Dementia is a complex condition that creates significant challenges for individuals with the condition and their families. At Elderwood, we understand the unique needs of those living with dementia, and we are committed to providing comprehensive care that allows them to live fulfilling lives. One integral component of our dementia care program is Occupational Therapy (OT). OT plays a crucial role in improving functional and cognitive abilities. In this blog, we will explore the invaluable contributions of our Occupational Therapists, and highlight four key ways in which they enhance care for residents with dementia.

1. Functional Maintenance: Empowering Independence

Occupational Therapists at Elderwood work closely with residents with dementia to address functional impairments and promote independence in daily activities. They utilize evidence-based techniques and customize care plans based on each resident's skills, preferences, and cognitive levels. By breaking down tasks into manageable steps and employing strategies tailored to individual needs, OTs empower residents to dress themselves, maintain personal hygiene, and engage in routine tasks more independently. This focus on functional maintenance enhances residents' self-esteem and preserves their dignity, fostering a sense of accomplishment.

2. Collaboration with Speech Therapists: Enhancing Communication

Our OTs often collaborate with Speech Therapists to provide comprehensive care for residents with dementia. In cases where verbal communication abilities decline, residents may experience frustration and isolation. OTs and Speech Therapists work hand in hand to develop strategies that improve communication, such as using alternative communication methods or incorporating visual cues. By addressing communication difficulties, residents can maintain meaningful connections, engage in social interactions, and express their needs and emotions effectively.

3. Activities Programming: Stimulating Cognitive Function

“At Elderwood, our robust activities program complements Occupational Therapy interventions by promoting cognitive stimulation and engagement among residents. Our dedicated staff closely observes residents for any functional or cognitive changes, which inform the development of personalized care plans,” said Sabrina Wilson, Program Director at Elderwood Village at St. Gregory Court.

The activities provided cater to residents' skills, abilities, and perceptions, following the Seasons Memory Care program framework. By incorporating nationally recognized assessment tools, we ensure that each resident receives appropriate and personalized care, interaction, communication, and therapy. Engaging activities help exercise cognitive processes, stimulate sensory experiences, and encourage reminiscence, offering residents opportunities to explore their five senses.

“Recently, Elderwood Village at St. Gregory Court opened an all-new sensory unit, specifically designed to cater to individuals with varying levels of dementia. In this dedicated space, residents can engage in a range of sensory activities that stimulate their five senses. From sensory gardening to puzzles and other interactive programs, we strive to create a multi-sensory environment that promotes cognitive stimulation and sensory experiences. Additionally, we have implemented a sensory balance program to support our residents with dementia in regulating their internal clocks and promoting a sense of calm and well-being. This program focuses on helping residents wind down and rest after mealtimes, allowing them to recharge and be more alert and engaged later in the day,” added Wilson.

 4. Physical Activity: Promoting Mobility and Independence

Maintaining physical mobility and preventing falls are essential aspects of dementia care. Occupational Therapists at Elderwood adopt a dementia-capable care approach that offers alternatives to traditional exercise. By incorporating enjoyable and familiar tasks into residents' daily routines, such as arranging flowers or folding laundry, OTs engage residents in purposeful activities that simultaneously challenge their fine motor skills. These activities provide an avenue for physical movement, helping residents improve mobility, reduce the risk of falls, and foster a sense of independence.

Occupational Therapy plays a crucial role in enhancing dementia care at Elderwood by addressing functional and cognitive abilities. The collaboration among OTs, Speech Therapists, and other clinical professionals - along with our activities programming, contributes to the development of comprehensive care plans tailored to each resident's unique needs. By focusing on functional maintenance, improving communication, stimulating cognitive function, and promoting physical activity, Elderwood delivers and environment in which residents with dementia can live their lives to the fullest.

"At Elderwood, we understand the unique needs of individuals with dementia, and our Occupational Therapists play a vital role in improving their quality of life. Through customized care plans and a person-centered approach, our OTs empower residents to maintain their independence and dignity,” said Wilson.

As the population ages, the need for quality senior care services is increasing. According to the U.S. Census Bureau, the number of Americans aged 65 and older is projected to reach 98 million by 2060, nearly double the number in 2016.

With this increase in the senior population, comes a greater demand for assisted living and skilled nursing facilities. However, the traditional models of senior care are changing. The industry is undergoing a transformation, as technology plays an increasingly important role in senior care services. As residential senior care models evolve, enhancing the experience in assisted living and skilled nursing, some technologies are allowing seniors to stay in their own homes longer.

Here are nine emerging technologies and trends that will power the future of assisted living.

1. Predictive Analytics

Predictive analytics uses machine learning algorithms to analyze data and predict future outcomes. In senior living, this technology can be used to identify potential health issues before they become serious. For instance, data from wearable devices can be used to detect early signs of a heart attack, stroke, or fall. Predictive analytics can also be used to analyze medication data to identify potential interactions or adverse reactions.

2. Telemedicine

Telemedicine allows seniors to receive medical care remotely, reducing the demand for in-person doctor visits. With telemedicine, doctors can use video conferencing to diagnose and treat patients.

Telemedicine eliminates the need for unnecessary travel and making healthcare more accessible for those who may have difficulty visiting a doctor's office in person. As telemedicine evolves, we may see more customized telehealth solutions tailored specifically for the unique healthcare needs of seniors. This may include telegeriatrics, which focuses on geriatric assessments, memory care, and geriatric mental health services, as well as tele-rehabilitation, which can provide remote physical and occupational therapy for seniors recovering from surgery or managing chronic conditions.

3.Voice-Activated Technology

Voice-activated technology, such as Amazon's Alexa, can be used to control smart home devices and access information. For seniors, voice-activated technology can be used to help with everyday tasks, such as turning on lights, setting reminders, and playing music. Voice-activated technology can also be used to provide companionship, as seniors can ask questions and have conversations with their devices.

4. Virtual Reality

Virtual reality technology can be used to provide seniors with immersive experiences, such as virtual travel or virtual museum tours. Virtual reality can also be used for therapy, such as exposure therapy for seniors with dementia or PTSD. This technology can improve quality of life for seniors by providing entertainment and cognitive stimulation.

5. Robotics

Robotic technology may still be far into the future, but it has promise. This technology will be able to assist with activities of daily living, such as bathing, dressing, and toileting. Robotic devices can also be used for physical therapy and rehabilitation. Using robotic technology in this way can provide 24/7 care for seniors. This can be particularly useful for seniors who live alone or who have limited access to in-home care services.

One example of a robotic device is the "Robotic Care Assistant" developed by the Singapore-based company, LionsBot. This robot is designed to assist seniors with tasks such as bathing, dressing, and toileting.

6. Smart Home Technology

Smart home technology, such as smart thermostats, smart lighting, and smart security systems, can be used to improve safety and comfort for seniors. Smart home technology can also be used to monitor the health and wellbeing of seniors. For instance, smart sensors can detect falls or changes in activity levels, and alert caregivers or family members. Devices that are often utilized is Google Home, Alexa through Amazon, and Apple devices.

7. Wearable Devices

Smartwatches and fitness trackers can monitor seniors' activity levels and health. Wearable devices can also be used to detect potential health issues, such as irregular heartbeats or falls. This technology can provide caregivers and family members with real-time data on the health and wellbeing of their loved one.

8. Electronic Health Records

Electronic health records can improve communication and coordination among healthcare providers. They can also improve the accuracy and completeness of medical records. This technology can improve the quality of care for seniors by providing healthcare providers with a complete picture of a patient's medical history and current health status.

9. Social Media

Social media can be used to connect seniors with family members, friends, and other seniors. Social media can also be used to provide emotional support and reduce social isolation. This technology can improve the quality of life for seniors by providing opportunities for social engagement and interaction.

From predictive analytics to social media, these technologies can improve seniors' quality of life by providing entertainment, cognitive stimulation, safety, and social engagement. At Elderwood, we utilize FaceTime for families who can’t always come to visit a loved one. We’ve also utilized FaceTime for visits where families can’t We’re committed to staying up-to-date with current and emerging technologies in senior care. To find out what’s available in your area, click to visit our locations page.

As summer approaches, we all look forward to spending time outdoors and enjoying the warm, sunny days. Sunscreen is crucial for everyone, but it's especially important for seniors to protect themselves from the sun's harmful rays. These rays increase the risk of skin damage and skin cancer in seniors. In this article, we'll share tips on proper sunscreen use to ensure a safe and delightful summer for our older loved ones.

Understanding Sun Risks for Seniors

Let's explore the unique risks the sun poses to seniors:

Thinner Skin: As we age, our skin becomes thinner and more delicate. This makes seniors more susceptible to sunburns and other forms of skin damage since their skin's protective barrier weakens with age.

Cumulative Sun Exposure: Seniors are more likely to develop skin cancer due to their long-term exposure to the sun. Around 95% of skin cancer cases occur in people over 65.

Lower Melanin Production: Melanin, the pigment that gives skin its color, also offers some protection against UV radiation. Sadly, our bodies produce less melanin as we age, which increases seniors' vulnerability to sun damage.

Sunscreen Benefits for Seniors

The following are advantages that sunscreen offers seniors:

Reduced Skin Cancer Risk: Regular and proper sunscreen use can significantly decrease the risk of developing skin cancer, including the most dangerous form, melanoma.

Protection Against Sunburn: Sunburns can be painful and hazardous, especially for seniors with thinner skin. Using sunscreen helps prevent sunburn and its associated discomfort and health risks.

Prevention of Premature Aging: Sun exposure can cause premature aging, leading to wrinkles, age spots, fine lines, and a leathery texture. Applying and using sunscreen actively helps maintain younger and healthier-looking skin.

Choosing and Using Sunscreen:

Keep these tips in mind when selecting and applying sunscreen:

Broad Spectrum Protection: Choose sunscreens that offer broad-spectrum protection, blocking both UVA and UVB rays. Look for products labeled with an SPF of 30 or higher.

Waterproof and Sweat Resistant: Seniors who love water activities or physical exercise should use water-resistant and sweat-resistant sunscreen for lasting protection. Remember to reapply every two hours for continued protection.

Apply Generously and Often: Apply a liberal amount of sunscreen to all exposed skin at least 15 minutes before going outdoors. Reapply every two hours, or right after swimming or sweating.

Don't Forget the Details: Apply sunscreen to easily overlooked areas like the ears, neck, and tops of the feet. To further protect your face and eyes, consider wearing sunglasses and a wide-brimmed hat.

Sunscreen is essential for safeguarding seniors' skin from the sun's harmful effects. By understanding the risks and taking the necessary precautions, seniors can savor the summer season while maintaining their skin health. Always keep sunscreen handy, apply it generously and frequently, and encourage older loved ones to do the same. Enjoy the sunshine safely and make the most of the sunny days ahead!

As the population ages, the need for quality senior care services is increasing. According to the U.S. Census Bureau, the number of Americans aged 65 and older is projected to reach 98 million by 2060, nearly double the number in 2016.

With this increase in the senior population, comes a greater demand for assisted living and skilled nursing facilities. However, the traditional models of senior care are changing. The industry is undergoing a transformation, as technology plays an increasingly important role in senior care services. As residential senior care models evolve, enhancing the experience in assisted living and skilled nursing, some technologies are allowing seniors to stay in their own homes longer.

Here are nine emerging technologies and trends that will power the future of assisted living.

1. Predictive Analytics

Predictive analytics uses machine learning algorithms to analyze data and predict future outcomes. In senior living, this technology can be used to identify potential health issues before they become serious. For instance, data from wearable devices can be used to detect early signs of a heart attack, stroke, or fall. Predictive analytics can also be used to analyze medication data to identify potential interactions or adverse reactions.

2. Telemedicine

Telemedicine allows seniors to receive medical care remotely, reducing the demand for in-person doctor visits. With telemedicine, doctors can use video conferencing to diagnose and treat patients.

Telemedicine eliminates the need for unnecessary travel and making healthcare more accessible for those who may have difficulty visiting a doctor's office in person. As telemedicine evolves, we may see more customized telehealth solutions tailored specifically for the unique healthcare needs of seniors. This may include telegeriatrics, which focuses on geriatric assessments, memory care, and geriatric mental health services, as well as tele-rehabilitation, which can provide remote physical and occupational therapy for seniors recovering from surgery or managing chronic conditions.

3. Voice-Activated Technology

Voice-activated technology, such as Amazon's Alexa, can be used to control smart home devices and access information. For seniors, voice-activated technology can be used to help with everyday tasks, such as turning on lights, setting reminders, and playing music. Voice-activated technology can also be used to provide companionship, as seniors can ask questions and have conversations with their devices.

4. Virtual Reality

Virtual reality technology can be used to provide seniors with immersive experiences, such as virtual travel or virtual museum tours. Virtual reality can also be used for therapy, such as exposure therapy for seniors with dementia or PTSD. This technology can improve quality of life for seniors by providing entertainment and cognitive stimulation.

5. Robotics

Robotic technology may still be far into the future, but it has promise. This technology will be able to assist with activities of daily living, such as bathing, dressing, and toileting. Robotic devices can also be used for physical therapy and rehabilitation. Using robotic technology in this way can provide 24/7 care for seniors. This can be particularly useful for seniors who live alone or who have limited access to in-home care services.

One example of a robotic device is the "Robotic Care Assistant" developed by the Singapore-based company, LionsBot. This robot is designed to assist seniors with tasks such as bathing, dressing, and toileting.

6. Smart Home Technology

Smart home technology, such as smart thermostats, smart lighting, and smart security systems, can be used to improve safety and comfort for seniors. Smart home technology can also be used to monitor the health and wellbeing of seniors. For instance, smart sensors can detect falls or changes in activity levels, and alert caregivers or family members. Devices that are often utilized is Google Home, Alexa through Amazon, and Apple devices.

7. Wearable Devices

Smartwatches and fitness trackers can monitor seniors' activity levels and health. Wearable devices can also be used to detect potential health issues, such as irregular heartbeats or falls. This technology can provide caregivers and family members with real-time data on the health and wellbeing of their loved one.

8. Electronic Health Records

Electronic health records can improve communication and coordination among healthcare providers. They can also improve the accuracy and completeness of medical records. This technology can improve the quality of care for seniors by providing healthcare providers with a complete picture of a patient's medical history and current health status.

9. Social Media

Social media can be used to connect seniors with family members, friends, and other seniors. Social media can also be used to provide emotional support and reduce social isolation. This technology can improve the quality of life for seniors by providing opportunities for social engagement and interaction.

From predictive analytics to social media, these technologies can improve seniors' quality of life by providing entertainment, cognitive stimulation, safety, and social engagement. At Elderwood, we utilize FaceTime for families who can’t always come to visit a loved one. We’ve also utilized FaceTime for visits where families can’t We’re committed to staying up-to-date with current and emerging technologies in senior care. To find out what’s available in your area, click to visit our locations page.

As women age, their bodies go through various changes, both internally and externally. While some changes are inevitable, there are several ways women can promote their physical, mental, and emotional well-being.

Here are the top things women can do to age gracefully and maintain their health and vitality as they grow older:

1. Prioritize Physical Activity

Regular exercise is crucial for women of all ages, and it becomes even more important as they age. Engaging in regular physical activity can help women maintain muscle mass, bone density, and flexibility, which tend to decline with age. Exercise also helps improve cardiovascular health, boosts mood, reduces stress, and promotes better sleep. Women should aim for a combination of cardiovascular exercise, such as brisk walking or cycling, strength training, and flexibility exercises, like yoga or pilates, to maintain their physical well-being.

 2. Follow a Balanced Diet

A healthy and balanced diet is vital for overall health and well-being, especially as women age. Women should focus on consuming a variety of nutrient-rich foods, including fruits, vegetables, whole grains, lean proteins, and healthy fats. Calcium and vitamin D are particularly important for women's bone health, so including dairy products, leafy green vegetables, and fortified foods in the diet can be beneficial. It's also crucial for women to stay hydrated by drinking plenty of water throughout the day.

 3. Get Regular Health Screenings

Preventive care and early detection of health issues are crucial for women as they age. Regular health screenings, such as mammograms, Pap smears, bone density tests, and cholesterol checks, can help detect any potential health problems early on and ensure timely intervention. Women should also schedule regular check-ups with their healthcare provider to monitor their overall health and address any concerns or questions they may have.

 4. Practice Stress Management

Chronic stress can have detrimental effects on overall health, including increased risk of chronic diseases and accelerated aging. Therefore, it's essential for women to practice stress management techniques, such as meditation, deep breathing, mindfulness, or engaging in hobbies and activities that they enjoy. Adequate sleep is also crucial for managing stress, so women should aim for quality and restorative sleep every night. It is recommended to get at least eight hours of sleep.

 5. Take Care of the Skin

The skin undergoes several changes as women age, including dryness, thinning, and loss of elasticity. Therefore, it's important for women to take care of their skin to maintain its health and youthful appearance. This includes regular cleansing, moisturizing, and protecting the skin from the sun with sunscreen and protective clothing. Women should also avoid smoking, excessive alcohol consumption, and excessive sun exposure, as they can accelerate skin aging.

6. Keep the Brain Active

Cognitive health is crucial as women age, and engaging in activities that keep the brain active can help maintain cognitive function. Women should challenge their minds by reading, doing puzzles, learning a new hobby or skill, or engaging in social activities that stimulate the brain. Staying mentally active may help reduce the risk of cognitive decline and promote overall brain health.

 7. Build Strong Social Connections

Social connections are important for emotional well-being, especially as women age. Maintaining relationships with friends, family, and community can provide emotional support, reduce stress, and promote a sense of belonging. Women should make an effort to stay connected with loved ones, join clubs or groups of their interest, and participate in social activities to foster meaningful relationships and prevent isolation.

 8. Practice Safe Habits

As women age, it's important to practice safe habits to prevent accidents and injuries. This includes using proper footwear to prevent falls, ensuring the home environment is free from hazards, and taking precautions when engaging in physical activities. Women should also be cautious about their medications and follow their healthcare provider's instructions to avoid any adverse reactions or interactions. It's crucial to prioritize safety in all aspects of life to maintain good health and prevent accidents or injuries that could negatively impact overall well-being.

 9. Maintain Mental Health

Mental health is just as important as physical health, and women should prioritize taking care of their emotional well-being as they age. It's common for women to experience emotional changes or face challenges such as grief, loss, or life transitions. Seeking support from a therapist, counselor, or support group can be beneficial in coping with these challenges and maintaining good mental health. Practicing self-care, managing stress, and engaging in activities that bring joy and fulfillment can also contribute to positive mental health outcomes.

 10. Embrace Self-Care

Self-care is essential at any age, and as women age, it becomes even more crucial to prioritize self-care practices. Taking time for oneself, practicing self-compassion, setting boundaries, and engaging in activities that bring joy and relaxation can help reduce stress, promote well-being, and enhance overall quality of life. Self-care can take different forms for different individuals, and it's important for women to identify and prioritize self-care practices that work for them.

 11. Stay Engaged and Pursue Interests

Retirement or empty-nesting can lead to a significant change in daily routine, and it's important for women to stay engaged and pursue their interests. This can include volunteering, taking up a new hobby, traveling, or learning a new skill. Staying engaged in meaningful activities can promote a sense of purpose, fulfillment, and overall well-being.

 12. Practice Healthy Relationships

Maintaining healthy relationships is crucial for emotional well-being as women age. This includes nurturing existing relationships with partners, family, and friends, as well as fostering new connections. Healthy relationships are built on trust, communication, and mutual respect, and they contribute to a sense of belonging and support. Joining social clubs, fostering weekly or monthly book clubs with friends, or meeting up for dinners are great ways to commit to practicing healthy relationships.

 13. Plan for Long-Term Care

Planning for long-term care is an important aspect of aging in a healthy manner. Women should consider their future needs, including financial, housing, and healthcare needs, and plan accordingly. This may involve creating a financial plan, discussing long-term care options with loved ones, and setting up advance directives for healthcare decisions. Planning ahead can provide peace of mind and ensure that women are prepared for any future health or care needs.

 Elderwood is a leading provider of long-term and assisted living care. Click here to learn about options available in your area and how we can guide you through life’s transitions.

Aging is a natural process, and women can take proactive steps to age in a healthy manner and maintain their physical, mental, and emotional well-being. It's important for women to prioritize their health and well-being as they age, and to seek support from healthcare professionals, loved ones, and their community to ensure they age with grace and vitality.

Physicians play a key role in our healthcare journey through each stage of life.

Your children probably visited a pediatrician when they were young. Their specialized training in care for growing children helped them keep kids healthy. In the same way, we need a physician to care for us as we age. A person in their 70s or 80s will have different medical concerns than they did in their 30s or 40s.

Compared to younger patients, seniors have significantly different healthcare needs. Acute and chronic illnesses often coincide with the physical, social, and behavioral effects of aging.

 The role of physicians in senior care

Physicians have a variety of responsibilities when caring for seniors. They review medical history and ensure each resident receives regular examinations and orders for medications. With all these parameters, physicians are tasked with looking at the whole picture of the resident to determine what the course of action will be with their treatment plans.

“The goal of excellent medical care is always to help the patient achieve ‘successful aging’ – which includes accomplishing goals that are important to them, and having the best quality of life that they can,” said Elderwood Chief Medical Officer Dr. Ranjit Singh, MB BChir MBA. “Sometimes we make the mistake of having low expectations for our patients - because they are ‘old and frail.’ Sometimes patients and their families make the same mistake. We must not fall into this trap.”

Collaborating with the residents and establishing their goals is also important for implementing a care plan. “Our patients have hopes and dreams - they might be different than when they were younger, but they are just as important. A challenge we face is that we impose our own assumptions on others instead of exploring their goals and helping to meet them. One thing I like to do is to stop and look at the family photos on the wall in the patient’s room. Seeing them reminds me that the person in front of me is, first and foremost, a husband or wife, a parent, a grandparent, or a friend. Involving their loved ones can also help us to understand our patients better so we can provide them the best care possible.”

The importance of physicians in senior care

The number of physicians entering the field of geriatrics is decreasing. Therefore, internists, family physicians, and residents in training provide most of their care. Advanced age changes both how illness presents and how it responds to treatment. Seniors are often afflicted by frailty, a condition characterized by muscle loss, balance issues, and altered mental functioning.

“It is so important for us all to work as a team - our patients are complex and require all our joint expertise to help them reach their goals. None of us has the whole picture or the whole solution. But if we communicate and collaborate closely, we can make a difference,” said Dr. Singh.

Listening is key to caring for seniors at Elderwood

Elderwood is known to provide excellent care for the aging population, which is led by Dr. Singh and other physicians. Listening to patients is a valuable skill that Dr. Singh believes is imperative for the care of residents. “Listening is the most important skill,” he said. “First, we must listen to our residents and their families. We must understand their goals and needs, as well as their concerns and questions. As leaders, we must also listen to our staff. Our staff know far more about our residents than we do, and we must respect their knowledge and learn from them. Also, we need to understand the tremendous pressure that our front-line staff are under and do our best to support them.”

Dr. Singh has been with Elderwood for the last eight years and has known he's wanted to be a physician for as long as he can remember. “As a child, my family doctor seemed like part of the family. I knew that was what I wanted to be as well,” said Dr. Singh.

Dr. Ranjit Singh is the Chief Medical Officer at Elderwood, and Medical Director at Elderwood at Grand Island. In addition, he serves as an associate professor, and vice chair for research in the department of Family Medicine at the State University of New York at Buffalo. His research and teaching are focused on protecting older adults from medication harm. As a leader of "Team Alice" at the University at Buffalo, he works with an interdisciplinary team of researchers, patients, and caregivers, to design and test tools to help patients and their providers to recognize and prevent harm from medications that sometimes do more harm than good.

When it comes to dining and food service, seniors are well-traveled and well-educated and look for menu options that reflect their life experiences. Here are three dining trends you’ll find in senior living communities:

1. Restaurant style dining

Seniors will often seek a restaurant-style food and dining experience for breakfast, lunch, dinner, and snacks in between. From food preparation to management and service, the restaurant style approach deploys facility staff in traditional restaurant roles to deliver the proper experience. This involves creating a menu that changes with seasonally available foods that residents will enjoy.

Dining options have evolved significantly over the years in senior living communities. “We’ve improved the taste and quality of meals and offered a larger variety of food options,” said Amy Suwalski, RDN, Elderwood's Director of Nutritional Services. “Choosing palatable and visually appealing products is also important to encourage eating.”

2. Healthy approach to nutrition 

 Nutrition plays a crucial role in an individual's overall health, which becomes even more important with age. Family members often notice that their elderly loved ones are having difficulty eating or losing their appetite. Nutritional barriers increase as people age, according to Suwalski. "Our Registered Dietician Nutritionists (RDNs) use their expertise to address these issues and craft nutrition plans that help heal residents from the inside out," stated Suwalski. 

Loss of appetite has a significant impact on the health of seniors. With a lack of appetite, the body won’t be able to receive the nutrients required for optimal health. “It is very common to see a loss of appetite in the elderly. The underlying reasons include decreased physical activity, depression, or other factors such as medications. A senior’s care team should be be made aware of these concerns as soon as they are noticed," Suwalski noted.

Dietitians at Elderwood advocate on behalf of residents to help ensure their nutritional needs are met. As part of their responsibilities, RDNs are often consulted on upcoming meal requests. The dining team and nutritionists work together to develop dietary plans that address appetite loss.  

 "We cannot thank our RDNs enough for their dedication to our patient's health. They make a significant difference to their health every single day. Nutritional health should be discussed with a resident’s physician as soon as possible if there are concerns. Our overall health is largely affected by what we eat. As a result of properly leveraging food, not only can it help manage our health, but it can also help prevent disease," said Suwalski.

3. Individualized dining options

Residents in senior living can enjoy individualized dining options. This is especially important for seniors with underlying health conditions. Those who have dietary restrictions are offered individualized dining plans with dietary plans that may be focused on heart health, featuring  consistent carbohydrates, or assisting in renal function. Specialized plans can be made for those who are lactose intolerant, vegetarian, or gluten free.

Senior living facilities also cater to those with food allergies and those with autoimmune conditions that affect the digestive system, such as Celiac Disease. “For facilities that can accommodate  gluten free residents as well as those with food allergies, we have dedicated space, equipment, and utensils in the kitchen for their food preparation. The protocol for handling food allergies is preventing cross contamination and making adjustments in our menu software program so that residents don’t receive an improper item on their meal ticket and tray,” said Suwalski.

Providing a superior dining experience is the priority of Elderwood's culinary services team. At Elderwood, we are setting ourselves apart through our approaches and are turning a creative eye to menus, nutrition, presentation, and more. Every meal is delivered with excellent service and a pleasant experience by our culinary team. To learn more about our dining experience, visit Elderwood.com.

When it comes to aging in place, what's important is not just to sustain quality of life, but also to improve it whenever possible. Seniors typically prefer to age in place in the comfort and familiarity of their own home, but senior living communities can often times make aging in place a more comfortable and less stressful experience.

What is aging in place?

The concept of aging in place is providing seniors the ability to live in the same setting - comfortably, safely, and as independently as possible for as long as possible. 

It’s important to plan long-term for the best place and option. Consider all the “what-if” scenarios that aging can bring both now and, in the future, including the possibilities for impaired loss of mobility, decline in cognitive ability, and the availability of a support system.   

The goal of aging in place is to minimize disruption, anxiety, and expense. It can be as simple as staying in your home with appropriate modifications and support, or planning just one move into a senior living community.

Where to age in place

Living at home for as long as possible is the ultimate goal for most people. It can be possible if you plan, modify your home, and establish a supportive network of family and home care providers.

The decision to stay in your home or transition to a senior living option is complex and influenced by health, mental, and financial factors. Housing options like living at home are affordable, accessible, and suitable that help make it easier and enable you to remain in your established community for a longer period of time.

Senior living communities like senior independent living, assisted living, and skilled nursing can provide options for care that also help you maintain a level of independence you’re used to while keeping you safe and spare you from having to worry about home maintenance.

Things to consider when deciding where to age in place:

• Where is the ideal place that will be safe that you’d like to live?
• Are stairs, shower/bath access a safety concern?
• Are you able to safely prepare healthy meals on your own or do you need help?
• Can you handle household maintenance, or do you need support?
• Do you need help with medication management?

The benefits of aging in place in a senior living community

It’s important to recognize when extra care is needed – whether it's giving up the hassle of home maintenance and trading in for an independent living community, needing a little extra care with the help of assisted living, or the need for more intense clinical care with skilled nursing.

When preparing to assess whether a senior care community is right for you, it’s important to take a look at whether or not it’s a reasonable or practical option. Senior living communities like independent living, assisted living, and skilled nursing not only provide opportunities for extra care, they also can help minimize the likelihood of needing to move again.

Other benefits include a variety of recreational activities that are available in facilities, depending on your preferences and needs. Activities include movie and game nights, day field trips, happy hours, breakfasts, dinners, holiday celebrations, and senior-specific exercise classes. They also include transportation services, typically senior living facilities assist in getting seniors to and from doctor's appointments, grocery stores, and other places.

Independent living offers seniors the freedom where there are no worries about home maintenance. Assisted living facility is designed to help seniors who need assistance with activities of daily living (ADLs) which include bathing, dressing, and medication management.

Skilled nursing is better equipped to manage medical needs, regular therapy, IV medications, or the need for a ventilator or other forms of artificial respiration. Typically, skilled nursing residents would not be able to live at home due to their extensive clinical needs.

How to plan ahead

From the earliest working years, it is essential to make financial and economic plans so you can live out your retirement years in the best possible way.

In order to plan for retirement early, it is necessary to create a plan in your younger years and then change it, revise it, adjust it based on requirements and needs that develop throughout your life. For example, it’s common for age-related health issues to pop up over time. They can have an impact on your day-to-day life. Being prepared for these challenges can make the choice of where to age in place easier.

Budgeting is a crucial part of senior planning. There are expenses that you can be prepared for and others which may be unforeseen, especially with declining health. By planning ahead, you can create an outline with a rough estimate of what kind of care you will need and how you’ll pay for it.

Consulting with family members and professionals in advance can help develop a plan with staying at home or moving into senior living. Having expertise from a professional is beneficial, especially if you plan to downsize your home and move into a senior living setting.

Elderwood is there for you when aging in place independently may be becoming too much. We work to ensure there is minimal disruption in our residents’ lives – offering many options to age in place – even for those with progressive memory impairments. Two of our campuses offer all three levels of senior living options – independent living, assisted living, and skilled nursing, while two other campuses offer both assisted living and skilled nursing. This allows senior couples with different needs to live close by and individuals to remain in the same community should their care needs change. Visit Elderwood.com to learn more.

Retirement brings with it many changes. Early retirement may be busy with home projects or travel or maybe even lending a hand with the grandkids. But as time goes by, many retirees find more and more time on their hands. This may be the perfect time to explore a new hobby or hobbies! Diving into a new vocation can stimulate the mind, keep you engaged in the community, and even provide everything from simple enjoyment to a sense of fulfillment. So how do you get started? 

Choosing a new hobby

When looking for a new hobby consider both your interests and any physical limitations you may have. Identifying the right hobbies for you requires a more in-depth look. Ask yourself:

• Do I prefer a solo activity or a group activity? Activities like photography, birdwatching, painting, and candle making are examples of hobbies you can do on your own. Other hobbies require a partner or a group. These are hobbies like playing cards, group outings or excursions, or dancing. 
• Is there a hobby I always enjoyed but never had the time to devote? Take a moment to reflect on the past, look back as far back as when you were a child. Even later in life, some of the things that we loved doing as children can bring us the greatest joy. Taking up a forgotten hobby like card or stamp collecting may rekindle an old passion. 
• Will I enjoy an indoor or an outdoor hobby more? Indoor activities are easy to coordinate regardless of the weather and are accessible to those in need of care at home or in a senior care community. Among these activities are computer games, crafting, and jewelry-making. A hobby that gets you outside more often might be a good idea for you too. Consider what interests you most when it comes to outdoor activities like gardening or birdwatching.
• Could my hobby be something that helps others? Perhaps you could volunteer at a hospital or library, raise money for a special cause, or foster a pet. It may also be a good idea to take an online course to learn something you can apply in your every-day life to benefit yourself or others. Consider taking a cooking class. You can use what you learned and prepare fine meals for loved ones. 
• Hopefully, these motivational questions have inspired you. There's a chance you've already thought of a hobby you'd like to pursue. We've put together a list of hobby ideas for seniors if you still need additional inspiration.

1. Reading

Have you ever lost yourself in a good story while reading a book? Besides provides an escape and entertainment. Books can also enhance the cognitive abilities of seniors. There is even a possibility that it could delay the onset of Alzheimer's disease and other memory impairment diseases. Having improved cognition can therefore prolong one's life.

2. Bird Watching

Birds are very entertaining to watch. They are intelligent, humorous, clever, crafty, and socially interactive. Trying bird watching may be a great new activity to try for those who are no longer mobile. A home window is all you need to start. Or you can take a stroll around the neighborhood can easily be used to do this. The personality of your local birds will become familiar to you as you watch them over time. 

It's easy to get started. Keep food, water, and shelter in mind when creating a bird-friendly environment within your yard. You can have bird feeders, birdhouses, water baths for them to come to you. You can purchase a bird guidebook to learn about them and binoculars so that you can see them up close.

3. Gardening

Gardening is another option. There are many benefits to gardening. You can burn calories and build strength in your muscles while gardening. Connecting with nature allows you to experience the relaxing effects of the sun's rays. For better joint and back health, consider raised beds or vertical gardening. Also consider your environment and the plants that are most likely to thrive there. In addition to native species, here are some suggestions for easy plants to plant: 

• Fruits and vegetables
• Herbs
• Flowers

4. Volunteering

Seniors' well-being can be enhanced by volunteering. Volunteering allows seniors to have  sense of purpose and as well as the opportunity to make new friends and feel a sense of community. Seniors can volunteer in the following areas and places:

• Red Cross
• Libraries
• Religious Organizations
• Habitat for Humanity
• Meals on Wheels
• Animal shelters

5. Investigate family history

People are increasingly interested in tracing their genealogy. In addition, older adults now have an easy way to learn more than ever before thanks to the Internet. Records and heirlooms can be compiled, stories can be recorded, and DNA tests can be taken by seniors. As well as communicating with relatives around the world. Videos, scrapbooks of family photos, or writing down family history will be enjoyed by seniors who wish to share their experiences. It's a great way to pass down stories to the next generation.

It can be a source of peace for seniors to understand more about where they come from. Knowledge and understanding of all that their ancestors did to ensure the survival of the family may give them a sense of pride. Also, reminiscing about their own life experiences strengthens their memory recall. Along with using the internet as a resource, seniors can visit the library, or local municipality to obtain family records.

6. Game playing

You don't have to be a kid to enjoy games. They can be enjoyed by anyone of any age. There are many games that can be played by seniors that can be beneficial to them. Brain functions such as memory can be improved by playing games. Keeping the brain stimulated through play may even prevent memory issues from progressing. The act of playing games is not only cognitively beneficial, but it also promotes social interaction. The act of enjoying games with grandchildren or friends can help seniors from feeling isolated and lonely. Enjoy these games together, laugh, and have fun:

• Puzzles and board games
• Card games
• Word and number games
• Video and computer games

7. Pick up a new language

If you’d like to try and travel during retirement, especially abroad, considering learning a new language before your travels.

Learning a new language helps with memory. As you study a new language, your brain becomes more adept at understanding words, determining meaning, and enhancing communication. Many people believe that bilingual people have a better ability to solve problems and make decisions.

8. Making arts and crafts

Getting crafty with making art is a great way to relieve stress and work out your creative muscles. It helps improve motor skills and increase cognition. Here are some crafty activities to consider:

• Photography
• Knitting
• Jewelry-making
• Woodworking
• Painting
• Sketching

Embrace your golden years with new passions

Inspire a new passion within yourself by taking up a new hobby. Having a newfound motivation will provide you with a number of health benefits, not to mention a longer and healthier life.

Whether it’s been living in the same house for years, or a series of moves to follow a career, the passing of time will eventually cause many of us to rethink our living arrangements – or those of an aging parent. Enjoying life in familiar surroundings is almost always a first choice, but life and circumstances change. Issues with advancing age, or simply a desire to decrease the burden of home ownership can be the catalyst for a search for senior living options.

But how do you start? The first thing to know is that there are a wide range of options available to you, but for many, the search begins with understanding the difference between independent senior living and assisted living.

Although the two choices share some similarities - beautiful living spaces, enjoyable amenities, and friendly neighbors - knowing their differences can help you choose wisely. Here is everything you need to know about assisted living and independent living.

Differences in living accommodations

Small apartments and patio homes are the most common types of independent living options available in independent living communities. Assisted living residences are generally limited to one bedroom or studio apartments and offer enhanced safety features.

Independent living housing options

There are many types of independent living options, from apartments to housing living options. Typically, seniors live independently in their own private home or apartment and use community areas for gatherings.

“An independent living community is a wonderful way to make that next step in removing all responsibilities of home ownership but still having your own space and your own home to live out your best years of your life,” said Elderwood Residences at Cheektowaga Property Manager Allyson Krajna.

Individual units are suited for seniors who are able to live independently and offer similar amenities to small homes, townhouses, or apartments.

Assisted living housing options

Apartment-style assisted living is the most popular living arrangement in assisted living. Apartments with bedrooms are available in many facilities, as well as studio options. Depending on safety concerns, individual kitchenettes may or may not have appliances.

In addition to grab bars and emergency call buttons, rooms typically feature other safety and accessibility features. Many assisted living communities cater to adults with memory impairments so additional safety features are built into these communities. Some may even include “secured” memory care units to prevent wandering.

Services and care provided in assisted living and independent living

The level of medical and supportive care offered in assisted living differs from that in independent living.

Services provided in assisted living

Assisted living communities are designed with the increasing medical needs of residents in mind. An assisted living facility is designed to provide assistance to seniors who need assistance with activities of daily living or “ADLs.: ADLs may include bathing, dressing, and medication management.

“It’s important to ensure the licensure at the assisted living can meet your loved ones needs now or potentially in the future,” Elderwood Director of Operations Assisted Living Facilities Eric Bernard. “There are different assisted living options ranging from adult home to memory care and enhanced assisted living. Families should look for an assisted living that is eager to learn more about their loved ones needs.”

Residences have staff members available around-the-clock. Seniors with serious health conditions are unlikely to receive intensive hands-on care in assisted living, instead, they receive care in skilled nursing facilities.

Services provided in independent living

Independent living facilities strive to facilitate the day-to-day lives of their residents so that they can remain independent for as long as possible. In independent living, seniors receive minimal assistance with activities of daily living (ADLs). Medical care and manual assistance with ADLs are not provided as a service in independent-living communities.

These settings typically offer landscaping, housekeeping, and security surveillance. This allows seniors the ability to enjoy life without the responsibilities of home maintenance. Independent living does not feature medical staff available full-time.

Amenities available in assisted living and independent living communities

Assisted living and independent living provide recreational activities tailored to their residents’ needs and preferences. Activities include movie and game nights, day field trips, group activities, happy hours, breakfasts, dinners, holiday celebrations, and senior-specific exercise classes.

In addition to providing transportation services, both senior living options usually provide some assistance in getting to and from doctor's appointments, grocery stores, and other destinations. Each community, however, is different in this regard.

How assisted living differs from independent living

The majority of assisted living buildings are self-contained and designed to meet the needs of all residents. For seniors with mobility limitations, many communities have single-story buildings with widened doorways. Independent living communities often provide a separate building or area for communal gatherings – not unlike a condominium common area.

The key to beginning your search is to understand your immediate and longer-term needs. While there is sometimes an overlap in the profiles of independent and assisted living residents, the predominant driver in which type of community is appropriate is medical. If personal and medical assistance is required to live safely and securely, assisted living is likely the best option. If home maintenance or isolation are the biggest issues, the security and comradery of an independent senior living community may be the best option.

The financial commitment for assisted living and independent living

Assisted living is usually not covered by health insurance or Medicare, except in limited situations. The resident usually pays for long-term care, even though some long-term care insurance may cover it.

Independent living costs are strictly private pay.

If you are unsure about your options, connecting with a skilled nursing or assisted living professional can help. Seniors can find ways to budget for senior care to help prepare for the future.

When may it be time for seniors to consider assisted living while residing in independent living

There may come a time where the day-to-day tasks of keeping up independently are too much. Life transitions can be planned or unexpected. Whether the next step is assisted living or skilled nursing, it’s important to have a support system and trusted senior living community in mind as you go through making important decisions regarding senior care.

“We have residents as young as 65 and as old as 96 living in our independent living community and they are all truly independent,” said Krajna. “When it gets to a point where they need help with things such as bathing, and medication management, I feel it is a good time to start thinking about the next step – unless they have the means to hire in-home aides or have family to come in and help them. We also keep in contact with families as I notice things such as memory issues occurring that way, they stay in the know since I am here so often.”

At Elderwood we know the way and can help you through life’s transitions. For specific questions regarding assisted living and independent living options near you, click here.

The fall harvest features some of the most delicious fruits and vegetables of the year. Daryl Cronk, Elderwood Regional Dining Manager, has cooked up another seasonal dish. Here is an easy recipe for Fall Chicken Fricassee, Butternut Squash, and Apple Risotto.

Chicken Fricassee

Serves 8

Ingredients

8 Chicken Thighs (skin on)

4TB – Olive Oil

5 Celery Ribs (chopped)

1 White Onion (chopped)

8 Cremini Mushrooms (sliced)

10 Baby Carrots (halved)

4 TB – Butter

1 Cup White Wine

2 Cups Chicken Broth

1 Cup Heavy Cream

12 Fresh Thyme (picked and chopped)

 ¼ Cup Fresh Parsley (chopped)

3 TB AP Flour

Salt and Pepper to taste

Directions

1.) Season the chicken and heat the olive oil in a large skillet. Brown each side of the chicken (4-5 minutes each side). Remove and hold to the side.

2.) In the same skillet add butter. When melted add the vegetables and cook until tender. Add the flour and cook for about 1 minute. Add the white wine and reduce by half.

3.) Add the broth and cream. Season with thyme, parsley, salt and pepper. Add the Chicken to the pan and finish cooking on a low simmer (about 15 minutes).

4.) Garnish with fresh thyme or fresh chopped parsley.

Butternut Squash and Apple Risotto

Serves 8

Ingredients

Butternut Squash – 1 Cup (small dice)

Scallions – 1 Cup (chopped)

Fresh Sage – 2 Tb (chopped)

Honey Crisp Apple – 1 Cup (small dice)

Bacon – 3 slices (chopped)

Arborio Rice – 1 Cup

Chicken Broth – 2 Cups

Asiago Cheese – 1 Cup

Salt and Pepper to taste

Directions

1.) In a sauce pot, cook the bacon until tender, add the vegetables and sage. Cook until the vegetables are tender.

2.) Add the Rice and stir until coated. On low heat, add 1 cup of broth until absorbed, then add the second cup until absorbed. Taste to see if it is tender. You can add a little more broth if needed.

3.) Add the cheese and stir it in until well melted. Season to taste and serve

4.) Garnish with chopped scallions or garnish with a sage leaf.

Overcoming chronic pain, improving balance and stability, and prolonging independence – these are just some of the goals that can be reached by seniors through an effective physical therapy program.

A physical therapy program can help restore the loss of physical function or range of motion caused by chronic conditions such as arthritis, illnesses, injuries, or surgical procedures. In physical therapy, these conditions are treated through physical manipulation like massage, cold and heat applications, stretches, and exercise rather than with drugs or surgery.

In addition to evaluating and treating individuals on managing their conditions, physical therapists can also help patients prevent future injuries or health problems. A physical therapist creates individual treatment plans to assist patients with achieving their long-term goals, which typically include regaining their independence.

For seniors, a specific muscle group is often the focus for improved strength and stability. “All the muscles of the lower body are prone to injury with seniors,” said Elderwood Wellness Manager Steven Johnson. “The main purpose of your leg muscle is to keep your body standing. They constantly fight the force of gravity that tries to pull your body to the ground.” To be more specific, strength in the the gluteus (minimus, medius, and maximus) muscle group surrounding the hips is very important. They are closer to a person’s center of gravity.”

The benefits of physical therapy for seniors

The aging process brings about natural changes in our physical condition. As an example, muscle weakness and flexibility can hinder seniors' ability to perform daily tasks and prevent them from enjoying an active lifestyle. Physical therapy helps many seniors manage pain, improve balance, increase muscle strength, and decrease muscle fatigue that are naturally associated with ageing.

“Injuries cause deviations to our posture and our mobility,” said Johnson. “Physical therapy helps people recover and correct the deviations that happen subconsciously in response to an injury.  Left untreated by physical therapy, these deviations in posture and mobility affect other areas of the body which leads to further injury over time. It’s a vicious cycle. It’s more pronounced with residents in senior living because their generation grew up “walking it off”.  The current generation of physical therapists are trying to change that mindset.”

Here are the benefits physical therapy offers seniors:

Pain treatment for chronic conditions

Many seniors over the age of 65 experience daily pain from conditions like arthritis and osteoporosis. Physical therapy may help offset future symptoms by preserving strength and joint use. Additionally, physical therapists can provide therapeutic methods that can ease arthritis pain for those already suffering from it.

Fall prevention

Among seniors, falls account for most accidents leading to fractured bones or head injuries. In addition, once a senior falls, it's likely that he or she will fall again in the future. By teaching seniors how to maintain their balance, physical therapy helps them avoid additional falls.

An older person's muscles may become weaker and less flexible, making them more vulnerable to injury. To teach seniors how to keep their posture strong, physical therapy uses extension exercises.

Avoid surgery and dependence on prescription medications

According to Harvard Health's Howard LeWine, MD, physical therapy produces the same results as surgery, for certain conditions like spinal stenosis.

Get your independence back

A senior's overall health is improved if he or she is mobile and active. The benefits of physical therapy include keeping seniors active, physically fit, and strong, as well as maintaining a healthy weight. Being well conditioned allows seniors to perform tasks necessary to thrive on their own.

How long will it be before seniors see the benefits of physical therapy

Healing the body takes time, and it can take a little longer to heal as we age. “I would say weeks to months (8 – 12 weeks or 2 – 3months)” said Johnson. “It happens slowly and often people don’t recognize the changes.  A good physical therapist will use tests at the beginning and repeat them toward the end of the persons sessions.  This provides the person with tangible data or proof that they have improved.”

Following an injury or surgical procedure, you should begin physical therapy regimens as soon as your physician clears you to do so., To maintain the progress you gain, you should continue practicing after you have completed the therapy. 

“I encourage patients to talk with their doctor or surgeon about prescribing physical therapy,” said Johnson. “Have your physical therapist give you exercises to continue on your own after your sessions of physical therapy are over and continue to do them for the rest of your life! What can be gained can also be lost.  If you don’t use, you lose it.”

For more information about Elderwood’s wellness and rehab program, visit Elderwood.com.

Skilled nursing and assisted living are two senior living options for individuals for whom living independently is no longer the safest or most practical option. For those just beginning to see or experience changes in physical or cognitive abilities, these types of communities often get lumped under the generic term of “nursing home.” There are however, important differences in the type of care and services offered at the facilities which serve resident populations with very different needs. 

The following sections highlight the key differences between assisted living and skilled nursing and provide examples of circumstances where each living arrangement may be suitable for an individual in need of assistance or nursing care.

Assisted Living

Assisted living communities offer care to older adults who are either no longer able to live safely at home or for whom maintaining a house is too burdensome. While assisted living communities support residents' independence, they also provide assistance to residents with activities of daily living (ADLs) with including light housekeeping, meal preparation, dressing, and grooming. Depending on a facility’s level of licensure, assistance with healthcare issues can be provided including medication management and certain therapies. Staff in these facilities are available around-the-clock.

“Everyone’s needs and expectations are different,” said Elderwood Director of Operations Assisted Living Facilities Eric Bernard. “When looking for assisted living options it’s important to ensure the licensure at the assisted living can meet your loved ones needs now or potentially in the future. There are different assisted living options ranging from adult home to memory care and enhanced assisted living. Families should look for an assisted living that is eager to learn more about their loved ones needs.”

There is a full calendar of life-enriching activities in assisted living communities. Residents can choose the activities that suit their interests and hobbies. They can also take advantage of transportation to attend church services, appointments, and other events in the community.

Elderwood assisted living communities work with residents to help them age in place. This allows residents of assisted living communities to remain in a comfortable, familiar, and in a homelike setting.

Assisted living also helps assist those with memory care needs, and chronic conditions like diabetes. 

Skilled Nursing

Skilled nursing communities provide specialized medical care and daily therapy services to individuals who require clinical care care 24 hours a day. 

Within a skilled nursing facility, what many refer to as a “nursing home,” there are usually two distinct types of residents – short-stay subacute rehabilitation patients and long-term care residents.

Subacute rehab patients are often there following hospitalizations due to surgeries, injuries, heart attacks, or strokes. These patients are usually continuing their recovery following discharge from a hospital, where the highly specialized acute care provided in that setting is no longer needed, but the patient still requires clinical care and specialized therapies to fully recover and return home. 

In some cases, however, skilled nursing communities become permanent homes for those who will live there long-term. Their complex medical care and supervision needs are most often unable to be met at home. Professionally licensed personnel provide this medical care. Most residents need routine skilled nursing services due to complex medical conditions, including:

• Care for wounds
• The need for a ventilator or respiratory therapy
• IV medications
• Feeding tube
• Bed sores (pressure ulcers) at an advanced stage
• Therapies such as physical therapy, speech therapy, and occupational therapy
• Pharmaceutical, radiology needs, and laboratory services
• Hospice care or end-of-life care

“I can’t stress enough to families when looking for skilled nursing care options to ask a lot of questions,” said Elderwood Chief Operating Officer Phil Quillard. “I always suggest going online to look at a facility’s star rating through Medicare.gov. Families should also visit facilities to get a feel for the environment.”

Visiting facilities during high stress times of day can help give families an overall feel of how well a facility is being run. “Visiting during the early morning and late afternoon, which is a very busy time, is a great time to observe the staff and how well they’re interacting and caring for the residents. This is a great indicator for how well a facility is performing, said Qulliard.”

It is typical for residents to either have a single room or a semi-private room. Unless they are incapacitated or ill, they will eat their meals in a communal dining area. Activities are typically scheduled every day in skilled nursing communities. The activities are brought to those who are unable to attend the group activities.

There are LPNs and RNs on duty 24 hours a day in certified skilled nursing communities.

Skilled Nursing vs. Assisted Living

If living independently is no longer safe, many people are left wondering which option is best for them or a loved one. These situations often lead them to compare assisted living and skilled nursing. Based on what we’ve shared, here's a quick breakdown to consider when looking into your options.

Level of Need:

There are distinct differences between assisted living and skilled nursing.

Skilled nursing is better equipped to manage medical needs, regular therapy, IV medications, or the need for a ventilator or other forms of artificial respiration.

Assisted living may be a good option for those who need assistance with regular daily tasks. The following are the most routine needs expressed for assisted living residents:

• A person's daily routine (eating, bathing, and dressing)
• Need for companionship
• Management of medications
• Keeping track of finances 

The type of community that will admit your loved one will rely substantially on standardized evaluations that ensure individuals can live safely and have the easiest access to the care needed to maintain their health and wellbeing. Keep in mind that the level of care that may be needed right now could change in the future. A person may require skilled nursing temporarily after a medical event and be able to transition into an assisted living environment after rehab. The same is true for someone who is living in assisted living who may experience a need for increasingly complex clinical care – at which time a transition to skilled nursing may be appropriate.

“Many assisted living communities can offer some of the same services as skilled nursing facilities depending on the residents needs and the licensure at the facility.  If a transition to a skilled nursing facility is needed, we can work with one of many skilled nursing facilities in the area to ensure a smooth and safe transition,” said Bernard.

Having medical input from your team of health and family caregivers will guide you in choosing the level of care.

“When transitioning from an assisted living setting to a skilled nursing setting, we have families work with our case managers and social workers to ensure a smooth transition,” said Quillard. “They’ll work with the family and go over options for the appropriate setting.”

Setting

Assisted living is considered a residential setting, while skilled nursing is considered a medical setting. An assisted living facility can be an apartment like setting. While skilled nursing usually occurs in a traditional subacute or rehabilitation facility.

To familiarize yourself with the settings and care needed, ask to visit and tour. It’s important to ask questions. 

“Don’t hesitate to ask about level of care and services the facility provides,” said Qulliard. “Also, ask how long the administrator has been there and ask about staff to resident ratio. If you notice anything while on a tour that maybe a concern, don’t hesitate to bring it up. Communication is important when trying to find the right setting for your loved one.”

Duration of Stay

The need for skilled nursing is a short-term temporary stay unless an individual will require long-term medical care. After a hospitalization or sudden health event, skilled nursing is most often needed.

Assisted living is long-term and allows residents to enjoy as much independence as possible with added assistance to help with everyday tasks that may require assistance.

Goal of the stay

Rehab and returning to independent living are the primary goals for skilled nursing facilities. A rehabilitation program may also aim to prepare an individual for a more permanent living environment. However, if skilled nursing is long-term, round the clock medical care is the goal.  

Assisted living is more permanent and not temporary living arrangement. The goal is to offer independence to an individual while also providing extra assistance with tasks such as preparing meals, medication management, bathing, and dressing that maybe needed.

Assisted living and skilled nursing facilities offer opportunities for social interaction tailored to the interests and abilities of their residents. A supportive living environment can provide a variety of activities. The overall living environment creates a homelike atmosphere that allows residents to do more living, which is the way life is meant to be. 

Degree of independence

Skilled nursing is available to people who have been hospitalized or have suddenly declined in health and require frequent monitoring and constant medical care. As a result, residents have limited independence depending on the medical services they need.

While assisted living residents enjoy more independence, deciding what assistance is needed based on their abilities. To help residents avoid driving, assisted living communities offer transportation services. 

A person living in an assisted living facility does not necessarily require constant medical attention, but staff is available just in case.

“Staffing at each facility in assisted living is based on the individual needs of the residents. Assisted living employees RNs, LPNs, Resident Aides, HHAs, PCAs. Care is provided on site 24/7 should needs arise,” said Bernard.

Financial commitment and insurance coverage

Due to the round-the-clock medical care that is required by skilled nursing facilities, skilled nursing care costs are higher than assisted living. There are, however, options for those in need of skilled nursing to help take care of these costs, such as long-term care insurance or Medicaid.

Most skilled nursing facilities offer Medicare and/or Medicaid options. Health insurance and Medicare do not usually cover assisted living, except in limited circumstances. Although there are some long-term care insurances that may cover it, the resident usually pays for it. If you are unsure about your options, contact connecting with a skilled nursing or assisted living professional can help. Aging seniors can find ways to budget for senior care to help prepare for the future.

For specific questions regarding assisted living and skilled nursing options near you, click here.

When is the right time to consider assisted living? It’s a question and a concern that many families wrestle with. The answer might be now if you’ve been noticing new challenges in your day-to-day routines, or those of your loved ones. Assisted living communities offer the ability to maintain independence, while offering just the right amount of assistance with daily care.

So where do families begin once they decide it’s time to seriously consider assisted living? When embarking on the journey to learn about, and search for, assisted living options, consider the following:

Identify the need for care

Families looking for senior care options could be at different stages in the process when they begin their journey and reach out to an assisted living community. Individual circumstances are different and will drive the type of information you seek and the urgency with which a solution is needed.

“Most families contact us when they begin to notice their loved one is starting to have some kind of trouble living completely independently,” said Elderwood Community Relations Coordinator Krista Savage. “That might be with mobility for example, they could have stairs in their home that are becoming more difficult to navigate.”

Difficulty can also come from managing medications. Families might notice their loved one missed a dose of medication and are becoming concerned. Seniors may be feeling lonely living at home alone. Isolation and lack of intellectual stimulation can lead to changes in mood and cognition. Even if physical abilities are still strong, socialization and the opportunity to make new friends are also important reasons to consider an assisted living community and to investigate options.

Search for the perfect fit

When it comes to searching for an assisted living community, many families have criteria in mind. Families approach their initial searches differently, but most families are seeking communities that can provide exceptional care and safety.

“We often will talk about what a wish list of things looks like to each family,” said Savage. “If safety is on their list for example, not everyone may have the same definition of 'safety’. For some it may mean the physical security of the community, so that a loved one living with dementia wouldn't be at risk for getting lost in the neighborhood. For someone else it may mean having staff available in times that their loved one needs some help with daily tasks.”

By discussing needs and expectations with your loved one openly and honestly, you will be on the same page with a care plan. Families seeking assisted living information have many sources at their disposal. “We are living in the age of technology of course, and many people find us online. Someone they know may share the name of our community with them whether it be a friend, family member or medical professional, and naturally we all usually go to our smartphone or computer to look into things a little more,” said Savage.

The Internet allows an opportunity to research and search through a vast amount of information available to families who just want to get started with obtaining information. Then, when they are comfortable, they usually reach out to assisted living communities on the phone with questions and to seek additional details for their family.

Make a decision

Many families will work together with an aging parent to make decisions about assisted living. “I'm usually working with adult children of our future residents initially. They often start the process, do some research and then talk with their parent about what they learned. It is always important to involve your loved one in the process and explain to them your perspective and how assisted living could benefit the whole family,” said Savage.

Families may also involve their medical providers or care managers in the decision-making process. By doing this, you can ensure your loved one's healthcare team is on the same page regarding their ongoing care.  

One of the first steps in decision making process is visiting an assisted living community that fits your needs for a guided tour. “At the tour we sit down in a private space to have an open conversation about the current situation, resident needs, preferences, and of course answer a lot of questions,” said Savage.

After that, families have an opportunity to walk around the community and share a conversation about how an assisted living community might be able to meet those needs that were identified throughout the conversation. “We’ll look at a model room, the dining room, activity area, outside common areas, or any place that might be important,” said Savage. 

Apply to join a community

After the completion of a private tour the next steps are typically determined by the urgency of the situation and how soon a loved one may want or need to move to the assisted living community. Most communities with available space can accommodate the timetable needs of a resident and their family for move-in.

For example, a future resident who is currently in the hospital and in need of care upon discharge will move in a lot sooner than someone who is living at home independently and planning ahead. 

There is a medical component to the move-in process as well. “We will connect with the primary care physician who is caring for the future resident to learn about their medical history and associated needs. We also will have a financial discussion to talk about the cost of care and provide information about financial options,” said Savage.

For families that have planned rather than finding themselves in a more urgent circumstance, the experience of moving into assisted living is often much smoother. “My best advice to families is to start talking about and learning about senior care options before you need to,” said Savage. “It can be an overwhelming process but don't be afraid to reach out for help. We are here to help, no matter what your circumstances.”

For specific questions regarding assisted living care options near you, click here.

Our senior years are the most crucial time period for maintaining health, yet we neglect exercise due to a lack of time and physical stamina. Consistent exercise and physical activity can improve a senior's health and quality of life. Living an active lifestyle can help maintain mobility and prevent injury as we age. 

Before starting a physical fitness program, you should consult your physician. Through open communication, you can reach your fitness goals in a manner that is comfortable for you. When exercising, it's important to avoid anything that feels uncomfortable or painful. Whenever possible, stay within a pain-free range of motion. 

“It’s important to make sure your doctor approves of you exercising and see if he has any instructions or limitations depending on your medical condition,” said Steven Johnson, Wellness Coordinator with Elderwood, a leading provider in senior care.  “A fitness assessment is then in order.  It is an important tool to provide feedback, track improvement, and motivate commitment.”

Get started, stay motivated, and find new activities with these fitness tips.

1. Find a fitness routine you enjoy

If you’re planning on committing to exercise, then the best way to ensure you will stay in the routine is by finding something that you like to enjoy doing.

If you’re not sure where to begin, according to Harvard Health, walking can help seniors stay mobile and independent.

“The easiest way to improve health is to walk more,” said Johnson. It’s an easy and manageable goal. This can be done in 10-minute segments, by walking 10 minutes in the morning, 10 in the afternoon, and 10 in the evening.”

It’s also important to have a regular schedule to maintain physical activity. “Everyone should be physically active about 5 to 6 days a week. That can be anything from walking to dancing. Ideally, everyone should also be strength training to build and maintain muscle mass about 2 to 3 days per week,” said Johnson.

2. Start slow and ease into a routine

Beginning a fitness routine can be daunting. It’s important to be kind to yourself and slowly ease into exercise.

After the first few workouts, you may experience some aches and pains with muscle soreness. Within a few weeks, you’ll start to notice less soreness and will gain more flexibility, strength, and endurance.

It is important to listen to your body if you feel like you need to rest. It’s OK to ease up and modify exercise or take a day or two off to allow your muscles and body to recover.

3. Incorporate healthy eating habits

While living an active lifestyle is important, incorporating healthy nutrition is essential to maintaining balance and fueling your body. Healthy eating can help seniors stay active for longer, which improves mental and physical health. A balanced diet that is comprised of unprocessed foods helps with energy, metabolism, and bone health. A colorful plate of food options can help you eat healthily. Fruits, vegetables, legumes, starches, and proteins should be bursting with natural colors on your plate. Try plenty of colorful foods you enjoy and then experiment with foods you haven't tried yet. 

4. Keep challenging yourself

Once you’ve hit your stride with establishing a routine it’s important to challenge yourself and to continue setting goals as you progress through your fitness journey. In addition to providing motivation to improve, challenging yourself can also demonstrate what the body is capable of.

The best ways to try and challenge yourself is to increase the length of your walk, increase weights with strength training, or even look to incorporate a new workout. It’s important to check in with your healthcare provider and update your fitness assessment and get clearance before incorporating more rigorous workouts.

5. Reward yourself

As much as you should challenge yourself to reach your full potential, you should also celebrate and reward yourself whenever you reach a milestone. Starting and maintaining a fitness routine takes commitment and it’s not easy. Achieving goals throughout your fitness journey is something to celebrate, especially when you start noticing the results from your efforts.

“After a few weeks, people usually notice more energy, sleeping better and less difficulty performing activities of daily living,” said Johnson.

It’s an end of an era as the world watched the Pearson family conclude their six-season journey on This is Us, the NBC television drama series that debuted in 2016.

The show’s quality writing has provided the ability to show life in review, telling relatable stories that starts with us taking care of our children and ends with those kids taking care of us. It captured life's most joyous and challenging life transitions. 

One of those challenging life transitions was watching how Rebecca Pearson, the beloved matriarch of the family, slowly regressed after being diagnosed with Alzheimer’s Disease.

Patience and flexibility are essential when caring for someone with memory loss and other cognitive impairments. The caregiver must adapt to meet the person's needs as they lose their ability to remember, reason, and communicate. We saw this conveyed beautifully as the "Big Three" children of Rebecca - Kevin, Kate, and Randall navigated their mother's care as her abilities declined, especially after the death of her husband Miguel. 

The show has received praise and positive reviews for its accurate portrayal of an individual struggling with Alzheimer’s.  Caregivers at Elderwood, a leading provider of senior memory care services in New York, Rhode Island and Vermont use a variety of tools, many of which we’ve seen in the show, from the clinical and strategic to the physical and technological.

Some elements of Elderwood’s Seasons Memory Care® that we’ve seen playout in the show include items within our Sensory Balance Program. Weighted objects, particularly electronic dogs and cats, along with weighted baby dolls, are very helpful tools in Elderwood’s memory care units.

In the show, we see Kate explaining to her brothers how an electronic cat she got their mom helps fulfill a sense of purpose. “It brings them back to a time where they could take care of something,” she explains.

Music is also crucial and powerful with memory care. Music has always been important to Rebecca, having aspired to be a singer when she was younger. Her children have seen the importance of the outlet throughout their whole lives with her. When Kate asks her to perform at her wedding nerves begin to set in for fear that she may not be able to remember or perform on the day of the wedding.

Songs and rhythm can help those with Alzheimer’s with memory recall.  Because songs are formatted with repetition and catchy lyrics, they can bring back memories and help patients remember. We saw that in the show when Rebecca sat down and after pausing for a period where we didn’t think she’d remember, she was able to perform an emotional performance of the show’s theme song The Forever Now.

As the series draws to a conclusion, it has meant a lot to people to witness a very relatable story of illness and how it impacts families. The end can be sad, but as William says, “If something makes you sad when it ends, it must’ve been pretty wonderful when it was happening.”

For more information on memory care services to preserve your loved one’s quality of life, click here.

Nutrition is a key component in a person’s overall health and becomes even more critical with age. Often, family members note difficulty eating and loss of appetite in their elderly loved ones. “It is particularly difficult to manage seniors’ nutrition. As people age, the barriers to optimal nutrition increase,” said Amy Julicher, RDN, Elderwood’s Director of Nutritional Services. “Our Registered Dietician Nutritionists (RDNs) use their expertise to balance these issues and craft nutrition plans that heal residents from the inside out,” added Julicher. 

Be on the lookout for these 3 nutrition complications that often arise in seniors.

1.      Problems Chewing or Swallowing Food

It is common in the aging process to develop difficulty with chewing and swallowing. This can result from natural wear and tear on the esophagus, muscle weakness, and other issues commonly associated with aging. It is important to monitor seniors’ ability to chew and swallow and report any concerns to a doctor or their care management team. At Elderwood, our team of experienced RDNs are monitoring seniors for signs of these complications regularly.

Lindsay Ormsby, RDN, is a member of the nutrition team at Elderwood at Williamsville. She spends a portion of her day making rounds during mealtime to monitor how residents are eating. Elderwood RDNs work closely with occupational and speech therapists to address the needs of residents. “When I go on rounds, I am monitoring residents for any signs of difficulty chewing or swallowing. If there are issues present, I report them to the therapy team. After evaluation, I will discuss the outcome with the therapy team and come up with a plan to help the resident,” said Ormsby.

Solutions to problems chewing or swallowing might include adjusting diet textures, increasing the level of feeding assistance, or accommodating any adaptive equipment required during mealtime. “It is vital that we address these issues as soon as they are detected so we can make the appropriate changes. If these issues go undetected, further complications can arise such as weight loss, nutritional gaps, and other imbalances,” said Ormsby.

2.      Weight Changes

Whether it be weight loss or weight gain, regularly monitoring weight changes in seniors can help identify any underlying nutrition issues that are present. As a normal part of the aging process, levels of water, fat, and muscle change. However, sudden changes in weight can be a sign of a number of serious health challenges.

Our nursing and RDN teams work to closely monitor the weight of each one of our residents and address any underlying concerns. In addition to monitoring weight, lab tests and blood work are regularly checked for nutritional deficiencies. Regularly checking on seniors’ weights and tests allow our team to respond quickly to any concerns. In addition, our RDNs also conduct regular nutritional physical assessments to address any weight changes. If there are nutritional gaps, additional snacks or supplements are worked into your loved one’s care plan.

3.      Change in Appetite

Loss of appetite is a huge concern when it comes to meeting the nutritional requirements for seniors. “It is very common to see a loss in appetite in the elderly. This can be a result of lessened physical activity, depression, or other issues. It is important to bring these concerns to the attention of your loved one’s care team as soon as they are noticed,” said Julicher.

RDNs at Elderwood work to be an advocate on behalf of each resident for their individual preferences to help meet their nutritional needs. It is not uncommon to see our RDNs attending resident council meetings to hear their requests for upcoming meals. Hand-in-hand with the dining team, RDNs work to create meal plans that will help combat loss in appetite.  

 “Our RDNs are a critical asset to the health of our patients, and we can’t thank them enough for the hard work they put in each day. If you have concerns about the nutritional health of your loved ones, you should speak to their doctors immediately. The food we eat plays a large role in our overall health. When leveraged properly, food can be used not only to manage health but also prevent disease,” said Julicher.

Whether your loved one lives on their own or in a senior care setting, it is important to pay attention to proper nutrition. Be sure to talk to their doctor or care team if you notice signs of nutritional deficiency. Click here to learn more about the benefits of skilled nursing communities and find out if it’s the right fit for your loved one.  

Now that the hustle of the holiday season is over and the weather is cold and dreary, it can be easy to fall into the “winter blues”. This is especially true for seniors living alone. If these feelings of sadness or loss of energy persist for an extended period, it could be a sign of something more serious.

Seasonal Affective Disorder (SAD) is a form of depression that can occur at any time of the year, but it is more common during the winter months. According to the National Institute of Mental Health, people who experience SAD have reduced levels of serotonin, a neurological chemical that regulates mood, and increased levels of melatonin, the chemical that regulates the body’s internal sleep cycle.

This imbalance of serotonin and melatonin is most often found in seniors, women, and people that already suffer from conditions like anxiety, depression, or hormonal imbalances. Be on the lookout for these common signs of SAD in your loved ones:

• Withdrawal from social activities
• Lack of interest in hobbies that were once routine
• Difficulty concentrating
• Change in sleep cycle or sleeping more than usual
• Decreased energy level
• Agitation and irritability
• Change in appetite
• Weight gain

Managing SAD in Seniors

It is vital to keep a close eye on seniors during the winter months since many signs of SAD are difficult to detect. “Seniors who live alone are at a higher risk of developing SAD due to limited social interaction and physical activity,” said Patricia Schoch, RN, Regional Director of Clinical Services for Elderwood, a leading provider of senior living and senior care services in the Northeast.

There are a variety of recreational activities in Elderwood senior communities including bingo, discussion groups, card clubs, outings, and many other activities. Encouraging seniors to participate in these activities keeps them stimulated and engaged while increasing their overall well-being.

“Elderwood’s award-winning Right Moves® wellness program actively engages residents in their community through exercise and activities. Not only does this allow them to increase mobility and maintain independence, it also provides increased social interaction which can play a critical role in preventing SAD,” added Schoch.

Diet is also a key factor in energy level and mood regulation. Because SAD is so closely related to sun exposure, it is likely that a person suffering from SAD is also vitamin D deficient. This is even more likely for seniors because their bodies absorb vitamin D less efficiently than young people. “Many seniors are advised to stay away from vitamin D-rich foods such as cheese and eggs due to other dietary goals. Talk to your doctor about the role that vitamin D may be playing in SAD symptoms,” said Amy Julicher, corporate director of nutritional services for Elderwood.

It is important that senior diets are closely monitored to ensure they are getting what they need to feel their best. “Our nutritional services staff at both assisted living and skilled nursing facilities take extra care to meet the many dietary needs of our residents,” added Julicher.

Talk to Medical Providers

There are a variety of treatments available to manage SAD. Seniors may have other medical conditions that contribute to their mood, energy levels, and overall health. If you have noticed a pattern developing in your loved one, encourage them to visit their medical providers to determine whether they may be experiencing SAD. “Ultimately, talking to the appropriate doctors and developing an individual plan is the best approach to SAD,” said Schoch.

Glaucoma is the leading cause of irreversible vision loss in the United States. Nearly 2% of adults in the United States older than 40 suffer from glaucoma and it is the leading cause of blindness for those 60 and older.

While glaucoma is linked to chronically elevated pressure in the eyes (intraocular pressure), it’s more accurately described as an optic neuropathy – gradual damage to the optic nerve resulting in progressive loss of vision. The progressive loss of peripheral vision in glaucoma often leads to difficulty with driving, particularly at night, and can increase the risk of falls and subsequent fractures.

All forms of the disease result from increased intraocular pressure, but how that pressure builds-up is what differentiates each form and its potential treatment.

Open-Angle Glaucoma

Open-angle glaucoma is the most common form of the disease. The drainage angle formed by the cornea and iris remains open, but the trabecular meshwork within the eye is partially blocked which causes pressure that damages the optic nerve. The pressure increase is gradual, and patients may lose vision before they’re even aware of a problem.

Closed-Angle Glaucoma

Closed-angle glaucoma occurs when the iris bulges forward to narrow or block the drainage angle formed by the cornea and iris. As a result, fluid can't circulate through the eye and pressure increases. Some people have narrow drainage angles, putting them at increased risk of angle-closure glaucoma. Closed-angle glaucoma may occur suddenly or gradually. Acute angle-closure glaucoma is a medical emergency that is often signaled by the following symptoms:

• Severe headache
• Eye pain
• Nausea and vomiting
• Blurred vision
• Halos around lights
• Eye redness

Normal-tension glaucoma

Patients with normal-tension glaucoma experience optic nerve damage even with eye pressure that is within the normal range. Causes for this form of glaucoma are difficult to diagnose, but there may be links to reduced blood flow to the optic nerve as the result of atherosclerosis — the buildup of fatty deposits (plaque) in the arteries — or other conditions that impair circulation.

While a diagnosis of glaucoma may be made in a person's 40s, 50s, or 60s, even with careful management of the condition, vision loss may be a reality as they age.

Because vision loss associated with long-term glaucoma is a very gradual process, seniors may not be aware of how compromised their eyesight has become. Caregivers should be aware of several telltale signs of impaired vision including:

• Squinting or head tilting when trying to focus.
• Bumping into things or knocking objects over.
• Losing interest in activities that rely on vision like reading or writing.
• Trouble with depth perception and missing objects when reaching for them.
• Falling or walking hesitantly. 

If a loved one is still driving, an increase in accidents and risky maneuvers may also indicate visual changes.

Individuals with declining vision may have different needs, but the following tips may help seniors adjust to vision loss:

Lighting

Improve lighting conditions in the home – taking careful note of contrasts, not just brightness. Glare can be a significant problem, so the right lighting and minimizing reflective surfaces is important. Avoid significant lighting differences, like a bright lamp shining into a dark room. As task lighting is increased, the surrounding room lighting should also be increased. Keeping lights on during daytime hours helps to equalize lighting from both indoor and outdoor sources.

Color Keys

Strategically using light and dark colors can make daily activities much easier for a person with limited vision. Like colors can make it difficult for those with visual impairments to detect doorways, stairs and furniture and especially smaller objects that blend into their surroundings.

Bathrooms, which often have little contrast, can pose a challenge. Choose towels, washcloths and bathmats that contrast sharply with the color of the tub/shower, counters and flooring.

Painting door jambs throughout the home with a contrasting color and using brightly colored tape to highlight the edges of steps are other modifications that can be used to improve safety in the home.

Get Organized

Designate spots for commonly used items and be sure to return objects to the same place every time so that your loved one always knows where things are. Sometimes using a basket to store like objects can make it easier to find things like keys, remotes to electronics and other items.

Consider Overall Safety

Even with household modifications, home may not be the safest place for a senior with deteriorating vision, or even complete vision loss. Assisted living communities and adult homes are well prepared to provide the assistance these seniors need, while promoting as much independence as possible. “Our senior care communities were designed to account for the loss of vision often associated with aging and chronic conditions like glaucoma,” said Kristina Dott, Community Relations Coordinator for Elderwood Village at Colonie, an adult home community in the greater Albany, NY area. “Our residents enjoy a wide range of activities and when necessary, modifications are made so that they can be enjoyed by residents with vision impairments.”  Medication management, essential for those with glaucoma is also provided to residents by Elderwood.

January is glaucoma awareness month, and the staff at Elderwood want to remind everyone to take great care of their eyes, understand the warning signs for glaucoma – including family history – and if you are 40 or older, get your eyes examined annually.

It can be a daunting task to get a holiday gift that properly expresses the love and appreciation for those who have done so much for you. Whether it’s a parent, grandparent, or close friend, finding the perfect gift isn’t easy, especially if the loved one lives in a senior living community or nursing home. From the practical, to a special treat, or new activity, we have spoken to the experts and compiled a list of gifts that we know will bring joy to their holiday season.

Homemade and Personalized

Homemade gifts from grandchildren, nieces, or nephews, are always among the most cherished gifts during the holiday season. A handmade card with a special message is sure to be displayed and shown to friends for months to come. Ornaments, paintings, and pictures will also make wonderful displays in your loved one’s home.

Personalized gifts are another great way to show someone you care. Custom photo books make enjoyable keepsakes of cherished memories. “Our residents love when they get new photos of family and grandchildren. Not only can photo gifts bring joy to your loved ones, but it also makes for lively conversation with other residents as they share their family photos with one another,” said Hunter Sacko, activities director at Elderwood Village at Greece, a senior living community in the greater Rochester, NY area. There are many personalized photo items such as blankets, notebooks, and even puzzles that make for thoughtful gifts.

Practical Gift Ideas

If you are looking for a practical gift for your loved, first consider the things they enjoy doing regularly. “Many of our residents enjoy sending handwritten letters and greeting cards to relatives and friends,” added Sacko.  Special or unique stationary and writing accessories can be useful gifts for avid writers.

Blankets are always a well-used, practical gift. A heated blanket is sure to keep your loved ones comfortable this winter. Weighted blankets are especially useful for those with dementia or Alzheimer’s as they help reduce anxiety, promote calm sleep, and reduce stress. If you’re thinking of a heated blanket or other electrical appliances, be sure to check with your loved one’s senior care facility to see if they have specific safety requirements for these types of gifts.

Food and Treats

“Special food and candy are always well received by our residents!” said Sacko.  If your loved one has a favorite specialty treat, consider sending them some for the holidays. You can even get them a monthly subscription box for the gift that keeps on giving. There are several to pick from including tea of the month, cookie of the month, and many more!

Gift to Stay Active and Connected

With winter just around the corner, indoor activities keep residents busy and their minds sharp. Adult coloring books, puzzle books, and handheld games are all lovely gifts for the cold weather. For those with family out of town, an iPad can help stay in touch with family over FaceTime, email, and social apps. iPads can also be used to download books, audiobooks, and games for the long winter months.

A virtual assistant such as Alexa Echo, plays music, the latest news, makes video calls, and plays photo slideshows, all just by speaking. You can even upload pictures directly to their device through the app to keep their slideshows up to date. This easy-to-use technology is more approachable to those less comfortable with devices. Again, some senior care facilities have policies regarding the use of certain wireless devices, so be sure to check ahead.

“Above all else, our residents love seeing and spending time with family,” added Sacko. No matter what you decide to get your loved one, setting aside time to deliver the gift and spend quality time with them will be the best gift of all. Happy Holidays!

The end of the year is full of time spent with loved ones and holiday traditions. Last year was a difficult time for families everywhere as traditions were replaced with virtual alternatives due to the COVID-19 pandemic. This year, thanks to widespread availability of vaccines, there is a reinvigorated hope to gather again while also keeping our loved ones safe.

As we return to the traditions that were missed last year, many people are seeking answers on how to safely gather with our loved ones. Though the vaccine has made it safer to gather again, we must still be vigilant to protect those who are most at risk including seniors, children, and the immunocompromised. Infection rates are back on the rise in many areas and coronavirus variants continue to develop.

As plans are made to celebrate with loved ones, necessary precautions should be taken to ensure a safe and healthy holiday celebration. Here are five things you can do to help keep your family healthy this holiday season.

1.   Vaccination

According to the CDC unvaccinated adults are 12 times more likely to end up in the hospital with COVID-19. While no vaccine is 100% effective in every situation, vaccination has proven the most effective defense against the more serious effects of COVID-19. If you have already received your vaccination, check with your doctor about getting a vaccine booster to provide further protection.

Vaccinated or not, people with pre-existing conditions, seniors, and children are still at a higher risk of being hospitalized by COVID-19. “Seniors are particularly vulnerable, and many have compromised immune systems, so limiting their exposure in the community is very important,” said Rebecca Littler, Chief Nursing Office at Elderwood.

Before you make holiday plans, have a conversation with your family about vaccination. “If you are bringing home an elderly relative from a senior living home, plan with their care team to ensure they will be visiting safely” Littler added. It is best to have these conversations well in advance and understand who could be at risk by gathering.

2.   Testing

Testing is a widely available tool that can further ensure safe holiday visits with family and friends. There are several locations where rapid testing is available. If you have any symptoms of COVID-19, quarantine in place and get a test before gathering for the holidays.

Consider taking a test especially if you have been in large gatherings, have been traveling, or have any suspicion that you may have been exposed to the coronavirus. Even if you are symptom free and staying local, getting tested before seeing family can provide peace of mind to you and other guests.

3.   Wash Your Hands Often

Proper and frequent handwashing is an easy and effective way to help keep our loved ones safe. It not only helps prevent the spread of coronavirus, but it is also critical to limiting the spread of influenza as we enter the height of flu season. If there is no soap available, the CDC recommends using hand sanitizer with at least 60% alcohol content.

4.   Wear A Mask

Even if you are vaccinated, you may want to consider wearing a mask to protect yourself and others. Wearing a mask can help reduce the spread of germs by trapping respiratory droplets when a user is talking, sneezing, or coughing. Choosing to wear a mask can provide additional protection to yourself and others especially if the event is held indoors and/or not all guests are vaccinated.

“Wearing a well-fitting mask indoors and keeping a safe distance from elderly relatives is both a smart and caring thing to do to help keep them safe,” added Littler. “To be most effective, masks should be worn snugly over the nose and cover the nose, mouth, and chin without any gaps.”

5.   Social Distance When Possible

When gathering indoors, do your best to socially distance. Gathering indoors has become inevitable with the changing weather but can still pose a risk. Proper ventilation is important when gathering indoors. Open some windows and keep air flowing throughout the event. Keeping gatherings small reduces the risk of exposure and increases the ability to stay socially distanced. If possible, bundle up and opt to gather outdoors.

No matter how you choose to celebrate the holiday season be sure to check local guidelines for up-to-date information and infection rates in your community. Be sure to speak with care teams from senior living facilities well in advance to develop a plan on how to visit safely. 

Enjoy the time with your loved ones and do your part to keep your families safe.

Happy holidays!

Whether you or someone you care about is seriously ill, having palliative care options is important for reducing pain and stress while suffering from an illness. The medical specialty has helped millions of patients and families cope with the day-to-day challenges of living with a serious illness.

What is palliative care?

According to WHO, palliative care is a program that enhances the quality of life of residents and their families, working with challenges that connect with a life-threatening illness. Palliative care helps prevent and relieve suffering with pain that is physical, psychosocial and spiritual.

Along with providing relief from pain, it helps offer support for a family to understand the patient’s illness. “As caregivers, we act as a support system to help assist families with complex decision making, educating patients and their families to understand an individual’s condition and their choices for care,” said Elderwood’s Chief Nursing Officer Rebecca Littler. “With palliative care, it’s essential to offer comfort plans designed with the wishes in mind for the patient to help manage physical symptoms and manage with the stress of illness, from diagnosis through end-of-life care.”

Palliative care utilizes a team strategy to approach patients’ and families’ needs if counseling is required. Palliative care offers help with decision making, educating patients to understand an individual’s condition and their choices for care.

Palliative care is typically provided in hospitals, skilled nursing settings, or in the comfort of your own home. The palliative care team patients and families will work with consists of physicians, nurses and social workers.

How to find palliative care

When figuring out how to find palliative care, your primary care physician is the best place to start. There are a variety of healthcare settings that offer palliative care like assisted living facilities, skilled nursing facilities, outpatient clinics and hospice.

“Physicians or community representatives can help assist a patient and inform them of their palliative care options,” said Angela Hauser, administrator at Elderwood at Amherst. The Elderwood healthcare continuum is a leading provider of senior care in the Northeast and Mid-Atlantic, that offers palliative care services. “At skilled nursing facilities like ours, the palliative care team will work closely with the patient’s physician.”

Is palliative and hospice care the same?

Palliative and hospice care have similarities and differences. Both care options provide comfort. “Palliative care complements life-prolonging treatment during an extended period of time or for terminal illness, said Littler.”

The difference between the care options is that palliative care often begins at diagnosis of illness, while hospice care begins after treatment of the disease has stopped. Hospice care is intended for those who are not going to survive their illness, with a life expectancy of six months or less.

Why palliative is important

The support given during palliative care helps create a positive experience that offers patients and their families the opportunity to make the most of their time together while receiving treatment.

There are many positives like helping improve quality of life, positively impacting treatment during an illness. Palliative care is suitable in the beginning stages of treatment to help prolong life. The care provided may help guide healthcare decisions with an advance directive from treatment options like chemotherapy and radiation.

“While palliative care helps patients choose pain and symptom management, the care provided is important because it enhances life quality while pursuing therapeutic measures,” said Littler.

The spiritual aspect of palliative care

Not only can dealing with chronic illness impact you physically, it can take a toll on your mental health. Spiritual care in palliative care is essential as it helps the patient to continue living with meaning and lean on faith and spirituality to get through the day-to-day struggles during treatment.

Many palliative care options offer a chaplain, pastor or spiritual advisor to assist with taking care of the mind and spirit. Spiritual care in palliative care consist of meeting the patient’s spiritual needs as well as the family’s spiritual needs. Spiritual care first and foremost assures that the patient’s spiritual, religious and cultural beliefs and needs are recognized, provided for and respected across the healthcare team,.

Spiritual care assists the patient and family in making ethical decisions regarding treatment or non-treatment which correspond with the patient’s values, morals, religious or spiritual beliefs and wishes.  Spiritual care is also offered to the patient’s family members who may be struggling mentally, emotionally or spiritually with their loved one’s illness. The chaplain supports the family throughout the entire treatment process and can provide family counseling, act as a liaison between the patient, family and staff.

Learn more about palliative care options here.

Grandparents are a connection to understanding ourselves, and as they age, it’s important to learn from their life experiences. They are an important link to family history and a part of the fabric that makes us who we are. In the hustle and bustle of everyday life, we may forget how much wisdom and background our grandparents can offer us.

So the next time you are with your grandparent, or a special older relative in your life – whether in person, on the phone or FaceTime – try using that time to learn more from their past. You may find some interesting facts about your roots and deepen your relationship in the process.

Here are five questions to ask to get to know your grandparents a little better.

Can you tell me about our family history?

Grandparents are one of the last remaining links between the past and present. Knowing your family history is important for a lot of reasons. 

Medical history is essential for identifying any potential concerns with your health. This is important for keeping your health records up-to-date and keeping your primary or specialist physicians in the loop in case any medical issues arise in the future. It’s also important as you expand your own family to be aware of family medical issues for your children.

It’s also a unique opportunity to learn the story of your ancestors. Did they immigrate for a better life for their family? Any famous relatives? Is your grandparent named after a family member, or does their name have special meaning? 

Use this as an opportunity to learn about how your grandparents met. How did their proposal go? What was it like to raise your mom or dad? 

You might also ask them about any longstanding holiday traditions, or traditions associated with religious or cultural beliefs. Perhaps you can finally get your hands on a coveted family recipe!

What is the most valuable lesson that your parents taught you?

We don’t often think about it, and we don’t usually take it, but our parents do offer good advice. We often forget that our parents have gained a wealth of knowledge from their life experiences, and this provides a unique experience to gain insight from them.

Try asking your grandparent about a piece of advice their parents gave them that may have helped them along the way. This topic can provide some perspective on the views of your great-grandparents as well.

What has been the most insightful life lesson you’ve learned throughout the years?

While our parents and grandparents do their best to share their wisdom, most life lessons are acquired through experience. By asking this type of question, you are opening the door to learn more about their experiences, and what has shaped them to be the person they are today.

Life lessons are often gained through both good and bad times, and can stem from mistakes and triumphs. Learning about your grandparents’ path may help you to navigate similar life situations as they arise.

What is one of your favorite hobbies?

Asking your grandparents about any of their favorite hobbies offers a great chance to create a bonding experience. Perhaps you have similar interests, or maybe they’ll introduce you to something that you’re not as familiar with.

Be sure to share some hobbies that you enjoy too! They may have a lot of fun learning something new, and this offers another way to relate and connect with one another.  Spending time doing shared hobbies and activities can build treasured memories for years to come.

What is your dream for your children and grandchildren?

We all have dreams and aspirations when we embark on the journey of starting a family.

A great way to learn more about your grandparents and their earlier years is to ask them what they had hoped and dreamed of for your parents, and yourself.

This is a great conversation starter for you to share your desires for the future. Your grandparents will likely love to hear what your plans are so they can support your dreams. Don’t be afraid to ask for their input and advice to help you achieve your goals.

By sparking intentional discussions with our grandparents, we can open the door to learn many new things and create stronger bonds along the way.

Older Americans are regularly online in rapidly increasing numbers. According to AARP, about 44% of seniors view technology in a more positive light than ever before.

The reasons seniors go online to use the Internet and social media differ greatly and include:

• Keeping in touch with family and friends
• Reading news and getting information
• Booking travel plans
• Telehealth appointments
• Shopping
• Investments and online banking
• Meeting new friends or dating

While seniors are embracing technology, the wealth of life experience they enjoy doesn’t always translate to being well prepared for the risks that come while navigating the Internet. There are concerns over online security that seniors should be aware of while online. Here are the top 10 internet safety tips for seniors to follow:

1. Choose strong and uncommon passwords

It’s important to not share your password with anyone, unless there is a designated family member or friend you trust with your account in the event something happens to you. The most common scam that families fall victim to is when a senior is contacted by someone who claims they’re a family member friend asking for help or to have money wired because of an emergency.

Create a password that isn’t linked to your personality, like your dog’s name or the street you live on, and instead choose a password with numbers, upper and lowercase letters that you can remember will help prevent someone impersonating you. 

Is there even more you can do to make sure your passwords are secure? Yes, there is. “I recommend everyone turn on multi-factor authentication,” said Elderwood Director of Information Technology David Takacs.

Multi-factor authentication requires someone to provide two or more verification measures to gain access to an account. Sometimes it may be a text message to your phone, app, or an email message for added confirmation as an added measure to prevent hackers from compromising your security. “Is it a bit of a hassle to have to confirm with either a code or via an app to login, sure, but it will make your account significantly more secure,’ said Takacs.

2. Be wary and don’t click links right away

It’s important to be aware of links that can come across your screen that are placed in e-mails, web pages, or social media accounts. Don’t click on any of these unless you’re 100% sure they are from a legitimate source that you know and trust.

“One of the biggest ways that seniors compromise their accounts, is by opening a link that someone sent them,” said Takacs. “Someone has their account stolen and that stolen account sends out a link to everyone on their friends list with a link to maybe a news article or some other site, and it’s amazing how many people fall for it. If something looks suspicious or out of the ordinary, it probably is.”

3. Steer away from offers that are too good to be true

Another common scam that seniors fall victim to is being given an offer that is too good to be true. If you are contacted by someone saying you’ve won a vacation or contest that you know you’ve never entered, it’s best to steer clear. Another scam is being offered low-cost medication or medical coverage.

4. Shop at reputable online retailers that you know and trust

If you enjoy shopping online, it’s best to stick with online retailers you know and trust. Stay away from any online retailers that you’ve never heard of. They may try and steal your financial information or not provide you with the product that was promised.

5. Keep an eye out for secure websites

Keep a look out for secure websites. The best way to know if a website is secure is by looking in the browser for the “https.” The “s” indicates the website is secure. If you see a web address that says “http” that means the website is not secure.

6. When possible, use credit cards

When using the internet, never send payment in the form of cash, cashier’s checks, or money orders. To help protect your financial security use credit cards or even PayPal for payment options. This gives you the option to dispute a charge in the event your identity or financial information is stolen and will prevent you from losing money that you’ll never be able to get back.

7. Take your time before you click on something

It happens to the best of us. We may be in a rush and click something without realizing what it was we were selecting, only it’s too late to turn back.

Make sure to take your time when reading an email or looking at a website. This helps ensure that you won’t click on anything that will be potentially harmful, whether it’s compromising your computer or financial security.

8. Research an organization before donating online

Emails and targeted digital advertisements can become overwhelming as we age. It’s important to research an organization prior to making a donation if you ever receive an email or see an advertisement.

Charities have their own websites with an option to donate online, just make sure that the charity you’re going to is legitimate prior to inputting your financial information. You can check charitynavigator.org to see if the charity’s website is legitimate.

9. Keep social media profiles private

While social media allows the world to connect and have a greater sense of community, it also can leave seniors vulnerable to hackers and criminals who have ill intentions. The best way to stay secure on social media is to set your profile to private so no one has access to seeing you post about your personal life.

“It’s also important to not accept friend requests from people you don’t know,” said Takacs. “Too many people leave their social media accounts public and with all the personal information that gets shared online you can compromise your security.  Going on a vacation and sharing pictures with friends or family is great, but if you have your account public for everyone to see, it’s a great advertisement to let someone nefarious know that you aren’t home.”

10. Keep an eye on your financial accounts

Sometimes seniors won’t realize their information has been compromised until it’s too late. The best way to stay on top of any potential threats is to keep a regular eye on your financial accounts. If there have been any suspicious charges or withdrawals, you’ll be able to flag them right away, and shut down any credit cards associated with the account to prevent from any further fraud.

Thinking about end of life care, and the decisions you would like to have made if faced with a medical emergency are not necessarily on top of anyone’s to-do list. This is, of course, a difficult subject to consider and may be even harder to discuss with family, but it’s important for everyone.

Advance care planning can help ensure your personal values and intentions are carried through, and alleviate burden on family members, in a sudden or unexpected crisis. The best time to have these discussions is while you are healthy and mentally capable of making these decisions and your wishes known to those closest to you. Here are some of the reasons to review, document and communicate your wishes.

Express your personal values

A key topic in advance care planning is the use of life-sustaining treatments and comfort care. This is a very personal decision, and requires careful thought from the individual. Consider a few different scenarios, and how you would like your care managed on your behalf, if you are unable to do so yourself. For example, if a heart attack left you unable to breathe, would you desire to have CPR performed on you? If a medical emergency occurred leaving you unresponsive, what types of measures would you like taken to preserve your life? While some people seek a higher quality of life and less medical intervention, others may wish to have their life mechanically sustained through measures such as intubation and artificial nutrition for as long as possible. Essentially, you need to contemplate and communicate under what circumstances you would want life sustaining technology or interventions withheld.

If you’re not sure how to spark the conversation, the National Hospice and Palliative Care Organization provides a helpful guide with trigger points and strategies to begin this important discussion with family and friends.

Make sure key documents are in place

Advance directives are written, legal instructions regarding your preferences for medical treatment, in the event that you are unable to make decisions for yourself. While seniors may be more likely to have a formalized advance care directive, documentation should be considered for any age, in the event of an unexpected medical crisis. Key components of advance care plans include:

• Designating your power of attorney or health care proxy—everyone should designate a family member or trusted friend to be their spokesperson for managing emergency medical care, in the event they cannot. It’s important to discuss your wishes with your power of attorney. You may also include an alternative person, in case for some reason your power of attorney becomes unable to act on your behalf.
• Living will—a living will is a legal document that outlines your personal preferences for end-of-life medical treatments such as CPR, pain medication and organ donation. A living will is not the same as a will, which outlines how you would like your assets to be allocated after your death.
• DNR orders— In addition to your living will, some people will choose to include DNR (do-not-resuscitate) order which instructs the hospital not to perform CPR or other life saving measures in the event the heart stops beating. This form can also be specified for a non-hospital setting, such as a nursing home, if desired. 
• Advance directive forms— Much of the information above can also be documented in an advance care directive form, which varies by state. You can visit AARP’s website to download and print the forms needed in your state.

Having legal documents in place is an important step, but you’ll also want to make sure these documents are shared with others. Keep originals and copies in a secure, yet accessible place. It’s recommended to provide copies to your power of attorney (health care proxy), to family members, medical providers, and perhaps even clergy members if issues of religious practice factor into your decisions.

Remember, while it’s not a pleasant conversation, it’s an important one. For some, having a legal document can help to broach the subject with loved ones. It also provides written instructions for those who may face difficulties in discussing each and every detail.

Reduce burden and uncertainty

End-of-life situations are difficult and wrought with emotions. Advanced planning helps guide loved ones with well documented, dispassionate instructions to make difficult decisions for them and consistent with your wishes. We all want our family to have an easy time managing our care, and the many difficult aspects associated with end-of-life circumstances. The emotional sting of loss can make handling these tasks all the more challenging. Having meaningful conversations ahead of time, and ensuring legal documents are squared away, can help families get through the grieving process and focus on honoring their loved one.

If someone you care about lives in an assisted living or skilled nursing community, it may have been a while since you’ve visited with them face-to-face. Ongoing restrictions at health care facilities have created a new kind of caregiver – someone who lives locally but must remain apart from their loved one. How do you check up on them and reassure yourself that they are doing well?

Some assisted living and skilled nursing communities have begun offering limited visitation, but the pandemic is not over and the situation could change again as senior care communities take measures to protect residents. The reality is that your ability to participate in-person in your loved one’s care may remain limited for some time to come.

Here are some tips that may prove helpful as you continue in your role as a socially distanced caregiver.

1. Check that power of attorney, advance directives and living wills are in order, so that everyone who needs to be informed about your loved one’s care can receive information from healthcare providers.
2. Make sure you know how to reach your family member’s doctors and key staff at their senior care facility. You should also have a list of their medications, dosages and the reason they are taking it, as well as who prescribed it. Keep an up-to-date written daily care plan that explains schedules, routines and other details.
3. Regular phone calls are an easy way to keep in touch with a loved one. In addition, numerous families now enjoy regular video chats and video conference calls. Many senior communities have the technology necessary for such calls, that staff are happy to help schedule. Your loved one will enjoy both seeing and hearing you! Meanwhile, you gain a detailed account of their life and health and can visually assess their well-being.
4. Cards, letters and photos also can help families maintain their connections. If possible, set up an email account for your loved one. Elderwood offers an on-line portal for families and members of the community to send general greetings and personal messages. Along a more whimsical line, some facilities have created “bottle trees” on their grounds by hanging colorful water bottles on a designated tree. Residents and their friends and family members exchange written messages by tucking them in a bottle for pick-up and delivery.
5. Knowing that residents thrive on interaction with family and friends from outside the facility, senior communities have found creative ways to facilitate visits. If in-person visitation is not available, ask if there is a first-floor room where families can view and speak with each other through a window.

“Our families are on a schedule for window visits and video calls,” says Alexcia Harrod, director of social services at Elderwood at Wheatfield, a skilled nursing community in Wheatfield, NY. “This way, everyone has something to look forward to each week.”

6. Some facilities now have measures in place to welcome visitors back into their buildings. In most cases, visits must be scheduled and times may be limited, so check with the individual community for details.
7. If an in-person visit is not possible, make sure you know the names of appropriate staff to contact if you have a question or concern. Maintain regular communication with one or two staff members who are familiar with your family member’s care. A nurse or social worker, for instance, may be able to provide weekly updates.

“We have been using a variety of approaches in an attempt to update families these past few months,” said Anne Kiss, Director of Social Work and Admissions at Elderwood at Hamburg, a skilled nursing facility in Hamburg, NY. The facility utilizes robocalls and Facebook to offer families timely information. “We also are doing more conference calls for care plan meetings,” she said, “and the residents are thrilled to receive electronic messages from the Elderwood website.”

Health care organizations also are working together to safeguard seniors by limiting their visits to doctors’ offices, without sacrificing their care.

“Tele-med and virtual visits with doctors have been a big help in reducing the amount of times people have to leave the facility,” says Courtney Gfroerer Krueger, community relations coordinator at Elderwood Assisted Living at Tonawanda, in Tonawanda, NY. “There are times when it isn’t possible, but often we can arrange it with the doctor’s office.” 

While the pandemic presents many challenges, developing a support system and open communication with senior care communities will keep you informed and enable you to be a participant in the care of your loved one.

It’s summertime and the living’s easy – and since the days are longer and the weather is warmer, it’s a great time to try out some new activities or get back into seasonal hobbies, and there are some summer activities that are ageless! Here are five that seniors can continue to enjoy:

1. Start a Garden

One of the most relaxing summer pastimes that is enjoyed by many is gardening. Gardening is a great stress reliever that allows you to appreciate the beauty of your outdoor living space by adding foliage such as summer flowers, or greens and shrubs to match your style.

If you are less interested in maintaining flowers and plants, you might enjoy planting a vegetable garden. Check out a beginner’s guide to planting a vegetable garden for tips on how to get started, and which vegetables to plant based on your region.

The best part about having a vegetable garden? You’ll have fresh, healthy food options at your fingertips all summer long! Plus, a home garden saves trips to the grocery store, and may even produce extra vegetables to share with family and friends.

2. Go for a Hike

If you’re looking to go outdoors and explore your area or experience the beauty summer brings, you can always go for a walk or take a hike. Many regions offer walking trails in suburban or city settings, or if you would like some more peace and quiet, you can always look for local parks in your area with nature trails. Summer safety is important, so always remember to pack your sunscreen and keep an ample amount of water with you if you’re heading outdoors in the heat.

3. Go for a Swim

There’s nothing more refreshing on a hot and humid day than cooling off with a nice summer swim. There’s a variety of ways you can take a dip! If you live in an area where there are beaches, you can enjoy the summer from your local lake, river, or ocean. There may also be senior centers that have swimming programs available or public swimming pools with adults-only open swim hours. Don’t feel like leaving the house? There are plenty of options for small pools to take a dip in your own backyard.

4. Have Fun Cooking a Meal

It’s easy to get into a habit of eating out or getting into a rut with preparing the same meals, but summertime offers us an opportunity to explore seasonally fresh foods and cook up healthful meals on the grill.

Beautiful summer days and nights also lend well to changing up our mealtime setting by getting outside more. It’s a chance to create new memories, whether you’re spending time on your patio or packing up a basket and heading to the park for a picnic!

5. Host a Book Club

Summer tends to lead the way to more leisure time. It’s a great opportunity to slow down, sit outside and enjoy a good book that you can’t put down. Not sure where to start? Check out some of the New York Times’ summer book recommendations!

Delving into a good read is also a great opportunity to create connections and stay in touch with family and friends. You can start your own book club, and each person can rotate the book selection for the month. Your group can decide to meet in person or hang out virtually weekly or monthly to discuss your latest selection.

Older adults have been greatly impacted by COVID-19. A Census Bureau study reported that 46% of adults ages 65 and older said that worry and stress related to coronavirus has had a negative impact on their mental health, and more specifically 1 in 4 seniors reported experiencing anxiety or depression.

Loss of appetite can occur due to inactivity, change in daily routine, dehydration and other medical conditions. Many seniors, and especially those with underlying medical conditions, took strict precautions during the pandemic, which may have included isolating from family and limiting outings such as going to restaurants, social gatherings and grocery shopping.

“For those who have experienced loss of appetite, it’s important to try to regain interest in nutritious foods to maintain overall health and wellness” says Amy Julicher, director of nutritional services for Elderwood.

With restrictions being lifted and more of the population being vaccinated, seniors can begin to feel safer visiting with others, grocery shopping and even dining out. Here are some ideas to help you or a loved one to find enjoyment in eating once again!

Make any day a holiday

Perhaps last year you missed out on your traditional Thanksgiving feast with family. Why not have a Thanksgiving dinner in July? Try rotating in your favorite holiday or special meals again. Taste and smell stimulates the senses and can help to bring about positive feelings, or even cherished memories of your favorite holidays.

Try new cultural cuisines

Once a week, pick a different global or regional cuisine and find a new recipe to make. Tasting foods from various cultures can be exciting and lets us experience new and different flavors. You can even take things a step further, by learning about food preparation techniques or cultural traditions associated with a specific meal.

Transport yourself to Oaxaca, Mexico and try a Healthy Street Taco recipe, one week followed by a North African Tagine the next week!

Swap recipes

Do you have a family member with their own beloved “signature” dish? Why not ask them for the recipe, and share one of your own in return? Take turns making each other’s recipes or put your own spin on their dish. You can even have a video call while cooking or enjoy a meal together virtually and show each other how the final product turned out!

“Food can help boost more than just nutrition,” says Julicher. “Cooking and creating meals, as well as enjoying them with others helps to build a sense of connection.”

Get outdoors

With warmer weather upon us, it’s a great time of year to go outside, fire up the grill or host an outdoor potluck with friends and neighbors. For those still leery of close gatherings, an outdoor setting allows people to safely interact, while maintaining a social distance if necessary.

Keep it simple, and colorful!

“Some days we’re just not in the mood to cook or create a robust meal,” says Julicher. Stock your fridge with healthful snacking options such as fruit, cottage cheese or vegetables with hummus.

“If you’re not feeling up to a big meal, blend a fruity smoothie with milk or Greek yogurt. You can add in greens like spinach for extra nutrients or peanut butter for additional protein.”

There are plenty of other ways to build interest and enjoyment in eating again. Start slowly and reintroduce foods at your own pace. For specific medical concerns, always be sure to check with your physician or dietician for more information.

People who have experienced an accident, injury, surgery, or chronic condition often are referred to a physical therapist to aid in their recovery. If the condition affects a person’s ability to go about their normal day, occupational therapy (OT) also may be prescribed.

“A very common misconception is that we help people find jobs,” said Mary Claire Hart, assistant director of rehab services at Elderwood at Williamsville, “but an ‘occupation’ is really anything you do throughout your day.

“We help individuals regain the ability to complete those tasks, regardless of the cause of their deficit – be it surgery that temporarily alters their ability to be independent, or a new disability that requires a need to relearn skills or make adaptations,” she said.

Elderwood’s OT experts shed light on the benefits of therapy and how it’s used as a key component in subacute rehabilitation. 

What is the difference between physical therapy and occupational therapy?

While physical and occupational therapy frequently go hand-in-hand, the terms are not interchangeable. Physical therapy (PT) focuses on increasing the strength, mobility and range of motion of the muscles and joints surrounding an affected area, such as the shoulder or knee. Occupational therapy teaches mechanics and movements to reduce or avoid pain, strain or re-injury. Occupational therapy deals with the function of the entire body, as well as the physical environment.

“Occupational therapy helps people of all ages, birth to senior, gain the skills they need for their everyday life,” Jennifer Kozemko, OT, assistant director of outpatient rehab at Elderwood at Waverly.

Who needs OT?

There are many instances in which OT can help improve a person’s quality of life, such as following a stroke, brain injury, or the loss of use or amputation of a limb. People who suffer from debilitating conditions such as COPD, arthritis and even urinary incontinence also benefit from OT. For people with pain resulting from an injury or overuse, such as tennis elbow, OT can get them back in the game.

Elderwood therapy departments treat a range of conditions. Occupational therapists may help a patient with fine motor skills so they can continue to brush their own hair or teeth. Short-term subacute patients work toward independence with their daily living skills so they can take care of themselves when they go home.

“Occupational therapy is not just for people with a physical condition; residents with memory care issues also benefit from OT,” said Marcia Diagostino, an OT and director of rehab at Elderwood at Hamburg. “Our OT and PT staff work in concert to help identify and address issues that affect independence and work to integrate with the facility’s Memory Care programming.”

Outpatient vs. inpatient occupational therapy

Physical and occupational therapy sometimes can be accommodated privately at home but more frequently is offered through an outpatient therapy center. Therapy also can be provided in the hospital and at health care facilities where you stay briefly while receiving care.

Short-term residential rehab programs involve a multi-disciplinary team of physical, occupational and speech therapists, along with nurses, social workers and other caregivers to create an individualized therapy regimen. Each patient’s progress is carefully tracked and monitored to ensure therapy goals are achieved and function is improved or restored.

When deciding between outpatient or residential rehab, it’s best to consider your physician’s recommendation based on your condition. It’s also wise to check your insurance coverage. Many health insurance plans will cover a short-term residential rehab stay if your situation meets certain requirements.

Taking a personalized approach to occupational therapy

When there is a temporary or permanent barrier to a patient’s mobility, occupational therapists devise ways to remove or work around the obstacle. They might introduce adaptive utensils to help people feed themselves, or reachers and other devices to aid in dressing.

Diagostino said occupational therapists often must find creative solutions to help improve a person’s comfort or independence. For instance, different devices or cushions might help improve the positioning of someone who leans in their wheelchair. In addition, the OT may recommend a strengthening therapy regimen, so the person is better able to reposition themselves.

Sometimes, the environment, not the skills, limits a person’s independence. A person may not be able to dress themselves because they have difficulty reaching a dresser drawer. Rearranging the contents of the drawers or moving the dresser itself can improve accessibility and independence.

“There is no “one-size fits all” plan when it comes to occupational therapy,” Diagostino adds. “Developing a customized approach for each patient is important to help them regain dignity and quality of life.”

February is Heart Month, which is a good time to renew or begin your efforts to keep your heart healthy. Your heart pumps blood to all the other organs in your body. A heart that isn’t healthy is more vulnerable to disease – and that can lead to other serious health problems.

The good news is that there are many ways you can help your heart. Eating healthy, watching your weight, exercising, controlling high blood pressure and not smoking are all great steps toward heart health. Even better, these measures are interconnected and provide multiple health benefits!

Here are five steps you can incorporate into your lifestyle to protect your heart health.

1. Eat the rainbow

Good nutrition is good for your heart. A heart-healthy diet includes foods rich in whole grains, lean meats and low-fat dairy products, and limited saturated and trans fats.

The American Heart Association recommends filling at least half your plate with fruits and vegetables to meet its recommended total of 4-½ cups per day. You can reach this goal by eating fruit instead of sweets or a baked snack. Add diced vegetables to scrambled eggs and chopped or pureed vegetables to sauces and soups. Eating more fruits and vegetables is also a great way to watch your weight and reduce your sodium intake – two more factors that contribute to heart health.

Good nutrition to support heart health is especially important for seniors. For those living In senior care communities like Elderwood, a network of senior living communities in the Northeast, it’s easier to take advantage of the expertise of on-staff nutrition experts.

“It’s important to remember to ‘eat from the rainbow’ especially for seniors, in order to include more food groups – and to ensure you’re getting a high vegetable and high fruit intake,” states Amy Julicher, Elderwood’s Director of Nutritional Services.

2. Maintain a healthy weight

Being overweight puts an added strain on your heart and can be a risk factor for heart disease, diabetes and other health issues. On the flip side, being underweight as we age can indicate malnourishment or the presence of other chronic illnesses.  

You can get a general sense of your weight category by calculating your Body Mass Index (BMI). However, BMI does not provide the full picture of a person’s body fat or overall health. If you are concerned about your weight, it’s best to consult with your doctor and set realistic goals for weight loss. You may also want to consult with a professional dietitian or nutritionist – their services may be covered under your health insurance.

3. Exercise regularly

Your heart is a muscle, so when your body is active, you help keep your heart in shape, too!

According to a study published in the Journal of the American College of Cardiology, and cited by Harvard Health Publishing, exercise lowers your blood pressure, makes the heart less prone to arrhythmia and allows it to work more efficiently. The American Heart Association recommends at least 150 minutes of aerobic exercise per week to improve your quality of life. Move more, with more intensity, and sit less.

If you don’t feel comfortable going to a gym or in-person exercise class right now, take a brisk walk, look on-line for fitness classes offered via Zoom and YouTube, pop in a DVD, or turn on the music and dance! Even doing some active housecleaning can raise your heart rate and count toward your daily activity goal.

For more senior fitness tips and workouts, click here.  

4. Control high blood pressure

If you have high blood pressure, then you already know how important it is to keep it under control. There are several measures you can take to help achieve this goal: increase your activity, lose weight, eat healthy, limit alcohol, reduce stress, monitor your blood pressure and take your medications as prescribed.

Reducing your salt intake also can help control blood pressure. Seniors tend to become more sensitive to sodium, which means their blood pressure is more likely to drop when they cut back on salt in their later years (WebMD). Healthy adults are advised to consume no more than 2,300 mg. of sodium a day. That’s less than a teaspoon! However, those with high blood pressure should aim for 1,500 mg. per day.

You can start controlling your sodium levels by looking for lower-salt options in the foods you buy. Avoid processed snacks and aim to consume more fruits and vegetables. Also be mindful of condiments, salad dressings, soups and sauces – which can contain hundreds of milligrams of sodium in just one serving.

5. Don’t smoke

Smoking is a major cause of cardiovascular disease. It can raise triglycerides in your blood, lower good cholesterol, increase the buildup of plaque in your arteries and make blood more likely to clot, says the U.S. Food & Drug Administration (FDA). 

Older adults who have smoked for several years may question if there is any benefit to quit smoking, and the answer is YES. Your body begins to recover from the effects of nicotine in as little as 20 minutes. After two weeks, your circulation and lung function begin to improve. A year after quitting, your risk of coronary heart disease is reduced by 50 percent. By quitting smoking, you can also lower your risk of stroke, other cancers and lung disease. The National Institute on Aging provides more information and resources specifically designed for seniors who wish to quit smoking. 

You can take control of your heart health

While genetics can pre-dispose you to heart disease, many other factors are involved – and most of them are within your control. They boil down to maintaining a proactive attitude toward your well-being and making intelligent lifestyle choices to give your heart the best chance to remain strong and healthy.

Approaching the subject of moving a loved one out of their home is never an easy conversation. While it may be obvious to adult children that there is a need for additional care, convincing a parent can be a harder, more delicate conversation.

The following tips can help you have a productive discussion with your parents about senior living:

Prepare to listen

The last thing you want is for your parent to feel that their fears and frustrations don’t matter. Hear them out, while making it clear that your goal is to keep them safe and healthy. Don’t expect this to be a one-time conversation; it may take some time before everyone is on the same page.

“Children should be empathetic and realize that the decision to seek senior living options comes with a host of emotions for their parents,” said Rebecca Littler, Chief Nursing Officer at Elderwood, a leading provider of senior care across the Northeast. “It’s important that parents are allowed the opportunity to voice their concerns and that the decision doesn’t feel rushed.”

Plant the seed

Find opportune times to casually mention the idea of senior living. For example, reference a friend’s or coworker’s parent who is very happy in an assisted living setting and suggest that such a move might help make your loved one’s life more stress-free.

“It’s advisable to start having these conversations during periods of wellness,” added Littler. “If you wait until the need is urgent, your parent won’t be able to be part of the discussion or decision-making process.”

Hold a family meeting

Before bringing up senior living to a parent, it’s imperative that all adult children are in agreement. Siblings who are not as involved as the primary caretaker—especially those who live out of town—may not realize the extent of the situation, so there may be some pushback. Noting specific safety concerns or examples of how your parent has struggled with normal activities can help them to better understand your reasons for considering an alternative living arrangement.

Talk up the amenities

Outdated ideas about of what senior living means are not uncommon among those considering a move. Today’s senior living facilities are bright, cheery and full of activities and events that can greatly improve the quality of life for residents. Activities typically include arts & crafts, fitness programs, cultural and historical experiences, games and social events such as happy hours or movie nights. Residents often make new friends and get to enjoy companionship that they would not have while living alone.

Research different senior living facilities

It’s only natural that your parent will have some concern about making the move to assisted living, but an in-person or virtual tour can go a long way in alleviating their anxiety. This is their—and your—chance to take in the ambience, meet the staff, get the lay of the land and see other residents in action. When the community is the right fit, your parent will have a much easier time imagining themselves living there.

Click here to learn more about the different levels of care available, including independent living, assisted living and skilled nursing.

2020 hasn’t been the start to the new decade we would have liked. Yet, as the year begins to wind down and we head into the holiday season, there is still much for which to be thankful of despite the COVID-19 pandemic.

Here are some things many of us can be thankful for this year and ways we can show our gratitude:

Connecting or reconnecting with loved ones

It may seem odd in a time where we need to social distance that we can connect with loved ones, but the pandemic has brought new meaning to the relationships we have. We get so busy with the hustle and bustle of everyday life that we don’t actively make time to focus on relationships with family and friends.

While many social events have been canceled and we’re forced to limit capacity at our gatherings, we’ve been fortunate to be able to reconnect and develop deeper bonds with family and friends = even virtually.

When it comes to our older loved ones. it’s been especially difficult since many senior living facilities across the country haven’t been able to allow family and friends to visit in-person. Since COVID-19 has the greatest impact on the senior population, having the gift of technology has allowed us to stay in touch. Video conferencing platforms allow us to still gather and nurture our connections. In many situations, families and friends who haven’t communicated in a long period have reconnected with one another through technology.

The gift of time

Whether you’re a healthcare worker faced with long days behind a mask or navigating the pandemic at home, or even a family who has had to cope with being physically distant from a senior loved one, we have all come to appreciate the gift of time and the chance to slow down.

Many of us have found creative ways to unwind from this stressful time. We have picked up new hobbies like reading, working with crafts or painting. People have worked on self-improvement, gotten married and even had babies.

It is so easy to get caught up in the hustle and bustle of daily life, but it’s times like these – as difficult as they are – that make us realize we have to stop and appreciate all that we have.

Ways to show your gratitude

Making a habit of acknowledging what we’re thankful for is essential for our emotional well-being.

Here are some ways you can show your gratitude:

1. Regularly make a list and write down the things you’re thankful for.
2. Sit and think about what inspires you and relaxes you. Write down what is going well in your life and the activities you enjoy doing. Reflect on the things you’re looking forward to doing and the people who you love.
3. Reach out to a loved one, whether it’s your grandparent, parent, children or friend, let them know all of the ways you love and appreciate them.

Taking an inventory of the things we’re thankful for or looking for ways to show gratitude is a great way to prepare for a new year full of exciting opportunities. 

It is easy to become overwhelmed by all the details of moving. Having decades of possessions and memories can make the process to downsize into a smaller setting difficult and emotional. Here are a few tips to help make the transition a little smoother.

Lay the groundwork

It’s important to lay a strong foundation with preparing yourself for a successful and stress-free move.

“No place will ever be as special as your old home, but we want you to feel as safe and comfortable as possible in your new home,” said Elderwood Community Relations Coordinator Courtney Gfroerer Krueger.

It’s important to see the space that’s being moved into and to take measurements to help evaluate what’s needed in the new space. “I encourage residents to visit their room a time or two prior to move-in, if possible,” said Gfroerer Krueger. “This way they can think about what items they want to bring and get more familiar with their surroundings. We’ll often do a walk through to demonstrate how to access areas such as the dining room or nurses’ station.”

In assisted living facilities rooms can vary in size, but can typically accommodate a queen bed, a recliner or loveseat and a desk and bookshelf, depending on how they arrange the room. “While we do provide furniture, they are more than welcome to bring anything they’d prefer to use from home – including bed linens and towels,” said Gfroerer Krueger. “It can be comforting to have these items from home. If someone is coming from a home they’ve lived in for a very long time, the move can be extra difficult. I often encourage families to try their best to re-create a room or area of their home. Have the furniture in the same set-up, bring the same photos and plants.”

If families need help before or during the moving process, they can enlist the help of a Senior Move Manager. Senior Move Managers are professionals certified by the National Association of Senior Move Managers who specialize in assisting older adults and their families with the emotional and physical aspects of relocation or aging in place. “Moving is one of the top five stressors for adults, said Ann Marie Klosko, owner of Elder Transition Consulting LLC. “Picture being in your 70s and having to make a decision about “right sizing,” knowing your children are busy with work and their children, and you are looking at your years of accumulation thinking what am I going to do with all of this stuff?”

A Senior Move Manager can provide unbiased support during the planning of and physical move including the use of additional outside resources. Here are a few areas where a Senior Move Manager can lend their expertise:

• Measuring furniture and developing a plan for ensuring personal items fit within the new space.
• Arranging for the profitable disposal of unwanted items through auction, estate sales, donations or consignment.
• Interviewing, scheduling and overseeing movers, as well as packing and unpacking personal items.
• Managing the search and selection of a realtor to prepare the home for sale.

Organizing before the move

Keeping organized and taking the moving process step-by-step can help minimize worry. Here are some organizational pointers that Klosko offers families who are transitioning into assisted living:

Clearly mark boxes you are packing – Take an inventory of the items you are packing and bringing with you. As you pack up a box write what the contents are on the outside of the box. This will make it easier to find your belongings and identify the room they are assigned to. 

Start small and give yourself time – The best way to start packing is to begin with a room that has little attachment like a linen closet or laundry room. This will help keep emotions balanced and will be a great starting point to pack. It’s important to also allow some time as you move through rooms to reminisce and bond with your family. Use this time to talk about your personal history and the reason why those items have meaning to you.

Eliminate belongings in rooms you won’t have in your new living space – There will be items in your home that you love and cherish and those that you most likely won’t need any more like pots, pans and dishes since assisted living facilities have dining options.

Reduce collections creatively – Pick a couple of meaningful collectibles to keep and take photographs of those items you would like to remember.

Distribute legacy items now – It can be difficult to decide what family or friends you’d like to inherit meaningful family heirlooms. Offering up family legacy items early will allow you to make the decision as to who you give those items to without causing any family distress.

Safety Requirements

Safety is important when moving into an assisted living facility. There are items that might need to be avoided, which can vary by facility and are usually based on regulations. Items that might not be allowed include microwaves, space heaters, coffee makers, candles, hair dryers and drapes or curtains that aren’t flame retardant. Most assisted living facilities do allow for residents to have a small mini fridge for convenience. “We want residents to feel at home, but they also need to be as safe as possible,” said Gfroerer Krueger. “For example, area rugs aren’t allowed, but a resident can have a small rug in the bathroom outside of the shower if it has a rubber backing on it. “ 

Prior to moving in, assisted living facilities require furniture to be inspected by a pest control company to ensure there are no bed bugs or pests being brought into the facility.

Pet Policies

Pets make great companions for seniors; however, many senior living facilities do not allow pets, so it’s important to communicate with the facility about their policies upfront. Some facilities do offer the option to have a pet visit the facility, if they are up to date with vaccinations. In the event pets are not allowed, it’s important to think of options like a family member or friend who can take over the care of the family pet.

Moving your aging loved one out of their home can be an overwhelming and emotional time. However, the right planning and preparation can help to make the process easier and make your loved one feel more comfortable.

Many people plan for their retirement, making sure they have the funds to live comfortably once they no longer receive a weekly paycheck. However, a health crisis or the natural course of aging could change the trajectory of your retirement and force you to consider the need for advanced or prolonged care. It isn’t something most people want to think about, but not planning for that care can create incredible stress and financial hardship for you and those you love.

There are many types and levels of care, but let’s focus on these four: Short-term subacute rehabilitation, independent living, assisted living and long-term skilled nursing.

What kind of care will you need? And how will you pay for it?

People who experience a sudden change in health and are hospitalized may require additional services in a skilled nursing setting before returning  home. Subacute rehabilitation can be a stepping-stone between hospital and home for people who have had orthopedic surgery, a medical event like a stroke or heart attack, or who have been injured in an accident. Throughout your stay, a multidisciplinary team of nurses, therapists, therapy aides, dietitians and social workers aid in your recovery.

A short-term subacute rehab stay is often covered in part or full by your health insurance, although you may be responsible for a co-pay. In some cases, such as with scheduled orthopedic surgery, your rehab stay can be pre-planned, so you know in advance where you’re recovering and how much it will cost. Make sure the rehab facility you choose accepts your insurance. They may be able to pre-approve your coverage and even reserve your room.

Maybe you don’t need medical care but would like to downsize and free yourself from home maintenance and upkeep. Independent living communities, sometimes referred to as retirement communities, appeal to this category of older adults. Living arrangements are designed around the needs of mature clientele, with features that address safety, mobility and an easy lifestyle. Home maintenance, lawn care and trash pick-up are generally included, with housekeeping, restaurant dining, laundry and other services available, usually for an additional fee.

Housing styles run the range, from townhomes and condominiums to patio homes and apartments. There may be a community center where you can socialize with other residents, dine, enjoy entertainment, and participate in games and activities. More upscale communities may offer golfing, tennis, swimming and fitness gyms.

The cost of living in a retirement community will depend in part on the type and size of living arrangement and the extra services and amenities featured. Be aware that some places charge homeowner association fees or community fees. The most exclusive may require a hefty up-front buy-in.

If you gradually become less independent, assisted living may be an option. The decision to move to an assisted living community is often made under guidance of a physician, who determines that an individual requires help with activities of daily living. In an assisted living community, trained staff lend a hand with such tasks as dressing, bathing and medication management.

The cost of assisted living care depends in part on the type of accommodation and the level of care provided. The American Senior Housing Association places the average cost of assisted living at around $3,600 a month.

Depending on the assisted living facility, your monthly rent will likely include accommodations, care, 24-hour supervision, daily meals, transportation and utilities. Other things, like phone and cable service, may be extra.

For the most part, assisted living services are paid through a combination of private funds, including savings, retirement plans, investments, pensions, Social Security retirement benefits, sale of a home and other property. Assisted living is not covered by Medicare.

If you or your living or deceased spouse was a veteran, you may qualify for the Veterans Aid and Attendance Pension Benefit. This program can provide a monthly financial contribution to help defray the cost of assisted living. In New York State, some assisted living communities are licensed under Medicaid to offer the Assisted Living Program (ALP) to provide specialized care for residents who medically qualify.

Social Security Disability Insurance and Supplemental Security Income typically do not provide enough benefit to cover the cost of assisted living. Additional sources of income would be required to put toward the monthly payment.

Part of the admission process may involve completing a detailed financial application, which gives both the individual and the assisted living community a good idea of the depth of a person’s financial resources.

“The financial application helps people understand the cost for their room and board, plus whatever care services are required,” said Kim Laviolette, Elderwood’s Regional Director of Operations.

“Elderwood uses a tiered service plan to determine the care portion of their monthly rent, based on the results of an initial assessment,” said Ms. Laviolette. “We individualize their care, so they only pay for the services they use, enabling them to age in place for as long as possible.”

When more care is required, many families turn to skilled nursing communities. Also called long-term care facilities or nursing homes, these communities provide round-the-clock care to people in frail health who can no longer live on their own. The care team includes nurses, nursing assistants, social workers, dietitians and dietary aides, housekeeping and laundry staff, maintenance personnel and activities staff.

The most comprehensive level of care, it is also the most expensive, with estimates averaging between $85,000 and $105,000 a year – likely more if you need specialized memory care. According to the most recent National Study of Long-Term Care Providers, about one-half of Americans reaching age 65 will need long-term care services at some point in their lives. The average projected length of stay is 2.2 years. However, up to 20 percent of people may need care for more than five years.

The money to pay for that care generally comes from the individual’s liquidated assets, but payment may be supplemented or paid outright by a family member. Once the individual’s assets are depleted, or nearly depleted, they may apply for Medicaid. Approval can take several months, but once the application process is finalized, Medicaid provides for the individual’s care in full.

Another alternative is long-term care insurance. Long-term care insurance policies are aimed at healthy individuals in their 50s and 60s who are concerned about care in their later years. There are many variables regarding the types of policies, how much they cover and for how long. You may be denied a policy due to your age or a pre-existing health condition. Furthermore, you may put thousands of dollars into the policy over a decade or two with no guarantee that coverage will ever actually be needed. However, long-term care insurance typically pays up to 80 percent of the cost of skilled nursing care, which can greatly relieve the financial burden on the individual and their family, if and when such care is required.

No one wants to spend money on something they don’t need; but everyone hopes they’ll be prepared if a need emerges. The best time to prepare for the possibility of advanced care is years before it is actually necessary.

As we age it is important that we find ways to help manage stress and calm anxiety. Keeping mentally, spiritually, and physically healthy is important for maintaining a healthy lifestyle as we get older.

Meditation is one of the most popular activities that we can incorporate into our lifestyle that has minimal impact on the physical body and can offer great benefits for overall wellbeing.

What is meditation?

Meditation is a practice that has existed for thousands of years, focusing on the nexus of brain, mind, body, and behavior. Meditation was originally used to deepen one’s understanding of the sacred and mystical. For centuries meditation has been used to increase calmness and physical relaxation, improve psychological balance, cope with illness, and enhance one’s overall health and well-being.

There are many forms and styles of meditation with varying goals. For example, while Christian meditation focuses on attachment to God and filling the mind with prayer or Scripture, Eastern meditation focuses on emptying the mind and detachment. 

Types of meditation

Guided meditation – This form of meditation focuses on forming mental images of peaceful, positive and relaxing places or situations. A person practicing this form of meditation will try to utilize as many senses as possible such as sights sounds, smells, and textures. This can be practiced alone or with a teacher or guide.

Mantra meditation – This form of meditation involves silently repeating a word or set of words.   Mantras can be developed personally, or one can use a traditional mantra, such as the Jesus prayer from Eastern Orthodox Church, the holy name of God from Judaism, or the om mantra from Hinduism, Buddhism, and Eastern religions. 

Mindfulness meditation – This form of meditation practices being mindful and tapping into an increased awareness and acceptance of the present moment. From the Buddhist tradition, mindfulness meditation is the most popular form of meditation in the West and helps to broaden conscious awareness by using a variety of breathing techniques. This form of meditation allows one to observe one’s thoughts and emotions without judgment.

Qi Gong- Part of Chinese medicine, this practice is an amalgamation of meditation, relaxation, physical movement and breathing exercises with a goal of restoring and maintaining balance.

Tai Chi– A form of gentle Chinese martial arts, Tai Chi is a self-paced series of postures or movements in a slow, graceful manner while engaging in deep breathing.

Transcendental meditation – The most popular form of meditation worldwide, this form of meditation is the silent repetition of a mantra in a specific manner. Practitioners of this form of meditation state that this may help one settle into a state of deep relaxation and restfulness, achieving inner peace, without effort or concentration. 

Yoga – This form of meditation utilizes a series of postures with controlled breathing exercises. Yoga is said to promote a flexible body and a calm mind.

Meditation in Christianity – Many saints followed and taught various approaches to Christian meditation, among which include The Way of Perfection from St. Theresa of Avila, the meditations of Saint Francis de Sales, rosary meditation, prayer meditation and more. There are other forms of meditation that vary amongst different denominations. In Eastern Orthodox Christianity, meditative prayer includes Hesychasm prayer and the Jesus prayer. 

Ways seniors can incorporate meditation

Those with difficulty moving may prefer to choose mental or spiritual exercises instead of physical forms of meditation such as yoga. In terms of physical practices such as Tai Chi or yoga, there are several options to access videos such as YouTube, accessing your preferred streaming services, or renting DVDs from your local library.   

Some may prefer to meditate alone while others may prefer to find a teacher or guide for forms of mediation such as Guided Imagery, Tai Chi, Qi Gong, Yoga. 

There are also many apps that seniors can download to help with guided meditation exercises. Headspace is a popular app used for guided meditation. Through this app, you can choose a specific goal for your meditation. There are options for topics like stress relief, guided sleep meditation, or overall healthy living.  

It’s important to know that meditation takes practice. You can expect distractions, no matter how long one has been practicing meditation. It is common for your mind to wander. Do not stress or feel like you are failing if your mind wanders. Just slowly return to your meditation.

Before starting meditation

If considering meditation as a form of medical treatment, be sure to consult with your doctor first. Meditation can be complementary to certain treatments but should not be a replacement for treatment prescribed for specific conditions. As a lifestyle practice, meditation is a wonderful way for seniors, and people of all ages, to achieve a variety of benefits right in the comfort of their own home. 

Summer is here! Protecting your skin from harmful UV rays is important at any age, but the risk of skin cancer increases for seniors, as they have experienced more sun exposure over time (Cancer Treatment Centers of America). Those who live in more arid regions with greater amounts of direct sunlight, as well as those who are immunocompromised are also at a greater risk for skin cancer.

We should all know the basics, but there are plenty of additional ways to ensure your safety and protection while enjoying the warmth of the sunshine. As an older adult, it’s important to use precaution when being out in the sun. Here are some other tips to consider.

Use sunscreen

It may seem obvious to use sunscreen, but it’s also an easy thing to forget when rushing out the door. The CDC recommends using a broad spectrum sunscreen of at least 15 SPF or higher, and the American Cancer Society recommends that seniors use a sunscreen of 30 SPF or higher. Remember, even if it seems overcast, clouds filter less than 25% of the sun’s harmful rays, so it’s still wise to wear your sunscreen.

Ideally you should put sunscreen on before you go outside and repeatedly throughout your day. As a rule of thumb, apply sunscreen every two hours while being outdoors. However, if you are swimming or exercising, you should apply a new layer more often.

Pack protective clothing

Whether you’re headed to the park, golf course, beach or even your backyard – chances are you could wind up in an area with little to no shade. While sunscreen is a great first step, adding sunglasses, a hat, headscarf or a light shawl can help to keep you protected in the sun, and feel more comfortable in general.

Wide brim hats work well to shield more of your head and face. A light scarf can help to protect exposed arms and shoulders. You can even find apparel designed with UV protectant fabrics, such as Coolibar which offers UV hats and clothing for a variety of activities.

Stay hydrated

“Seniors are particularly at risk of becoming dehydrated, “said Dr. Michael Manka, medical director for Elderwood Health Plan. “This is especially true during the hot and humid summer weather, when fluid losses increase due to sweating.”

It’s important to make sure you are staying hydrated in the heat. If you plan to be outside for an extended period, bring along an insulated water jug or a cooler with water, flavored water or electrolyte beverages.

Review your medications

Are you wondering what medication has to do with enjoying a beautiful day in the sun? Certain medications can heighten your sensitivity to sunlight and increase your risk for sunburns or allergic reactions. The FDA outlines several of these medications, some of which are very common. When in doubt, it’s best to review the labels on your medications and discuss any questions with your doctor.

Know when to stay inside

Every now and then it’s just too hot and humid to spend time outside safely. While no one wants to miss an outing, there are times when the risk outweighs the benefits. If you experience trouble walking, breathing or feel at risk of fainting, it’s best to stay inside and keep cool with fans or air conditioning. For specific questions regarding your personal health and ability to spend time in the heat and sun, be sure to talk with your doctor and limit your sun exposure as needed.

Following these tips can help you enjoy the summer season while keeping your health and safety in mind.

As time passes on we become more aware and appreciative of our social connections to family, friends, neighbors and coworkers. Feelings of nostalgia for the “good old day” may bring about questions of the past for families. So why not go a little further?

A family history can take many forms, each with their own advantages. Learn more below.

Family history formats

• A memoir or an autobiography is a factual account written by you, about you. An autobiography encompasses your life history, while a memoir focuses on a specific time in your life and is often introspective. If you like to tell stories about your past, you will feel comfortable with this format. A biography is a factual account about someone other than yourself, for example another family member.
• Perhaps you have saved items such as photos, letters, cards, concert tickets or other memorabilia that are attached to specific memories. A scrapbook enables you to intermingle mementos with written accounts to enhance your story.
• A family cookbook is a fun idea that would make a great holiday gift! Share favorite family recipes and include a story about the person who originated the recipe. Ask family members to contribute.
• Many families have cherished oral histories – tales of events or family members passed down by aunts, uncles and grandparents. You can write the stories as you remember them, journal style, or record yourself telling the story. A family gathering – even if it’s done virtually – is a great place to share and document family stories. Have a list of questions ready to spark a memory. Ask about their childhood, pets, vacations, family traditions, historical events they lived through, when and how they met their spouse. Record them telling their story for a meaningful keepsake your family will treasure.
• The ease with which we can find and review historical documents online has peaked public interest in researching the family tree. Unlike a written or oral history, a genealogical history catalogs family connections through time.

Exploring your family history

A little research can provide context for your family history and the internet puts vast amounts of information at your fingertips. Did your grandfather own a business? Even something as simple as a Google search may yield a photograph or newspaper reference.

One of the most popular ways to flesh out a family’s story is through a genealogical study. Several website databases such as The US GenWeb Project are available to help people trace their ancestry. Some resources are free while other sites like Ancestry and Genealogy Bank require a paid subscription to obtain full access, but may offer free trials for a limited time. Purchasing a short-term subscription is another option. The cost will be minimal and it may only take a week or two to satisfy your curiosity.

Don’t overlook library and museum websites. Over the years, old documents of all kinds have been scanned and stored in internet databases, meaning you can read 100-year-old newspapers, search ship passenger and immigration lists, view military records and city directories without traveling to the place where the actual document is stored. And some public library systems might even provide card-holding patrons free access to fee-based genealogy sites!

Where to begin writing your family history

Begin with what you know and ask family members to help fill in the blanks.

Most ancestry database searches start with the name of an individual. The more details you can provide about that person, the better your chances of quickly finding relevant information. Do you know their full name, middle name or initial, birthdate, date of death or marriage, address or geographic location? How about their parents’ names? Specifics like these will help you pinpoint information and build your family history.

A single successful search can yield new facts to aid future searches. For instance, an obituary notice usually lists a birthdate, date of death, names of additional family members, and possibly other information like religious affiliation and membership in political and community organizations.

Organize your information

Careful record-keeping is key as you continue your search. Whether your documents are physical or digitized, develop an efficient system that will help you retrieve the information you need, when you need it. You may want to create one folder per family name, with subfolders for each generation or family member.

Most people interested in genealogy develop a family tree to diagram family connections. You can draw yours on a piece of paper, create it on the computer or use a variety of templates on the web. Some genealogical sites also provide a family tree builder, usually for a fee. This type of service can help you organize your information and enables you to save images and links for reference.

Researching and documenting your family history can be exhilarating, frustrating, enlightening, fascinating, time consuming and rewarding. Sharing what you discover with other family members can strengthen your connections, even while you remain apart.

Additional resources
AfriGeneas 
Ancestry.com
Civil War Soldiers and Sailors System 
Find a Grave – cemetery records
Find My Past
Genealogy.com
Genealogy Bank
India Family History Search
JewishGen.org
NativeWeb Genealogy
NewspaperArchive.com
US GenWeb Project
US National Archives 
Wiki Tree

An active lifestyle is important for our physical and mental well-being as we age. It can be difficult to be active with the balance of life, especially during a pandemic. Even under the current situation, there are ways to succeed with your fitness goals.

First, be sure to consult with your physician before starting a physical fitness routine. This open communication will allow for a successful fitness goal within your comfort zone. When it comes to exercise it’s important to avoid anything that feels painful or uncomfortable. Try your best to stay within a pain-free range of motion. This will help you to maintain mobility and prevent injury.

Start with walking

One of the easiest and most beneficial forms of exercise is walking. “Walking is the best way to keep legs strong and increase stamina,” said Elderwood Wellness Coordinator Steven Johnson. 

According to Better Health, there are benefits to choosing to walk at a steady pace for a longer period of time, or shorter bursts of more strenuous walking, either quickly or up hills or stairs. For seniors over the age of 65, walking for 30 minutes can help lower your risk for heart disease, stroke, colon cancer, and diabetes. Plus, it strengthens your muscles and bones, which helps to reduce your chances of osteoporosis and osteoarthritis.

Walking has many mental health benefits as well. Walking on a treadmill or outside where you’re getting fresh air can help increase endorphins which improve your mood. “There are the many health benefits that can be gained from getting Vitamin D, such as bone strengthening and combating depression,” said Johnson. “Breathing fresh air and getting sunlight is the best!”

Practice safe social distancing

Since gyms and other physical fitness centers are closed in most areas, it’s important to find spaces where you can remain active. That can be within your home or outside.

It is recommended to walk with someone in case of falling. But, practicing safe social distancing is important during a global pandemic. Bring a mask in case you encounter other people, and aim to stay at least 6 feet apart from others while walking.

Try other low impact workouts

Tai Chi is a popular activity for seniors who are looking for an enjoyable activity that provides both mental and physical health benefits. Tai Chi is a low impact form of exercise for the health of the mind and body. Minimal stress is put on the muscles and joints, which helps make it a perfect exercise activity for aging seniors.

Tai Chi can be practiced for the comfort of your own home. You can look up videos on YouTube or a variety of streaming services offer programs that you can do at your own pace. 

Gentle yoga and stretching also provide low impact ways to release tension in the body and stay strong.

Incorporate body strength exercises

In addition to cardio, it’s important to practice strength exercises if you’re physically able. As we age, we gradually lose muscle and full body strength helps to maintain stability and flexibility. You’ll want to focus on 3 key areas:

• Lower body strength is the foundation for your movement. Having a strong foundation decreases your risk for falling.
• Upper body strength can help seniors do everyday activities like lifting, reaching, pulling, and pushing. Having good upper body strength can preserve, or in some cases, reverse muscle loss associated with aging. 
• Flexibility is important to help reduce the risk of injury when exercising. Flexibility helps to reduce muscle soreness and allows the body greater amounts of freedom in movement.

Find strength and flexibility workouts here.

With consistent exercise and physical activity, seniors will notice an improvement in their health and overall quality of life. While the impacts of COVID-19 have made it more difficult to get to gyms, fitness classes and public places, it’s important to maintain a regular workout routine, while taking extra precautions.

Over the past few months, the Coronavirus (COVID-19) has hit the United States and spread quickly. There is a huge emphasis on protecting our elderly population and those with underlying health conditions, as they are at higher risk of experiencing complications from COVID-19. Most states have enacted stay-at-home policies to encourage the population to remain at home and maintain social distancing as much as possible.

However, many of our elderly loved ones rely on daily care and assistance from family, often directly in their own home. In addition, the primary caregiver is often a senior themselves. In some situations, complete social distancing is not possible due to the care required. However, there are some extra precautions caregivers can take to ensure their loved one’s needs are met while following guidelines from the CDC.

Limit visitations to a single caregiver

For elderly who still live in their own homes, it is common for a few family members to share duties such as checking in, preparing meals, managing medications and other personal care. While this is generally convenient and helps to spread out the responsibilities of caregiving, it’s not the safest approach during a pandemic. “As much as we want to see loved ones, it’s important to prohibit visitors who don’t play an essential role in their daily care and to limit contact to one caregiver if possible” states Juliane Barbato, Registered Nurse, Enrollment for Elderwood Health Plan.

Follow the basic guidelines

Although it may seem obvious and shared widely throughout the media, following basic guidelines is critical to protect yourself and your loved one, and to prevent the spread of germs. Wash your hands often and assist your loved one in washing their hands for at least 20 seconds, following these five steps.

While providing care, maintain a distance of 6 feet or more when possible. Clean and disinfect frequently touched surfaces often using products designed to kill viruses. You can find the EPA’s list of registered disinfectants here.

Use protective equipment if available

For most people, an N-95 mask may be hard to come by as these are being preserved for healthcare workers. However, the CDC has released new guidelines around wearing cloth masks for added protection. “Wearing a cloth mask does not mean one should stop following the other precautions. The purpose of the cloth mask is to protect others from those who may be asymptomatic. Many people don’t exhibit signs of COVID-19, so wearing a cloth mask helps to protect the spread of a silent virus to your loved one,” says Barbato.

Utilize technology

The use of smartphones, devices and social media has opened up new pathways for face-to-face communication. Staying connected can help your loved one to feel supported during these difficult times when it’s not possible to visit in person as often. There are a variety of mobile and web-based programs that allow you to set up video calls, including:

• Apple FaceTime
• Google Hangouts
• Skype
• Zoom

These types of technology allow for multiple family members to connect on one call. You can have a virtual birthday celebration, enjoy a family meal together, or just come together to brighten your loved one’s day.

In addition, most insurance carriers now offer telehealth options where you can visit with a doctor and video chat right from the comfort of your own home. Many urgent care centers are also offering this option. If you or your loved one are sick and experiencing symptoms that need medical attention, whether related to Coronavirus or other illness, telehealth provides a safer alternative to visiting a doctor’s office.

By using extra precautions while still providing necessary care, you can help to keep your loved one safe and healthy. If you or your family member experience any concerning COVID-19 symptoms, please call your primary physician right away. You can also check on your county’s website for COVID-19 hotlines, which can provide further instruction.

There is a lot of concern in the world right now regarding the Coronavirus (COVID-19), particularly for a senior population that is at a higher health risk from the virus. Many older adults have underlying medical conditions that increase their risk of serious illness related to the virus and other infectious diseases. With the intense and constant news coverage of the pandemic, seniors are repeatedly exposed to media messages that can spark fear and anxiety.

If you are taking care of an elderly parent or loved one, or are a senior yourself, it’s important to use healthy techniques to manage stress and calm anxiety. Keeping mentally, spiritually and physically healthy is important in dealing with these uncertain times.

Here are some ways to help calm anxiety:

Stay connected

While the world practices social distancing, it is important to keep in touch with your loved one. It is vital for their well-being, sense of community, love, reassurance and support.

Technology provides many tools to help keep us engaged with one another in times where we cannot be together physically. Families can keep in touch through phone calls and video calls through Skype or FaceTime. If your loved one is in a senior living or skilled nursing community, ask about the options they offer for video chatting.

“While daily calls may be helpful for some, others who are anxious might respond to morning and evening calls, while some may find daily calls overwhelming,” says Deborah Greatrix-Tyler, Chaplain for Elderwood Skilled Nursing and Assisted Living Communities. “For those with memory issues or dementia who may not fully comprehend or realize the ramifications of the current pandemic situation, more frequent calls may create anxiety. Each caregiver needs to ascertain the individual needs and comfort level of their loved one.”

For those living at home, visits should be kept minimal except for the primary caregiver. However, that doesn’t mean family can’t visit from a far. Have a sidewalk chat or bring signs with friendly messages for your loved one. Many senior living communities also welcome family to stand outside a window to maintain that personal face to face connection.

Take time to decompress

It’s important to take time to decompress from the stress that the pandemic is causing. Encourage your loved one to meditate, play soothing music or utilize aromatherapy such as lavender which is shown to have a calming effect.

“Take deep breaths every day…breathe out the worry and anxiety. Inhale slowly and deeply through your nose and exhale slowly through your mouth. Repeat. Be mindful of your breathing and relax.  Studies show that this reduces anxiety and slows heart rate,” said Greatrix-Tyler.

This is a great opportunity to go outside and enjoy nature, while practicing social distancing. If your loved one is at home, encourage them to go outside and sit in their backyard or perhaps take a socially distanced walk in their neighborhood.

If your loved one resides in a senior care community encourage them to take advantage of time outside to breathe in some fresh air. Many communities have patio areas, gardens, or offer supervised walks to ensure residents remain distanced. 

Embrace faith

If your loved one is spiritual or religious, encourage them to tap into their faith to help them through this unsettling time. “Faith is important to remind us that although we may be physically isolated from one other, we are not isolated from God. We are connected to one another in faith – both in the present community, as well as to the generations that came before us who practiced the same traditions,” said Greatrix-Tyler.

While many religious denominations have canceled regular worship celebrations there are still ways to stay connected with faith. Many local churches are now offering live-streaming or YouTube videos of their services, which you can help your loved one to access through a smartphone, tablet or laptop. 

Engage in life review

Another coping technique involves asking your elderly loved one how they have coped and managed during other troubling times. “During this time of separation and feelings of loneliness and anxiety, talk therapy and life review are important aspects of mental health and a source of peace and calm,” said Greatrix-Tyler.

“Our seniors have been a source of inspiration. They maintain positive attitudes throughout this pandemic. They are the greatest generation. Some may have survived the Great Depression, World War II, and the Holocaust. They have incredible well-developed inner strength, resilience, fortitude, faith, courage, wisdom and deep sources of coping.”

Help your loved one to verbalize and then draw from their inner strength, faith and fortitude that sustained them through past crisis. Sometimes bringing out old photos, even if through digital means, can help seniors to connect with their past and inner strength.

Limit media exposure

Although it is important to stay informed - constant news may increase anxiety as seniors may keep hearing news about the elderly being most at risk.

A good rule of thumb is to avoid watching the news at least two hours before bedtime. Seniors can read a book or watch their favorite show or movie to keep their mindset calm.

Develop a plan

If your senior loved one’s thoughts are constantly filled with anxious “what if” scenarios, help them normalize and take control of the situation. Often, the simple act of “talking it out” helps people minimize fears by purging or releasing them. Talk through all the possibilities and formulate a plan. A sense of control will reduce anxiety and having a plan will help reduce fear and worry. 

If you or your elderly loved one feels overcome with anxiety and stress that does not seem to be improving, contact your primary physician via phone call. For spiritual support and counseling, contact your pastor, priest, rabbi or your loved one’s senior care community for options. You can also check with your insurance provider to see what types of Telehealth options are available.

The role of a registered dietitian is to assist individuals in meeting their nutritional goals. In a senior living community, the dietitian will complete a full nutrition assessment on every resident and determine if there is a need for nutritional intervention.

When it comes to senior nutrition there are common misconceptions. Learn what the facts are when it comes to three of the most common myths.

Myth 1: Seniors don’t need to eat very much

This is perhaps the most common myth about senior nutrition. “The reality is that seniors still need to maintain eating a healthful diet with enough protein and calories, vitamins and minerals to sustain their health,” said Director of Nutritional Services at Elderwood Amy Julicher, RD, CDN. 

While it is true that seniors often experience decreased appetite and lower intake of fluids, it is still important that they maintain good nutrition by consuming adequate amounts of food.

Myth 2: Supplements can substitute for food

While supplements can be a good source of calories, protein, vitamins, and minerals, it is preferable to obtain those nutrients from actual food sources. Our bodies are already accustomed to digesting real food and using it properly. Supplements often contain additional ingredients such as artificial flavoring and sweeteners to mask the taste that a nutrient-condensed product contains.

“There is also a lot to be said for the experience of eating. Drinking a supplement often leaves a person feeling unsatiated or, over time, can lead to flavor fatigue,” said Julicher. Eating a complete meal allows for variety and may encourage better consumption. For residents with a decrease in appetite, offering snacks or fortified foods will help them get the nutrition they need.

Myth 3: The food in a nursing home is not good  

This is a common belief of people who remember the institutionalized and less desirable meals that nursing homes and hospitals were known for in past decades. “We have made great strides in improving the taste and quality of meals since those days and offer a greater variety of food choices now, said Julicher. “We also choose products that are palatable and visually pleasing to encourage eating.”

It’s important to consult with your physician and a registered dietitian before starting a new meal regimen to make sure you’re getting the nutrients your body needs from food. Maintaining a nutritious diet customized to your own health and medical needs can help to improve quality of life.  

There’s a common misconception that the older you are, the more you sleep: think of the stereotypical grandma nodding in her rocking chair, or grandpa snoring in front of the TV after dinner. Most seniors don’t really sleep more, nor do they need more sleep than adults 20 or 30 years younger. While adults should aim for about seven to eight hours of sleep a night, seniors may have a harder time reaching that goal.

Older adults may not sleep well for several reasons. For one thing, sleep patterns change as we age. According to the National Sleep Foundation, older people tend to get sleepy earlier and wake earlier. But they may resist this new pattern, sticking to old bedtime routines and losing out on a good night’s sleep.

Also, sleep disturbances are more common among older individuals, who may wake multiple times during the night, spending less time in deep sleep.

Many factors can disrupt our sleep, which in turn can affect our mood, our ability to concentrate and our health. Poor sleep also can reduce our ability to fight illness and increase our risk for falls or accidents. It’s important to identify causes of sleeplessness in order to improve sleep quality and overall quality of life.

The Goldilocks rule

Goldilocks was onto something: For the best sleep, conditions need to be “just right.” Is your mattress or pillow too hard, too soft or too lumpy? Is your bedroom too warm or cold? Is it dark enough? Is it noisy? Sometimes, getting a better night’s sleep is a simple matter of changing your sleep environment. Evaluate your sleep space and adjust as needed to improve your comfort. 

Simple changes in lifestyle

If your bedroom isn’t the problem, consider daily habits that might be contributing to poor sleep.

For instance, pay attention to what you eat, and when. Eating a heavy meal or drinking caffeinated beverages too close to bedtime can keep you awake. Alcohol isn’t recommended, either. While it may help you fall asleep at first, alcohol can affect your breathing and increase the need to empty your bladder, all of which might make you wake more during the night.

Exercise is recommended for better sleep – but timing is important. Exercise stimulates our mind and body, so it’s better to avoid working out late in the day.

Do you like to nap? While some people feel refreshed after a brief afternoon snooze, taking a nap in late afternoon or evening could upset your body’s rhythm and make it harder to fall asleep at bedtime. The best rule is to follow a regular sleep schedule, even on weekends or when you’re traveling.

What’s keeping you up?

Anything from arthritis pain to a frequent need to use the bathroom, to the involuntary movements associated with Parkinson’s disease can interrupt your sleep. So can certain medications, stress and anxiety, sleep apnea, allergies and asthma, Restless Leg Syndrome, menopause and thyroid problems. If you wake often during the night, or if you don’t feel rested when you wake in the morning, a good first step is to talk to your doctor about identifying a possible physical cause.

The National Sleep Foundation reports that snoring disrupts the sleep of as many as 90 million American adults (and that doesn’t include their partners!) Loud snoring can be a sign of obstructive sleep apnea, a condition where breathing stops for as long as 10 to 60 seconds, multiple times during the night. You may not even be aware you have sleep apnea – but if you’ve ever been told you snore, chances are good that you do. Untreated sleep apnea puts a person at risk for cardiovascular disease, headaches, memory loss and depression. A simple sleep study can help determine if you suffer from sleep apnea and a sleep specialist can go over your options to help control the condition.

Put yourself to sleep

If counting the sheer number of tips available to help you sleep better doesn’t help, there are other practical measures you can take to improve your chances of nodding off more easily and staying asleep.

• Use your bedroom only for sleeping. Don’t read or watch TV in bed – and especially don’t smoke in bed.
• Ideally, your bedroom should be comfortably cool, dark and quiet.
• Try a relaxation technique. Counting slowly and steadily might work; so could counting to 100 by threes (3, 6, 9, 12, 15, etc.) Envision yourself in a calm, pleasant setting – laying on a beach or in a sunny field, or bobbing on a placid lake, for instance. Or try consciously relaxing your body, working muscle by muscle starting at your toes.
• Avoid using your computer, cell phone or tablet before bed, as the light from these devices may make it harder for you to fall asleep.
• Exercise regularly, but not within three hours of your bedtime.
• Avoid late-day consumption of heavy meals, alcohol, and foods that contain caffeine, such as tea, coffee, some soft drinks, and chocolate.
• Keep naps short and avoid napping in late afternoon or evening.

Be diligent about finding the cause of your sleep troubles and working toward a solution and you’ll be on your way to a better night’s rest – and better health.

Over 40 million people in the United States provide care for an adult over the age of 65 (source). Of those being cared for, 90% are aging parents or relatives. Becoming a caregiver can be overwhelming as roles are reversed between parent and child. For some, the change happens gradually as parents naturally age and require more care. For others, a traumatic event such as an injury or illness can bring about an immediate and sometimes unexpected change to the family dynamic.

If you find yourself becoming a caregiver for your parent, it can be taxing both physically and emotionally. However, it can be equally rewarding and fulfilling when you have the right support. Here are some tips to consider as you transition into the role of caregiver.

Develop a routine

Establishing a regular routine to assist your loved one with their daily needs can help you and your parent to adjust to this new lifestyle. You’ll want to consider things like daily medications, extra time for assistance with dressing, using the bathroom and bathing if needed, mealtime and preparing for bed. Creating a daily schedule can help you to prioritize and maintain other responsibilities within your life. Schedules can also prove useful in planning your loved one’s doctor’s appointments, in order to cause the least amount of disruption in their day.

If you are still working, you may wish to share this schedule among other family members and agree upon how to split up responsibilities. If your parent is receiving additional in-home care, you can develop a shared schedule with their nurse or aide to ensure everyone is on the same page with things like medication management and meals.

In addition to documenting your loved one’s care routine, it’s critical to keep a record of their medication dosages, pertinent medical history, and to list important contact information for family members, doctors, pharmacies and emergencies. This allows you to easily share information with other caregivers if you travel or unfortunately become ill.

Don’t be afraid to ask for help

There have been several studies that have reported on the mental and physical impact of care-giving. Around 10% of caregivers say that their health has declined since becoming a caregiver. Often, the primary caregiver spends so much time and physical energy caring for their loved ones, that they neglect to care for themselves.

“It’s critical that caregivers find ways to recharge,” said Sarina Swiatek, Care Services Manager for Elderwood Health Plan. Elderwood Health Plan is a Managed Long Term Care plan which provides long-term care services to help people remain in their homes longer.

Making time for yourself as a caregiver is extremely important. “We know the pressures that caregivers face, as many of us experience being a caregiver at some point with our own families,” said Swiatek. “Many aging adults face physical and cognitive challenges which can become overwhelming to manage.”

Here are some basic considerations when it comes to taking care of your health:

• Try to maintain your own preventative health care, such as routine doctor’s appointments, as much as possible.
• Engage with a local or online support group. The support of others going through a similar situation can help you to gather advice and cope with the stresses of caregiving. Many support groups are now online, or social media based which allows caregivers to connect and support one another conveniently from their own homes, or on-the-go through their phones. You find several support groups here.
• Most importantly, make time for yourself. As hard as this can be, allow yourself breaks both mentally and physically. If other family members or friends are not available to assist, consider a local respite care option. Respite care can provide peace of mind for short stays, and your loved one will be taken care of in a safe and medically-supervised environment. It’s a great option for caregivers to rejuvenate and recharge.

Providing care for your parent or aging loved one is a great gift that comes with new responsibilities. For more information on respite care or to discuss care alternatives, such as assisted living, contact Elderwood and we’ll guide you through your options.

Each year, the festive and busy winter holidays quickly give way to long cold nights and often, gray days. Winter in the Northeast can be tough for even the heartiest among us, but it can be even tougher for the elderly.  It’s especially difficult for those with mobility issues and those living in senior care facilities. The reduced daylight and fewer visits from friends and loved ones can lead to feelings of isolation, limited motivation and even depression.

The good news is that there are many ways to beat the winter blues. Try one or more of the suggestions below to help improve your mood and your attitude.

1. Get moving!

Regular exercise releases chemicals in the brain linked to your sense of well-being, reducing anxiety and improving your overall mood. According to the American Psychological Association, the effects can be felt just five minutes after participating in moderate exercise. In addition to being good for your muscles and heart, helping with balance, blood pressure and weight control, physical activity also can help lower the risk of depression.

For those who are able, a routine at a local gym maybe be a good way to get started. If you don’t have a gym membership and it’s too blustery outside for a walk, consider leveraging today’s technology. Exercise videos can be watched for free on YouTube, and there are several fitness apps available on your mobile phone or smart device. As always, be sure to check with your healthcare provider before beginning any new exercise.

2. Take up a hobby.

It’s probably not a coincidence that January is National Hobby Month! Whether the excitement of the new year motivates you to try a new pastime, or you’re just looking for something to keep you busy indoors, there’s a hobby to match every interest. Jigsaw puzzles, word find challenges and sudoku can help to keep your mind sharp. Adult coloring books, origami, painting, model building, knitting, crocheting and embroidery all are relaxing hobbies, and relatively inexpensive to start.

For other creative options, look for adult education classes offered in your area. Consider workshops at a local craft store or cooking classes at a nearby supermarket.

3. Get together.

Don’t let the weather get you down. Grab your coat and go out with family or friends for nice lunch, shopping, bowling, a card game, or just a cup of coffee – anything can be an excuse for a friendly gathering. For those living in a senior care community, this may be the right time to try a new activity offered by the staff or grab some of your neighbors to watch a favorite program or movie together.

4. Be social.

If you’re comfortable with the idea, tap into social media. Facebook is a popular way for friends and family to keep in touch, but there are also numerous Facebook groups that focus on specialized interests. Whether you enjoy a particular author or TV show, or more obscure hobbies like Roman architecture, Colonial-era cooking or flower arranging, social media groups create an environment where you can share photos and ideas with other people around the globe who have similar interests.

5. Learn something new.

Today’s technology can broaden your horizons and help alleviate feelings of boredom and loneliness. If you’ve always wanted to delve into a particular field of knowledge, now might be the time to enroll in an online course. Many well-known educational institutions offer web-based learning options through EdX, Coursera and other services. You can audit some courses free of charge, at your own time and pace. Explore topics presented by universities across the country and the world without leaving your living room!

If your learning pursuits are more casual, the internet offers countless videos that present new ideas and support a positive outlook. Your favorite top chef, comedian or sports figure has probably filmed a YouTube video. Browse through inspirational and amusing Ted Talks – or search a topic that interests you.

6. Explore the fine arts.

Visit a museum, enjoy a concert, attend a theatrical performance. Find out if your town offers historic talks or tours. It doesn’t matter if you go alone or with friends; you’ll be surrounded by others who share your interests. Most public libraries also offer lectures and exhibits around art and history topics. Many of the events are free of charge and information can be found on your nearest library’s website.

7. Volunteer.

Giving your time to help someone can be very rewarding and fulfilling, and volunteering is a great way to stay active and engaged in your local community. You can volunteer at a church or nearby school, or follow your interests. Become a docent at a science museum or historical landmark or help at your local hospital or food pantry. Skilled nursing and assisted living facilities are always seeking volunteers to help with different activities or to spend time with residents. There are plenty of organizations that will welcome your donation of time and talents. If you’re unsure where to start, check out the Volunteer Match website, where you can search for volunteer opportunities available in your local area.

While winter can seem long and dark, some new activities can brighten your days and help you to stay busy. Before you know it, you’ll be seeing the signs of Spring! 

Winter’s snow and ice makes it an especially dangerous time for seniors due to the increased risk of falling. Snow and ice on untreated walkways, parking lots and stairs result in uneven and slippery walking surfaces. This significantly increases the risk of falling – especially for seniors.

Here are four safety tips for seniors to keep in mind to help prevent falls this winter: 

Tip 1: If possible, avoid going out alone

When errands or travel are required, try to go with a family member or friend if possible.

“I would always caution seniors not to go places alone,” said Elderwood Wellness Manager Steven Johnson, “going out alone can have risks in the event a senior does fall, there’s a chance there may not be people around to help.”

Ideally, a caregiver can accompany their loved one, and help them get around providing additional physical support to walk in snowy or icy conditions if needed. If a senior does fall having someone present can help assess whether they have broken a bone or suffered a concussion. If there is a serious injury, having someone handy can help get emergency assistance quickly.

Tip 2: Use caution when getting up after a fall

If you do suffer a fall in the snow or ice, especially if you’re alone, try and assess how you’re feeling. Move your body gently to see if there is any pain. If you feel like you haven’t broken anything and can move around without pain, then go ahead and use caution when getting up.

“Try to find something sturdy to grab onto, like a railing or light post to try and pull yourself up. That would be better than trying to push yourself up on a cane or walker, which can be unsteady,” said Johnson.”

Tip 3: Keep sidewalks and steps clear

It’s important for seniors to make sure their sidewalks and steps are clear from snow and ice to help prevent a fall. Also make sure you have something nearby to offer support in slippery conditions.

“Make sure you have a railing. Two railings work best going up and down the stairs,” said Johnson.

Tip 4: Use salt before and during a storm

If you know there is going to be a storm, use salt or other ice melt products to help prevent ice buildup and snow accumulation on sidewalks or driveways. Using melting products during a storm can also help prevent ice buildup and accumulating snow.

While we can’t control the wintry weather, following these safety tips can help to prevent serious injuries from falling, and help keep seniors healthy until spring. 

It is important as we age to take a serious look at our health. There are opportunities to incorporate a healthier lifestyle while having fun. Tai Chi is a popular activity for seniors who are looking for an enjoyable activity that provides both mental and physical health benefits.

Why seniors should try Tai Chi

Tai Chi is a low impact form of exercise for the health of the mind and body. Minimal stress is put on the muscles and joints, which helps make it a perfect exercise activity for aging seniors.

Benefits of Tai Chi

Here are just a few of the health benefits seniors can experience by incorporating a regular practice of Tai Chi into their exercise routine.

1. Promotes deep breathing, which helps relieve the impacts physical and mental stresses. This will enhance the quality of sleep, lower blood pressure and boost your immune system.
2. Improves lower body and leg strength that helps reduce the risk of falls. Falling is one of the most common occurrences as we age. Falling can lead to injuries which can result in serious health issues. Fall risks drop significantly by improving strength, balance and stamina.
3. Enhances memory concentration through a series of deep breathing and movements. This can help improve conditions like Dementia and Alzheimer’s. [JB1] 
4. Being a part of a Tai Chi class also has positive impacts for a senior’s social life. Seniors will feel more engaged in a community with their classmates. This can help improve their overall well-being.

How to get started on your fitness journey

It’s important before staring an exercise routine to consult with your physician. A physician’s assessment will help determine what fitness routine is right for you.

The best way to start Tai Chi is by finding a class that may be offered in your area. You can contact local fitness centers to see if it’s a program they feature. It’s important to find an instructor that is certified in Tai Chi. An experienced instructor can help teach you specific positions and movement. They can also help to learn proper breathing techniques.

If Tai Chi is something you’re not interested in, there are other ways to stay fit as a senior.

At the holidays, what do you give that special someone who has given so much to you? Finding that special gift for an aging parent, grandparent or even a cherished friend or neighbor can be challenging enough, but it can become even more complicated when they live in a senior care community such as an assisted living facility or even a skilled nursing facility. We’ve consulted the experts and have some simple suggestions on different types of gifts to bring joy to your loved one, and to help ease the stress of holiday shopping.

Make it personal

Just because someone lives in an assisted living or skilled nursing community doesn’t mean they have to forgo their favorite things. A personalized gift can remind them of people they love, favorite pastimes, or cherished memories.

“Residents love family pictures and things that remind them of home,” said Christie Fitzgibbons, activities director at Elderwood at Wheatfield, a skilled living community in Western New York that’s home to 123 residents. “When my grandma was in a nursing home, we had a blanket made of soft fleece material printed with family photos that she used as a lap blanket.”

Food gifts are popular, too, especially little indulgences they may no longer be able to obtain for themselves. Candy from a fine chocolate shop, homemade cookies, favorite holiday treats or old-fashioned sweets that bring back fond memories all are good choices. Before bringing an edible gift, it’s a good idea to check with the facility to see if they have any food restrictions or policies about storage. In general, avoid bringing items that require freezing, refrigeration, cooking or baking.

Practical holiday gifts

For some, the holidays are a good time to stock up on essentials or more practical items. Clothing can be a useful gift for some, while others may enjoy blank occasion cards, pens, notebooks and stamps. Many older folks continue to enjoy sending holiday and special occasion cards to stay in touch with family and friends near and far.

“A few of the practical gifts that tend to go over really well include extension grabbers, cup holders that attach to walkers, and birdfeeders with suction cups to attach to a resident’s window,” said Jillian Cook, program director with Elderwood Village at Fairport, an adult home outside of Rochester, New York.

Or consider making up little “care packages” filled with essentials like lip balm, pocket packets of tissues, mints, small bottles of hand sanitizer, lotion, deodorant or aftershave. Package it up prettily and wait for the compliments!

Many older adults enjoy reading. With an e-reader such as a Kindle or Nook, books are readily accessible – and the type size can be adjusted to their liking. You can pre-load the device with books by their favorite author or add a gift card for online purchases. If your loved one already owns a tablet, you can download apps like Audible or Apple Books and purchase digital books to read on their tablet. If music is more their thing, they may appreciate an iPod touch filled with their favorite music or accompanied by a gift card for a streaming music service.

There are other ways to indulge someone and remain practical. If the senior community has a gift shop or hair salon, see if you can purchase gift certificates toward the purchase of future items or services.

Handmade gifts from the heart

The holidays are about love, so gifts from the heart are always appreciated. Are there grandchildren? Grandparents love to receive handmade cards, ornaments and craft projects from youngsters.

Although their living environment may have changed, your loved one still looks forward to sharing holiday traditions with family, now more than ever. Regardless of the type of item you give, setting aside time to visit in person is the most meaningful gift of all.

For more gift ideas for family and friends who reside in an assisted living or skilled nursing community, download our holiday gift guide.

Navigating the world of senior living options, whether for yourself or a family member, can be daunting and confusing. With a range of terms used to describe senior living options including independent living, assisted living, and nursing homes, it can be difficult to understand the differences between each level of care or housing option.

Independent living refers to living options such as apartments, condos or patio homes with a community or neighborhood specifically designed for those 55 years of age and older. Often, the term “retirement community” is used to describe an independent living community.

Independent living communities offer seniors freedom and flexibility, while providing various services and amenities such as transportation and housekeeping, to make life easier and more enjoyable. Read on to learn five things about independent living that you may not know.

1. Independent living is not a nursing home.

A skilled nursing facility, or “nursing home,” is a residential healthcare setting that provides long term care for those needing medical care and a high level of assistance. Independent living communities by nature do not provide medical assistance. Conversely, independent living communities are designed for active seniors who wish to enjoy living without the burdens of home ownership. “People often start off opposed to independent living, because they think it’s a nursing home,” says Tammy Ooft, property manager with Elderwood Residences at Wheatfield an independent living community in New York’s Niagara County. “By the time they leave, they are planning out where their couch will go in their new home.”

2. You can have a car, but you don’t need one. 

Many independent living communities offer the option of having a parking space or driveway with a garage, depending on the style of home you choose. For some seniors, having their vehicle and the ability to continue driving is very important to them. However, independent living communities offer regular transportation to grocery stores, banks, medical appointments and shopping centers. For those who prefer not to drive at all, they may find peace in ditching their car, the payments and maintenance that come along with it. Others may choose to keep a vehicle at their home, while taking advantage of the transportation options when weather conditions make driving unpleasant.

3. Independent living is maintenance free.

As we age, we picture our retirement as a time to relax and slow down. For some, it’s a time to travel, pick up a new hobby or give back to the community. We don’t typically picture the basic upkeep, maintenance and seasonal tasks that remain when you own a home. Mowing the lawn, raking leaves, cleaning gutters and shoveling snow don’t often show up in our retirement goals.

For homeowners, the constant upkeep and maintenance can take away from being able to enjoy life. For others, natural aging and physical impairments may make these tasks more difficult, or unsafe to perform. Independent living communities take care of maintenance and repairs for their residents including lawn care, trash and snow removal, housekeeping, and indoor maintenance, such as replacing ceiling light bulbs. For garden enthusiasts, many communities offer the freedom to plant flowers, maintain a garden and add special touches like lawn decorations or a bird feeder.

4. There is an added level of safety and security. 

While independent living homes don’t provide medical assistance, they do offer a level of security and safety for residents. Most communities provide on-site security 24-7 to help residents feel protected. Family members, especially those who may live out of town, can feel comfort knowing there is always a way to check in on their loved one. In terms of the home options, apartments offer accessible walkways and elevators, while patio home styles are all one floor, reducing the risk of falls. At Elderwood’s independent living communities, bathrooms are equipped with pull cords that notify staff in the case of a medical emergency. Staff will call for an ambulance if needed and wait with the resident until medical care arrives.

5. Your social life may blossom.

“Many seniors living at home feel isolated,” says Ooft. “They come here, and they make new friends and can take part in activities that they wouldn’t have access to otherwise and they just love it.” Independent living communities offer daily activities for residents including exercise classes, arts and crafts, music and entertainment and holiday events. They also provide transportation to arts, cultural and sporting events within the area. A majority of the events are free to residents, whereas off-site entertainment may require a fee to attend. For many seniors, independent living homes provide privacy, with a sense of community.

“The goal of independent living is to enhance your life and make it more enjoyable,” says Ooft. “The most common thing we hear from residents is, ‘I should have done this sooner.’”

After decades of participating in the democratic process, the votes of our senior population are no less important today than they were when they were just 18 years-old. In supporting candidates who advocate for issues important to them, seniors can help shape the agenda and policies for the future. According to AARP, senior involvement in the election process has become more important as they age because much of their health and livelihood are dependent on government assistance. Social Security can make up most of a senior’s household income and Medicare is often the only option they have for healthcare.

Why it’s important

Voting creates a personal connection, and it’s meaningful for many seniors who wish to stay engaged in their community

For those who live in an assisted living or skilled nursing community, it’s still important to remember that our aging parents or loved ones may have interest in voting but may need a little more assistance to be able to participate on Election Day.

“Regardless of age or socioeconomic background their vote counts. Sometimes seniors may feel cut off from the outside world when they move into a senior community. It’s a big life step that initially may make them feel dependent, but assisted living helps to make seniors more independent. Providing the support to vote is just one way that we enable seniors to be independent,” said Jillian Cook, program director with Elderwood Village at Fairport.

There are many ways seniors can familiarize themselves with candidates prior to election day. They can obtain information from local and regional newspapers, or through the internet. They can also gather information on prospective candidates from their senior community. “If our residents do not know the candidates, I offer to get some information on them so they can be informed,” said April Brownson, activities manager with Elderwood Assisted Living at Tonawanda.

Finding your polling place

Most states assign registered voters to a local polling place based on where they live so they can vote on election day. It’s important to remember that if you or your loved one have recently moved to a new location, you must update your address with your local Department of Motor Vehicles to be assigned your new polling place and be able to vote in your new district.

Access to your polling place

Planning for election day is important for seniors – particularly those who do not drive. Seniors may have a variety of options available to them, including rides from family or friends, a senior citizens van from a senior center, or even ride sharing for those tech savvy seniors. Many assisted living communities provide van service and would likely accommodate residents who need help getting to the polls.

Assisting seniors during the voting process

Many assisted living communities that offer transportation services will also offer support for an aging loved one while at the polling place. “We make sure to let seniors know in advance when we’ll be taking them to their polling place, and that it is accessible,” said Cook.

Senior community staff members can help residents who struggle to read a ballot. “Many seniors struggle to read the font or need assistance understanding the process. We will sign waivers when we arrive stating that we will not tamper with their vote so we can help them,” said Cook.

For seniors that live in assisted or skilled nursing communities sometimes getting to a polling place may be difficult, however there are options to still participate in the election process. Absentee ballots help seniors and caregivers that have no way to get to a polling place. All states allow absentee voting. Depending on the state where you live, an application is typically required asking for an excuse on why an individual may not be able to get to their voting place.

“If someone wants an absentee ballot, we will help them fill out the application and mail it in for them to receive a ballot,” said Brownson. Depending on the state, you can typically request an absentee voting ballot through your DMV website.

The big picture

If you have a loved one living in a senior community, you may want to ask their activity director about the types of voting assistance and transportation options available. “Our seniors get excited about voting,” said Brownson. “They still have independence and the choice to vote if they want to. I think it gives seniors a sense of involvement in their community.”

Have a discussion with your loved one about the upcoming election, the candidates, and their desire to vote. If you’d like to have material available, senior living communities can help obtain information for your loved one. As we near this year’s election day, remember to think about the seniors in your life. They have contributed to society over many years and their vote is important. 

It’s often said that reading is to the mind what exercise is to the body. It’s a favorite pastime for many and has several cognitive benefits, including perhaps a favorable impact on Alzheimer’s disease. According to a recent study, reading may lower the risk of developing Alzheimer’s disease, an illness affecting that more than five and a half million Americans over the age of 55. The onset of Alzheimer’s disease can sometimes take up to 10 years, with the brain beginning to gradually decline long before symptoms are present. 

Although lifestyle choices such as diet and exercise have been known to play a role in preventing or limiting the impact of the disease, a recent study showed that reading, writing and participating in other mentally stimulating activities, can benefit people by helping them retain memory and thinking skills. The more one exercises the brain, the lower the risk of cognitive degeneration and decline.

How reading slows mental decline

A major component of the brain that is correlated with both learning and Alzheimer’s disease is cognitive reserve, which refers to the mind’s resistance to damage and the storage of information. Having a strong cognitive reserve allows your brain to function, and cope with changes. The most commonly used parts of the cognitive reserve are education and cognitively complex occupations. According to the US National Library of Medicine National Institutes of Health, lifetime exposures to educational and occupational achievement can increase the cognitive reserve and reduce the risk of dementia.

Reading is a task that we learn during our childhood developmental years and the frequency of it may slow down the progression of Alzheimer’s disease. If we think back to childhood, we are given tests in school based on material we read. It is our ability to recall information that shows our understanding of the subject. In the Rush University study, 300 aging adults were tested over the course of six years, answering questions about their reading abilities and writing habits starting from childhood. After the death of each adult in the study, at the average age of 89, autopsies showed that those who were avid readers experienced 30% less memory loss and had the least physical signs of dementia. Reading essentially lowered the risk and onset of dementia in those who participated in the study.

It’s never too late to start reading

Reading may be difficult for those already suffering from Alzheimer’s disease, because it requires the use of short-term memory. It will be a challenge to retain and interpret information, character development and plot advances. However, reading aloud with a group or caregiver can have healing qualities. Descriptive text in a book can help someone to visualize things in more detail, whereas a fiction novel may help bring back memories of another time in that person’s life. Reading can provide caregivers a shared activity and new way to connect with their loved one.

While reading isn’t a cure for Alzheimer’s, nor is it a treatment, taking it up at even an older age may help prevent or delay the onset of the disease. It doesn’t matter what type of content you read, whether it’s a magazine or novel, it’s simply important to incorporate reading into your lifestyle.

If you’ve noticed concerning driving behavior from your aging parent or loved one, you may be wondering if it’s time to consider taking away their car keys.

According to Caring.com, there are a few major safety concerns to be aware of:

1. Traffic violations and changes in insurance – No one wants to admit to being involved in traffic related incidents or accidents. However, there may be signs besides the obvious traffic ticket sitting on the counter. If your loved one brings up auto insurance changes or rate increases, this could be a sign that a driving infraction or accident has occurred.  
2. Damage to the vehicle – Be sure to look around your loved one’s car for signs of damage. It’s normal for people to get some scratches and dents on their cars throughout ownership, but if you notice any serious or concerning damage that may indicate that an accident has occurred.  
3. Behavior changes toward driving – Take advantage of opportunities to drive with your parent. Use the opportunity to observe their driving skills and behaviors. Look out for signs of anxiety, irritation or exhaustion from driving. Also pay attention to their ability to remember to fasten their seat belt, drive within the speed limit, follow traffic signals and be mindful of pedestrians and other motorists.

If any of these safety concerns are happening, it’s time to discuss giving up the keys.

Discussing giving up the keys

When it comes to having a discussion about taking away the keys it’s important to develop a plan.

Think of this topic as a continuing conversation that won’t necessarily resolve itself in one discussion. Remember for seniors, giving up the ability to drive can be potentially very difficult, especially since you’re asking your loved one to give up a piece of their freedom. Try sharing your concerns and positioning the conversation in a way that asks for their opinion. Starting off with a demand may make your loved one offended and closed off to the conversation.

Another potential way to bring up the subject is if your loved one has recently received a traffic violation or experienced an accident. This certainly lends itself to asking your parent more about how they are doing with their driving, and if it’s the right time to consider another mode of transportation.

Alternative solutions

While planning for the conversation, think about alternative transportation options that can keep your loved one safe, and able to retain their independence as much as possible. Does your city have a reliable bus or subway system that they feel comfortable with? Could family members be available to take shifts with weekly errands or appointments? Perhaps they would be more open to using a taxi or ride sharing system where they can safely get around, while keeping their freedom.  

For others, it may be time to consider an independent living community which can provide regularly scheduled transportation services for shopping, banking and worship.

When should you intervene?

If you feel your loved one is a safety risk to themselves or others on the road, it’s important to plan for and begin the discussion as soon as possible.

For additional resources and support, Keeping Us Safe is a national organization which provides workbooks and a driving self-assessment for seniors.

Lastly, if you are not successful in your attempts to stop your loved one from driving and their safety is in jeopardy, you can file an unsafe driver report with your state Department of Motor Vehicles. A representative from the DMV will contact your loved one and request a driving test and medical evaluation. Depending on the results of these evaluations, their license may be restricted or revoked.

Caregivers face many tough conversations and decisions. When it comes to driving, it’s best to take the situation seriously, plan ahead and foster open communication.

As we age, social engagement and activities are just as important, if not more important, as when we were younger.

“Activity engagement is important for seniors because it gives them a purpose,” said Ashley Weiser, director of activities with Elderwood, a leading provider of senior care services.

Activities keep people involved socially, mentally, physically and emotionally. Seniors often tend to isolate themselves, which can lead to depression and other mental health issues. “Staying involved and being around others definitely helps with senior’s quality of life, attitude, and overall well being,” said April Brownson, director of activities with Elderwood, specializing in individualized care.  

Ways seniors can stay active and engaged within the community

There are many ways for seniors to stay involved in their communities, whether they live independently, in an assisted living facility or in a skilled nursing facility.

Volunteering is a great way to stay involved in the community. There are many places seniors can volunteer, including libraries, hospitals, community centers, and churches. “Whether you’re providing visits to patients, helping in the gift shop, or listening to people if they need to talk, these are all ways seniors can get involved in their community,” said Brownson.

Many schools are open to having seniors come in and read to students, which benefits both the seniors and children alike. Children can learn a great deal from the experience, and in return, seniors enjoy a feeling of fulfillment knowing that they’re making a difference in a child’s life.

If a senior is in an assisted or skilled nursing facility and may not have the option to volunteer, there are other ways they can stay involved and help their community. One way is by donating. Residents can work together on making cards to send to hospitals in their area, make blankets and donate them to homeless shelters. They can make bookmarks and give them to the library for people to take when they are looking for a good book, or collect food to send to a community pantry. All these things give seniors a sense of worth and a way to stay connected to their communities.

“Activity programs need to meet the physical, social, emotional, and religious needs of seniors. Activities should give the senior a sense of usefulness and allow them to use their full potential to the best of their ability. Programs should be altered as needed to allow all seniors the option to participate,” Brownson added.

Types of activities offered at skilled nursing or assisted living facilities include exercise programs that promote staying physically active as a senior, which is important because it can help to prevent a variety of common diseases. It can also help a senior to maintain or build their strength and flexibility, which will help them participate in outings and other events that get them out and into the community.

“Everyone needs a goal to stay positive and focused,” said Weiser. “People in general feel a sense of achievement once something is completed whether it be washing the dishes or writing a book. Staying busy is good, many seniors were active with raising their families and had jobs, so a schedule is key.”

Mental stimulation programs such as word games and trivia are vital because cognitive decline is common in seniors. It’s essential to keep their brains engaged which can ultimately reduce stress, improve their memory and delay cognitive impairment.

“Encouragement is very important to get residents involved. It allows seniors to try new things, use their creativity, and keep their minds sharp,” said Brownson.

Creating a connection

Having a personal connection is very important with keeping seniors engaged. Creating life story packets for neighbors or families of seniors can capture and celebrate the details of their life. These packets include information from a senior’s background with personal history. It details their upbringing as a child, information about their families, friends, religious beliefs, education, work history and interests. This is how connections and care can be individualized, especially with assisting with memory care.

Some of the most popular engagement activities with seniors involve music, since it evokes familiar memories and feelings.

“Music is the way to life and it makes you want to move, and lyrics are easily recalled,” said Weiser.

When engaging with seniors it is important to connect and carry on conversations about life, what’s happening in current events, incorporating new trends and sharing ideas.

“They have had many life experiences and they’re not done living. They still want to feel involved,” said Weiser.

Home is where we feel secure, comfortable and cared for, a special place that holds lifelong memories and traditions. However, as we age, there may come a time when  our house is no longer the safest option.

For some, this change can happen suddenly due to illness or injury. But for others, the signs that living at home is no longer safe are subtle and can easily go unnoticed. The National Council on Aging reports that approximately 80% of older adults have at least one chronic condition, while many have more than one. It can become stressful to manage one’s own health conditions, as well as keep up with the tasks of daily living and maintaining a house or apartment.

Those caring for an aging loved one can also become overwhelmed. Caregivers spend between 24 to 40 hours of their time per week addressing their loved ones needs (Source). For some seniors, making safety and accessibility improvements within the home may be enough to help them remain independent. In other situations it may be time to consider an adult home or assisted living community.

Here are a few key signs that may indicate extra care is needed.

Changes in appearance

“The most common initial sign that someone needs to be in a more supervised setting is often their appearance, they don’t look like themselves,” says Patricia Schoch, regional registered nurse for Elderwood, a leading provider of assisted living facilities for seniors. “That’s one of the signs that families don’t often think to look for,” she adds. Pay attention to things like hygiene, clean clothes and even dressing appropriately for the weather.

Their home is not well kept

For many aging seniors, taking care of a house or apartment simply becomes too challenging.. Unusual messiness or dirtiness can be a warning sign that your loved one needs help. Also, be sure to check the refrigerator and pantry for spoiled or expired foods. Finding spoiled food can be a cause for concern, especially given the health implications if the expired or contaminated food is consumed.

Medications are being missed

Medications not being taken as prescribed is an important sign that extra help is needed to stay healthy and safe. You may wish to periodically count medications to make sure they are being taken properly. When it comes to medication management, you’ll also want to verify that prescriptions are being refilled as needed.

These are just a few of the signs that your loved one may no longer be safe living in their home. More obvious signs include wandering, letting bills go unpaid and immediate concerns such as unexplained bruises or injuries.

Those struggling to keep up with daily tasks may find a more fulfilling life at an assisted living community where they can benefit from regular social interactions and help with routine activities and closer medical supervision. An assisted living community like Elderwood can completely tailor the level of care to each individual’s needs. For some seniors, just having their meals prepared daily and their medications managed allows them to relax and enjoy their daily life. Others may require bathing and dressing assistance regularly.

As hard as this decision can be, it’s best to prepare for the future and learn about care options that are available.

Looking to explore your options further? Click here to find out more about the services available through assisted living.

As the summer continues to heat up, now is the perfect time to make sure you and the seniors in your life are staying hydrated.

Seniors and risk

Seniors are at a higher risk of dehydration because as the body ages, the ability to conserve water is greatly reduced. Certain medical conditions and medications also have an impact on a senior’s ability to retain fluids.

“Due to several reasons including physiologic changes that occur with aging as well as common medications used to treat chronic health conditions, seniors are particularly at risk of becoming dehydrated, “said Dr. Michael Manka, medical director for Elderwood Health Plan. “This is especially true during the hot and humid summer weather, when fluid losses increase due to sweating.”

According to Aging Care, drugs like diuretics, antihistamines, laxatives, antipsychotics and corticosteroids can cause frequent urination that depletes of body of water and electrolytes. Seniors with incontinence sometimes purposely feel the need to avoid drinking fluids to help limit accidents. Seniors with dementia or Alzheimer’s are also at risk of becoming dehydrated since they may forget to eat or drink.

Signs of dehydration

It’s important to be vigilant for signs of dehydration in seniors and thirst is not a good indicator to look for since the sensation doesn’t usually appear in a person until they are already dehydrated.

“Symptoms of dehydration are often less noticeable in the elderly and may include worsening balance, which results in falls, as well as confusion. To prevent dehydration, seniors should be extra careful when they’re exposed to hot and humid conditions and should always be aware of their fluid intake,” said Manka.

Urine color is another key indicator of dehydration to be aware of. An individual who is fully hydrated should have urine color that is clear to light yellow. Any signs of dark urine are a red flag for dehydration. Other signs include constipation, headache, cramps and dry mouth.

Ways to stay hydrated

When it comes to staying hydrated it’s important to balance fluid intake with output. Fluid intake should become more frequent when a senior is sweating or urinating more frequently.

“Under normal conditions drinking two to three glasses of water per day is advisable,” said Manka. “This amount may need to increase when exposed to hot and humid weather.” For example, if someone is partaking in physical activity or even just spending time outside in the hot summer months, they should try to drink more water than they would on a typical day.

Many seniors have a hard time with sticking with just water to keep hydrated. Adding variation like flavored water with electrolytes or fruit infused water are good ways to increase fluids and provide some variety beyond plain water.

Foods such as raw fruits and vegetables can also help with fluid intake. Vegetables like celery sticks and cucumber slices are a great hydrating snack. Cucumbers are made up of 96% water and fruits like watermelon are made up of 92% water.

Savory meals that increase fluid input include balancing a diet with chicken, beef or vegetable broth.

It’s important to remember to consult with a healthcare provider before increasing one’s fluid absorption, especially for seniors with conditions such as congestive heart failure or kidney failure.

A little extra observation and care can go a long way in helping the elderly to avoid dehydration and enjoy themselves in the summer sunshine.