Sticking With: Life’s Simple 7

Do better at Kirby Pines

How many times in your life have you stopped, looked at the life choices you were making and thought, “I need to do better.” Maybe you thought you should change your diet, exercise more, stop smoking or be more careful about blood pressure or cholesterol.

Research shows those who can reach cardiovascular wellness goals by age 50 can expect to live another 40 years free from heart disease and stroke. What are those wellness goals? Let’s take a look at Life’s Simple Seven, developed by the American Heart Association.

Managing Blood Pressure.

Managing Blood PressureHypertension, or high blood pressure, is the single most significant risk factor for heart disease. It’s sometimes called “the silent killer” because it has no symptoms. One in three American adults has high blood pressure, yet about 21% don’t even know they have it. Of those with high blood pressure, 69% are receiving treatment, but only 45% have their blood pressure controlled.

Get Active.

Get ActiveThe evidence is clear: people who exercise have better health than those who do not. A recent American Heart Association survey shows that fewer than two out of every ten Americans get the recommended 150 minutes or more of moderate physical activity each week.

Eat Better.

Eat BetterEating for good health means choosing lots of fruits and vegetables, whole-grain carbohydrates, and fat-free or low-fat dairy products. You might have to train yourself to avoid foods and drinks with high sodium or added sugar. Another perhaps surprising part of healthy eating is to regularly include fish rich in Omega-3’s. It’s great for your heart and your brain.

Control Cholesterol.

Control CholesterolEveryone has cholesterol. It’s the waxy substance in your bloodstream and cells. Some cholesterol is important for good health, but too much cholesterol in your blood puts you at major risk for heart disease and stroke. When too much LDL (or bad) cholesterol circulates in the blood, it can slowly build up inside the walls of your arteries that feed your heart and brain. Cholesterol particles combine with other substances in your blood to form plaque. This can narrow the arteries and make them less flexible, putting you at major risk for heart disease and stroke.

Lose Weight.

Lose Weight

If you’re overweight, don’t waste your energy feeling guilty or bad about it. Instead, do something positive. BMI is the key. BMI is a height-to-weight comparison that helps you identify the healthy weight target for your height. If your BMI is higher than 25, you need to bring that number down. Losing weight means changing the balance of calories in to calories out.

Reduce Blood Sugar.

Reduce Blood SugarYour digestion turns all carbohydrates into sugar or glucose which is then carried throughout your bloodstream to give you energy. Complex carbohydrates like whole-wheat breads and grains, and fruits and vegetables take longer to digest, helping to keep your energy supply steady. But simple sugars, like sweets, donuts, and white bread are very quickly converted into glucose, which can cause your body to call for extra surges of a hormone, insulin, to help regulate the energy supply. If your blood sugar is high, as often happens when you maintain a diet with too many simple carbohydrates, there will be a growth of plaque in your arteries. Diabetes is treatable but very dangerous and can often lead to heart disease and stroke. Even if you don’t have diabetes, you need to know your blood sugar level. Be sure to get a blood sugar level test after fasting at least every three years, because controlling glucose is an important part of stopping heart disease before it starts.

Don’t Smoke.

Don't SmokeEven if you’ve smoked for years, your body can start the repair process as soon as you stop. If you’re ready to start your plan for smoke-free health, it’s a good idea to talk with your healthcare provider. Medication can be helpful for some people during the kick-the-habit phase and research shows combining medical and behavioral therapies can increase success rates.

Remember, Life’s Simple Seven work together to help you build a better and stronger life, so by investing in improving in one area, like your blood sugar levels, you are likely to improve your weight and nutrition, too. However, without a plan, you’ll be at an increased risk of heart disease, stroke and other illnesses and disabilities. You may see an increased need for surgeries and other medical treatments, and you’ll almost certainly face a diminished quality of life.

Please join us February 20th at 1:30 pm in the PAC for our Smart Moves presentation on this topic.


Seeing Clearly: Healthy Eyes

Eye Exams

Eye examinations are an important part of health maintenance for everyone. Adults should have their eyes tested to keep their prescriptions current and to check for early signs of eye disease. Doctors check your eyes for signs of eye diseases, assess how your eyes work together, and evaluate your eyes as an indicator of overall health.

There are some symptoms that are considered “normal” when aging. Those would include dry eyes, cataracts, loss of peripheral vision, as well as spots and floaters. 75% of those over 65 experience dry eyes due to the lessened production of tears. Cataracts are also frequent among older adults. Cataracts can cause blurry, hazy vision that worsens over time. Also, oversensitivity to light are signs that an opaque spot on the lens of the eye may be growing and obscuring vision.

Eye ExamsSerious eye conditions that are seen with aging are glaucoma, macular degeneration, and diabetic retinopathy. Glaucoma refers to diseases that cause optic nerve damage, some of which are related to an increase in intraocular pressure, which cause progressive vision loss. Symptoms are very few until diminished vision is noticed. Conventional treatments can be pretty drastic but research is showing that vigorous exercise may reduce the intraocular pressure associated with glaucoma. Macular degeneration is the leading cause of blindness among Americans over the age of 65. Dry macular degeneration causes gradual central vision loss and results from aging and thinning of tissues in the macula or deposit of pigment. Wet macular degeneration arises from the body’s attempt to make up for lack of nutrients by building extra blood vessels beneath the retina, but the new blood vessels leak fluid which causes permanent damage to the retinal cells. Studies are showing that AMD is a nutritional and lifestyle responsive eye disease. Diabetic retinopathy is vision-threatening damage to the retina caused by diabetes. Blindness is largely preventable if the patient and doctor work together for proper use of medications, blood sugar testing, and proper diet and lifestyle.

Here are some of the easy steps to keep your eyes healthy. Having a healthy lifestyle, you want to have a healthy diet and exercise regularly. There are certain nutrients and vitamins that help ward off age-related vision problems. Your eyes need good blood circulation and oxygen intake, and both are stimulated by regular exercise. You want to be sure to wear sunglasses to help protect your eyes from the sun’s UV rays. Too much UV exposure can boost your chances of cataracts and macular degeneration. Keep these simple steps in mind to help protect your sight and see your best.


Please join us January 16th at 1:30 pm in the PAC for our Smart Moves presentation on Eye Health.


How to Tackle Winter Health

Snowballs at Kirby Pines

What usually happens in the winter? We have shorter days with less sunshine, cooler temperatures, more germs spreading, slicker surfaces and more holidays with food. All of these side effects of winter can affect our health. So how can we stay healthy during the winter season?

According to Centers for Disease Control and Prevention, older individuals live more independently, have fewer health costs, and remain healthy if they engage in preventative services and practice healthy behaviors. Five preventative services and/or healthy behaviors include:

1. Soak Up The Sunshine

To help avoid the winter blues, soak up 10-15 minutes of sunshine a day. Winter has limited daylight, so try to sit next to a window to get sunlight when it is available. Though it might be too cold to go outside, it is still important to get some sunshine. The sun is a great source of vitamin D which helps decrease inflammation, depression, and illness while promoting bone growth. The sun also helps to enhance your mood by increasing your serotonin levels. Serotonin is
known to positively affect your mood and behavior.

2. Get Your Flu Shot

The winter time brings dryer air and colder temperatures, thus creating an environment for germs to live longer. To prevent disease, get vaccinated. As we age, our immune systems become weaker and therefore we become more susceptible to become ill. People 65 and older are 90 percent of flu-related deaths and 60 percent of flu-related hospitalizations. Once vaccinated, it takes two weeks for our body to develop an immune response which means, ideally, we should get vaccinated in mid-October.

3. Healthy Eating Habits

What comes with the winter season? Many holidays with great food! While we eat, we should be mindful of the amount and types of food we are putting into our bodies. Remember these simple phrases:

“Out of sight, out of mind”
This philosophy teaches you to place your food on your plate and then walk away from the food. Many times individuals consume food just because it is right in front of them. However, if we adopt the “out of sight, out of mind” philosophy, we will remove ourselves from having easy access to food.

“Smaller plate, smaller portion”
Where you taught to clean your plate? Sometimes this can cause us to overeat even when our body tells us to stop. To help avoid overeating, use a smaller plate. The smaller the plate, the less food we will eat and if we have the “out of sight, out of mind” philosophy, we will not go back for several servings.

“Colorful plate, healthy weight”
What are the most colorful foods? Fruits and vegetables. According to the World Health Organization, insufficient consumption of fruit and vegetables have caused 1.7 million deaths worldwide. Eating colorful foods can prevent obesity as well as heart disease, diabetes, and cancer. Fruits and vegetables contain adequate amounts of vitamins and fiber.

4. Safety

What else can occur in the winter season? Slippery walking surfaces and occasional outings. Walking outdoors can be more difficult than walking inside our homes. There are sidewalk cracks, curbs, and changes in walking surfaces. Now place some wintery mix on those sidewalks and it can create even more safety hazards. To prevent slipping, always ensure you have someone with you and try walking flat-footed. We also have to be mindful of safety in our family and
friends homes during the holiday season.

Items to consider in homes other than your own:

  • Are there throw rugs?
  • Are there steps?
  • Is there room to navigate with my walker, wheelchair, or cane?
  • Do their chairs have arms to aid with standing?
  • Is their toilet raised or have grab bars to aid with standing?

5. Physical Activity

Cooler temperatures are brought on by high air pressure which increases our blood pressure and can trigger thickness in the fluid around our joints causing joint pain. Cold weather also thickens our blood which can cause more heart complications. For this reason, it is important to stay active all year around. Exercise can help reduce blood pressure, arthritis pain, and heart disease.

Healthy Eating at Kirby PinesIf you feel ill and weak this winter season, therapy can help. Therapy can assist in developing a wellness plan that will help prevent loss of strength, range of motion, and falls so you can continue living an independent and active lifestyle. Let’s be preventative this winter season and not wait until something happens for us to take action.

Please join us December 19th at 1:30 pm in the PAC for our Smart Moves presentation on this topic.


The Different Types of Diabetes

Healthy foods at Kirby Pines
Diabetes describes a group of metabolic diseases in which a person has high blood glucose (blood sugar). Glucose is vital to your health because it is an important source of energy for the cells that make up your muscles and tissues. Glucose is also your brain’s main source of fuel. Even though glucose plays a significant role in our health, having too much glucose can lead to serious health problems. If you have diabetes, no matter what type, it means you have too much glucose in your blood, although the cause may differ.

The different types of diabetes are type 1, type 2, and gestational diabetes. Type 1 diabetes is usually diagnosed in children and young adults. In type 1 diabetes, the body does not produce insulin. Insulin is a hormone that the body needs to get glucose from the bloodstream into the cells of the body. Type 2 diabetes is the most common form of diabetes and most often diagnosed in adults. If you have type 2 your body does not use insulin properly. This is called insulin resistance. At first, your pancreas makes extra insulin to make up for it. But, over time it isn’t able to keep up and can’t make enough insulin to keep your blood glucose at normal levels. Gestational diabetes appears for the first time during pregnancy. This can put one at risk for type 2 diabetes later in life.

The causes of type 1 and type 2 diabetes are thought to be a combination of genetic and environmental factors, but the exact cause is unknown. With this being said, there are some factors that may signal an increased risk. The risk factors for type 1 diabetes include family history, environmental factors, the presence of damaging immune cells, and dietary factors. The risk factors for type 2 diabetes include weight, inactivity, family history, race, age, high blood pressure, and abnormal cholesterol levels. Type 1 diabetes cannot be prevented but type 2 diabetes can by making healthy lifestyle choices. Eating healthier, getting more physical activity, and losing excess weight if you are overweight can help prevent type 2 diabetes.

Diabetes has long-term complications that develop gradually. The longer you have diabetes, and the less controlled your blood sugar is, will result in the higher risk of complications. Possible complications include cardiovascular disease, nerve damage, kidney damage, foot damage, skin conditions, hearing impairment, and Alzheimer’s disease. Diabetes is a serious disease so maintaining your blood sugar is very important. If you have diabetes, no matter what type, you want to commit to managing it.

Please join us November 21st at 1:30 pm in the PAC for our Smart Moves presentation on Diabetes.


What to Know About Osteoarthritis

Stretches at Kirby Pines

What is Arthritis?

Osteoarthritis is a disease of the cartilage in joints. Osteoarthritis causes progressive breakdown of cartilage until the bones, which were once separated by cartilage, rub against each other. This results in damage to the tissue and underlying bone, causing the painful joint symptoms of osteoarthritis.

What Causes Osteoarthritis?

Osteoarthritis results from chemical changes in the cartilage that causes it to breakdown faster than it can be produced. In most cases, the cause of this cartilage breakdown is unknown. In a few people, there seems to be a link between cartilage breakdown and other factors, including injury to a joint and a family history of osteoarthritis.

Can Osteoarthritis Be Prevented?

Yoga at Kirby Pines

Steps can be taken to help control the symptoms or to help prevent the progression of osteoarthritis. These include:

  • Weight control
  • Injury prevention
  • Exercise

What Are The Symptoms?

  • Pain most often in the spine, hands, hips, knees, and feet
  • Stiffness after inactivity that lasts less than 1 hour
  • Limited motion in joints
  • Tenderness and occasional swelling
  • Deformity of the joints
  • Crackling or “creaking” of the joints, usually painless.

Why Is It Important To Exercise When I have Osteoarthritis?

Joints and muscles need to be exercised to prevent stiffness and weakness. Also, exercise will make you feel better and help you maintain a healthy weight. Excess body weight places extra force and pressure on arthritic joints and causes osteoarthritis to progress more rapidly. Exercising will not “wear out” a damaged joint. Without exercise, not only will muscle strength be lost but osteoarthritis will progress faster. Stretching and strengthening exercises will help strengthen the muscles and ligaments surrounding a joint, which in turn will protect and reduce stress on the joint.

Please join us on October 17th at 1:30 pm in the PAC for our Smart Moves presentation on this topic.


Keeping Your Mind and Body Active

As we get older, the deterioration of the mind and body is unavoidable. It’s just part of the aging process. Some people, however, experience more severe symptoms of aging than others do. No matter how healthy your body is, your mind can still begin to have those “senior moments.” If you want to keep your mind healthy as you age, you have to keep it active. For seniors, staying active can not only help to prolong life, but it can offer a better quality of life as well. With exercise, the two go hand-in-hand. Whether you want to become more physically active or more mentally active, staying active, in general, will help both your body and mind feel energized and engaged.

Keeping ActiveHere are a couple ways to keep your mind and body active. Move your body. As mentioned before, exercising is not only good for your body, but for your mind as well. Exercise is a social activity for many, especially with all of the group exercises that are provided. This helps one stay motivated and engaged in the activity. Exercise also improves your mood by releasing mood-boosting endorphins, which can help lessen the feelings of depression. Exercise increases mental capacity, and physical activity has been directly linked to slowing the process of mental decline. When you are physically active, every part of your body, including the brain, receives more blood flow. Blood flow encourages cell growth. Exercise also improves healing. The healing process takes longer as we age, but exercise can help. Active adults have wounds that heal as much as 25 percent faster than those who do not exercise.

Eat Well at Kirby PinesEat well. Proper nutrition is incredibly important for seniors, for both physical and mental health. If you’re not eating enough of the proper vitamins and minerals, the lack of nutrients can affect brain function. If you’re not eating enough calories, you will have less energy with which to use your body and brain. Make sure you eat well – healthy and regularly. Engage your senses. Using all of your senses really helps exercise your brain in a variety of different ways, so try to use all your senses as much as possible. Stop to smell the flowers – literally – or try to pick out the ingredients of food by their smell.

Keep learning. You’re never too old to learn. Learning new things will help keep your mind active and sharp. Challenge your brain. Challenging your brain is extremely important to keep a sharp mind. Instead of just learning, you should also be challenging yourself to exercise your knowledge and problem-solving skills. Sleep well. For people at any age, sleep is essential for proper mental functioning. Be sure to get enough sleep at night, and make sure it’s quality sleep, too.

As you can see, there are plenty of simple ways to keep your mind and body active. It is interesting to know that the body and mind go hand and hand. Now as you exercise or do any of the activities above you know that you are keeping your mind and body active.


The Importance of Dental Health

Dental HealthAs we age there are some things that we tend to let fall by the wayside. Dental health seems to be one of the personal hygiene steps that can be forgotten. Since dental health is connected to whole-body health, it’s important to keep oral health a priority. Senior dental problems can be common and since oral health directly impacts the health of the rest of the body, these issues need to be taken seriously. Taking care of elderly teeth and gums is just as important as digestive or heart health.

Teeth Brushing Some reasons why senior dental health is so important are that research has shown a connection between gum disease and heart disease. Maintaining good oral hygiene is a powerful weapon against heart attacks, strokes, and other heart disease conditions. Poor oral health has been linked to pneumonia in older adults. By breathing in bacterial droplets from the mouth to the lungs, seniors are more susceptible to the condition. Good oral hygiene is a good way to combat these bacteria. Gum disease is caused by plaque and food left in our teeth, in addition to the use of tobacco products, unhealthy diets, poor fitting bridges and dentures, and diseases like anemia, cancer, and diabetes. Gum disease can instigate tooth loss and can be very serious for overall health as it has been linked to many problems in the body.


The Importance of Staying Hydrated

Staying Hydrated

As the July month comes our way, so will the hot and humid weather. It is extremely crucial to be safe and maintain your hydration levels. Hydration is maintaining a proper balance throughout the body. Water makes up 75% of the human body and can be extracted in many various ways. If you don’t replace the water that you have lost, dehydration is likely to occur. Some warning signs to be cautious of when becoming dehydrated are dry mouth, extreme thirst, headache, confusion, and dizziness. Don’t wait until you notice the symptoms before taking action.

Drink plenty of water throughout the day to help prevent dehydration. It has been recommended to consume 6-8 glasses of water a day. Simply drinking water is not the only way to achieve proper hydration. There are many different types of fruits and vegetables which have an adequate amount of water content. Watermelon has 90% water, which ranks as one of the highest, but oranges, melons, and grapefruit are also great contenders. Spinach, celery and broccoli are also good substitutes for vegetables.

Tips for Staying Hydrated:

  • Drink plenty of liquids
  • Watch the heat index
  • Wear appropriate clothing
  • Have a glass of water with each meal
  • Avoid caffeinated drinks
  • Urine color should be a pale yellow

Please join us July 25th at 1:30 pm in the PAC for our Smart Moves presentation on this topic.


Learning More About Alzheimer’s

Learning more about Alzheimer's at Kirby PinesAlzheimer’s disease is a progressive, degenerative disorder that attacks the brain’s nerve cells, or neurons, resulting in loss of memory, thinking and language skills, and behavioral changes. These neurons, which produce the brain chemical, or neurotransmitter, acetylcholine, break connections with other nerve cells and ultimately die. For example, short-term memory fails when Alzheimer’s disease first destroys nerve cells in the hippocampus, and language skills and judgment decline when neurons die in the cerebral cortex. Alzheimer’s disease is the most common cause of dementia, or loss of intellectual function, among people aged 65 and older. Although every case of Alzheimer’s disease is different, experts have identified common warning signs of the brain disease. Alzheimer’s disease is not a normal part of aging, and it is important to look for signs that might indicate Alzheimer’s disease versus basic forgetfulness. With Alzheimer’s disease, these systems gradually increase and become more persistent. If someone is exhibiting these symptoms, the person should check out his or her concerns with a healthcare professional. Awareness of these warning is not a substitute for a structured screening or consultation with a primary care provider.

Learning more about Alzheimer's at Kirby PinesTypical warning signs include: Memory loss, especially of recent events, names, placement of objects, new information, confusion about time and place, and struggling to complete familiar actions, such as brushing teeth or getting dressed. Also trouble finding the appropriate words, completing sentences, and following directions and conversations are signs. There are changes in mood and personality, such as increased suspicion, rapid and persistent mood swings, withdrawal, and disinterest in usual activities.

Learning more about Alzheimer's at Kirby PinesClinicians can now diagnose Alzheimer’s disease with up to 90 percent accuracy. But it can only be confirmed by an autopsy, during which pathologists look for the disease’s characteristic plaques and tangles in brain tissue. Clinicians can diagnose “probable” Alzheimer’s disease by taking a complete medical history and conducting lab tests, a physical exam, brain scans and neuropsychological tests that gauge memory, attention, language skills and problem-solving abilities. Proper diagnosis is critical since there are dozens of other causes of memory problems. Some memory problems can be readily treated, such as those caused by vitamin deficiencies or thyroid problems. Other memory problems might result from causes that are not currently reversible, such as Alzheimer’s disease. The sooner an accurate diagnosis of “probable” Alzheimer’s disease is made, the easier it is to manage symptoms and plan for the future.

Learning more about Alzheimer's at Kirby PinesAlzheimer’s disease typically progresses over two to 20 years, and individuals live on average for eight to 10 years from diagnosis. Individuals with Alzheimer’s disease are likely to develop co-existing illnesses and most commonly die from pneumonia. Alzheimer’s disease is among the top 10 leading causes of death in the U.S. It is estimated that as many as 5.1 million Americans may have Alzheimer’s disease. The numbers of people age 65 and older will more than double between 2010 and 2050 to 88.5 million or 20 % of the population; likewise, those 85 and older will rise three-fold, to 19 million, according to the U.S. Census Bureau.

If you are experiencing forgetfulness with daily routines, please reach out to use in therapy. We have a dedicated team of Speech Therapists who specialize in this and may be able to help. Please join us Wednesday, June 18th at 1:30 pm in the PAC for our Smart Moves presentation on this subject.


10 Important Tips About Foot Care


Proper foot care is essential for older adults because it can help prevent injuries, falls, and complications from chronic diseases like diabetes. Learn how to properly care for your feet so they can continue to take you wherever you need to go.

    1. Be good to your soles. As you age, the muscle tissue in your feet can thin and your nerves may not work effectively. This can lead to loss of feeling in your feet (neuropathy). Use a long-handled mirror – it will extend your reach several inches – to see what you may not feel. Examine the soles of your feet and in-between your toes every day for cuts, blisters, sores or any areas of skin breakdown from moisture. This is especially important if you have diabetes.
    2. Choose the right footwear. Wearing the right footwear can help you keep your balance, prevent falls and reduce the risk of blisters and other injuries. Never purchase shoes that rub or slide around on your heel as you walk – this is a common way to develop blisters that can become more serious sores. Also avoid shoes that are too tight, slick on the bottom, have high heels or pointy toes.
      If you have diabetes or neuropathy, talk with your doctor about prescription orthotics (supports or devices worn in your shoes). You may be eligible for custom orthotics partially covered by Medicare.
    3. Get the right fit. Here are a few suggestions:
      • Visit the shoe store in the afternoon when your feet are slightly swollen from daily activities.
      • Have a sales associate measure your feet so you can select the correct size. It’s normal for your feet to change sizes slightly as you age.
      • Choose the shoe size that fits your larger foot (it’s common to have one foot that’s bigger than the other).
      • Always try on shoes before you buy them to make sure they fit. A good rule of thumb: your toes should be half an inch from the tips of your shoes when you are standing.
    4. Barefoot isn’t better. When going outdoors, always wear shoes (preferably closed-toe shoes) to prevent cuts, scrapes, and falls. It’s also best to wear shoes as much as possible while indoors to protect your feet.
    5. Keep your toenails in tip-top shape. Trimming your toenails correctly (straight across and no shorter than the tip of your toe) is key for preventing ingrown toenails. If you have diabetes or trouble reaching your feet, see a podiatrist (a physician who specializes in foot care), not a nail salon technician, for regular medical pedicures and nail trimming.
    6. Get the blood flowing. As you age, you may have decreased blood circulation to your feet. To promote healthy circulation:
      • Prop up your feet on a stool or couch when sitting down
      • Wiggle your toes when you sit for long periods of time
      • Stretch daily
      • Give yourself regular foot massages
    7. And, if you smoke, now’s the time to quit. Smoking can affect good circulation in the body.

    8. Keep your feet dry. Change your socks regularly and make sure your feet aren’t damp from sweat or a shower before putting on your shoes.
    9. But not too dry. Keep your feet moisturized to prevent cracking, itching and calluses. Stick with gentle soap and apply cream or lotion daily after your shower or bath.
    10. Fight fungal infections. Prevent athlete’s foot by wearing shoes that fit properly, changing your socks or stockings daily (or whenever they become damp) and applying foot powder each day. If you experience itching or burning, see your podiatrist for treatment.
    11. Visit your podiatrist regularly for foot checks. Your podiatrist can catch problems like bone spurs, hammertoe, neuromas, bunions, warts, ingrown toenails or wounds before they cause more serious problems.

    Please join us April 18th at 1:30 pm in the PAC for our Smart Moves presentation on this topic.