New Program Pairs Seniors with Dementia and Preschoolers

A special program in New York is pairing elders with dementia and young people. At a custom-designed facility in Mt.Kisco, New York, seniors who are struggling with dementia spend their days working with preschoolers. "The kids look right past the dementia, connecting instead with the people who have gotten lost underneath."

"My Little Friends," directed by Megan Mylan from David Shenk on Vimeo.

Preventing Alzheimer's. Is It About to Become a Reality?

Scientists at the Center for Alzheimer's Research and Treatment at Brigham and Women's Hospital in Boston are about to embark on one of the most anticipated, longest Alzheimer's drug studies in history. The study will be conducted on 1,000 subjects over a three year period at a cost of well more than $100 million. They are just hoping they can find enough people.

The folks they are looking for must already have amyloid building up in their brains but aren't currently showing any symptoms of Alzheimer's. The idea is to treat the amyloid proteins with an experimental drug before they become toxic and turn into the dreaded plaques and tangles that scientists have been battling for years in the fight against Alzheimer's disease.

In order to find the 1,000 participants, the directors of the study anticipate that they will  need to screen about 5,000 people throughout the United States and Canada. They are also exploring the possibility of a site in Australia. To qualify, participants in the study must be at least 65 yrs old, willing to take a drug or placebo, willing to get a genetics test, willing to have a brain scan done twice a year, and willing to answer all kinds of questions about every facet of how they live their lives.

In previous clinical trials, the drug being tested showed promise in slowing the effects of mid-stage Alzheimer's symptoms. This success, in addition to the size and scope of the study, has turned a number of heads in the scientific community who will be watching the results very carefully.

One of the frustrating aspects of dealing with the disease is that most of the work is being done in the proverbial rear-view mirror. Since there is no way to predict where the disease will appear, scientists are forced to study patients who have already begun to manifest symptoms. The hope of this new study is that it will give doctors a glimpse at not only the effectiveness of the new drug but also a window into the way the disease develops. Perhaps it will at last show them how to prevent the disease from developing entirely. Perhaps.

http://capeandislands.org/post/new-study-will-test-possibility-preventing-alzheimers

Yes, I Am a Total Nerd.

I have never shied away from my identity as a nerd. My wife enjoys teasing me about many of the idiosyncrasies that comprise this peculiar person that I am. In high school, one of my best friends and I defiantly drove across the Texas desert with the sunroof open in my Saturn SC2, blaring the soundtrack to Apollo13 so loudly that one of the rear speakers blew out during the launch sequence. Rebels. I own, and have listened to frequently, John Tesh's Live at the Red Rocks album. Hardcore. Within the last twenty four hours, I have worked out to the pounding rhythms of Stephen Sondheim's Sunday in the Park With George. When I was a given a Sony Discman for my birthday many years ago, my first two CD purchases were Beethoven's 5th Symphony and Kenny G. (Ok I guess that one may have taken it a bit too far.) If my wife were contributing to this I have no doubt that she would have several descriptive scenarios to add. Regardless, I am in fact a nerd.

It stands to reason that I get excited about nerd things. For instance, Home Instead Senior Care has just launched an Alzheimer's and Other Dementia app for iphone users which is AMAZING. As you may or may not know, September is World Alzheimer's Awareness Month and we have been out doing our best to educate the masses. Our family caregiver educational program not only highlights the different types of dementia but prepares families for "real world" situations that they face each and every day. While it may be frustrating to listen to someone with dementia tell the same story over and over again we found that most of our families really just needed help with things like getting their loved one to take a bath. This new app is beautifully organized to give families quick information when they are facing difficult behaviors. The situations are all laid out by category and contain quick tips and suggestions when those difficult moments arise. Additionally, there are great opportunities to leave feedback, encouragement, and tips of your own for other caregivers who are facing some of the same challenges.

This app is an extension of a new book, Confidence to Care: A Resource for Family Caregivers Providing Alzheimer's Disease or Other Dementias Care at Home, which was written by my good friend Molly Carpenter. Molly has been at the forefront of Home Instead's pioneering work on Alzheimer's education. It is exciting to be a part of a company that is not only putting out phenomenal free resources in the fight against Alzheimer's but also to be a part of a company that recognizes the many different vehicles which must now carry information to the public. Nerds everywhere rejoice! There's now an app for that.

Alzheimer's and Red Meat

A recent study published in Journal of Alzheimer’s Disease suggests that higher levels of iron in the body may contribute to Alzheimer's disease. While the study utilized a relatively small sample size, researchers believe that the iron may trigger a tissue breakdown associated with the disease. There are three things specifically mentioned as a way to address the elevated iron levels. The researchers suggest  that people reduce or stop red meat consumption, reduce or stop iron supplements, or that women have hysterectomies before menopause.

http://www.counselheal.com/articles/6463/20130822/red-meat-linked-alzheimers-disease.htm

Remember to Have a Cup of Hot Cocoa with Grandma

There is something nostalgic about the image of sitting down and having a cup of hot cocoa with grandma. Even though most of the hot cocoa I have consumed in my life has been done as an effort to stave off hypothermia during Boy Scout campouts, there is still something about the image of grandma fixing a cup of cocoa that is strangely comforting. As it turns out, perhaps my subconscious was trying to send me messages about improving cognitive function in seniors. My subconscious is, after all, very intelligent and concerned with matters of seniors and memory retention. I digress.

A new study has shown that seniors who consume an average of two cups of hot cocoa a day shown a slight improvement in their cognitive function. The sources releasing this study are quick to point out that drawing factual conclusions at this point would be unwise due to the small sample size and the relatively small differentiation they observed between the two groups studied. The scientists expressed concern that this in no way advocates the consumption of hot cocoa and cautioned against the dangers of obesity brought about by the needless consumption of hot cocoa with regards to cognitive function. Killjoys.

We could wait to have a cup of hot cocoa with grandma until the results of the study have been more fully flushed out. As for me and my house, we will take no chances by minimizing our chocolate intake until slow-poke scientists finish their work. Hot chocolate for all!

Below you will find a link to my favorite hot cocoa recipe. I recommend adding in a dash of cayenne and subbing in bittersweet chocolate chips for half of the chips it calls for. Salud!

http://www.foodnetwork.com/recipes/semi-homemade-cooking-with-sandra-lee/the-best-hot-chocolate-ever-recipe/index.html

 

Low Testosterone Shown To Increase Risk For Parkinson's

In a recent study, a drop in the testosterone levels of male mice caused them to manifest symptoms that appear to be very similar to those found in Parkinson's Disease. Male testosterone levels typically peak in the mid-30's and then decline around 1% each year thereafter. The decline can be made more sudden by other factors such as stress or other life events. Low testosterone has also been linked to an increased risk for Alzheimer's. Given that men are already known to be 1.5 times more likely to develop Parkinson's, the link to lower testosterone levels seems to make a lot of sense.

http://www.medicaldaily.com/articles/17863/20130728/mouse-study-shows-link-between-low-testosterone.htm

Exciting News in the Battle Against Alzheimer's!

I typically hesitate posting medical journals or studies on this blog because I assume that those reading it probably don't have the time to sift through the jargon and medical terminology. However, this is some exciting news on the Alzheimer's front that I think needs to be shared. Out of respect for everyone's time, I will briefly summarize my understanding of the findings as well as post the actual article below.

Scientists have previously identified a gene, APOE4, which is known to increase the risk of developing Alzheimer's later in life. Individuals who possess one copy of the gene are three times more likely to develop Alzheimer's and those who possess more than one copy are ten times more likely. That discovery was made in 1991. This is not news.

The exciting news is the recent discovery that people who have the APOE4 gene experience changes in the way that 215 other genes express themselves before they actually develop Alzheimer's.  This is exciting for a number of reasons. Mostly, it means that scientists can begin to look into early ways to intervene BEFORE symptoms appear. All of the treatment options for people with Alzheimer's currently are behind the proverbial eight ball. Once you develop the disease THEN doctors look into ways that they can slow the progression. There is currently no feasible way to predict who will get it. There is no way to prevent people from acquiring it. There is no way to cure people who have it. In a world of gray skies and dim possibilities, this is finally some sunshine from behind the clouds.

http://www.bloomberg.com/news/2013-07-24/path-of-alzheimer-s-disease-risk-gene-tracked-scientists-say.html

AARP says that 1 out of 4 Retired Early to Care for a Spouse

One-in-5 employees age 45-74 say they expect to take time off of work to care for a spouse, a parent or relative in the next five years, AARP officials say.

An AARP report, "Keeping Up with the Times: Supporting Family Caregivers with Workplace Leave Policies," also said 1-in-4 retirees said they left the workforce earlier than planned to care for an ill spouse or other family member.

"The aging of the population, changing workforce demographics and increasing demands on family caregivers are colliding at the expense of working caregivers," Lynn Feinberg, senior strategic policy adviser with the AARP Public Policy Institute and author of the report, said in a statement.

Read more: http://www.upi.com/Health_News/2013/06/19/One-in-5-employees-age-45-74-must-quit-work-for-caregiving/UPI-41721371620805/#ixzz2Xzilse9x

Seventy-Seven Is Not Really That Old

When John Glenn was rocketed back into orbit at the sprightly age of 77 there were many differing takes on the situation. Many people celebrated the idea that our medical technology had advanced to the point that it was even possible to send a geriatric into space. Many people looked down on the idea as nothing more than a publicity stunt, intent to revive public interest in a beleaguered space program facing major budget cuts and possible extinction. Press conferences were an understandable blitz of questions from both sides of the issue and were emotionally taxing for the Astronaut turned Senator turned Astronaut. Rumor has it(although I can find no specific reference to it online) that at one point Senator Glenn became exasperated by the incessant questioning of one particular journalist. After the umpteenth pseudo-rhetorical question, Mr.Glenn had clearly had enough and raised his voice over the the din of the press corps saying: "Just because I am 76 doesn't mean that I don't still have dreams." The audience fell silent.

Aging has always been an arc. We begin life with little to no independent functionality and gradually gain the ability to live our life on our own. As the years go by, we pass the zenith of the arc and begin to gradually lose our independent functionality. It is the tragic reality with which man has contended since the dawning of time. Rev. Chris Osborne, pastor of Central Baptist Church in College Station, Tx ( Home of the Fightin' Texas Aggies. Whoop!) says that the reason that we so vehemently reject the concept of aging and seek to avoid our own deaths is that God has placed eternity on the hearts of men. We are designed with an eternal soul and anything that reminds us of our fallen state also reminds us that we are sojourners in this foreign land. I tend to agree.

However, we now find ourselves pushing into a brave new world where age no longer limits the human body in the way in which it once did. Fifty is the new forty. Sixty is the new fifty. Seventy is the new sixty and eighty is not really that old after all. This massive cultural shift requires nothing of those who find themselves a part of the aging demographic. They will just continue to do what they have been doing all along; living their lives. For the rest of us, it requires that we change the very core of how we think about aging. At Home Instead Senior Care, this is in our DNA. It is fundamental to everything we do. We are part of a movement that refuses to accept a 'less than' life. We are actively working to Change the Face of Aging. Daily we join with seniors and the families whom we serve to declare to all who will listen that we will not go quietly into the night! A new day has dawned and dreams can still come true.

The Difficult Choice of Caring At Home

Yesterday, NPR ran a segment entitled “The True Cost of At-Home Caregiving.” The article brilliantly paints a portrait of what our clients and their families face each and every day. For many years, the accepted norm with regards to aging was that seniors would move in with their families when they were unable to live by themselves without assistance. Then the culture shifted. Parents began to place their children into daycare facilities and mother’s day out programs so that they could free themselves to pursue the all-important American dream. In return, when those parents aged, it became customary for their children to place them into nursing homes and facilities. As my father is fond of saying, “We placed our kids in institutions as soon as they were old enough so that we could be free to live our lives. Why are we surprised that, now that we are older and need assistance, they aren’t hesitating to return the favor?” However, the pendulum has swung back the other way. More and more families are making the difficult decision to move an aging parent into their homes and provide care themselves. This is due in no small part to the tremendous rise in the cost of caring for a senior in a facility. At first glance, a multi-generational living arrangement would seem to be a cost saver but, as any family caregiver will freely tell you, the cost is not always easy to see.
One of the things we recognize at Home Instead Senior Care, is the importance of the family caregiver. Many agencies address the needs of the client but largely ignore the person who many times needs our help the most, the family caregiver. It is one of my favorite questions to ask during an initial meeting. “How are you?” It is amazing to witness the reactions people have when they haven’t been asked that question in so long that they no longer know how to answer. Most of the time the family caregiver will deflect the question and continue to speak about the condition of their loved one. I ask again. “How are you?”
Caring for your loved one at home is a beautiful gift. It is also an extremely difficult task particularly where Alzheimer’s Disease or other dementias are present. Home Instead Senior Care can help. We work to give the respite care that families need on a short-term or recurring basis. We want daughters to be free to be daughters again.