Archives

The Race to Diagnose Alzheimer’s Disease

This week on “Caring for Seniors” Judy and Rich discuss the race to diagnose Alzheimer’s disease. They open up with talking about the Alzheimer’s Association’s Walk to End Alzheimer’s. It’s happening at the end of the month. Judy always keeps up to date about the latest research about Alzheimer’s. She shares a study that’s happening in New York. It involves an eye scan that showed there was the same plaque build up in the retina that is in the brain.

The Race to Diagnose Alzheimer’s Disease

The Race to Diagnose Alzheimer’s Disease

 

The search for plaque overall is still relatively new. Until around seven years ago, it was thought that the only way to diagnose Alzheimer’s was through an autopsy. There’s pet scans now but it can be expensive and not covered by Medicaid. Then Judy mentioned a rather unorthodox study, which was very small, that involved peanut butter. According to the study, those with Alzheimer’s could not smell peanut butter in their left nostril.

The reason so many studies are focused on early detection is because by the time we might show symptoms we will be well into Alzheimer’s. It’s easy for everyone to brush subtle signs, like getting lost or constantly losing keys, when we’re younger.

It’s only when we are older do we see the seriousness of it. There are some medications out there that can help but they can’t do too much once we are in the midsts of the disease, but if we can detect earlier, it can add years of independence and good quality of life. It won’t reverse the disease but it will stall it.

Check out the whole segment here.

SHS NH Received Statement of Support for the Guard and Reserve

SHS NH Received Statement of Support for the Guard and Reserve

Recently SHS NH received statement of support for the Guard and Reserve from NH ESGR. We are especially proud to receive this recognition!

This is really special to Judy and Randy because Judy’s father, Judy’s son, and even Randy himself served. So this is very close to home. ESGR helps to keep our heroes employed.

We are happy and honored to support all who serve our country. Check out the photos below!

 SHS NH Received Statement of Support for the Guard and Reserve

 SHS NH Received Statement of Support for the Guard and Reserve
SHS NH Received Statement of Support for the Guard and Reserve
SHS NH Received Statement of Support for the Guard and Reserve

Fall Issues, Physical Therapy, and More

Fall Issues, Physical Therapy, and More

On this segment of “Caring for Seniors” Judy and Rich talk about fall issues, physical therapy, and more. Judy has been a licensed physical therapist for 32 years. She’s also the owner of Seniors Helping Seniors NH for 5 years. She often uses her knowledge from physical therapy to teach clients about fall prevention.

Fall Issues, Physical Therapy, and More

Fall Issues, Physical Therapy, and More

 

Judy talks about some simple things to add to homes when a loved one is still living at home. Adding grab bars, railings, ramps if possible, and places to sit scattered throughout the house can significantly lower the chance of falling.

Of course there is always a chance of falling. The sad fact is that people fall whether they are in the hospital, at home, or in a community. But listening to Judy’s suggestions can help minimize this fact.

Judy goes on to discuss the importance of physical therapy for seniors. It’s been assumed that we just weaken as we grow older. This is somewhat true, but physical therapy can help regain and maintain strength.

It’s not the perfect solution but it is a good start when paired with exercise. Many of Judy’s clients would be covered by insurance or Medicaid so they wouldn’t even have to pay for it, despite whether they have a new or old condition.

Physical therapy can offer ways to relearn how to move the body and how to properly exercise. For example, it’s been discovered that the idea of smaller weights and more sessions is now outdated and it’s better to have heavier weights and less sessions.

You can listen to the whole segment here.

Assisting the Elderly and the Importance of Communication

Fall Issues, Physical Therapy, and More

On the latest segment of “Caring for Seniors” Judy talks to guest hosts Eva Castillo-Turgeon and Daniel Maradiaga about assisting the elderly and importance of communication. They start by discussing the origins of Judy’s French last name and the discrimination that French people have faced in New Hampshire. This transitions into who Judy hires for Seniors Helping Seniors NH, and how she tries to have bilingual caregivers to help the connection between client and caregiver.

Assisting the Elderly and the Importance of Communication

Assisting the Elderly and the Importance of Communication

 

Eva pointed out that we are have one of the largest population of elderly in the country. Judy agrees and says that the numbers are growing so high that there are not enough caregivers. She says she is always looking for caregivers.

But, she wants ones that understand that the client has had a vivid life and want to care for them genuinely. She wants people who can give love, give respect, and want to grow closer to the clients.

People are living longer and we have people living to a 103 years old when we thought 80 was old! It’s important to listen to their stories because we will never hear these stories again. 1 in 9 people will have dementia once they hit 65, when they get to the 80, 1 in 3 people will have it.

People need to understand that this is a progressive diagnosis. When people hear dementia, they think of Alzheimer’s which is the most common form of dementia. But there are over seventy different types of dementia, if you can believe it!

While dementia can affect how someone talks and moves and finishes tasks, it does not affect how they can have a relationship with someone. They can see and sense our emotions. They can mimic our emotions, so if a daughter is frustrated then the mother will get frustrated as well because they sense something is wrong. The key is to connect to people, to see them, not just care for them.

Check out the whole segment here.

Addressing Alzheimer’s: Origins and Diagnoses

Addressing Alzheimer’s: Origins and Diagnoses

On this segment of “Caring for Seniors,” Judy and Rich discuss Alzheimer’s. The show opens with Judy discussing speaking to Seacoast Emergency Room doctors, and how most of their calls are the results of a fall, some people even had bicycle falls. Then Judy shared how an 89-year-old tried marijuana for the first time and had numbness in his feet, and chest pains, which made him think of a heart attack, and the numbness caused him to fall. Judy spends some time addressing Alzheimer’s origins and diagnoses.

Addressing Alzheimer’s: Origins and Diagnoses

Addressing Alzheimer’s: Origins and Diagnoses

 

Rich and Judy went on to talk about medications and how caregivers at Seniors Helping Seniors NH can help by reminding seniors to take their pills. Judy points out that sometimes all they need is a reminder.

Or maybe they can’t see the pills. What do we mean by that? Well, with Alzheimer’s, our vision can start to change. So if there is a white pill in a white pill minder, we might not see it anymore. We think we took it.

Judy also went to a talk by an assistant professor in neurology who follows the latest research in dementia and Alzheimer’s. She is researching alkaloid plaques. It was in 1901 when Dr. Alzheimer had a patient who had significantly declined and had hallucinations.

The patient ended up in a mental institution because everyone assumed that was where she belonged, but Dr. Alzheimer didn’t give up. He tried to figure out why all this was happening to her. Sadly, she died before he could conclude.

When he performed the autopsy on her, it was then that he discovered her brain covered in alkaloid plaque and significant brain tissue loss. Back then, it was really scary and hard to talk about. Even today, it can be challenging to talk about, but it’s really important that we feel like we can talk about it.

Judy wants to share information that way. This topic is not so difficult to talk about it. The Alzheimer’s Association has some great resources, and in the fall, there will be a fundraising walk for research to end this disease.

Alzheimer’s is progressive and terminal. People do die of Alzheimer’s. With Alzheimer’s, we do see a loss of brain cells and tissues, and the brain weighs a third of what a “normal” brain weighs. The brain controls everything, so once that organ has difficulty, the rest will follow.

The key to care is to get a proper diagnosis. Sometimes people will be diagnosed with dementia, but that is not a disease, it’s the symptom. It’s like saying you have a fever, but you don’t know what’s causing it.

Check out the entire segment here.

Mindfulness and Resiliency in Seniors

Fall Issues, Physical Therapy, and More

On the latest segment of “Caring for Seniors” on Girard at Large, Judy and Rich discuss mindfulness and resiliency in seniors. This topic was inspired by Judy meeting two women at a recent charity event that Judy attended for The Alzheimer’s Association. One woman is coping with her husband’s younger onset Alzheimer’s, in addition her sister passed of breast of cancer a couple months ago. So even though she has every right to be miserable, she was there at the fundraiser mingling. The other woman has been on the journey of her husband having Alzheimer’s for a while now and she has been staying strong and trying to make the best of it.

Mindfulness and Resiliency in Seniors

Mindfulness and Resiliency in Seniors

 

Resilience can come in all shapes and sizes. This makes Judy think about what brings a person to this point of resilience? How is it important to not only senior care, but the seniors themselves? Aging can create a great amount of stress because we are living longer and facing more difficulties.

Judy goes on to surprise Rich and say that resiliency wasn’t even studied until after World War II. Psychologists noticed there were many orphans after the Holocaust that were doing better than other children and they wanted to know why.

There was a huge study in Hawaii of 700 children whose parents were extreme alcoholics. What they found was a third of them were doing exceedingly well than the other kids. Scientists wanted to know what makes one more resilient than another and can we change our ability to be resilience.

We can teach resiliently. If we go down a fear based path, meaning always asking “Why me?” and “What if?” then that strengthens those pathways, causing us to be less resilient. MRIs can see how our brains work and how blood flows as our brain changes.

Another study was done on Navy SEALS, found that the SEALS will move more quickly from the prefrontal cortex, where cognition and planning is housed, to the amygdala, where are emotions are stored, and then back. People with depression and anxiety tend to be slower.

This brought up mindfulness, it’s estimated that 40% of the time we are thinking about something other than what we are working on. A study showed that Marines who use mindfulness training for four weeks found their stress response to be much lower and performed better.

Mindfulness is staying in the moment, and is easily connected to resilience because we can change our brain. We can learn how to be resilient.

Obtaining Home Care Services

This segment of “Caring for Seniors,” Judy and Rich talk about obtaining home care services. Many people asked about the process of getting home care and the costs. It sounds straightforward, but it can be a long and confusing process if you are under pressure. You can be hurried and overwhelmed if you are in the hospital. So Judy decided to go through the process step by step.

How to get home care services

Obtaining Home Care Services

 

Let’s say Mom or Dad is in the hospital for three days due to a fall or illness and Medicare is paying for their visit. Now towards the end of the stay, the hospital is talking about rehabilitation or home health services.

Rehabilitation usually involves loss of functional ability, how well you are able to take care of yourself or how well your body takes care of itself. Rehab helps build the strength and is also paid by Medicare.

Or you don’t go to rehab and you are supposed to go home the next day while not feeling a hundred percent. This can put a lot of pressure on not only Mom and Dad, but the adult children who are looking after them.

Maybe they are overwhelmed. Maybe they have to be at work tomorrow and can’t get the day off. Maybe their parent needs more care than they can give.

What social workers most talk about is a referral to home health services. This means a nurse might come twice a week to help with a bath, maybe a physical therapist or speech therapist comes to help build strength and this is also covered by Medicare.

To qualify for home health services you need to: one, have a goal to work towards; two, the parent is participating and not refusing care; and three, you truly need to be home-bound.

What’s been confusing for adult children is that they might not know the difference between home health services and home care. As discussed, home health involves your health and building up strength. Home care is someone spending the night, helping around the house, meal prep, taking you for errands.

Home care is not considered medical. It can catch a lot of people off guard. Then they are confused about how it is paid. Most of the time it’s out of pocket, though there is a state program called Choices for Independence which helps pay for care. Also long term insurance can help pay for home care if you need help with two out of the six daily living activities.

Check out the whole segment here.

Seniors Helping Seniors Origins and The Conversation Project

Seniors Helping Seniors Origins and the Conversation Project

On this segment of “Caring for Seniors,” Judy spoke with guest hosts Hal Shurtleff and Ed Naile about Seniors Helping Seniors origins and The Conversation Project. Hal and Judy hadn’t met before so Judy explained what Seniors Helping Seniors does and the origin story. Judy talked about her own struggles caring for her parents and how it gave her the idea for the business.

Seniors Helping Seniors Origins and The Conversation Project

Seniors Helping Seniors Origins and The Conversation Project

 

Judy then moved onto The Conversation Project, continuing the discussion from the last segment. About 90 percent of people say having the conversation is important but only 27 percent actually have that conversation.

The Conversation Project goal is that they can help jump start the conversation while everyone is cognitively able to. Judy, Ed, and Hal talk about how other cultures seem to value elders, they come with wisdom, while our culture doesn’t value them as much.

The Conversation Project helps with that reverence because then the loved ones know what the person wants. Do they want to live and die at home? Would they like to go to a community? Who would be a healthcare proxy. What is a healthcare proxy? As a person, it’s the same as the durable Power of Attorney for healthcare, and it’s also a document.

Check out the whole segment here.

Seniors and Living Wills

Seniors and Living Wills

In this segment, Judy and Rich discuss seniors and living wills. They open with talking about “at risk” people, these are people who aren’t safe in their homes or not safe to be left alone due to injury or cognitive impairment. Judy states that the number one fear that elderly people have is loss of control. This can happen easily if their loved ones are concerned for their safety and everything starts to change. To them, it feels like suddenly they have no control.

But what is surprising is that very few people have started the process to have their wishes honored.

Seniors and Living Wills

Seniors and Living Wills

 

Judy recommends The Conversation Project, centered in Boston, which has developed tools to help get the conversation started. About 90 percent of people say having the conversation is important but only 27 percent actually have that conversation. Neither Judy or Rich were surprised by the numbers.

It’s a tough conversation to have. It can feel like the beginning of loss of control. Even Judy had to take baby steps with her father to find out what his wishes were. A study in 2012 found that only 15 percent of patients with Alzheimer’s had a living will and only 39 percent have a healthcare proxy. Which is concerning because now they have a cognitive impairment so they aren’t able to describe their wishes or they might think they are significantly younger than they are.

Having the papers ready can help stop a lot of discord in the entire family. Courts could get involved and disagreements can hurt family members. If only one person knows the wishes verbally and something happens to them, then the wishes are gone. Papers are cut and dry, and they lay everything out. Please, if you are a parent, the child, a doctor, don’t hesitate to have this conversation.

For more of Judy’s segments, click here.

Should the City Allow the Elderly to Stay in Their Homes?

Should the City Allow the Elderly to Stay in Their Homes?

Judy is back and this week on Girard at Large, Judy and Rich talk about should the city allow the elderly to stay in their homes? This discussion is sparked by a clip of Democratic Alderman and State Representative Chris Herbert concerning the removal of the elderly from their homes to make way for those who are able to higher tax rates. Judy points out the consequences of removing the elderly and the benefits of letting them stay.

Should the City Allow the Elderly to Stay in Their Homes?

Should the City Allow the Elderly to Stay in Their Homes?

 

The clip in question was the Alderman talking about removing an 83 year old neighbor from her 350,000 dollar house because she couldn’t afford the taxes. Apparently there is no such extravagant house in Herbert’s neighborhood as discovered by Rich and his loyal listeners.

The clip really upset Judy because she knows that 93 percent of the elderly don’t want to leave their home. Also most of the elderly that Judy helps will tell her they can’t afford a loaf of bread when sitting on a million dollars.That’s because they got to this point by living frugally, so Herbert, if such a woman existed and spoke with him, could have been mislead.

Judy also knows about the trauma that moving can cause for the elderly as she spoke about in a previous segment.

Plus the state would pay for move through hospitalization. The smaller the part the elderly play in the transition, the more trauma they face. If someone truly need to move because they are no longer safe then the transition must be done carefully.

Even if a program that removed elderly from their home existed, there aren’t enough beds in communities. That’s why Seniors Helping Seniors provides care for people on Medicaid through the program called Choices for Independence.

The programs helps people who can’t afford to stay in their home, stay in their home. Seniors Helping Seniors can come in just for 15 hours a week to help with errands, bathing, and meal prep so they can stay.

Plus no matter what, staying home helps improve their quality of life, it’s their home. They have created a life here, they raised their family here, and they are most comfortable here.