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Eldercare Advocate & Geriatrician Dr. Mike Wasserman On SeniorsSTRAIGHTTalk

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Eldercare Advocate & Geriatrician Dr. Mike Wasserman On SeniorsSTRAIGHTTalk

Dr. Mike Wasserman was one of the first geriatricians in the country to recognize the dire situation COVID 19 presented to our nations nursing home residents. He has devoted his entire career to serving the needs of older adults and, since the early days of the pandemic to the present, he has not stopped speaking out about the care needs of  our vulnerable older population. Dr. Wasserman has been regularly quoted by various major news outlets and has appeared in interviews on CNN, MSNBC.

Dr. Wasserman has served as a member of the National Academy of Science’s “A Framework for Equitable Allocation of Vaccine for the Novel Coronavirus” Committee. He is also Editor-in-Chief of Springer’s upcoming textbook, Geriatric Medicine: A Person Centered Evidence Based Approach. Previously he served as Chief Executive Officer for Rockport Healthcare Services, overseeing the largest nursing home chain in California and prior to that, he was the Executive Director for Care Continuum, a Health Services Advisory Group, the Quality Improvement Organization for California. In 2001 he co-founded Senior Care of Colorado, which became the largest privately owned primary care geriatrics practice in the country, before selling it in 2010. In 2016 and 2017 respectively, Springer published his books, “The Business of Geriatrics,” and “Primary Care for Older Adults:  Models and Challenges”.In the 1990’s he was President and Chief Medical Officer for GeriMed of America, a Geriatric Medical Management Company.

This lively discussion with Dr. Wasserman is not to be missed!! His insights about nursing home care comes from the unique perspective of having been the CEO of the largest nursing home chain in California. Because he served at the helm of a nursing home chain, Dr. Wasserman’s insights into the root causes of the problems in our nations nursing homes comes from a valuable inside perspective that one does not often hear. Anyone concerned with care of older parents, grandparents or their future selves should tune in.

 

Seniors Connections Matter: Connecting Seniors Through Technology

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Empowerment
Seniors Connections Matter: Connecting Seniors Through Technology

The impact of the coronavirus on our nation’s elder citizens has been enormous and  has highlighted the disconnect elders experience from family and loved ones. Directives from the Centers for Medicare and Medicaid Services (CMS), the Federal agency that oversees Nursing Homes, is that all visitation is to be restricted, exceptions noted in the case of end-of-life or comfort-care. This has resulted in nursing home residents being isolated from families and loved ones.  Family members and loved ones are also increasingly concerned about their loved ones, knowing all too well that their presence plays a key role in their ability to  advocate to for their loved ones  care. As we move forward from the virus, and the possibility of easing restrictions for in-person family nursing home visits ensues, the need for families who live a distance from their loved ones residing in nursing homes having access to virtual visits should not be any less of a priority.

We all need and crave connection, especially with loved ones, and now more than ever.  Understanding that need, the Centers for Medicare and Medicaid Services,  has urged facilities to facilitate visual connections between residents and their loved ones. Many residents do not have mobile devices to establish these connections or, if so, need assistance to use them. Of the 15,600 nursing homes, the vast majority of facilities may not be equipped with a sufficient number of devices to enable residents and families/loved ones to have frequent virtual visits, especially since many facilities have upwards of 200, 400, and 500 residents.

Nursing home residents are isolated, lonely and understandably frightened. The stress from prolonged isolation is documented and can be considered equivalent to smoking 15 cigarettes/day. It impacts anxiety, sleep disorders, falls, cognitive decline and symptoms of depression.

Of all the states, Florida took swift action in mid-March to ban visits to nursing homes in an effort to manage the spread of the virus. Now, Governor Rick DeSantis, in a May 26th Forbes magazine article,[1] suggests that “we must restrict visits to nursing homes by family and friends for at least the next several months, with the possible exception of those who can prove that they are not actively infected with the novel coronavirus”. If this suggestion becomes a reality, residents and family members may not be able to have valuable in-person visits in the foreseeable future.

Please think about the mothers, father, grandmothers, grandfathers, sisters, brothers, uncles, aunts, in the nursing homes all across the United States and Donate Now. A Nursing Home resident and Family member/loved one will thank you.

“Nursing Homes have been my life’s work. Seeing the pervasive loneliness and isolation nursing home residents experience as a result of being disconnected from their families and friends is heartbreaking. It’s important for me to find a way to bridge that gap.”

PLEASE HELP US!! Visit Senior Connections Matter, Connecting Seniors Through Technology https://www.gofundme.com/f/senior-connections-matter

 

[1]Roy, A. The Most Important Coronavirus Statistic: 42% of U.S. Deaths Are from 0.6 % Of The Population, Forbes, May 26, 2020.https://www.forbes.com/sites/theapothecary/2020/05/26/nursing-homes-assisted-living-facilities-0-6-of-the-u-s-population-43-of-u-s-covid-19-deaths/

Aging: Future Possibilities, Fulfilling Life, Brain Health

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Empowerment
Aging: Future Possibilities, Fulfilling Life, Brain Health
Longevity is an accomplishment. Continuing to live a fulfilling, active lifestyle as we age is fundamental to our emotional, mental and physical well-being.
The decline in physical ability and mental acuity as we age are realities of the aging process. And, in the case of dementia, the cognitive decline* can be even more precipitous and pronounced. But can we engage in activities that promote physical, mental and emotional well-being, help us continue to live a purposeful and fulfilling life, as well as stave off or lessen the effects of decline. The answer is a resounding, YES!!
Furthermore, remaining active and engaged in our advancing years is an important legacy to future generations about the meaning of future possibilities.
1. GET UP AND GET MOVING: Regular exercise that elevates your heart rate increases the flow of blood to the body and the brain, sometimes referred to as breaking a sweat, has beneficial effects on the cardiovascular system. Studies throughout the years have found there is a link between increased physical activity and reducing the risk of cognitive decline. This can include a regular schedule of walking, running, swimming, or another form of exercise of your choice. Even a slow but steady exercise for extended periods, like gardening, has proven to be helpful. Maybe this is the ideal time to commit or recommit to your fitness goals.
You can also find a new passion or explore an old one.
A 2017 article in Frontiers of Human Neuroscience reported that older people who routinely partake in physical exercise can reverse the signs of aging in the brain, but that dancing had the most significant effect.
The results were reported as a result of a study which compared people whoparticipated in dancing and endurance training. The lead author of the study, Dr.Kathrin Rehfeld, concluded that dancing is a “powerful tool to set new challenges for body and mind, especially in older age.”[1]
2. GET HEARTY: Taking care of your heart should be a priority. The same risk factors that we know causes cardiovascular disease and stroke, namely obesity, high blood pressure and diabetes, can also be risk factors for cognitive decline.Therefore, adjust your lifestyle in accordance for a healthy heart and you may be helping your brain at the same time.
3. FOOD FOR THOUGHT: Eating a diet lower in fat and higher in vegetables and fruit may help to reduce the risk of cognitive decline. This is not as evidenced based as other areas, however, people who live in countries eating what is known as the Mediterranean diet, and many other people who have adopted it around the world, as well as another version known as the Mediterranean-DASH diet (Dietary Approaches to Stop Hypertension), are said to experience a reduced risk of cognitive decline.
4. GET BOOK SMART: When the brain is actively engaged in learning it is not only merely keeping it more healthy and vibrant, it could reduce the risk of decline. There are many adult education classes suited to almost any area of interest. They are offered at local colleges, high schools, community centers, libraries or even online. This also helps staying socially engaged by connecting with others who have similar interests.
5. GET REST: As we get older, it is not always easy to get an uninterrupted night’s sleep. However, one should still try to get enough sleep so they feel rested. Lack of sufficient sleep can result in memory and thinking problems.
6. “DON’T WORRY, BE HAPPY”: The words in the song convey an important message. There are studies that draw a direct connection between
depression and cognitive decline. It is important to be able to recognize if you are experiencing depression, anxiety or other mental health issues. If you are aware of having these issues, know you are not alone. Speak with your physician or seek treatment through other avenues. If a friend or family member recognizes that you are having these symptoms and opens up a discussion, it means the symptoms are significant. Appreciate the fact that they are concerned and are doing you a great favor!
7. GET FRIENDLY: The importance of staying connected with others cannot be overstated, whether it be family, old friends or making new ones. Finding activities in your community that you enjoy will help you stay socially engaged. A few examples: Always loved photography? Consider joining a photography club, Hiking or nature? There are many groups that offer nature programs. Walking? There are even mall walking groups, Singing? Join a choir, Teaching? Consider tutoring young people at an after-school program. Planting or flowers? Consider a local florist, botanical garden, greenhouse. Consider joining a book or cooking club or starting one of your own.
Volunteering is another way to remain engaged in your local community. it is also a way to give back while simultaneously achieving a sense of joy and gratification. A few examples of places to volunteer include:
· Libraries
. Political parties
· Hospitals; Nursing Homes
· Animal shelters
· Food banks
· Day care centers
· Places of worship: churches, temples, mosques
· Cultural groups
· Non-profits organizations
Consider seeking out an organization that is close to your heart. e.g., Diabetes Association, Cancer Agency, Alzheimer’s, AARP. Many websites list volunteer positions and provide training as needed. Opportunities to get involved are endless and many organizations offer info and sign-up forms online.
If one cannot get out as often as they would like or is possible, online activities is another a way to connect with others. This can reduce a feeling of isolation which can be tremendously beneficial. Connecting with family, friends, and online groups help to provide a sense of community. Social networking sites like Facebook help people stay active and engaged. online are other ways that seniors are keeping themselves active and engaged.
8. QUIT SMOKING: There is ample evidence that smoking increases a person’s risk of decline in physical well-being and cognitive function. The earlier one quits smoking the sooner the risk is reduced to the same level as a person who has not smoked.
9. PROTECT YOUR HEAD, LITERALLY: Brain injury can raise your risk of cognitive decline and dementia. Protect yourself against falls, always wear your seat belt while driving and use a helmet if bicycle riding or participating in a contact sport.
10.BRAIN TEASERS: It’s important to keep your brain active. Learn new games or play your favorite ones: jeopardy, bridge, dominoes, backgammon, scrabble, chess, bridge. Work on puzzles: from crossword or jigsaw. Join clubs that highlight these activities. Learn to do something new in which you were always interested: a new language, playing an instrument. There are groups or clubs for many of these which would also keep you socially engaged.
10.BRAIN TEASERS: It’s important to keep your brain active. Learn new games or play your favorite ones: jeopardy, bridge, dominoes, backgammon, scrabble, chess, bridge. Work on puzzles: from crossword or jigsaw. Join clubs that highlight these activities. Learn to do something new in which you were always interested: a new language, playing an instrument. There are groups or clubs for many of these which would also keep you socially engaged.
If just beginning to consider these areas, it may be unrealistic to think of adopting all of these habits at once. Pursue those that feel the most likely to be accomplished from an interest, scheduling or availability point of view. Participating in these activities should be enjoyable and fun. If they are effortful and seem like work, it will defeat the purpose.
ENJOY!!!!!
*Cognition – Cognition is a mental process which includes thinking, knowing, remembering, reasoning, judging and problem solving.
[1]“Dancing Can Reverse the Signs of Aging in the Brain”. Frontiers of Human Neuroscience August 25, 2017.https://medicalxpress.com/news/2017-08-reverse-aging-brain.html

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