shops
Pop-up shops and holiday vendors will often come visit communities
and bring the best of holiday shopping right to you! Not only does this
provide a great way to socialize with the rest of your community, but
you can get great deals on gifts for your family and friends all from
the comfort of your own front door. Usually these are one day events, so
if you plan on attending make sure to keep room on your schedule.
Craft projects
Ever wanted to make a pinecone wreath? A special ornament? A tiny
Christmas tree? Assisted living communities like Vista Springs have
these and any number of other fun craft projects
that you can take part in. Have a good time and feel like a kid again
while getting a little messy with glue and ribbons. Crafts are a great
way to get into the holiday spirit.
Community decorating
Most senior living communities will ask residents to help them put up
decorations around the common spaces. Decorate trees with ornaments,
hang garland, and put out table centerpieces to give the entire space
that homey holiday feel. Some communities also have decorating contests
to see who can make their doorway the most festive, so you can go all
out and show your decorating skills to everyone.
Cookie decorating
Everyone likes cookies, and during the holidays that’s especially
true. Assisted living communities can have cookie decorating activities
so you can have fun and eat your work. If there aren’t cookies, see if
there are any gingerbread house constructing or decorating activities
planned in your community.
Trips to music performances
When local groups can’t come and perform at your community, you can
get a chance to go and see them someplace else. Many assisted living
communities, Vista Springs included, will plan trips to go see concerts
and other live music performances wherever their normal venue is. Enjoy a
nice trip out and listen to good music to help you keep in the holiday
spirit.
Outings to local events
Similar to trips to listen to music, assisted living
communities can have planned outings to event spaces that are holding
holiday displays or special gatherings to celebrate the holidays.
Parades, light displays, or house and garden tours are all examples of
events that your community can have plans to see. One of our favorites
is the Christmas light show at Fifth-Third Ballpark in Grand Rapids.
Visits to tree farms
Another fun place to visit over for the holidays are Christmas tree
farms. While you might not be planning on taking a tree home with you,
there are plenty of other ways to enjoy yourself and get some fresh air.
Look at local crafts and handmade decorations, and relax with the smell
of pine trees with other community members.
Community group performances
Many assisted living communities have their own choirs and other
groups that put on holiday performances. Maybe you are even part of one!
These ensembles have put a lot of work into their programs, so make
sure to show up and support your community members as they entertain.
Movie viewings and game nights
Watch your favorite holiday movies or play fun board games with other
community members. While you might have movie or game nights other
times of the year, during the holidays there are often special treats
like cocoa and snacks to help you get in the holiday mood and get the
most out of community gatherings.
Dinner parties
Almost all communities will have a dinner party planned where you can
invite family and friends to come and visit you at your home and
celebrate together. Most of these parties happen early on in December,
so if you have family members that you won’t be able to see later on in
the year this is the perfect opportunity to enjoy some special time
together.
The festivities of the holidays can be found anywhere, especially in your assisted living community. With all these activities, you can have holiday fun every day of the month.
Like many adult children, you want your loved ones to live a healthy and happy life. When they need advanced care, you’re left with a tough decision. The idea of moving to an assisted living community is still uncharted territory for many, crawling with misconceptions. A significant portion of what we think we know is influenced by media depictions. How many times did we see Dorothy from the Golden Girls threaten her mother, Sophia with going back to the dreaded Shady Pines retirement home? Too many!
Believe it or not, those who enter an assisted living community are not subject to cruel or unusual punishment. In fact, most seniors have the opposite experience. Assisted living can be the solution you and your loved one have been dreaming about. So, If you are just starting your research or just want to know more, here are three things you didn’t know about assisted living.
It’s Just Like Home. When considering assisted living for a loved one, it’s easy to picture a shared, sterile, hospital-like room. If that’s what comes to your mind, you probably think that’s no place to live a happy, fulfilling life. We agree! That would be a horrible place to live. Luckily, you don’t have to.
It might surprise you to know many assisted living communities encourage seniors to personalize their living arrangements to feel like home. Some even welcome furry friends. They can be similar to apartments regarding privacy, and often include amenities like a personal bedroom, bathroom, and kitchen area.
Vista Springs consists of 11 uniquely themed senior communities in Michigan and Ohio. Check out a few of our location to get a feel for what you can expect here.
Independence. Being a part of an assisted living community has the ability to give seniors a newfound sense of freedom and independence. When seniors have limited mobility, which frequently comes with age, there can be a decrease in their overall well-being. A few vital services assisted living communities provide is access to transportation, housekeeping and laundry services, and meal preparation. Service like these are essential for older adults with cognitive or physical impairments.
Different Levels of Care. Searching for an assisted living community can be overwhelming. With so many care options available how can you be sure you’re making the right choice? It’s important to recognize not all senior communities provide the same level of care. It often depends on the community’s licensing. Many states have a tiered system of licensing whereby communities with a higher degree of licensing are able to provide more care. Being aware of what care options are offered can help you find the perfect place where your loved one can live life to the fullest without worrying about managing care. Compare some of our Vista Springs care services listed here.
A home is more than just the essential amenities. It’s feeling a connection to one’s community. Finding a good fit is important for solidifying that bond. The right assisted living community allows your loved ones to stay healthy while focusing on living their best life.
Growing older doesn’t mean it’s time to slow down. In fact, many seniors are speeding up and revising what it means to be a retiree. Preventative care works helps keep seniors active and avoid health problems: here’s what you need to know about how often those appointments need to happen.
As we age, we become more prone to chronic disorders such as glaucoma and macular degeneration. What older adults don’t realize is that meeting with a specialist like an ENT or optometrist can detect symptoms of significant health problems. A simple eye exam can reveal carotid artery blockages, hypertension, high cholesterol, and diabetes. In many cases, problems detected early on responded better to treatment, which is why regular checkups and screenings are more for seniors. Proactively monitoring your health is the best way to preserve a happier independent lifestyle.
Regular meetings with a specialist or your primary care physician is a low-stress way to maintain overall wellness in seniors. But how often should they go? Here are three appointments that you should never forget to make and keep.
Physicals
Surprisingly, only 62% of Americans get physicals. Part of this is due to the fact that some older adults are unsure how often they need a physical examination. For seniors, if your over 65 and in good health, you should go once a year at minimum. However, it is important realize just as everyone has different medical needs, the ideal physical schedule varies senior to senior. If you’ve had cancer, your physician might tell you to come in more often. Health insurance coverage also plays a factor in how often you should be booking a physical. Medicare Part B does not cover routine preventative physical examinations, but it does cover an Annual Wellness Visit every 12 months. Check with your doctor to see if they accept Medicare Part B, and payment options for physical exams. What makes regular physicals so valuable to seniors is that they have the ability to track key health measurements over time. Having a baseline can tell you what areas you need to be on top of, and if what you’re doing is effective.
Vision
Changes in vision are nearly unavoidable with age. What’s more alarming is that many eye diseases have no early symptoms. Conditions like glaucoma and cataracts can be silent and progress extremely quickly. After the age of 60, seniors are more susceptible to eye diseases that can leave permanent vision damage. The American Optometric Association recommends annual eye examinations for everyone over age 60. An optometrist, as we’ve mentioned before, can detect health problems affecting other parts of the body. Regular visits can improve the chances of maintaining good eye health in older adults.
Hearing
Hearing loss can be a sudden or gradual process. However, seniors are more at risk. In fact, one in three older adults between the ages of 65 and 74 experience hearing loss. This is because, as we age, the structure of the inner ear changes. Unfortunately, many seniors wait until their hearing loss dramatically affects their lives before taking action. For example, one of the most common causes of injury in seniors is falling. Hearing disorders can disrupt the balance in the inner ear, making it more likely that seniors will suffer a fall. The National Campaign for Better Hearing encourages everyone to get a baseline hearing test at 60 years of age and be retested annually.
Aging can do a number our bodies, which is why they need more attention. Committing to annual physicals and screening for both ears and eye is essential for a senior’s. One test could make a huge difference. Proactive approaches, like preventative care, helps seniors live a long fruitful life.
Did you know that the extra calories in a typical restaurant meal can mean a gain of two pounds a year for those who eat out just once a week? (Courtesy Spectrum Health Beat)
People with food allergies aren’t the only ones who need to be aware of menu minefields when eating out. If you’re trying to lose weight, it’s important that you don’t fall prey to these temptations.
It’s not only supersized meals that can be your diet downfall—restaurant meals, in general, have jumped in size. If you’re not careful, the U.S. Department of Agriculture warns that the extra calories in a typical restaurant meal can mean a gain of two pounds a year for those who eat out just once a week.
And, year after year, those pounds can really add up.
At breakfast, say no to over-the-top omelets. Eggs are healthy options at any meal, but dishes that smother them in cheese, sausage and other high-saturated fat ingredients can turn a simple 80-calorie egg into a dish with more than 1,000 calories.
Steer clear of oversized meat portions. A 3-ounce lean filet is a good once-in-a-while choice, but that tempting 16-ounce slab of prime rib delivers 1,400 calories even before you add in all the trimmings.
Pasta-and-protein dishes can more than double the calories of either a simply sauced dish of pasta or a broiled chicken breast, and even more when smothered with cheese or cream sauce.
A “personal” pizza sounds like a sensible serving, but it can come with far more calories than one gooey slice, especially if topped with an assortment of cured meats.
Chicken wings are one of the worst bangs for your buck because 75 percent of the calories come from fatty skin and breading, and provide little protein.
If you crave any of these dishes, make them at home where you can control ingredients and portion sizes.
Lace up those shoes and get started on your exercise revolution. It will change your life more than you might think. (Courtesy Spectrum Health Beat)
By Kim Delafuente, Spectrum Health Beat
Is your best “you” buried under unrealistic expectations, out of control stress and pure exhaustion?
You’re not alone. According to recent research, far too many of us are letting stress control our lives and increase the size of our waistlines.
When people become stressed, the hormone cortisol really gets to work, making weight control more difficult and it can be a snowball effect on your health.
One way to stop, or at least mitigate, cortisol’s dastardly effects is to exercise. Exercise can decrease the levels of cortisol circulating in the blood stream, plus it has the added benefit of giving you a positive boost of feel-good endorphins.
Regular exercise could certainly be a great connector to your best self. It helps us think more clearly, reduces stress and puts you in a better frame of mind.
Let’s take a poll. When was the last time you said:
“I am confident.”
“I am strong.”
“I am taking charge of my health.”
“I feel happy and healthy.”
“I have my stress level in check.”
“I feel in control of my life.”
“I am the best me.”
Has it been a while?
Now, let me ask you this: When was the last time you said “I get to exercise” (and meant it)?
Get to exercise, really? Does anyone honestly feel that way?
Yup, it’s true. I would say that most everyone who has managed to sustain an active lifestyle says that every time they work out. They have truly found something they enjoy about moving.
Maybe it’s the sense of accomplishment, the camaraderie, the endorphin boost, or the results that keep them going. Or maybe, underneath the sweat, they have discovered better versions of themselves.
When we tell ourselves (and anyone else listening) that “I have to exercise” it sounds like one more chore on the never-ending to-do list.
So what if we thought of exercise as something special like getting a pedicure, going shopping, or taking a weekend getaway? All of a sudden it sounds like a gift and it becomes something we look forward to each day. You even might find yourself saying “I get to exercise.”
The time to start is now. Arrange a walk with a friend, join a group exercise class, or find a good workout on YouTube. These are all manageable starting points.
There is no need to take on a hard core workout at the get-go. Even 10 minutes several times a day can make a difference. The more you exercise, the more you will feel confident, stronger, less stressed and happier.
Your best “you” might even start to surface.
Can’t wait to get started? Great, but don’t forget your new mantra “I get to exercise!”
Now get on those shoes and get going! What are you waiting for?
Are you about to send your last child to college, the military or into the work field? How is this soon-to-be separation affecting you? Do you have friends or co-workers that will be empty-nesters or have entered this phase who seem to be managing better or are more emotionally calm?
When a child leaves the house in search of independence, it can be an emotional time for all involved. To make this transition easier, it may help to focus on the positives and what you will gain and practice equanimity.
In the book, Buddha’s Brain–The Practical Neuroscience of Happiness, Love & Wisdom by Rick Hanson, PH.D. and Richard Mendius, MD they describe that the human mind defaults to negative emotions and suffering, but with practice, you can re-wire the brain to develop equanimity. The word equanimity comes from the Latin roots meaning “even” and “mind”. The definition of equanimity is mental calmness, composure and evenness of temper, especially in a difficult situation.
In a sense, equanimity is your brains circuit breaker. It breaks the chain of suffering by separating the feeling tones of experience from the machinery of craving, neutralizing your reactions to those feeling tones. The authors also state that psychologists have a term they call “demand characteristics” for the aspects of situations that really pull at you. With equanimity, situations have only characteristics, not demands. When you have equanimity, you do not grasp after enjoyable experiences or push against undesirable ones, you have space, or a buffer zone, between you and your feeling zones and are able to not react impulsively.
How do you train your brain to not react but to maintain calm? In the book there are five stages to developing the factors of equanimity:
Understanding–Develop an ability to recognize that rewards and painful experiences are transient, meaning both do not last that long or are that awful. Life is a continuum of change and that most of the factors that shape the future are out of your hands.
Intention–Keep reminding yourself of the important reasons for equanimity, you want more freedom from craving and suffering it brings.
Steadiness of Mind–Pay particular attention to the neutral feeling zone. Through sensitizing yourself to the neutral aspects of experiences, your mind will become more comfortable staying with them, and less inclined to seek rewards or scan for threats.
Spacious Awareness–The space of awareness allows every content of the mind to be or not to be, to come and to go. Thoughts are just thoughts, sounds are just sounds, situations are just situations and people are just being themselves.
Tranquility–Do not act based on the feeling tone. Set aside a period every day, even just a minute long to start with then increase or extend that time, to consciously release preferences for or against anything. Your actions will be guided more by your values and virtues rather than your desires that are reactions to positive or negative feeling tones.
In closing, Buddhism has a metaphor for the different conditions in life. They are called the Eight Worldly Winds:
Pleasure and pain
Praise and blame
Gain and loss
Fame and ill repute
As you gain equanimity, these winds have less effect on your mind. When managing the emotions of separation, think of the gains your child is striving for rather than the loss to you. Michigan State University Extension offers social-emotional health development programming throughout the state that are designed to help participants navigate feelings and stress. Peruse their website to find a Stress Less with MindfulnessorRELAX: Alternatives to Anger series event in your county.
When fall and winter roll around, it’s not uncommon for people to get a little blue. You or someone you know may feel more tired, unmotivated, and sad — but just because it happens every year doesn’t mean it’s normal. What’s commonly known as the “winter blues” could be something more. Especially during the cold and dark months, attention to senior mental health is critical for overall wellness.
It’s not just “feeling down”
Sadness and anger are part of a healthy spectrum of emotions, so feeling down or upset once in a while is totally normal. However, if a mood change lasts for a week or more, it could be a bigger problem than the blues.
Seasonal Affective Disorder, often abbreviated as SAD, is a mental health condition that affects sufferers during certain seasons. While it’s usually associated with winter, SAD can actually occur at different points of the year for different people. The disorder is more common during winter in the northern states, as our northern latitudes receive less sunlight than the south.
Aging adults may be at higher risk of depression and SAD, according to the Centers for Disease Control and Prevention. Senior physical health and senior mental health go hand in hand – depression is more common in people with other illnesses, such as heart disease and cancer, and around 80% of older adults have at least one chronic health condition.
Another condition that could be the cause of winter blues is vitamin D deficiency. While vitamin D deficiency is something that should be addressed no matter what age, the condition is particularly serious in aging and elderly adults. Symptoms of a vitamin D deficiency are easy to overlook, and include:
Muscle aches
Bone pain
Fatigue
Depression symptoms
If left undiagnosed and untreated for too long in seniors, a vitamin D deficiency can lead to a higher risk of osteoporosis, so be sure to talk to a medical professional if you’re concerned.
It’s treatable
The good news about the different causes of winter blues is that they’re pretty well understood by the medical community and they’re totally treatable.
There are a variety of treatments for SAD that have been tested and proven to work in almost all cases. Here are a few:
Antidepressants
Increased sun exposure
Light box therapy
Cognitive behavior therapy
Regular exercise
Mindfulness practices
If you think you might be suffering from SAD, talk to your doctor about what treatment is best for you.
For vitamin D deficiency, the treatment is a little more cut and dry. Incorporating vitamin D-rich foods into your diet is the most natural way to tackle a deficiency. Great foods include:
Egg yolks
Cheeses
Fatty fish
Beef liver
Fortified dairy products
A doctor may also recommend nutritional supplements, but remember to never begin taking vitamin supplements without first consulting a medical professional, as they may interfere with other treatments and medications.
If you or someone close to you goes through the winter blues, there’s a chance that treatment can help. Regardless of whether you feel the effects of SAD or vitamin D deficiency, be sure to pay close attention to your physical and mental health this winter. Spend time with family and friends, get plenty of exercise and nutrition, and make the cold months just as enjoyable as the rest of your year!
Family life can be fun, rewarding and complicated. Some of the more emotional discussions that families deal with revolve around problem-solving and conflict resolution.
The following are some tips to help with family decision-making:
Avoid discussing an issue or problem at an inappropriate time. Problem-solving tends to be difficult when people are angry or tired. Have a discussion when everyone is calm.
Do not begin the decision-making process with a closed mind. You may be surprised at the creative solutions your family creates together when everyone is open.
Be sure to listen to other people’s viewpoints and feelings. Agree or disagree, those are their feelings. Respect them.
Clarify to make sure you understand correctly and you are not making assumptions. Always check to make sure everyone is on the same page.
Do not let anger become a barrier to progress. Getting angry, criticizing, calling names, blaming, using sarcasm or other aggressive behavior does not help. If you are angry, take a break.
Do not give in just because it is easier. Saying, “I guess you’re right” with a big sigh, or being submissive in order to avoid conflict is not problem-solving, it’s avoidance.
Be realistic. Try to attach decisions to resources such as time, energy and money.
Avoid ultimatums. Ultimatums threaten other people into submitting to what they want. For example, “You’ll do it or I’ll divorce you!”
Be respectful. Refusing to regard individual differences in personalities, goals, values, emotional investments and lifestyles does not encourage teamwork. Go back to tip #3.
Communicate directly. Using a middle-person to communicate with another family member can cause even more emotions to flare and can lead to misunderstandings.
Be involved in family decisions. If you do not take an active interest in decisions that concern other members of the family, which could benefit by your involvement, do not be hurt when others are disinterested in your problems.
Establish suitable boundaries around family decision-making. Example of this might be who will be involved in the process; immediate family, extended family, in-laws.
By becoming aware of these tips, families may be able to communicate effectively without anger and hurt. They will be able to create a plan that is agreeable to all involved and successfully resolve family issues.
Visit the Michigan State University Extension website for more information and check out a variety of educational programs throughout the state.
Eye tests could one day make it possible to screen people in their 40s or 50s for early signs of Alzheimer’s, and begin treatment to delay further progression of the disease. (Courtesy Spectrum Health Beat)
By Robert Preidt, HealthDay
An eye exam might spot people with Alzheimer’s disease before they show any symptoms, researchers report.
“All of us have a small area devoid of blood vessels in the center of our retinas that is responsible for our most precise vision. We found that this zone lacking blood vessels was significantly enlarged in people with pre-clinical Alzheimer’s disease,” explained co-principal investigator Dr. Rajendra Apte. He is a professor of ophthalmology and visual sciences at Washington University School of Medicine in St. Louis.
Previous studies have found that the eyes of people who had died from Alzheimer’s showed signs of thinning in the center of the retina and deterioration of the optic nerve.
In this new study, Apte’s team used a noninvasive technique called optical coherence tomography angiography to examine the thickness of the retinas and fibers in the optic nerves of 30 people, average age mid-70s, who had no symptoms of Alzheimer’s.
A form of the test is available at many eye doctors in the United States.
After the eye tests, PET scans and cerebrospinal fluid analyses revealed that about half of the study participants had elevated levels of the Alzheimer’s-related proteins amyloid or tau. So, even though they didn’t have any Alzheimer’s symptoms, these people were likely to develop the disease.
“In the patients with elevated levels of amyloid or tau, we detected significant thinning in the center of the retina,” Apte said in a university news release.
According to study first author Dr. Bliss O’Bryhim, “This technique has great potential to become a screening tool that helps decide who should undergo more expensive and invasive testing for Alzheimer’s disease prior to the appearance of clinical symptoms.” O’Bryhim is a resident physician in the department of ophthalmology and visual sciences.
“Our hope is to use this technique to understand who is accumulating abnormal proteins in the brain that may lead them to develop Alzheimer’s,” she added.
It’s believed that Alzheimer’s-related plaques can accumulate in the brain two decades before symptoms appear, so scientists are trying to find ways to detect the disease earlier.
Currently, PET scans and lumbar punctures are used to help diagnose Alzheimer’s, but these methods are invasive and expensive.
Further research is needed, but this eye test could one day make it possible to screen people in their 40s or 50s for early signs of Alzheimer’s, and begin treatment to delay further progression of the disease, the study authors suggested.
The study was published in the journal JAMA Ophthalmology.
By Brenda Long, Michigan State University Extension
Some homeowners are still having financial difficulties even though the foreclosure rate in Michigan has significantly declined in recent years with the economy and employment rates improving. All it can take is one large unexpected expense, unemployment or life change. Fortunately, nearly $19 million in funds are still available for eligible delinquent homeowners to get caught up and keep their home.
Bill Hendrian and I have written previousarticles about Michigan’s Hardest Hit Fund program, also known as Step Forward Michigan. This federally funded loan program started in 2010 and is designed to help eligible homeowners who are struggling with their mortgage, condo association fees, and/or property taxes to retain ownership of their primary residence. As of September 2018, nearly 37,000 Michigan households in all 83 counties received more than $39 million in assistance, according to MSHDA.
Currently, this is the only statewide assistance program to get caught up on delinquent property taxes. If homeowners are behind three years, on 2016 taxes, they have started receiving notices from their county treasurers about facing foreclosure if those 2016 taxes are not paid by Mar. 31, 2019. Last year, my experience was that homeowners needed to apply to Step Forward Michigan by January to allow for processing time. Situations are reviewed on a case-by-case basis. Most homeowners who procrastinated or did not apply until February or March were not approved in time for this assistance earlier this year. The lesson learned was to apply this fall if you are facing foreclosure with delinquent 2016 property taxes.
Watch a short video for guidance about the Step Forward Michigan application process. The online application can be completed in three ways:
Go to the Step Forward Michigan website and complete the application yourself plus email, fax or mail the signed application and supporting documents to Step Forward Michigan.
Michigan State University Extension Housing Counselors or other local housing counselors can help homeowners fill out the online application, submit all the required documents, and follow-up until a decision is made. During the past eight years, thousands of Michigan homeowners who worked with our counselors have received assistance to save their homes from foreclosure.
If approved, up to $30,000 is paid directly to the participating mortgage servicer or county treasurer for application directly to the household’s mortgage loan or property taxes. No interest and no payments are required from the homeowner. As cases are reviewed, a lien is placed on the property for five years and 20 percent of the loan is forgiven per year. At the end of the five years, the loan is forgiven. During the five-year period, if the property is transferred, sold, or is no longer the principal residence, the non-forgivable portion is due.
For further information or to see if you qualify for assistance you can go to Step Forward Michigan for a list of frequently asked questions and access an online application and a list of documents that are required to submit an application.
If you do not qualify for Step Forward Michigan, helpful resources are provided to consider other options available.
Facing foreclosure is a difficult financial situation for homeowners. Fortunately many are getting back on track to become current with their payments and keep their homes and stay living in their communities. Find fact sheets and more information about mortgage and property tax foreclosure at MIMoneyHealth.org.
As we age, it seems that it is harder to control body weight, especially the protrusion and flattening of certain body parts. It appears as though, for no good reason, our bellies poke out a little more and our buttocks flatten a little more. A potential culprit for that protruding belly is diet soda or beverages with artificial sweeteners.
In an articleby Wiley of Science Daily, a study shows a direct link between the high consumption of diet drinks and the increase of belly fat in older adults. The study also references, with the increase in belly fat, that there is the increased risk of other diseases related to obesity. If you are one of the individuals who, in an effort to reduce the intake of sugary drinks have turned to diet drinks and you find yourself drinking one or more diet drinks daily, here are some suggestions to your decrease your intake:
Substitute at least one diet drink with real fruit-flavored water, like lemons, strawberries, peaches, etc.
Replace one diet drink, per day with a tall glass of plain, cold water.
When eating out, alternate your beverages by substituting a glass of water with lemon every other time you eat out.
Identify your favorite diet drink, if they don’t have it on the menu, drink water instead.
Order unsweetened fruit tea instead of a diet soda.
Plan to reduce your diet soda intake to only a few times a week, then progress to only a few times a month, or less.
Eventually, over time, you should experience some reduction in belly fat. Read more about other health, nutrition and weight management topics through Michigan State University Extension. There are many tips to encourage you to work on habits that may be contributing to extra fat and help reduce some risks factors related to obesity.
Many people use the internet to find health-related information for themselves, family or friends. Health-related websites are one of the most widely-searched sites in the world. In fact, according to Pew Internet & American Life Project, 80 percent of internet users, or about 93 million Americans say they have looked online for health-related information within the last year. This is an increase of 18 percent from 2001, in which only 62 percent of internet users who went online to research health related topics. Although there is quality information on the internet, it is important to sift through the fact and fiction when searching for health information.
What to look for:
Credible source:
Ensure the website is managed by recognized and responsible authorities. Many reliable sources include a branch of the federal government, a non-profit institution, university or health system.
An “About Us” page should be included with proper contact information for the organization or institution.
Check more than one source/website for the desired information
Quality information:
The authors or editors are qualified health care professionals and their credentials are clearly stated.
Information included should be reviewed by a subject-appropriate advisory board.
Sites that have a privacy policy indicating what information they collect.
Research-based:
Rely on medical research, not opinion. The site should describe the evidence, such as articles in medical journals, that the material is based on.
Beware of bias. Is the site supported by public funds or commercial advertising?
Timeliness:
Is the site updated often with current information? Check for dates, last updated, or copy right dates to ensure all the information is relevant today (less than three years old).
What to avoid:
Discussion of miracle cures or advertisements for health related products within the article are an indicator of bias information. If it sounds too good to be true, it probably is!
Sites asking you to pay for information or to create an account are often not trustworthy sources to collect information related to your health. Most reliable information is accessible to the general public for free.
Websites made up of only forums or discussion groups present people’s opinions and not scientific evidence. These sites may be a good place to document your personal journey but shouldn’t be used to find scientific research.
Consult with your health care professional:
Give the information you collected to your health care provider to review.
Talk to your health care professional about your specific health information concerns.
Make a list of all your health concerns to take to your appointment.
It is okay to be skeptical when looking for trustworthy health information online. Keep your information private and never provide your social security number, address, date of birth or credit card information before reading the privacy policy. Although online sites can offer quality information, they are not made to replace your doctor. Consult with your health care provider before making any medical changes. Michigan State University Extension is a reliable source for information and resources on health and nutrition.
Want to hike a mountain? Do a biking tour? Visualize your goals, then put a plan in writing of how you’ll achieve that dream. (Courtesy Spectrum Health Beat)
By Sue Thoms, Spectrum Health Beat
You resolve to exercise, with visions of a leaner, fitter, stronger you in the months ahead. You will climb that mountain, run that 5K, ski, swim, bike—or maybe just power-shop with ease.
If you schedule time to exercise and put it on the calendar, you are more likely to make it happen. An online calendar with pop-up reminders is an added plus. And if other people have access to that calendar, that can only increase accountability.
Use an activity tracker
It can be as simple as a pedometer or the most sophisticated Fitbit—anything that measures how much you do (or don’t do) can remind you to get moving.
Have fun
If you find activities that keep you engaged, you are more likely to come back for more. Try a group activity, like step aerobics or a boot camp class. But be conscious of the level of the class—and whether you are ready for it.
Get SMART
A SMART goal is specific, measurable, attainable, realistic and timely. For example, you might aim to progress from 20 minutes of walking to 20 minutes of running. When you set goals, it helps to begin with the end in mind and figure out the steps needed to get there.
Adopt a habit
How long it takes for a new pattern to become an automatic one varies from person to person. Researchers have floated numbers ranging from 21 to 66 days. The key is to hang in there long enough so exercise becomes the norm. Eventually, you won’t be able to imagine life without it.
Revise goals if necessary
You can make your fitness goals more difficult as you make progress. And you can loosen up a bit if you feel overwhelmed. Instead of giving up, revise and refocus. Failure is not a bad thing if we learn from it.
Don’t let soreness deter you
It’s OK to push yourself a little, and feel achy muscles the next day. Back off if you see serious effects—like persistent swelling, a limp or an inability to reach for an object. But if you haven’t done much exercise in a while, it’s normal to feel some soreness. Keep moving the next day—use those muscles.
Hydrate
It’s important to make sure you have plenty of water, especially in the winter when the air is dry. When you are hydrated, you will have a better workout. If your lips are chapped or you can write your name on the back of your hand, you need water.
Look at the big picture
Make your commitment to exercise part of an overall healthy lifestyle. Aim to sleep better and eat a healthy diet—both will help you get the most from that time you spend at the gym.
Seek help
There are plenty of experts who can help you set up a plan that works. Be sure they have training and credentials, such as certification from the American College of Sports Medicine or the National Strength and Conditioning Association. These folks can get you moving in the right direction.
The holidays are fast approaching, and there is a whirlwind of activities, to-do lists, and travel. With so much going on, it’s easy to get caught up in all the excitement. At the same time, cold and flu season is already upon us, and the stress of the holidays don’t do our immune systems any favors.
Before getting too caught up in all the the fun that comes this time of year, it’s important for seniors to get proactive with their health. Helping your system with a diet filled with immune boosting foods is a great way to start. Here are eight foods the get you through the holiday season.
Citrus. Citrus fruits like oranges and lemons are high in Vitamin C, and offer an all-natural boost to the immune system. Foods high in Vitamin C not only protect against the common cold and other seasonal illness, but can lessen the duration and intensity of sickness as well. There is no wrong time to eat some citrus
Ginger. When preventing the cold and flu, ginger and its anti-inflammatory properties have no match. When inflammation is down, the immune system is able to function more effectively. Ginger has many well-documented uses, and can help intestinal and heart health as well. A cup of ginger tea in the mornings during the holidays can go a long way in improving senior health.
Honey. If your cup of ginger tea is too spicy, then adding some raw honey might help it go down easier, and provide even more health benefits. Honey soothes sore throats and works as an antibacterial, killing germs while boosting the immune system.
Blueberries. Berries, particularly blueberries, are full of antioxidants, which fight colds and support immune health. In addition to these antioxidants, blueberries contain healthy Omega-3 fatty acids, which protect cognitive functions and can help improve overall brain health in aging seniors.
Salmon. Like blueberries, salmon has healthy Omega-3 fatty acids, and is another component in brain health. In addition, salmon and other wild fish contain zinc, an important nutrient in reducing the spread of the common cold. While most effective in children, zinc can also help adults build strong immune systems and fight disease.
Dark Chocolate. Who doesn’t like chocolate? Dark chocolates contain theobromine, an antioxidant which can help suppress coughs during cold and flu season, along with tasting delicious. One tip for seniors? Try making some desserts with dark chocolate this holiday season.
Broccoli. While veggies might not be the most exciting food, cruciferous vegetables such as broccoli, cabbage, cauliflower, and Brussel sprouts are an important addition to your diet. Broccoli and the others can boost enzymes that help fight cold and flu germs and strengthen the overall immune system. Eating a serving of veggies with dinner is a key way to help promote good immune health.
Eggs. Simple to make and easy to eat, eggs can be added into your diet in some way at almost every meal. Eggs also provide Vitamin D, a vitamin that, along with Vitamin C, boosts the immune system to fight off colds and the flu.
Garlic. Along with being a versatile flavor to add to many dishes, garlic provides immune boosting compounds. Garlic is an easy addition to work into more foods to add that extra benefit to health. In addition to immune health, garlic can also lower blood pressure, according to the National Center for Complementary and Integrative Health.
Chicken. It’s not just the eggs that are good for you! Chicken and other poultry can battle cold symptoms as well as providing the immune boost to help stop you from getting sick in the first place. Simple chicken dishes, chicken soup, or even chicken stock can add useful vitamins and nutrients to a senior diet. And like other foods on this list, chicken provides other benefits as well. Chicken is high in iron, and provides more heart healthy help.
Boosting immune health is key to preventing illness. From the upcoming cold and flu season, to more serious sickness, a healthy immune system is the first way to protect yourself. Adding these foods and others like them to your daily diet will help you eat well, appreciate life, and enjoy this holiday season to the fullest.
It’s been several years since Boomers began reaching the age of retirement, and the reality of our society’s lack of preparedness to deal with the influx of retirees over the next decade has become impossible to ignore. This issue has come to be known as “The 2030 Problem,” and one of the main points of concern is the ability of our medical system to address the needs of so many seniors. So what are the current and impending problems with the availability of senior health care services?
Healthcare Professionals
We’re already facing a shortage of primary care physicians in the United States, and the issue is only going to get worse according to the Association of American Medical Colleges. By 2030, we could be facing a shortfall of as many as 43,000 primary care physicians across the country, and the problem is expected to be worse for people living outside large population areas and patients using government health care assistance programs such as Medicare and Medicaid.
On top of this, it’s not only primary care where shortages are projected, but also specialized healthcare professionals such as surgeons and geriatricians. Demand for specialty healthcare services is projected to require as many as 61,000 more physicians than will be practicing in 2030, an even steeper disparity than primary care.
Caretakers
Not only are healthcare professionals going to be in short supply, the number of both professional and unofficial caretakers may not be sufficient for the rising senior population. Many seniors rely on a network of family and friends to help with activities of daily living as they age, but research from the AARP reports that the ratio of potential caregivers to retirees will fall from 7:1 in 2010 to 4:1 in 2030. Soon-to-be retirees planning to rely on family for care may not have as much success as they hope, and will most likely need turn to assisted living or another formal care option as they find they need more assistance with activities of daily living.
Formal care faces its own challenges in this new population of retirees, however. The United States is projected to become majority minority by 2043, and the current generation of soon-to-be retirees is certainly more diverse than their predecessors. However, projections in senior health care professions speculate that formal caretakers are not on a course to become similarly diverse. Fortunately, studies on the implementation of cultural competency training in senior care settings have shown that culture barriers can be overcome.
Diseases and Conditions
There has been a dramatic shift in the leading causes of death in the last century. From the early 1900s to now, infection-caused diseases such as influenza and pneumonia have given way to noncommunicable, chronic conditions such as heart disease and cancer as the leading causes of death in the United States. Elderly populations are at high risk for both of these conditions, as well as other conditions that fall into the ten leading causes, such as stroke and Alzheimer’s disease, simply due to the way the human body ages. And while rising life expectancies are a triumph for medicine, longer lifespans do present the need for a change in our approach to healthcare.
The issue is that many of these diseases and conditions don’t have cures, and in some cases, don’t even have effective research-based treatments. So, even if the barriers to senior health care access were to be removed, retiring adults are facing the issue of manageable, but not treatable, chronic illnesses.
Care Focuses
Related but not synonymous to the shift in prevalent diseases is the focus of healthcare in senior populations. According to the CDC, about half of all adults in the United States are managing one or more chronic health conditions, with one in four living with at least two. Known as comorbidity, the presence of two or more chronic diseases or conditions presents a unique challenge to healthcare providers, as they need to understand not only how to treat the diseases separately, but also how the diseases present, interact, and even worsen when experienced simultaneously.
This shift in focus to comorbidity requires a much more consistent and frequent approach to seeking and obtaining healthcare, as opposed to the reactionary model experienced by many US adults. While ongoing healthcare may be a better model, the associated costs of frequent physician visits may be prohibitive to seniors who may already be facing a crisis of affordability.
Affordability
According to a report by Fidelity, healthy, retirement-aged couples can expect to spend $245,000 on healthcare costs over the course of their retirement – and other sources suggest that this estimate may be conservative. Baby Boomers have an average of only $147,000 saved for retirement, leading to natural concern about the high cost of retirement living, and experts suggest that government assistance programs like Medicare will not be able to sustain the retiree boom.
The picture of senior health care in the coming decade looks bleak, but it’s important to remember that our society faced similar questions of economic strain when faced with caring for the Baby Boomers as children. While it’s important to keep the challenges of retirement in mind as we move towards 2030, it’s also important to not lose sight of the joy that the Golden Years can bring. By facing projected issues now, we can prepare for the needs of seniors for years down the line.
For most adults reaching retirement age, finances are looking pretty grim. By most studies, more than half of the Baby Boomer generation isn’t financially prepared for retirement, and as many as 30% have no retirement savings at all. Experts are worried about how new retirees will fare, or if retirement as we currently think of it will even still exist. So if savings can’t save the day, what can?
Why do you need it?
While many of the people who have been retired for a while have managed to maintain their nest egg while enjoying pre-retirement lifestyles and spending habits, younger retirees and adults approaching their full retirement age shouldn’t count on the same fortune. Americans nearing retirement have a median retirement savings of about $147,000, which is more than $500,000 shy of the amount that experts project is necessary for a comfortable, financially stable retirement.
Sources of retirement income are one way that current and future retirees are dealing with their finances. From estimated medical costs as high as $280,000 to cost of living to travel and entertainment, there’s so many aspects of retirement that require financial security. So what can you do?
What are your options?
Social Security
The in’s and out’s of Social Security can be difficult to navigate. If you’ve already claimed your benefits and have been receiving monthly payments for a year or more, the amount you can receive each month is more or less locked in aside from cost-of-living increases. If you haven’t claimed yet, or if you’ve been receiving benefits for less than a year, you have some choices to go over with your financial advisor.
First, the age at which you claim benefits has a huge effect on how much money you’ll receive each month. At the minimum age of eligibility, 62, your benefit could be reduced by as much as 25-30%, depending on your full retirement age (FRA). Then, at your FRA, you can receive your full benefit with no reductions. Or, for every year you wait to claim after your FRA and up to age 70, you can earn an 8% bonus to your benefit. Everyone’s situation is different, so one age is not necessarily always better than another, but many financial planning experts advise waiting and betting bonuses if your health and financial situation will allow.
Employer Pensions
Today, employer pensions are becoming rare, but they do still exist. Public service workers, such as the police force, firefighters, judges, and public teachers have always had pension plans, and other government positions also offer pensions. Because pensions are part of an employee’s compensation package, the amount of retirement income they provide varies based on industry, position, and even from person to person.
Retirement Accounts
While you can open your own retirement accounts, they are generally associated with employer-provided benefits. These benefits, such as 401(k)s, 403(b)s, deferred comp plans, SIMPLE or SEP IRAs, and more, may not be income like pensions are, but function in much the same way after retirement. You are required to withdraw a minimum amount per year after age 70½, though earlier withdrawals may help reduce your lifetime tax bill. Transfers can be done in a lump sum (though we don’t recommend it), quarterly, monthly, or on a different schedule as long as the minimum is met annually.
Savings Accounts
Your personal savings aren’t actually guaranteed income, but barring emergency expenses, you should treat money you withdraw about the same as you treat Social Security payments or retirement account withdrawals. Budget your spending and pay yourself a monthly paycheck from your savings account, and don’t go over that budget. The main difference is that you can withdraw more money if you need to, in case of an emergency medical expense for example, whereas other sources of retirement income generally pay out a regular amount that you have little to no control over.
Annuities
Annuities are somewhat unique in this list, as they can be obtained after you’ve already retired, and some, like fixed indexed annuities, have the option to be truly guaranteed retirement income, meaning that you will always receive income from them regardless of your financial situation, the markets, and other variable factors. There are different types of annuities that may be better or worse for your needs, which you should discuss with a financial advisor.
Part-time Work
And of course, one way to earn retirement income is simply by earning income from a job. There are many part-time work opportunities that allow retirees to supplement their savings while still maintaining a retirement lifestyle, and more retirees are becoming entrepreneurs for enjoyment and income. Continuing to work isn’t part of the traditional picture of retirement, but it’s quickly becoming more common.
While retirement savings across the board aren’t where they should be, a financially stable retirement is possible with enough planning. Take stock of your options for retirement income, and speak with a financial advisor to get the clearest picture of your finances.
Looking for a way to add depth of flavor to some food dishes? Why not make flavored vinegar using either herbs or berries from the garden? Michigan State University Extension says that flavored vinegars are easy and fairly safe to make, provided precautions and the directions are followed.
It’s important to know that only glass containers that are free of cracks and nicks can be used to make flavored vinegars. The containers can be sealed with cork stoppers or two-piece canning lids and will need to be washed, rinsed and sterilized.
Herbal Flavored Vinegars
For herbal vinegars, choose fresh picked herbs just before they begin to flower for the best flavor. Three or four sprigs of herbs are needed per pint of vinegar. When picking your herbs, do so in the morning, just after the dew has dried, but before the noon sun and use only the best leaves or stems. Discard crushed, discolored, dried out or nibbled on pieces because these will give the vinegar a bitter flavor, plus the quality will be poor. The damaged pieces may introduce mold spores into the vinegar and if damaged product is put in, less than desirable product will be the result.
After picking, gently and thoroughly wash the herbs and then blot them dry. Next, dip the herbs in a sanitizing bleach solution. The concentration of the chlorine bleach solution should be one teaspoon of chlorine bleach to six cups of water. Then rinse the herbs thoroughly under cold water and use clean paper towels to blot them dry. The step of rinsing in the chlorine bleach solution is needed to avoid introducing food borne pathogens into the product.
Dried herbs may also be used. Three tablespoons of dried herbs are needed per pint of vinegar.
Fruit Flavored Vinegars
Favorite fruits used in vinegars are raspberries, blackberries, strawberries, peaches, pears and the peel of lemons or oranges. Sometimes the fruits are paired with herbs and spices like mint or cinnamon. Other popular flavorings include peeled garlic, green onions, jalapeno or other peppers, mustard seed and peppercorns.
Preparation of the fruit and vegetables includes washing and peeling, if necessary. Small fruits and vegetables may be left whole, whereas larger fruits like peaches need to be cubed or sliced. Allow one to two cups of fruit per pint of vinegar or the peel of a whole orange or lemon per pint of vinegar.
Types of Vinegar
Not all vinegars are created equal. Distilled white vinegar is clear in color, but has a distinctively sharp flavor of its own. However, distilled white vinegar is the best choice for those delicate herb flavors. Apple cider vinegar is milder in flavor, but the amber color may not be desirable. The apple cider vinegar blends best with fruits.
Even though wine or champagne vinegars are more expensive, they tend to have a more delicate flavor that works well with delicate herbs and light flavored fruits. Red wine vinegar goes well with spices and stronger herbs like rosemary, but most other herb flavors will be masked by the red wine flavor.
Beware that wine vinegars contain some protein, which make them an excellent medium for bacterial growth to take place in. If wine vinegars are used, they need to be handled properly and stored carefully. For safety reasons, use only commercially produced vinegars.
Flavoring Vinegar
The process of flavoring the vinegar involves placing the prepared fruits, herbs and/or spices in the sterilized glass jars. Use three to four sprigs of fresh herbs or three tablespoons of dried herbs per pint jar. For fruits, use one to two cups of fruit or the peel of one orange or lemon per pint of vinegar to be flavored. Do not over pack the jars.
Sometimes it is necessary to slightly bruise the herbs or fruits to help release the flavors. When working with jalapeno or hot peppers, it is wise to wear gloves.
Heat the vinegar to just below the boiling point about 190 -195 degrees Fahrenheit and then pour over the flavoring, leaving a quarter-inch of head space. Wipe the rims with a clean damp cloth and then adjust the lid, corks or screw cap tightly. Allow to cool undisturbed.
Store the vinegar in a cool, dark place for three to four weeks, this will give the flavors the chance to develop. After the time has passed, strain the vinegar through damp cheesecloth or coffee filters until it is no longer cloudy. This may take more than one straining. Discard the fruit, herbs, vegetables and spices because they have served their purpose.
Prepare the jars for the final bottling process and pour the strained vinegar into clean sterilized jars and cap tightly. Label the vinegar and decorate the jar if it is a gift.
Flavored vinegars can add excitement to dishes by the blending of different flavors. Try this new gift of the garden.
One of the best ways to manage chronic conditions such as diabetes, arthritis or Parkinson’s disease is to make a weekly action plan. This will guide you to achieve your health goals. Michigan State University Extension suggests you make sure your action plan has these key ideas:
Make your action plan something you want to do
This is your plan, not someone else’s plan for you. Action plans can help you feel better by successfully accomplishing tasks.
Your plan is something you think you should do and want to do or achieve yourself. An example is if you hate pool water, you shouldn’t make a goal to swim three times a week.
Pick something you can do easily
Ask yourself if your plan is realistic and achievable for you right now. You wouldn’t want to begin walking three miles a day if you have not walked after your knee surgery!
If you feel you will fail at this action, then change it so you can succeed. If you do fail at an action plan, usually you will not try again.
Be action specific
What is it that you are going to do?
How much are you going to do? This can be broken down in minutes or days.
When are you going to do it? Be specific.
Plan ahead for possible barriers
Ask yourself what might get in the way of achieving this goal. If the weather is bad you may not want to walk.
Figure out ahead of time how you will handle barriers, such as plan on walking in an open gym in the evening when the weather is bad.
Know who you can call if you need help. You may like to have a partner when you walk.
Celebrate and evaluate:
Congratulate yourself on what you’ve achieved.
If things went well, the next week you may be able to stretch your goal. Instead of walking a quarter of a mile three days a week, you may walk a half mile four days a week.
If things got in your way, find solutions to help get past the barrier. Perhaps walking through a box store three days a week is better than walking in inclement weather. Keep track of your progress. If things get in your way, think of solutions that can help you achieve your goal.
An example of a weekly action plan to get more exercise
What am I going to do?
I will start taking a water aerobics class.
How often will I do it?
I will do one hour a week.
When will I do it?
I will go to the 9 a.m. class every Friday.
What might get into my way?
The weather, which may make it challenging to get out of the house in the morning.
What might make doing this easier for me?
I will ask a friend to join me; one that has mentioned water aerobics before.
Action plans outline steps you can take to attain a larger health goal. Research shows that such plans are instrumental in bringing about behavior changes in patients. American College of Physicians Foundation gives ideas for some opportunities to use an action plan:
