Pebble Beach, CA Check Out CHOMP’s Diabetes Self-Management Series

A blood glucose level chart showing the optimal levels.


Community Hospital of the Monterey Peninsula, CHOMP, has a great Diabetes Self-Management Series and the cost of the sessions may be covered by Medicare if you have a referral from a physician.  Learn more about your diabetes and the day-to-day skills needed to live a healthy life and prevent complications.  Registered dieticians and nurses will hold one-on-one sessions with you and talk about monitoring your blood sugar levels, the best diet,

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

Pebble Beach, CA Don’t Let COVID-19 Prevent You From Regular Skin Cancer Checkups

A man with his back turned on the beach.


Coronavirus may be keeping you from going to the doctor as much as you need to.  However, telemedicine makes it easy to see a doctor.  Even dermatologists are now available via videoconference.  A company called DermTech is transforming telemedicine to detect skin cancer.  According to the American Cancer Society, melanoma has a 99% five-year survival rate if caught early.  However, this survival rate drops to 65% if it has spread locally and 25% if spread distantly.  If you are looking for a great local dermatologist, I recommend Joe Rheim.  Give him a call at 931-373-4404.  For more information, go to https://dermtech.com/

https://www.futureofpersonalhealth.com/skin-health/understanding-preventing-and-identifying-skin-cancer-this-winter/

Monterey, CA Family inHome Caregiver Blog : Elder Abuse Series Article 6.0 : Financial Elder Abuse

A pile of money sitting next to stacks of cash.


As an owner of a Home Care Organization serving senior citizens, I hate to see members of our community – and in particular the vulnerable like senior citizens and the disabled being taken advantage and abused.  Unfortunately, you read about cases like this on the Monterey Peninsula on a regular basis.

 

What You Should Know About Senior Abuse
There are, unfortunately, myriad ways that seniors can be abused.  It’s often at the hands of a trusted friend or family member, or even a professional or family caregiver.  I will be exploring all 7 types of abuse over the next several blogs.

The 7 types of elder abuse are: Financial, Physical Abuse, Sexual abuse, Emotional or Psychological Abuse, Neglect, Abandonment, and Self-neglect. In this second blog on Abuse we will discuss physical abuse.  In the first of this seven-part series, I will do a deep dive into one of the saddest aspects, elder abuse.  There have been stories in the paper (particularly in deep-pocketed areas like Carmel, Pacific Grove and Pebble Beach, where people have been tricked into signing over millions of dollars and sometimes even their home.

How to Recognize Financial Abuse

  1. Transactional Elder Financial Abuse Indicators
    1. Investments in unsuitable financial products, time shares, or real property;
    2. Inappropriate banking activity such as unusually large checks or withdrawals from automated banking machines;
    3. Signatures on checks that do not resemble the elder’s signature;
    4. Legal documents signed when the elder is physically incapable of writing;
    5. Checks written out to “cash†being negotiated by caregivers;
    6. Checks signed by the senior but filled out by someone else;
    7. A surge of activity in accounts which have been static for years;
    8. Expensive gifts made by the elder;
    9. Checks or credit card transactions made out to direct mail or telemarketing promotions;
    10. Contributions going to newly formed religious or non-profit causes;
    11. Correspondence indicating the elder has won or will soon win a prize; and
    12. Threatening correspondence purporting to be from the IRS or a government agency demanding immediate payment under the threat of being arrested for non-compliance.

 

  1. Possible Legal Document Abuse Indicators
    1. Power of attorney documents signed by the elder when the elder lacks mental capacity;
    2. Will being made when the elder is not mentally competent;
    3. Elder taking his or her name off of property titles;
    4. The elder adding the name of a caregiver onto real property or money accounts in exchange for commitments of continued care, and or affection; and
    5. The elder makes changes to a Will, Trust or Transfer on Death Deed while under the care of another.

 

  1. Life-Style Change Indicators
    1. Lack of amenities, such as personal grooming items or appropriate clothing, when the elder can well afford it;
    2. Under-deployment of the elder’s existing resources that could be spent on housing, personal care, housing and maintenance;
    3. Missing cash, jewelry and personal belongings;
    4. Decline in personal hygiene; and
    5. Isolated from family members, relatives or friends.

 

  1. Personal Relationship Abuse Indicators
    1. Family member interest in “conserving†the money that is being spent for of the elder’s care;
    2. Reluctance or refusal by “responsible party†to spend money on the elder’s care;
    3. New acquaintances or long-lost relatives spending time with the elder and expressing affection for the elder; and
    4. A caregiver with an inappropriate level of interest in the elder’s financial matters.

 

  1. Undue Influence
    1. California Welfare and Institutions Code section 15610.70(a) defines undue influence generally as “excessive persuasion that causes another person to act or refrain from acting by overcoming that person’s free will and results in inequity.†California Welfare and Institutions Code sections 15610.70(a)(1)-(4) go on to enumerate factors to be considered. They include:
      1. The victim’s vulnerability, evidence of which may include “incapacity, illness, disability, injury, age, education, impaired cognitive function, emotional distress, isolation or dependency, and whether the influencer knew or should have known of the alleged victim’s vulnerability.â€
      2. The influencer’s apparent authority, evidence of which may include “status as a fiduciary, family member, care provider, healthcare professional, legal professional, spiritual advisor, expert, or other qualification.â€
      3. The influencer’s conduct, evidence of which may include “(a) Controlling necessaries of life, medication, the victim’s interactions with others, access to information, or sleep; (b) Use of affection, intimidation, or coercion; (c) Initiation of changes in personal or property rights, use of haste or secrecy in effecting those changes, effecting changes at inappropriate times and places, and claims of expertise in effecting changes.â€
      4. The equity of the challenged result, evidence of which may include “the economic consequences to the victim, any divergence from the victim’s prior intent or course of conduct or dealing, the relationship of the value conveyed to the value of any services or consideration received, or the appropriateness of the change in light of the length and nature of the relationship.â€

Warnings to Elders about How to Avoid Financial Abuse When it comes to your finances, deal only with people you have known a long time and with companies or organizations with proven track records. Get everything in writing! Never accept a verbal promise or assurance if money or property is involved. Rarely will you benefit from mistakes or misunderstandings. Don’t sign anything without carefully reading it and never feel pressured to sign before you are absolutely ready to live with your decision. Honor the “three-day rule†by waiting before you finalize any contract.  The longer you wait, the better.  Never be in a rush to get into any kind of “dealâ€.  Take your time! Remember, it took a lifetime of work and sacrifice to build up your estate and you can lose it all with one stroke of a pen.

Take Care and Stay Healthy
Richard

 

Pebble Beach, CA Keep Your Immune System Strong With A Mediterranean Diet

A farmers market with fresh vegetables and fruits.


With coronavirus keeping many people from being active, keeping your immune system healthy is critical.  There are a number of things you can do such as getting enough exercise, not smoking, staying hydrated, having quality sleep time and eating a healthy diet.  Sticking to a Mediterranean diet is a good way of keeping your good health, and it’s delicious.  A study published in the journal Frontiers of Physiology found that healthy people aged 65-79 who ate a Mediterranean diet and took 10 micrograms of Vitamin D daily for a year were able to help offset age-related declines in immunity.  The Mediterranean diet involves eating a lot of vegetables, fruit, nuts, whole grains and one ounce of food daily.  Stay away from red meats and instead eat salmon and other fish, with modest portions of egg.  Olive oil is the fat of choice, and a glass or two of red wine each night tops of the meal.  Check out the local farmers market here in Monterey—they will even deliver!

https://www.cedars-sinai.org/blog/boosting-your-immune-system.html

Pebble Beach, CA Retinal Implants To Restore Sight In Macular Degeneration Patients Shows Promise


A treatment where surgeons implant a tiny device in the retinas of patients which contain stem cells looks extremely promising for those with age-related macular degeneration (AMD).  Although it has only been done with 15 patients, many participants have passed the one-year mark with improving vision.  One woman who had the treatment said, “Shortly after the surgery, I turned to my husband while we were watching TV and said, ‘I can see all of their faces!’â€Â  Doctors say FDA approval is about five years away.  To see local specialists in macular degeneration, see links below.

https://news.usc.edu/trojan-family/stem-cell-therapy-macular-degeneration-usc-clinical-trial/

https://www.montereyeye.com/our-services/retinal-care
https://www.peninsulaeyecarecenters.com/low-vision.html

http://vantageeye.com/services-macular.html

Salinas, CA Seniors Need A Solid Exercise Routine

Three older women are holding pink dumbbells.


At Family inHome Caregiving we emphasize to our clients the importance of a healthy diet, the proper amount of social interaction—difficult during the pandemic—and the right amount of exercise.  Most seniors put walking into their routine but experts say they need to add strength training.  As you age, loss of muscle strength and power leads to declining activity, increased frailty and functional dependence, according to the American College of Sports Medicine.  Resistance training is an easy way to add strength training to a daily regimen.  The Centers for Disease Control and Prevention (CDC) recommends that seniors participate in activities at least two weeks that strengthen muscles along with a minimum of 150 minutes a week of moderate intensity activity such as brisk walking.  We enjoy taking our clients for a walk on Carmel Beach or downtown Pacific Grove, which is not very crowded with very few tourists in town.

Face Masks Are Getting A High Tech Upgrade : By Derek Baine

A man wearing a mask with yellow warning tape around his mouth.


Although those of us that are vaccinated are no longer required to wear a mask in California in most places, the medical community is working on a high-tech upgrade to masks to cope with `diagnostics, sensors and even the ability to kill viruses.  Although they have yet to be approved by the Food & Drug Administration or FDA, different models are being developed for the medical community and to be marketed to individuals.  Michael Strano, a professor of chemical engineering at MIT, has developed a mask that actually kills the virus.  “Filtering has its place, but so does just destroying the virus,†said Professor Strano.  It also comes with a thermoelectric cooler that ensures hot air that you are breathing in is comfortable.  “You actually breathe medically sterilized air,†said Stano.  The masks are reusable and will cost just a few dollars more than typical masks.  What great progress we are making on the mask front.  I hope to not be wearing one anytime soon, but it’s nice to know that the next pandemic will go more smoothly than this one.

 

https://www.wsj.com/articles/high-tech-face-masks-aim-to-step-up-the-fight-against-covid-19-11616846402

More Nursing Home Residents Moving Back Home Due To COVID-19

A woman with glasses and a tie dye shirt smoking.


We have seen a noticeable uptick in people asking for 24-7 service due to the fact that children are increasingly moving their parents out of nursing homes and assisted living facilities and back home.  Although the COVID-19 numbers have continued to taper off and nursing home resident have been vaccinated, a shockingly high number of workers refuse to be vaccinated.  This increases the risk to seniors that they are working for, particularly as new strains of the virus work their way across the globe.  The New York Times recently noted the problem, citing statistics from the National Investment Center for Seniors Housing & Care which showed that the occupancy rate in nursing homes had fallen from 86% in the first quarter of 2020 to 75% in the fourth quarter of 2020.By 2034, 34% of households will be headed by someone over 65, up from 26% in 2018, according to the Harvard center.  The share of households age 80 and over will grow even more rapidly.  It’s clear that we must address the issue of allowing people to age at home because there’s no doubt that coronavirus will be around for a long time and no one knows what other deadly virus is lurking around the corner.

 

https://www.nytimes.com/2021/04/01/business/nursing-homes-covid-retirement.html

Pebble Beach, CA Artificial Intelligence Reshaping Healthcare

A large fountain in the middle of an indoor area.


Artificial Intelligence could completely reshape how medical care is given to seniors in many different ways.  For instance, Michael Recht, chair of radiology at NYU Langone, is spearheading a partnership between NYU Langone and Facebook’s AI’s research group with a goal of reducing the time it takes to conduct an MRI by a factor of 10.  The project, dubbed FastMRI, could enable MRIs to replace x-rays, avoiding radiation exposure.  Imagine going into CHOMP for a quickie MRI.  On the prescription drug side, Michael Frank, director of R&D strategy within Pfizer’s Worldwide R&D group is hoping to leverage machine learning to accelerate drug discovery.  On average, it takes 14 years and $1.6 billion to develop a new drug!

Monterey County Elder Justice Summit Will Be Held On June 30

A group of people giving thumbs up to the camera.


Don’t miss out on this year’s Elder Justice Summit which will be held on Wednesday, June 30 from 9:00 a.m. to 12:00 noon. The Keynote Speaker is Ashton Applewhite, author of This Chair Rocks: A Manifesto Against Ageism. Click on the link below to register for this event which is sponsored by the Area Agency on Aging, amongst others.

https://montereycty.zoom.us/webinar/register/WN_Qhst8E2gS6yM-evmOl6pnw