Posts Categorized: News

New to Care Management? How a Care Manager Works with Clients and their Families

Corewood’s Care Management team works with clients and their families on a wide variety of issues, health conditions, and family dynamics. You may not know about all we do, so please let me provide a brief overview of the most noteworthy tasks we undertake.

Determining Where an Older Adult Should Live

Every family’s situation is different. Some older adult clients are temporarily immobilized due to a fall or hospitalization, or one spouse has a condition that will worsen over time, such as Alzheimer’s. Can the spouse or caregiver help with bathing and dressing? Does the older adult need constant supervision or someone to check in on them occasionally?  The answers to all of these questions – and many more – will need to be taken into consideration when deciding where an older adult will live. Care Managers are trained to look for warning signs to determine if an older adult is safe living at home alone. Whether or not an older adult remains at home, there are concerns that the Care Manager will review to ensure safety.

  • Making a Home Safe – If an older adult is going to remain in at home, a Care Manager can recommend modifications to make the home safer.
  • Finding Senior Housing – If an older adult can no longer live independently, a Care Manager can assist with a move to a senior housing facility, such as assisted living or CCRC. Throughout the process, a Care Manager will evaluate a community based on the level of care a person needs now and in the future as well as consider their lifestyle.

Covering Your Legal Bases

If you, your spouse, or your parent were suddenly incapacitated, who has the legal authority to act on their behalf? A Care Manager works with older adults and their families to avoid legal red tape and make sure older adults have the right legal documents in place. They will recommend and work with an attorney to be sure there is a power of attorney, advance care directives, a will, and, if needed, guardianship.

Organizing Finances

Would you know what to do if you suddenly had to take over managing money and paying bills for your spouse or parents? Care Managers work with older adults and their families to be sure trusted individuals know where the essential paperwork is kept and how to access funds if need be. Care Managers also work with older adults to review long-term care insurance to help cover the cost for care as well as help them determine their eligibility for Medicare, Medicaid, or Veteran’s Assistance.

Managing Medical Care

Care Managers are often first called when there is a medical crisis. Care Managers are older adult’s front-line advocates who know the medical system, know the older adult, and can help provide the best care. Before a crisis occurs, a Care Manager knows an older adult’s full medical history, record all of the prescription medications, and have attended doctor visits with an older adult in the past. They know how to ask questions and bring up concerns with a doctor and can summarize and take notes of the encounter to be discussed afterward with all interested parties.

Talking About the Future

When an older adult is ill, plans for the future must be made. Holding a family meeting helps make sure everyone is informed and on the same page. Care Managers are often called upon to facilitate these difficult conversations that must take place. They work to ensure an open, honest conversation but are also prepared for resistance. The goal is to determine the older adult’s current needs, limitations, and concerns, and let them state their wishes for the future.

Coping with the Reality of Caregiving

The emotional and physical health of the lead caregiver is always a top concern for the Care Manager. They work to prevent burnout and isolation as well as provide relief time for the caregiver. A Care Manager may coordinate coverage so that the lead caregiver can get out to dinner, a movie, or a walk in the fresh air. Without such relief, the physical and mental toll can be heavy on the lead caregiver.

Care Managers are trained professionals who work with older adults to find support and resources to make their daily life more comfortable. They are especially helpful when family members live far apart because, as we age, it is imperative to have supporting eyes and ears available locally.

COVID 19 has shown that supporting an older adult is not a process that can be managed long-distance, even as in-touch as we are with cell phones, text messaging, and Zoom conferences. A relationship with a Care Manager can allow a spouse or children of an older adult to be the spouse or the children, while someone else manages the situation.

When a spouse or daughter is providing hands-on care, the quality time they have to be there emotionally for their spouse or parent is limited. A Care Manager can handle the difficult interpersonal issues, address the immediate problem, remain connected once the crisis passes, and get back involved as the situation requires it.

Preparing for a Pandemic and a Future Wave This Winter

Officials at the US Centers for Disease Control and Prevention have warned that this fall we will most likely experience a second wave of COVID-19. Many health officials are suggesting that Americans prepare over the summer for the potential of widespread illness and more stay-at-home orders.

In case of an outbreak, what can older adults do to protect themselves and their families?

Here are recommendations for how to prepare now to be ready for another outbreak.

1.    What should I buy now to prepare?

The US Department of Homeland Security, before a pandemic strikes, store a two-week supply of water and food, as well as over-the-counter medications you tend to take.

Items to consider stocking up on for your pantry:

  1. Canned soup, vegetables, fruit
  2. Crackers, snacks
  3. Cereal/oatmeal
  4. Hand soap
  5. Paper towels
  6. Kleenex
  7. Lysol, Clorox wipes, laundry detergent
  8. Toilet paper: this goes without saying, right?
  9. Disposable gloves
  • Chocolate: This is my favorite, as a staple and a smile maker.

2.    What should I do about groceries if I can’t or should not go out this fall?

Many online grocery options have been overwhelmed during the recent COVID 19 pandemic. Nevertheless, many of these online options are gearing up on supplies, workers, and delivery options in preparedness for the fall. Consider joining and using the service now while demand eases off, so when ordering online becomes more popular again, you are already in the queue.

Some online shopping options to look into include:

  1. Peapod
  2. Fresh Direct
  3. Shipt
  4. Boxed
  5. Instacart
  6. Thrive Market
  7. Instacart
  8. Walmart Online Grocery Delivery
  9. Target
  10. Whole Foods

Another option to look into for grocery delivery is your local senior Village. A Village is a neighborhood-based nonprofit membership organization supported by volunteers that work to keep older adults living safely, comfortably, and act in their own homes. Some Villages are providing once weekly grocery delivery for full-time members. To learn more contact your local Village Network.

3.    What should I have in my medicine cabinet?

Before a pandemic, it is recommended to periodically check your regular prescription drugs to ensure you have a continuous supply in your home if needed.

Some additional suggestions you may want to consider obtaining, in consultation with your Primary Care Physician, include:

  • A list of all your medications, vitamins, supplements: keep this current
  • Thermometer: for your use, guest use, and/or caregiver.
  • Check with your doctor to see if you should have: Pulse Oximeter, acetaminophen, ibuprofen, throat lozenge, cough medicine, Pedialyte/Gatorade
  • First aid kit: band-aids, gauze pads, hydrocortisone, tweezers, nail clippers, q-tips. If you have been worried like me, you may be picking at your nails/have not been able to get out for a manicure.

 4.    What documents should I be sure to have access to if I need to go to the hospital?

We have learned that this virus has changed the way we had been living our life. Emergency rooms and hospitals have always welcomed family members and visitors to assist their patients in the healing and recovery of illness and surgery. That has not been an option with COVD-19. You will be alone in these settings without direct contact and touch with those you care for and about.

Lists/Documents to have in one place:

  1. Power of Attorney: make copies
  2. Advance Directive/Living Will
  3. Medication list: yes, I have it twice because it is that important
  4. List of phone numbers: Emergency Contact, Family members, Physicians, Neighbor
  5. Medical history, current diagnosis, past diagnosis, surgeries, allergies to food/ medications
  6. Copy of insurance cards: front and back
  7. Copy of Photo ID
  8. MOLST form if you have one
  9. Long term care policy information (if you have one)  

What to leave behind:

  1. Wedding rings
  2. All jewelry
  3. Watches
  4. Wallet and money

What to take:

  1. Glasses
  2. Hearing aids and batteries
  3. Dentures
  4. All documents listed below

5.    Stay informed:

If you have more questions about the Novel Coronavirus, stay up to date on the CDC’s website at https://www.cdc.gov/

Experts agree that the most important thing you can do is not panic and stay informed.

It’s important now to plan and have a conversation with your family and/or the important people in your life about what you want to happen if you contract COVD-19. This will benefit not only you, but those close to you, and all the medical staff who will be taking care of you.

Meditation for Older Adults

For many families and their loved ones, COVID-19 has not only brought on fears of health, safety, and physical wellbeing but also has negatively impacted current living arrangements and relationships among families and loved ones. For older adults, living alone has become even more burdensome as social visits, fitness and exercise, physical therapy visits, and limitations to healthy food options have been limited if not non-existent. Families that have taken on caregiving duties for their loved ones have been experiencing increased anxiety, tension, and a decline in personal health. Meditation during this time has become more important for older adults, their families, and caregivers during this time.

Research supports the many benefits meditation can bring. Meditation can help memory, cognitive abilities, anxiety, stress, loneliness, depression, circulation, and digestion to name a few. The website U.S. News Health section supports these benefits. You can visit the website here U.S. News: Health

Below are a few tips for first-time meditators and beginners as well as different meditation techniques to try. Meditation can be an activity done at home alone or even virtually with your loved one. Start slow, 5 minutes, and build your way up to 15 minutes a day. The more you practice the easier meditation will become and the more beneficial it will be to your overall health.

The Basics

  1. Schedule 5 to 15 minutes of your day when you will not be distracted by others, phone calls, or other distracting noises. Think of meditation as a “daily vitamin” that you need to take for your health and let others in your household know you are going to meditate and cannot be bothered at this time. It is important for others in your household to appreciate and understand this time is important for you.
  2. Get comfortable. Either lay down or sit where your body feels relaxed. You do not need to be in the quintessential meditation poses if your body feels relaxed and comfortable then you are ready for meditation.
  3. Close your eyes and breathe! Breathe in deeply through your nostrils, filling your stomach with air, to the count of four. If able, hold for a count of four and then release your breath through your mouth to the count of 8. This may take some time to work up to. The idea of meditation is to clear your mind. Focusing on this breathing technique prevents any daydreaming and wandering of thought. Again, the more you practice meditation the more you can clear your mind easily and prevent your thoughts from wandering. Do not be frustrated with many different thoughts coming and going and the complete ability to stop them. This is natural. Just go back to focusing on your breathing and the repetition of the breathing technique
  4. Slowly open your eyes after your meditation has ended. It is also important to slowly move your body from the position you are in. Like waking from a deep night’s rest, let your body adjust back to the external stimulus.

Types of Meditation

Here are a few types of techniques and ways to meditate.

  1. Mindfulness Meditation

This relates to being present in your current situation. This type of meditation helps you feel grounded and secure in your current situation. Overthinking, worrying about the future, fears of the future, and appreciation of where we are and what we have is a focus of this meditation.

  1. Meditation for Anxiety

Imagery and guided meditation are very helpful for anxiety and stress. A trained instructor guides you in a calm voice on how to breathe and an imaginative situation to envision. Through their words and instruction, you can follow along and feel relaxed and at ease at the end of the meditation session.

  1. Meditation for Sleep

We are all aware of the physical and mental benefits of a good night’s sleep. Still, many of us can attest to needing more sleep and constantly not receiving enough. Personally, I have found that meditation, whereas I am waking 2-3 times throughout the night, is the best way to get back to sleep. I do this with Body Scan meditation techniques. First, I take 3-7 deep breaths using the breathing technique I mentioned above. Second, I start envisioning my feet and toes. Internally I tell my toes to relax. Sometimes I will clench and then relax. I then proceed with every body part I think of, moving slowly from my feet to my legs, from my torso to my neck, and so on. Each body part and area I tell to relax and envision these parts as being weightless. Chakra meditation puts these parts of the body into zones that you can also focus on through meditation. With the Body Scan technique, I am usually fast asleep by the time I reach my head.

By starting with 5 minutes a day and incorporating meditation into your daily schedule, you will be providing the many benefits stated above to not only yourself but the ones you love and care for as well. Meditation truly is a win-win!

Healthy Food Options for Older Adults

Are you tired of your unhealthy eating habits?

Do you want to become a healthier person?

We’ve got a list of healthy food options for you!

Nutrient-Rich Fruits for Aging Adults

1. Fruits

    We all know the health benefits of fruits. They are rich in vitamins and great for our health. So if you’re looking to eat healthily,  try any of the following fruits:

    • Apples
    • Strawberries
    • Avocados
    • Lemons
    • Pineapples
    • Blackberries
    • Grapefruit
    • Pears
    • Oranges
    • Bananas

    2. Eggs

      Eggs are among the most nutritious foods because they are rich in nutrients like betaine that promote heart health. Eggs are also a great source of high-quality protein with the most protein found in the egg white. Egg whites contain vitamin B2 and are rich in selenium, vitamin D, B12, B6, and minerals like zinc and iron.

      3. Vegetables

        Vegetables are among the most concentrated sources of nutrients. Doctors suggest eating a wide variety of vegetables every day, such as:

        • Asparagus
        • Broccoli
        • Carrots
        • Cauliflower
        • Onions
        • Tomatoes
        • Celery
        • Cucumber
        • Mushrooms
        • Cabbage

        4. Fish and Seafood

          Fish and other seafood are considered to be “superfoods” because they are rich in omega-3 fatty acids and iodine. Here’s a list of healthy fish and seafood:

          • Salmon
          • Sardines
          • Shrimp
          • Tuna
          • Shellfish

          5. Meat

            Another great source of protein is unprocessed meat, but many medical professionals suggest a limit to the portion and frequency of meat, including:  

            • Lean Beef
            • Chicken Breast
            • Lamb

            6. Grains

              Grains are high in carbohydrates, so it’s wise to limit the amount consumed each day. Whole grains contain nutrients like fiber, iron, and magnesium and small portions should be part of your diet:

              • Brown Rice
              • Oats
              • Whole wheat pasta

              7. Dairy

                Dairy is a healthy source of protein, calcium, and riboflavin. Recent studies show that full-fat dairy products help lower the risk of obesity and type 2 diabetes. Some options include:

                • Yogurt
                • Whole milk
                • Cheese

                8. Legumes

                  Legumes are rich in healthy fibers, yet they often have unpleasant side effects including gas and bloating, but it also leads to the formation of short-chain fatty acids, such as butyrate, which may improve colon health and reduce the risk of colon cancer. Consider incorporating the following legumes into your diet:

                  • Green Beans
                  • Kidney Beans
                  • Lentils
                  • Chickpeas
                  • Soybeans

                  9. Nuts and Seeds

                    Several studies suggest that nuts help lower heart disease and stroke risk due to their benefits for cholesterol levels, “bad” LDL particle size, artery function, and inflammation. Nuts and seeds have been part of the human diet since Paleolithic times. A few nuts, such as almonds and walnuts, and seeds, namely flax, and chia, get most of the glory, but the fact is each nut and seed bring something beneficial to the table. While exact nutrient compositions vary, nuts and seeds are rich sources of heart-healthy fats, fiber, plant protein, essential vitamins and minerals, and other bioactive compounds, including an array of phytochemicals that appear to have antioxidant and anti-inflammatory properties.

                    • Chia Seeds
                    • Peanuts
                    • Walnuts
                    • Almonds
                    • Coconuts

                    10. Dark Chocolate

                      Dark chocolate is loaded with nutrients that can positively affect your health. Made from the seed of the cocoa tree, it is one of the best sources of antioxidants on the planet. Studies show that dark chocolate can improve your health and lower the risk of heart disease.

                      Now that you know all the healthy food options make sure that you include at least some of them in your daily diet.

                      Use Holiday Visits to Assess Senior Well-Being

                      The holidays allow family members of all generations to see how one another is doing and whether anyone may need help or encouragement during this time.

                      If you are visiting a parent or senior loved one over the holidays, you can also use your visit as an opportunity to assess their well-being.

                      1. Emotional State

                      Keep an eye out for changes in your loved one’s moods and behavior. You can’t always gauge someone’s emotional state over the telephone, even if you speak to them every day. Look for signs of depression and anxiety, including withdrawal from social activities, changes in sleep patterns, loss of interest in hobbies, and changes in basic home maintenance and personal hygiene. The latter can be an indicator of dementia or other physical ailments like dehydration, which often happens to elders in the winter months and can be serious. If you notice sudden odd behavior in your loved one, such as confusion or agitation, be sure to seek medical attention. These are common symptoms of a urinary tract infection (UTI), which is prevalent in seniors and easily resolved with antibiotics.

                      1. Weight Loss

                      One of the most obvious signs of bad health, both physical and mental, is weight loss. Possible causes of noticeable weight loss could be cancer, depression, or dementia. Certain medications and aging, in general, can also change the way food tastes and/or result in a loss of appetite. If weight loss is evident, talk to your loved one about your concerns and schedule a doctor’s appointment to address the issue.

                      1. Balance and Mobility

                      Pay close attention to the way your loved one moves and how they walk. A reluctance to walk, changes in gait, or obvious pain during movement can be a sign of joint, muscle, or neurological problems. If your loved one is unsteady on their feet, they may be at risk of falling, which can cause severe injury or worse. If you notice changes in their mobility and coordination, make an appointment with their doctor to discuss options to keep them safe and mobile, such as pain management, physical therapy, and mobility aids.

                      1. Home Environment

                      Attention must also be paid to a senior’s surroundings. For instance, if your loved one has always been a stickler for neatness and paying bills promptly, but you discover excess clutter and piles of unopened mail while visiting, it indicates a problem. Take a walk-through of their home while you’re visiting to see if they are keeping their house to the usual standards. Be aware that sometimes the signs of trouble are a bit subtler. Scorched cookware could indicate that your loved one forgets food on the stove or in the oven, and an overflowing hamper could mean they don’t have the strength and/or desire to do laundry. Check the expiration dates on their medications and try to determine if they’re taking any prescribed medications appropriately. You know your loved one and their habits best, so go with your gut if something seems off.

                      1. Appearance and Hygiene

                      Are they keeping up their appearance? Or do they look like they need to be taken care of? Do they dress appropriately for the weather and occasion and take care of their hygiene? If not, it may be a good idea to hire a caregiver.  

                      1. Medication

                      Are you aware of all the medications prescribed to them? Check if they are taking all their medication regularly. Also, make sure that the medicines have not expired. This is crucial to their health.

                      1. Mental Health

                      Do they experience mood swings, forgetfulness, loneliness, depression, and difficulty maintaining friends? Are they generally less interested in life than before? They might need professional help if they show signs of mental decline. It could also be an indication of the beginning of a disease like dementia.

                      While you may want to keep things light during the holiday season, take this opportunity to address any red flags that you observe. Unfortunately, the age-related decline can happen quickly, and in many cases, seniors are skilled at concealing new and worsening problems. Collect any necessary information while you are visiting to avoid added frustration in the event of a crisis down the road.

                      Halloween Activities for Older Adults

                      Halloween isn’t just for kids. It’s a great excuse for seniors to dress up, do some spooky crafts, and, of course, eat goodies.

                      Five Activities Your Senior Loved Ones Can Enjoy

                      1. Movie Nights.

                      What’s Halloween without a spooky movie? Here are some of our favorites that are fun for all ages:

                      • Hocus Pocus: a light-hearted comedy about witches seeking revenge, featuring Bette Midler.
                      • Casper: based on the comic book character, this movie is about a ghost who wants to make friends.
                      • The Witches: a humorous movie about outsmarting an evil witch, played by Angelica Houston, and her plan to turn all children into mice.
                      1. Spooky Photos

                      Photo props are great for creating fun memories. Pull together old clothes and accessories or create your props using craft sticks and paper. Use them at a Halloween family gathering and take lots of photos to cherish for years to come. 

                      1. Halloween Snacks

                      There are a lot of other snacks to enjoy apart from the candy. For a senior-friendly take on candy apples, make or buy caramel apple dip and serve with sliced apples. Create a sweet and salty snack by mixing candy corn with either popcorn or peanuts. 

                      1. Make a Mask

                      There is no need for a full costume when seniors can be just as festive in a simple mask. It’s easy to make your own with a plain masquerade mask and craft supplies like feathers, rhinestones, and glitter. Have your senior parent wear the mask on Halloween night to surprise their grandkids or unexpecting trick-or-treaters.

                      1. Pumpkin Games

                      You can set up several games using pumpkins, like Pumpkin Knock Down game. Another pumpkin game could be guessing the pumpkin’s weight. Award the winners with great prizes.

                      1. Halloween Trivia

                      You can educate people with fun facts about Halloween. This could be a movie trivia test or a general trivia but make the contest interesting and challenging.

                      Tell your guests the plot line of a famous horror movie. Keep in mind that the movie must be relevant to the senior generation. Using only hints from the plot, let the guests guess the name of the movie. Keep score of the correct answers.

                      1. Attend a Costume Party

                      Choosing a Halloween costume can be fun and wearing it at a costume party can be even more exciting. Attending parties is also a great way for seniors to increase social interaction which benefits their health. It also provides a sense of belonging and increases self-esteem.

                      1. Making Cards

                      Seniors can express their talent by making unique Halloween cards. This can help them connect with friends and family and keep them engaged.

                      1. Prepare for Halloween Trick-or-Treaters

                      You’ll probably be handing out a lot of treats to children during their trick-or-treating sessions. It’s important to prepare for this beforehand. You can make pumpkin pouch goody bags, decorate your front door to look more welcoming, and perhaps make a mixed bag of candy, as well. Get creative!

                      1. Enjoy the Fresh Air and Nature

                      Fall is a great time to enjoy nature. Breathe in the fresh air, admire the colors on display and go for a walk. You can do any of the following:

                      • Crack open a window to enjoy the fresh air
                      • Relax in the backyard
                      • Go for a walk through the local park
                      • Stroll in your neighborhood
                      • Take your pet out for a walk

                      Making festive treats, engaging in games, hosting a party, or taking your grandkid trick-or-treating are just some more ideas about what an older person can do during Halloween. There’s no need to feel restricted by your age. Enjoy the occasion to the best of your ability by doing any of the above-mentioned activities.

                      Halloween is great for kids, but seniors can have some fun with it, too. 

                      Tips on How to Boost Your Memory

                      Everyone has moments of forgetfulness from time to time, especially when life gets busy.

                      While this can be a completely normal occurrence, having a poor memory can be frustrating.

                      Genetics plays a role in memory loss, especially in serious neurological conditions like Alzheimer’s disease. However, research has shown that diet and lifestyle have a major impact on memory too.

                      Evidence-Based Ways to Improve Memory

                      Here are several evidence-based, natural ways to improve your memory.

                      1. Have Food Known to Improve Memory
                      • Avocado
                      • Berries
                      • Almonds
                      • Coconut Oil
                      • Olive Oil
                      • Cold-Water, Fatty Fish
                      • Green Leafy Vegetables
                      • Dark Chocolate
                      • Eggs
                      • Green Tea
                      • Fermented Foods
                      • Sea Vegetables
                      • Turmeric
                      • Walnuts
                      1. Avoid Sugar

                      Eating too much added sugar has been linked to many health issues and chronic diseases, including cognitive decline.

                      Research has shown that a sugar-laden diet can lead to poor memory and reduced brain volume, particularly in the area of the brain that stores short-term memory.

                      For example, one study of more than 4,000 people found that those with a higher intake of sugary beverages like soda had lower total brain volumes and poorer memories on average compared to people who consumed less sugar.

                      Cutting back on sugar not only helps your memory but also improves your overall health.

                      1. Maintain a Healthy Weight

                      Maintaining healthy body weight is essential for well-being and is one of the best ways to keep your body and mind in top condition.

                      Several studies have established obesity as a risk factor for cognitive decline.

                      Interestingly, being obese can cause changes to memory-associated genes in the brain, negatively affecting memory.

                      Obesity can also lead to insulin resistance and inflammation, both of which can negatively impact the brain.

                      A study of 50 people between the ages of 18 and 35 found that a higher body mass index was associated with significantly worse performance on memory tests.

                      Obesity is also associated with a higher risk of developing Alzheimer’s disease, a progressive disease that destroys memory and cognitive function.

                      1. Try Brain Workouts

                      Practicing mindfulness and trying to keep your brain active are great ways to boost your memory. For instance, you can learn a new language, or meditate to improve focus and concentration.

                      The practice of meditation may positively affect your health in many ways.

                      It is relaxing and soothing and has been found to reduce stress and pain, lower blood pressure and even improve memory.

                      In fact, meditation has been shown to increase gray matter in the brain. Gray matter contains neuron cell bodies.

                      As you age, gray matter declines, which negatively impacts memory and cognition.

                      Meditation and relaxation techniques have been shown to improve short-term memory in people of all ages, from people in their 20s to the elderly.

                      For example, one study demonstrated that Taiwanese college students who engaged in meditation practices like mindfulness had significantly better spatial working memory than students who did not practice meditation.

                      Spatial working memory is the ability to hold and process information in your mind about the positions of objects in space.

                      1. Get Enough Sleep

                      Lack of proper sleep has been associated with a poor memory for quite some time.

                      Sleep plays an important role in memory consolidation, a process in which short-term memories are strengthened and transformed into long-lasting memories.

                      Research shows that if you are sleep-deprived, you could be negatively impacting your memory.

                      For example, one study looked at the effects of sleep in 40 children between the ages of 10 and 14.

                      One group of children was trained for memory tests in the evening, then tested the following morning after a night’s sleep. The other group was trained and tested on the same day, with no sleep between training and testing.

                      The group that slept between training and testing performed 20% better on the memory tests.

                      Another study found that nurses working the night shift made more mathematical errors and that 68% of them scored lower on memory tests compared to nurses working the day shift.

                      Health experts recommend adults get between seven and nine hours of sleep each night for optimal health.

                      1. Drink Caffeine Strategically

                      Caffeine is a mind-altering drug. People often have it to increase productivity and memory. And while it is helpful, too much of it can leave you feeling irritable, anxious, or addicted. Given that it is addictive it’s important to drink it strategically.

                      1. Drink Less Alcohol

                      Consuming too many alcoholic beverages can be detrimental to your health in many ways and can negatively impact your memory.

                      Binge drinking is a pattern of drinking that raises your blood alcohol levels to 0.08 grams per ml or above. Studies have shown it alters the brain and results in memory deficits.

                      A study of 155 college freshmen found that students who consumed six or more drinks within a short period of time, either weekly or monthly, had difficulties in immediate and delayed memory-recall tests compared to students who never binge drank.

                      Alcohol exhibits neurotoxic effects on the brain. Repeated episodes of binge drinking can damage the hippocampus, a part of the brain that plays a vital role in memory.

                      While having a drink or two now and then is perfectly healthy, avoiding excessive alcohol intake is a smart way to protect your memory.

                      1. Exercise More

                      Exercise is important for overall physical and mental health.

                      Research has established that it’s beneficial for the brain and may help improve memory in people of all ages, from children to older adults.

                      For example, a study of 144 people aged 19 to 93 showed that a single bout of 15 minutes of moderate exercise on a stationary bike led to improved cognitive performance, including memory, across all ages.

                      Many studies have shown exercise may increase the secretion of neuroprotective proteins and improve the growth and development of neurons, leading to improved brain health.

                      Regular exercise in midlife is also associated with a decreased risk of developing dementia later in life.

                      1. Quit Smoking

                      One drag on your cigarette releases millions of free radicals (unattached oxygen molecules) which kill brain cells. Smoking too much can increase your risk of Alzheimer’s and dementia.

                      1. Take Essential Oils for Instant Memory Boost

                      Essential oils are naturally occurring volatile compounds extracted from plants. A few of them are known for their ability to give instant memory boosts. For instance, rosemary and peppermint can help keep you alert and improve memory.

                      There are many fun, simple, and even delicious ways to improve your memory.

                      Exercising your mind and body, enjoying a quality piece of chocolate, and reducing the amount of added sugar in your diet are all excellent techniques.

                      Try adding a few of these science-backed tips to your daily routine to boost your brain health and keep your memory in top condition.

                      Senior Home Care Services

                      When is it Time to Hire Home Care?

                      Home care services can be a good solution for older adults who want to maintain their independence, but who need help with their medical procedures or day-to-day living. Every situation is different, but there are a few signs that may indicate it’s time to hire a home health aide.

                      1. Balance Issues

                      Does your loved one walk in an unsteady manner that worries you? Do they experience pain while sitting or walking? If they do, they may be at risk of falling. So it’s best to hire help to them get around.

                      The inability to stand for long periods can make many aspects of home life more difficult. It can be hard to do basic chores like sweeping, vacuuming, or cooking. Home elder care will help with everyday chores and housekeeping. They will also help plan and cook nutritious meals, follow dietary guidelines, and keep track of intake if it is necessary for medical care. This can take a significant burden from seniors who have difficulty walking or standing.

                      1. Forgetfulness

                      Although mild forgetfulness is a common part of aging, chronic forgetfulness is a problem. If you are worried about your loved one’s memory, then you might need to consult a doctor. A home health aide supports the senior deal with memory lapses, reducing the impact of memory loss.

                      1. Missed Medication

                      With age comes more medications. As the number of medications increases, it can be difficult to keep track of what to take when and what might interact. One of the leading causes of ER visits in older adults is medication interaction, so it’s important to take these issues seriously. If you or a loved one is having a hard time keeping track, a home health aide can help keep records and make sure that all medications are taken at the correct time. Home care services can also include checking vital signs and mental state for conditions that require continuous monitoring.

                      1. Decline in Personal Care

                      If your loved one is unable to take care of their personal hygiene, which could include having difficulty with daily personal grooming and care, or needs help getting in and out of a wheelchair, home care might be a good option. Cleanliness is important for health and healing, as well as general well-being. This help may include bathing, grooming, and dressing.

                      1. Decline in the Home Environment

                      If there is expired food in the fridge, laundry piling up, unopened mail, and a general decline in their home environment then it’s an indication that your loved one can no longer keep up with the household chores and requires help.

                      1. Depression or Loneliness

                      About half of seniors report feeling lonely. Although your loved one might be able to live on their own, loneliness can take a toll on their mental and physical health. If your loved one is spending too much time in front of a television and has lost interest in their favorite activities and hobbies, then they may be displaying signs of depression. In this scenario, they will benefit the most from companionship care.

                      1. Desire to Remain Independent

                      Assisted living at home is a good alternative to nursing homes or full-time care. It allows an older adult to stay in his or her own home and maintain a usual routine whilst providing the medical and domestic attention necessary. Some older adults value their independence over all else, but still could use extra help, looking into home health care agencies might be the right choice.

                      1. Family Caregiver Stress

                      Aging and elder care can be stressful for the older adult as well as their family. If the stress is putting a strain on everyday life or family relations, it may be time to find help. Home health care agencies will help educate the parent and the family about care and provide companionship for the parent throughout the day. Home health care can ease the strain and the workload for everyone involved.

                      Hiring home care is an important decision, and it may be a critical next step in helping an older adult remain safe, healthy, and happy at home. Home Care services can be medical or non-medical and can be easily customized to meet a person’s unique and changing needs.

                      Be sure to reach out to Corewood Care if you are considering home care services. Our services are available throughout Montgomery County, the District of Columbia, and parts of Northern Virginia for a few hours a day or around the clock. We’ll customize our care to meet your schedule.

                      Summer Safety Tips for Older Adults

                      Summertime is a time for fun and leisure; but for seniors, the heat and sun can be dangerous without proper precautions. Many older adults have conditions such as asthma, thyroid disease, and high blood pressure or heart problems that require some preparations to avoid overexposure to the sun. Here are some great tips that aging adults can use to make sure they have a fun and safe summer.

                      1. Stay Hydrated

                      Seniors are more susceptible to dehydration than younger people because they lose their ability to conserve water as they age. They can also become less aware of their thirst and have difficulty adjusting to temperature changes. So it’s important to drink water often. Aim to have about 6 to 8 glasses of water a day. Try to avoid caffeine and alcohol or anything that could dehydrate your system.

                      1. Apply Sunscreen & Wear a Hat

                      Before going outside, apply sunscreen and put on a hat. Seniors especially need extra sun protection to help keep them healthy. It’s also a good idea to gently remind loved ones about re-applying sunscreen every few hours.

                      1. Wear Loose Fitting Clothes

                      As a general rule, the best fabrics for warm weather are lightweight and made from natural materials such as cotton or linen. Natural fabrics offer more comfort than synthetic fibers. Stock your summer wardrobe with light-colored and loose-fitting clothes to help feel cooler and more comfortable.

                      1. Protect your Eyes

                      Vision loss can be common among seniors, and too much exposure to the sun can irritate eyes and cause further damage. Wearing sunglasses can protect your eyes from harmful UV rays and preserve your vision. Sunglasses can also slow the development of wrinkles around your eyes, delay the onset of cataracts, protect against glaucoma-related light sensitivity, and shield you from distracting glare while you drive.

                      1. Apply Bug Spray

                      Seniors are particularly prone to West Nile Virus and encephalitis. If you live in areas where there are a lot of mosquitoes and where West Nile Virus is present, and if you spend a lot of time outdoors (particularly at night), use mosquito repellent to help reduce the risk of being bitten by a mosquito carrying this virus.

                      1. Exercise Smart

                      When the temperature goes up in the summer months, exercising outside can become challenging. If you enjoy outdoor activities, such as walking or gardening, make sure to wear the proper clothing and protective gear. Try to avoid exercising outside in the early afternoon. It’s usually the hottest between noon and 3 p.m. It’s also important to keep track of time. Don’t stay out for long periods and make sure to drink even more water than usual when exercising.

                      1. Keep Emergency Numbers

                      Everyone knows how to dial 911 in the case of an emergency, but you should also keep a list of other numbers you might need in case of summer emergencies. Some key phone numbers include your local fire department, your doctors, your local hospital, your vet (if you own pets), your insurance provider, and family members that you want to notify if you become ill.  

                      1. Know the Symptoms of a Heat Stroke

                      It’s extremely important to know the signs of a heat stroke.

                      During the summer, be particularly cautious about abnormally high body temperatures, a condition known as hyperthermia. A heatstroke is an advanced form of hyperthermia that can be life-threatening. Make sure to know the warning signs and get medical attention immediately if you or anyone you know is experiencing these symptoms:

                      • Body temperature greater than 104 degrees
                      • A change in behavior, such as acting confused, agitated or grouchy
                      • Dry, flushed skin
                      • Nausea and vomiting
                      • Headache
                      • Heavy breathing or a rapid pulse
                      • Not sweating, even if it’s hot out
                      • Fainting

                      Elderly individuals have a harder time knowing when they are dehydrated, and their bodies have more difficulty regulating their temperatures. As a result, older adults are more prone to heatstroke. If you (or an elderly loved one) start to feel any of these symptoms, ask for medical help and get out of the heat, lie down and place ice packs on your body.

                      1. Stay Indoors during Extreme Temperatures

                      When temperatures are too high, stay indoors — ideally, as described above, in air conditioning. The most dangerous times are typically between 10 a.m. and 2 p.m. when the sun is at its hottest. When you do need to go outdoors, dress appropriately in clothing that is lightweight, loose-fitting, and light-colored. Also important: sunglasses and wide-brimmed hats. 

                      1. Properly Store Medications

                      The heat can have a negative effect on certain medications, so it’s a good idea to check in with your doctor or pharmacist when the temperature starts to rise. You may need to move some medications to the fridge or a cool area of the home (like the basement) to avoid spoilage and reduced effectiveness.

                      Summer Activities for Older Adults

                      The weather is getting hotter, making it the perfect time of year to enjoy spending time outdoors. If you’ve reached retirement age, the old summer tradition of visiting an amusement park to ride the roller coasters is probably no longer your cup of tea. If it is, more power to you; keep riding those coasters until you can’t take it anymore. If you’re like most seniors, though, you’re probably looking for something a bit more mellow. Read on for ten fun summer activities.

                      1. Going to a Museum

                      Many museums offer discounted tickets for seniors, so don’t miss your chance to take advantage of these money-saving opportunities. Tour an art or natural history museum in your area, or look for something a bit out of the ordinary. Museums are popping up all over the country with a focus on niche interests, like collectibles, specific points in history, particular regions, and more. A quick internet search can reveal a plethora of opportunities in your area, with some just a short train or bus ride away.

                      1. Fishing 

                      Fishing is a relaxing activity that appeals to older adults. Seniors might enjoy spending time with old friends or a grandchild. Seniors can go to local fishing spots during the early morning hours or in the evening—basically when temperatures are not too intense. 

                      1. Attending Local Outdoor Events 

                      Weekly outdoor events are becoming popular in many communities. Some places offer concerts, which give seniors a chance to hear their favorite songs, while others feature live plays or outdoor movies weekly. These outdoor events tend to take place in the evenings when it’s cooler.

                      1. Bird Watching

                      Invest in a bird feeder and you can enjoy many hours of bird watching. This can be a more in-depth activity if you borrow books from a local library and identify the various birds you see. A pair of binoculars can be useful in seeing further and could help with vision issues.

                      1. Joining Adult Classes 

                      Many community centers and colleges offer classes during summertime. Seniors can opt for these classes and learn a foreign language. Learning stimulates different regions of the brain, preventing cognitive impairment. Interacting with other students will help seniors broaden their social circle. 

                      1. Go Swimming or Wading

                      Aqua aerobics isn’t just for cruise ships and resorts anymore. Many popular fitness centers and public swimming pools offer these classes, giving you the chance to stay in shape while also beating the heat. Check with your local gym or a public pool for specific class times and difficulty levels. Most of these workouts are low-impact, making it perfect for elderly individuals. Depending on the instructor’s style, though, some of these challenges can be much more challenging. If you are unsure if a particular class is suitable for your ability level, feel free to ask the instructor before signing up for the class.

                      1. Have a Picnic

                      Seniors can plan a picnic with their families. They can gather snacks, a few drinks, a blanket, and perhaps some music and head to the local park to spend a fun-filled day.

                      Or if a picnic is not your thing, try dining al fresco. At most restaurants, the lunch menu is more affordable than the dinner menu, and the portions tend to be smaller as well. Check review sites like Yelp and OpenTable to find restaurant recommendations in your neighborhood. These sites will also tell you which restaurants have outdoor seating. Summer is the perfect season for Al Fresco Dining, so put on your favorite hat to protect your face from the sun and meet up with some friends for a leisurely lunch at a new spot.

                      1. Go for a Nature Walk 

                      Perhaps alone or with your grandchildren, head out for a nature walk. There are so many parks you can visit! It’s a healthy activity.

                      And don’t be frightened by the word “hike” if you aren’t as mobile as you used to be. There is no need to scale Mount Everest at this stage in your life unless you’ve been preparing for years. Check with your local Department of Parks & Recreation to learn about hiking trails in your area. You’ll be surprised by how many trails are rated easy or very easy, with minimal incline and smooth, well-worn trails. Put on some sunscreen, fill up your water bottle, and enjoy a relaxing stroll in the outdoors. Feel free to set the pace as fast or slow as you wish.

                      1. Gardening

                      Flowers bloom like crazy this time of the year, so head to your local nursery or home improvement store to pick up some new plants for your garden. Don’t feel the need to redo your entire yard; even a simple flower box can spruce up your home, giving it new life. When working outside, be sure to drink plenty of water and take frequent breaks to stretch your legs and back. Gardening is meant to be a fun pastime, not a chore, so take care not to overdo it.

                      1. Join or Start Your Own Book Club

                      If your community does not have a book club, you can start one. Ask your local churches or library to help spread the word. Then start by just sharing books that everyone has enjoyed.

                      Being a senior doesn’t mean you’re bound to your home. You can enjoy many of the past-times you did when you were younger. These are just a few of the many potential activities you can try out this summer with your family or friends to make the most of the year’s warmest season. The more active you are, the more active your body will want to be; so pick your favorite from this list, get out there, and enjoy the summer!

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