Facebook Can Lead to Depression

Forgive me father for I have sinned. I have joined the despised group of technological addicts who can go nowhere and do nothing without the company of their smart phone. I really don't know how it all happened. Not so very long ago, I had a dumbphone. Facebook was something that I would check on an actual computer at the end of the day to see what my friends had been up to. Suddenly, I find myself thrilled to see the "New Stories" graphic flash across the top of my iphone screen. What wonderful update could my network of friends have for me that wasn't available 13 minutes ago? A funny link? Another low quality picture of someone else's kid complete with their assertion that he/she is the cutest kid ever? Or a request for me to unfriend you? (By that I mean an invitation to play Candy Crush Saga. I will unfriend you. Seriously.) Facebook is sort of like a car accident. Appauling or not, passersby can't help but stop and stare. Twitter is the same accident only with a traffic cop urging everyone, "Move along, only 140 characters, nothing to see here."

The senior population is among the fastest growing demographics on social media. During the summer months, I teach "Facebook for Non-Teenagers" classes at the local senior centers. I thought I was offering a public service but according to new research I could potentially be opening a window  of despair. A study conducted jointly by two German Universities found that facebook can cause envy and trigger feelings of loneliness and depression. "The researchers found that one in three people felt worse after visiting the site and more dissatisfied with their lives, while people who browsed without contributing were affected the most." If the conclusions of the research are accurate then people who have nothing to contribute should stay off of facebook for their own good.

 http://www.huffingtonpost.com/2013/01/22/facebook-study-envy_n_2526549.html

Beware- New Scam in NC

Crimes are, by their very nature, cruel acts performed at the expense of other people. As a society, we have found ways to excuse certain crimes by pairing them with defensible motivations; crimes of desperation, crimes of passion. Yet there are certain crimes for which no defense can be made. Crimes which victimize the elderly are among those.

Recently, a new wave of scams designed to defraud senior citizens has swept across the nation. The "Med Alert Scam" is nothing incredibly creative yet seniors in Texas, Michigan, Kentucky, New York and North Carolina have been the targets of this most recent con. The Attorney General's office in NC says that they have already fielded more than 100 calls reporting this scam. Imagine how many more are victimized in silence.

The basis of the con operates in two primary fashions. The most common form which has been observed begins with an automated phone call. The call informs its recipient that either they have won a free med alert system or that someone has purchased a med alert system for them.The call then requests that they enter their credit or debit card information to pay for shipping. The second form that the con is known to have taken is that of free merchandise being delivered. The merchandise is delivered with little to no explanation of where it is from or what it entails. The return instructions and conditions of receipt are confusing and shrouded by legal jargon and fine print. Sooner rather than later, large invoices being to arrive accompanied by letters threatening legal action or worse. Many seniors simply pay the invoices rather than asking for help or attempting to confront the scumbag operation.

Home Instead Senior Care has put together some fantastic and free resources on the topic of senior fraud prevention. While it would definitely behoove everyone to read through the principles of the program, an easy rule of thumb to remember regarding telephone fraud is that you should never give any information out during a phone call that you did not initiate. While the financial toll that this scam may take on many seniors is devastating, the emotional toll is equally as brutal. Seniors who are already struggling to maintain a connection to the rapidly changing world around them, now retreat even further, afraid to even pick up the phone.

Check out the free resources at www.protectseniorsfromfraud.com

Senior Fraudsters Arrested in Our Area

Ten people are in jail in Raleigh/Durham for defrauding seniors after being arrested as a part of "Operation Nail It", a task force targeting con-artists who victimize seniors by pretending to do home repair work. Earlier this year, Home Instead Senior Care put a number of resources out into the community as a part of our campaign to help prevent senior fraud. In home repair scams, a serviceman will typically come directly to the home unsolicited and point out some repairs that desperately need to be completed. They will usually demand payment up front for the "services" but in actuality the only service they provide is the removal of funds from a victims bank account. Hear one senior's tragic tale of fraud below:

http://abclocal.go.com/wtvd/story?section=news/local&id=9188886

For tips on how to protect the seniors in your life from con-artists like this go to: www.protectseniorsfromfraud.com

China Mandates That Children Care For Their Parents.

The People's Republic of China made waves recently by enacting "The Law of Protection of Rights and Interests of the Aged." Among other things, this law mandates that children visit their parents regularly in order to provide for their financial and spiritual needs. Senior issues are an area of critical concern for China. Currently, they have approximately 185 million people over the age of 60. By 2050, the elderly are predicted to account for more than a third of the entire population. Read more about it below.

http://www.cnn.com/2013/07/02/world/asia/china-elderly-law/index.html?iref=allsearch

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.

Carnivore with a Side of Vegan

As a professing Texan (as if there was any other kind), I soundly reject all aspects of the plant based approach to survival. In my mind, heaven looks like an amazing cookout. Jesus, Moses, Noah, Paul, John and I are all sitting on a deck somewhere in Texas in mid-April. Perfectly marbled, 2 inch thick rib-eye steaks are sizzling their way to a glorious medium-rare and some of Texas' finest craft beer waits to be poured while we talk theology and Aggie football. Paradise.

Yet the growing number of studies being publishing which detail the tremendous health risk of an animal based protein diet have certainly gotten my attention. I read them all online with a skeptic's eye and then quickly delete my browsing history lest someone should suspect me of considering them as a viable alternative to carnivorism.

Recently, I found myself watching an excerpt from a speech given by Neal Barnard MD. In this excerpt, Dr.Barnard speaks of the huge health risk that a diet high in saturated fat poses. He goes as far as to state that minimizing the levels of saturated and trans fat intake substantially lowers the risk for Alzheimer's Disease and Mild Cognitive Impairment. While I do not personally subscribe to some of the more extreme steps that he and many of his colleagues recommend for reasons previously stated, I do believe that our country consumes far too much meat and far too few vegetables. Watch the video below but tell no one you saw it here.

Bundle Up Folks!

Two weeks ago, I spent the entire Sunday in shorts and a t-shirt playing basketball with my oldest three sons. This past Sunday, the clothing ensemble looked more appropriate to a typical January day but the weather was still remarkably warm coming on the heels of a snowy Friday morning which caused the cancellation and delay of  hundreds of schools and businesses across the Triangle. This morning's forecast warns of an extreme cold front moving through our area during the next few days. Tonight's temperatures are expected to dip into the low twenties and tomorrow night will reach into the teens. Daytime temps will offer very little respite from the cold. High temperatures are expected to be in the low 40's with wind chills that should keep most of us inside for the next 7-10 days. Brrrrr!

In light of the approaching winter weather, allow me to ask a question. What are you doing to make sure that the senior in your life survives? Pardon the Draconian language but extreme bouts of cold weather are potentially lethal for seniors.

Part of the normal aging process is a natural thinning of the skin. Gone are the days of being regarded as 'thick-skinned.' This change makes it more difficult for a senior to regulate the temperature of their own body. By itself, thin skin isn't particularly dangerous and is easy problem for which to compensate. The complications arise when you factor in some of the other changes and realities of the normal aging process. A senior nervous system doesn't process information as quickly as it did during younger years. As a result, a senior likely will not realize he is cold until the early effects of hypothermia have already set in. Furthermore, one of the early signs of hypothermia is muscle stiffness particularly in the neck, arms and legs. Have you ever met a senior who complains of being a little stiff? Ironically, the chronic aches and pains that most seniors have grown accustomed to ignoring are the very ones that should alert them of danger within their own bodies.

For a moment, we should consider the possibility that the seniors in our lives might also be taking prescription medications. Seniors account for 25% of all prescription medications taken in this country so it seems only reasonable that we consider this as a possibility. Many of the medications that seniors take can further inhibit the body's natural alarm systems placing seniors at an even greater risk.

Here are a few things you can do if you are a senior to protect yourself:

• If you live alone, arrange for a daily check-in call with a friend, neighbor, relative, etc.
• Wear warm clothing. Instead of tight clothing, wear several loose, warm layers. Wear a hat and scarf to avoid significant heat loss through your head and neck. Stay dry. Moisture from perspiration, rain, or melting snow can seriously reduce or destroy the insulating value of clothing because water conducts body heat over 25 times faster than air.
• Use extra blankets because hypothermia can develop during sleep.
• Eat nutritious foods and exercise moderately; proper diet and physical conditioning help protect you against abnormal heat and cold.
• Get proper rest; fatigue makes you more vulnerable to subnormal heat and cold.
• Drink adequate amounts of liquids, such as water. Limit your alcohol intake because alcohol speeds up body heat loss.

Check out this article from the SC Office on Aging about warning signs and dangers of hypothermia in senior citizens.  http://aging.sc.gov/seniors/HealthAndSafety/Pages/ColdWeatherTips.aspx

The Fine Line Between Binging and Moderation

Researchers at Rutgers University have reported that binge drinking can decrease the development of adult brain cells by as much as 40 percent. Whew! I sure am glad that I don't have a binge drinking problem.

Not so fast. Also included in the study is information about the thin line that tends to separate drinking in moderation from what many consider to be binge drinking.

It has long been accepted as truth that a couple glasses of wine each day are a good way to promote cardiovascular and brain health. However, lead author of the study, Megan Anderson, cautions "Moderate drinking can become binge drinking without the person realizing it. In the short term, there may not be any noticeable motor skills or overall functioning problems. But in the long term, this type of behavior could have an adverse effect on learning and memory."

According to the National Institute of Alcohol Abuse and Alcoholism, men who drink 14 drinks a week and women who drink 7 are considered at-risk drinkers. While many people commonly assume that binge drinking is a strictly collegiate phenomenon, the statistics counter that assumption. According to the institute, 70 percent of binge drinking involved adults age 26 and older. "This research indicates that social or daily drinking may be more harmful to brain health than what is now believed by the general public."

It's Not A Toomah!

Don't you just hate armchair physicians? Well intentioned people who roam the streets and speak half-truths into the lives of those around them, usually without being asked, drive me crazy. I generally resent unsolicited advice of any nature but on the healthcare front I find myself especially agitated by pseudo-doctors who feel the need to diagnose and offer treatment suggestions whenever I sneeze, cough, or just feel a little off.

Seniors face a number of challenges with regards to the normal aging process. Certain things just start to wear out after about 70-80 years. When I meet with the family of a prospective client, I take care to question where each claimed illness has been diagnosed. Specifically with regards to dementia, I find that many seniors are living life under the impression that they have Alzheimer's or dementia. Out of all the illnesses that befall the elderly, none is more terrifying than this one. A disease which causes you to lose your memories and any sense of who you are is not a diagnosis that should be lightly made. Yet we see countless examples of this at Home Instead Senior Care. We see huge numbers of seniors who live in fear of Alzheimer's disease because they momentarily forgot where they put their house keys and some well intentioned person mentioned dementia as a reason.

If you happen to be one of those people who feels the constant urge to offer possible explanations to anyone who is suffering from anything at any given time, please pull Alzheimer's and dementia out of your little black bag of non-authorized diagnosis doom. While I appreciate your desire to help it is only fair to point out that you lack the medical training with which to squeeze a pimple and therefore have no business diagnosing a disease that has befuddled the brightest minds in the medical community for over a century. It's not a toomah!

A Turn For the Worse

If I had a nickel for every time I heard the phrase "Since she has been at the hospital, Mother's dementia has taken a turn for the worse," I would be a very wealthy man. The idea that hospitals cause dementia is an amazing phenomenon to me that way too many people accept at face value as a universal truth of aging. Hospitals do not cause dementia. Granted, with the size and confusing layout of most hospitals even I forget how to get back to the parking garage from time to time. The fact that so many seniors never have the opportunity to return home from a hospital stay due to the mysterious "dementia monster" attacking them upon admission is troubling. The fact that this absurd logic is never even challenged is downright maddening.

What causes dementia is, in fact, a mystery. Scientists know that the greatest risk factor is advancing age but beyond that the entirety of medical knowledge on the subject resorts to what can be most aptly described as a "best guess scenario."The sudden, rapid progression of dementia is a far less complicated matter to investigate than actual dementia. So allow me.

In the normal aging process, senior's bodies begin to function differently than they did  in younger years. Kidneys do not function as efficiently as they once did. This particular facet of aging, I believe is responsible for a huge percentage of the post hospital rehab admissions today. Imagine this scenario:

A woman, age 94, has lived independently since her husband's death two decades ago. She continues to be fairly engaged in the community and has a caregiver who comes in twice a week to keep her company and assist her with errands and chores around the house. At times, she has troubling recalling certain things but the things she forgets will generally come back to her and do not interfere with her daily life. She is a model for aging with independence. One day she slips and falls while retrieving the mail. Due to the brittle nature of her bones, she fractures her left hip requiring surgery. The surgery goes extremely well, especially considering her age, and the doctors all say that after some quick rehab she should be fine to return home with limited assistance as before. Not so strangely, she begins to show confusion following surgery. It is gradual at first and then increases rapidly. The doctor's offer a simple explanation. Sometimes in a hospital situation, a senior's dementia takes a turn for the worse. AAAAAAAAAAAAAGH!! With respect to the kind hearted medical professionals, allow me to postulate another theory. This particular 94 year old has avoided medications for most of her life wherever possible. She takes a baby aspirin every morning and a multivitamin because an episode of Donahue told her that doing so might reduce her risk of certain cancers. Suddenly, due to her hip fracture, she is being given an anesthetic for the actual surgery, a sedative to help her sleep at night, a medication to prevent constipation, and Oxycodone to ease the pain. When you combine that cocktail with the knowledge that her kidneys are not filtering these drugs effectively, another possible diagnosis presents itself. She isn't suddenly demented. SHE IS HIGH!!

I wish I could tell you that this woman eventually stabilized and was able to return home. I wish I could tell you that she wasn't discharged to a skilled nursing facility where she was administered a daily dose of instant-dementia for the rest of her days. Most of all, I wish I could tell you that her's was a unique story. But alas, I am unable to make any of these statements and instead sit here at the keyboard typing, collecting a nickel for every time that I hear that someone's dementia has taken a turn for the worse.

Alzheimer's and the Marvel of the Human Mind

Yesterday, I taught a group of our Home Instead Senior Care CAREGivers about Alzheimer's. As part of our C.A.R.E. initiative, we are teaching not only our caregivers but families as well.

As I taught the class, I couldn't help but notice one attendee who was not engaged in the material. After our initial period of instruction, we took a short break where I seized the opportunity to ask why she seemed so distant from the rest of the class. She replied, "This doesn't apply to me. I don't have any clients that have Alzheimer's."

It struck me just how typical that attitude is with regards to Alzheimer's and other dementia. And just how inaccurate. Since Dr.Alzheimer first discovered the plaques and tangles which are the indicators of the disease, there have been great advancements made. 100 years of medical research has brought an end to a number of formerly deadly diseases and chronic conditions. The human brain, however, remains an outlier. After a century of funding and research, scientists still stand in amazement at the marvel of the human mind.

As a Christian, it is my belief that I am not an accidental collection of cells that somehow, after a billion years of trial and error, managed to put themselves together in a manner that encompasses every facet of my functioning body as well as my personality. To take a hard look at the human body and believe that it is simply the result of chance requires, in my opinion, a far greater amount of faith than belief in a creator. I see intricate designs and systems which work in perfect harmony with one another. I see passions, desires, and creativity which make no sense in the scheme of "survival of the fittest" and would have likely been lost throughout the millenia if evolution were the only explanation for our existence. If the brutal battle for survival is solely responsible for our survival as a species then I think we should be a far less compassionate and reasoned people than we find ourselves. I digress.

On the matter of Alzheimer's and dementia, there is very little to show for 100 years of study. At this point, we cannot tell you who is more likely to develop Alzheimer's. We cannot tell you what causes Alzheimer's. We cannot therefore tell you how to prevent Alzheimer's. We are unable to effectively treat Alzheimer's. And we are unable to cure Alzheimer's. That is the reality of this tragic disease. The other tragic portion is the statistical inevitability that each and every one of us will be affected by it.

The greatest risk factor associated with Alzheimer's and other dementias is advancing age. The older you get, the more likely you are to develop symptoms. In 2011, the Alzheimer's Association reported that an estimated 5.4 million Americans of all ages have a type of dementia. Over the age of 65, the number of people with Alzheimer's narrows to one out of every eight. If you live to the age of 85 or beyond your risk of Alzheimer's increases to one out of two.

You may choose to bury your head in the sand and pray that you will not be one of the people struck with Alzheimer's. You may not have anyone in your immediate circle who is currently struggling with dementia. Since half of all seniors who live to be 85 will be stricken with this tragic disease, it is unreasonable to assume that you will not be affected in some way.

Join us for a family education event in Chapel Hill on December 4th and 6th from 6pm-8:30pm. The classes will be held at the Chapel Hill Carrboro Chamber of Commerce office, 104 S. Estes Dr. Chapel Hill, NC. Please RSVP to 919.933.3300 so that we can provide adequate materials for all in attendance. I look forward to seeing you there!

Still Funny

Several years ago, at our Home Instead Senior Care International Convention, a senior citizen named Mary Maxwell delivered the invocation. Part prayer, part hilarious rant about aging; it left us all howling with laughter. The Youtube video has since gone viral with almost 10 million views but I still crack up every time I watch it. Enjoy!

http://www.youtube.com/watch?v=vPFCn3itBFE