Carmel, CA Many Nutritionists Recommending Vitamin B12 And Vitamin D3 For Seniors

A woman looking out of the window at her home.


There have been debates over whether it is prudent to take just one multivitamin per day versus taking a variety of different vitamins.  Part of it depends on what your diet looks like.  Some believe supplements are not that effective.  “When you take things out of the food matrix and you put a single ingredient into a pill, it doesn’t have the same effect,†Katherine Tucker, director of the Center for Population Health at the University of Massachusetts Lowell told AARP Bulletin (June 2021, page 32).  In regards to B12 and D3, experts say that you can’t get them from plants.  In addition, as we get older, we begin to develop difficulty absorbing them in their natural form.  Vitamin B12 plays an essential role in nerve function.  A shortfall has been associated with depression, dementia, decreased cognitive function and anemia.  If you don’t get out in the sun much, a D3 supplement can be helpful.  It’s needed to maintain a healthy immune system, bones and muscles while protecting us from cognitive decline.  If you have diabetes, with a doctors note you can enroll in diabetes nutrition classes here at Community Hospital of the Monterey Peninsula (CHOMP):

https://www.montagehealth.org/locations/profile/diabetes-nutrition-therapy/

They also publish a monthly schedule in the Monterey Herald with classes on fitness, estate planning, cancer and other subjects.  Many of the classes are free.

Pacific Grove, CA Dealing With A Loved One With Alzheimer’s Disease Is Always A Struggle : Try The Montessori Method

A woman and an older lady standing next to each other.


Regular readers of my blog know that both my father and grandmother had this terrible disease when they passed away.  There are wonderful people at our local chapter of Alzheimer’s Association in Ryan’s Ranch.  It is always a struggle figuring out how to deal with a loved one, as the symptoms can seem to change from day to day.  And unlike most other chronic diseases, there is little that can be done in the way of treatment.  One relatively new method has been used for more than a century on special needs children and is being tried out on those with dementia.  It’s called the Montessori method for memory care, and it involves teaching a “new†skillset to someone.  Just as children need to know how to dress themselves, go to the bathroom, and communicate their needs, so do those with dementia who eventually may completely forget these skills which you and I take for granted.  Using the Montessori Method you will find that it:

  • Respects a person’s dignity, personhood and lived experience;
  • Allows freedom within your provided structure (essentially allowing a senior to be an improvisational artists of sorts);
  • Changes the environment to suit the individual and not the other way around; and
  • Takes into account that an individual benefits by serving their community.

Source: HomeCare Magazine, 03/21 P.40

 

And when all else fails, don’t forget that the Alzheimer’s Association has a 24-hour hotline.  If you need some additional support you can reach them at 800-272-3900.

 

https://www.alzheimers.net/montessori-method-dementia

 

Carmel, CA Can Driving Habits And Credit Scores Predict Future Alzheimer’s Or Dementia Diagnosis?

A purple background with the alzheimer 's association logo.


There has been such slow progress on the search for a cure for Alzheimer’s disease, I was pleased to see that some researchers are focusing on finding early clues as to who may be vulnerable to getting Alzheimer’s disease or some other type of dementia.  A recent article in The New York Times said that some scientists believe that pathologies underlying brain decline may begin many years before symptoms emerge.  A spate of experiments is underway to see if little things like overlooking a couple of credit card payments or habitually braking while driving could be a sign that dementia is in your future.  “Early detection is key for intervention, at the stage when that would be most effective,†said Saye Bayat, the lead author of a driving study funded by the National Institutes of Health and performed at Washington University.  The study took 64 older adults with preclinical Alzheimer’s disease as determined by spinal taps and 75 who were deemed cognitively normal (results were not shared with the study participants).  For a year, researchers measured both groups’ driving performance.  The study found that driving behavior and age could predict preclinical Alzheimer’s 88% of the time.  Those findings could spur recruitment for clinical trials and allow for interventions—like an alert when a car drifts—to help keep drivers safely on the road.  Dr. Jason Karlawish, a geriatrician and co-director of the Penn Memory Center, called the study “provocative†and well designed.  “The results suggest that monitoring a real-world, cognitively intense behavior can detect the earliest, subtle signs of emerging cognitive impairment,†he said.  Another study analyzed medical records and consumer credit reports for more than 80,000 Medicare beneficiaries and found that those who eventually received a diagnosis of Alzheimer’s disease were significantly more likely to have delinquent credit card payments (and sub-prime credit scores) than those with similar demographics who never received an Alzheimer’s diagnosis.  I hope these studies bear fruit.  Regular readers of my blog know that both my father and grandmother had this terrible disease when they passed away.  There are wonderful people at our local chapter of Alzheimer’s Association in Ryan’s Ranch.  It is always a struggle figuring out how to deal with a loved one, as the symptoms can seem to change from day to day.  Drop by or give them a call if you need help.  And when all else fails, don’t forget that the Alzheimer’s Association has a 24-hour hotline.  If you need some additional support you can reach them at 800-272-3900.

 

https://www.nytimes.com/2021/08/23/health/dementia-behavior-alzheimers.html

Nursing Homes And Assisted Living Facilities Tepid On Mandating COVID-19 Vaccinations, Biden Takes Action

Three vaccine bottles are shown with the words " covid-1 9 coronavirus vaccine ".


There is no question that there is a major labor shortage, we are suffering from this ourselves.  A recent report said that senior housing facilities are also being hard hit, with employees hard to find and commercial property values sinking as few investors want to be in this type of industry.  However, it’s unclear that many are doing everything in their power to please the customers.  About 39% of senior housing associations surveyed between July 22 and August 8 said that they definitely or probably would impose vaccine mandates.  That’s a surprisingly low number.  We have seen an influx of new clients due to adult children moving their parents out of facilities due to their fear of COVID-19.  That’s only likely to increase as new variants spread.  Thankfully, President Biden has stepped in and said that if nursing homes don’t require workers to be vaccinated against COVID-19 they will no longer receive Medicare or Medicaid funding.  The current nursing home vaccination rate sits at only 61.5%, according to the Centers for Medicare and Medicaid Services.  This is only a hair above the total population.  Some nursing home executives have bristled at the new Biden mandate, stating that staff departures may exceed 20%.  Good riddance I say to the anti-vaxers.  Keep them away from our seniors.

https://www.wsj.com/articles/senior-housing-industry-faces-higher-costs-as-it-plays-lead-role-in-vaccine-mandates-11630411200?mod=djem10point

Overweight Americans Should Be Screened For Diabetes At The Age Of 35

A person holding a hamburger in their hand.


Nearly one in seven Americans now have diabetes, a new record for the U.S.  It was a serious disease before COVID-19 and even more so now as symptoms could be more severe and the risk of death higher for those diabetics contracting the coronavirus.  Obesity in America has become a growing problem in recent years, as more of us develop a diet high in processed foods, which can be high in sugar and salt.  The popularity of fast food hasn’t helped either.  New guidelines have been issued by an expert task force (The U.S. Preventative Services Task Force) that were published in the journal JAMA suggesting that obese Americans and those with abnormally high blood sugar levels ought to be tested for diabetes starting at the young age of just 35.  That means that 40% of the adult population ought to be screened.

https://www.nytimes.com/2021/08/24/health/diabetes-weight-screening.html?campaign_id=34&emc=edit_sc_20210831&instance_id=39237&nl=science-times&regi_id=52105769&segment_id=67677&te=1&user_id=7052b81671c57203c64c377c7522baa7

Medicare Could Soon Cover Dental And Eye Care

A nurse is smiling next to an older woman.


As part of a large budget bill making its way through Congress, there is a provision to provide dental and eye care for Medicare recipients for the first time in our nation’s history.  Ironically, the bill is facing opposition from dentists, who fear that government reimbursement rates would be too low.  Back in 1965, the American Dental Association fought to keep dental from being a paid service for Medicare recipients.  Sadly, nearly half of all Americans over the age of 65 did not visit a dentist last year, and almost 20% have lost all of their teeth.  I know about the problem firsthand.  In addition to owning Family inHome Caregiving, I am president of the non-profit Hands to Help Seniors which provides emergency assistance to seniors in a financial pickle.  The vast majority of our donations go to providing dental care to low-income senior citizens, which is very expensive.

https://www.nytimes.com/2021/08/29/upshot/medicare-dental-care.html

Long Term Care Insurance Or LTC To Be Funded By The Government?

A stethoscope laying on top of papers.


Long Term Care or LTC Insurance is the only insurance policy which will cover the care of services provided by companies like Family inHome Caregiving.  Unfortunately, it is very expensive and few people have it.  A 2019 study funded by the National Investment Center for Seniors Housing & Care found that by 2029, more than half of the nation’s 14.4 million middle-income older adults won’t have the financial resources necessary to pay for senior housing or in-home care.  The study concludes that both public and private funds need to come to the rescue.  There is hope.  The Well-Being Insurance for Seniors to be at Home (WISH) Act would create a federal LTC trust fund that would pay for catastrophic long-term care for those who need it, and it would also allow private insurance companies to offer affordable coverage plans for the initial years of disability.  The plan would be fully paid for by a slight increase in the payroll tax (0.3% of income for both workers and employers), or roughly $300 per year for a median-income earner.

https://www.wsj.com/articles/social-security-costs-expected-to-exceed-total-income-in-2021-as-covid-19-takes-financial-toll-11630436193?mod=djemwhatsnews

Biogen’s Aduhelm Not Accessible To Most Alzheimer’s Victims

A doctor and patient looking at a book


There was much excitement when Biogen’s Aduhelm was approved by the FDA for use on Alzheimer’s patients in June.  Although there was controversy in the medical community regarding whether or not it was effective, it gave hope for many suffering from a disease which hasn’t seen a promising new drug in nearly 20 years.  The problem is, the cost of the drug is so high at $56K/year few people have access to it.  Medicare recipients won’t find out until next year if they are going to cover the drug and, if so, for whom.  Stephen Salloway, director of Butler Hospital’s Memory and Aging Program, one of the few places serving up the drug, says that by next week it will have treated ten patients with the drug, with more than 100 others on a waiting list.  Those few are paying cash.  “That’s not the way I want to go about this, that only people with means can access the drug,†said Dr. Salloway.  “That’s not what the FDA intended.  It isn’t equitable.â€Â  I agree, however, with the Medicare fund quickly running out of money without even covering drugs like this, a solution needs to come from Congress at the behest of President Biden.

https://www.wsj.com/articles/biogens-new-alzheimers-drug-beyond-reach-for-many-patients-11630077741

Pacific Grove, CA Family Caregivers Face Heartbreaking Journey With Alzheimer’s Disease, Often Ending Up In Hospice

A woman and an old lady smiling at each other.


There was a heart breaking article in the Wall Street Journal recently.  It featured Nick Clement, age 78, who has cared for his wife Lucy for the past decade.  Lucy has Lewy body dementia as well as Alzheimer’s disease.  Nick wanted to take care of his wife, however, he quickly found out how difficult it is taking care of someone who is slipping rapidly into dementia.  As her disease progressed, she was unable to brush her teeth or comb her hair, so Nick did that too.  He said that some friends stopped calling, which can be heartbreaking.  Eventually, after Lucy had dropped from https://www.homecaremag.com/june-2021/buzz-vibration-therapy125 pounds down to 90, it took its toll on Nick who was gaunt and depressed.  He had to call in hospice which took over Lucy’s care.  Hospice asked Nick if he had told Lucy it was OK for her to go.  He had not, but went to her room and looked into her eyes and told her he would be alright, it was OK to go.  Sadly, she died the next morning.  Unfortunately, most of us will have to go through this with a family member.  If you need help, CHOMP has a service called Hospice of the Central Coast, as does the Visiting Nurses Association (see links below).  Please reach out for help if you need it, they both have compassionated caregivers.

https://www.montagehealth.org/care-treatment/hospice/

Pebble Beach, CA Online Scams Abound : Elder Abuse Fundraising Scams Abound

An old woman with a bruised eye and hand on her face.


here was a sad story in The New York Times recently about how some fundraisers—including many politicians—trick people (particularly senior citizens) into donating more than they want to.  The story profiled Steve Vaughn, who started to go through his fathers bank statement after he died and was shocked to see 400 donations totaling more than $11K over just a four month period.  There were donations to Donald J. Trump, Mitch McConnell, Tim Scott, Steve Scalise and many others.  There were notes with the bank statements showing the 90-year old had repeatedly try to dispute the charges with his credit card company—all to no avail.  Here is how the scam works.  Fundraisers will call you and ask you for a donation and once you agree, they will enter them into the system as a recurring payment.  Instead of taking a fixed amount, say $100, out of your account, they will take out $100 every month or sometimes every week.  They are hoping people aren’t diligent about going over their bank statements, so pay attention!  Many of them are targeting high-income areas of Monterey County like Carmel, Pacific Grove & Pebble Beach.

 

https://www.nytimes.com/2021/06/26/us/politics/recurring-donations-seniors.html

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