Archive for the ‘Memory Care’ Category

U.S. Focuses on Alzheimer’s Research

The U.S. government is taking serious action against Alzheimer’s disease with a special task force and a boost of $50 million towards Alzheimer’s research. In 2013, another $80 million will be awarded. The initial sum includes $26 million allocated to caregiver support, public awareness and education and data infrastructure support, DailyRx reports.

It all started with The National Alzheimer’s Project Act, signed into law last year, which aims to develop strategies for improving diagnostics, treatment options and social support for those afflicted with the disease, their loved ones and caregivers. The initiative came to fruition in light of the staggering statistics demonstrating that more than 5 million Americans have Alzheimer’s disease, which has a significant financial and emotional toll on families affected and contributes an estimated $180 billion in healthcare costs each year.

Alzheimer's research

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The National Plan to Address Alzheimer’s Disease

The Department of Health and Human Services advisory panel rolled out its draft framework of The National Plan to Address Alzheimer’s Disease early in 2012. The plan includes ambitious goals, such as both preventing and treating Alzheimer’s disease by the year 2025.

While the plan evoked mixed responses from leading senior living groups, including ALFA, which drafted a response expressing concern that assisted living wasn’t considered as part of a plan to manage and care for individuals with the illness. Kaiser Health News asked a number of leading health executives to share their thoughts on the initial plan, including areas it may be falling short.

While most of those interviewed were pleased with the effort to tackle this growing problem, several interviewees pointed out some potential shortcomings. Robert Egge, Vice President of Public Policy for the Alzheimer’s Association, says he hopes the first draft will contain specific, measurable and attainable outcomes, noting that “the stakes are high.”

Dr. Rachelle S. Doody, the Effie Marie Cain Chair in Alzheimer’s disease research at the Baylor College of Medicine, who directs the Alzheimer’s Disease and Memory Disorders Center, also weighed in with her reactions.  Doody tells Kaiser Health News that the overall objective to prevent and effectively treat the disease by 2025 is promising and illustrates the government’s dedication to advancing research, but the draft framework fails to identify how new research will be translated to practice, nor a target date for doing so.

One thing is clear: No time for delays

Experts and commentators consistently agree on one point: There’s no time to hesitate implementing a plan of action to address this disease. As the population continues to age, the number of people with Alzheimer’s disease could double by the year 2050. The devastating emotional and financial impacts on both family members and the healthcare system as a whole mean that doubling the current impact could be the country’s tipping point. But will it be enough, and will the plan work? Many are anxiously awaiting the first draft of the National Plan with hope that it outlines a solid and attainable strategic course of action.

Assisted Living Executive Releases Annual List of Largest Senior Living Providers

Each year, Assisted Living Executive (a publication from the Assisted Living Federation of America) compiles a list of the largest senior living providers. This year’s list, released on May 25, 2011, takes a more comprehensive look by identifying the top for-profit owner-operators based on a combination of assisted living, independent living and memory care, including a breakdown of the top providers by category. Top assisted living providers

Emeritus Senior Living tops the list for the largest assisted living provider for second year in a row, but also earns the top position overall with a resident capacity of 51,725 residents. Emeritus solidified its position with a $1.2 billion joint venture earlier this year, partnering with Blackstone Real Estate Advisors and Columbia Pacific Advisors to acquire 144 additional communities from Sunwest Management, a move which bolstered its resident capacity by more than 16,000. The company added 33 additional assisted living communities to its roster in smaller transactions.

Another major player, Sunrise Senior Living, maintains the number two spot in the assisted living category and comes in fourth overall, after some restructuring in 2010. Sunrise downsized some of its assets and sold minority interest in 58 communities to Ventas, Inc., which already owns majority interest in the same properties. Sunrise Senior Living didn’t open any new communities in 2010, but boasted a 14% boost in operating income and finished the year with occupancies above 90 percent.

The top six assisted living providers include:

  1. Emeritus Senior Living
  2. Sunrise Senior Living
  3. Brookdale Senior Living
  4. Atria Senior Living
  5. Five Star Senior Living
  6. Merrill Gardens

Sunrise Senior Living tops the list among memory care providers, with Emeritus coming in second. Brookdale Senior Living earns the number two position among senior living providers overall, next to Emeritus. For a complete list of the top 80 senior living providers, check out the full article in Assisted Living Executive.

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Home Care Gets a Boost from Housing Slump

Home care providers may be benefiting from the slow economic recovery, according to a May 8, 2011 article in The Milford Daily News. According to the article, more seniors residing in the Milford, MA area have delayed moving to independent living or assisted living communities, instead opting to wait out the housing slump. With real estate prices down, many seniors would be faced with selling their homes for less value or have difficulty selling at all. Those who are still independent enough to care for themselves are choosing to wait it out, hoping for a housing rebound before they’re in a position that they have to move immediately. Seniors choosing to delay moving to long-term care due to housing slump

Betsy Willard, director of community relations for Sunrise Senior Living in Milford, tells the Daily News she’s noticed a decline in referrals for assisted living, but notes that referrals for their memory care facility have remained consistent. Willard believes that’s because memory impairment often becomes a safety issue, so families are more likely to take action to keep their aging loved ones safe, even if it means financial sacrifice.

Seniors who are able to remain at home often do so with the help of home care services, which tends to be more flexible. Assisted living is essentially an all-or-nothing choice; you’re paying for 24-hour care right off the bat, while home care can range from just a few hours per week to round-the-clock care. For this reason, home care is often viewed as a more affordable option. Likewise, McKnight’s Long Term Care News reported yesterday that Genworth Financial’s cost of care survey finds that home care and adult day care costs have remained flat, while the cost of assisted living and skilled nursing facilities has gone up.

Still, consumers should evaluate their options carefully. If a loved one requires care for just a few hours each day, home care or adult day care makes sense. But families reaching a point at which they’re continuously adding hours with a home senior care provider, it might be time to re-evaluate. Home care, at an average cost of $19 per hour, can easily exceed the costs of assisted living and nursing home care if you’re approaching 10 hours per day or more. If your loved one requires 24-hour care, assisted living is a more cost-effective solution.

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Congress Passes National Alzheimer’s Project Act

On December 15, 2010, the House of Representatives passed the National Alzheimer’s Project Act, passed by the Senate the week prior. The National Alzheimer’s Project Act is a ground-breaking piece of legislation that will create the first-ever government office to coordinate research and treatment efforts targeted to Alzheimer’s disease. The Act now awaits President Obama’s signature. A small win for Alzheimer's sufferers

Alzheimer’s disease has been drawing attention in recent months, due to an increasing awareness of the projected drastic increase in the number of people diagnosed with the disease. Both the aging population and improved diagnostics mean that more people will be diagnosed with Alzheimer’s disease in the coming years; in fact, the World Alzheimer Report 2010 estimates that an astonishing  65.7 million people worldwide will be living with Alzheimer’s disease by the year 2030. Presently, that figure is 35.6 million — 5.1 million people in the U.S. alone.

The rapidly growing number of people affected by the disease, which is multiplied when accounting for family members and friends whose lives are impacted when a loved one suffers from dementia, contributes to skyrocketing costs of caring for the millions of individuals with Alzheimer’s disease. The National Alzheimer’s Project will promote awareness, coordinate funding and other efforts related to finding a cure, researching more effective treatments, and caring for and supporting individuals and their families presently affected by the disease.

In a statement, Eric J. Hall, President and CEO of the Alzheimer’s Foundation of America, says, “We hope that the passage of the National Alzheimer’s Project Act marks a turning point in our nation’s attention to and funding for this disease. The challenges that lie ahead are enormous and only by coming together can we make progress toward care and cure.”

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ALFA: Assisted Living Ideal Setting for Alzheimer’s Patients

The Assisted Living Federation of America (ALFA) addressed the U.S. Senate Special Committee on Aging on December 8, 2010, regarding the care of Alzheimer’s patients. The forum, titled “Until There’s a Cure: How to Help Alzheimer’s Patients Now,” discussed recent advances in the diagnosis and treatment of Alzheimer’s disease and stressed the importance of adequate and targeted care. ALFA addresses Senate

Presently, there is no cure for Alzheimer’s disease, making appropriate care settings, such as assisted living facilities, all the more important for memory-impaired patients. Richard Grimes, President and CEO of ALFA, pointed out to the committee that assisted living facilities are both a cost-effective (at about half the cost of nursing home care) and practical solution for Alzheimer’s patients.

Loren Shook, President and CEO of Silverado Assisted Living and Vice Chair of ALFA, says assisted living facilities can meet both the medical and psycho-social needs of Alzheimer’s patients, providing a home-like atmosphere with individualized treatment plans.

While Congress is currently paying much attention to this issue, Grimes points out that the senior living industry requires the long-term support of the government in its efforts to move away from a “one-size-fits-all” long-term care model to resident-centered model that provides choice and focuses on maintaining quality of life.

Grimes notes two current pieces of legislation: The National Silver Alert Act would serve as a notification system (similar to the Amber Alert) for seniors living with Alzheimer’s disease who are prone to wandering. Another piece of bi-partisan legislation would create the first government office focused on leading efforts in treating and preventing Alzheimer’s disease.

Continued federal support would enable the long-term care industry to continue evolving the current delivery models to adequately meet the needs of seniors and their families who are living with Alzheimer’s disease until a cure is found.

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As Occupancy Improves, Senior Housing Costs Expected to Rise

The economy is in recovery, according to some, and along with improved economic conditions, senior housing occupancy rates have leveled off. Currently, the average is 87.7 percent among the top 31 top market areas in the U.S., according to the National Investment Center for the Seniors Housing & Care Industry (as cited in an article by National Real Estate Investor). Steady occupancy rates mean property managers and landlords gain confidence in raising rents, or at least eliminating concessions offered during the recession. Senior living costs to rise in 2011

The National Investment Center for the Seniors Housing & Care Industry (NIC) also notes that fewer new senior housing properties are being constructed, estimating new construction at only about 2 percent of the current inventory.

Seattle-based Emeritus Corp., one of the largest assisted living providers in the U.S., has indicated a rent hike is definitely in the future. Granger Cobb, President and co-CEO of Emeritus, tells National Real Estate Investor, “Pricing will move up with occupancies. It’s a matter of when, not if.”

Michael Hargrave, vice president at NIC, says, “Rental rates are going up, but at a very slow pace.” The NIC’s data shows that rents rose only 0.7 percent from 2009 to 2010. The NIC also says that net operating income at most senior living companies have stagnated or even dropped slightly, so a raise in rents, as much as it may be troublesome for consumers, may be necessary for maintaining the level of service seniors and their families have come to expect.

That said, concessions to boost occupancy rates are still widespread in the senior housing industry. Companies are offering to waive move-in fees, funding moving costs, or even a free month’s rent in order to entice seniors to make a move. In addition, many seniors who put off a move to a senior living home during the recession are now moving out of necessity — whether health or financial.

Other companies already have rent hikes on the horizon. Silverado Senior Living, which operates 20 memory care facilities, has a planned rent increase scheduled to take effect on January 1st. The increase will range from 3 to 5 percent. Chicago-based Senior Lifestyle Corp., which operates 70 buildings in 15 states, on the other hand, has only selective increases planned. Rent increases will depend largely on the region in which each building is operated, with an average increase of about 4 percent. Residents’ individual circumstances will also play a role, according to RonnDa Peters, director of community outreach at Senior Lifestyle, who says individuals who cannot afford an increase most likely won’t be subject to one.

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Holiday Season Tough on Alzheimer’s Sufferers

The holiday season is officially upon us, and for most people, it means a time filled with joy, cheer, and family. But for many seniors, especially those living with Alzheimer’s disease, the holidays can be stressful — for the very same reasons it brings happiness to most others. People with Alzheimer’s disease thrive on familiar routines; adding guests, loud conversation, and activity can be disorienting to Alzheimer’s sufferers. Wrapping gifts can be a soothing activity for Alzheimer's patients.

The stress isn’t limited to the person with the disease, however. Caregivers and other family members often become concerned and worried whether their loved one will be uncomfortable with guests, overwhelmed by activity, or feel isolated. Even young children can become confused if a loved one no longer recognizes them or mistakes them for someone else. Anxiety is often amplified if the person is traveling to stay with other relatives during the holidays; removing Alzheimer’s sufferers from their familiar environment can be stressful. This is true both for those living at home and individuals residing in assisted living facilities and nursing homes, who often stay overnight with loved ones over the holidays.

WyomingNews.com interviewed Peg Bratton, gerontologist masters-level educator for the Great Plains Chapter of the Alzheimer’s Association in Wyoming. According to Bratton, families should modify their expectations around the holidays but not exclude loved ones who suffer from the disease from the activity. Instead, offer simple tasks, such as setting the table, singing Christmas carols, or wrapping gifts. Someone who is comfortable with the patient, and vice-versa, should plan to remain close by throughout the activities; participating in a familiar activity with that person, such as playing cards, can be a soothing distraction from the surrounding commotion. If the person becomes agitated, take him or her to a quiet room until the episode passes.

Bratton also advises families to expect modifications to tradition. Focus on keeping the traditions you can manage, and make adjustments to make others more manageable. For example, have guests each bring a dish rather than try to prepare an entire meal yourself, or order takeout if necessary.

The Alzheimer’s Association estimates that there are 35.6 million people living with Alzheimer’s disease worldwide in 2010. By 2030, the figure is expected to reach 65.7 million.

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Morningside Assisted Living Uses Montessori Method to Trigger Long-Term Memories

Yesterday, November 14, 2010, the Newport News, VA Daily Press reported on the use of unique programming that helps dementia and Alzheimer’s disease residents at Morningside Assisted Living: Montessori-Based Dementia Programming (MBDP), which helps residents trigger long-term memories and incorporates sensory stimulation activities into daily programming. The facility has been using MBDP for the past three years in its “Bridge to Rediscovery” program. Matching socks is a soothing activity for memory-impaired residents

The Montessori Method was originally intended as a unique approach to teaching children, but adaptations have led to Montessori-Based Dementia Programming, which uses the same techniques to develop programming for memory-impaired adults that result in increased engagement and improved quality of life. The original Montessori Method was created by Maria Montessori, while MBDP was developed by Dr. Cameron Camp, Director and Senior Research Scientist at Myers Research Institute, who has researched the use of Montessori’s ideas in the dementia population for more than ten years.

Morningside’s “Bridge to Rediscovery” program incorporates cues into residents’ daily routines to guide them in activities of daily living. For instance, the radio plays the same tune each day at the same time as a cue for residents to head to the dining room. Shadowboxes are displayed outside each resident’s room to help them retain memories of the past, help cue them to the location of their room, and to aid staff in getting to know each resident better.

It’s not just staff that help with activities. Activity boxes are filled with fun, soothing, and memory-jogging activities that family members can use with loved ones, as well. One box is filled with mismatched socks that residents can sort through and pair up, which is a comforting and familiar activity for many. Another is filled with a variety of balls used in sports; family members or staff can ask a resident to identify the ball used for a certain sport. If the resident selects the wrong ball, they’re simply asked to name the sport the ball is used for. Another box is filled with a variety of spices, such as cinnamon, nutmeg, and ginger. Smelling the familiar scents can conjure up pleasant memories, which can be soothing for residents even if they can’t articulate the memory.

MBDP is designed to incorporate soothing and familiar activities without inducing stress. While residents may not always hold a complete conversation, performing familiar tasks can be comforting, and the activities presented help residents form a bond with staff and reconnect with loved ones.

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American Academy of Neurology Study Reveals Surprising Concerns About Elderly Drivers

older driver safetyThe American Academy of Neurology concluded after a recent study that many older drivers perceive their driving skills to be better than they actually are. Further, many older drivers with impairment (even dementia) are successfully able to pass a retesting procedure, despite being unsafe drivers.

Lead study author Dr. Donald Iverson of the Humboldt Neurological Medical Group advises that the decision to stop driving should be physician-directed in cooperation with the patient and the patient’s caregivers. The study concludes that both physicians and caregivers of dementia patients should be more proactive in identifying signs that a person’s driving ability has become impaired, as many patients with dementia continue to drive.

Dr. Iverson also notes that information should be gathered from a number of sources; relying on one source of information is not sufficient on which to base a decision. For example, patients may pass a driving test, yet still exhibit unsafe driving behaviors. Dementia is a complex disease, and patients often have good and bad days, making a single assessment inadequate.

Recommendations from the study include the use of the Clinical Dementia Rating (CDR) scale. Researchers found that caregivers who assessed a loved one’s driving as marginal or unsafe were typically accurate; however, patients who rated their own driving as safe tended to be less accurate in their own assessment.

The study points to the following indicators that a person’s driving may be unsafe:

  1. Accidents or moving violations
  2. Driving fewer total miles
  3. Avoiding difficult driving situations (driving at night or in the rain)
  4. Driving unusually slow
  5. Disregard of driving regulations and road courtesy

In addition to these, caregivers should be cautious if a patient is taking medication or has a condition which can slow reaction time. Continued monitoring of a person’s driving abilities is an important part of dementia safety.

Read the full study from the American Academy of Neurology.

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Alzheimer’s Disease Highlighted This Week on ABC News

This week, ABC World News with Diane Sawyer highlighted the challenges of caregiving for a loved one with Alzheimer’s disease, led by Maria Shriver, who interviewed with Sawyer about her findings released in August in “The Shriver Report: A Woman’s Nation Takes on Alzheimer’s.” Shriver’s decision to take on this devastating disease was inspired by her own father’s struggle. Various ABC Newscasts also featured coverage of Alzheimer’s disease this week. Alzheimer's disease is laregely a women's issue.

“The Shriver Report” is based on a survey of more than 3,100 adults relating to the impact of and their experience with Alzheimer’s disease. Findings highlight the idea that Alzheimer’s disease is largely a women’s issue: Two-thirds of sufferers are women, and approximately 60% of caregivers to loved ones with the disease are also women. The total toll? 10 million women, or 6.4% of all women are in some way affected by the disease, according to an article on Time magazine’s Healthland blog.

Terry Moran, co-anchor of ABC News Nightline, wrote a headline story that talks about the financial and emotional toll the disease can take by chronicling the journey of several affected families, including his own mother’s struggle and susequent death from Alzheimer’s disease ten years ago.

Moran also covers the story of Jay Jones, one of 500,000 Americans currently living with early-onset Alzheimer’s disease. In Mr. Jone’s case, and in many others who are subject to cognitive decline at an early age, he wasn’t able to continue his employment, leading his wife to take on a part-time consulting position at just one-fifth of her husband’s previous salary. Mr. Jones is just 53 years old.

If you missed the many heartwarming, inspirational, and eye-opening stories this week on ABC News, you can view full-length clips, articles and a wealth of expert information by visiting ABCNews.com and searching for Alzheimer’s disease.

Read Terry Moran’s article for ABC’s Good Morning America.

Read the Time magazine article.

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