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.


The Importance of Nutrition

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

Eating a well-balanced mix of foods every day has many health benefits. Eating well may reduce the risk of heart disease, stroke, type 2 diabetes, bone loss, some kinds of cancer, and anemia. If you have one or more of these chronic diseases, eating well and being physically active may help you better manage them. Healthy eating may also help you reduce high blood pressure, lower high cholesterol, and manage diabetes. Eating well gives you the nutrients needed to keep your muscles, bones, organs, and other parts of your body healthy throughout your life. Eating well helps keep up your energy level by consuming enough calories. In order to get energy from food, the number of calories needed depends on how old you are, whether you’re a man or woman, your height and weight, and how active you are.

Eating well is important for everyone at all ages. Your daily food choices can make an important difference in your health, how you look, and feel. Older adults should choose foods rich in fiber; drink 8 glasses of water and other beverages that are low in added sugars. Carbohydrates are one of the main types of nutrients. They are the most important source of energy for your body. Your digestive system changes carbohydrates into glucose (blood sugar). Your body uses this sugar for energy for your cells, tissues and organs. It stores any extra sugar in your liver and muscles for when it is needed.

We often think of fats as unhealthy, but your body needs a limited amount of certain kinds of fats. Fats give you energy and also help your body absorb vitamins. However, fat contains more than twice as many calories as protein or carbohydrates. Eating too many high-fat foods will add extra calories and lead to weight gain. Excess weight increases your risk of developing type 2 diabetes, heart disease, or other health problems. Excess weight can also make it harder to control these diseases if you have them.

Eating healthy at Kirby PinesEating is one of life’s pleasures, but some people lose interest in eating as they get older. They may find that food no longer tastes good or don’t enjoy meals because they often eat alone. Others may have problems chewing or digesting the food they eat. If you don’t feel like eating because of problems with chewing, digestion, or gas, talk with your doctor or a dietitian. Avoiding some foods could mean you miss out on necessary vitamins, minerals, fiber, or protein. Not eating enough could mean that you don’t consume enough nutrients or calories. One reason people lose interest in eating is that their sense of taste and smell change with age. Foods you once enjoyed might seem to have less flavor when you get older. Some medicines can change your sense of taste or make you feel less hungry. Talk with your doctor if you have no appetite, or if you find that food tastes bad or has no flavor.