The Bluezone Diet & Aging: Food Secrets of the World’s Longest-Lived People

Want to live the longest, healthiest life possible? Well, there are five areas in the world where people do just that. Two big factors they have in common: how they eat and how connected they are to their homes and community. The populations in these pockets of the planet have an extremely high percentage of people who live to be over 90 and even 100 while aging in a home setting. Just as important as longevity, they also have low rates of chronic diseases, including diabetes, heart disease, cancer, obesity – and dementia. This means not only do they enjoy longer lives, but the quality of those years is also superior to the typical senior everywhere else. 

A path in a Sardinian village. Daily exercise, especially walking and gardening, are considered essential here.

Deemed “Blue Zones” by Dan Buettner, who studies these locales, these locales include:

  • Okinawa, Japan
  • Sardinia, Italy
  • Nicoya, Costa Rica
  • Ikaria, Greece
  • Loma Linda, California

Despite being in very different parts of the world, and distinct cultures from each other, people folks in these blue zones share specific lifestyle commonalities, with one being the consumption of a similar dietary pattern.

Cat in Ikaria, Greece
Even cats are relaxed in Ikaria… Although they do not maintain a plant-based diet, they likely live long too.

Less Meat, More Plants

People in four of the five Blue Zones consume some meat, but they do so sparingly. Rather than being the star of the film so to speak, meat is a supporting actor. It’s thought of as a special occasion food or a way to flavor primarily plant-based dishes. Blue Zone residents eat a wide variety of vegetables. They also consume a lot of pulses and legumes. Think beans, lentils, peas, chickpeas, fruit, whole grains, nuts, and seeds. Pulses are special because they have distinct health benefits apart from other legumes. Unlike legumes, such as peanuts and soy, pulses are low in fat and very high in protein and fiber. It’s a common myth that one needs to eat meat to get the proper amount of protein. In fact, nothing could be further from the truth. Replacing meat with beans is a simple, effective way to reduce meat intake without sacrificing protein or the consistency of eating meat. If you’ve ever had a “veggie burger” you’ll see it’s mostly beans, lentils, and pulses. Bottom Line: If you want to eat like a Bluezoner, plant-based foods should make up 90% – 100% of your diet. 

Bag of wild sour plums
Can you identify this green fruit? These wild sour plums are a summer staple around Mediterranean and are sometimes foraged.

Rethink What You Drink

With very few exceptions, people in Blue Zones consume just four beverages: 

  1. Water
  2. Coffee
  3. Tea 
  4. Wine 

In all five Blue Zones, tea is sipped daily, and in most, one to three small glasses of red wine are consumed per day. So ditching regular or diet soda in favor of H2O or unsweetened tea, and upgrading from carb-heavy beer or sugary mixed drinks to antioxidant-rich red wine – enjoyed as part of a healthy meal – is a great idea. 

Reduce Dairy and Eggs

In four of the five Blue Zones, cow’s milk products are not included in significant amounts. Folks in Ikaria and Sardinia consume goat and sheep milk products. And people in all of the Blue Zones eat eggs about two to four times per week, usually one at a time and incorporated into a dish, rather than as the main protein source. So again – use it as a complementary food, not the main attraction. 

What About Fish?

Bluezone is also known as the “Mediterranean Diet” so you’d assume they eat a fish-heavy diet. Not so fast. While in most Blue Zones, people do eat up to three small servings of fish each week – they are typically middle-of-the-food-chain species (like sardines, anchovies, and cod) that are not exposed to high levels of mercury or other harmful chemicals. If you do eat seafood, and enjoy it, and don’t want to give it up, you can take advantage of a resource like the Environmental Working Group’s seafood guide. The free chart they provide rates seafood options using a green, yellow, and red system, based on mercury content and sustainability. Stick with green choices for the greatest benefits, in three-ounce portions, up to three times a week.

Alzheimer’s Disease and Diet

In the blue zones region of Ikaria, Greece, dementia among people over 85 is rare — over 75 percent less common than it is in the United States. (About half of Americans over 85 years old show signs of Alzheimer’s disease.)

There is considerable scientific evidence that healthy dietary patterns such as the Mediterranean diet are associated with lower Alzheimer’s risk and slower cognitive decline.

As we’ve discovered, the Mediterranean diet is high in vegetables, beans, fruit, and nuts and low in meat and dairy. But what are the protective components in the diet?

Looking at the research, the important dietary differences seem to be:

  1. Vegetable consumption
  2. The ratio between unsaturated fats and saturated fats (essentially plant fat vs. animal fat)

Looking closer, the type of fat does matter. Harvard researchers found that higher saturated fat intake was associated with a poorer trajectory of cognition and memory. Women with the highest saturated fat intake had 60 to 70 percent greater odds for the worst change in brain function. In addition to diet, Blue Zoners are staying home and engaging with their community.  

Summary:
The reason a cure for Alzheimer’s proves challenging is because lost cognitive functions in Alzheimer’s disease patients are due to fatally damaged neuronal networks, and dead nerve cells cannot be brought back to life any more than people can. Thus, the focus on prevention of Alzheimer’s may be the key, and it is nearly never too late to implement some modifications to our diet. These dietary changes must become part of a lifestyle, a way we always eat, because life is (hopefully) a long marathon, and not a short sprint. Consistency and balance are essential to centenarians in all Blue Zones, so focus on making sure these are essentials for your life as well.

The Transformative Power of Project Present Improv Training

A Day in the Life of a Caregiver at Private Home Care

Power Up Your Diet with Lion’s Mane

Now, More Than Ever, Senior Centers Are Integral To Our Communities

If you were looking for one word that defines Senior Centers in our country it would be this.  

Senior centers serve as a gateway to the nation’s aging network—connecting older adults to vital community services that can help them stay healthy and independent. Recognized by the Older Americans Act (OAA) as a community focal point, senior centers have become one of the most widely used services among America’s older adults. In fact, more than 60% of senior centers are designated focal points for the delivery of OAA services—allowing older adults to access multiple services in one place.

Key Statistics:

  • 75% of participants visit their center 1 to 3 times per week, spending an average of 3.3 hours per visit.
  • Approximately 70% of senior center participants are women; half of them live alone.
  • Compared with their peers, senior center participants have higher levels of health, social interaction, and life satisfaction and lower levels of income.
  • The average age of participants is 75.

PHC is proud to be a Gold-Level sponsor of one such center – the Frisbie Senior Center in Des Plaines, IL. In 1975, representatives from the City of Des Plaines and Des Plaines Park District recognized the need to provide dedicated services to the senior population living in that community. After convening with senior residents and discussing their wants and needs, a “senior center” program was established, catering mainly to the 70+ age group and offering the traditional Arts-Bingo-Crafts activities. Fast-forward to 2021, through the efforts of its members, it’s become a one-of-a-kind facility offering over 65 open programs in a 20,000-square foot, ADA-accessible facility. The mission is simple: Bring seniors together to find new friends and stay active.

Melissa Kalliantasis is the Program Director at Frisbie. Melissa has spent her entire career in the field of geriatrics – visiting lonely and isolated seniors early on, and now manages the day-to-day programming and services offered at the FSC. She recently became a SHIP Coordinator and helps older adults to navigate the complexities of Medicare, Medicaid, and everything in between. 

Frisbe Announcement Board
Announcements and resources are frequently updated by volunteers at the center.

What Types of Programs Do Senior Centers Like Frisbie Offer?

Senior centers offer a wide variety of programs and services, including:

  • Meal and nutrition programs
  • Information and assistance
  • Health, fitness, and wellness programs
  • Transportation services
  • Public benefits counseling
  • Employment assistance
  • Volunteer and civic engagement opportunities
  • Social and recreational activities
  • Educational and arts programs
  • Intergenerational programs

Frisbie’s calendar is always full! With activities as diverse as:

  • Ping Pong
  • Woodcarvers
  • Blood Pressure Screening
  • Line Dancing
  • Chair Yoga
  • Chair Beach Ball Volleyball
  • Tai Chi
  • And of course, Cash Bingo!

Many recipients of in home care services can benefit from participating in community based activities such as the above. Caregivers can accompany clients to activities and gatherings in local communities, so they continue to engage as much as possible. 

What About Covid?

On February 2nd, the Illinois Department of Public Health announced the transition of Region 10 (suburban Cook County) to “Phase 4” of the Restore Illinois effective immediately. As a result, the Frisbie Senior Center resumed a modified program schedule, whereby schedules in-facility activities and events can have 50 or fewer participants, dependent upon what designated space within the Center is being utilized. 

The foremost concern remains health and safety. As a result, they will continue to monitor and follow guidelines recommended by the Centers for Disease Control (CDC) as well as various state agencies, which include social distancing as well as increased cleaning and disinfecting activities. Masks are required while anyone is in the facility for the protection of staff and visitors alike.

Bingo Tray
The infamous Bingo machine at the Frisbie Senior Center. 

Volunteers Are Crucial

We often think of volunteering as a “selfless” act. A one-way transfer of time and care. Anyone who has ever volunteered will likely set you straight on that. Volunteering enriches both the volunteer and the recipient. 

As social beings, it’s hard-wired in all of us to connect with each other. While COVID-19 has self-isolated billions of people, it has also prompted millions to volunteer in many innovative ways — from making face masks to helping elderly neighbors with shopping to virtual concerts and Pilates classes. 

It’s possible that COVID-19 has prompted you to think more deeply about the nature of social connectivity and isolation. Living a more isolated life has been tough on a lot of people. But perspective is a wonderful thing. 

Many seniors live with some kind of isolation. Isolation should be avoided.

We all have things to share with our most vulnerable seniors. Whether it’s crafting, woodworking, or just your time or donations. You know that rich life experiences are indispensable. They’ve helped make up everything you are today. So just imagine how many valuable stories, lessons, and experiences your elders can share with you. When you spend time volunteering with seniors, you’ll benefit just as much as they do—and you can learn a lot too!

As a not-for-profit, Frisbie Senior Center – and all senior centers – thrive because of the time and effort put in over the years by wonderful volunteers. At its core, volunteerism is at the core of the Frisbie Senior Center’s mission, highlighting the importance of engaging older persons in socially, intellectually, and physically enriching ways. 

Now, more than ever, we have to take care of each other. Volunteering at your local senior center is an amazing gift for seniors, the senior center – and YOU. The Frisbie Senior Center, for instance, will be offering volunteer opportunities responsibly available after COVID-19 restrictions are lifted. 

Three Poole Tables
Spearheaded by President and CEO Steven Samuelson, Frisbie Senior Center was the site of mass COVID-19 vaccinations for members and the community in early 2020. This tremendous undertaking resulted in thousands of vaccines in one of the first such efforts in Chicagoland. ​​​​

Get Involved

During this time of the COVID-19 pandemic, many Americans are uniting to help each other. Not only that, new research in the Journal of Happiness Studies suggests that volunteers not only help their communities, they also experience a positive bump in mental health. At a time when some 33% of Americans are experiencing symptoms of pandemic-related anxiety or depression, that intrinsic reward or “warm glow” feeling provides both a buffer and a sense of control. Also, volunteering is likely to help boost one’s sense of social connection – particularly for older adults who may be feeling isolated.

And that’s not all. In study after study, researchers have found that people who volunteer lead longer, healthier, happier lives. Volunteerism correlates positively to stronger self-confidence, a better quality of friendships, and improved job prospects. 

Chances are there are seniors right in your own neighborhood who could use your help.

If you are in the Chicagoland area, you can contact the Frisbie Senior Center here: https://www.frisbieseniorcenter.org/volunteer

If you are located elsewhere a quick Google search of “senior centers near me volunteer” in your area should produce a wealth of options to explore. You can always start with just volunteering at a few places to dip your toe in the water and decide which one suits you best – and needs you the most.

Summary:

If you don’t have a parent or grandparent of your own that needs some extra caring for, there are plenty of seniors out there who could use some company! Volunteering builds more robust social networks and because volunteering often helps people discover their passions, the ability to tell one’s own story. Together, we can write wonderful new stories.

The Transformative Power of Project Present Improv Training

A Day in the Life of a Caregiver at Private Home Care

Power Up Your Diet with Lion’s Mane

Aging and Driving – A Guide

Losing the ability to drive as a consequence of age-related health issues is often the most upsetting challenge older adults face post-retirement. It’s a fundamental part of independence and the feeling of self-reliance. Unfortunately, at some point, it becomes difficult, if not dangerous. These issues can cause restricted mobility, slowed reactions, and difficulty in hearing, making it risky for older adults to be driving on the roads. While age alone is no reason to take away the keys, there are certain factors that you and your homecare assistance provider should look out for. 

In this blog, we will discuss the ways that age can affect driving skills as well as the health issues that make it challenging for some seniors to drive safely.

How Age Can Impact Your Driving Skills

Simple tasks like grocery shopping or running errands are something we all take for granted most of our lives. Especially in the United States, owning and driving a car is fundamental to our sense of independence and freedom. 

Unfortunately, it’s impossible to ignore the fact that advanced age and declining motor skills have an adverse – and potentially lethal – effect on driving skills. Everyone ages differently, so there’s no “magic” age at which a person should give up driving and rely on others instead. However, all of us – at some point in our lives – will face challenges behind the wheel. Whether due to underlying medical illnesses or just the fact that the body and mind are no longer suited for operating a potentially deadly vehicle, continuing to drive out of pride means becoming a potential danger to the driver – and others – on the roads.

Medical Conditions 

Various medical conditions can impact driving skills. Based on the symptoms and intensity, can be very risky for older adults to be on the roads without any care management personnel. 

Many medical conditions can prevent someone from being cleared to drive temporarily or even for life:

  • Fainting
  • Epileptic shocks
  • Sleep disorders
  • The chances of a stroke

Additionally, certain mental health diagnoses like dementia or Parkinson’s disease can make it difficult for healthcare professionals to assess whether the patient would be fit to drive.  Driving with dementia is a particularly dangerous mix, especially in its early stages when patients’ symptoms aren’t always noticeable. That’s why dementia home health care management needs to be highly vigilant and closely monitor changes in the older adult’s behavior.

Medications with Dangerous Side Effects

Another factor impacting driving skills is the side effects of medications that many older adults take. Most seniors are required to take a regular dose of prescription drugs to stay fit and healthy. Unfortunately, most of these drugs come with some adverse effects.

Common side effects of prescription drugs include:

  • Dizziness
  • Slower reaction time
  • Drowsiness
  • Fainting
  • Blurred vision
  • Inability to focus

It doesn’t take a medical expert to understand that all of these effects can be extremely dangerous if they occur while driving.

These symptoms are prevalent in people who take anti-anxiety pills, allergy medication, pain relief, or sleeping pills. Consequently, it’s imperative to discuss these potential side effects with your private duty caregiver and get the green signal from them before going behind the wheel.

Age-Related Health Issues that Impact Driving Skills

Now that you know of the main two reasons why age messes with driving skills let’s discuss the specific age-related health issues that are bound to make driving dangerous for older adults.

Reduced Vision Range

A big – and obvious – reason, why someone may need to stop driving, is reduced or impaired vision. As we age, we may develop various eye conditions like macular degeneration or glaucoma. 

Fortunately, early detection and treatment can solve most of these vision-related diseases, so this may be a temporary pause if there are no other mitigating factors. It’s crucial to schedule regular eye appointments at increasingly frequent intervals to stay on top of it. Conditions can develop more quickly and suddenly in our 60’s and 70’s than they did in our 30’s and 40’s. This means increased vigilance is necessary. 

Loss of Hearing

Hearing is another major sensory stimulation that we use when driving, and obviously also starts to weaken as we get older. Hearing loss can make it challenging for seniors to drive as they cannot notice honking, police sirens, or even sounds from their own cars. They won’t be able to detect approaching emergency vehicles or realize that their car’s engine might be acting up.

Again, the best way to counter this is regular checkups. If the hearing loss is significant, your audiologist can offer hearing aids to help. Also, keep the car interior as quiet as possible when an older adult is driving; it’ll help them concentrate on the sounds coming in from the outside environment.

pastedGraphic.png
Hearing Aids have come a long way these days

In Summary – Get Professional Clearance

If you or a loved one cherishes driving, it can be tough – really tough – to deal with the decision to give it up. So before you get to that point here’s a checklist. Let the evidence make that decision – not a “gut feel”. 

  1. Regular healthcare checkups will help the homecare personnel determine if the senior person is clear to drive. 
  2. Consult the private duty caregiver or doctor and ask them about any possible side effects of illnesses or medication. 
  3. Regular eyesight and hearing checks. 
  4. Exercising regularly – even just regular 30 minutes walks
  5. Stretching – Especially the neck and oblique muscles. Mimic the body movements you will need to make behind the wheel. 
  6. Fine Motor skills activities

The Transformative Power of Project Present Improv Training

A Day in the Life of a Caregiver at Private Home Care

Power Up Your Diet with Lion’s Mane

Preventing Memory Loss- Exercises and Steps to Keep Your Mind Healthy

As we age, sometimes things just aren’t as sharp as they used to be. That cracking sound? It might be your knees when you bend down. 

And our memory…sometimes it feels as rusty as an old nail in the garage. 

How many of us have gotten up to go to the kitchen, only to then enter into a heated discussion with ourselves asking why we got up in the first place? That’s a humorous – and very typical experience. But less humorous is missing important appointments or special occasions like birthdays! 

While memory lapses are more common among senior citizens, they can happen at any age. However, they feel more upsetting as we age because of the looming fear it might be a sign of dementia or loss of other cognitive abilities.

Many people often consider memory loss a normal phenomenon that accompanies aging, but this isn’t biologically true. If you’re facing significant memory loss, it could be caused by more serious neurological factors.  At 25 it’s easy – and probably not harmful – to just pass it off. But later in life, it’s always a better idea to check in with a health professional just to make sure. Your private duty caregiver is best suited to diagnose the illness and create an effective treatment plan accordingly.

If you are experiencing fleeting memory loss issues with age, we have some good news. These occur due to expected shifts in the functioning of our brain matter. These shifts can slow down our cognitive abilities in our older years and interfere with memory recall. But much like physical exercise to keep the body functioning well, we can also “exercise” our brains! 

Here are some tried and tested tips on preventing memory loss:

Never Stop Stimulating Your Brain

Scientific research has proven that people who keep studying and gaining more knowledge activate brain processes that keep their minds active and stimulate communication between memory cells. No, you don’t have to go back to school, but by expressing natural curiosity in new subjects, and diving deeper into it is both fun, and mentally beneficial. Always loved history? Immerse yourself in documentaries or reading up on the history of the Roman Empire and become a mini-expert on the subject. Always wanted to learn Spanish? Now seems like a good time. Think of all those dramatic tele-novellas you can enjoy now!  All of these activities work similarly to preserve brain connections and keep your mind fit.

30-Minute Walks Each Day

You don’t have to turn into Arnold Schwarzenegger to get the benefit of exercise. You also don’t need to be in tip-top shape. Did you know that walking just 30 minutes a day is one of the best things you can do for your mind and body. Physical exercise is highly evidenced to offer memory preservation. It can also help you fight against several other factors that worsen your cognitive abilities, including;

  • Diabetes
  • Stroke
  • High blood pressure
  • Obesity

Recent studies have also suggested that physical activity can trigger the production of the BDNF protein, which promotes nerve cell production. This will give your memory the perfect boost to function at its best. So, you should make sure your home care assistance provider sets aside time for a daily walk.

Try to Exercise All Your Senses

The more sensory stimulation you get, the better your cognitive functioning will be, which directly relates to improved memory. When you use all of your senses, your brain becomes increasingly involved in retaining that incident in your memory. Brain imaging has shown us that paying attention to the smells and sights of a certain moment will help you remember that moment itself. So, be sure to challenge all of your senses and exercise them regularly. Pay attention to the sounds and smells around you and truly feel every passing moment. So take that cooking class you’ve always had your eye on. Or an art class.

Switch to some version of the “Mediterranean Diet”

We’ve all heard the phrase ‘you are what you eat.’ That applies here too!

The Mediterranean diet is based on the traditional foods that people used to eat in countries like Italy and Greece back in 1960. Researchers noted that these people were exceptionally healthy compared to Americans and had a low risk of many lifestyle diseases. The better your diet, the healthier your brain will be. Several studies have shown how Mediterranean diets can offer exceptional benefits to the brain structure of older adults. By requesting your care management personnel to incorporate more fruits, veggies, and fish into your daily meals, you will start to notice a clear improvement in your memory skills. 

Keep Moving

A study conducted by the Center for Brain Health in Dallas showed that seniors who engage in various physical activities throughout the day have better brain functioning. When you keep moving and stay physically busy, it helps increase the blood flow to your brain. Not only will your memory improve, but you will also notice enhanced mental health within the first few weeks.

So, instead of spending your free time sitting by the TV or playing board games, try to walk around the garden or cook up something delicious in the kitchen. As long as you stay on your feet, your memory will continue to outshine!

Spaced Repetition

We all remember having to recite our mathematical tables in school ad nauseaum. It wasn’t just to punish us. Making an effort to actively recall information, especially at times when we don’t necessarily need the information is a great way to “exercise” the brain. From the birthdays of your loved ones to personal information and appointment dates, you will be able to recall them all through spaced repetition. 

Write down the most important pieces of information you want – and might need – to be able to recall easily. These might include:

  • Birthdays of loved ones
  • The names of our loved ones and every one of the children, grandchildren, nieces and nephews 
  • Your medication list
  • Any pre-existing health conditions (if you ever find yourself in a medical emergency it would be helpful to tell a medical professional if there is anything they need to know)
  • Telephone numbers (remember having to memorize those?)
  • Your social security number

Make a game of it. Quiz yourself periodically and write down your scores. Keep a journal. This will help you to gauge the “health” of your memory. If you see in your journal that you are slowly getting less and less right, that’s a signal to seek medical advice. 

There’s a reason we can all remember things from our childhood like the batting order of our favorite baseball team when we were 10, or every word to every one of our favorite songs from the hit parade when we were 16. Because we thought about it all the time. We talked about it, repeated it, and read about it. It created grooves in our memory like the grooves in an album. 

Use repetition in spaced-out intervals though, instead of cramming it in as you did during finals weeks. Repeat the information to your caregiver every two hours for it to be the most effective. 

In Conclusion 

All of these tips are designed to prevent memory loss in seniors. You should request your private duty caregiver to incorporate them into your schedule and practice them regularly. Moreover, having frequent health check-ups will also help you determine any underlying illnesses that could be messing with your memory skills. Medical conditions often reduce cognitive functioning, but the damage can easily be undone through treatment.

Consequently, older adults’ caregivers should ensure that they get tested for thyroid disease, diabetes, deficiencies, and depression at least once a year. It will allow you to catch any health conditions in their early stages to minimize the effect they could have on your memory.

The Transformative Power of Project Present Improv Training

A Day in the Life of a Caregiver at Private Home Care

Power Up Your Diet with Lion’s Mane

What Is Age-Related Macular Degeneration? Types, Symptoms, and Risk Factors

What Is Age-Related Macular Degeneration?

Age-related macular degeneration or AMD occurs when the macula of your eye starts wearing down because of age. The macula is the central part of the retina, which is a light-sensing nerve tissue present at the back of our eyes, and it helps us have clearer, straighter vision.

AMD impacts close to 5% of Americans who are 65 years old and older and is the leading cause of vision loss in America. Although there is no cure, intervention from an ophthalmologist can aid in slowing down the condition in the diagnosed. The pest way to screen for and in some cases prevent degenerative eye diseases similar to ADM, such as glaucoma and cataracts, is to have eye exams on a yearly basis which will include dilation. Any change in sight is alarming and a cause to make an appointment for comprehensive testing. 

AMD usually doesn’t result in blindness unless it’s the rare kind of AMD, called Wet AMD. However, it does get progressively worse and can result in severe, in some cases, cause debilitating damage.  Below are some main points about AMD as well as some information on prevention, diagnosis and treatment options. 

There are two types of AMD affecting adults over 65: 

  • Wet AMD
  • Dry AMD

Between 85 and 90 percent of people with AMD have dry form, with wet AMD is rare. Dry AMD can lead to wet AMD.

Dry Macular Degeneration

Everyone’s retinas contain a yellow deposit called drusen which are largely comprised of fatty proteins, located in the macula. As we age, the deposits increase in quantity and size. Initially, they don’t cause any changes to sight, but over time, and especially with age, you might start exhibiting distorted vision and blind spots. Consequently, as we age, the drusen deposits coupled with macular thinning can make the condition worse, with the loss of vision depending on the amount of thinning of the retina. Many with dry AMD experience some difficulty reading smaller print, almost always have trouble seeing at night and may experience reduced vision quality overall. Dry AMD develops slowly and overtime. 

Wet Macular Degeneration 

This kind of AMD is caused when the blood vessels start leaking fluid and blood into the retina. This leakage distorts your vision, creates blind spots, forms scars and eventually leads to permanent loss of central vision. Wet AMD develops quickly and is rare.

Stargardt Disease or Juvenile Macular Degeneration

Stargardt muscular degeneration is an eye disorder that results in progressive vision loss. The condition is genetic, but onset typically occurs before late adolescence. The retina breaks down prematurely in Juvenile Macular Degeneration, and the person may exhibit symptoms like color distortion and blurry vision. Both conditions get progressively worse but early intervention and therapies can often prevent blindness.

The Signs and Symptoms 

The challenge with AMD is that it’s hard to catch it – until it gets worse. That’s why regular examinations are so necessary as we age. Usually, AMD gets diagnosed when it has already affected both eyes and the person is exhibiting the following symptoms:

  • Vision blurry enough to deter them from reading or driving
  • Dark edges in the center of your vision
  • Altered color perception

The Causes and Risk Factors for AMD

Age-related macular degeneration is one of the major causes of vision loss in people over 60. This risk increases exponentially when there’s a genetic, gender-specific, and physiological factor involved. 

  1. Age

As the namesake suggests, age is the most significant factor that contributes to AMD. Over 2% of older adults and a third of seniors develop AMD.

  1. Smoking

Smokers have a four times higher risk of AMD because smoke reduces the oxygen absorption abilities of the eye.

  1. Heart Problems

High cholesterol levels, beta-blocker usage, a history of stroke, and a higher BMI contribute towards a higher risk of developing AMD.

If you think that you or your loved one is at a higher risk of AMD, you can still prevent the onset of the disease by quitting smoking, getting regular physical exercise, maintaining a nutritious diet of seafood and leafy greens, and managing your blood pressure, glucose and cholesterol levels.

Diagnosing AMD

Dilated Eye Exam

The earliest sign of AMD is the yellow drusen under your retina clumping together. This can be diagnosed by a painless but comprehensive dilated eye exam. A regular visit to the ophthalmologist might pre-emptively catch AMD before it gets worse. 

Amsler Grid Test

Another way to diagnose AMD is by the Amsler Grid Test, a pattern of straight lines that look like a checkerboard. The doctor might ask you to look at those lines, and if they seem irregular or distorted, it might be a sign of AMD.

Angiography or OCT

The Angiography or OCT as a diagnosis for AMD only happens when the doctor has conducted the physical exam on your eye and suspects macular degeneration. 

In an angiography, your doctor will insert a dye into your veins and take pictures of the leakage of the blood vessels in your retina, which will be more apparent due to the color of the dye. On the other hand, an OCT will be able to see the fluid underneath your retina without using a dye.  

Treatment can start once the diagnosis has been confirmed by physical exam and diagnostic tests

Treatments for AMD

Some studies have shown that Vitamin C and E, zeaxanthin, zinc and copper can help prevent AMD; unfortunately, there is no cure. However, some treatments slow down the degeneration:

  • Anti-angiogenesis drugs which block the fluid leakage into your retina, in case of wet AMD
  • Laser therapy destroys excess or abnormal blood vessels in your eye
  • Photodynamic laser therapy, where a light-sensitive drug is injected into your bloodstream, and a laser is used to trigger the medicine into damaging the abnormal blood vessels
  • Visual aids that create larger images of nearby objects help cope the older adults or seniors with the vision loss

There are also surgical treatments such as retinal translocation for AMD. 

At Private Home Care, we offer hourly and live-in services with caregivers familiar with AMD and other vision conditions. We also understand the importance of consistency with following vision medication routines. 

The Transformative Power of Project Present Improv Training

A Day in the Life of a Caregiver at Private Home Care

Power Up Your Diet with Lion’s Mane

During Social Work Month, Take Time to Honor Our Essential Social Workers

March is Social Work Month and it’s a time to celebrate our invaluable Social Workers. The theme for Social Work Month 2021 is “Social Workers Are Essential”. Is that ever true. Essential is an adjective meaning absolutely necessary; extremely important. Social workers are essential to community well-being. 

For more than 120 years, the social work profession in the United States has helped bend the arc of justice, making our nation a more equitable and inclusive place.

Some Facts and Figures

There are more than 700,000 professional social workers employed in the United States and more than three million worldwide. The U.S. Bureau of Labor Statistics continues to identify social work as one of the fastest-growing professions in the United States. 

In fact, social workers are everywhere people need help navigating tough life challenges. They contribute to interdisciplinary care teams in schools, hospitals, mental health centers, nonprofits,

corporations, the military—and in local, state, and the federal government. Many social work professionals also own private consultation practices.

However, the social work profession faces challenges. There is a shortage of social workers in schools where they are needed to help young people cope with complicated issues such as trauma, poverty, the opioid addiction crisis, and the need for more resources to help students learn during the pandemic.

The nation needs even more social workers as it continues to deal with entrenched problems that have stressed our society, including systemic racism and the Coronavirus pandemic. The United States is also experiencing one of its worst economic downturns since the Great Depression. Social workers are on the front lines, helping people overcome these crises. 

Essential doesn’t begin to describe it.

A “Thankless Job”

Being a social worker has often been described as a thankless job. Long hours, tough cases, low pay. They often care so deeply for those they serve, they put their own well-being in jeopardy. They can be mental health professionals, case managers, or administrators, but are also more than the sum of these. They are communicators. Connectors. Negotiators. And advocates for their clients. They have knowledge that not only helps individuals and families but for communities and organizations as well.

A Social Worker making a house visit after hours. For many social workers, particularly those working with older adults, working after hours is the norm.
A Social Worker making a house visit after hours. For many social workers, particularly those working with older adults, working after hours is the norm.

When The Chips Are Down, Social Workers Show Up

During the COVID-19 public health emergency and in response to growing racial unrest, social workers gained national visibility as a crisis-ready workforce trained to help people find resources and de-escalate community conflict. Hospital social workers scrambled to help patients suffering from coronavirus infections get the best possible care, stay in contact with their families, and access necessary services for recovery after being released from the hospital. And when patients died, they were there, comforting survivors and helping them manage their grief. 

Other social workers helped isolated older adults create life-enhancing social connections; ensured homebound schoolchildren got meals and other resources needed to learn; addressing the challenges of students learning from home or trying to go back to school safely, and finding emergency shelter for people experiencing homelessness. 

Many quickly pivoted to offering virtual therapy to accommodate more clients seeking mental health support. Social workers also pressed local, state, and federal governments to help already struggling families survive during the pandemic’s economic downturn. They were helping individuals who were now living with their abusers 24/7 during lockdowns and quarantines. 

Additionally, as the nation collectively grappled with racism and racial inequality in the summer of 2020, the social work profession called this out. Social work has continually been one to try to address the systemic racism we see in our communities. 

A social worker gathering information and providing much needed support around a family’s dinner table.

Unsung Heroes

Social workers often are unsung heroes, but they play an essential role in helping people from all walks of life and backgrounds to live life to the fullest. During social work month, we hope you will learn more about this amazing profession, say a kind word to the social workers in your lives, and advocate for policies and legislation that benefit the profession and the populations they serve. Social workers have been a primary source of support for all of us and will continue to be there forever. Take time this month to be there for them. 

A social worker headed to the car to finish up notes. During the COVID-19 pandemic, visits are kept to 30 minutes but remain as important and as critical as ever. 

The Transformative Power of Project Present Improv Training

A Day in the Life of a Caregiver at Private Home Care

Power Up Your Diet with Lion’s Mane

Caregiver Spotlight: 5 Questions with Cecelia Davidson

Background:

At Private Home Care, we believe in personalized home care and that music and art can have profound benefits for everyone. That’s why we offer a variety of ways for our clients to get involved in the arts, such as art or music therapy sessions with one of our partner therapists or art lessons with an instructor. We got the chance to sit down with one of our art instructors, Cecelia Davidson. Cecelia was born in St. Louis and grew up in Brentwood. She recently returned to St. Louis after many years in Los Angeles, where she worked as an independent artist and eventually, an art professor at several universities. The paintings you see throughout this post are the work of Cecelia’s students, many of whom are above 85 years old. 

A painting of butterflies by one of Cecelia’s students. Some painting are completed quickly, others take months to finish.

1. How did you become an art instructor?

I’ve always been creative. My first husband and I basically started the regeneration of Lafayette Square in the City of St. Louis-a beautiful neighborhood full of amazing French style homes with Mansard roofs. I was a painter and he was a well-known sculptor. We rehabbed 36 buildings by ourselves. Eventually, we divorced, and after traveling the world a bit, I ended up in Los Angeles. There, I worked as Professor for many years teaching art, mostly the beginning skills. Drawing, design, painting, all of it. I’m lucky to have the ability to work in multiple disciplines. I loved teaching people to create for themselves. Recently, I returned to St. Louis. I come from a big Irish Catholic family, so it felt like a good time to come back home. I found a loft on Grand Ave. There was a woman, who was also an artist, working for Private Home Care, in the elevator taking groceries up. After talking a while, my new friend suggested I could teach art to seniors. It was the furthest thing from my mind, but I found I’m pretty good at it! I teach one time a week and independent living community in Clayton. The rest are private clients. 

As a part of our Specialized Care offerings, we link clients with art instructors like Cecelia. This painting was completed by one of her students.

2. Why do you love doing what you do?

Everyone has the power to create something of beauty and magic. It doesn’t matter if they are in their 20s or their 90s. I give the people the gift of taking this seriously. I feel like this is lacking in older adult care. Also, I don’t sugarcoat their work. If it’s not good, I don’t tell them it is, but I find subtle ways of shifting their work until it’s of value – meaning they get to create what they had in their head. I shift their expectations and desires to match their level of skill and commitment. Most seniors don’t want to learn the principles of design or art, so I help them find images that they paint from. I tell them, “You are the King or Queen of that piece of real estate. That canvas, that piece of paper, whatever. You own it and it can be anything you want it to be.” We work together to find something that someone else has already figured out. Composition, color, perspective. It’s like starting from a template. Students can visualize it and basically “copy” it but in their own style. If you think about it, all artists come from a “school” and apprentice under master artists. They all start from someone else’s expertise and then develop their own style. It’s the same for my clients. No senior wants to go to “school” and start from scratch learning the fundamentals of design and art. They just want to create! And this is a method that helps them jump in and develop faster. 

Individual home care clients or couples can arrange private in-home art lessons while, groups can meet in long-term care communities. A woodpecker by one of Cecelia’s students.

3. Can you tell me about a family or home care client you’ve worked with that has really affected your life? What made them so great?

I had a client who was in her 90’s who had a full-time, live-in private caregiver, weighed about 90 pounds, in a wheelchair, and could only move her hand from the left to the right about six inches in one direction. Her hands were so arthritic, you had to place the pen in her hand. But she wanted to do something. So, I would take her paintbrush, and fill it with watercolor, and put it in her and say “Ok, go!” Then I would move on and come back, rotate the canvas, and move on. There’s a natural effect in watercolor called “blooming”, and that’s what she was able to come up with. Then she would put interesting black lines over it. Her caregiver said it was the highlight of her week. Her children were so touched they actually had artwork that she created in the last months of her life, and they were beautiful! She had always been creative. I was able to see her as a real, living human being who wanted to paint watercolors every day. Not an “old” crippled woman who “used” to be something. I was able to give her that gift back at the end. That will stay with me forever. 

A Pear and Grapes. Some paintings can take several visits to complete. Cecelia carefully guides the hand of her student to complete this gem.

3. What are the benefits of what you do?

So many seniors are battling a feeling of worthlessness, boredom, and futility. Many are near the end of their life’s adventure. But they haven’t lost their desire to produce something that wasn’t there before. Life doesn’t have to consist of a mundane daily routine. Everyone needs something to look forward to each day, or week. Everyone needs a sense of purpose. 

A painting of a flower from one of Cecelia’s group classes.

5. What advice would you give to anyone looking for something like this or caring for an older adult?

Never, ever give up on the inventive power of the human spirit, and the desire to create. It’s our essential life force. And we all want that to be treated with respect. If you want to do this yourself, find a class that isn’t too far beyond their ability, but that isn’t simply cut and paste or “babysitting.” Get real art materials for the home. Find fairly uncomplicated images with 4 or 5 major elements. For example, two apples, a pear, a table, and a chair. A classic “Still Life” painting. For most people, I would with stick with the Impressionists (Monet, Manet, etc). They’re not highly detailed and the colors are beautiful! Or simple landscapes. Print it out on large paper, with high-quality ink. Put dates, and initials on everything. That’s important because when someone says they are not getting any better, you can show them something from months ago and they can see how much progress they’ve made.  Where there’s a will, there’s a way.

To learn more about art instruction or other Specialized Care Services, please feel free to call us at any time. 

The Transformative Power of Project Present Improv Training

A Day in the Life of a Caregiver at Private Home Care

Power Up Your Diet with Lion’s Mane

Caregiver Spotlight: 5 Questions with Christy

Originally from Alabama, and now residing in Olathe, KS, Christy is a professional caregiver for Private Home Care. Her path to caregiving started by taking care of her mom and dad for 9 years on her own, after her father was diagnosed with “Sundowners” Dementia, which progressed into Alzheimer’s. She was previously an Ophthalmic Nurse before moving in full time with her parents to care for them. She’s been a professional caregiver with PHC for over a year now.

We got the chance to interview Christy recently to learn more about her caregiving wisdom, and what drives her to excel at her job.

1. How did you get into caregiving?

“One day something just changed in dad. Mom said he’s been doing that for a while, and like many people didn’t want to alarm us, so she hadn’t said anything. Dad was diagnosed with Sundowners, which is early-onset Alzheimers. It got progressively worse from there. I just knew Mom couldn’t take of him by herself. 3 weeks after, I moved in full time. Eventually, Dad passed on a Christmas Day, surrounded by his family and thankfully very lucid at that moment, which was a real gift when dealing with Alzheimer’s. Like a lot of couples who have been married a long time, after Dad passed, Mom wasn’t really the same. She suffered from heart issues but thankfully did not suffer from any dementia. However, she only made it to the following Thanksgiving.

After that, I moved to Denver for a year, but being used to a slower pace, and fewer people, found Denver to be too crowded. I decided Kansas was a little more suited to me and decided to move to Olathe, where I had family. At that point, I had to decide what I was going to do for a living. I did have one interview with an eye surgeon, and considered going back to nursing, but quickly realized it wasn’t for me anymore. The pressure to move patients in and out to maximize profits wasn’t why I got into it in the first place, and after the experience with my parents, I realized I needed to choose a path that would make me happy, and more importantly fulfilled. So when I really got down to what that might look like, I realized that what kept me going the past 9 years was taking care of mom and dad. And I knew there were other people in the same position. I thought if I could help them, then that’s what will make me happy. And because I went through it myself, I could offer perspective and empathy beyond just caring.

2. Why do you love caring for families?

Because I went through it myself, I feel I can make it easier. Just having someone takes a big weight off people. I took the weight of my Mom. Now I take the weight off other people’s spouses and parents. It’s amazing how even the littlest things like being able to read a book in peace for a few hours, or taking a few extra minutes in the bath because you can’t leave them alone for too long can make a world of difference. It’s not always the big things. It’s being able to give families some time to themselves and support. Even if I’m down or depressed, there’s always a family relying on me to take care of them. And that gives me purpose.

3. Can you tell me about a family you’ve worked with that has really affected your life? What made them so great?

The family I’m taking care of now is originally from the South, like I am. And they feel more like family at this point, than a client. The gentleman I take care of now has Parkinson’s, which has been a learning experience. Different from Alzheimer’s but no less challenging. One thing that stands out is how much they give back to the community. He’s a former respiratory therapist, and they give like no one I’ve ever seen. It’s really inspiring. So, I don’t mind doing whatever needs to be done for them. They give me a reason to get up every day – along with my grand-daughter, who is the light of my life!

4. What do you love about working for Private Home Care?

Funny story. I wasn’t even sure anyone would hire me since I didn’t have any professional experience. But, ironically, as I was walking out of another interview that resulted in a job offer on the spot, Mario from PHC called me. Literally, right as I got in my car. I hadn’t even shut the door and the phone rang. I told Mario, I just got a job offer from the other company, and Mario said, “Well I don’t think you need to work there, you need to come here. From what you said, we need you”. I said yes immediately. I don’t know what it was, but something about PHC felt right. I knew that’s where I was meant to go next. And, then I got matched with my current family, which has been such a blessing. It feels almost like divine providence. The people at PHC make the difference.

5. What advice would you give to families who either need help or even think they might need help?

The first thing I’ll say, having been through it myself, is this is the hardest thing you will ever have to do. It’s not easy coming to grips with situations like this. The second thing I would say is most people just aren’t equipped to handle all that comes with this. They just aren’t. There’s no shame in it. It’s not a failure to admit you don’t know what to do. You aren’t equipped. And that’s ok. We are. Reach out. We have the people and the resources. Even if you just need to talk to someone, we’re here. You don’t even have to be a client or potential client. We can help, and at a minimum, point you in the right direction. Bluntly, I would say drop your pride on this. It’s not a failure. There’s a team here. You need a team.

Private Home Care provides home health care tailored to our client’s unique needs, no matter their age or how long we are needed. Our Caregivers have the experience and knowledge to provide an array of care services, from short-term, post-surgical support to long-term companionship and care for aging adults. We are a leader in Alzheimer’s and Dementia care, and we have specialized care teams who provide compassionate end-of-life care and hospice support.

The Transformative Power of Project Present Improv Training

A Day in the Life of a Caregiver at Private Home Care

Power Up Your Diet with Lion’s Mane

What is a geriatric care manager and how can they help me and my family?

If you are like a lot of people with parents in their 70s, 80s, 90s, and even 100s, the fear creeps in before the reality does. At some point, the very people who you’ve depended on your whole life will come to depend on you. For most of us, our parents were the bedrock of our stability. Even into adulthood, our parents are still our parents. They’ve always been there for us. But what happens when they can’t be there for us? What happens when we need to be there for them? How and when do we intervene? What resources are available to help us through this process? None of these questions have a simple answer, but fortunately, there are professional guides that can help quickly calm what can be overwhelming situations.

As the reality of aging, loss of independence, and ongoing health challenges start to emerge, loved ones and family members are faced with one main question:

“What do I do now?”

It’s a question that will inevitably come. For some families, the answer will be simple, with all of the pieces smoothly falling into place. While for others, particularly families that are in crisis and need to make decisions quickly, that question is much more difficult to answer. Aging isn’t always linear and smooth. One day your loved one may be fine, and the next, you notice changes in memory or in ability to safely complete tasks of daily living. We brush it off as a normal part of aging and even joke about never being able to find the car keys ourselves. But what if these changes become more pronounced. Or what if something else happens, like a fall or a break. Or what if your independent parent has to go to the hospital multiple times over a short period. If you feel that something needs to be addressed, it likely needs to be done sooner rather than later.

But where do you start? At the very least, it may be a good idea to start putting together a plan for what to do, where to go and who to call. At Private Home Care, we work closely with a number of third-party geriatric care management practices who help families make informed decisions about long-term care options. These professionals are private advocates for their clients, and provide them with an additional layer of oversight and transparency. Care Managers are able to navigate resources efficiently, intervene in a crisis and help organize a plan of care to save you time, while tailoring options to your loved ones’ specific needs and goals. Here are just a few more ways Care Manager can help:

  • Answering questions and addressing any emotional concerns surrounding life and care changes
  • Crisis intervention
  • Facilitating conversations about starting care; introducing caregivers and care options
  • Highlighting and tackling areas of concern
  • Advocating for the caregiver as well as the care recipient
  • Putting together long-term care options based on your loved one’s objectives and budget
  • Serving as a liaison to family members who live out of town
  • Scheduling and attending medical appointments with clients
  • Tracking an individual’s recovery progress and plan of care
  • Serving as a trustworthy point of contact for clients and their families
  • Helping clients who do not have local family members stay in their homes for as long as they choose with hourly or live-in care services. 

Step 1:

Contact a Geriatric Care Manager (or simply, “Care Manager”) in your area. For help locating a Care Manager or a Care Management practice in your area, you can visit the Aging Life Care Association at https://www.aginglifecare.org. If you have more questions about Care Managers or what they do, Private Home Care can certainly be a resource and can provide referrals for Care Managers we’ve worked with in our community. Think of a Care Manager as a patient advocate. They can perform an in-home, professional assessment, uncover the needs of the patient, and document them for next steps or a plan of action.

Step 2:

Start putting together a plan. A plan of action could, and should, encompass some or all of the following:

  1. Medical – Do you have a complete list of medications and health records? If not get them in order. There may come a time when you can’t ask and get a reliable answer.
  2. Financial Housekeeping – Do you have a complete list of all life insurance, social security, investments, etc? Make sure you have an up-to-date file in a safe place that you can access when you need to. 
  3. Financial Planning – There are ways to preserve money without depleting everything. Star preparing.
  4. Power of Attorney – Get a working power of attorney to be able to make decisions (Elder Law). Some Care Managers can be the Power of Attorney for individuals who do not have family or friends able to fulfill this role.

Care Managers can provide assistance navigating the following:

  • In home hourly care and live-in care
  • Home health care
  • Independent living, Assisted Living, Memory Care and Skilled Nursing Communities
  • Hospice
  • Veterans Benefits
  • Social services and community programs
  • Referrals to legal, financial or medical professionals

If you are reading this article because you are considering a Care Manager for a loved one or yourself, it’s important to take a step back and remember that you are not alone. A Care Manager can help you navigate options and create a safe and enriching environment. At Private Home Care, we value the amazing work being done by Care Managers in our communities and see great value in the professional guidance they can provide. For more information on Geriatric Care Managers or what they do, please feel free to reach out to us at any time. 

The Transformative Power of Project Present Improv Training

A Day in the Life of a Caregiver at Private Home Care

Power Up Your Diet with Lion’s Mane

Village Senior Care has joined Private Home Care

We are happy to announce that Village Senior Care is now part of Private Home Care.

If you are a client of Village Senior Care, we want to welcome you to the Private Home Care family. We also want to assure you that under Private Home Care, you will continue to receive the same top-level care you have received through Village Senior Care and can expect to rely on the same care team and relationships you have had.

With our resources combined, we will be able to provide the absolute best home care services to the Chicago area that provides true peace of mind. We hold similar values and philosophies on doing business, and we expect to have a smooth transition as our companies merge.

Over the last ten years, Village Senior Care has built a reputation in Chicago for having high-caliber caregivers and for personalized care that is flexible to clients’ changing needs.

Private Home Care recently began expanding into Chicago after building a strong reputation in St. Louis for concierge-level service and the best caregivers in the industry. Private Home Care is known for its MatchCare™ Model, where clients have their own dedicated Care Coordinator who is available 24/7 and a consistent team of professional caregivers. This relationship-based approach to home health care gives clients personalized, consistent, and transparent care that exceeds all expectations.

Private Home Care also carefully hires its Caregivers for their professional experience and skills, but also because they are well rounded, compassionate individuals. And because we value quality care over profit, we pay our caregivers 25% more than the industry average.

For both companies, customer service has always been of the utmost importance, and we want to exceed your expectations. If you have questions or have an issue during our transition, please reach out to us at (847) 779-3352. We value your opinion and want to hear how we can best help you and your family.

The Transformative Power of Project Present Improv Training

A Day in the Life of a Caregiver at Private Home Care

Power Up Your Diet with Lion’s Mane