For the Coffee Drinkers Out There

January 29, 2009 at 2:34 pm | Posted in Mark Heftler, Admin | Leave a comment
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A 21 year study was just recently completed. During the course of the study, 1,409 middle aged men and women, along with the number of coffees they drank each day, were carefully tracked. At the end, it was discovered that those individuals who drank between 3 and 5 cups each day were 65% less likely to develop dementia when compared to those who drank 2 cups or less.It was also noted that drinking more than 5 cups each day was not significantly different enough from the 2 to 5 cup range, so it’s not simply an issue of more is better.

A few reasons for the results have been posited. In the past, coffee consumption has been linked to decreased risk for Type 2 diabetes, a disease which has been associated with increased risk for dementia. Coffee may also have an antioxidant effect in the bloodstream – this would reduce the risk for vascular forms of dementia. It’s also been discovered that caffeine has been shown to reduce the buildup of amyloid plaques in the brain during animal studies. Amyloid plaques are one of the hallmarks of Alzheimer’s disease.

So for all those coffee drinkers out there, don’t forget to keep drinking your brew each day!

Original Article

Elder Gadgets at C.E.S.

January 19, 2009 at 1:21 pm | Posted in Mark Heftler, Admin | Leave a comment
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I love technology in all of its forms. Every year, a big trade show called the Consumer Electronics Show comes to Las Vegas, Nevada, and technophiles around the world spend hours on the internet glutting themselves on the wealth of new product information that’s released. Generally, nothing changes besides the products, of course. This year, however, something was different. There was a new showcase of products, called the Silvers Summit.

According to the official CES website, “The Silvers Summit showcases the products and services that keep boomers engaged, entertained, connected and healthy. Visit this destination to meet with distributors, journalists, research firms and manufacturers that will demonstrate the products and services that help mature consumers maintain a high quality of life.”

A large number new of products were showcased, many of them geared to assisting the elderly fulfill one of the goals we ourselves have set out for them – continuing to age safely within their homes. Because we live in a day and age where instant communication and constant updates are more than necessary, connectivity was a real issue covered by the products. One such instance of this was a system in which a number of single entities, such as a scale, pill box, and monitor would all be integrated to form one. The pill box would monitor when and what pills were being taken while monitors in the hall might spot falls, or the individual wandering out of the house, or using the bathroom excessively at night. Combined with the data from the scale, which would spot unhealthy changes in weight, the information would be compiled to see that a change in medication might affect a weight loss, or excessive bathroom use coupled with sleeplessness an indicator of some underlying problem.

Of course, this information being stored at home is not terribly useful. So the system is able to send out the data, or be checked remotely, by anybody with the proper authority. For example, the family caregiver, primary care physician and geriatric care manager may all be connected in and receiving timely updates on status changes. Detection and prevention systems like this will be immensely helpful in the coming years.

There are also problems with systems like this. There’s a good chance they’ll become treadmills to the elderly, purchased out of good intentions, yet gathering dust in reality. They will certainly be costly, and not covered by insurance. And for the physician in his office, it’s not quite so easy to diagnose something from a weight change or other anomaly. Cutting human interaction out of the equation will rarely be a good decision, but it might be a step in the right direction for safe in-home aging.

For more details on products and the summit, visit:

Silver Summit

NY Times

Blood Sugar Control Linked to Memory Decline

January 7, 2009 at 3:12 pm | Posted in Mark Heftler, Admin | Leave a comment
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According to a recent study conducted by researchers at Columbia University Medical Center, spikes in blood sugar can take a toll on memory retention by affected the area of the brain that helps form memories. It was discovered that these effects were also apparent even when glucose levels are only moderately elevated. Such a discovery will certainly be helpful in explaining normal, age-related cognitive decline, due to the fact that glucose regulation declines with age.

This fact has two serious implications, both of which are summed up nicely by quotes from the lead investigator, Dr. Scott Small. “If we conclude this is underlying normal age-related cognitive decline, then it affects all of us.” A person’s ability to properly regulate levels of glucose begins to decline by the third or fourth decade of life.

The second implication relies heavily on the fact that physical activity has been proven to improve glucose regulation. “We have a behavioral recommendation,” Dr. Scott states, “physical exercise.” In a study mapping brain functions of 240 elderly subjects, a correlation was found between elevated glucose levels and reduced cerebral blood volume. This is an indication of reduced metabolic function and activity in that region of the brain.

This research will also have consequences for those adults suffering from diabetes. Many times in past research, links have been discovered between diabetes and dementia, as well as dsyfunctions in the dentate gyrus (area of the brain where memories are formed), but these new findings cement the reasoning behind the research. Aging with diabetes can have serious negative affects on cognitive ability.

Hopefully this research will bring to light new methods to fight dementia via better control of blood glucose levels.

Link.

New Alzheimer’s Support Group in Ramsey, NJ

January 6, 2009 at 1:01 pm | Posted in Mark Heftler, Admin | Leave a comment
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If you have a family member who has been diagnosed with Alzheimer’s disease or a related dementia disorder, an Alzheimer’s group is being offered where you can share your concerns in a supportive, caring and confidential environment. A new support group in Ramsey for families and caregivers is being offered through the trained facilitators at Distinctive Care Geriatric Care Management in conjunction with the Alzheimer’s Association of New Jersey.

The group will meet the first Monday evening of each month at The First Presbyterian Church of Ramsey, 15 Shuart Lane, Ramsey, NJ. The first meeting will be held on Monday, February 2 at 7:00PM.  For further information or to register, please contact Barbara Siembieda at Distinctive Care, 201-857-5283

Come together with others to share your experiences in a community setting and obtain educational resources to help deal with the challenges of dementia.

Fall Prevention

December 18, 2008 at 3:36 pm | Posted in Mark Heftler, Admin | Leave a comment
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The Center for Disease Control states that falls are the leading cause of injury deaths amongst older adults, a scary fact when coupled with research data that claims more than one third of adults 65 and older fall each year. According to the most recent census, 13% of New Jersey’s population are age 65 and older. With a population climbing over 8,725,000 people, that comes to a whopping 1,134,250 residents. That means upwards of 380,000 elderly adults will fall yearly in New Jersey alone.

While not all falls are preventable, a fact which Sophia Heftler, RN, CALA, Geriatric Care Manager, fully recognizes, there are a number of steps that can be taken to make environments safer and people stronger, the two best ways to stave off a fall. Distinctive Care Geriatric Care Management, located in Bergen County, New Jersey, has developed this comprehensive list to promote fall prevention and help families make positive changes.

• Exercise Regularly: performing exercises and activities that increase balance and strength are the most helpful; consider joining a Tai Chi or Yoga program.

• Eye Checkups: have your eyes checked at least once a year by an eye doctor.

• Medicine Review: have your medications reviewed by your doctor or pharmacist to reduce interactions and side affects; make sure both prescription and over the counter medications are taken into consideration!

• Improve Lighting: making sure that your home is well lit is essential to fall avoidance; instal night-lights to ensure safety at night.

• Reduce Hazards: it’s important to bring in outside help to perform in-home assessments, which are crucial for fall prevention; risk reduction devices, such as tub grab bars, toilet assist bars, shower chairs, wall grab bars, rug slips and carpet tape should be installed to provide for ease of movement and safety.

Falls are one of the biggest threats to independence in later life. According to the Center for Disease Control, fall-related injuries for seniors cost over $19 billion dollars annually, and that number will reach $43.8 billion dollars by the year 2020. By following Distinctive Care’s simple fall prevention guidelines, Bergen County can do its part to fight the nationwide averages and keep our older adults independent!

References:

Center for Disease Control: http://www.cdc.gov/ncipc/factsheets/adultfalls.htm

U.S. Census Bureau: http://quickfacts.census.gov/qfd/states/34000.html

Senior Journal.com: http://www.seniorjournal.com/NEWS/Aging/2008/20080923-SenMikulskiWinsAgain.htm Seattle

Post-Intelligencer: http://seattlepi.nwsource.com/local/379540_falls18.html

The question on the tip of your tongue; What is a Geriatric Care Manager?

December 12, 2008 at 3:11 pm | Posted in Mark Heftler, Admin | Leave a comment
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As the years pass and the baby boomers start to shift into the older adult population, more and more members of the sandwich generation find themselves faced with a troubling dilemma; caring for their children while caring for their parents. Raising a child alone can be a daunting task, but when coupled with two aging parents, two aging parents-in-law and an average of two children per household, the life of a caregiver can become downright impossible. Most people don’t know who to turn to in a situation like this, and end up trying to muddle through the mess of finances and care plans all by themselves, missing valuable opportunities and putting their loved ones at risk.

Luckily for those overwhelmed adult children, there exists a specialized caregiver ready to step in when the task of caring for a parent becomes too much to handle – the Professional Geriatric Care Manager. One such Geriatric Care Management Practice is located right in Bergen County, New Jersey: Distinctive Care Geriatric Care Management. Founded by Sophia Heftler, RN, CALA, GCM almost two years ago, Distinctive Care truly takes its ideal of “Distinguished Aging” to heart. The simple truth that makes Distinctive Care Distinctive is that, unlike our competitors, all of our Care Managers are nurses, able to provide unparalleled care and the proper medical background to handle complex cases.

I know a lot of readers are wondering, what exactly does a Geriatric Care Management Practice do? The question I most often hear when bringing up our title is where our facility is located. I’d like to let you all in on what Geriatric Care Managers are able to do for you and your family. Beginning day one, they conduct thorough and complete care planning assessments on both the individual and the home, ensuring the highest degree of safety. They advocate for the family, reviewing financial, legal, and medical issues while screening, arranging and monitoring in-home help or other similar services. They are able to counsel and support, as well as act as a liaison for families at a distance, whether they’re across the country or around the world. Geriatric Care Managers provide the support that can mean the difference between life and death in times of crisis.

If, when reading this, you’re thinking to yourself that you might need a service like this, you’re more than likely correct. All too often Geriatric Care Managers are contacted in times of desperation, when in reality it’s preferable to all parties involved that they become a part of the solution before the problem becomes too serious. By introducing Geriatric Care Managers into the equation prior to the fall, or the failure, they can provide their personalized and compassionate care, getting to properly know the client, becoming more and more able to diagnose small problems before they mushroom into catastrophes. They know how to properly navigate the system and it’s cost, saving the family money in the long run. And we at Distinctive Care do our very best to keep the client in their home, exactly the place they want to be, with the family that loves them. If you think you need Distinctive Care, you probably do, and shouldn’t hesitate to contact us or your local Geriatric Care Management Practice as soon as possible.

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