The SilverTsunami

Generic Aricept (Donepezil) Clarification

2011-01-07T20:52:00.000-05:00

It is clear that people are looking for clear, concise information on Generic Aricept. We had more than 10,000 visitors coming in from search engines like Google looking for information in the last thirty days.

See these updates:

Generic Aricept (Donepezil) Clarification

Branded Generic Aricept Price Drops 36 Percent

What is Alzheimer's Disease ?

2010-10-20T10:55:00.000-04:00

By Bob DeMarco
Alzheimer's Reading Room

URL: http://www.alzheimersreadingroom.com/2010/01/what-is-al...

A comprehensive overview. Includes definition, symptoms, causes, risk factors, lifestyle issues, test and diagnosis, treatments and drugs.

Original content Bob DeMarco, the Alzheimer's Reading Room

The Alzheimer's Action Plan

300 Tips for Making Life Easier

People Buying Own Health Insurance Face 20% Increase

2010-06-21T14:24:00.001-04:00

clipped from blogs.wsj.com

People Buying Own Health Insurance Face 20% Increase

Well, the passage of health-care legislation has not instantly put an end to the indignities they face, among them the prospect of an average 20% premium increase, according to a study from the Kaiser Family Foundation. While legislation may end up helping these people with new exchanges and provisions that disallow insurers from using health status to price policies, many key provisions don’t kick in until 2014, the study authors write.

People who didn’t change carriers or plans ultimately ended up paying 18% more than they did before for insurance, putting the average increase paid among everyone who was asked to pay more at 13%. (Look at chart 4 in the actual report to see a diagram that illustrates this all.)

The Metamorphosis of This Alzheimer's Caregiver (Part One)

2010-06-19T14:10:00.003-04:00

clipped from www.alzheimersreadingroom.com

The Metamorphosis of This Alzheimer's Caregiver (Part One)

When I finally learned that I was an Alzheimer's caregiver; I realized I needed to define my role as a caregiver.

When I first learned my mother was suffering from dementia, I quickly learned you could put everything I knew about dementia and Alzheimer's in a thimble.

Original content Bob DeMarco, the Alzheimer's Reading Room

Vitamin B12 May Protect Against Brain Shrinkage in Baby Boomers

2010-06-13T13:28:00.003-04:00

Vitamin B12 deficiency is big problem but people rarely consider this. As you age it is not easy to get the necessary amounts of B 12 into your system.

clipped from www.alzheimersreadingroom.com

Vitamin B12 May Protect Against Brain Shrinkage in Baby Boomers

A study conducted by researchers at the Oxford Project to Investigate Memory and Ageing (OPTIMA) found that people with higher levels of vitamin B12 were six times less likely to experience brain volume loss.

Original content Bob DeMarco, Alzheimer's Reading Room

Ten Tips for Communicating with an Alzheimer’s Patient

2010-05-16T20:39:00.000-04:00

Do not argue with them. It gets you nowhere......

By Carole Larkin
Alzheimer's Reading Room

Ever feel like your loved one is ignoring you or that you just weren’t getting through to your loved one? Try some of these tips to see if they help.

Tips for communicating with a mid-stage (or later) Alzheimer’s patient.

Make eye contact. Always approach them face-to-face and make eye contact. Use their name if you need to. It is vital that they actually see you and that their attention is focused on you. Read their eyes. Always approach from the front as approaching and speaking from the side or from behind can startle them.
Be at their level. Move your head to be at the same level as their head. Bend your knees or sit down to reach their level. Do not stand or hover over them – it is intimidating and scary. They can’t focus on you and what you are saying if they are focused on their fear.
Tell them what you are going to do before you do it. Particularly if you are going to touch them. They need to know what is coming first so that they don’t think that you are grabbing them.
Speak calmly. Always speak in a calm manner with an upbeat tone of voice, even if you don’t feel that way. If you sound angry or agitated, they will often mirror that feeling back to you and then some.
Speak slowly. Speak at one half of your normal speed when talking to them. Take a breath between each sentence. They can not process words as fast as non-diseased people can. Give them a chance to catch up to your words.
Speak in short sentences. Speak in short direct sentences with only one idea to a sentence. Usually they can only focus on only one idea at a time.
Only ask one question at a time. Let them answer it before you ask another question. You can ask who, what, where and when, but NOT why. Why is too complicated. They will try to answer, fail and get frustrated.
Don’t say “remember”. Many times they will not be able to do so, and you are just pointing out to them their shortcomings. That is insulting, and can cause anger and/or embarrassment.
Turn negatives into positives. For example say “Let’s go here” instead of “Don’t go there”. Be inclusive and don’t talking down to them as if they were a child. Respect the fact that they are an adult, and treat them as such.
Do not argue with them. It gets you nowhere. Instead, validate their feelings, by saying” I see that you are angry (sad, upset, etc…). It lets them know that they are not alone and then redirect them into another thought. For example “It sounds like you miss your mother (husband, father, etc…). You love them very much, don’t you? Tell me about the time…” Then ask for one of their favorite stories about that person).

More About the Alzheimer's Reading Room
Advice and Insight -- Alzheimer's Caregiving
What is Alzheimer's Disease ?
Conquering Urinary Incontinence
Alzheimer's and the Dreaded Bowel Movement
Dementia and the Eight Types of Dementia
Does the Combination of Aricept and Namenda Help Slow the Rate of Decline in Alzheimer's Patients
Communicating in Alzheimer's World
Test Your Memory (TYM) for Alzheimer's or Dementia in Five Minutes
Dr Oz Alzheimer's Memory Quiz (Test)
Alzheimer's Clock Draw Test -- Detect the Signs of Alzheimer's Early
Is it Really Alzheimer's or Something Else?
60 Good Reasons to Subscribe to the Alzheimer's Reading Room

The Alzheimer's Action Plan: The Experts' Guide to the Best Diagnosis and Treatment for Memory Problems

Carole Larkin MAG, CMC, DCP, EICS is a geriatric care manager who specializes in helping families with Alzheimer’s and related dementias issues. She also trains caregivers in home care companies, assisted livings, memory care communities, and nursing homes in dementia specific techniques for best care of dementia sufferers. Her company, ThirdAge Services LLC, is located in Dallas, TX.

Original content Carole Larkin, the Alzheimer's Reading Room

60 Reasons to Subscribe to the Alzheimer's Reading Room

2010-01-20T11:23:00.001-05:00

60 Reasons to Subscribe to the Alzheimer's Reading Room

By Bob DeMarco

Subscribe to The Alzheimer's Reading Room

Popular articles on the Alzheimer's Reading Room

Advice and Insight -- Alzheimer's Reading Room
Communicating in Alzheimer's World
Worried About Alzheimer's Disease -- You Should Be
Dementia and the Eight Types of Dementia
Does the Combination of Aricept and Namenda Help Slow the Rate of Decline in Alzheimer's Patients
Test Your Memory (TYM) for Alzheimer's or Dementia in Five Minutes
Dimebon Connection Study
The Metamorphosis of This Alzheimer's Caregiver (Part One)
The Mini-Cog Test for Alzheimer's and Dementia
Is it Really Alzheimer's or Something Else?
Alzheimer's Wandering Why it Happens and What to Do
60 Good Reasons to Subscribe to the Alzheimer's Reading Room Now
Urinary Incontinence -- How We Beat Alzheimer's Incontinence

Bob DeMarco is the editor of the Alzheimer's Reading Room and an Alzheimer's caregiver. Bob has written more than 1,050 articles with more than 8,000 links on the Internet. Bob resides in Delray Beach, FL.

A Caregiver's Guide to Alzheimer's Disease: 300 Tips for Making Life Easier

Original content Bob DeMarco, the Alzheimer's Reading Room

Does Loneliness cause an Alzheimer's like Dementia ?

2009-06-09T20:18:00.002-04:00

Loneliness may put people at risk of an Alzheimer's-like dementia.

"People who described themselves as lonely were twice as likely to develop dementia," says researcher Robert Wilson of the Rush University Medical Center in Chicago.

Research suggests lonely people are at greater risk of developing dementia. Seniors who scored high on the loneliness quiz agreed with three or more of the following scenarios:

I experience a general sense of emptiness.
I miss having people around.
I feel like I don't have enough friends.
I often feel abandoned.I miss having really good friends.

Source: Robert Wilson at the Rush University Medical Center in Chicago

Source USA Today

By Kathleen Fackelmann, USA TODAY

Loneliness may put people at risk of an Alzheimer's-like dementia, a study reported.
"People who described themselves as lonely were twice as likely to develop dementia," says researcher Robert Wilson of the Rush University Medical Center in Chicago.

Other studies have found that people who are unmarried and socially isolated are at higher risk for dementia, including Alzheimer's. But this study is one of the first to show a link between loneliness — or the feelings of disconnection from other people — and a higher risk of developing dementia late in life, says Laurel Coleman, a spokeswoman for the Alzheimer's Association and a geriatrician in Portland, Maine.

Wilson and his colleagues studied 823 people who were about 80 years old and had no sign of dementia at the start of the study. The team gave the recruits a loneliness quiz and tested them annually for signs of memory loss and confusion, two key signs of dementia and Alzheimer's.

During the four-year study, 76 people developed an Alzheimer's-like dementia, Wilson says. The risk of developing dementia increased about 51% for each one-point increase on the loneliness scale. People with the highest scores had 2.1 times the risk of developing dementia, a group of conditions that destroy brain cells and lead to mental confusion. Alzheimer's is the most common form of dementia.

Autopsies were performed on 90 people who died during the study. The researchers found no link between loneliness and the development of the abnormal brain deposits that are the hallmark of Alzheimer's.

That finding suggests loneliness might be triggering dementia through a novel mechanism — one that doesn't lead to a brain riddled with deposits, Wilson says.

One theory is that people who are lonely over long periods of time might have higher levels of damaging stress hormones. The elevated stress hormones might lead to an accelerated aging of the brain — and perhaps to dementia, Wilson says.

Other research suggests lonely people are at risk of other health problems such as cancer and high blood pressure, says John Cacioppo of the University of Chicago. Still, he says, the new finding, which appears in February's Archives of General Psychiatry, must be verified by additional research.

The findings didn't change much when the team factored in markers of social isolation, such as infrequent participation in social events. That means that people who have a small number of good friends might be better off than those with a busy social schedule but chronic feelings of loneliness, Wilson says.

But lonely people often benefit from signing up for a new class or activity, Coleman says. Research shows that such activities might protect aging brain cells. And seniors who are out and about are more likely to make new friends, which might lessen feelings of loneliness, she says.

Alzheimer's Disease -- Advice and Insight
60 Good Reasons to Subscribe to the Alzheimer's Reading Room
About the Alzheimer's Reading Room
Alzheimer's Disease and the Five Stages of Grief
What’s the Difference Between Alzheimer’s Disease and Dementia?
What is Alzheimer's? What are the Eight Types of Dementia?
Alzheimer's Disease CareGiving -- Insight and Advice (20 articles)
Test Your Memory for Alzheimer's Disease (5 Best Self Assessment Tests)
Communicating in Alzheimer's World
Worried About Alzheimer's Disease -- You Should Be
Does the Combination of Aricept and Namenda Help Slow the Rate of Decline in Alzheimer's Disease Patients
Alzheimer's Disease Statistics
Is it Really Alzheimer's Disease or Something Else?
Ten Symptoms of Early Stage Alzheimer's Disease
Ten Tips for Communicating with an Alzheimer’s Disease Patients

Bob DeMarco is the Founder of the Alzheimer's Reading Room and an Alzheimer's caregiver. Bob has written more than 2,101 articles with more than 272,100 links on the Internet. Bob resides in Delray Beach, FL.

The Alzheimer's Action Plan

The Art of Dementia Care

Original content Bob DeMarco, the Alzheimer's Reading Room

Read about Alzheimer's Disease

2008-11-27T12:44:00.001-05:00

From the Alzheimer’s Reading Room

Living Alzheimer's From the Front Row

It is Difficult to Catch the Early Signs of Alzheimer's

A Simple Three Minute Test Can Detect the Earliest Stage of Alzheimer's disease

Alzheimer's Disease Genetics Fact Sheet

Ten Million Baby Boomers likely to suffer from Alzheimer’s during their lifetime

Can Vitamin B3 Reduce Memory Problems (Nicotinamide)

Dealing with Difficult Behavior Caused By Alzheimer's

Five Ways to Keep Alzheimer's Away

High cholesterol levels in your 40s raises Alzheimer's risk

When Alzheimer's Hits at a Young Age

Conscientious people are less prone to Alzheimer's

Exercise may improve function in dementia patients

I Missed the Early Signs of Dementia in my Mother

UCSF Memory and Aging Center

Herbal supplement Ginkgo doesn't stop Alzheimer's

'Instant' Alzheimer's Drug Claim, Enbrel (Etanercept)

Wandering

Dealing with Difficult Behavior Caused By Alzheimer's

Do you have the Silver Alert Program in your state? Probably not.

Training Helps Alzheimer's Caregivers

Exercise

Exercise may improve function in dementia patients

Exercise can prevent or slow the onset of Alzheimer's

Mom

A Wonderful Moment in Time--Mom dances for the first time in years

Alzheimer's and the Thyroid

It is Difficult to Catch the Early Signs of Alzheimer's

Husband Seeks Votes for 'Alzheimer's Disease: Early Detection Matters' Project

2008-10-09T12:11:00.001-04:00

This is a worthy cause. I know everyone is busy but if you own an American Express card you can vote in under a minute.

Jay Smith, the man who submitted this project, has first hand experience with Alzheimer's. About ten million baby boomers can expect to suffer from Alzheimer's disease if a cure or therapy is not found. Early detection does make a big difference.

To vote go to http://www.membersproject.com/project/view/OGSSPK

clipped from alzheimersreadingroom.blogspot.com

Husband Seeks Votes for 'Alzheimer's Disease: Early Detection Matters' Project

Please take the time to vote.

Alzheimer's Campaign Selected for Top Five in Members Project from American Express

The "Alzheimer's Disease: Early Detection Matters" campaign has been selected as one of the top five campaigns in the Members Project from American Express, which will award $1.5 million to the program that receives the most votes through Monday, October 13. The submitter, Jay Smith, whose wife has early onset Alzheimer's disease, along with the Alzheimer's Association, are now asking that card members go to and vote for the Alzheimer's Disease: Early Detection Matters campaign.

Combining Alzheimer's drugs helps slow rate of decline in Alzheimer's Patients

2008-09-24T09:23:00.001-04:00

These findings should bring hope to those suffering from Alzheimer's and dementia. Baby boomers should take note.

clipped from alzheimersreadingroom.blogspot.com

My mother is currently moving into the medium stage of Alzheimer's so for us this is exciting news. I intend to send this information to our personal care physician and discuss it with him immediately.

"Finding something that could actually modify the course of the disease is the Holy Grail of Alzheimer's treatment, but we really don't know if that is happening or what the mechanism behind these effects might be," Alireza Atri explains. "What we can say now is that providers should help patients understand that the benefits of these drugs are long term and may not be apparent in the first months of treatment. Even if a patient's symptoms get worse, that doesn't mean the drug isn't working, since the decline probably would have been much greater without therapy."

The results raise the intriguing possibility that the drugs may be protecting the patients' brains from further deterioration, the authors said.

Alzheimer's Reading Room: Ten Million Baby Boomers likely to suffer from Alzheimer’s during their lifetime

2008-09-19T00:46:00.000-04:00

I am a baby boomer. My mother suffers from Alzheimer’s disease. Five years ago, I left my job as the CEO of a small software company to take care of my mother. I am living the devastating effects of Alzheimer’s from the front row.

It is rare to meet baby boomers that are concerned about their own uncertain fate when it comes to Alzheimer's disease. This includes most of my close friends. Fifteen thousand baby boomers are turning 60 each day.

• Every 71 seconds someone develops Alzheimer’s disease.

• Alzheimer’s disease is now the sixth leading cause of death (recently surpassing diabetes).

• One in every eight adults over the age of 65 suffers from Alzheimer’s disease.

• One out of every two adults over the age of 85 suffers from Alzheimer’s disease.

• Ten million baby boomers will develop Alzheimer’s disease in their lifetime.

Alzheimer’s disease is certain brain death. Imagine living in a world where you can recount experiences from 1936, but can’t remember your birthday party five minutes after it ended. Meet my mother. My mother never suffered a major illness. She never had an operation. Five years after her diagnosis she is in very good health. But, her brain is dying. She doesn’t know it.

I started the Alzheimer’s Reading Room to keep track of the thousands of articles and many books I was reading. I soon realized I could help the ten million Alzheimer’s Caregivers worldwide by personalizing this information on my blog. Later on, I decided to start writing about our successes in fighting the disease, our decisions on treatments, our new life style, where to look for help, and news about the search for a cure. I stick to information I believe is useful and helpful. There is an enormous amount of new information each day; it’s difficult to identify the best and most useful information. This is my job.

I now know there are many things baby boomers can do to lower the odds of contracting Alzheimer’s disease. I do all of these things for myself each day. There are things you can do to stave off the disease. You need to start doing them now. You cannot wait. With this in mind, I am broadening my mission on the blog to include information to help baby boomers understand and take action against Alzheimer’s

Here are few things baby boomers should be doing right now:

• High blood pressure (hypertension) is a cause of cognitive decline. Hypertension causes build-up of beta-amyloid in the brain. This is a complication frequently associated with Alzheimer’s disease. Take action to get your blood pressure down now.

• High cholesterol levels in your 40s may raise the chance of developing Alzheimer's disease decades later. Failure to deal with this condition effectively could raise the odds of contracting Alzheimer’s disease by fifty percent. Get your cholesterol checked often and get it down.

• B12. A recent study found that people with higher levels of vitamin B12 were six times less likely to experience brain volume loss. A simple blood test is all that is needed to check the level of B12 in your system. You should start eating foods rich in B12 and consider getting B12 shots to raise the amount of B12 in your system.

• Big Belly. Having a large belly in middle age nearly triples the risk of developing dementia.

• Cocoa flavanols. A recent study at Harvard found that those who regularly drank a cocoa flavanol-rich beverage had an eight percent increase in brain blood flow after one week, and 10 percent increase after two weeks. I highly recommend incorporating this into your diet.

• Exercise. A new study just released shows that regular exercise is one of the best ways to reduce your risk of dementia and can help slow progression of Alzheimer's disease.

In the days ahead, I will be writing more about ways to combat Alzheimer’s disease. If you know someone currently caring for a loved one with Alzheimer’s disease please tell them about the blog. You can subscribe to the blog via email or reader by taking the appropriate action on the blog.

They are predicting that ten million baby boomers will suffer from Alzheimer’s disease. By spreading the word and taking action we can lower the number. Let’s get together on this.

Original content the Alzheimer's Reading Room

The Alzheimer's Action Plan: The Experts' Guide to the Best Diagnosis and Treatment for Memory Problems

Vitamin B12 May Protect Against Brain Shrinkage in Old Age

2008-09-15T13:51:00.000-04:00

These findings should be of special interest to baby boomers now entering their 60s.

A study conducted by researchers at the Oxford Project to Investigate Memory and Ageing (OPTIMA) found that people with higher levels of vitamin B12 were six times less likely to experience brain volume loss. Vitamin B12, a nutrient found in meat, fish and milk, may protect against brain volume loss in older people. The researchers studied 107 volunteers age 61 to 87 who did not have cognitive impairment when they volunteered. The volunteers underwent yearly MRI brain scans, cognitive and memory tests and physical exams for five years.

This study suggests that simply adjusting our diets to consume more vitamin B12 through eating meat, fish, fortified cereals or milk may be something we can easily adjust to prevent brain shrinkage and so perhaps save our memory, says Anna Vogiatzoglou of the Department of Physiology, Anatomy and Genetics at Oxford University. Research shows that vitamin B12 deficiency is a public health problem, especially among the elderly, so more vitamin B12 intake could help reverse this problem. Without carrying out a clinical trial, we acknowledge that it is still not known whether B12 supplementation would actually make a difference in elderly persons at risk for brain shrinkage.

Vitamin B12 may protect the brain in old age

Vitamin B12, a nutrient found in meat, fish and milk, may protect against brain volume loss in older people, according to a University of Oxford study.

For the study, 107 people between the ages of 61 and 87 underwent brain scans, memory testing and physical exams. The researchers from the Oxford Project to Investigate Memory and Ageing (OPTIMA) also collected blood samples to check vitamin B12 levels. Brain scans and memory tests were also performed again five years later.

The study, published in the journal Neurology, found that people who had higher vitamin B12 levels were six times less likely to experience brain shrinkage compared with those who had lower levels of the vitamin in their blood. None of the people in the study had vitamin B12 deficiency.

Many factors that affect brain health are thought to be out of our control, but this study suggests that simply adjusting our diets to consume more vitamin B12 through eating meat, fish, fortified cereals or milk may be something we can easily adjust to prevent brain shrinkage and so perhaps save our memory,” says Anna Vogiatzoglou of the Department of Physiology, Anatomy and Genetics at Oxford University. “Research shows that vitamin B12 deficiency is a public health problem, especially among the elderly, so more vitamin B12 intake could help reverse this problem. Without carrying out a clinical trial, we acknowledge that it is still not known whether B12 supplementation would actually make a difference in elderly persons at risk for brain shrinkage.”

Previous research on the vitamin has had mixed results and few studies have been done specifically with brain scans in elderly populations. We tested for vitamin B12 levels in a unique, more accurate way by looking at two certain markers for it in the blood,” adds Ms Vogiatzoglou.

Ms Vogiatzoglou says the study did not look at whether taking vitamin B12 supplements would have the same effect on memory.

The study was supported by the UK Alzheimer’s Research Trust, the Medical Research Council, the Charles Wolfson Charitable Trust, the Norwegian Foundation for Health and Rehabilitation through the Norwegian Health Association, Axis-Shield plc and the Johan Throne Holst Foundation for Nutrition Research.

For more information please contact Professor David Smith on david.smith@pharm.ox.ac.uk

Or the Press Office, University of Oxford, 01865 280528, press.office@admin.ox.ac.uk.

* OPTIMA, the Oxford Project to Investigate Memory and Ageing, is tackling one of the great medical and social challenges of our time: the diseases of the ageing brain. It aims to deepen our understanding of the changes that occur in the brain as we age, in a longitudinal study of normal volunteers and patients with memory problems. In revealing the differences between normal brain ageing and diseases like Alzheimer's disease, OPTIMA will lay the foundations for the development of new forms of prevention and treatment. http://www.medsci.ox.ac.uk/optima

* Oxford University’s Medical Sciences Division is one of the largest biomedical research centres in Europe. It represents almost one-third of Oxford University’s income and expenditure, and two-thirds of its external research income. Oxford’s world-renowned global health programme is a leader in the fight against infectious diseases (such as malaria, HIV/AIDS, tuberculosis and avian flu) and other prevalent diseases (such as cancer, stroke, heart disease and diabetes). Key to its success is a long-standing network of dedicated Wellcome Trust-funded research units in Asia (Thailand, Laos and Vietnam) and Kenya, and work at the MRC Unit in The Gambia. Long-term studies of patients around the world are supported by basic science at Oxford and have led to many exciting developments, including potential vaccines for tuberculosis, malaria and HIV, which are in clinical trials.

Original content the Alzheimer's Reading Room

The Validation Breakthrough: Simple Techniques for Communicating with People with 'Alzheimer's-Type Dementia'

TauRx Therapeutics-- New treatment halts progress of Alzheimer's disease

2008-08-09T12:34:00.000-04:00

clipped from alzheimersreadingroom.blogspot.com

The results of the Phase 2 study of TauRx's new treatment strongly suggest that it is possible to halt progression in mild and moderate Alzheimer's. TauRx is continuing to refine its treatment and hopes that restoration may be possible at least at the earlier stages with improved versions of its drug. Tangles are already destroying nerve cells in parts of the brain critical for memory in people in their fifties and upwards. The ultimate goal is to develop a product that is convenient for patients that could be widely used at the very earliest stages of the disease, long before patients experience the first symptoms of Alzheimer's.

Amazon.com Widgets

Around My Blogsphere

2008-05-20T22:35:00.000-04:00

“States with the Highest Foreclosure Rates” slideshow: How many Nevada households got notices as of April?

Final CNBC Daily Bonus Bucks Trivia Questions and Answers for Tuesday, May 20

How To Build A Solar Energy Generator For Less Then 500 dollars

I Missed the Early Signs of Dementia in my Mother

Is it Alzheimer's or something else?

Wii Fit

The geothermal industry is molten! But there are only 2 pure plays trading on U.S. exchanges. Name one.

Volker on Bailout and Bear Stearns (Video)

Vigorous Exercise Slows Aging

Child pornography lands former 5th grade teacher Michael Gogerty in slammer

AllAmerican Senior Care

AllAmerican Senior Care Weblog

The CareGiver Blog

New Alzheimer’s Study Underscores Importance of Sustaining Viable Medicaid System

2008-03-25T12:58:00.000-04:00

I am an Alzheimer's Caregiver: New Alzheimer’s Study Underscores Importance of Sustaining Viable Medicaid System

The Emotional Survival Guide for Caregivers: Looking After Yourself and Your Family While Helping an Aging Parent

Assisted living costs for Alzheimer's patient is tax deductible

2008-03-05T14:40:00.000-05:00

clipped from www.usatoday.com

Q: My mother just went into an assisted living facility due to Alzheimer's. It costs over $4500 per month. Are any portion of these expenses tax deductible?

Answer from AICPA member Kenneth J. Strauss: Sorry about your mother but the good news is that the entire $4,500 is fully tax deductible as a medical expense.

The rules can get pretty complicated but it is clear that Alzheimer's disease is a severe cognitive impairment which is the threshold for determining if the taxpayer is entitled to a full medical deduction.

Like all medical deductions the total amount of medical deductions is an itemized deduction. The medical expenses in excess of 7.5% of her adjusted gross income are deductible.

Depending on how high her income is will determine the full tax benefit. This might be a year to take some extra money from her retirement account. If your mother does not have the resources and you or another family member is paying then you should see if your mom can qualify as a dependent.

Alzheimer's Reading Room: Memory And Thinking Problems Decline Among Older Americans

2008-02-27T13:49:00.000-05:00

clipped from www.alzheimersanddementia.org

clipped from www.medicalnewstoday.com

A new US study suggests that brain health is improving among older Americans as demonstrated by a decline in thinking and memory problems in this group. The
researchers said improved cardiovascular care, better education, and being financially better off could be the main reasons.

The researchers found that:

About 40 per cent of the decrease in cognitive impairment over the decade ending in 2002 was likely due to increases in education and personal wealth.
They found this by comparing two groups of seniors, one at the start of the decade and one at the end.

School attendance requirements, graduation rates in high school, enrollment rates in college or technical school, all went up in the period when the
adults in the study were children and young adults.

72 per cent of people aged over 65 living in 2003 had a high school diploma compared with 53 per cent in 1990.

The proportion of college-educated elderly also went up during that time, from 11 to 17 per cent.

Magnetoencephalography (MEG)

2007-08-31T15:54:00.000-04:00

This development has wonderful implications for diagnosing Alzheimer's; it has far reaching implications for those predisposed by genetics to Alzheimer's disease.

Read this article at the Alzheimer's Reading Room

Early signs of Alzheimer's (Dementia)

2007-08-06T11:40:00.000-04:00

We are receiving many "hits" from people searching "early signs of dementia". I ran across this description of the "early signs of Alzheimer's" on the Milton S. Hershey Medical Center (Penn State) some time ago. I felt it might be helpful and decided to post it here.

Source Milton S. Hershey Medical Center

Alzheimer’s Disease

What is it?

Alzheimer's disease is the most common cause of a condition called dementia. Dementia is a general decline in mental ability, such as memory, language skills, judgment, and concentration. Alzheimer’s is a progressive disease, which means symptoms occur gradually and become worse over time. It is named for the German doctor who first described it, Alois Alzheimer.

Who gets it?

Alzheimer’s disease affects most commonly affects those over the age of 65, although it has been diagnosed in people in their 40s and 50s.

What causes it?

The degeneration of parts of the brain, which destroys brain cells, causes the symptoms of Alzheimer’s. However, at this time researchers are not sure what causes this degeneration. Those with a family history of Alzheimer’s are more likely to develop the disease as they age, so there is a gene abnormality that causes the disease in some people. Researchers are looking for links between Alzheimer’s disease and the environment, lifestyle, nutrition, and viruses.

What are the symptoms?

Alzheimer’s usually progresses in three stages, with each lasting anywhere from one to several years. The first symptom of Alzheimer’s disease is usually mild forgetfulness. Someone in the early stages may find him or herself unable to find the right word, recall where something was placed, or recall someone’s name. It may be difficult to concentrate. At this point, symptoms are so general that they do not signal a serious problem or have a great impact on day-to-day functioning. As the disease progresses to the second stage, the forgetfulness becomes worse, making it difficult to function at work, remember directions, or to even make it through the day without difficulty. The person may be restless and unable to sleep at night. His or her personality may change considerably, with increasing anxiety and decreasing emotions. By the late stages of Alzheimer’s, patients suffer from extreme confusion and memory loss. They are unable to recall the names of close friends and family or recent events, and cannot function socially or perform basic daily personal care. Late-stage Alzheimer’s patients may have hallucinations and delusions.

How is it diagnosed?

Alzheimer’s disease is diagnosed by taking a complete medical history and performing a thorough physical examination. Alzheimer’s is generally suspected when there is a gradual deterioration in mental ability. The doctor will perform tests, such as blood tests and brain scans, to rule out other possible causes of the symptoms. The doctor will also ask the patient a series of questions to test his or her mental status. One type of test of mental status is called neuropsychological testing, which is a standardized test of memory, concentration, and visual-spatial skills. Because a definite diagnosis can only be made by performing an autopsy after death, patients are diagnosed with “probable” Alzheimer’s. An autopsy of brain tissue, however, will show areas of abnormal tissue, called plaques, made up of abnormal proteins; a loss of nerve cells; and areas of tangles in the nerve cells that remain in patient’s with Alzheimer’s disease.

What is the treatment?

At this time, there is no cure for Alzheimer’s disease. Treatment focuses on maintaining the best possible quality of life for the patient by providing a supportive environment. Memory aids, such as calendars and other daily reminders of time and place, can help the patient feel more secure and reduce confusion. There are some medications that, when used in the early stages of this disease, can slow memory loss in some patients for a limited amount of time. However, these drugs are used with caution because of potential side effects. Other drugs may be prescribed to treat anxiety, sleeplessness, depression, and hallucinations, as necessary. In the early stages of Alzheimer’s, it is important to help the patient maintain as much independence as possible. As the disease progresses, it may be necessary to seek the help of a home healthcare aid, an adult daycare, or nursing home. While there is currently no treatment to prevent or stop the progression of Alzheimer’s, researchers are continuing to study this disease and test new drugs. There is a possibility that certain types of nonsteroidal anti-inflammatory drugs (NSAIDs) may slow the progression of Alzheimer’s.

Self-care tips

A diagnosis of probable Alzheimer’s is devastating for someone who has been accustomed to living an independent life. It is important to provide the patient with emotional and physical support as he or she adjusts to living with this disease. Keeping the daily routine consistent and as stress free as possible is helpful. Because depression is so common in the early stages of Alzheimer’s, you should be aware of the signs of depression and seek help for the patient as soon as possible. Caring for someone with Alzheimer’s can be demanding and discouraging, especially when the loved one does not remember who you are. Your doctor or local social services agency can direct you to support services to help make this time a little easier. Also seek legal advice so it is clear who has the power to make medical and financial decisions once your loved one is no longer able to do this for him or herself. If you have a family history of Alzheimer’s disease, see your doctor for regular checkups. An early diagnosis is important, especially as the medical community learns more about this disease and its treatment. While there is no way to prevent this disease, you can lower your risk and protect yourself from many illnesses by following a healthy diet that is high in fiber and antioxidants and low in saturated fat, and participating in regular physical exercise. Performing activities that stimulate your brain on a regular basis, such as crossword puzzles, word searches, or memory games, may also help maintain mental ability longer.

--------------------------------------------------------------------------------

This information has been designed as a comprehensive and quick reference guide written by our health care reviewers. The health information written by our authors is intended to be a supplement to the care provided by your physician. It is not intended nor implied to be a substitute for professional medical advice.

What If It's Not Alzheimer's: A Caregiver's Guide to Dementia

"early signs of Dementia", early signs of alzheimer's, early signs of alzheimers, early signs of Dementia, milton s hershey medical center, what causes it?, what is it?, who gets it?

The early signs of Dementia (Alzheimer's)

2007-07-26T12:03:00.000-04:00

Looking back, there is little doubt in my mind that if I had had the proper education or information I would have realized my mother was suffering from dementia sooner. Most people like me tend to ignore the symptoms at first believing they are simply signs of "old age". Anyone who ends up in my shoes knows and understands that a person in the early stages of dementia or Alzheimer’s can function with some normality--even drive a car. It is not until they deteriorate or until some "event" takes place that we wake up to reality.

The article on the next page is one of the best I have read. The basic underlying premise is that behavior changes slowly in the elderly and if they begin to suffer cognitive impairment it will be evidenced in behavioral changes. Sometimes these changes can be quite subtle but if detected could raise a “red flag”.

If my mother had been enrolled in any of these studies I feel certain she would have been diagnosed with dementia sooner. This would have allowed me to get her in an exercise program, get her proper nutrition, and insure that she was taking her medicines as prescribed. I leaned in the last three years how important these three factors are in the quality of her life.

My mother turned 91 years old in June and she suffers from Alzheimer’s disease. I am her CarGiver.

I am an Alzheimer's Caregiver: The early signs of Dementia (Alzheimer's)

The National Public Health Road Map to Maintaining Cognitive Health (Road Map)

2007-06-16T00:11:00.000-04:00

Download the The Healthy Brain Initiative

A National Public Health Road Map to Maintaining Cognitive Health.

The 36-Hour Day: A Family Guide to Caring for People with Alzheimer Disease, Other Dementias, and Memory Loss in Later Life

2007-05-09T18:54:00.000-04:00

This best-selling book is the "bible" for families caring for people with Alzheimer disease...

Read the full text review at The Alzheimer's Reading Room

Americans Fear Alzheimer’s More Than Heart Disease, Diabetes or Stroke

2007-04-09T20:39:00.000-04:00

A recent study by the MetLife Foundation found that Americans fear getting Alzheimer's disease more than heart disease, stroke, or diabetes. Alzheimer's ranks second in the minds of American's only to cancer.

Read this at the Alzheimer's Reading Room, The: Americans Fear Alzheimer’s More Than Heart Disease, Diabetes or Stroke

Alzheimer's Disease Rate Rises to More Than Five Million in the United States

2007-03-20T17:28:00.000-04:00

Someone Develops Alzheimer's Every 72 Seconds, According To New Alzheimer's Association Report.

The Alzheimer’s Association today reports that in 2007 there are now more than 5 million people in the United States living with Alzheimer’s disease. This number includes 4.9 million people over the age of 65 and between 200,000 and 500,000 people under age 65 with early onset Alzheimer’s disease and other dementias.

Read more about this topic at The Alzheimer's Reading Room

The Alzheimer's Reading Room Weblog: Trouble identifying odors points to Alzheimer’s

2007-03-14T13:39:00.000-04:00

One thing I noticed a long time ago was that my mother's sense of smell was gone. I am always looking for ways to take better care of myself and of course to detect any symptoms of Alzheimer's in myself and other members of my family. By now you might guess that I will be paying close attention to my ability to detect odors.

Dr. Robert S. Wilson told Reuters Health that difficulty identifying odors seems to be related the buildup of 'tangles' in the brain that appear early in the development of Alzheimer’s disease. “We found the correlation of difficulty identifying familiar odors with Alzheimer’s disease pathology even in people without dementia,” he added.

Go read the entire article at The Alzheimer's Reading Room Weblog: Trouble identifying odors points to Alzheimer’s

Exercise slows decline in Alzheimer's patients

2007-03-08T12:37:00.000-05:00

I can attest, exercise makes a difference. My mother now has the tendency to sit around all day. On those days when I can get her to go to Gold's Gym with me she is a completely different person. The look on her face, from dull to smiling, is more than enough to tell me that exercise works to her benefit.

"Nursing home residents with Alzheimer's disease who participate in a moderate exercise program have a significantly slower deterioration than those who receive routine medical care, researchers have shown."

Read the article in its entirety at the CareGiver: The Book Weblog

The Senior Reading Room: Lonliness and Alzheimer's Linked

2007-02-07T14:11:00.000-05:00

"People who are lonely are twice as likely to develop Alzheimer's disease, a large US study has suggested."

Read this article at The Senior Reading Room

The Alzheimer's Reading Room: Huperzine A in Alzheimer's Disease-The Clinical Trial

2007-02-04T17:26:00.000-05:00

"The Huperzine A in Alzheimer's Disease clinical trial is currently open and recruiting patients. This is a Phase II clinical trial."

Read about the study including requirements and available locations at The Alzheimer's Reading Room: Huperzine A in Alzheimer's Disease-The Clinical Trial.

Clinton/Obama: A Message from Barack

2007-01-23T23:58:00.000-05:00

Follow the link to view the video A Message from Barack.

Decoding Alzheimer's: After a century, promising treatments at last—and whispers of a cure

2007-01-05T22:25:00.000-05:00

This is a fascinating article that discusses treatments for Alzheimer’s disease that are on the near term horizon.

"After a century, promising treatments at last—and whispers of a cure"

Read this article in its entirety at The Alzheimer’s Reading Room

Announcing CareGiver: The Book

2006-12-28T23:25:00.001-05:00

I started a new Weblog that is devoted to my Caregiving activites. Caregiver the Book contains a table of contents and is written in the form of a book.

The blog contains a description of the trials, tribulations and wonder of dealing with an Alzheimer's patient, my 90 year old mother. The blog contains our story.

Bob

Robert T DeMarco

2006-12-23T13:56:00.001-05:00

You can read the articles on this blog plus all the posts from all my blogs Robert T DeMarco

AllAmerican Senior Care

AllAmerican Senior Care Weblog

The CareGiver Blog

Alzheimer's Disease: What is it?

2006-12-20T16:50:00.001-05:00

Alzheimer's disease is the most common cause of a condition called dementia. It is named for the German doctor who first described it, Alois Alzheimer. What is it? Who gets it? What causes it?

You can read this information at the The Caregiver .

Information supplied by the Milton S Hershey Medical center and the CareGiver Weblog.

The CareGiver: Dementia

2006-11-28T23:14:00.000-05:00

I ran across this factsheet on Dementia from the Milton S Hershey Medical Center. The section entitled, What are the Symptoms, is particularly interesting.

Source Milton S Hershey Medical Center

Dementia

What is it?

Dementia is the gradual deterioration of mental functioning, such as concentration, memory, and judgment, which affects a person’s ability to perform normal daily activities.

Who gets it?

Dementia occurs primarily in people who are over the age of 65, or in those with an injury or disease that affects brain function. While dementia is most commonly seen in the elderly, it is not a normal consequence of the aging process.

What causes it?

Dementia is caused by the death of brain cells. Brain cells can be destroyed by brain diseases, such as Alzheimer’s disease, or strokes (called vascular or multi-infarct dementia), which decrease blood flow to the brain. Lewy body dementia is another common cause attributed to changes in brain tissue. Other causes can include AIDS, high fever, dehydration, hydrocephalus, systemic lupus erythematosus, Lyme disease, long-term drug or alcohol abuse, vitamin deficiencies/poor nutrition, hypothyroidism or hypercalcemia, multiple sclerosis, brain tumor, or diseases such as Pick’s, Parkinson's, Creutzfeldt-Jakob, or Huntington's. Dementia can also result from a head injury that causes hemorrhaging in the brain or a reaction to a medication.

What are the symptoms?

In most cases, the symptoms of dementia occur gradually, over a period of years. Symptoms of dementia caused by injury or stroke occur more abruptly. Difficulties often begin with memory, progressing from simple forgetfulness to the inability to remember directions, recent events, and familiar faces and names. Other symptoms include difficulty with spoken communication, personality changes, problems with abstract thinking, poor personal hygiene, trouble sleeping, and poor judgment and decision making. Dementia is extremely frustrating for the patient, especially in the early stages when he or she is aware of the deficiencies it causes. People with dementia are likely to lash out at those around them, either out of frustration or because their difficulty with understanding makes them misinterpret the actions of others. They become extremely confused and anxious when in unfamiliar surroundings or with any change in routine. They may begin a task, such as cooking, then wander away aimlessly and completely forget what they had been doing. Dementia is often accompanied by depression and delirium, which is characterized by an inability to pay attention, fluctuating consciousness, hallucinations, paranoia, and delusions. People in advanced stages of dementia lose all control of bodily functions and are completely dependent upon others.

How is it diagnosed?

Dementia is diagnosed through a study of the patient’s medical history and a complete physical and neurological exam. The doctor will speak with those close to the patient to document a pattern of behavior. He or she will also evaluate the patient’s mental functioning with tests of mental status, such as those that require the patient to recall words, lists of objects, names of objects, and recent events. Diagnostic tests, such as blood tests, x-rays, or magnetic resonance imaging (MRI), positron emission tomography (PET), or computed tomography (CT) scans, can help determine the cause of the dementia.

What is the treatment?

In some instances, treating the cause of dementia may successfully reverse some or all of the symptoms. This is the case when the cause is related to a vitamin/nutritional deficiency, tumor, alcohol or drug abuse, reaction to a medication, or hormonal disorder. When dementia is related to an irreversible destruction of brain tissue, such as with Alzheimer’s disease, Lewy body dementia, or multiple strokes, treatment involves improving the patient’s quality of life as much as possible. This includes maintaining a stable, safe, supportive environment and providing constant supervision. While this may be done in the home, people in the advanced stages of dementia may require round-the-clock care in a long-term healthcare facility. It is important to provide the patient with structured activities and avoid disruptions to his or her daily routine. Many patients enjoy therapeutic activities, such as crafts or games, designed specifically for people with dementia. Some medications, such as donepezil and tacrine, have been effective in improving the mental functions of those in the beginning stages of dementia. Patients with hallucinations and delusions may also be treated with antipsychotic drugs, while antidepressant medications are used to treat depression.

Self-care tips

There is currently no known way to prevent dementia associated with Alzheimer's disease. You can decrease your risk of dementia associated with stroke by maintaining a healthy lifestyle, following a heart-healthy diet, and controlling high blood pressure and high cholesterol. Healthy lifestyles, including not smoking and not abusing drugs and alcohol, go a long way in keeping most people in good health. Caring for a person with dementia is stressful. It is important to learn all you can about the disease, seek the help of support groups, and find a responsible caregiver who can give you a break when needed. There are daycare programs specifically designed for patients with dementia that are good for the patient and the family.

--------------------------------------------------------------------------------

This information has been designed as a comprehensive and quick reference guide written by our health care reviewers. The health information written by our authors is intended to be a supplement to the care provided by your physician. It is not intended nor implied to be a substitute for professional medical advice.

The CareGiver Blog

Robert T DeMarco

AllAmerican Senior Care

AllAmerican Senior Care Weblog

Senior Care Elder Care CareGiver Alzheimer’s Dementia CareGiver

The CareGiver: Americans Fear Alzheimer’s More Than Heart Disease, Diabetes or Stroke

2006-11-26T20:54:00.000-05:00

A recent study by the MetLife Foundation found that Americans fear getting Alzheimer's disease more than heart disease, stroke, or diabetes. Alzheimer's ranks second in the minds of American's only to cancer.

MetLife Survey Highlights

The Complete MetLife Survey on Alzheimer's: What America Thinks (36 pages)

The Major Findings of the Study included the following:

Finding 1: Americans fear Alzheimer’s disease.

Finding 2: Americans Know Little or Nothing about Alzheimer’s.

Finding 3: One-third of Americans say they have direct experience with Alzheimer’s disease.

Finding 4: Most Americans are concerned that they will be responsible at some point for someone with Alzheimer’s disease.

Finding 5: Most Americans recognize the need to create a plan to address the possibility of Alzheimer’s disease, but very few have taken steps to do so.

Conclusion

Americans fear Alzheimer’s and the impact that it could have on their lives in the coming years. And although they may recognize the need to look toward the future, the majority hasn’t started making plans.

The downside of living longer has a high price: Nearly 50 percent of those who are 85 or older are affected, and the rate of Alzheimer’s increases exponentially every five years past the age of 65. And with the aging of America’s population these numbers are sure to become even more dramatic in the future, making it imperative that individuals and institutions plan for the future.

The growing number of people with Alzheimer’s will have an impact on every part of society. The vast majority of people know that this disease may someday affect them, either directly or as a caregiver. In addition, many already know a family member or friend who has Alzheimer’s. They strongly support the concept of planning now to cope with the life-changing impact of the
disease – at least in theory.

Despite widespread agreement, few have taken steps to prepare for the possibility of developing Alzheimer’s. Only a few have a solid understanding of the disease. The overwhelming majorityhas done nothing to plan.

The survey reveals a mismatch between fear of Alzheimer’s and acting on that fear to prepare for the future. The findings from this survey suggest that there is an opportunity to build awareness and help bridge the gaps that were identified in knowledge and behavior. Americans should learn all they can about the disease that will touch so many of us and plan for the future.

The CareGiver Blog
Robert T DeMarco
AllAmerican Senior Care
AllAmerican Senior Care Weblog

Senior Care Elder Care CareGiver Alzheimer’s Dementia CareGiver

The CareGiver: Huperzine A Factsheet (Alzheimer's)

2006-11-18T14:10:00.000-05:00

All American Senior Care: Immigrants, increasingly, provide elder care in U.S.

2006-11-16T22:23:00.000-05:00

Not only are immigrants a major source of employees right now this trend is expected to grow very fast in the future.

Immigrants, increasingly, provide elder care in U.S.

Source
Scripps News

By SUSAN FERRISS
Thursday, November 16, 2006

Wanda Moeller's blue eyes dance when she talks about Franklin D. Roosevelt, the Grand Ole Opry _ and Haydee Carrillo, the Salvadoran immigrant who has helped care for her for six years.

Three mornings a week, Carrillo lifts the partially paralyzed Moeller from bed and gives her a bath, breakfast and oxygen treatment. Then she applies lipstick for her 76-year-old client, and the two run errands or have fun talking or looking at photos of grandchildren.

"She's like a daughter to me," the Oklahoma-born Moeller said, as Carrillo, 60, smiled and wiped a drop of cafe latte from Moeller's chin.

In the same Sacramento, Calif., apartment building, another elderly client also praises Carrillo. "Her mother was killed in El Salvador's war," said Merle Heath, 78, as Carrillo hooked up his oxygen to treat severe bronchitis. "Her English isn't too good. But she's a loyal, good Christian."

As Heath has learned, Carrillo's life began a world apart from the universe she now shares with the American septuagenarians she cares for, at $10 an hour. That they have all crossed paths in the United States, however, is no longer a rare phenomenon.

Immigrants are rapidly taking on prominent roles as American families' caregivers, whether those immigrants are naturalized citizens, permanent residents, undocumented or _ like Carrillo _ in between. They nurture babies, keep house and, increasingly, care for America's surging population of senior citizens.

Immigrants make up nearly 18 percent of the nation's baby sitters and in-home aides for seniors or people with disabilities, according to the Migration Policy Institute, a nonpartisan research center.

At the same time, many involved in senior care are discovering that the U.S. immigration system offers few avenues for recruiting and legally employing caregivers to help meet exploding demand. A job like Carrillo's, that of home health aide, is expected to be the fastest-growing job in America for the next decade.

"Even if you substantially raise salaries, and I'm not sure you can, it's not clear there is enough of a latent native work force," said Michael Fix, the Migration Policy Institute's vice president. "You shouldn't idealize immigration as a solution," he said, but added that it could be helpful "to take this flow and make it a regulated flow."

Undocumented workers, senior advocates say, are filling many of these jobs, in private homes and even in facilities _ such as nursing homes _ where employers are required only to see, not authenticate, a green card.

Families, too, are dismayed to find out that if they try to do "the right thing," as one daughter of a 95-year-old said, and legalize a trusted caregiver, the process is next to impossible. Only 5,000 low-skilled immigrant work visas can be issued annually and waiting times are now up to more than five years.

Escalating demand for senior care is shared by Italy, Austria and other aging nations that already rely on caregivers from poorer countries, according to a 2005 report by AARP, an advocacy organization for older Americans.

That report urges an expansion of U.S. programs to train more American elder-care workers of all levels, but acknowledges that the supply of homegrown applicants for such programs is finite.

AARP's report notes: "Meeting the long-term care needs of the growing older populations in more developed nations requires more engagement across international boundaries."

Heath, who is virtually bedridden, said his own experience shows how much workers like Carrillo are already vital. "We should be helping people like her," he said. "Not a lot of able-bodied American men out on the street want to do this."

Carrillo cites her religious faith and difficult life _ her mother's murder, prolonged separation from her children _ as factors that have strengthened her empathy for "ancianos," as seniors are called in Spanish.

Caregivers like her must be strong and skilled enough to lift immobile adults and help them into wheelchairs, and patient enough to provide companionship and intimate needs, like washing, clipping nails and, for the most frail, changing diapers.

"You can't mechanize taking care of the elderly," said Ken Preede, director of government relations for the American Health Care Association, which has joined other industries in lobbying for an earned legalization of undocumented workers.

Health and Moeller live alone, in assisted-living apartments, while their children live too far away to shoulder the type of care Carrillo provides through California's In-Home Supportive Services program for seniors.

"I trust Haydee with my life," said Heath, who values his independence but is too weak to handle even simple personal tasks.

Carrillo entered the United States in 1983 _ illegally, like many who fled El Salvador's civil war. She worked cleaning houses and taking care of seniors in facilities and homes.

Her 1987 petition for political asylum eventually earned her a work permit, but her asylum was never fully approved. The U.S. government supported the Salvadoran government during the civil war, and many who fled that war were turned down for refugee status.

These days, Carrillo hangs her hopes on being granted legal permanent residency through the 1997 Nicaraguan and Central American Adjustment Act, which was designed to allow law-abiding refugees to finally integrate into the country after years of living in limbo.

"God willing, it will happen," she said in Spanish.

(The Sacramento Bee's Susan Ferriss can be reached at sferriss(at)sacbee.com.)

All American Senior Care

The CareGiver
Senior Care
Elder Care
CareGiver
Alzheimer’s

All American Senior Care: The Silver Tsunami

2006-11-15T19:15:00.000-05:00

The Baby Boomers are coming...What looms for this generation?

The Silver Tsunami

By Andra Coberly

With a thriving post-World War II economy and soldiers returned from service, the men and women of America did their civic duty.

And they did it again and again and again.

The Baby Boom began 60 years ago when economic prosperity—as it often does—translated into a flood of offspring. By the end of the 1940s, close to 32 million babies had been born, and families of 10 were not uncommon. The “fruit of demobilization,” a term coined by the Washington Post, didn’t end until 1964. Boomer Nation was about 75 million strong—a diverse generation defined by the Vietnam War, sexual revolution and even disco.

What concerns some is that the boom of babies between 1946 and 1964 will become a tsunami of seniors in 15 to 20 years. While Boomers will be the first to tell you how active, healthy and stable they are, the aging of this generation is now considered a looming crisis.

Ten million Americans will be 85 years or older by 2030, and Larimer County’s 75 and older population is expected to surge 48 percent between 2005 and 2020. With a large number of older seniors, some expect serious strains on the programs they often rely upon.

Actually, “strain” is an understatement when describing how these masses will impact the system in 20 years—a system that includes everything from social security to dental care to congregate meals to Medicare.

“Detriment” might be more appropriate.

When one turns 75, the likelihood of being placed in a nursing home or long-term care facility increases greatly. Aging, often, leads to more medical oversight, more medication and more services from federal, state or local entities.

According to Margaret Long of the Larimer County Office on Aging, funding is currently not meeting the needs of the community’s elderly. And when Larimer County’s 75 and older population hits 19,000 in 2020—as it’s expected to do—funding will increasingly fail to help those in need.

“We must keep providing service and we must also plan for the demographics and change in numbers,” Long says. “This is the time we have to start setting the wheels in motion.”

If agencies like Department of Human Services do not plan for this senior tsunami, as Long calls it, they will not be prepared to handle the need. While it is clear that the impacts of the aging Boomer population may not be known for at least 15 to 30 years, Long and others are beginning to prepare so this tsunami doesn’t turn into a disaster.

“It’s going to be a challenge to us all,” says Jill Taylor, manager of Poudre Valley Health System’s Aspen Club, which provides educational and screenings to local seniors. “But it’s a good challenge.”

Issues beyond funding are also expected to arise. Physicians and mental health practitioners who specialize in geriatric care will be in high demand. Senior-care businesses will likely be overrun with clients. And health-care facilities will be forced to change their offerings for a generation that is not afraid to demand its morning lattés and private rooms.

Largely, Baby Boomers will push the definition of what it means to be old. In fact, their maturity has been, and will continue to be, the focus of a certain amount of speculation.

“I don’t know what it will look like but I know the Boomers are not looking like status quo,” says Yvonne Myers, health systems coordinator for Columbine Health Systems.

Gary Sheldon couldn’t agree more that there is no way to pigeonhole the Baby Boomer generation.

“We’re a diverse group,” he says.

But as the 52-year-old talks about himself and his future, he realizes that he is a specimen of his generation.

“I’m the quintessential Baby Boomer, aren’t I?” he says, interrupting himself.

Sheldon is active, an enthusiastic cyclist, and he plans to stay spry and healthy into his older years. He hopes to see his grandchildren grow up, and the orthodontist feels comfortable about his plans for retirement and his aging—though he resists the term “senior.”

“It implies sedentary,” he says.

Sheldon seems to have his future set, like many his age who plan to spend their senior years traveling, doing yoga and taking bike tours of Italy.

But a large percentage of Sheldon’s generation will not be so lucky.

While several studies show the health and quality of life of older adults is steadily increasing, some worry that the growing senior population will translate into sizable numbers living in poverty, without health insurance and alone—requiring health care, nutrition, transportation and others services from government entities.

In a study by The Population Reference Bureau, two sociologists say Baby Boomers will stay employed and active longer. But, they counter, the group is also characterized by huge economic inequalities and a large population without health insurance—many Baby Boomers will be less healthy and less wealthy than seniors before them. Younger Boomers, now in midlife, have the highest poverty levels since before to World War I. Plus, there will be fewer workers contributing to endowments like Medicare and Social Security than there are now.

For Larimer County, that means that Department of Human Services and some non-profits will increasingly struggle to provide. The Office on Aging, a division of Department of Human Services, offers multiple services for the county’s elderly. Long, the program’s director, recently presented its four-year plan, the office’s predicted spending between 2007 and 2011. Simply, the budget holes over the next four years are gaping. The estimated funding shortfall for just the office’s external services could pass $200,000 by 2011.

Long considers her work on the four-year plan the start of preparation for the gigantic wave of feisty, silver-haired seniors.

“The really critical thing when looking at the Baby Boomers is to use the next eight years for planning,” she says.

The potential for a flood of seniors drives several issues for Long and others.

One is the need for more doctors and mental health specialists. Doctors will need to be aware of how medications and treatments affect aging bodies. Mental disorders such as depression and bipolar are increasingly problematic, and according to Long, “There are some real shortages in terms of practitioners who really specialize in the mental health issues of the geriatric population.”

No matter the specialty, Myers says, “if you are in the health-care business, you’ll want to like taking care of old people.”

The Baby Boomers, living longer and healthier, will post new challenges for those doctors. Finding and funding dental care—a new problem since seniors in the past largely didn’t have their teeth and required dentures—is a concern. As is learning to better treat those in their 100s, as that demographic is likely to grow.

Those who run nursing-care and assisted-living facilities expect Baby Boomers to remodel their services. Nursing-home activity directors, Myers says, will have one hell of a time pleasing the musical tastes of this generation—from The Beatles to John Fogerty to Michael Jackson. Nutrition programs, like congregate meals and fixed menus, will also need to be rethought.

“There was a woman in her 50s in here the other day and she said she would starve to death if she lived here,” Myers says. “She said she was a vegetarian, she’ll need her soy milk and tofu. I thought, ‘I’m not moving any place unless there’s an espresso machine.’”

Not all of this anticipation is treated like preparation for Armageddon.

Myers hopes the attention will bring a new appreciation for the elderly.

“It’s awesome when you’re a senior in high school,” says Myers, a Baby Boomer herself. “But not so much when you’re a senior in life. My hope is that we come to value their wisdom and value the roles that older people play.

“It’s an exciting time to be a senior,” she continues. “It’s a blank slate.

“I hope the Baby Boomers do it right.”

Source:

The Silver Tsunami

All American Senior Care

The CareGiver

The SilverTsunami

Generic Aricept (Donepezil) Clarification

Generic Aricept (Donepezil) ClarificationBranded Generic Aricept Price Drops 36 Percent

What is Alzheimer's Disease ?

People Buying Own Health Insurance Face 20% Increase

The Metamorphosis of This Alzheimer's Caregiver (Part One)

Vitamin B12 May Protect Against Brain Shrinkage in Baby Boomers

Ten Tips for Communicating with an Alzheimer’s Patient

60 Reasons to Subscribe to the Alzheimer's Reading Room

Popular Articles on the Alzheimer's Reading Room -- September (Top Landing Pages)

Does Loneliness cause an Alzheimer's like Dementia ?

Read about Alzheimer's Disease

Husband Seeks Votes for 'Alzheimer's Disease: Early Detection Matters' Project

Husband Seeks Votes for 'Alzheimer's Disease: Early Detection Matters' Project

Combining Alzheimer's drugs helps slow rate of decline in Alzheimer's Patients

Alzheimer's Reading Room: Ten Million Baby Boomers likely to suffer from Alzheimer’s during their lifetime

Vitamin B12 May Protect Against Brain Shrinkage in Old Age

TauRx Therapeutics-- New treatment halts progress of Alzheimer's disease

Around My Blogsphere

New Alzheimer’s Study Underscores Importance of Sustaining Viable Medicaid System

Assisted living costs for Alzheimer's patient is tax deductible

Alzheimer's Reading Room: Memory And Thinking Problems Decline Among Older Americans

Magnetoencephalography (MEG)

Early signs of Alzheimer's (Dementia)

The early signs of Dementia (Alzheimer's)

The National Public Health Road Map to Maintaining Cognitive Health (Road Map)

The 36-Hour Day: A Family Guide to Caring for People with Alzheimer Disease, Other Dementias, and Memory Loss in Later Life

Americans Fear Alzheimer’s More Than Heart Disease, Diabetes or Stroke

Alzheimer's Disease Rate Rises to More Than Five Million in the United States

The Alzheimer's Reading Room Weblog: Trouble identifying odors points to Alzheimer’s

Exercise slows decline in Alzheimer's patients

The Senior Reading Room: Lonliness and Alzheimer's Linked

The Alzheimer's Reading Room: Huperzine A in Alzheimer's Disease-The Clinical Trial

Clinton/Obama: A Message from Barack

Decoding Alzheimer's: After a century, promising treatments at last—and whispers of a cure

Announcing CareGiver: The Book

Robert T DeMarco

Alzheimer's Disease: What is it?

The CareGiver: Dementia

The CareGiver: Americans Fear Alzheimer’s More Than Heart Disease, Diabetes or Stroke

The CareGiver: Huperzine A Factsheet (Alzheimer's)

All American Senior Care: Immigrants, increasingly, provide elder care in U.S.

All American Senior Care: The Silver Tsunami

Generic Aricept (Donepezil) Clarification

Branded Generic Aricept Price Drops 36 Percent