Archive for the ‘Uncategorized’ Category

Joan’s Journey: Discovering Seattle & San Francisco

This week Joan London blogs about her latest visit to the west coast in her search for senior housing.  She made stops in Seattle and San Francisco, where she spent 11 days visiting assisted living facilities in the surrounding suburbs.   The trip also served as a great time for her to visit with her children and grandchildren who live in these locations.

Working with Seniorhomes.com Care Advisors

When she began her search, the number and variety of assisted living facilities overwhelmed her.   So, Joan relied on Seniorhomes.com care advisors to help her with her trip. With their help, she was able to pick out communities in each location that fit her desired budget, level of care, meal plan, amenities, and social activities.  In addition,  the care advisors helped her make appointments to tour the communities during her trip.  With over 38,000 assisted living facilities in the U.S., Joan was glad to have the Seniorhomes.com care advisors to help her narrow down her search.

What did she did learn about her search and herself?

In her latest blog post, Joan covers what she learned about her search and herself through this latest trip. Here are her top three thoughts.

1. Geography, Climate and Ambiance of Location
The climates of greater Seattle and the city of San Francisco apparently do not agree with my chronic arthritis. The cities south of San Francisco have warmer, dryer climates and are quite attractive. However, with my limited mobility for walking up and down hilly terrain, and the traffic congestion, unfortunately these locations are not a perfect fit.

2. Demographics of Residents
Relocating to a facility filled with strangers is a major life change. Communities vary in the age, health, physical and social demographics of residents. At 67, I drive and function independently. I am seeking senior living compatible with my interests for daily living. It is too soon in my journey to make a decision on this point.

3. Staff and Facility Ambience
I toured each facility and spoke with staff and residents. Everyone was extremely friendly and each community was attractive and clean. Because the layout and amenities of the Bellettini apartment models in Bellevue resemble my condominium, I felt most at home at this style of community.

To read more about Joan and her latest journey check out her blog post here.

Open for Interpretation: POLST Forms Versus DNRs

When it comes to end-of-life decision making, most people are very specific about their personal preferences, according to a recent article at OregonLive.com. But a standard DNR (Do Not Resuscitate) order falls short, leaving caregivers with the burden of interpreting their loved one’s wishes. DNRs are currently the standard used by most hospitals and skilled nursing facilities, but a growing movement is slowly replacing the DNR: POLST forms.

POLST forms go beyond the DNR

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POLST (Physician Orders for Life-Sustaining Treatment) forms go above and beyond, outlining specific measures to be taken under different circumstances. A person can specify, for example, that he wants to be treated with antibiotics for an infection but does not want a feeding tube. POLST forms have actually been around since the 1990s (and were developed in Oregon), but communities across the country have been implementing the program in recent years.

POLST: Overcoming limitations of DNRs and advance directives

Standard DNRs and advance directives can be difficult to locate in an emergency. POLST forms, on the other hand, were originally designed to be brightly-colored and travel with a patient. If a resident in a skilled nursing facility or assisted living facility is transferred to the hospital, for instance, the POLST form accompanied the patient so there’s no ambiguity regarding the individual’s preferences.

Today, however, the state of Oregon relies on an electronic database established in 2009 so practitioners have immediate access to a patient’s POLST form. And patients are free to completely revoke or modify their POLST forms at any time. To date, more than 70,000 Oregon residents have filed a POLST form, a dozen states have implemented POLST orders and 22 additional states have plans to do so.

Code status tells little about individual preferences

Standard DNRs (or advance directives) tend to focus solely on a person’s code status: Do you want to be resuscitated in the event that your heart stops beating, for instance. The answer for many folks is no, but these orders fail to move beyond this to specify individual circumstances and various types of treatment  options that could provide comfort or prolong life.

The problem is that many physicians and emergency personnel have a tendency to over-interpret a no-code status, meaning if they’re treating an individual with a DNR, they also won’t consider other treatment options, such as antibiotics, feeding tubes, comfort care or hospitalization. Under these circumstances, some individuals failed to receive treatment they may have wanted, or ended up receiving life-sustaining measures they would have opted out of if given the choice.

Researchers from Oregon found that about 72 percent of people in the registry (a total of 25,000 individuals) didn’t want CPR, but were in favor of other measures, including hospitalization, temporary feeding tubes and antibiotics to treat infection. In prior studies, it was discovered that patients with a no-code status were less likely to receive antibiotics or to be hospitalized, and in some cases, physicians were less likely to order lab work.

According to Dr. Steven Zweig, professor at the University of Missouri-Columbia School of Medicine, says POLST forms help create meaningful conversations about end-of-life care, noting that standard DNRs over-emphasize CPR without drilling down to other important preferences.

The Gift of Vision! Doctors across the country offer free eye exams for Seniors.

This year, Ophthalmologists across the country are giving seniors the gift of sight.  Over 7,000 Doctors are participating across the United States and Puerto Rico, to make sure every senior has the opportunity to receive an eye exam.   These doctors are part of Eye Care America, an organization that provides year-round eye care services to medically undeserved seniors and those at increased risk for eye disease.

Why Should Aging Adults Have Regular Vision Check Ups?

Many serious eye disease, such as Age-related macular degeneration and diabetic retinopathy, offer no warning signs and can only be detected during an eye exam.  Furthermore, the high cost and lack of insurance coverage for many comprehensive eye exams, causes people to delay in getting a check up.   Getting these regular check ups can prevent permanent damage to your vision from things such as cataracts, glaucoma.

Throughout the year, Eye Care America puts on programs that help everyone over 65 get access to a free eye exam.  To keep updated on all their great work, check out their website.  Through Eye Care America’s website you can check your eligibility for a free exam, apply to get a comprehensive eye exam, and find out ways you can help Eye Care America.

Spread the news to seniors in your community, and make sure all your aging loved ones have an eye exam this winter.

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Last Minute Tips: Celebrating Halloween in your Senior Community

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In my last post, I offered some ideas on how to celebrate Halloween with your aging loved one.  However, I realize that many seniors are not able  to be with their families or close friends on holidays like Halloween, so I wanted to help senior communities create their own Halloween traditions.

Here are my top 10 suggestions for fun ways senior communities can celebrate Halloween.   Please share with us how your community is going to celebrate Halloween!

  • Have a decorating party.  Provide materials like mini pumpkins, cobwebs, orange streamers and have everyone participate in making the place feel festive.
  • Trick or Treating in the community. Invite families and neighborhood kids to come trick or treating within the facility before they hit their neighborhoods.  Each room or apartment can give away candy treats of their choice.
  • Have a pumpkin-carving event or contest.  Everyone could have fun pulling the gook out of the inside, or to avoid a mess they could paint them instead.
  • Have a scary story night. Residents can  get together and share their favorite scary Halloween stories from childhood.
  • Help kids in need celebrate Halloween. Put together treat bags for local foster kids or donate them to the kids in local homeless shelters.
  • Vintage scary movie nights. Host a old Halloween movie night in the facility or take residents to a local theater screening old scary movies.
  • Murder mystery themed party. Make it very simple,  invite residents to get dressed up if they would like to and meet for a dinner followed by a murder mystery party.  Have pre-written questions for each character and have those that need more help partner up.
  • Non-scary party option. For those that want to celebrate the holiday in a non-scary fashion, host a decades party.  Each resident will have the option to dress as their favorite decade. You can provide the music, movies, and snacks that represent each decade.
  • Take a trip  to your local museum or aquarium. Most have special Halloween exhibits and are handicap accessible.  This also provides a fun, easy trip into the city.
  • Put on a community party. Partner with the local senior center or community center to to put on a Halloween party.   The party can be anything from a simple potluck affair with bingo and dancing, to a elaborate party with carnival games, costume contests, and a haunted house.

Assisted Living Residents are Living to 100: Tips for Becoming a Centarian

In Iowa, they credit good luck, clean living and good genes as the secret to a long life. Twenty-six of Iowa’s senior seniors recognized their 100 plus birthdays in style as the State celebrated the centarians. Centarians are increasingly common in nursing homes and in many assisted living facilities across the country. Every day, we see stories of individuals who have accomplished this coveted feat.

According to an article in the DesMoines Register, Iowa is ranked second in the nation with the most residents over the age of 100, with 793 hitting the ten- decade mark; twenty percent of them have aged in place and 78 of them are over 105. Centarians common in assisted living

Attitude and Action

Over the years many have learned to accept what life throws at them.  They know there are situations simply beyond their control.  Mildred Brendeland, 101, told the Register, “You have to accept all the things that come to you,” and Louis Frederick, 101, of Des Moines said, “Don’t worry about something you can’t fix.”

Perhaps, it’s her Carpe’ Diem attitude along with an active lifestyle that can be credited for Hilda Crabtree’s longevity. Keep real active,” said Crabtree. “Don’t just sit around and watch television. My health is still so good. If I can keep active like this, I’ll gladly stick around for a while.”

But topping them all is 101-year-old Berdena Reeves who last year went zip lining when her dreams of skydiving were vetoed.

So, how do you make it to the 100 year mark? Whether you’re living at home, in assisted living or a nursing home, here are some tips to making it to the century mark:

Change Your Attitude

  • Reduce Stress: Find a way to relieve the pressures of everyday life in a positive manner.
  • Stay Social: Maintaining close relationships is tied with better physical and mental health
  • Be Optimistic: According to the Mayo Clinic, people who believe the glass is half full tend to live longer.

Watch Your Diet

  • Increase the fruits, vegetables, whole grains and amount of fiber in your diet
  • Limit foods high in cholesterol, saturated fats and trans fats
  • Limit refined sugars
  • Drink one glass of red wine daily which appears to lower the risk of heart disease
  • Drink Green Tea whose antioxidant properties may help fight some cancers

Exercise:

  • 15-30 minutes a day has been shown to reduce the risk of heart disease and cancer
  • Resistance training guards against the loss of muscles’
  • In general, exercise promotes mental well-being

Keep Mentally Active

Research shows that retaining cognitive capacity helps in the aging process.  There are several exercises which can help keep the brain active and sharp:

  • Word games
  • Playing a musical instrument
  • Writing
  • Learning a foreign language
  • Traveling
  • Taking Classes

Floss Your Teeth:

Besides the obvious of preventing tooth decay and loss, flossing can also help prevent heart disease.  Evidence suggests that inflamed gums release substances into the blood stream which can clog arteries.

With an arsenal of tips, there is one factor of aging that no one can control: Genes.  If you have been blessed with good genes and have had parents or grandparents who have lived long, healthy lives, you too may have the opportunity to celebrate birthdays well into you golden years.

What’s Your Secret?

Reality is, more and more people are living long, healthy lives.  They are spending their days enriching the lives of others, sharing their stories and hoping to leave behind a positive legacy.  Are you or someone you know nearing that century mark? What are your secrets to a long and healthy life?

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Focus on Healthy Aging as Census Confirms What We Already Know: America is Getting Older!

Recent U.S. Census data has confirmed what we already know: America’s population is aging. Not only are the Baby Boomers entering their golden years, but people are living longer, too. A longer life expectancy coupled with record numbers of Americans hitting age 65 year after year means the senior population is larger than ever before. America's aging population demands independence

Some experts have expressed concern in recent months about the ability of our healthcare system to adequately support the needs of our nation’s aging population. Will there be enough assisted living and nursing home beds available for those who need them? Will we have enough nurses, social workers and geriatricians to meet the medical and social demands of aging Americans? A number of others are weighing in with research and advice for living longer, healthier lives. The Baby Boomer generation has set a precedence for aging in America, refusing to accept societal norms formerly associated with turning 65. Don’t look for these 65-plus-ers to retire anytime soon, and don’t even think about talking assisted living facilities!

However, don’t be fooled into thinking healthy aging is just for Boomers. Skin, Inc. reports on findings from the Natural Marketing Institute (NMI), indicating that health and longevity is a point of interest for every generation. Gen-Xers are focused on looking younger (think Botox and anti-aging creams); both Gen-X and Gen-Y look for ways to reduce stress, get leaner and increase energy. Boomers and beyond, on the other hand, want to reduce cholesterol and joint pain and maintain heart health.

A recent article on InForum.com says that while Boomers are committed to living active lifestyles well into retirement, the time will come when many of them require assisted services. To accommodate the lifestyle demands of this population, aging services providers are shifting their focus to help seniors maintain their independence. Jon Riewer, president of Eventide Senior Living Communities, says Boomers are planning to stay put in their own homes for as long as possible. And when the need for assisted care arises, Riewer says this population will be looking for more privacy and less shared spaces. Eventide’s focus, like many other assisted living communities, is creating an environment that feels like home.

Adding to the healthy aging momentum are professionals like Nardi Steverink, Ph.D., who, according to Science Mag, has devoted her career to researching healthy aging and developing strategies for older adults to maintain independence and stay active. Today, Steverink is a senior researcher with the University of Groningen and the University Medical Center Groningen in the Netherlands. She studies the ability of older adults to manage their own well-being and develops courses to teach them how to do so. Steverink says that aging-related research is a growing field, and while funding in this area is hard to obtain, she’s noticed increased attention to the field since the onset of her career. With professionals like Steverink dedicating their careers to developing active adult living strategies, Boomers have much to look forward to in their golden years.
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Best of the Web Winners to be Announced Thursday, December 16th

We are thrilled to have received such an overwhelming and positive response to the 2011 SeniorHomes.com Best of the Web Contest. We at SeniorHomes.com and our panel of expert judges are working diligently to finalize the ratings. We had an incredible number of valuable nominees in every category which has resulted in a comprehensive list of websites that will be extraordinarily useful to seniors, families, and industry professionals. Whittling down this list to identify one single resource as the best in each category has proven a difficult task!

Please stay tuned, as we will be announcing finalists and winners in all categories tomorrow, December 16, 2010. We’d like to extend a gracious thank you to the many community members, organizations, and of course our 15 very busy, very generous expert judges who participated in this contest and contributed to making it such a huge success!

National Caregivers Conference Slated for Next Week

The National Caregivers Conference will take place on Tuesday, October 26, 2010, at the Renaissance Woodbridge Hotel in Iselin, New Jersey. The event, held annually, is hosted by the Family Support Center of New Jersey, an affiliate of the Family Resource Network. National Caregivers Conference

This year’s event welcomes attendees from ten different states and focuses on the impact of technology on caregiving. Three workshops will be featured at the 2010 National Caregivers Conference:

  1. Merging the Body with Electronics: An Introduction to Neurotechnology
  2. How Technology and Social Networking Transforms the Experience of Caregiving
  3. Everyday Technology: Unique Accomodations

Serving as keynote speaker is John Crowley, whose caregiving experience was chronicled in the 2009 film Extraordinary Measures. Crowley will speak of his life-changing decision to leave his career as a leading pharmaceutical executive for Bristol-Myers Squibb after his two young children who were diagnosed with Pompe disease, a fatal neuromuscular disorder. Upon leaving Bristol-Myers Squibb, Crowley took a position as CEO of Novazyme, a start-up biotech research firm that was researching a new experimental treatment for Pompe disease.

Crowley will also offer a personalized book signing to attendees for his family memoir, Chasing Miracles: The Crowley Family Journey of Strength, Hope, and Joy, which he’ll also reference during his presentation.

The professional attendee rate for the day is $150; family and student rate is $100. For more information or to register for the one-day event, visit the National Caregivers Conference website.

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New High-Dose Flu Vaccine Recommended for Seniors

It’s upon us once again: the dreaded flu season. Each year, the Centers for Disease Control and Prevention (CDC) convene to determine which strains of the virus will be included in the vaccine — this year’s vaccine composition was determined back in February 2010. flu vaccine

This year, the dreaded H1N1 virus is likely to rear its ugly head, but perhaps at a less alarming rate than we experienced last year. The good news: This year, an H1N1 strain is included as one of the three strains in the 2010-2011 flu vaccine, which should drastically reduce the incidence of the virus. However, because each year’s vaccines are based on the predominant strains of the flu that spread the previous year, it’s impossible to tell whether a new strain could develop that we’re not prepared for.

The decision regarding the composition of each year’s vaccine is not one that’s taken lightly. According to the CDC, there are 130 national centers in 101 countries that conduct year-round surveillance of influenza outbreaks and study trends to determine how well a previous year’s vaccine protected from new strains, how quickly a strain can spread, and its relative impact on mortality.

The severity of any given flu season depends on a number of factors, including what viruses are spreading and whether or not the year’s vaccine offers protection against them. The H1N1 outbreak we saw last season was the first pandemic in more than 40 years, although flu virus strains are constantly changing and new ones emerging.

The CDC strongly recommends that all seniors (age 65 and over) receive a seasonal flu shot, because they’re at greater risk for developing serious complications than other age groups. The organization is encouraging seniors over the age of 65 to opt for the Fluzone High-Dose influenza vaccine, developed by Sanofi-Pasteur specifically for this demographic. The injectable vaccine contains four times the typical amount of antigens (which prompt the body to create antibodies). Preliminary clinical trials indicate a higher level of antibodies following vaccination with the high-dose vaccine, so experts believe that it could offer added protection to the vulnerable senior population.

For more information about the Fluzone High-Dose vaccine, visit the CDC website.

Most assisted living facilities and nursing homes arrange for residents to receive flu vaccines each year. If you or a loved one lives in the community and wish to find a public flu clinic near you, visit the Flu Vaccine Finder.

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Balance Training Can Reduce Falls in Elderly

The Centers for Disease Control and Prevention estimate that falls account for more than 18,000 deaths and 450,000 hospitalizations among people over the age of 65 each year. But many of these falls can be attributed to a decline in balance, which is a skill involving several body processes, including the nervous system, motor and movement functions. balance training

Dr. David Thurman, a neurologist with the Centers for Disease Control and Prevention, told The New York Times that evidence indicates that “strength and balance training can reduce the rate of falls by up to about 50 percent.” The Department of Health and Human Services, in response, added a recommendation to its 2008 national physical activity guidelines to advise older adults to incorporate exercises (into an overall physical activity program) that maintain or improve balance if they are at risk of falling.

There are no specific recommendations for how often, what duration, or even what exercises are of most benefit for improving balance in older adults, so they’re often integrated into a larger group of exercises known as functional fitness exercises.

Working out under the direction of  a personal trainer isn’t necessary, according to exercise scientist Michael Rogers of Wichita State University. There are definite benefits to having the supervision of a professional, including safety and easy access to specialized balance training toys (balance boards, balls, and the like), but Rogers tells The New York Times that balance training can be accomplished anytime and anyplace. He recommends simple activities like standing with your feet closer together while brushing your teeth, or standing with one foot placed in front of the other.

Dr. Thurman says the benefits of balance training can become evident very quickly, because the nervous system still has the ability to regenerate as we age. It’s even possible to develop new skills that can help seniors handle activities of daily living. Balance training can also build confidence and enable seniors to experience the advantages of active living.

Read The New York Times article, “Staying on Balance, With the Help of Exercises.”

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