January
Senior Living 2017
Page 2B - The Marshall Democrat-News, Wednesday, Jan. 25, 2017
Senior Living 2017
What to do when a senior loved one wanders...........................
Proactive steps to reduce your fall risk................................... 5 things life insurance companies don’t always tell you.................... 7 steps to healthy aging, happy aging.............................................
A senior-friendly workout to improve movement and prevent injury..... Gen. Manager: Sarah Reed Cover Design: Bretta Gerlt Advertising: Susan Duvall
Joaquin Cubero Abbey Milligan 660-886-2233
Senior Living is published twice a year by
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The Marshall Democrat-News,Wednesday, Jan. 25, 2017- Page 3B
Senior Living 2017
What to do when a senior loved one wanders
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BPT — Virtually all parents have experienced the terror of looking up from what they were doing only to realize their child has wandered off. Your pulse races, your heart pounds and you can't relax until your child is back in sight. As children grow up, they learn to stay put — or at least let you know where they're going — and your fears fade. However, if you become a caregiver for a parent, grandparent or other loved one with dementia, you may find yourself having the same fear if your loved one begins to ex-
hibit a concerning symptom of dementia — getting lost or wandering. The Alzheimer's Association says six out of 10 people with Alzheimer's experience episodes of wandering. The behavior can take many forms, from leaving the house without telling anyone to leaving and then becoming too disoriented to find their way home. Wandering can also occur at night, when a person with Alzheimer's gets out of bed and wanders inside the house — or more concerning, goes outdoors — in the dark. "Wandering is one of
the potentially most dangerous symptoms of dementia," says Juliet Holt Klinger, senior director of dementia care for Brookdale Senior Living. "The Alzheimer's Association notes that up to half of those who wander will suffer serious injury, or even die, if not found within 24 hours. It's important for caregivers to understand why and how wandering happens, when it occurs and what they can do to prevent or minimize occurrences." Why wandering occurs To understand why your loved one may be wandering, look for a pat-
tern, Holt Klinger advises. Does he wander at a particular time of day or night? Is she trying to communicate with you? Do they have an unmet physical or psychological need, like being hungry or thirsty, or feeling lonely? Is an undiagnosed medical problem, such as a urinary tract infection, prompting the person to get out of bed at night? Sleep patterns change as we age, and those changes can be pronounced and concerning for people with dementia. Your loved one may get up during the night because he or she has trouble sleeping. People with Alzheimer's may wake in the middle of the night and get confused, thinking that it is time to get up and go somewhere, such as work or running errands. Wandering safety tips Observing when and why your loved one wanders can help you take steps to keep him or her safe. Common coping strategies for night-time wandering include: • Help people with Alzheimer's differentiate between day and night by making sure they're exposed to plenty of natural light during the day. This can help circadian rhythms that dementia disrupts and age-related changes in sleep patterns.
• Encourage at least 30 minutes of exercise every day, but not within four hours of bedtime. Exercise can keep people more awake and alert during the day, and promote better sleep at night. • Discourage daytime sleeping by keeping people with Alzheimer's engaged in meaningful activity. Allow a good balance between activities and rest. • Avoid serving alcohol, caffeine or large meals as bedtime approaches. • Encourage a bathroom visit right before bedtime. • Avoid screen time (white light) directly prior to bedtime and use amber colored night lights which do not disrupt REM sleep patterns. • Practice relaxation methods like a short, light massage, warm bath, hot milk or herb tea, or reading aloud. These activities are soothing and can help a person calm down for better sleep. • For extreme wandering concerns, consider investing in a monitoring system that will alert you when a loved one gets out of bed at night. For daytime episodes of wandering, try: • Hiding car keys. This can prevent loved ones from leaving the house, getting in the car and los-
ing their way. If your loved one's car operates with a key fob, removing the battery or distributor cap may be another option. • Keeping doors locked. Some people with Alzheimer's are unable to operate locked doors. At the very least, a locked door may provide a delay long enough for a caregiver to intervene. • Equipping doors with an alarm to signal when it is opened. This can be as simple as putting a bell on the door. • Staving off wandering impulses by taking your loved one for frequent walks outdoors. • Occupying your loved one with a relatable, doable task that provides a sense of purpose. For example, if someone worked in an office, give her papers to organize. If he loves animals, have him brush the dog. "Sometimes, despite your best efforts and precautions, wandering can remain a concern," Holt Klinger says. "If that happens, it may be time to consider a move to a senior living community that specializes in caring for people with Alzheimer's and other dementias. Brookdale's Clare Bridge communities are secured and designed to promote a sense of independence, safety and purpose."
Page 4B - The Marshall Democrat-News, Wednesday, Jan. 25, 2017
Senior Living 2017
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The Marshall Democrat-News, Wednesday, Jan. 25, 2017- Page 5B
Senior Living 2017
Proactive steps to reduce your fall risk
NAPSI — Research by the Centers for Disease Control and Prevention shows that falls are the leading cause of fatal and nonfatal injuries for seniors. For-
tunately, through a combination of technology solutions and lifestyle choices, seniors can be prepared for the event of a fall, as well as take proactive
NAPSNET image
measures to decrease the likelihood during Fall Prevention Awareness Week (Sept. 2228) and all through the year. For example, med-
ical alert devices, such as Philips Lifeline, can provide access to a Response Center to contact emergency help should a fall occur. In the event of a fall, time between the fall and getting medical attention matters. Studies show that seniors using a medical alert device saw an emergency response time more than 320 times faster than seniors having to call for help on their own. Beyond using these devices, Fall Prevention Awareness Week marks an occasion to remind seniors that staying physically and mentally active can help prevent falls. To begin and maintain this activity, here are three recommended steps seniors can take to support an
independent and healthier life: • Establish a regular fitness regimen. Sedentary lifestyles can gradually cause poor flexibility, loss of strength and decreased bone mass—all of which will increase the chances of falling. Establishing a consistent fitness routine will put your body in better shape and make exercise easier as you get older. • Adhere to medication and physician orders. Eighty-seven percent of adults aged 65 or older take at least two medications and 42 percent take five or more. With long lists of medication, adherence can be difficult—but it’s vital to follow all directives and advice from your physician to
avoid mistakes that can lead to falls. • Stay social in your community. Although many older Americans value their independence, it’s important to be social and surrounded by others who care about you. This will help lower your chances of depression, make you happier as you age, and increase the chances of someone being there for you if you fall and need help. If you or a loved one is concerned about fall risk, take this advice to heart and consider sharing with friends. By combining this advice with available technologies, such as medical alert devices, you can be properly prepared for all circumstances.
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Page 6B - The Marshall Democrat-News, Wednesday, Jan. 25, 2017
Senior Living 2017
5 things life insurance companies don’t always tell you
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BPT — A life insurance policy can be the difference between financial security and disaster for families whose primary bread-winner passes away unexpectedly. A significant loss of income can leave uninsured families struggling to pay bills, including final expenses. This is particularly serious when you consider that nearly half of all Americans don't have enough emergency savings to cover three months worth of expenses, and more than a quarter have no emergency funds at all, according to a Bankrate survey. Still, life insurance isn't the answer to all of
life's financial challenges, especially if you buy a policy without fully understanding how it works, or what life insurance can and can't do for you. Here are five things your life insurance company won't always tell you about life insurance: 1. Not everyone needs life insurance. While most people can probably benefit from having life insurance, it's not for everyone. For example, most financial experts agree the majority of people don't need to buy life insurance for their kids. The purpose of life insurance is basically to: replace lost income (most kids
have no income); pay final expenses (they're likely to be manageable); or accrue cash value. You may think a whole life policy could give your child money toward his or her education once the policy matures. However, there are other ways to save for a college education that offer tax benefits a whole life policy doesn't. Likewise, if you're a young worker with no dependents and no debt, you might not need life insurance right now. You could put what you'd spend on premiums into your retirement savings. Or, if you're older with no dependents and already have a legacy set aside
for your descendants, you might choose other types of investments. However, anyone who has debt and dependents could probably benefit from having life insurance protection. 2. Online tools can help you figure out how much life insurance you really need. Years ago, people relied on their insurance agent or company to advise them on how much life insurance to buy. The Internet has made it easy to know exactly how much death benefit you really need. Online tools and "robot advisors" have become very useful resources for helping consumers figure out how much life insurance is appropriate for their unique circumstances. A quick web search for "life insurance calculator" will yield numerous results, including calculators not provided by insurance companies or anyone in the insurance industry. For example, personal finance websites Yahoo Finance and Nerd Wallet both offer life insurance calculators. 3. No single "best" type of policy fits everyone. Life insurance comes in three basic types:
term (the cheapest kind, it has an end date), whole (costs more, has no end date, accrues cash value and premiums are fixed) and universal (also permanent and accrues, but with premiums that can vary). Insurance agents are happy to sell you any kind of policy, but of course their commission rewards are greatest when they can sell you more expensive policies. Each type of life insurance has advantages and drawbacks for different people, depending on a lot of factors like your age, health, why you need life insurance, and how long you need it. To ensure you're getting the best value, understand the policy and how it works for you before you buy. 4. Your term life policy doesn't (always) have to end. Term life is cheapest because it has a definitive end date. Term life aims to provide insurance for when you most need it, such as until your kids finish college. However, most term policies sold today are convertible - at the end of the initial term you can either continue with a new term (at a higher rate), or convert the term policy to whole life (also
at a higher rate). 5. You may be able to sell your term policy for cash. If you're a senior and you own a convertible term policy that will soon expire, you may think your choices are limited simply because there was no "cash value" built up in the policy over the years. Your life insurance company is unlikely to tell you otherwise and, in fact, many insurers prevent their agents from informing you of any alternatives to either letting the policy expire or converting it to a more expensive new policy. But the truth is that you may be able to unlock the value in your policy by selling it to outside investors for a lump-sum cash payment. According to the Life Insurance Settlement Association, in the right situation, a policyholder can turn a term life policy into cash in their hands, provided that it is able to be converted to a new policy and has a death benefit of at least $100,000. By selling your life insurance policy, you can avoid higher premium costs and generate some cash to help fund your retirement. Call 888-521-8223 or visit www.lisa.org to learn more.
The Marshall Democrat-News, Wednesday, Jan. 25, 2017 - Page 7B
Senior Living 2017
Want a memory boost? Try a hearing test BPT — Intrigued by all the brain-training products out there to keep your mind sharp and spirits young? You may want to consider something else: A hearing test. That's right. Mounting evidence links untreated hearing loss to impaired memory and diminished cognitive function. What that means is, if you keep brushing off that suspected hearing loss of
yours, your cognition may pay. Researchers have found that when people with unaddressed hearing loss strain to hear, they tend to do more poorly on memory tests. They may figure out what is being said, but because so much effort goes into just hearing it, their ability to remember what they heard often suffers. Experts believe this
has to do with what they call "cognitive load." That is, in order to compensate for the hearing loss and make out the words, people with untreated hearing loss may draw on cognitive resources they'd normally use to remember what they've heard. Experts say that untreated hearing loss may even interfere with the person's ability to accurately process and make sense of what was
said or heard. In fact, research shows that people with poorer hearing have less gray matter in the auditory cortex, a region of the brain needed to support speech comprehension. Other research shows a link between hearing loss and dementia. One Johns Hopkins study found that seniors with hearing loss are significantly more likely to de-
velop dementia over time than those who retain their hearing. Another found that hearing loss is associated with accelerated cognitive decline in older adults. And a third revealed a link between hearing loss and accelerated brain tissue loss. Some experts believe that interventions, like professionally fitted hearing aids, could potentially help. The bottom line is we
actually "hear" with our brain, not with our ears. So if you think you may have hearing loss, do something about it. Make an appointment with a hearing health care professional, and get a hearing test. After all, research suggests that treating hearing loss may be one of the best things you can actually do to help protect your memory and cognitive function.
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Page 8B - The Marshall Democrat-News, Wednesday, Jan. 25, 2017
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The Marshall Democrat-News, Wednesday, Jan. 25, 2017 - Page 9B
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Page 10B - The Marshall Democrat-News, Wednesday, Jan. 25, 2017
Senior Living 2017
7 steps to healthy aging, happy aging Getting older doesn't necessarily mean you'll have a slew of medical conditions or poor quality of life By Diana Rodriguez Everyday Health
Getting older involves change, both negative and positive, but you can enjoy aging if you understand what’s going on with your body and take steps to maintain your health. Many different things happen to your body as you age. Your skin, bones, and even brain may start to behave differently. Don't let the changes that come with old age catch you by surprise. Here are some of the common ones: Your bones. Bones can become thinner and more brittle in old age, especially in women, sometimes resulting in the fragile bone condition called osteoporosis. Thinning bones and decreasing bone mass can
put you at risk for falls that can easily result in broken bones. Be sure to talk with your physician about what you can do to prevent osteoporosis and falls. Your heart. While a healthy diet and regular exercise can keep your heart healthy, it may become slightly enlarged, your heart rate may lower, and the walls of the heart may thicken. Your brain and nervous system. Getting older can cause changes in your reflexes and even your senses. While dementia is not a normal consequence of old age, it is common for people to experience some slight forgetfulness as they get older. Cells in the brain and nerves can be damaged by the formation of plaques and tangles, abnormalities that could eventually lead to dementia.
Your digestive system. As you age, your digestive tract becomes more firm and rigid, and doesn't contract as often. This change can lead to problems such as constipation, stomach pain, and feelings of nausea; a better diet can help. Your senses. You may notice that your vision and hearing aren't quite as sharp as they once were. You may start to lose your sense of taste — flavors may not seem as distinct to you. Your senses of smell and touch may also weaken. Your body is taking longer to react and needs more to stimulate it. Your teeth. The tough enamel that protects your teeth from decay can start to wear away over the years, leaving you susceptible to cavities. Gum disease is also a concern for older
adults. Good dental hygiene can protect your teeth and gums. Dry mouth, which is a common side effect of many medications that seniors take, may also be a problem. Your skin. With old age, your skin loses its elasticity and may start to sag and wrinkle. However, the more you protected your skin from sun damage and smoking when you were younger, the better your skin will look as you get older. Start protecting your skin now to prevent further damage, as well as skin cancer. Your sex life. After menopause, when menstruation stops, many women experience physical changes like a loss of vaginal lubrication. Men may experience erectile dysfunction. Fortunately, both problems can be
easily treated. Many bodily changes are a natural part of aging, but they don’t have to slow you down. What’s more, there's a lot you can do to protect your body and keep it as healthy as possible.
Keys to aging well While maintaining your physical health is important to healthy aging, it’s also key to value the experience and maturity you gain with advancing years. Practicing healthy habits throughout your life is ideal, but it's never too late reap the benefits of taking good care of yourself, even as you get older. Here are some healthy aging tips that are good advice at any stage of life: Stay physically active with regular exercise. Stay socially active
with friends and family and within your community. Eat a healthy, wellbalanced diet — dump the junk food in favor of fiber-rich, low-fat, and low-cholesterol eating. Don't neglect yourself: Regular check-ups with your doctor, dentist, and optometrist are even more important now. Take all medications as directed by your doctor. Limit alcohol consumption and cut out smoking. Get the sleep that your body needs. Finally, taking care of your physical self is vital, but it’s important that you tend to your emotional health as well. Reap the rewards of your long life, and enjoy each and every day. Now is the time to savor good health and happiness.
The Marshall Democrat-News, Wednesday, Jan. 25, 2017 - Page 11B
Senior Living 2017 How caregivers can provide better care for both their loved ones and themselves (StatePoint) More than 10,000 people in the United States turn 65 years old every day, according to the U.S. Department of Health & Human Services. This growth in the aging population has led to an increased number of people who care for loved ones in their homes. “While many people are happy to take care of aging loved ones, playing this caregiver role can
still be physically, mentally and emotionally draining,” says Jill Turner-Mitchael, senior vice president, Sam’s Club Consumables and Health and Wellness. “As a result, it can be easy for caregivers to forget about caring for themselves at times.” To help, TurnerMitchael and the Sam’s Club Pharmacists are offering time-saving, stress-reducing tips to help caregivers support
their loved ones while also maintaining their own well-being. • Focus on food and fitness. Maintain a healthy, energy-boosting diet that includes organic fruits and vegetables, lean protein and vitamins. Try to stay active, as well. To keep yourself accountable, consider using a wearable device that tracks your daily diet and activity level. • Log on. To save time
and effort, shop online when possible. In today’s digital world, it’s easy to get everything you need with the click of a button. Companies like Sam’s Club provide everything from groceries to personal care products online for those who don’t have time to make it into a club. • Give yourself a break. Convene a family meeting to discuss any challenges that you’re facing and see what oth-
ers can do to lighten your load. Identify someone who can fill in for you for periods of time, so you can take breaks outside of the home to relax and refresh. Doing so will likely help you return to your role with even more energy. • Seek support. Find a caregiver support group that can help you make connections with others who understand your perspective. Seek out other existing resources
that are designed to support caregivers, as well. For example, Sam’s Club recently launched a new program for family caregivers, including a dedicated webpage that helps members find the products, expert advice and savings they need to make caregiving easier. Visit SamsClub.com/caregiving or the kiosks in select
see Caregivers, page 13
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Page 12B - The Marshall Democrat-News, Wednesday, Jan. 25, 2017
Senior Living 2017
A senior-friendly workout to improve movement and prevent injury
BPT image
BPT — Exercise is good for everyone, but seniors with mobility or balance issues may wonder what kind of exercise they can do that will be safe, easy and effective. Jogging outdoors, running on a treadmill or lifting weights at the gym aren't always practical — or enjoyable — activities for everyone. However, one type of exercise works for everyone, no matter your age or ability, because it relies on improving practical movements often involved in everyday activ-
ities. "Natural movement is universal, and it's about bringing movement back to the basics," says Bradly Prigge, wellness exercise specialist with the Mayo Clinic's Healthy Living Program. "It's not about following the latest fitness craze or learning the newest secret to weight loss. Natural movement is about connecting with your body and cultivating an awareness of your full abilities." Rather than engaging in strenuous activity for
its own sake alone, natural movement training emphasizes improving the efficiency of practical movements which can include rising from a seated to a standing position, getting up off the floor, crawling, stepping under or over objects, and more. The objective, Prigge explains, is not just to improve health but also enhance how well you can perform each movement. Efficient movement can help with balance, inspire more healthful activity, and provide
practical benefits in everyday life — all of which are especially valuable to seniors facing mobility or health challenges. "The practice and training of movement shouldn't feel like a chore or something you have to do," Prigge says. "Rather, it should empower and liberate you, and, as a result, enhance your life. Natural movement training can help improve your strength, mobility and conditioning, but they're not the direct goal. Those improve-
ments are the result of practicing and developing movement skills that are directly transferable to real world situations, like rising from a seated to a standing position, walking with balance and confidence, and lifting a bag of groceries without injury." Natural movement is for everyone because at its most basic level it incorporates movements that are instinctual to all humans. For example, a natural movement workout might include crawling on your hands and knees for 30 seconds to a few minutes, sitting on the floor and swiveling hips and knees to facilitate standing up, or balancing while walking across a beam. "I realized just how organic this type of exercise is after attending a natural movement training class," Prigge says. "I came home and saw my 2-year-old daughter doing the same kind of moves I'd just learned in training, without anyone teaching her to do them." Prigge offers some advice for making the most of your natural movement workout: * Pay attention to your
movement and strive to develop awareness of your body's sensations, and how different movements feel. For example, where do you feel pressure and/or tension in your body when making a particular move? How does shifting your body weight or changing position alter those sensations? • Only perform movements and positions that your body allows without producing pain. Just as walking, sitting, standing and other everyday movements shouldn't cause pain, your natural movement workout should also be pain-free. • It's alright — and even advisable — to use your hands for support or raise your hips with bolsters or pillows until you develop greater mobility and strength. • Be kind to yourself and realize it is important to meet yourself where you currently are, rather than where you used to be or feel you should be. To learn more about natural living and the Mayo Clinic Healthy Living Program, visit healthyliving.mayoclinic.org.
The Marshall Democrat-News, Wednesday, Jan. 25, 2017 - Page 13B
Senior Living 2017 Tips to curb muscle loss as you age StatePoint — As the population of Americans over age 55 soars toward 70 million over the next decade, more Americans are searching beyond avoiding wrinkles and fine lines for tips, foods and products that will help them live the lives they desire well into their advanced years — and this includes muscle maintenance.
As people age past 30, they can lose up to eight percent of their muscle mass each decade. Finding a way to maintain muscle through the years has been one of the more elusive parts of the healthy aging quest. “Muscle loss can really take its toll. Even simple movements like opening a jar of pickles or gardening, become more difficult,” said medical di-
rector of NYU Langone’s Preston Robert Tisch Center for Men’s Health, Dr. Steven Lamm. “When you have less muscle mass, the muscles you have must work harder. It can be exhausting.” Per Dr. Lamm, there are a few easy steps that can keep your muscles healthy as you age —
see Muscle, page 15
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Caregivers
continued from page 11
locations around the country for more information. “As the number of caregivers rises, so does the importance of offering resources that make their lives easier,” says Turner-Mitchael. “As a club of the community, we are working to do just that, so caregivers can focus on what is most important
– the health of their loved ones and themselves.” • Engage your employer. Around 42 million Americans act as caregivers while also working outside of the home, according to AARP. If you are juggling work and home responsibilities, ask your manager about perks or policies that may help you find balance,
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such as flexible work schedules, emergency time off or on-site eldercare. Neglecting your own health does no one any favors, so don’t let caregiving mean the end of self-care. With the right resources and resolve, rest assured that you can provide the best care possible while also maintaining your own health.
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Page 14B - The Marshall Democrat-News, Wednesday, Jan. 25, 2017
Senior Living 2017
The Marshall Democrat-News, Wednesday, Jan. 25, 2017 - Page 15B
Senior Living 2017
Muscle
continued from page 13
and new research shows there may even finally be a way to curb muscle loss associated with aging.
Be active One of the most effective ways to keep muscles in tip-top shape is to be active. Even quick exercises done regularly can make a huge difference in your muscle health. “Try the long route when you’re taking the dog for a walk or take the stairs instead of the escalator. Staying active can also maintain joint health,” said Dr. Lamm. Feed your muscles Most people know that protein is a building block for muscle, yet don’t get enough of it. Sleep also feeds muscle
growth and recovery. “I tell my patients to aim for a regular sleep schedule of eight or nine hours each night to promote optimal muscle mass, heart health and brain health,” said Dr. Lamm.
Try a supplement You cannot halt aging, but new research shows you may be able to curb the muscle loss that comes with getting older. A new clinical study showed that daily supplementation with the super antioxidant, Pycnogenol (pic-noj-enall), improved muscle function and endurance and reduced some of the symptoms accompanying muscle loss. “I’ve recommended Pycnogenol to my patients for years as a natural extract for healthy
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aging, and as an important building block of wellness. This research builds on those findings,” says Dr. Lamm. Pycnogenol is one of the most researched ingredients on the market, and decades of research demonstrate the benefits of this natural extract for cognitive support, joint health, and skin health that all contribute to an overall healthier self as we age. It’s available in more than 700 dietary supplements, multi-vitamins and health products worldwide. For more information, visit pycnogenol.com. Muscle maintenance is a key to healthy aging. Luckily, there are many steps you can take to prevent muscle loss and stay strong through the years.
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Page 16B - The Marshall Democrat-News, Wednesday, Jan. 25, 2017
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660.886.8414 conveniently located inside
2305 S. Highway 65 Marshall, MO 65340
www.fitzgibbon.org