Staying Close from Afar: How Modern Solutions Make Long-Distance Caregiving Possible

Caring for a loved one is already a high-wire act of compassion and coordination. When distance enters the equation, it becomes a juggling act that tests your patience, creativity, and resilience. Whether you're a daughter coordinating help for your dad three states away, or a brother worried about a sibling across the country, technology and services have come a long way to bridge the gap. You can still be present, attentive, and supportive—even when you’re not physically there.

Remote Monitoring Offers Eyes and Ears Where You Can’t Be
You can’t always be in the room, but that doesn’t mean you have to be in the dark. Remote monitoring systems now include everything from smart cameras and motion sensors to medication dispensers that notify you if a dose is missed. These tools let you keep tabs on routines, safety, and even mood changes. More than peace of mind, they offer data—data that helps you respond rather than react.

Telehealth Keeps the Doctor Just a Click Away
Your loved one shouldn’t have to wait weeks for a doctor’s visit or sit for hours in a waiting room. With telehealth, appointments can happen at home, and you can join virtually from wherever you are. It’s not just convenient—it builds continuity of care when you're looped into real-time updates and can ask questions directly. More platforms are also integrating with digital health trackers, so doctors get more context and you get better answers.

Home Automation Builds Safe and Adaptive Living Spaces
The right environment can prevent accidents and promote independence. Smart thermostats, automated lighting, and voice-activated assistants are transforming homes into safer places for aging adults. These tools can remind someone to lock the door, turn off the oven, or even call for help in a fall. You don’t have to install a full security system—sometimes a $30 smart plug can make all the difference.

Budgeting Tools Offer Structure Without Stress
Helping your loved one manage their money starts with a clear, organized plan. Free monthly household budget templates can make that process feel less overwhelming and more achievable (this is a good one). You can choose from a selection of template styles that fit their circumstances, then customize as needed so they can manage their finances more effectively. These tools turn vague spending habits into tangible numbers, giving both of you a clearer picture and a greater sense of control.

Virtual Companionship Fills Social Gaps
Loneliness can be as dangerous as any chronic illness, especially when mobility is limited or social circles shrink. Virtual companions—from live chat platforms to scheduled Zoom calls with volunteers—help break up isolation. Some services even offer weekly check-ins by trained professionals or friendly peers, providing both conversation and subtle wellness checks. A simple “hello” can change the entire emotional landscape of someone’s day.

Reputable Home Care Services Can Be a Lifeline
Finding in-home support you can trust is crucial, especially when you’re not there to vet everything in person. A service like Aroga Home Care helps you connect with trained caregivers who offer more than just assistance—they bring reliability, empathy, and a human touch. The best agencies let you customize plans and communicate with care teams easily, so you’re never out of the loop. It’s not just about hiring help; it’s about building a relationship that sustains your loved one’s dignity and comfort.

Apps and Schedulers Reduce the Chaos of Coordination
Trying to keep a calendar straight between doctors, groceries, meds, and visits can feel like a full-time job. Fortunately, caregiver-focused apps like Lotsa Helping Hands or CaringBridge make delegation easier and communication more transparent. You can create schedules, assign tasks, and even post updates for extended family. These tools do more than streamline logistics—they reduce guilt and burnout by helping everyone stay on the same page.

Local Resources Extend Your Reach Without Leaving Town
Sometimes you don’t need more tech—you need a trusted neighbor, a nearby social worker, or a community center. Local councils on aging, church groups, and nonprofit elder care networks can step in with home visits, meal deliveries, or transport services. By tapping into their offerings, you build a local safety net. And the truth is, often what helps the most is knowing someone kind and capable is just a short drive away.

Being a long-distance caregiver means constantly balancing love with logistics, worry with action. It’s not about doing everything yourself—it’s about putting the right pieces in place so your loved one feels cared for, even when you’re not nearby. The tools and services now available can turn a near-impossible situation into a manageable one. With the right support, you can stay close—even from far away.

Discover the exceptional care and personalized service at Aroga Home Care, where our boutique approach ensures your loved ones receive the attention and consistency
they deserve.

Aroga Home Care Services is your go to 5-star rated private duty skilled caregiver agency in the greater Charlotte area. Contact us today and request a professional home care adviser consultation.  www.ArogaHomeCare.com or call 704-319-5500

Content Credits: Spirit Finder

Keeping Smiles Strong: Tips for Caregivers Supporting Oral Health in Dependent Seniors

Caring for the daily needs of a dependent senior comes with a unique set of challenges, especially when it comes to preserving their oral health. For many seniors, declining mobility, chronic illness, or cognitive decline can make basic hygiene tasks—like brushing and flossing—a struggle. This puts them at higher risk for gum disease, cavities, and related infections, which can severely affect their overall well-being. As a caregiver, your role in maintaining oral hygiene becomes a frontline defense not just for their mouth, but for their dignity and quality of life. With attention, patience, and the right techniques, you can help ensure that the person in your care keeps their smile—and their health—intact.

Encourage Regular Brushing and Flossing

The cornerstone of oral hygiene remains consistent, thorough brushing and flossing. While this might seem simple, it often requires hands-on assistance or prompting for seniors who suffer from arthritis, memory loss, or fatigue. You should aim to help them brush at least twice daily with gentle circular motions, especially along the gum line where plaque tends to build. Flossing should happen at least once a day, and if traditional floss proves difficult to use, consider floss picks or water flossers that simplify the task. The key is consistency; even a few missed days can lead to problems, so incorporating oral care into the daily routine—such as after meals or before bed—can keep it from becoming an afterthought.

Digitize Dental Records for Better Organization and Accessibility

Managing dental care becomes a lot easier when records are neatly digitized and at your fingertips. By scanning dental histories, treatment plans, insurance details, and appointment notes, you can build a centralized archive that simplifies long-term care planning. Saving these records as PDFs not only preserves formatting but also makes sharing with new providers a breeze. Tools like Adobe Acrobat's user interface allow you to convert, edit, and even rotate PDFs with just a few clicks, ensuring that nothing gets lost in translation. Keeping digital backups ensures vital information is protected from accidental loss or damage.

Choose the Right Toothpaste

Not all toothpastes are created equal, and the one you choose can have a measurable impact on your senior’s oral health. Look for products that contain fluoride, which helps strengthen enamel and prevent decay. For those with sensitive gums or teeth, a gentler formulation designed for sensitivity can make brushing more comfortable. If dry mouth is an issue—a common problem among older adults—select a toothpaste specifically designed to address it, often labeled “hydrating” or “moisturizing.” Some seniors may also benefit from prescription-strength toothpaste, so consult with their dentist to tailor your choice accordingly.

Ensure Dentures Fit Properly and Are Cleaned Daily

Poorly fitting dentures can cause sores, difficulty eating, and even infections if not properly maintained. Caregivers should inspect dentures daily for signs of wear or irritation in the mouth, and ensure they’re cleaned thoroughly each night using a non-abrasive denture cleanser and a soft brush. They should always be removed before bed to give the gums a rest, and soaked in a solution to keep them moist and germ-free. If the senior complains of pain or you notice red spots or swelling, make an appointment with a dentist or prosthodontist for adjustments. A good fit isn't just about comfort—it's about safety and hygiene.

Arrange Routine Check-ups with a Dentist

Even if the senior you care for is no longer independently mobile, regular dental visits are still critical. Mobile dental services are increasingly available and can bring the clinic to their residence if travel is difficult. These check-ups can identify issues like gum recession, oral cancers, and new cavities before they worsen. Maintaining a schedule—usually every six months—is a preventive measure that saves on pain, money, and stress down the road. Keep a calendar of appointments and try to build positive associations with these visits to reduce any fear or anxiety the person may feel.

Watch for Signs of Gum Disease, Cavities, or Other Issues

Being proactive means keeping an eye out for red flags that might indicate an emerging problem. Watch for signs like bad breath, swollen or bleeding gums, loose teeth, and complaints of pain while chewing. You might also notice changes in eating habits, reluctance to wear dentures, or expressions of discomfort during brushing. These symptoms often fly under the radar, especially for seniors who struggle to communicate clearly, so being vigilant can prevent small problems from becoming major health concerns. When in doubt, trust your instincts and seek professional advice—it’s always better to be safe.

Encourage a Healthy Diet

What a senior eats directly affects the health of their teeth and gums. A diet high in sugar, processed snacks, or acidic beverages can contribute to tooth decay, especially if brushing isn’t happening as often as it should. Try to include crunchy fruits and vegetables, which help naturally clean the teeth and stimulate saliva production. Calcium-rich foods like cheese and yogurt can strengthen enamel, while water—not soda or juice—should be the go-to drink throughout the day. Even if you're working around dietary restrictions or preferences, aim to strike a balance that favors dental health.

Being a caregiver isn’t just about medications and mobility—it’s about preserving the little things that give life meaning, including a healthy smile. Oral health may not always feel like the most urgent concern, but neglecting it can lead to serious, even life-threatening issues. With daily attention, the right tools, and a bit of planning, you can make a profound difference in the comfort, confidence, and dignity of the senior you care for. From choosing the right toothpaste to maintaining a nutritious diet, each of these actions adds up to a larger picture of compassionate, proactive caregiving.

Discover the unparalleled care and personalized attention at Aroga Home Care Services, where our boutique approach ensures your loved ones receive the highest quality service from experienced professionals.

A Caregiver's Guide to Everyday Well-Being: Simple Strategies for Head-to-Toe Health

As a caregiver, it's easy to become so immersed in the needs of others that you forget about your own health. Yet your well-being is essential—not only for yourself but for those who rely on you. Taking simple, consistent steps to protect your health doesn't have to feel like adding another obligation to your to-do list. When you weave practical self-care into your daily rhythm, you create a foundation for lasting vitality. Here’s how you can nurture your whole self from head to toe without overcomplicating your day.

Greet the Day with Gentle Stretching

Before the rush of caregiving duties and daily responsibilities take over, giving yourself five to ten minutes of simple stretching can work wonders. When you stretch in the morning, you ease away the stiffness that builds up overnight, getting blood flowing to your muscles and joints. You don't have to follow a strict routine; just a series of slow, mindful movements will loosen tension and promote flexibility. Making this a non-negotiable part of your day sets a positive, energized tone for everything that follows.

Invest in Your Education for a Healthier Life

Career satisfaction plays a massive role in overall well-being, yet it’s something caregivers often put on the back burner. Choosing to return to school—especially by enrolling in an accredited online program—can be a transformative decision that opens new doors and reignites passion in your professional life. For instance, you might learn about your options and find online healthcare programs that prepare you for roles like healthcare administration, where your caregiving skills can shine. Whatever direction you choose, online programs are ideal for working professionals who need flexibility without compromising on quality education.

Create a Soothing Bedtime Routine

The quality of your sleep can make or break your energy levels and emotional resilience. A calming bedtime routine tells your brain it’s time to slow down and recharge, making it easier to fall—and stay—asleep. This might mean dimming the lights, reading a physical book instead of scrolling on your phone, or sipping a caffeine-free herbal tea. When you treat sleep as a sacred investment in your health, you'll find yourself more capable and grounded during even the busiest days.

Embrace Mindfulness and Breathing Exercises

Stress is an inevitable part of caregiving, but how you respond to it can shape your overall well-being. Mindfulness, meditation, and deep breathing are not abstract concepts; they are practical tools that help center your mind and calm your body. Just five minutes of slow, focused breathing can lower cortisol levels and bring clarity to a chaotic day. If you fold these habits into your regular routine—during a lunch break or just before bed—they’ll become second nature when you need them most.

Nurture Your Skin Health with Simple, Consistent Care

Taking care of your skin isn’t just about vanity; it's a first line of defense against infections and environmental damage. Start with basic steps: cleanse your skin gently, apply a nourishing moisturizer, and never skip sunscreen, even on cloudy days. Your skin has a memory, and the care you give it today will serve you well in the years ahead. Making skin health a part of your daily practice is a gift to your future self.

Protect Your Smile with Consistent Oral Health Habits

It’s tempting to let dental care slide when your schedule is packed, but oral health has ripple effects across your entire body. Make it a point to brush at least twice a day, floss once daily, and keep up with regular dental visits—even when life gets hectic. Bacteria from poor oral hygiene can contribute to heart disease and other serious conditions, so it’s far more than just cosmetic. Good dental health supports your overall resilience and keeps you feeling your best.

Stay Hydrated to Power Your Body and Mind

Water is one of the simplest yet most often overlooked pillars of good health. Dehydration can sap your energy, cloud your thinking, and strain your body’s systems. Make it easy for yourself by keeping a water bottle within reach and sipping throughout the day, not just when you feel thirsty. Treat hydration like a steady background rhythm to everything else you do, ensuring your physical and mental engines keep running smoothly.

Your well-being isn't a luxury; it’s the foundation that supports every act of care you offer others. By folding simple, manageable health strategies into your daily routine, you cultivate resilience, strength, and joy. Each choice you make—from stretching in the morning to building better sleep habits—plants a seed for a healthier, more fulfilling life. And when you thrive, everyone who depends on you benefits, too.

Discover Aroga Home Care Services, where our boutique nurse registry ensures your loved ones receive the highest quality service from experienced professionals.

Consider The Top-Rated Home Care Agency in North Carolina

Aroga Home Care Services is your go to 5-star rated private duty skilled caregiver agency in the greater Charlotte area. Contact us today and request a professional home care adviser consultation.  www.ArogaHomeCare.com or call 704-319-5500

Content Credits: Spirit Finder

Dementia Is On The Rise Worldwide. Here’s How To Stop It

Before 2020, dementia and memory loss were a major part of the global health care conversation. Dementia is currently the seventh leading cause of death worldwide, and the emergence of Covid-19 has shone a light on its implications for dementia. But an underlying, hidden pandemic has been growing - a rise in dementia cases.

A new study published in The Lancet Public Health reported that the number of adults (aged 40 years and older) living with dementia worldwide is expected to nearly triple, from an estimated 57 million in 2019 to 153 million in 2050, unless countries address risk factors. Dementia cases will rise in every country, with the smallest estimated increases in high-income Asia Pacific (53%) and western Europe (74%), and the largest growth in north Africa and the Middle East (367%) and eastern sub-Saharan Africa (357%).

Population growth and population aging are the main reasons behind a large rise in global dementia cases. The world population is projected to reach 8.5 billion in 2030 and increase further to 9.7 billion in 2050 and 11.2 billion by 2100. Also, in nearly all regions of the world, the population ages 65 and older is growing faster than the total population. That comes with a caveat: Although dementia mainly affects older adults, it is not a normal part of aging.

The Lancet study analyzed dementia prevalence in 195 countries worldwide and highlighted the impact four risk factors—smoking, obesity, high blood sugar, and low education—will have on future trends. According to the study, improvements in global education access are projected to reduce dementia prevalence by 6·2 million cases worldwide by 2050. But this will be countered by anticipated trends in obesity, high blood sugar, and smoking, which are expected to result in an additional 6·8 million dementia cases. Can we really solve the dementia crisis as easily as targeting risk factors?

Research shows healthy lifestyle behaviors can reduce dementia risk despite a family history of dementia. Yet, lifestyle and genetics play a small role, according to a 2019 Jama Study. “If populations at high genetic risk changed their lifestyle, and if the lifestyle was known to be the cause of AD (a big if), one out of 121 dementia cases would be prevented in 10 years. This is significant, but what number of lifestyle modifications would it take for the prevention of AD in 10, 50, or even 120 people? Do genetics even matter?” – says Dr. Chirag Patel, Assistant Professor in the Department of Biomedical Informatics at Harvard Medical School.

While research also shows that a healthy lifestyle can help reduce your risk of developing dementia when you are older, there is no certain way to prevent all types of dementia. As long Covid and other medical conditions have shown, we may never know if we develop a health condition, despite having no family history. Sometimes a diagnosed medical condition makes zero sense for someone who is health-conscious compared to others who seem to play Russian roulette with their health.

But human bodies are complex, and medicine, despite its advances, still ignores social forces. For example, stress affects the immune system, which is known to play an important role in the development of dementia.

Not surprisingly, the key to achieving good health is dependent on geographic location, level of education, income, ethnicity, job, and social connections within the community, more so than access to healthcare. These factors are collectively known as the social determinants of health (SDoH), describing “the conditions in which people are born, grow, live, work and age,” as defined by the World Health Organization (WHO).

Public health has long championed SDoH, and it is high time we look at dementia through the lens of SDoH and population health. Studies has revealed the positive correlation between SDoH and quality of life. Hence doctors need to take a whole-person, integrative approach to health instead of focusing only on physical health. Focusing on SDoH can help prevent or reverse problems that will save money in the long run.

It will take a concerted effort on various fronts to tackle dementia effectively. But we cannot underestimate the importance of science and health communication and investing in dementia research.

Raising awareness of the signs of dementia and better communicating the steps toward earlier diagnosis must be a priority. Low- and middle-income countries should implement policies now that can reduce dementia risk factors for the future, such as prioritizing education and healthy lifestyles. “There is a considerable and urgent need to reinforce a public health approach toward dementia,” says Drs. Michaël Schwarzinger and Carole Dufouil, teaching fellows at the Bordeaux University Hospital in France. “And to better inform the people and decision-makers about the appropriate means to delay or avoid these dire projections.”

Globally, more women are affected by dementia than men. Hence research priorities in dementia can focus on sex and gender differences. More funding is also needed for dementia and Alzheimer’s disease research worldwide, especially research on how the brain works.

Of all life-threatening illnesses people face, AD is most feared and the most common form of dementia. If we hope to improve the quality of life for both current and future older adults, we must reframe the conversation about dementia to focus on action, ideas, and strengths.

Schedule A Free Consultation with The Top-Rated Home Care Agency in North Carolina

Aroga Home Care Services is your go to 5-star rated private duty skilled caregiver agency in the greater Charlotte area. Contact us today and request a professional home care adviser consultation.  www.ArogaHomeCare.com or call 704-319-5500

Content Credits: Forbes

Creative Approaches to Caring for Loved Ones with Chronic Conditions

Supporting a loved one with a chronic health condition demands both creativity and empathy. It is an opportunity to explore new ways of offering care that ease their daily challenges and enrich your own life. You can transform caregiving into a mutual growth and understanding journey by embracing innovative approaches. This article delves into various strategies that can enhance the quality of life for those with chronic conditions while also fostering a deeper connection between you and your loved one.

Finding Career Inspiration Through Caregiving

Caring for someone with a chronic health condition can profoundly influence your career path. Witnessing the impact of compassionate care first hand might inspire you to pursue a career in healthcare, where you can make a meaningful difference in others’ lives. For example, if you work as a nurse, you can enhance your skills by earning an online RN or BSN degree, which can improve your patient care skills (this resource may help). Online programs make earning a degree easier while working and caring for your loved one, offering the flexibility needed to balance these responsibilities. 

Providing Relief Through Pet and Child Care

When someone you care about is dealing with a chronic health condition, stepping in to help with their pets or children can be a meaningful way to offer support. This act of kindness allows them to focus on their health, whether they need to rest or attend medical appointments. Having a trusted person nearby to take over pet care responsibilities is crucial, especially in emergencies. The ASPCA emphasizes the importance of having a plan for pet care during crises. Similarly, ensuring children are well looked after can significantly reduce stress, allowing your loved one to concentrate on their recovery. 

Empowering Daily Life with Adaptive Technology

Building a toolkit of adaptive technologies can significantly improve the daily experiences of those living with chronic health conditions. Devices like wearable health monitors enable continuous tracking of vital signs such as blood pressure and heart rate, which is essential for effective chronic disease management. These tools support adherence to medical regimens and empower individuals by providing real-time feedback, enhancing their self-efficacy and quality of life. Additionally, integrating health IT solutions for remote monitoring and communication with healthcare providers ensures timely interventions and personalized
care plans.  

Boosting Well-Being with Virtual Reality

Encouraging your loved one to regularly engage in virtual reality (VR) experiences can be a transformative way to boost cognitive engagement and alleviate stress. VR technology creates immersive 3D environments that simulate real-world scenarios, stimulating multiple senses and enhancing the feeling of presence. This immersive experience can significantly improve cognitive functions like memory and attention, especially in older adults. Moreover, VR has been shown to effectively reduce stress and anxiety, offering a valuable tool for managing emotional challenges associated with chronic health conditions.  

Simplifying Caregiving with Digital Calendars

Managing the care of a loved one with a chronic health condition can be challenging, but a shared digital calendar can simplify the process. Using tools like Google Calendar or CareZone, you can efficiently organize medical appointments, medication schedules, and daily routines in one central location. This method guarantees all caregivers are informed and can work together smoothly, minimizing the chances of missed appointments or medication errors. Additionally, these calendars can be color-coded by the user, making it easy to assign and track tasks among multiple caregivers.  

Enhancing Emotional Well-Being Through Shared Gratitude

Engaging in gratitude journaling with a loved one who has a chronic health condition can significantly enrich your emotional connection. Setting aside a few moments each day to note down things you both appreciate creates a shared space for positivity and reflection. This practice strengthens your bond and shifts your focus from challenges to the small joys and meaningful interactions in your lives. Incorporating visual elements like photos or drawings can make the experience more engaging and personalized, reinforcing the positive emotions you aim to cultivate.  

Building Community Through Virtual Support Groups

Creating a virtual support group can be a transformative way for your loved one to connect with others facing similar health challenges. By establishing an online space, you enable individuals to share experiences, offer mutual encouragement, and build a community of understanding. This approach provides emotional support and broadens access to resources and coping strategies that might not be available locally. As more mental health services transition online, these groups become increasingly accessible and affordable, ensuring your loved one can participate without geographical constraints. 

Supporting a loved one with a chronic health condition requires innovative thinking and heartfelt empathy. By embracing these strategies, you can significantly enhance their quality of life and deepen your connection. Whether through career inspiration, practical support, or emotional connection, your efforts can impact their journey, fostering resilience and hope along the way.

Discover the exceptional care and personalized service at Aroga Home Care, where our experienced caregivers are dedicated to enhancing the quality of life for you and your
loved ones.

Schedule A Free Consultation with The Top-Rated Home Care Agency in
North Carolina

Aroga Home Care Services is your go to 5-star rated private duty skilled caregiver agency in the greater Charlotte area. Contact us today and request a professional home care adviser consultation.  www.ArogaHomeCare.com or call 704-319-5500

Content Credits: Spirit Finder

Know The Facts On Healthy Aging

Nearly 58 million Americans are 65 and older, with projections estimating that the population of older adults will grow to 88.8 million in 2060. On average, a 65-year-old can expect to live another 18.9 years.

For most of us, good health ensures independence, security, and productivity as we age. Yet millions of older adults are living with such challenges as chronic diseases, falls, physical inactivity, oral health concerns, and behavioral health issues—all of which can severely impact quality of life.

Chronic diseases 

• Older adults are disproportionately affected by chronic conditions, such as diabetes, arthritis, and heart disease. Nearly 95% have at least one chronic condition, and nearly 80% of have two or more.

• The leading causes of death among older adults in the U.S. are heart disease, cancer, COVID-19, stroke, chronic lower respiratory diseases, Alzheimer’s disease, and diabetes.

• Chronic diseases can limit a person’s ability to perform daily activities, cause them to lose their independence, and result in the need for institutional care, in-home caregivers, or other long-term services and supports.

• It is estimated that 27% of the U.S. adult population has multiple chronic conditions, which cost the American health care system over $1 trillion each year.6 Yet less than 3% of U.S. health care dollars is spent on prevention to improve overall health.

Falls

• One out of four older adults falls each year.

• 3 million adults 65+ are treated in emergency departments for unintentional fall injuries each year.

• As a result of falls, every 11 seconds, an older adult is treated in the emergency room; every 19 minutes, an older adult dies.  

• Falls are the leading cause of fatal and nonfatal injuries among older adults, causing hip fractures, head trauma, and death.

• Older adults are hospitalized for fall-related injuries five times more often than for injuries from other causes. 

• The death rate from older adult falls is increasing; the age-adjusted death rate rose from 55.3 per 100,000 older adults in 2012 to 78.0 per 100,000 older adults in 2021.

• The nation spends $50 billion a year treating older adults for the effects of falls, 75% of which is paid for by Medicare and Medicaid.11 If falls rates are not reduced, direct treatment costs are projected to reach $101 billion by 2030. 

• Fear of falling can lead older adults to limit their activities, which can result in more falls, further physical decline, depression, and social isolation.

Physical activity

• Regular exercise can help older adults stay independent and prevent many health problems that come with age. According to the 2018 Physical Activity Guidelines for Americans, older adults should do two types of physical activities each week to improve their health—aerobic and muscle-strengthening.

• These guidelines recommend that older adults engage in at least 150 minutes of moderate-intensity or 75 minutes of vigorous aerobic activity a week and muscle strengthening activities on two or more days a week.  

• In 2019 only 23.1% of adults age 65+ met the physical activity guidelines outlined above.

Oral health

• Oral health is important for overall health and well-being, but in 2022, 36.3% of older adults had not seen a dentist in the last year.

• Older adults with diabetes, heart disease, and in poor health were less likely to have had a dental visit in the past year.

• About 13.2% of older adults have complete tooth loss. 

• One in five adults age 65+ has untreated dental caries (cavities).  

• Poor oral health can negatively impact nutrition and proper management of chronic conditions.

Behavioral health 

• One in four older adults experiences a behavioral health problem such as depression, anxiety, or substance abuse.

• These problems can complicate the treatment of other medical conditions, reduce quality of life, increase use of health care services, and lead to premature death. 

• People age 85+ have the highest rates of suicide compared to any other age group. Men die by suicide four times more often than women.20  

• Deaths caused by excessive alcohol use are on the rise; in 2020, over 11,000 adults age 65+ died from alcohol-induced causes.

• Depression and other behavioral health problems are not a normal part of aging and can be treated. Despite the availability of effective interventions, 66% of older adults are not receiving the care they need.

Infectious disease prevention

• As of August 2024, 76.3% of all deaths from COVID-19 were among those age 65+, and 70-85% of seasonal flu-related deaths occur in adults age 65+, according to the U.S. Centers for Disease Control and Prevention.

• While lifesaving vaccines are available, research shows COVID vaccine uptake has slowed among older adults.

• New research shows that older adults may be at a higher risk of Long COVID, a post-COVID condition in which virus symptoms persist, return or develop. According to the National Institutes of Health (NIH), possible risk factors include older age and preexisting health conditions.

Consider The Top-Rated Home Care Agency in North Carolina

Aroga Home Care Services is your go to 5-star rated private duty skilled caregiver agency in the greater Charlotte area. Contact us today and request a professional home care adviser consultation.  www.ArogaHomeCare.com or call 704-319-5500

Content Credits: National Council on Aging

The Surprising Link Between Bedtime and Dementia

Sleep can influence physical and mental health and is linked to conditions from heart disease and stroke to depression and obesity.

And a new study published September 21 in the Journal of the American Geriatrics Society has provided further insights into sleep’s role in dementia.

Researchers in China, Sweden, and the UK looked at sleep data of 1,982 Chinese individuals with an average age of 70 — none of whom presented with symptoms of dementia at the start of the study.

An average of 3.7 years later, 97 participants (5%) had been diagnosed with dementia according to the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV) criteria.

Those primarily impacted were aged between 60 and 74. Men were also at higher risk, which contradicts what many other dementia researchers have previously found.

“In most studies, women are known to have a two-fold greater risk of dementia than men. It is unusual that this study found the opposite,” shared Dr. Alex Dimitriu, double board-certified in psychiatry and sleep medicine and founder of Menlo Park Psychiatry & Sleep Medicine and BrainfoodMD.

The research revealed that timing is critical

The study found that longer time spent in bed (TIB) was associated with significantly increased dementia risk. Those in bed for more than 8 hours were far more likely to show a cognitive decline during a Mini Mental State Examination (MMSE) — a test used to measure cognitive impairment.

So why might older people need to spend more time in bed?

“As we get older, we see a fragmentation of the sleep states,” Dr. Michael Breus, a sleep specialist and clinical psychologist, told Healthline. This means “that we don’t seem to get the same type of physically restoring sleep (stages 3/4) as we did when we were younger.”

As such, “it’s possible that people with poorer quality sleep may require more sleep time to compensate,” added Dimitriu.

Other factors can play a role, too, explained Dr. Carl W. Bazil, PhD, Caitlin Tynan Doyle professor of neurology at Columbia University College of Physicians and Surgeons.

Depression (for which older adults are at greater risk) can make sleeping difficult, he explained. “But there are also many other medical conditions (such as heart disease or diabetes) and the medications taken for them that can increase tiredness and sleep requirements.”

The time individuals went to bed was also highlighted by researchers as a critical contributing factor. Early-mid evening hours were deemed riskiest. The research paper stated that “every 1 hour advance in bedtime [before 10 pm] was associated with a 25% increased risk of dementia.”

The study authors hypothesized that earlier bedtimes could be driven by disrupted circadian rhythm.

“Parts of the brain responsible for managing sleep start to change as we age. This impacts our circadian rhythm cycles,” said Dr. David Rabin, PhD, a neuroscientist, board-certified psychiatrist, and co-founder of Apollo Neuro, a wearable device for stress relief.

Age-related factors, such as having to use the bathroom more frequently during the night, also “impact us getting good quality and deep sleep,” continued Rabin. Accumulative sleep deprivation “results in a change in brain structures that regulate circadian cycles.”

Other influences might also be at play, stated Dimitriu.

“It is possible that people with early stages of dementia experience earlier brain fatigue in the day, leading them to want to sleep earlier,” he said. “‘Sundowning’ is a well-known effect in older people prone to dementia, where they can become confused and disoriented in
the evenings.”

Study limitations to consider

One of the main drawbacks to the research is that TIB doesn’t necessarily reflect the time spent asleep. Sleep duration has been noted by scientists as a crucial factor in cognitive health and dementia risk.

Breus stated that longer TIB could indicate an underlying sleep-related issue, such as insomnia, which “could be affecting this situation and making it worse.”

A recent Canadian study also highlighted that those with insomnia were at higher risk of memory loss.

Furthermore, TIB doesn’t consider the quality of a person’s sleep — also regarded as important in cognition and dementia. For instance, not getting enough deep sleep can greatly impact memory (more on this later).

There’s one final consideration to bear in mind.

“This study, as well as many others like it, are association studies and, as such, do not show cause and effect,” explained Bazil.

“So it is never clear whether the observed association (in this case, short or long times in bed or sleep onset time) actually causes dementia, or is indirectly related to it,” he added.

How sleep impacts memory

A key signal of dementia is memory loss. However, in all stages of life, “we know that quality sleep is required for many, if not all kinds of memory,” Bazil explained.

So what happens when you’re in a state of slumber? With regard to memory, two main actions occur.

The first is the processing and ‘storing’ of memories.

“Short-term memory is initially stored in the hippocampus when it comes into the brain, which is the area where information is stored for short-term recollection and use,” explained Rabin.

“When we sleep, information from the hippocampus gets passed into the higher cortical structures of the brain that allow it to become long-term memory and integrate with past memories,” he continued.

Rabin revealed this process is called memory reconsolidation — and is particularly impacted by poor quality REM sleep or shorter sleep duration.

Second, sleep is when our brains clear out harmful toxins that, over time, can impact memory.

“When the brain is active during the day, it produces a lot of what we call ‘reactive oxygen species’ or inflammatory waste products,” stated Rabin. “When the brain is asleep and able to recover, especially in deep and REM sleep states, [it] detoxifies and removes inflammatory waste products.”

A build-up of toxins ultimately puts extra stress on the brain and prevents it from achieving memory reconsolidation.

“In summary, sleep quality, as much as sleep quantity, may be important,” said Dimitriu.

What dementia involves

This study monitored dementia onset in older individuals — the time of life when its symptoms are most likely to arise.

“Dementias, like Alzheimer’s Disease, often present with symptoms [among people] in their 60s, although early onset in the 40s or 50s may occur,” Dr. Sandra Petersen, senior vice president of health and wellness at Pegasus Senior Living, shared with Healthline.

She continued: “Dementia is an ‘umbrella’ term for a group of diseases, of which Alzheimer’s is the most prevalent, in which progressive changes take place in the brain.”

Petersen explained that common signs and symptoms of dementia are:

• Persistent and pervasive difficulty with memory, cognition, and ability to perform everyday tasks

• Loss of focus

• Inability to pay attention

• Loss of language skills

• A decrease in visual perception

• A loss of problem-solving skills

• Impaired reasoning and judgment

Risk factors in dementia

While this new study (among others) reveals sleep as a risk factor in dementia, it’s not the only actor involved.

“Researchers have considered a number of possible causes of dementia,” said Petersen. “We don’t know for sure, but it is likely a combination of factors that contributes to [its] development and progression.”

She revealed scientists hypothesize dementia may arise from:

• Inflammation — resulting from poor sleep, poor diet, lack of exercise, and other unhealthy habits

• The occurrence of abnormal ‘tau’ proteins in the brain

• Genetics

• Untreated and prolonged depression

• The brain’s inability to use insulin correctly

Takeaway

Sleep has long been linked to dementia. Poor slumber is believed to increase risk, while those with dementia often struggle to obtain a sound and restful night of rest.

This study didn’t explore some critical aspects of sleep, such as quality. However, it does highlight the connection between dementia and TIB and bedtime — elements the paper noted as being ‘poorly understood’ and ‘rarely explored’, respectively.

More research is required into how TIB and bedtimes may influence dementia onset.

But, until then, the study authors said their findings “suggest that cognitive function should be monitored in older adults who report prolonged time in bed and advanced sleep timing.”

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Content Credits: Healthline

Low Blood Pressure in Elderly People: The Vital Facts You Should Know

Most people are aware that high blood pressure in seniors can lead to serious medical issues, but low blood pressure in elderly individuals gets far less attention. However, blood pressure that drops too low can have equally serious effects on your health. It's important to know the facts so that you can take proper care of yourself. 

A low blood pressure reading is not necessarily cause for panic. While high blood pressure is harmful even if you don't know you have it, low blood pressure is generally not a problem unless you start experiencing symptoms like dizziness or blurred vision. If that happens, you need to take action. Symptomatic low blood pressure in the elderly can be very dangerous because it raises the risk of a fall. At its most extreme, it can lead to shock and even death. 

This article explains the basic facts about blood pressure, including how it's measured and what the measurements mean. It also describes common symptoms of low blood pressure and outlines a variety of factors that can cause such a condition. And it provides information about different ways that low blood pressure in older adults can be treated or managed.

Blood Pressure Basics 

Blood pressure (BP) is a measurement of the amount of force being used to keep blood circulating throughout your body. This pressure is essential to ensuring that your organs and tissues get the oxygen and nutrients they need. 

Blood pressure commonly rises as we age due to stiffening of the arteries. High blood pressure can be a serious health risk. In fact, in 2017, the American Heart Association and the American College of Cardiology redefined high blood pressure and how it should be managed in older adults. 

The new blood pressure guidelines for seniors are aimed at encouraging more aggressive treatment at an earlier stage in order to keep blood pressure levels from getting too high. 

But sometimes BP levels are actually lower than they should be. Low blood pressure means that the force moving blood around the body is lower than expected. So, what happens when your blood pressure is low? In some cases, nothing. You may feel fine and require no treatment. But if it gets too low, you might experience low blood pressure symptoms such as feeling lightheaded or dizzy. If your BP drops dangerously low, key organs (like your brain) may not receive enough blood and oxygen to function properly. 

In extreme cases, you may go into shock and require emergency medical attention. Severe, prolonged low blood pressure can be fatal if it results in bodily organs being starved of essential nutrients.

How blood pressure is measured and what the readings mean 

An older man in a white button-up shirt wearing a blood pressure cuff while an unseen person holds a stethoscope to his arm Blood pressure is expressed as two numbers, with one "over" the other. The first, or top, number is the systolic blood pressure. This indicates the amount of pressure your blood exerts against the walls of your arteries when your heart contracts. The second, or bottom, number is the diastolic pressure, which refers to the amount of pressure in your arteries when your heart refills between beats. 

Your healthcare provider typically measures your blood pressure using a stethoscope and an inflatable cuff that wraps around your upper arm. The cuff is inflated until it is tight enough to stop the blood from flowing, then it is slowly deflated. Through the stethoscope, your doctor or nurse will hear the whooshing sound of the blood returning; this is the systolic pressure. The moment the whooshing sound disappears marks the diastolic pressure. 

The commonly accepted ideal blood pressure for adults is 120/80 mm Hg or lower. (The "mm Hg" represents millimeters of mercury, which refers to the gauges used to measure pressure.) But since blood pressure naturally rises with age, your BP might be higher than that without any cause for concern. For instance, according to a chart from Disabled World, a normal blood pressure reading for an 80-year-old woman could be 134/84 mm Hg. 

So, what is considered low blood pressure in elderly people? Typically, the low blood pressure range is anything below 90/60 mm Hg. This is called hypotension. The Disabled World chart shows that a dangerous blood pressure level is 50/33 mm Hg. Keep in mind that only one of the numbers has to be below the healthy range in order to qualify as low blood pressure. So, for instance, if your top number (the systolic pressure) is 90 or less, you may have low blood pressure, no matter what your bottom number is. 

Many medical experts believe that the most important number in blood pressure is the top one (i.e., the systolic pressure). That's because research has shown that your risk of heart disease and stroke is greater when you have elevated systolic pressure. However, a study in the New England Journal of Medicine found that both types of elevated pressure influence your risk of having a stroke or heart attack. 

A low systolic number means that your organs and tissues may not be getting enough blood and oxygen, but a low diastolic number indicates that there may not be enough pressure in your coronary arteries to adequately nourish your heart. It's important to understand that your readings can vary depending on factors like your stress level, body position, physical condition, medications, and diet. In fact, your levels can fluctuate as much as 30 or 40 mm Hg over the course of the day. They will be lowest when you rest and higher when you exercise or experience stress. 

That's why, in order to accurately compare readings, it's essential to measure your blood pressure in similar circumstances every time. Blood pressure is also very individualized. A level that is too low for someone else might be typical (and healthy) for you. However, you should worry about low blood pressure when you experience related symptoms.

Blood pressure vs. heart rate 

Blood pressure and heart rate are both important indications of how well your heart is working, but they measure different things. As noted above, blood pressure is the force of your blood flowing through your arteries. By contrast, heart rate (or pulse) is the number of times your heart beats each minute. In adults, the heart typically beats 60 to 100 times per minute while at rest. But as with blood pressure, a healthy heart rate will differ between individuals. 

For instance, a pulse below 60 beats per minute is slower than normal, but it might not cause any issues for you. (It might even be a sign that you are in really good physical shape.) However, in some situations, a low pulse means that the heart is not circulating enough blood to satisfy the body's needs. That can cause you to feel dizzy and weak. A pulse in the 30s is a dangerously low heart rate and should be investigated. The relationship between blood pressure and heart rate is complex. If you're concerned about your numbers, see your doctor.

Symptoms of Low Blood Pressure in Elderly Individuals 

As long as you feel OK, a low blood pressure reading is generally nothing to worry about. Doctors are not usually concerned about a low BP in otherwise healthy individuals. So, when is blood pressure too low? You should see your healthcare provider if you experience hypotension symptoms such as: 

• Dizziness 

• Blurry vision 

• Fatigue Fainting (known as syncope) 

• Confusion or inability to concentrate 

• Nausea 

• An irregular or rapid heartbeat 

• Weakness Pale, cold, clammy skin 

• Shallow breathing 

A condition called orthostatic or postural hypotension is common among seniors. It's when a temporary, sudden drop in blood pressure happens after a rapid change of position, such as when you go from lying down or sitting to standing. 

Under normal circumstances, some blood pools in your legs when you stand up, but your body compensates by telling your heart to beat faster. If such compensations are delayed or do not take place at all, your blood pressure can drop rapidly. That can cause you to become dizzy. Some estimates suggest that up to 50 percent of elderly adults experience orthostatic hypotension. 

You may also become dizzy due to a sudden drop in blood pressure after eating, especially if you've had a large meal involving lots of carbohydrates. This is called postprandial hypotension. It, too, commonly affects older adults. It's particularly prevalent among seniors who have disorders that affect the autonomic nervous system, such as diabetes and Parkinson's disease.

Causes of Low Blood Pressure 

A variety of factors can explain low blood pressure readings. For instance, dehydration can cause low blood pressure because it reduces blood volume. Diabetes can cause low diastolic pressure but high systolic pressure. And conditions like bradycardia (a very low heart rate) can keep the heart from pumping enough blood to maintain adequate pressure. 

Medications are also a common cause of low blood pressure in elderly folks. Drugs that are used to treat high blood pressure, including diuretics, calcium channel blockers, alpha blockers, and beta blockers, can go too far and cause hypotension instead. In addition, some prescription medicines for depression (such as imipramine and doxepin), erectile dysfunction (such as tadalafil and sildenafil), and Parkinson's disease (such as levodopa and dopamine agonists) can trigger low blood pressure.

Other low blood pressure causes can include: 

• Hypoglycemia (low blood sugar) 

• An underactive thyroid

•  Addison's disease (a disorder of the adrenal glands) 

• Excessive heat 

• Extended bed rest 

• Anemia due to lack of vitamin B-12 and folate 

• Major blood loss 

A sudden drop in blood pressure can be caused by severe infections, anaphylactic reactions, uncontrolled bleeding, or extreme dehydration due to fever, diarrhea, or vomiting. The plunge in blood pressure caused by such factors can be dangerous and even life-threatening. 

To identify the cause of your low BP, your doctor may conduct: 

• A blood test to check for anemia or issues with your blood sugar levels.
  

• An echocardiogram to obtain images of the shape and size of your heart and see how well it is functioning.
  

• An electrocardiogram (ECG) to look for abnormalities in your heart's rhythm and pulse rate.
  

• An exercise stress test to assess your heart's performance during periods of physical activity.
  

• The Valsalva maneuver, which involves monitoring your blood pressure while you take a deep breath and attempt to blow out against your closed mouth. This allows your healthcare provider to check for issues with your autonomic nervous system.
  

• A tilt table test, in which you are hooked up to blood pressure monitors and an ECG machine, then secured to a table that can rapidly switch you from a horizontal to an upright position. This enables your doctor to see how your blood pressure responds to the changes in your body position.

Treatment for Low Blood Pressure in Elderly People 

If you aren't bothered by symptoms of low blood pressure, treatment is likely unnecessary. After all, a low BP on its own is not usually a problem. In fact, it's often taken as a sign of good health. But if it's affecting your well-being, you need to take steps to address it. Low blood pressure is treated in the elderly by first determining the underlying cause. 

If your low BP is a result of your medication regimen, your doctor may be able to adjust your dosages or change your meds. (If you find it difficult to keep your meds organized, a pill dispenser for seniors could help.) If dehydration is the culprit, fluid replacement may solve the problem. In some cases, you may require medication specifically for your low BP. 

Two of the most commonly prescribed medicines are fludrocortisone and midodrine. Fludrocortisone is a steroid that causes the body to retain sodium and fluid, thus increasing blood volume and raising blood pressure. Midodrine causes your blood vessels to resist expanding, thereby boosting blood pressure. 

However, many people are able to manage their hypotension through diet and lifestyle changes rather than medical interventions. Here are some tips on how you can fix low blood pressure: 

• Drink more water. Consuming additional fluids can boost blood volume and prevent dehydration. Having a glass of water before you stand up or at the end of a meal can sometimes help avoid sudden drops in blood pressure. Sport drinks containing electrolytes can also help, but try to avoid ones with high amounts of sugar.
  

• Limit the booze. Alcohol is dehydrating and can drive your blood pressure even lower.
  

• Eat smaller meals more frequently. Going too long between meals can wreak havoc on your blood sugar levels. And indulging in heavy meals can cause a sudden drop in blood pressure as the blood moves from your brain to your intestines to help you digest your food. As a general guideline, it's a good idea to eat small amounts five or six times a day.
  

• Choose your diet carefully. Cutting back on carbs (especially refined carbs such as white bread and pasta) may help keep you from feeling dizzy after you eat. Plus, foods that are high in folate and vitamin B-12 can help alleviate low blood pressure that is caused by anemia. Asparagus, legumes, leafy greens, eggs, and fortified cereals are good choices.
  

• Increase your salt intake. Salt causes your body to retain fluid, which raises your blood pressure. Your doctor may recommend taking salt tablets or adding a bit of salt to your meals. Carrots, beets, and olives are a few examples of foods that have naturally higher levels of sodium. But be aware that potassium-rich foods like apricots and bananas lower blood pressure by causing you to lose sodium through your urine.
  

• Make slower transitions. Change positions slowly and gradually. If you're lying down, sit up and dangle your feet or march your feet gently for a couple minutes before you try to stand. Once you're on your feet, stay still for a bit until you feel steady enough to walk.
  

• Wear compression stockings. They promote better circulation by compressing the leg veins. This keeps blood from pooling in your lower legs and shifts it toward other areas of the body. Styles for both men and women are available.
  

• Don't overheat. High temperatures cause blood vessels to dilate, which lowers blood pressure. Plus, sweating out fluids can cause reduced blood volume and dehydration. So be careful to stay out of the sun and don't do anything too strenuous when it's really warm. Avoid spending long periods of time in hot tubs or saunas. You might also want to keep a nonslip chair in the shower in case you feel dizzy. 

Get a Handle on Your Health 

Low blood pressure in elderly people has a wide variety of causes and effects. The information above can help you understand the danger signs and take appropriate steps to safeguard your well-being.

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Content Credits: Great Senior Living

Stigma About Cognitive Decline and Dementia Is Widespread Among Adults Ages 40 and Older

Misperceptions and stigma impact individuals and healthcare providers when adopting brain-healthy behaviors and addressing dementia. Fear of cognitive decline hinders open conversations and prevents people from accessing the care and services that could help them through earlier diagnosis and interventions. A successful strategy to enhance brain health should combat the stigma of dementia and drive systemic changes that make it easier for individuals adopt and sustain lifestyles and behaviors that support their brain health, reducing risks for cognitive decline and improving quality of life for people living with dementia.

Findings from a survey of more than 3,000 adults ages 40 and older revealed widespread misunderstandings about brain health and a lack of awareness about the practical steps people can take to support better cognition (Mehegan & Rainville, 2021a). The survey showed us that the opinions we heard from individual advocates were indictive of how many more people felt about cognitive decline and dementia. The survey demonstrated that stigma surrounding dementia is extremely widespread.

Six in 10 of those surveyed (62%) agreed that society has a negative judgment of people with cognitive impairment. Only three conditions rated a higher level of stigma than dementia in the survey: addiction (87%), obesity (85%), and mental illness (78%). Majorities of adults in the United States believe that society negatively judges those who have cognitive impairment (62%) and those who have dementia (56%), making declines in brain health significantly more stigmatized than other common diseases associated with aging such as diabetes, heart disease, and cancer.

People Are Too Pessimistic About Their Future Brain Health

The idea of dementia sparks deep fear in most adults, yet worries of cognitive decline greatly exceed the risks actually faced, according to the research by AARP (Mehegan & Rainville, 2021b). Six in 10 adults believe cognitive decline is inevitable and a normal part of aging, and close to half of adults (48%) believe it is likely that they will get dementia as they age. These perceptions exacerbate the fear of aging and perpetuate negative stereotypes of people living with dementia. While close to half of adults believe they are likely to develop dementia, the reality is far fewer will. Most older adults will not experience significant declines in their cognitive skills serious enough to impact their daily functions.

According to the Alzheimer’s Association, the overall prevalence of Alzheimer’s disease is 11% among adults ages 65 and older, rising to 33.2% for those ages 85 and older (Alzheimer’s Association, 2022). According to a 2007 NIA-funded epidemiological estimate, the prevalence of dementia among individuals ages 71 and older was 13.9% (Plassman et al., 2007). People should understand that age-related changes in the brain, which can be disconcerting as we notice them, usually are not serious enough to cause real concerns, and as the Global Council on Brain Health (2022) has laid out, there are many lifestyle choices we can make to help reduce those risks. But our surveys showed us that we are swimming against the tide of current attitudes.

Healthcare Providers Stigmatize Dementia More Than the General Public

We also conducted parallel research among healthcare providers who regularly see older adults and diagnose dementia to determine if stigma might be affecting the care provided older adults (Mehegan & Rainville, 2021c). Interviews were among physicians, nurse practitioners, physician assistants, and psychiatrists/psychologists who evaluate people for the presence of cognitive impairment, wherein approximately 25% or more of their patients were ages 50 and older. The research represented a mix of specialties including: Family medicine/Internal medicine (n=296) Geriatrics (n=48) Neurology (n=84) Psychiatry/Psychology (n=115). Together these surveys revealed that fear, confusion, and false information are clouding the truth about dementia for the general public and healthcare providers. But most surprising were the significant disconnects between consumers’ and healthcare providers’ attitudes when it came to dementia stigma.

Healthcare providers often underestimate their patients’ desire to be informed of a dementia diagnosis, while overestimating the shame patients feel upon receiving such news, resulting in some providers not telling patients the truth about their diagnosis. An overwhelming majority of adults (91%) said they would want to be informed of a dementia diagnosis, but a smaller percentage of health professionals (78%) said they always reveal the truth to their patients. Healthcare providers substantially overestimated the worry that adults ages 40 and older would feel if they had dementia. While one in five adults (19%) said they would feel ashamed or embarrassed if they had dementia, a staggering seven in 10 providers (69%) said their patients would feel ashamed or embarrassed.

Swap the Paralysis That Comes From Stigma for Action That Empowers Better Brain Health

Contrary to these gloomy attitudes about the inevitably of cognitive decline and likelihood of having shame or embarrassment caused by dementia, adults can proactively engage in healthy lifestyle activities that have been demonstrated to reduce their risks. Healthcare providers can help people diagnosed with mild cognitive impairment maximize their abilities, shorten their period of disability and help patients improve their quality of life if they should develop dementia. Here are the ways that adults can counteract those feelings of vulnerability and foster a sense of empowerment by modifying their lifestyles to:

• Engage in the recommended amount of physical activity per week (Global Council on Brain Health, 2016)

• Get proper nutrition (Global Council on Brain Health, 2018a).

• Cultivate mental well-being, including managing stress effectively, strengthening one’s purpose in life, and accentuating the positive (Global Council on Brain Health, 2018b).

• Participate in socially engaging activities (Global Council on Brain Health, 2017a).

• Get enough quality sleep (Global Council on Brain Health, 2017b).

• Engage in cognitively stimulating activities (Global Council on Brain Health, 2017c)

• Maintain their heart health (making sure blood pressure, cholesterol, and weight are within normal limits) (Global Council on Brain health, 2020a).

• When faced with elective surgery, prehab (if possible) to minimize the chances of developing delirium while hospitalized (Global Council on Brain Health, 2020b).

Call to Action for Providers and the Public: Stop Stigma From Stymieing Solutions

There is a clear opportunity to inform providers and the public about the real concerns surrounding dementia and the known lifestyle habits that can help maintain brain function as people age. People are willing to take actions to sustain good brain health. Rather than thinking of dementia as something to be ashamed of and embarrassed about, let’s empower people by encouraging them to reduce their risks or slow the development of the diseases that cause dementia. Most adults surveyed said they exercise only occasionally or not at all. Yet of this group, more than four in 10 (44%) said they would exercise more often if they knew it would help them stay sharp. Better still, 85% of those who exercise frequently said they would work out even more often if they were aware of the benefits to brain health.

The stigma associated with a diagnosis of dementia or Alzheimer’s disease often leads to a delay in diagnosis and a lack of discussion about brain health with healthcare providers. Survey respondents agreed that early diagnosis would give them more time to plan for healthcare (86%), prepare advance directives or living wills (85%), and plan their finances (83%).

Reassuring healthcare providers that patients do not hold as negative a view of dementia as they do may help remove barriers to sharing clear and direct information and relieve some of the anxiety or reluctance some healthcare providers have in delivering a diagnosis of dementia. The surveys show that most people want to know the truth and to plan accordingly. Better communication between patients and healthcare providers can pay off in early diagnoses that enable people to plan, modify risky behaviors, and get the most effective treatments.

A large majority of healthcare providers knew that healthy lifestyle modifications such regular exercise, cognitively stimulating activities, and socializing with others helps with dementia symptoms (Mehegan & Rainville, 2021c). Even with a diagnosis of dementia, people can live meaningful lives for years to come. By approaching dementia more as a chronic disease that can be better managed through healthy lifestyle interventions, rather than continuing to stigmatize the condition as a hopeless diagnosis, we begin to empower the person to be an active participant in their future.

Let’s eliminate the cloud of misunderstandings and reluctance to openly discuss cognitive issues that stoke the stigma the public and healthcare providers associate with dementia. Once we do, we can move from fear and avoidance toward supporting adults’ ability to take the actions that can reduce their risks and that can make a difference in their quality of life if they or their loved one should experience dementia.

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Content Credits: American Society of Aging

Creating a Safety Net: Advanced Planning for a Secure Retirement

In a landscape where reliance on governmental support like Social Security and Medicare is uncertain, establishing a robust safety net for retirement and healthcare is more crucial than ever. This comprehensive guide will explore diverse strategies to secure your financial and health-related future independently.

Securing Future Healthcare Needs

One of the initial steps in crafting a reliable retirement plan is to ensure coverage for potential healthcare needs. Investing in disability and long-term care insurance can provide crucial financial support if you face unexpected health challenges. These types of insurance not only offer peace of mind but also safeguard your savings by covering costs that regular health insurance may not, such as extended nursing care or rehabilitation services.

Investing in Education to Elevate Earnings

Increasing your educational qualifications can significantly boost both your earnings and your understanding, especially in sectors such as healthcare. By pursuing a master's in health administration, you deepen your knowledge of the healthcare industry and gain essential leadership skills needed for upper management roles. The availability of online programs makes it possible to advance your education while maintaining your current career, fostering both personal and professional development simultaneously.

Opening a Health Savings Account

Opening a health savings account (HSA) is an excellent strategy to manage healthcare expenses efficiently. Contributions to an HSA are tax-deductible, the funds grow tax-free, and withdrawals for qualified medical expenses are untaxed. This triad of tax benefits makes HSAs a potent tool in your retirement planning arsenal, providing a fund that supports health costs while also serving as a financial buffer.

Digitizing Your Important Documents

In the digital age, securing and organizing your essential documents through digitization is a wise step. Scanning important paperwork—such as insurance policies, wills, and medical records—ensures you have secure, quick access to them when needed. Here’s an option to transform these scanned documents into editable and shareable files, simplifying any updates or changes you might need to make. This approach not only streamlines document management but also enhances overall efficiency and security.

Collaborating with a Financial Advisor

Navigating the complexities of retirement planning can be daunting. Working with a financial advisor brings clarity to this process, helping you tailor a personal strategy that fits your financial goals and risk tolerance. A skilled advisor can guide you in choosing the right investments, managing assets, and planning for future expenditures, ensuring a stable
financial future.

Establishing an Emergency Fund

An emergency fund is an essential element of any financial safety net. This reserve should cover at least six months of living expenses, providing a buffer that can help you avoid debt during unexpected financial or medical crises. Regular contributions to this fund can ensure that you are prepared for any unforeseen events without jeopardizing your retirement savings.

Optimizing Social Security Benefits

While the goal is to build a retirement plan that doesn't solely rely on Social Security, it’s wise to optimize this benefit if available. Delaying Social Security claims can significantly increase your monthly benefits. Waiting until you are 70, if possible, allows you to maximize the payout, which can be a crucial supplement to your other retirement income sources.

Everyday Savings Strategies

Lastly, cultivating daily saving habits can lead to substantial financial growth over time. Simple actions like reducing recurring expenses, using energy-efficient appliances, and cutting down on dining out can accumulate into significant savings. These funds can then be redirected toward your retirement savings.

Building a comprehensive retirement and healthcare safety net requires a multifaceted approach. By integrating insurance protections, educational advancements, strategic financial planning, and everyday savings, you can secure a future that is not solely dependent on government programs. Taking proactive steps today ensures that you are prepared for what the future holds, maintaining your quality of life and independence in your later years.

Enhance your loved one's quality of life with exceptional, personalized services from Aroga Home Care Services—contact us today to find the perfect care solution!

Consider The Top-Rated Home Care Agency in North Carolina

Aroga Home Care Services is your go to 5-star rated private duty skilled caregiver agency in the greater Charlotte area. Contact us today and request a professional home care adviser consultation.  www.ArogaHomeCare.com or call 704-319-5500

Content Credits: Jennifer Scott

Your Brain at 40, 50, 60, and Beyond: What to Expect as You Age

Key Takeaways

• Our brains start to shrink as early as our thirties and forties.

• In middle age, we start having trouble with tasks requiring quick thinking or handling multiple pieces of information at the same time.

• Some cognitive skills improve with age, including accessing long-term memory and vocabulary building.

Most of us don’t expect to have the same wrinkle-free skin we had in our twenties or be able to run a mile at our high school pace, but we often expect our memory and other thinking skills to stay the same — or close to it — as we approach midlife and beyond. 

But our brains are organs, and just as with other organs in the body such as the heart, lungs, and skin, growing older means age-related changes are a fact of life. 

However, although declines in memory and cognitive processing speed can be a normal part of brain aging, they can also be signs of dementia or Alzheimer’s disease. Telling the difference can be challenging, even for doctors, especially when the changes can be gradual and subtle. 

To put it another way, the line between “normal” forgetting, and “cause-for-concern” forgetting can be hard to define.

But knowing how your brain normally changes throughout your lifespan can help to make it clearer what changes in brain functioning may be important to discuss with your doctor or neurologist. 

How Your Brain Changes Beginning in Your Thirties

In the early years of life, the brain grows at a super-fast rate — about 1 percent per day for the first three months of life. At one year, a baby’s brain is 64 percent larger than it was at birth, and at age 5, the brain has reached about 90 percent of its adult size.[1]

In our thirties and forties, the brain starts to shrink, with the “shrinkage rate” increasing by age 60 and beyond. Areas like the frontal lobe and hippocampus, which are responsible for cognitive functions, shrink more than other areas.[2]

Other changes include less effective communication between neurons, a decrease in blood flow, and an increase in inflammation. 

“These types of changes can be linked to physical or health changes that can happen with aging, including conditions such as heart disease and diabetes,” says Molly Mather, PhD, assistant professor of psychiatry and behavioral sciences and a researcher in brain aging at the Northwestern Medicine Feinberg School of Medicine in Chicago.

These changes in the brain can affect mental function, even in healthy older people without any type of impairment or dementia, says Dr. Mather. But there’s also evidence that the brain keeps the ability to change and adapt as we age and even improve in a few key areas, she adds. 

The Brain Becomes Less Efficient as We Age

The types of changes that are pretty typical with aging can be described as a reduction in efficiencies, says Mather. 

“This would include the types of thinking that requires fast processing, juggling multiple pieces of information at the same time, and remembering new information that doesn’t have any sort of inherent structure or meaning. Those are all tasks that are actually pretty complex and require a lot of coordination between different parts of your brain and different networks,” she says.

There’s evidence that very gradual declines in these areas can start in a person’s thirties, though you may not notice them for a few more decades, says Mather. 

At that point, “maybe you don't feel quite as sharp, or things that used to feel easy or routine become a bit more challenging,” she says. 

The ‘Middle-Aged Movie Review’ and Other Normal Brain Changes

The ability to master new technology is also a typical complaint, says Joel Kramer, PsyD, professor of neuropsychology and director of the Memory and Aging Center Neuropsychology program at USCF Weill Institute for Neurosciences in San Francisco. “Patients will tell me, ‘Ugh, I just got a new phone, and I have no idea how to work it,’” he says.

Another common struggle is “mental math,” says Dr. Kramer. “Estimating how much the groceries in your basket will cost or calculating a tip may take a little longer,” he says. 

There's also something that Kramer calls “middle-aged movie review.” 

“That’s where people say, ‘Oh, we liked that movie we saw last week — you know, the one that stars what’s-her-name and that other guy from that show we used to watch?’ That’s pretty common, and some of that is word-finding and some of it is really just memory,” he says.

Mather calls that a “tip of the tongue experience.” 

“It’s not coming to your mind right now, but it might pop into your head 20 minutes later, or three days later. That’s a failure of word retrieval more than anything else; it’s not that the information isn’t stored in your brain, but it was hard for you to efficiently pick out that one piece of information,” she says. 

Why Did I Just Walk in Here? 

Walking into a room and forgetting why you went in there is a classic example of a normal sign of brain aging, says Mather. “Certainly, that happens to me relatively regularly, and I think a lot of people can relate to it,” she says.

As with the other changes mentioned, this may be annoying, but it’s probably a normal sign of aging and not cognitive problems, says Mather. “However, if those things start becoming very frequent or interfering with your ability to carry out daily activities, that's when we start to get concerned,” she says.

That distinction can be tricky, because what’s normal for one person might be a sign of cognitive issues in another person. If you (or your partner or loved one) grow concerned, it’s a good idea to talk to
your provider. 

Some Language Skills Can Stay Sharp or Even Improve

Your ability to access information that's been stored in your brain for even a very long time may actually improve, says Mather. 

“Trivia is one example. I’ve played Trivial Pursuit games where my older family members remembered answers to things from 40 years ago that they had no idea they still knew. That’s where you’re relying on this long-term storage of knowledge,” she says. 

Your ability to do word games and crossword puzzles might stay the same or improve as well,
Mather adds.

Although the ability to find the right word immediately might go down, vocabulary tends to continue to increase over time, says Kramer. “In fact, some people think that even as we get into our eighties, our vocabulary can continue to increase,” he says. 

Emotional Well-Being Can Get Better With Age

There’s evidence to suggest that older adults (aged 60 and older) report better emotional well-being — for the most part — than midlife or even younger adults, says Mather. Emotional well-being is a state of good mental health and the ability to remain stable even in the face of challenging situations. 

“In some older people, their perspective shifts more towards prioritizing what's important to them. There is often improved emotional functioning, and I think that comes from increased life experience and wisdom to figure out how to cope with different things that come up,” she says. 

‘Superagers’ Have the Memory Abilities of Someone Much Younger

Mather is part of a group of researchers at Northwestern Medicine studying “superagers,” defined as adults over age 80 who have the memory abilities at the level of people at least 20 to 30 years younger. The main goal of the research is to find factors that could help others maximize their health span and, someday, even potentially avoid Alzheimer’s disease.

Part of that research involves people donating their brains to research after they die.

“When we examine the brains of superagers under a microscope, we’ve found certain parts of the brain that are larger and have maintained their thickness, and the health of their neurons is better than what you would expect at the age of their death,” says Mather.

Mather is often asked what a person can do to be a superager.

“Although it’s certainly a goal, at this point we haven’t identified clear modifiable factors to have this type of memory ability,” she says. There is one thing that seems to stick out — anecdotally at this point — which is that many superagers have active social connections, says Mather.

“They are usually engaged and involved in different types of activities or social get-togethers that bring them enjoyment, social engagement, and intellectual stimulation,” she says.

What’s Good for the Body Is Good for the Brain

“A lot of the recommendations that we give to improve brain health are essentially the same things that are true for overall body and heart health,” says Mather. 

That includes trying to move your body more and sit less, eat a nutrient-dense diet, and avoid heavy alcohol use or other substances, she says. 

“Beyond that, staying engaged, learning new things, and finding ways to challenge yourself are all good practices for brain health,” says Mather. 

Consider The Top-Rated Home Care Agency in North Carolina

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Content Credits: Everyday Health

Cognitive Screening: When Should You Get It? What Can It Show?

Ideally, cognitive screening should take place before you notice changes in your thinking
and memory.

​​Even if you’ve made peace with growing older, the outward signs of aging — graying hair, spotty skin, achy joints — are unavoidable. Likewise, for the changes in the parts of the body you don’t see, including the brain.

As early as your thirties and forties, the brain starts to shrink, including the part called the hippocampus, which is important for learning and memory. Aging also causes communication between neurons (nerve cells) to be less effective, blood flow in the brain to decrease, and inflammation to increase.

With these changes, older adults might experience challenges in their thinking like difficulty recalling names or words, or decreased attention; both could just be signs of normal aging.

However, in some people, neurodegenerative changes take place in the brain that are not normal aging, even though they are more likely to occur at an older age. Certain processes in the brain cause the collection of toxic clumps of proteins called amyloid. Amyloid permits another toxic protein called tau to injure and kill neurons and cause true memory loss, including being unable to recall recent details, events, or conversations. This type of memory loss can be an early sign of mild cognitive impairment (MCI), dementia, or Alzheimer’s disease.

Why Get a Cognitive Screening?

There are many good reasons to get screened for cognitive impairment. For starters, it can pick up changes in your memory or thinking functions before you start to have significant difficulties. In many cases, the changes could be due to an underlying (and fixable) cause, such as a side effect of certain medications or nutritional deficiencies.

For people with the early stages of dementia, new drugs have been shown to slow down progression of the disease, and lifestyle changes may do the same, says Maryjo Cleveland, MD, a gerontologist who specializes in Alzheimer’s disease and dementia at Atrium Health Wake Forest Baptist in Winston-Salem, North Carolina.

But when is a good time to get screened for cognitive decline, and what do you do with the information once you have it? Here’s what you need to know about when to get screened for cognitive changes, where to get screened, and what to do with the results.

What Is Cognitive Screening?

A cognitive assessment tests various aspects of a person’s cognitive functioning, with the goal of detecting any early signs of memory loss or difficulty with thinking, problem-solving, language, or other cognitive functions.

People with early cognitive changes often either aren’t aware of them or may deny what
they’re experiencing.

The screening is typically a questionnaire or brief assessment, says Dr. Cleveland. “A screening is not used to make a diagnosis, but rather a preliminary step to identify individuals who may need further evaluation by healthcare professionals,” she says.

Cleveland compares it to other types of health screenings you may get during a yearly wellness check: “A cognitive screening is used to check to see if you might be at risk for dementia, just as you would get your cholesterol level checked to find out if you’re at risk for
cardiovascular disease.”

Should I Wait Until Changes in My Memory or Thinking Are Noticeable to Get Screened?

No, says Cleveland. “If someone comes in and says, 'I'm having terrible memory problems or I keep forgetting to take my medicines,' we’re going to do a diagnostic evaluation at that point,” she says.

With a screening, you’re looking for something that’s not clinically apparent — you don’t need to have noticeable declines in memory or cognition to get one, she says.

Is There a Recommended Time to First Get a Cognitive Screening?

Once you enroll in Medicare, usually at age 65, a basic cognitive screening test is supposed to be included in the annual wellness visit to see if you have any cognitive impairments,
says Cleveland.

“For people who haven’t had any symptoms, I think 65 years old is a reasonable age to begin getting screened,” she says.

Some research shows, however, that not all Medicare beneficiaries take advantage of the annual wellness visit and, of those who do, not all report having a cognitive assessment at that visit.

Can My Primary Care Doctor Perform a Cognitive Screening?

Yes. Cleveland recommends getting screened for cognitive changes in your primary care doctor's office. “There are not enough specialists on the planet — geriatricians or neurologists — to screen everyone in a timely manner,” she says.

Your primary care doctor is also the logical choice because a patient's history and physical exam should be part of a cognitive assessment, according to StatPearls.

Is There More Than One Screening for Dementia? Does It Matter Which One I Take?

There's not an official statement or agreement among experts about which screening is the best; the most important thing is to get screened, says Cleveland. “And that can be once you turn 65 or maybe earlier if you have a family history of dementia or Alzheimer’s disease,” she says.

The more widely used screening tools typically take 10 minutes or less and include the Mini-Mental State Exam, Montreal Cognitive Assessment, Mini-Cog, and Saint Louis University Mental State Exam.

What’s Involved in a Cognitive Screening?

The screening will be given by a healthcare provider — usually a doctor or a nurse — and there’s nothing you need to do to prepare for the screening.

The Mini-Cog is basically two parts: Your provider will give you three words and ask you to repeat them back a few minutes later. Then they will have you draw a circular clock with the hands pointed to a
specific time.

Cognitive screening tests check different areas of brain function, including orientation (date, where you are, your name), attention and short-term learning, short- and long-term memory, concentration, and the ability to use and understand language, according to the Cleveland Clinic.

Are There Online Screenings That Can Be Performed at Home?

The Self-Administered Gerocognitive Exam (SAGE) is a brief written screening tool designed to detect early signs of cognitive, memory, or thinking impairments, and it can be taken at home. Unlike other assessments, it doesn’t require an experienced or trained professional; you just need to be able to print out the test.

“People can take this test if they or a loved one notices that they are a little more forgetful than they used to be. It’s a helpful tool to assess if further evaluation is necessary,” says SAGE creator Douglas Scharre, MD, the director of the division of cognitive neurology at The Ohio State University Wexner Medical Center
in Columbus.

The test takes about 10 to 15 minutes, and it measures a wide range of cognitive domains, such as orientation, language, reasoning, and memory. There is no answer key or scoring provided. After completing the test, you need to take it to your primary care doctor, who can score the test, interpret the results, and decide if you need further evaluation.

RELATED: All About the SAGE Test for Alzheimer’s and Dementia Detection

What Are the Next Steps After Cognitive Testing?

If your results indicate some level of cognitive impairment, more testing will be necessary to learn more about what’s causing it, says Cleveland. “Those will likely be performed by your primary care doctor,”
she says.

Mild cognitive impairment doesn't always mean that you're going to get dementia. About half of people who have mild cognitive impairment have it for some other reason than the foreshadowing of dementia, says Cleveland.

One of the first steps to determining a cause is ususally looking at all the medications that a person is taking. “Sometimes it’s a medication that’s causing the cognitive issue. A common example is the antihistamine drug meclizine; it seems to affect memory in some people,” she says.

Thyroid issues, sleep issues, and vitamin deficiencies — especially vitamin B12 deficiency — can also cause cognitive problems, says Dr. Scharre. “If an underlying cause is identified and treated, the impairment will likely improve,” he says.

In some cases, a brain scan might be performed. “We’re looking for any evidence of small strokes, inflammation, tumors, infections, structural issues — any of these could be causing a person to not be thinking as well,” says Scharre.

What if I’m Diagnosed With MCI?

In some people, further testing will lead to a diagnosis of MCI. This is the space between expected cognitive decline that comes with aging and the more serious decline of dementia, says Cleveland.

Common signs of MCI include losing things more often than normal, forgetting appointments, or having trouble finding the right words. It can be easy to miss or to mistake for normal signs of aging, even by doctors. One study that examined Medicare data found that only about 8 percent of the 8 million people with MCI the researchers expected to find in these health records were actually there — meaning that more than 9 in 10 people with MCI may not realize they have it.

Although having MCI increases your risk for eventually developing dementia or Alzheimer’s disease, the symptoms of MCI can stay the same or even improve, according to the National Institute on Aging.

Your doctor can recommend lifestyle measures that may help slow any further cognitive decline.

Expert Lifestyle Recommendations for Brain Health

Scharre recommends good sleep, socialization, physical exercise, and good nutrition for brain health. “Sleep is very important. It seems to be a time where we remove toxins from our brains,” he says.

For the social piece, this can include chatting with people, interpreting information, and discussing issues, he says. “Your brain is like your muscles: Use it or lose it,” says Scharre.

"The best brain-healthy diet seems to be a Mediterranean-type diet — less red meat, more fruits and vegetables,” says Cleveland.

Both the MIND (Mediterranean-DASH Intervention for Neurogenerative Delay) and Mediterranean diets are associated with fewer signs of Alzheimer’s disease in the brains of older adults, according to a study funded by the National Institute on Aging.

Of all the lifestyle modifications, exercise has the strongest evidence. A review of 65 studies found that exercise was the most promising lifestyle intervention — meaning it improved various cognitive functions — for both MCI and dementia, and was most effective in MCI.

Talk With Your Doctor About Medications for Cognitive Impairment

Medications may help with MCI and early Alzheimer’s disease, says Cleveland. “These may help a certain segment of the population. This is a decision that can be made in partnership with your doctor,” she says.

Options include aducanumab (Aduhelm), lecanemab (Leqembi), and donanemab, which is expected to be approved in the near future.

Consider The Top-Rated Home Care Agency in North Carolina

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Content Credits: Everyday Health

Regular Brisk Walks and Other Exercise Can Help Prevent Falls in Older Women

Older women who exercised the equivalent of 30 minutes a day, five times a week were up to one-third less likely to hurt themselves in a fall, according to an Australian study published today in JAMA Network Open.

Brisk walking and moderate or moderate-to-vigorous activity were also all associated with lower risk, the authors wrote.

The findings are encouraging, though not necessarily surprising, says Deborah Kado, MD, a geriatrician at Stanford Health and co-director of the Stanford Longevity Center, both in
Palo Alto, California.

“It’s good to see data that suggests that getting more physical activity is associated with a lower risk of falling. Although we often take mobility — the ability to move safely from one place to another — for granted, when you lose it, you really lose your ability to be independent,” says Dr. Kado, who was not involved in the research.

3 Million Older Adults Go to the ER Each Year Because of a Fall

The Centers for Disease Control and Prevention estimates that about 1 out of 4 older U.S. adults fall each year, and about three million are treated in the ER, making it a major
health concern.

Falls resulting in hip fracture are especially concerning — one meta-analysis suggests that about 3 in 10 older adults who break their hip die within the next year.

More Than 1 in 4 Participants Reported Falling Within the Past Year

The evidence on whether physical activity reduces fall risk has been inconsistent, and it’s also not clear how much exercise is required, according to the authors. To find out more about how physical activity impacted both injurious and non-injurious falls, researchers recruited over 10,000 women between the ages of 45 and 50 years old back in 1996. Over 7,000 participants, with an average age of 67 years old, completed follow up questionnaires between 2016 and 2019.

Participants self-reported their weekly amount of three types of physical activity:

• Walking briskly, for recreation or exercise or to get from place to place

• Moderate activity, such as social tennis, moderate intensity exercise classes, and recreational swimming

• Vigorous exercise that made them breathe harder or puff and pant, like aerobics, vigorous cycling, running, and swimming

The subjects were then placed into groups according to the number of minutes they logged: none, less than 150 minutes, 150 to 299 minutes, and 300 minutes or more.

Those amounts were chosen to align with the World Health Organization (WHO) guidelines on physical activity. “Any amount of physical activity is better than none, and more is better,” advises WHO. The organization recommends at least 150 to 300 minutes of moderate or vigorous aerobic activity per week.

Participants in the 2019 survey answered three questions about falls in the
past year:

• Did they have a fall to the ground?

• Were they injured because of a fall?

• Did they seek medical attention for a fall-related injury?

About 2,000 women reported falling in the last 12 months, with about half leading to injury and half not.

Being Active for 2.5 Hours a Week Cut Fall Risk

After adjusting for factors that could influence risk, researchers found that doing 150 to 300 minutes of exercise per week reduced fall risk that didn’t cause injury by 26 percent and injurious falls by 30 percent. Exercising for more than 300 minutes — five hours — cut the risk by 34 percent for injury-free falls and 23 percent for falls that caused injury.

These findings support multiple exercise trials that show a link between physical activity and reduced fall risk, says Kado. “For example, tai chi has been shown to help older adults reduce their risk of falling,” she says.

Tai chi originated as an ancient martial arts practice in China, and the modern practice incorporates slow movements and physical poses with controlled breathing. A meta-analysis of 24 randomized controlled trials published in September 2023 found that tai chi “can effectively reduce the risk of falls in older adults” and improve balance and walking speed.

Walking Reduced Fall Risk by 17 Percent

Brisk walking lowered the risk by 17 percent compared with no exercise at all, according to
the authors.

This supports earlier research that shows that walking can help prevent falls. A Japanese study of 90 older adults found that a walking intervention reduced the risk of falls more effectively than balance training.

The Good News: You Don’t Have to Exercise 3 Hours a Week to Get Health Benefits

Although the study didn’t find any reductions in fall risk in the group with less than 150 minutes a week of activity, that doesn’t mean that there’s no benefits to small chunks of movement, says Kado.

“The WHO guidelines are terrific, but to tell people they need to get 150 minutes of physical activity a week — I think that can be a deterrent for some people,” she says. In the real world, most people aren’t getting between 2.5 and 5 hours of exercise a week, says Kado.

But you don’t have to meet that threshold to make meaningful improvements in your health, she says. “The truth of the matter is, if you look at data, even the smallest amount of activity has benefits. And the biggest bang for the buck is at the early part of the curve. So basically, if you're a couch potato and don’t do any physical activity, if you just increase a little bit, like get up and down and walk around the house every 15 minutes, that will decrease your risk of dying early,” says Kado.

Consider The Top-Rated Home Care Agency in North Carolina

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Understanding the Basics: What is Domiciliary Care?

What is Domiciliary Care?

We also call domiciliary care as home care or home-based care. Domiciliary care is a kind of health service. It’s for people who wish to live in their own homes, but need help. This assistance can be for daily tasks or medical needs.

It especially benefits seniors, disabled individuals, and those recovering from injuries
or illnesses.

Domiciliary care is when professionals like caregivers, nurses, or therapists come to your home. They give you personal care and help you stay independent. This way, you can stay in a familiar setting – your
own home.

The Importance of Domiciliary Care

Domiciliary care is very important. It helps people who have trouble moving around or need regular medical check-ups. We aim these types of care at promoting their well-being.

Getting care at home can help individuals feel more comfortable. It also lets them stay in a familiar space for their emotional and mental well-being.

Domiciliary care helps people keep their social ties. It keeps them involved in their local community. This can help cut back on feelings of being alone or isolated.

The Impact on Quality of Life

The quality of life of individuals receiving domiciliary care significantly improves due to the personalized nature of the services provided. Caregivers work closely with clients to understand their unique needs and preferences, tailoring care plans accordingly.

This way of doing things ensures people can still do what they love. They can keep up with their hobbies and interests. This gives them a reason to enjoy each day.

Domiciliary care can lead to cost savings compared to nursing home care. According to AARP, 90% of seniors prefer to age in their homes rather than move to institutional care facilities.

Benefits for Family Members

Domiciliary home care benefits the individuals receiving care and offers significant advantages to their family members. Family members often feel at ease when they can care for their loved ones at home. It’s comforting to know they’re in a familiar place.

These services can make things simpler for family caregivers. It helps them manage their tasks better and avoid getting too stressed or tired.

How Domiciliary Care Programs Work

Domiciliary care programs typically start with assessing the individual’s needs and preferences. We then create a care plan. This plan lists the required services. These might include help with bathing, grooming, managing medicines, preparing food and keeping the house clean.

The number of caretaker visits can change based on the client’s needs. It can be a few hours each week or even round-the-clock support, 24/7.

The Role of Caregivers

Caregivers play a crucial role in home-based care, also known as domiciliary care. They’re the main person who connects with and helps the one getting the care. They get to know their clients well and offer more than just caregiving tasks. They also give emotional help, making sure their clients feel good while doing their jobs.

Caregivers make sure to talk often with the family. They keep them up-to-date on how their loved one is doing. They also tell the family about any changes in their care plan.

Nursing and Medical Services

In addition to non-medical care, domiciliary care includes nursing and medical services. Qualified nurses visit clients at home to administer medications, dress wounds, monitor vital signs, and provide specialized medical care as needed. This integrated approach ensures that individuals with complex medical conditions can receive comprehensive care without leaving their homes.

The Impact on Healthcare Facilities

Domiciliary care positively impacts healthcare facilities by reducing the strain on hospitals and nursing homes. By providing care at home, domiciliary care helps prevent unnecessary hospital readmissions and frees up hospital beds for more critical cases. This, in turn, leads to cost savings for both healthcare facilities and patients.

Enhancing Independence and Autonomy

One of the key objectives of domiciliary care is to support individuals in maintaining their independence and autonomy. Caregivers motivate clients to join in with daily tasks. They also help them make decisions as much as they can. This gives the patients a feeling of control
and respect.

Personalized Care and Flexibility

Domiciliary care offers a level of personalization and flexibility that is often not possible in institutional care settings. If a person’s needs change, the care plans can also change. Caregivers can switch up their methods to fit each person’s likes and daily routines.

Quality Assurance in Domiciliary Care

To ensure the highest level of care, domiciliary care providers often have quality assurance programs in place.

These programs might have several parts. One part could be regular check-ups of the caregivers. Another part could involve getting opinions from clients and their families. Lastly, they need to stick to accepted rules and good methods.

The Future of Domiciliary Care

The future of domiciliary care looks promising, with an increasing focus on technological advancements to enhance care delivery. Technology will have a crucial role in bettering the care experience. This is beneficial for clients and caregivers alike. It can be through things like remote monitoring devices or telehealth meetings.

Conclusion

To sum up, domiciliary care is really important in healthcare. It lets people get custom help and medical care at home.

Domiciliary home care greatly improves life quality for people who need these services. It’s also really beneficial for their families. That’s what makes it a key part of today’s healthcare.

FAQs

What is the difference between domiciliary care and residential care? 

Domiciliary care is when you get care at your home. On the other hand, residential care means living in a place that cares for you, like a nursing home. Domiciliary care lets people stay in their own comfortable space. On the other hand, residential care gives 24-hour help in a community setting.

Does insurance cover domiciliary care? 

Certain insurance plans, including long-term care insurance or specific government-funded programs like Medicaid may cover domiciliary care. It is essential to check with your insurance provider to understand the coverage options available.

Can domiciliary care be provided for temporary situations, such as post-surgery recovery? 

Yes, you can set up domiciliary care for short times. This can happen after surgery or during sickness. We can personalize care plans. They can help people briefly until they can take care of themselves again.

How do I find a reputable domiciliary care provider? 

To find a reputable domiciliary care provider, consider seeking recommendations from healthcare professionals, friends, or family members. Additionally, research online reviews and testimonials to gauge the experiences of other clients.

Can I choose my caregiver in a domiciliary care program? 

In many cases, domiciliary care providers offer the option to choose a preferred caregiver based on compatibility and experience. Open communication with the provider can help ensure a suitable match for the client’s needs.

Remember, domiciliary care is an invaluable service that empowers individuals to age or recover gracefully while preserving their dignity and independence. Are you or a loved one thinking about domiciliary care? If so, it’s important to look at all your choices. Then, choose the one that best suits your needs and likes.

Consider The Top-Rated Home Care Agency in North Carolina

Aroga Home Care Services is your go to 5-star rated private duty skilled caregiver agency in the greater Charlotte area. Contact us today and request a professional home care adviser consultation.  www.ArogaHomeCare.com or call 704-319-5500

Content Credits: Help & Comfort

Does Your Loved One Need Help at Home?

Aroga Home Care Services was founded on the principle of delivering caregiver consistency and the idea that this consistency results in better outcomes. We understand that staying at home is important and having many different people come in your home can be uncomfortable and often time confusing for our seniors. We take time to sit down with each client and their family to understand their unique care needs and preferences. Taking this valuable time allows us to get to know our clients and include them in the process of choosing a caregiver that is the most qualified and best “fit.” Having consistency with a caregiver is not only more pleasant, it helps foster relationship growth and bonding between the caregiver, client and family.

Is your family or a loved one battling any or all of these questions below?

• Are they unable to track conversation?

• Do they repeat themselves?

• Have they had recent falls?

• Are they missing medications?

• Do they need assistance maintaining

• their appearance?

Aroga Senior Care Services

• Post-Surgery or Hospitalization Care

• Alzheimer’s and Dementia Care

• Bathing, Personal Hygiene and Dressing

• Medication Management and

• Diabetes Care

• Mobility Assistance, Fall Prevention and Much More

Aroga Home Care Services is your go to 5-star rated private duty skilled caregiver agency in the greater Charlotte area. Contact us today and request a professional home care adviser consultation.  www.ArogaHomeCare.com or call 704-319-5500

Holidays and Aging Parents: 5 Red Flags to Look For

Visits with your aging parents often are a wake-up call this time of year. Perhaps you haven’t seen your loved one for some time and when you do, it’s startling. Aging can be a gradual process for some, but for others the changes accelerate so fast it shocks those who haven’t seen them in a while. Don’t wait for your loved one to bring up a need for help. Too often, they can’t face it and are in denial. Those living alone are especially vulnerable as day-to-day, no one is watching. The following are 5 signs to look for during the holidays that indicate it’s time to step in.

1. Unusually unkempt appearance.

A change in personal appearance should not be dismissed as unimportant. Dirty clothing, lack of basic hygiene, failure to notice grooming and personal appearance signal something has changed, and they need help.

2. Inability to track the conversation.

An aging parent who, in the past, could participate in a discussion and now can’t keep up or follow what is being said is showing signs of cognitive decline. It is not “just getting old,” as normal aging does not cause us to lose intelligence.

3. Repeating one’s self.

Older people start to lose short-term memory when dementia is developing, and short-term memory loss is a classic sign of cognitive impairment. If your loved one keeps asking the same question you just answered or tells the same stories over again, you have a warning that dementia could be in process.

4. Unsteady or recent falls.

If your loved one seems wobbly on their feet or has had a fall, you are seeing a big red flag. Falls are unfortunately common among elders and are often the trigger that leads to injury, hospitalization and loss of Independence.

5. Unattended paperwork around the house.

Unpaid bills, collection notices and requests for renewal or information that has been ignored is a sign your parent is struggling to keep track of important paperwork and there is a need for an adult child to step in.

Many older people are terrified at the thought of being “put in a home” which they see as a form of imprisonment and loss of control. There are other options such as home care, which can be good choice, as it offers support without the need for them to move.

Aroga Home Care Services is your go to 5-star rated private duty skilled caregiver agency in the greater Charlotte area. Contact us today and request a professional home care adviser consultation.  www.ArogaHomeCare.com or call 704-319-5500

What Types of Care and Services Are Provided by Home Health Agencies?

Home healthcare, or skilled care you receive at home, is a continuation of care your loved one might have received or needed in an inpatient care placement. This kind of care may be called senior home healthcare or elderly home healthcare.

These services may be part of a doctor’s treatment plan for your loved one, so they can be at home and still receive rehabilitation, recovery or other clinical healthcare. The doctor may recommend occupational or physical therapy, speech therapy, wound care, staff to provide medications or injections, and staff to monitor recovery while remaining at home.

This arrangement, as ordered by a doctor, is likely temporary as the patient may resume normal function and can handle household duties and functions after recovery. In some instances, caregivers decide to continue the skilled home healthcare after the physician’s order has ended, with the understanding that coverage for that benefit may change at that point.

You will have some ability to negotiate when care providers come to your home, depending on what kind of care the doctor has recommended. For example, a doctor may recommend that a physical therapist come to your home three times a week to work with your loved one. Your family will be able to work with the provider to find the times of day that work best for everyone. Since these services are part of a treatment plan, Medicare or insurance often covers the cost of home health care.

Senior home healthcare can benefit family caregivers, too. Having skilled healthcare personnel monitoring and helping care for your loved one can reduce your worry, and also relieve you of some caregiving activities you may be unable to provide. In some cases, you may find senior home healthcare services that offer additional staff who can also provide you with respite so you can care for yourself or take care of chores needed to keep your household running.

What Types of Care and Services Are Provided by Home Health Agencies?

Home health agencies have to be certified or licensed in compliance with state and local standards. In order to receive Medicaid or Medicare, they also have to meet certain standards set out by the Centers for Medicare & Medicaid Services (CMS). That means that the skilled nursing and other healthcare services your agency provides must be overseen by a team that includes a physician and appropriately qualified nurses, even though your family might not work directly with those medical administrators. They make sure that the home healthcare agency or group can provide a range of services, listed below.

How Do You Create a Home Healthcare Plan?

Home healthcare agencies will assess your loved one’s specific healthcare needs and propose a healthcare plan, sometimes called a plan of care. Your loved one’s doctor will then review the healthcare plan and sign it to show approval. The healthcare plan details what type of medical care your loved one will receive, what types of workers will provide the care, how frequently they will come to your loved one’s home, and how long the care is expected to last. You should receive a written copy of the plan of care.

Depending on how the patient’s needs progress, the home care agency may request an extension of services. They’ll send additional paperwork to the doctor for approval. And you’ll want to be sure to confirm that your loved one’s insurance will cover extended services.

How Much Does Home Healthcare Cost and What Are the Payment Options?

In most cases, home health care agencies are not set up to provide fee-for-service; they offer services that are reimbursed by Medicare or other insurance. If they do charge fee-for-service, Home healthcare costs range from $15 to $75 per hour, depending on the training and expertise of the specific healthcare worker who comes to your home. Nurses and physical therapists are more expensive; home health aides
charge less.

When your loved one is recovering from surgery, accident, or illness and home healthcare is prescribed by a doctor, it’s generally covered by Medicare. Here’s the tricky part: Medicare provides coverage for a specific ailment. Once recovery from that ailment is complete, Medicare coverage ends. And Medicare coverage also ends if your loved one ceases to make progress in recovery efforts.

When home healthcare is not covered by Medicare, you can explore additional options, such as veterans benefits, Medigap, Medicaid, long-term care insurance, or private pay.

Short-term home healthcare visits by a nurse, therapist, or certified home health aide — which typically follow a hospitalization, injury, or severe illness and are intended to help someone return to a stable condition — are usually covered by Medicare, Medicaid, the VA, and private health insurance. For home healthcare that’s not covered by any program or insurance, provided through a licensed home healthcare agency, expect the cost to run from $20 to more than $100 per hour, depending on location and the level of training of the care provider (nurse, physical therapist, or home health aide).

Note that home healthcare is different from long-term in-home care assistance that doesn’t involve medical care. In-home nonmedical care — to help someone with things like bathing, toileting, and other activities of daily living; or for companionship, security, or household tasks — involves different costs and coverage possibilities.

There are many options to pay for your loved one’s home healthcare. What follows are some of the most common payment options.

Public Benefits for Home Healthcare

If your loved one is enrolled in Medicare (including a Medicare Advantage Plan or Medicaid, or in the VA healthcare system, one or all of them will pay the full cost — meaning there are no co-payments — of home healthcare as long as certain conditions are met.

Medicare

Medicare pays the full cost of covered home healthcare provided by a Medicare-certified agency if prescribed by a treating physician. A different part of Medicare might cover home healthcare in different circumstances, and depending on which part(s) your loved one is enrolled in:

• Medicare Part A covers the care if, within the previous 30 days, your loved one has been a hospital inpatient for at least three days.

• Medicare Part B covers the care if there’s no prior three-day hospital stay.

• If your loved one is enrolled in a Medicare Part C Medicare Advantage plan, instead of traditional Medicare Part A and Part B, the plan will cover home healthcare regardless of a hospital stay but may require that it be provided by a provider/agency that’s a part of the plan’s network.

Medicare coverage for home healthcare lasts only as long as the physician and home healthcare agency certify that the patient needs regular at-home medical care in order to recover from an injury, surgery, or other acute condition.

Tip: For help with any Medicare question regarding home healthcare coverage, you and your loved one can get free, expert counseling at a local office of the State Health Insurance Assistance Program (SHIP) or Health Insurance Counseling and Advocacy Program (HICAP).

Medicaid

If your loved one is enrolled in Medicaid (for people with very low income and few assets other than their home and car), it can cover the full cost of care from a Medicaid-participating home healthcare agency. For people who have both Medicare and Medicaid, the Medicaid program might cover some home healthcare after Medicare coverage stops.

To find out about Medicaid home healthcare coverage, contact the Medicaid agency in your state by going to the online link to state Medicaid agencies. Or contact the Area Agency on Aging for the region where your loved one lives.

Veterans’ Benefits

If your loved one is a veteran, he or she might be enrolled in or eligible for Department of Veterans Affairs (VA) medical care, which includes home healthcare. To find out about enrolling for VA medical benefits, and how to receive home healthcare, call the VA at (877) 222-8387 or visit the healthcare pages on the VA website.

Private Insurance Options

Private health insurance usually provides good coverage for short-term in home nursing care, though, your loved one may have to pay a patient co-payment. This coverage includes health insurance based on current employment (the patient’s or spouse’s) or retiree health insurance. Learn more about using private insurance to help pay for home healthcare.

Other Payment Options

It may happen that your loved one would like to continue home healthcare after public or private insurance will no longer cover it. If so, you may have to pay out of pocket. But there may also be care options other than agency-provided home healthcare for which your loved one is covered or that are less expensive for you to pay out of pocket. Talk to your local Agency on Aging representative to find out what kinds of low-cost or volunteer-based services exist in your community.

Consider The Top-Rated Home Care Agency in North Carolina

Aroga Home Care Services is your go to 5-star rated private duty skilled caregiver agency in the greater Charlotte area. Contact us today and request a professional home care adviser consultation.  www.ArogaHomeCare.com or call 704-319-5500

Content Credits: Care.com

A Senior Caregiver's Guide to Balancing Your Work and Your Personal Life

Working as a senior caregiver can be a very fulfilling job. You get to help senior individuals enjoy their golden years while earning a living. That said, caregiving can also be stressful. According to the Cleveland Clinic, caregiver burnout is a real issue, and you may be at risk if you don't take care of yourself. 

Below, Aroga Home Care Services shares some helpful tips to balance your work and personal life, so you can stay healthy.

Consider your big-picture goals

Just because you enjoy caregiving doesn't mean you don't have other dreams. Don't put your goals on hold. For example, if you really love technology and computers, you may want to take your career to the next level by becoming an IT professional. You can complete online coursework as you find that compTIA stackable certifications can further your career, whether that be in security analysis, networking, or cloud administration. Certifications earned online offer flexibility, so you can work and study simultaneously.

Make self-care a priority

Self-care isn't just some fancy buzzword. It's simply about making time to take care of yourself every day. Make sure you're eating healthy, doing some exercise, and getting enough sleep. Here are some additional self-care ideas, from taking a bath to reading a book or listening to music. The point is to do something that's purely for yourself and just for fun, without any bigger goal. You don't have to spend more than 15 minutes of your day doing a self-care activity to reap the rewards.

Try meditation to bust stress

Caregiving is rewarding but it's also stressful at times. Make sure you have coping mechanisms. If you don't address stress now, issues can arise later. For example, stress is shown to contribute to health problems like depression and anxiety. One way you can tackle stress is through meditation. Mayo Clinic notes that meditation can help combat stress through repetitive mantras and deep breathing techniques. Use an app like Headspace to get into meditation if you've never done it.

Hire help for household tasks

When you're trying to do your caregiving job while also pursuing your personal goals, finding time to take care of yourself can be tough. Get more hours in the day by seeking support for everyday household tasks. For example, you can hire people to help with home repairs and maintenance via Thumbtack. You can also save time on cleaning by enlisting the services of a cleaning service or save time in the kitchen by getting ready-made meals delivered.

Build up your support network

Being a caregiver isn't always easy. It's good to talk to your family and friends when you're feeling overwhelmed. There are also professional support groups for caregivers that you can try. It can be helpful to talk to people who understand the profession and know what you're going through when you face challenges. If you can't find a group in your area, try joining an online forum. Here are some resources to get you started.

Seek professional help if you're overwhelmed

Sometimes, a support group alone isn't enough. If you feel like your caregiving role is starting to take a toll on your mental health, talk to a professional. Signs that you could use help include not being able to sleep, having trouble focusing, and feeling irritable or anxious. Another option is to seek online counseling. There are many online platforms where you can talk to licensed therapists.

Caregiving can be a rewarding way to make a living. However, it's a demanding job and can be stressful. Make sure you're taking care of yourself by following the tips above. This can help you avoid burnout.

Aroga Home Care Services focuses on caregiver experience and keeping the caregivers we match with clients consistent and as few as possible. Reach out today to learn more at
(704) 319-5500.

Content Credits: Jennifer Scott | Spirit Finder

Caring From a Distance: Supporting Seniors Without Nearby Relatives

Sometimes, we want to lend a helping hand but don’t know where to start – especially when it comes to our seniors. Luckily, if you want to do your part to help the senior community, there are more options available today than ever before. Whether you’re ordering groceries, calling in via Zoom, or helping them to research housing, Aroga Home Care Services has some advice and resources that are sure to help.

Chores and Organization

Daily tasks can become a pain as we grow older. Often, you can assist with these using apps or internet services.

• Many lawn mowing and garden maintenance services are listed online via directories.
  

• You can use apps or shopping sites to organize food deliveries on behalf of seniors.
  

• Home repairs become increasingly important during the winter months and it can be necessary to carry out work to keep out draughts.
  

• You can help seniors digitize their documents so that it’s easier to stay organized; go here to access a free tool that can make things easier.

Social Life

For many seniors, socializing becomes increasingly difficult with age. Fortunately, the internet can open up all kinds of new options.

• If they aren’t already, you can encourage seniors to engage with others via social media. This is a great way to meet like-minded people.
  

• Many local clubs and societies are looking for new members, you can use search engines to help a senior locate these.
  

• You can connect with seniors over Zoom or other video conferencing apps and provide a calming influence to help alleviate their stress.
  

• Speaking of stress, make sure you’re remembering to take a breath, as well!

Housing

As we get older, sometimes we need to change our living situation. Many seniors would appreciate the help navigating their options.

• If a senior needs to seek alternative living arrangements, they may need to sell their house. You can help them to calculate the proceeds they’ll make from this.
  

• However, it’s not always necessary to sell the property as care can be provided in-house.
  

• This may also be the right time to wind up or sell any businesses they own.
  

• If they need medical assistance, they may have to move out. You can help them to find the best arrangement for their comfort and wellbeing.
  

• Aging is a natural part of life, but it can be intimidating and physically challenging for a lot
  of us.

That’s why assistance from kind-hearted people goes such a long way! Don’t be afraid to reach out. Your efforts and compassion mean more than you know.

If you’re looking for a boutique home care agency with experience and compassion, look no further than Aroga Home Care Services. Contact us today and request a professional home care adviser consultation at www.ArogaHomeCare.com or call 704-319-5500.

Content Credits: Jennifer Scott | Spirit Finder