York County Health and Wellness - November 2015

Learning to live with diabetes:

Nurse Practitioner Merle Westbrook and patient Lawrence Dolby talk in Westbrook’s office at Southern Maine Health Care in Biddeford Nov. 5.

Read his story, page 4

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DIABETES & AlZHEIMER'S DISEASE Awareness • NOVEMBER 2015

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Diabetes Walks pick up speed

Type 2 Awareness

Multicultural Groups

Diversity & Health

Alzheimer's Support

Cancer Screenings

Serious Senior Issues

For Healthy Skin

2 York County Health & Wellness

York County

Sunday, November 22, 2015

HEALTH & WELLNESS 457 Alfred Street, Biddeford, ME 04005 Phone (207) 282-1535 * Fax (207) 282-3138 Email: jtcommunity@journaltribune.com

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York County Health & Wellness is Southern Maine’s monthly resource for health news and information distributed throughout the region in Journal Tribune Sunday and various locations throughout York County.

This magazine and its contents are for general consumer educational use only. Nothing contained in this magazine is or should be considered or used as a substitute for medical advice, diagnosis or treatment by a licensed medical practitioner.

Welcome

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s the holidays approach, it’s a time to think of all we’re thankful for, a time to extend goodwill to all men and women.

For those who are lucky enough to enjoy good health, that is one of the things to be most thankful for. Possessions, monetary wealth and other attributes mean little without having the physical and mental health to enjoy them.

With the holidays comes lots of good food; sugary sweets seem to be everywhere.

But as November is Diabetes Awareness month, it’s important to remember to temper the amount of sweets you consume and make sure healthful foods, such as fruits and vegetables are also part or your diet.

This issue of York County Health & Wellness includes several articles about diabetes. A story by Staff Writer Liz Gotthelf includes an interview with Sanford resident Lawrence Dolby who talks about how he has lived most of his life with Type 1 Diabetes. Also, Nurse Practitioner Merle Westbrook, a diabetes health care provider with

Southern Maine Health Care, talks about ways to prevent Type 2 Diabetes. Other articles about diabetics include what those with the disease should keep in mind when traveling as well as the higher risk some minorities have for getting the disease.

Also in this issue, Marilyn R. Gugliucci, Ph.D., AGHEF, GSAF, AGSF, professor and the director of Geriatrics Education and Research in the Department of Geriatric Medicine at the University of New England College of Osteopathic Medicine, discusses overcoming negative stereotypes about seniors and how to help older people who have some cognitive decline.

While there is a lot of celebrating during the holidays, those who don’t have family and friends to turn to often feel lonelier at this time of the year than at any other time. Senior citizens may be especially prone to feelings of isolation. One of this month’s articles lists some of the warning signs of loneliness as well as ways to assuage those feelings.

So while the holidays are here, be careful you don’t overdo food and drink, try to include people who don’t have many friends or family in your celebrations, and above all enjoy yourself.

Be well,

Dina Mendros Associate Editor

York County Health & Wellness 3

Sunday, November 22, 2015

Diversity & our nation's health

Page 10

Aging shouldn't inspire fear Page 11

ME Alzheimer's support groups Page 12

York County

HEALTH &

WELLNESS

Screenings: What you need to know Page 12

Learning to live with diabetes

Page 13

Have diabetes, will travel

Page 15

Page 4

Page 6

Diabetes walks pick up speed Page 7

Pushing for Type 2 awareness Page 8

Multicultural groups need to know this Page 9

The most serious senior issue Habits for healthy skin

4 York County Health & Wellness

Sunday, November 22, 2015

Learning to deal with diabetes

By LIZ GOTTHELF Staff Writer BIDDEFORD — When Sanford resident Lawrence

Dolby was diagnosed in 1950 at the age of 7 with Type 1 Diabetes, he was told not to expect to live much past 30.

Serving the Area for the Last 4 Years

You Have A Choice

S EACOAST PHYSICAL THERAPY

Since then, there have been advances in technology and research, and today Dolby is a healthy, active senior. Dolby said he’s “played by the book,” and maintained an awareness of what he eats and his activity level. He also has had consistent medical care, monitored his health, and makes regular appointments with Nurse Practitioner Merle Westbrook, a diabetes health care provider for Southern Maine Health Care.

“You have to accept the responsibility of living within the parameters or you pay the price,” said Westbrook.

Diabetes is a disease in which the body is unable to

create enough insulin or can’t use insulin to process food to use as energy.

Those like Dolby, who have Type 1 Diabetes, once called juvenile diabetes, cannot make enough insulin.

Type 2 Diabetes, which occurs when the body can not use insulin properly, can be prevented, said Westbrook. Typically, Type 2 Diabetes is a slow process, and can take years to develop, she said.

Westbook encourages those who are diagnosed as prediabetic to make some life-

style changes as soon as possible after their diagnosis, including practicing what she calls “mindful eating.” This includes being aware of why you are eating other than hunger, not cooking too much food at meal time, being aware of serving sizes and using smaller plates, not using food as a reward, drinking water and adding at least one non-starch vegetable or fruit or both to every meal.

Dolby said his parents first grew concerned when he developed an unquenchable thirst, and was drinking large amounts of water and lemonade.

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York County Health & Wellness 5

Sunday, November 22, 2015

Nurse Practitioner Merle Westbrook and patient Lawrence Dolby talk in Westbrook’s office at Southern Maine Health Care in Biddeford Nov. 5.

thirst, symptoms of diabetes include frequent urination, sudden vision changes and feeling tired much of the time.

Diabetes that is not properly maintained can also lead to health impacts

such as blindness and risk of infection.

However, these can be prevented with proper lifestyle choices and health care.

Westbrook acknowledges that management of diabetes can get over-

whelming.

“It’s the first thing you say hello to and the last thing you say goodnight to,” she said.

Westbrook said it’s normal to feel like giving up every now and again,

LIZ GOTTHELF/Journal Tribune

and if that happens, she recommends reaching out to somebody such as a counselor or doctor.

— Staff Writer Liz Gotthelf can be contacted at 282-1535, ext. 325 or egotthelf@journaltribune.com.

Because your tomorrows are important, Dr. Rubin has joined our cancer care team.

Dr. Rubin brings years of leading cancer care experience and a commitment to make a positive difference to patients in York County.

Peter Rubin, MD Oncologist

To learn more about Dr. Rubin go to smhc.org/cancercare

Cancer Care and Blood Disorders

6 York County Health & Wellness

Sunday, November 22, 2015

Have diabetes, will travel cs can 5 ways diabetihere journey anyw

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or people all across the country, this is peak travel season. The weather is beautiful and there’s still room to squeeze one or two more trips in before cooler weather. Don’t let managing diabetes stop you from making a plan and taking a trip.

Diabetes shouldn’t be a barrier to travel. The key is preparation. Just a little extra planning on your part beforehand can make for an once-ina-lifetime trip. To help you plan smart and get ready for any situation, follow these suggestions from the American Diabetes Association. Don’t miss out, start your preparations today.

• Visit your doctor. Start your preparations by scheduling an appointment with your doctor about a month before your trip. Think of it as a check-up just for your diabetes. While you’re there, get any immunization shots you need and ask your doctor for a letter and any prescriptions you may need. This letter

will be the answer key to your diabetes.

It should include what you do for your diabetes and the tools you use. It should also list your allergies. The prescrip-

tion is for your insulin or pills. Yes, you probably packed enough supplies already, but the prescription is handy in case of an emergency.

• Pack smart, pack thoroughly.

If you’re traveling for one week, pack enough diabetes supplies for two – that’s a good rule of thumb. Keep all of your supplies in one bag and keep it with you at all times. If you’re flying, that’s your carry-on bag. If you’re driving, or a passenger on a bus or train, the bag sits on your lap or on the seat next to you. No matter how you travel, the bag should be within easy reach.

• Prepare for emergencies. When it comes to vacations, picture the best and plan for the worst. Having an emergency plan is essential, especially if you’re traveling abroad. Air travel may be the form of travel requiring the most preparation with increased carry-on and baggage restrictions and time allotment needs for both domestic and international flights. Know what you can and can’t bring on a plane and how to handle screening procedures; the American Diabetes Association provides sev-

York County Health & Wellness 7

Sunday, November 22, 2015

eral resources around air travel. Once you arrive at your destination, The International Association for Medical Assistance for Travelers is a great resource to help you find Englishspeaking doctors in any country – make a list of them. If you don’t have this list or you lose it, call the American Consulate, American Express or local medical schools to find a doctor that can help you.

• Take your medical ID everywhere. As someone with diabetes, your medical ID is part of your everyday attire. And it’s even more important when you’re traveling. If you have a hypoglycemic episode or an accident, medical personnel will look to your ID to see how to help you.

Place your medical ID with other items you can’t afford to leave behind like your keys, wallet, passport or phone. That way you’ll be sure it tags along.

• Plan an arrival kit.

Regardless of how you plan to travel, you’ll probably be excited to get out and stretch your legs at your journey’s end and explore.

Once you’ve arrived at your destination, the last thing you want to do is immediately head out for supplies. You can cut this trip on your first day if you plan ahead and pack smart.

Bring the food or attire you need for the first leg of your stay and you can relax in the comfort of a trip well planned.

There are many reasons to travel year round, don’t let a great trip pass you by. So start your travel planning today and as long as you include your diabetes management in your preparations, there’s nothing you can’t do. For more helpful tips on traveling with diabetes, visit Diabetes.org.

Walking to end diabetes: Why it's gaining momentum

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early 30 million Americans are affected with diabetes and, if trends continue, one in five Americans are projected to have diabetes by 2050, according to the American Diabetes Association. However, thousands of people around the country are deciding to act and take change into their own hands by walking to stop diabetes. People walk for many reasons: for family or friends, as a challenge to themselves or in memory of a loved one, but the following five reasons unite most participants’ motivation to Step Out: Walk to Stop Diabetes.

Exercise – Regular exercise is an important part of a healthy lifestyle and a central part of diabetes management.

Because of this, the American Diabetes Association developed the Red Strider Program to encourage people who live with diabetes to get out and walk in a fun, safe and supportive environment. Red Striders showcase the courage it takes to live with diabetes and demonstrate how one can lead a full, active lifestyle with diabetes.

Empowerment – The first steps toward managing diabetes and sharing lifestyle changes with friends and family take courage. In walking to stop diabetes, participants walk with heads high and are encouraged by fellow walkers every step of the way. “Two years ago I couldn’t leave the house, go in public or be around people,” says Jacinta Pericola, a participant in Step Out: Prescott, Arizona, living with type 2 diabetes. “Look what I did today.

This has given me a purpose,

given me a mission and I am so happy.”

Community – When people with diabetes participate in a walk, they join people from their town, county and state who are working to manage their diabetes every day. Red Striders join a community they might not have known previously existed. Friends and family can show their support by joining in and walking alongside their loved ones for a cause.

Fundraise – The power

of Red Striders to motivate and inspire others living with diabetes can be astonishing.

The result of walks across the country has been a hugely successful, raising almost $24 million annually to support the Association’s mission to prevent, cure and improve the lives of people affected by diabetes.

Family Fun – Anyone can join a walk, and sometimes the youngest participants are the biggest leaders. Take Cooper, diagnosed with type 1 as a child, who has turned his local

walk into a family affair, “Team Cooper was the number one family and friend team and Cooper was the top fundraiser for Chicago last year,” says his mother, Valerie Christensen.

Cooper proves that no matter what their age, everyone can make a difference.

Each year thousands of individuals get out and make a difference in their own lives and the lives of others through the simple act of walking. Find out more at diabetes.org/registernow.

8 York County Health & Wellness

Sunday, November 22, 2015S

McGraw, diabetes group urge patients to set A1C goal BPT

Did you know there are nearly 30 million people living with diabetes in the United States, and most have type 2 diabetes? If current trends continue, about one in three American adults will have diabetes by 2050.

Award-winning artist Tim McGraw has been touched by type 2 diabetes personally, as he has friends and family with the disease. A strong believer in making healthy choices, McGraw has teamed up with Merck and the American Diabetes Association on America’s Diabetes Challenge, which encourages people

with type 2 diabetes to make a pledge to work with their doctor to get to their A1C (average blood glucose over 2-3 months) goal or help a loved one with diabetes do the same. Through the program, people with type 2 diabetes can also learn if they are at risk of low blood glucose, known as hypoglycemia, and how to help reduce that risk.

“While touring the country, I have seen first-hand the impact diabetes has on people from all walks of life. That is why I am encouraging people with type 2 diabetes to work with their doctor to set and reach their individual A1C

Going on vacation?

goal,” says McGraw. “Through my work on the program, I have learned that about onethird of adults living with diabetes are not at their A1C goal. Together, let’s change that statistic.”

The A1C goal for many adults with diabetes is less than 7 percent. However, a higher or lower goal may be appropriate for some people, which is why the American Diabetes Association suggests patients work with their doctor to come up with an individualized diabetes management plan that is right for them. High blood glucose levels over time can put people with diabetes at risk for many serious health problems, including heart disease, blindness, kidney failure, lower limb amputations, stroke and nerve problems.

“I accepted America’s Diabetes Challenge and have pledged to work with my doctor to get to my A1C goal,” says Jeremy Dickstein, a patient with type 2 diabetes. “I send my numbers weekly to my diabetes nurse so I can make sure I stay on track. Diabetes requires an ongoing management plan, which is why it is important to keep your appointments and talk to your doctor about your progress, even when you are not feeling sick.”

While many diabetes patients are aware of the importance of controlling high blood glucose, they may not know blood glucose can also go too low (hypoglycemia).

Hypoglycemia can make you feel: shaky, dizzy, sweaty,

faint and hungry.

Hypoglycemia can be caused by: skipping meals, excessive exercise and certain medicines.

People with diabetes should be sure to tell their doctor if they experience any signs or symptoms of high blood glucose or low blood glucose.

Changes to their meal plan, physical activity or diabetes medicine may need to be discussed.

To join McGraw in pledging and for more information about type 2 diabetes, including important questions to ask your doctor, visit www.Ame ricasDiabetesChallenge.com.

You can also join the America’s Diabetes Challenge Facebook community at Facebook.com/ AmericasDiabetesChallenge.

ENJOY.

Just don’t forget to call us before you go!

The Journal Tribune offers vacation holds and stops for your convenience (and home security!)

Before you leave for vacation, call our office so that we may offer you one of these two options:

VACATION

VACATION

We will hold your papers while you are gone and deliver them to you when you return.

We will stop your papers and credit your account for the days you are gone.

HOLD

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See you when you get back!

SUBMITTED PHOTO

(207)282-1535 • www.journaltribune.com

Award-winning artist Tim McGraw has teamed up with Merck and the American Diabetes Association to urge those with type 2 diabetes to work with their doctor to set and reach their A1C goal. The program also aims to help them learn if they are at risk of low blood glucose and how to help reduce that risk.

York County Health & Wellness 9

Sunday, November 22, 2015

Type 2 diabetes:

Multicultural groups should be aware BPT

Did you know African-American and Hispanic adults in the United States are at a higher risk of developing type 2 diabetes? In the United States alone, this disease is the fifth leading cause of death in the African-American community and nearly 13 percent of Hispanic adults are diagnosed with diabetes.

This is why Merck and the American Diabetes Association have teamed up on America’s Diabetes Challenge to raise awareness of why it is so important for Hispanics and African-Americans with type 2 diabetes to work with their doctor to set and reach their A1C (average blood glucose over 2-3 months) goal.

Through the program, they can also learn if they are at risk of low blood glucose, known as hypoglycemia, and how to help reduce that risk.

Known for her long-running role on “Law & Order” and Tony-nominated stage performances, S. Epatha Merkerson is part of the at-risk AfricanAmerican population, and received an important wake-up call 13 years ago when she was diagnosed with type 2 diabetes. Despite having a family history of diabetes, and losing her father and grandmother to complications of type 2 diabetes, she was unaware that she too had the condition.

Similar to S. Epatha, celebrity chef and cookbook author Leticia Moreinos Schwartz also has a family

history of diabetes. Her grandfather struggled with type 2 diabetes for many years, before passing away from a stroke, one of the serious complications of diabetes. Therefore, she has seen firsthand some of the challenges people with type 2 diabetes can face. The loss of her grandfather prompted her entire family to learn more about the risks of developing type 2 diabetes and to make changes to their lifestyles.

Both women are highly passionate about educating others on the importance of working with their doctor to manage their diabetes, and to set and reach an individualized A1C goal. In fact, about one-third of U.S. adults living with diabetes are not at their A1C goal. Together, Merkerson and Moreinos Schwartz are working to change that statistic.

Merkerson and Moreinos Schwartz are prompting these disproportionally affected groups to take the pledge to set and reach their A1C goal by accepting America’s Diabetes Challenge. They are also encouraging African-Americans and Hispanics to find out if they are at risk of low blood glucose and how to help reduce that risk.

Many people with diabetes are already aware of the importance of controlling high blood glucose with diet, exercise and taking medicine (if prescribed), but they may not know that blood glucose can also go too low. Some diabetes medications can cause low blood

SUBMITTED PHOTO

Emmy and Golden Globe-winning actress S. Epatha Merkerson (left) and celebrity chef and cookbook author Leticia Moreinos Schwartz (right) have teamed up with Merck and the American Diabetes Association to urge African-Americans and Hispanics with type 2 diabetes to work with their doctor to set and reach their A1C goal.

glucose, particularly if patients skip meals, change their diet or increase their exercise. Be sure to talk to your doctor if you are experiencing any problems with high and low blood glucose.

Key questions to ask your doctor Achieving blood glucose control can be challenging, yet it is a crucial part of a diabetes management plan. America’s Diabetes Challenge encourages people to stay motivated and take an active role in controlling their blood glucose by asking a few key questions to guide their discussion with their doctor: • What is my A1C and what should my goal be?

• What are the signs and symptoms of high and low blood glucose?

• Do I need to make any changes to my diabetes management plan?

• What are benefits and possible side effects of the medicine(s) I’m taking?

• What are the causes of high and low blood glucose?

For more information, and to join Merkerson and Moreinos Schwartz in pledging, visit www.

AmericasDiabetesChallenge.com. Additionally, you can find Spanish language resources at www.

DesafiandoLaDiabetes.com. You can also join the America’s Diabetes Challenge Facebook community at Facebook.com/AmericasDiabetesChallenge.

10 York County Health & Wellness

Sunday, November 22, 2015

Cultural diversity:

I

roving The key to imhpealth our nation's BPT

By 2060, the American population will be older and more racially and ethnically diverse than at any other time in our history, according to statistics from the U.S. Census Bureau. The number of people older than 65 will double, and the need will grow for healthcare and registered nurses to provide it.

Even though nursing is one of the fastest-growing careers in the U.S., there won’t be enough registered nurses available to fill the rising demand for care, according to the American Association of Colleges of Nursing, AACN. As America addresses an ongoing nursing shortage, healthcare leaders stress the importance of enhancing available healthcare services through the work of nurses who mirror and understand the ethnic and cultural diversity of the populations they care for.

When you’re ill, your need for care isn’t just about medical requirements.

Recovery from injury, illness and surgery is a mental game, too, and studies have shown that having a nurse whom you feel understands you can improve

your response to treatment.

The relevance of this correlation is rising with the minority population in the U.S. The Census Bureau predicts that minority residents will comprise 57 percent of the population in 2060.

With the AACN reporting that nurses from minority backgrounds represent only 19 percent of the registered nurse workforce, there is growing opportunity for ethnically diverse nurses to care for increasingly diverse patients.

Studies have shown that when patients feel understood by their nurse, they are more likely to trust his or her recommendations, which can improve their health outcomes. Additionally, a nurse who is familiar with a patient’s culture – including diet, traditions and beliefs about medical treatment – is better equipped to address their specific needs.

Penelope Pattalitan, associate professor at the Chamberlain College of Nursing Miramar, Florida, campus, recently researched these barriers and outlined recommendations for how hospitals can streamline and support the transition of a nursing workforce

with foreign and domestic educational backgrounds. One of many tactics Pattalitan recommends is improving training programs for foreign-educated nurses to acquaint them more thoroughly with nursing practices and technology in the United States.

“Certain adjustments to the orientation period of a foreign-educated nurse’s career in the U.S. increase the potential for career success and improve patient outcomes,” she says.

Based on her findings, Pattalitan recommends improving training and orientation programs to educate foreign-educated nurses å- registered nurses who received nursing education in a country other than the U.S. – about new equipment, differences in the hospital set-up and environment, use of electronic health records, and cultural differences in the U.S., specifically when it comes to patients’ care.

“A nurse workforce that reflects greater diversity can help break down communication barriers and ensure better patient advocacy,” she says.

Similarly, educators and school administrators can help remove cultural

r t h i c t i obstacles that may hinder minority stu- p dents from entering nursing programs m by helping them identify resources that n will make them more comfortable in w g their future profession. g Chamberlain College of Nursing, for example, is sensitive to the unique o cultural needs across its student popu- c a lation. For instance, Arab-American d students at Chamberlain’s Troy, Michigan, campus are provided with an alternative to the standard scrub pants, h allowing them to wear traditional hijabsn and long, modest skirts each day. The p o ankle-length scrub skirt option meets m students’ needs, and also complies with n the clinical site’s requirements. t Expanding the pipeline of nurses a entering the U.S. healthcare work“ force can help fill the projected nurs- g ing shortage and better address the d changing healthcare landscape in this e country. A pipeline of nurses that bet- t ter reflects the national population can s help healthcare professionals improve d their understanding of patients’ cultural w needs and sensitivities, enhancing the care they deliver and improving patient o t outcomes.

York County Health & Wellness 11

Sunday, November 22, 2015

in separate physical locations all together.

Through these connections, my students, in many ways, disprove disengagement theory themselves. They value the company of older adults, which changes both their medical practice and their own feelings about aging. Once they have lived it, it is not so scary anymore.

For many people, the most frightening part of aging is the possibility of cognitive decline or memory challenges.

I understand that many of my positive associations with aging were due to luck.

My grandparents’ and parents’ illnesses were relatively brief and death came swiftly; we were fortunate to avoid the devastation that dementia may cause.

By maintaining my positive outlook on aging, I am able to see every older adult as deserving of joy, respect and connection even in the face of frailty. I call this optimal aging.

I appreciate how challenging the ideals of optimal aging might sound to a family facing the complicated reality of caring aging through the academic lenses of for a loved one with cognitive decline. theory or existing research, I believe in Cognitive decline can have a vast array of learning what it means to grow old from causes, and they can be difficult to distinthe very people who are doing it. Being guish. Contrary to popular belief, mediimmersed with older adults is one of cine is not an exact science and the best ways to learn about peomedical care is not necple, aging and how to provide essarily health care. care. Applying this method When you add to "Embrace aging. of studying aging with this that we have Get active or remain my students helps them so few geriatridiscover that aging is cians, physicians engaged, and always have not abstract or frightenwho have spefriends who are younger cialty training in ing. Instead, they find than you." the care of older opportunities for new adult health, types of engagement and – Marilyn R. Gugliucci the challenges connection.

Ph.D., AGHEF, GSAF, AGSF and opportunities For example, in 2006, I for misdirection began the Learning by Living increase. Still, I hope Nursing Home Immersion that a better understanding Project, where I admit medical students into nursing homes to live the lives of cognitive decline can help us master our fears about this possibility and take of elder residents for two weeks. There, an active role in helping those with cogstudents experience care and treatment nitive decline remain valued members that they will eventually order as physiof our society. When family, friends and cians. We give each student a diagnosis students ask me how to help a family (stroke affecting the dominant side). member with cognitive changes, this is Nursing home staff provides standard my advice: procedures of care for that condition, 1. Start by learning everything you such as need to be toileted, bathed and transferred due to wheelchair reliance. At can about cognitive decline and accessthe end of the two weeks, many students ing resources. The Maine Chapter of the have difficulty leaving the home because Alzheimer’s Association provides excellent resources and programming. Also, of the friendships they develop during their stay – in spite of the 60–70 years age encourage other family members and friends to educate themselves. Care partdifference and inherent barriers such as frailty and illness. These connections are ners should not be afraid to ask for help.

2. Find out if depression is an issue. particularly meaningful for students who If it is, investigate all of the possibilities live with residents in dementia units, for addressing it. Nonpharmacologic or which are often separated from other non-drug approaches, such as a change areas by locked doors, or which may be

Connection.

Understanding.

Deliberate Care.

Aging should not inspire fear

I

was raised to believe that aging is a positive occurrence. My grandparents had optimistic, inquisitive and refreshing perspectives until the day they died, irrespective of their physical health. They helped me realize that there is much more to becoming old than chronological age. The model for aging that my grandparents imparted included involvement, fun, knowledge, growth, productivity, independence, health and, most importantly, choice. During wellness or illness, their voices and choices were meaningful in our family. When my grandfather died at the age of 72 and my grandmother at the age of 79, it wasn’t old age that got them; they got sick. Because sickness and death could happen at any age, I did not associate old age with death or decline.

Still, even for those who are relatively healthy in their later years, there are often negative associations with aging. As a professor of gerontology at the University of New England, I have learned that my childhood perspective on aging is not prevalent in academia. The first theory of functional aging (Cummings and Henry, 1961), negatively termed “Disengagement Theory,” argues that, gradually and inevitably, older adults disengage from society and society disengages from older adults. Although this theory was later disproven, it was the start of the disease, decline and withdrawal model that is often associated with being older in our society today.

Through my work at UNE’s College of Osteopathic Medicine, I question this dismal narrative. Instead of viewing

of routine, companionship with people or pets, exercise, and counseling, should be tried first.

3. Medications can cause cognitive issues, so have medications, including over-the-counter and herbal medicines, reviewed. Older adults have, on average, between five and seven health care providers, and it is dangerous to presume that providers are aware of all medications that the older adult takes. If an older adult takes more than four medications, there is a 25 percent chance of some drug to drug interaction causing side effects. Pharmacists can help with this review, especially if all medications come from one pharmacy. If an older adult uses multiple pharmacies, encourage them to have all prescriptions filled at one store.

4. Make an appointment to have a primary care physician conduct a MiniCog assessment. Although anyone can perform this test, having a primary care physician complete it will help if further testing needs to be done.

5. Encourage family members to plan for the care that they want in their older years by writing an advance directive and appointing a health care power of attorney. Document your own wishes as well.

In addition to understanding more about how to respond to cognitive decline, it is also very important to know that not all who live a long life will develop dementia. Many people are working to change that myth. Embrace aging, get active or remain engaged, and always have friends who are younger than you.

Age is not an indicator of health – ask a person what age he or she feels to get an indication of his or her wellness.

I hope that you will be aware of the negative stereotypes that our society associates with aging and older age, understand what the aging process means to the older adults in your life, and care deliberately for those who experience cognitive decline. These tips will help ensure that we stay closely connected to the older members of our society and challenge our own fears about aging.

After all, accepting ourselves and the changes that we experience are both key to aging optimally.

— Marilyn R. Gugliucci, Ph.D., AGHEF, GSAF, AGSF, is a professor and the director of Geriatrics Education and Research in the Department of Geriatric Medicine at the University of New England College of Osteopathic Medicine.

She is also advisor to the Gold Humanism Honor Society UNECOM Chapter and advisor to the American Geriatrics Society UNECOM Student Chapter.

12 York County Health & Wellness

Sunday, November 22, 2015

Alzheimer’s family and caregiver support groups in Maine The following communities in York County hold Alzheimer’s support groups for family members and caregivers of those with the disease.

The purpose of a support group is to provide an opportunity for family members and caregivers to meet and develop a

mutual support system that will help maintain the health and well being of its members.

In Biddeford, there are support group meetings on the second Monday of the month at 3 p.m. and 6 p.m. at Community Partners, Inc., 443 Main St. in the Sebago Room. For

more information, contact Barbara Alberda or Kevin Ward at 713-3723.

In Kennebunk, a support group is held the third Wednesday of the month at 1 p.m. at Atria Kennebunk. For more information, contact Susan Bertin.

In Sanford, support

groups are held the first Wednesday of the month at 7 p.m. and the third Wednesday of the month at 10 a.m. at Pavilion Alzheimer’s Res. Care. For more information, contact Kathy Wadden at 4907653.

In York, support groups are held on the third

Screening for common cancers:

What you need to

StatePoint Screening for common cancers is widely promoted by many health advocates.

However, for adults at average-risk without symptoms, it’s important to be strategic about such testing, according to experts, who say that too much screening can be harmful and provide little benefit.

“Numerous studies show that patients and many physicians overestimate the benefits of cancer screenings and are unaware of the harms associated with them,” says Dr. Wayne J. Riley, President of the American College of Physicians, or ACP, the largest medical specialty organization and the second-largest physician group in the United States.

In a recent paper published in Annals of Internal Medicine, the ACP issued advice for screening average-risk adults without symptoms for breast cancer, cervical cancer, colorectal cancer, ovarian cancer and prostate cancer.

“Smarter screening does not just mean more of it. High value care involves letting patients know about both the benefits and harms of screening, and encourages them to get screened at the right time, at the right interval and with the right test,” says Riley.

Harms of screening include a high rate of false positives and over-diagnosis, leading to the need

for more unnecessary testing, anxiety, and overtreatment of conditions that will never lead to health problems.

Evidence shows that some people have continued psychological effects, such as anxiety, problems sleeping, and intrusive thoughts months after a false positive. Because false positives are so common, the number of people who have these problems is very large, much larger than the number of people who are helped by low value screening. The ACP’s High Value Care initiative encourages physicians to implement a health care strategy that focuses on tests or treatments that improve health, avoid harms and eliminate wasteful practices. To learn more about your risk for common cancers and what tests are right for you, visit hvc.acponline.org/.

Shared decision making is important when deciding on any kind of screening. Discuss your goals, values, and preferences with your own health care provider before requesting or rejecting a cancer test.

“Although screening leads to important benefits for some cancers and some people, it can also lead to significant harms to many more people than those receiving benefits. Determining the right screening strategy is complex, but not impossible,” says Riley.

know

Wednesday of the month at 5:30 p.m. at Sentry Hill.

For more information, call Justin Lewis at 363-5116.

For more information about Alzheimer’s disease, contact the Maine chapter of the Alzheimer’s Association at 800-2723900 or visit the website www.alz.org/maine/.

York County Health & Wellness 13

Sunday, November 22, 2015

BPT

The most treatable serious senior health issue:

While Americans tend to associate the holidays with togetherness, joyful occasions and feelings of warmth and happiness, the season can also worsen feelings of loneliness and isolation for some people – especially older adults.

Loneliness is not only bad for seniors’ mental health, it can affect their physical wellbeing as well.

“The holidays can present families with an opportunity to spot signs of loneliness in their older family members and take steps to do something about it,” says Dr. Kevin O’Neil, chief medical officer of Brookdale Senior Living. “Isolation and

loneliness

loneliness in seniors can lead to debilitating depression, high blood pressure, dementia and shorter life spans. Time and time again we see that when seniors overcome loneliness, make new friends and feel a part of a caring community, they’re happier and their physical health improves.”

Research illustrates the link between loneliness and the advancement of dementia, deterioration of physical health and shortened lifespans.

Conversely, multiple studies

show feeling connected and happy is good for your health and can lead to a longer lifespan. What’s more, happiness really can be contagious. In fact, one study by researchers at the University of California and Harvard University found surrounding yourself with happy people can make you more likely to become happy yourself.

“Social connections are vital for people of all ages,” O’Neil says. “Emotional ties are even more important for seniors, yet

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they are also more vulnerable to losing those bonds through the death of a spouse, grown children busy with their own lives or the relocation of a long-time friend who moves

closer to be near their own family.”

As families gather for the holidays, they should be alert to signs their elders are feeling See Loneliness, 14

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14 York County Health & Wellness

Sunday, November 22, 2015

• Loneliness, from 13

lonely or isolated, including: • Your loved one has suffered a loss, either the death of a spouse or friend, or relocation of a long-time cohort.

• They give verbal cues, such as complaining they have no friends, feel confined to their home, have no one to talk to or severely miss a long-deceased companion.

• They exhibit signs of depression, including trouble falling asleep, irritability, loss of appetite and disinterest in activities that used to excite them.

• Their eating habits have changed. Seniors who are feeling isolated and depressed may lose their appetite, or engage in unhealthful comfort eating.

• Personality or behavioral changes are evident. Your normally stoic loved one has become tearful, a chatty person becomes quiet, or an out–going personality is now withdrawn.

• They become “clingy,” holding a handshake or hug longer than normal, and becoming upset when it’s time for a visit to end.

• They complain of pain or health issues that the doctor can’t explain. In some cases, the “illness” may be an attempt to get attention. In other cases, it can be a physical response to loneliness.

• A person who was once very capable may begin to have difficulty managing daily tasks or their finances.

“It’s vital seniors stay con-

nected,” O’Neil says. “Every Brookdale Senior Living community has resident programming, activities and opportunities for seniors to develop closer relationships.”

He recommends some tactics to help seniors combat loneliness: • Get moving. Physical exercise increases the body’s level of “feel good” hormones, and can contribute to improved sleep, as well as fewer aches

and pains. Seniors should get 30 minutes of moderately intense exercise per day, and if you exercise with companions, you’re also reaping the social benefits of the activity.

• Sit down with a friend or family member and watch a funny movie or TV show together. Laughter’s positive effects on the mind and body are well documented. Laughing together improves mood and can make people feel more

connected.

• Make new connections. Sit with someone at lunch whom you don’t know well. Ask a neighbor to go for a walk with you. Join a club or social organization.

• Help yourself feel better by helping others. Volunteering has many positive effects on mental health. When you volunteer your time to help others, you’ll feel good about your actions and also expand your

opportunities to meet new people.

• Learn something new – it’s not only good for cognitive health, it gives you the chance to make new connections with other students. Take a craft class, go to a personal finance seminar or take a cooking class.

“Loneliness can be a serious health issue for seniors,” O’Neil says. “Fortunately, it’s also one of the most treatable.”

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York County Health & Wellness 15

Sunday, November 22, 2015

s t i b a 3h

y h t l a e for h

skin

StatePoint

Want a glowing complexion? The services of a professional esthetician can run you a pretty penny, but luckily, an at-home routine can promote great skin, too.

For a convenient and affordable spa effect at home, consider the following.

Healthy Habits

Your skin truly is a reflection of your overall health, so adopting habits that benefit the entire body is crucial for a glowing complexion. Strive for a well-balanced diet, rich with essential vitamins and nutrients and be sure to stay hydrated. If you are a smoker with a desire to quit, the promise of healthier skin may just be the motivation needed to kick the habit. Drink in moderation.

Lastly, get plenty of exercise – just be sure to wash up shortly afterward to avoid clogged pores.

At-Home Care

Innovations in the skin care marketplace are making it easier to develop a routine at home that promotes the same smooth, glowing skin you can get from a spa treatment.

On a daily basis, first use your favorite cream, lotion or oil cleanser with its warming makeup removal plate to loosen and remove makeup with its heated makeup removal plate. Then, use a foaming cleanser along with the Japanese-style cleaning brush to cleanse your skin, purify pores and gently remove dirt, excess oil and lingering makeup.

Supplement this routine with more targeted cleansing twice a week. Use the silicone brush attachment and your favorite cleanser to focus on problem areas, such as blackheads around the nose.

Rest and Relaxation

Between packed schedules and a screen-loving culture, it can be difficult for lights-out to occur at a reasonable hour. However, proper rest is needed for your body to function at its peak – and of course, a good night’s sleep is the basis of the concept of beauty rest. The National Sleep Foundation’s recommends that adults ages 18 to 64 should aim for seven to nine hours nightly Additionally, the Department of Health and Human Services links stress with acne and other skin problems. Whether you prefer bubble baths, a yoga practice, or quality time with friends, for the sake of skin beauty and health, (as well as your happiness) take time out from your schedule to reduce stress.

Get smart about your skin care – a DIY approach can be an affordable and convenient way to get the glowing skin you want.

16 York County Health & Wellness

York County

Sunday, November 22, 2015

HEALTH &

WELLNESS

The December/January Health & Wellness guide will feature stories and information about Cervical Cancer Awareness and healthy New Year's resolutions in addition to other health news useful to people across York County.

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