Youth, it is said, is wasted on the young. Too busy figuring life they hardly take the time to enjoy it. Fortunately, with medical research and scientific progress, lifespans have doubled over the last century. We can now start life at fifty and have another go at youth. Health consciousness, appropriate diet and exercise, can make the later years of life a pleasant experience. Dietary principles play as especially important role in this regard. Compensating for the physiological changes of aging, they can give us better odds at achieving our genetically determined lifespans.

The advancing years experience a complex interplay of changes affecting the mind, body, and the environment. Alterations in organs systems and cellular function can often predispose to malnutrition and a host of chronic illnesses (Servan 1999). Some of these problems can be attributed to the decrease in the total protein content and are in themselves preventable with appropriate attention to the protein content of the diet.

A decrease in protein turnover, such as that seen in aging, has far reaching effects (Chernoff 2004). Vital organ systems like the heart and lungs slow down, becoming incapable of further exertion. Neural processes like thought, planning and cognition are also affected. The immune system becomes weak, exhibiting a delay and difficultly in dealing with infections (Thompson 1987). Wound healing and repair, which requires a constant supply of amino acids, is also compromised.

Another issue associated with aging is the reduced capacity to deal with free radical species. These highly reactive molecules are produced by cells under stress. Free radicals can precipitate a chain reaction, damaging cell membranes and the genetic code. They have been implicated in a variety of disease processes from infection, heart attacks and cancer. This inability to handle free radicals is also responsible for aging. It is now believed a high protein diet can be helpful in attenuating many of these problems (Chernoff 2004).

Merely providing proteins through regular diets fail to meet the special requirements of the elderly. A protein supplement is often needed to ensure easy digestion, rapid absorption and assimilation. The protein supplement should also be of good quality and contain all the essential amino acids in adequate quantity. Such a supplement can adequately provide essential amino acids irrespective of the gut’s ability to assimilate them. Such a protein supplement will be able to address the increase protein demand and malnutrition seen in the elderly, restoring the ability to build and repair tissues. A good protein supplement also has other significant benefits in the elderly that often go unrecognized.

A high protein diet has a ‘thermogenic’ or fat-burning effect. The body spends more energy to assimilate protein than carbohydrates or fats. This energy is often derived from the adipose tissue, thus burning fat in exchange for protein (Bloomgarden 2004). Then if the protein supplement has whey in it, it can also inhibit cholesterol absorption in the gut, reducing the risk of obesity and cardiac disease (Nagaoka 1996). Protein supplements that have casein can form a clot in the gut, thereby slowing down intestinal motility (Boirie et al. 1997) and giving the gut enough time to absorb all the amino acids from a meal. This property is important considering that aging also slows down and compromises digestion.

Protein supplements that combine casein with whey multiply the advantages of each component. Both casein and whey protein have a group of substances called kinins that can lower blood pressure by relaxing the blood vessels (FitzGerald, 2004.). Both proteins enhance the immune system through several mechanisms (Ha and Zemel, 2003). Lactoferrin, in whey protein, binds iron and depriving many micro-organisms of a growth stimulus. Free iron induces the formation of free radicals and is one factor responsible for colon cancer. This is also prevented by protein supplements that contain lactoferrin (whey).

Whey also has other antioxidants to offer. It is rich in cysteine, a precursor of Glutathione that is potent at mopping up free radicals (Counous, 2000). This generalized improvement in antioxidant capacity can counter cancerous and aging processes seen in the later years of life. Whey protein is also known to enhance memory as it promotes the synthesis of a neurotransmitter, serotonin that is involved in cognition and thought (Markus 2002). Milk basic protein, a component of whey, has the ability to stimulate proliferation and differentiation of bone forming cells as well as suppress bone resorption as found in vitro and animal studies. This can protect against weak bones, or osteoporosis, especially in the post-menopausal women (Toba 2000).

Thus there is extensive medical literature in support of a high protein, casein and whey supplement in the elderly population. These studies have also failed to document any major adverse effects with long-term intake of such supplements. Such a supplement can go a long way in making the later years of life more productive and fruitful.

ABOUT PROTICA

Founded in 2001, Protica, Inc. is a nutritional research firm with offices in Lafayette Hill and Conshohocken, Pennsylvania. Protica manufactures capsulized foods, including Profect, a compact, hypoallergenic, ready-to-drink protein beverage containing zero carbohydrates and zero fat. Information on Protica is available at http://www.protica.com

You can also learn about Profect at http://www.profect.com

REFERENCES

1. Arnal MA, Mosoni L, Boirie Y, et al (1999). Protein pulse feeding improves protein retention in elderly women. Am J Clin Nutr; 69: 1202-1208.

2. Bloomgarden ZT, Diet and Diabetes. Diabetes Care, volume 27, number 11, 2004

3. Boirie Y, Dangin, M, Gachon P, Vasson, M.P et al. (1997) Slow and fast dietary proteins differently modulate postprandial protein accretion. Proclamations of National Academy of Sciences, 94: 14930-14935.

4. Bounous G (2000). Whey protein concentrates (WPC) and glutathione modulation in cancer treatment. Anticancer Res 20:4785-4792.

5. Campbell WW, Crim MC, Dallal GE, Young VR and Evans WJ(1994).Increased protein requirements in elderly people: new data and retrospective reassessments. American Journal of Clinical Nutrition, Vol 60, 501-509.

6. Chernoff R (2004). Protein and Older Adults. Journal of the American College of Nutrition, Vol. 23, 627S-630S.

7. Counous, G (2000). Whey protein concentrates (WPC) and glutathione modulation in cancer treatment. Anticancer Research, 20: 4785-4792

8. FitzGerald R J, Murray B A, and. Walsh D J (2004). Hypotensive Peptides from Milk Proteins. J. Nutr. 134: 980S–988S.

9. Ha, E. and Zemel, M.B (2003). Functional properties of whey, whey components, and essential amino acids: mechanisms underlying health benefits for active people. Journal of Nutritional Biochemistry, 14: 251-258.

10. Hernanz A., Ferna´ndez-Vivancos E., Montiel (2000). Changes in the intracellular homocysteine and glutathione content associated with aging. Life Sci, 67: 1317–1324.

11. Kent KD, Harper WJ, Bomser JA (2003). Effect of whey protein isolate on intracellular glutathione and oxidant-induced cell death in human prostate epithelial cells. Toxicol in Vitro, 17(1):27-33.

12. Lands LC, Grey VL, Smountas AA (1999). Effect of supplementation with a cysteine donor on muscular performance. J Appl Physiol 87:1381-1385.

13. MacKay D. Miller AL, 2003. Nutritional support for wound healing. Altern Med Rev; 8:359-377

14. Markus C R, Olivier B, and Haan E (2002). Whey protein rich in α -lactalbumin increases the ratio of plasma tryptophan to the sum of the other large neutral amino acids and improves cognitive performance in stress-vulnerable subjects. Am J Clin Nutr, 75:1051–6.

15. Meyyazhagan S,. Palmer R.M (2002). Nutritional requirements with aging. Prevention of disease. Clin Geriatr Med, 18: 557–576.

16. Nagaoka S (1996). Studies on regulation of cholesterol metabolism induced by dietary food constituents or xenobiotics. J Jpn Soc Nutr Food Sci, 49:303-313.

17. Servan R P, Sanchez-Vilar O, de Villar G N (1999). Geriatric nutrition. Nutr Hosp, 14 Suppl 2:32S-42S.

18. Shah NP (2000). Effects of milk-derived bioactives: an overview. Br J Nutr, 84:S3-S10.

19. Thompson JS, Robbins J, Cooper JK (1987). Nutrition and immune function in the geriatric population. Clin Geriatr Med, 3(2):309-17.

20. Toba Y, Takada Y, Yamamura J, et al (2000). Milk basic protein: a novel protective function of milk against osteoporosis. Bone 27:403-408.

21. Walzem RL, Dillard CJ, German JB (2002). Whey components: millennia of evolution create functionalities for mammalian nutrition: what we know and what we may be overlooking. Crit Rev Food Sci Nutr, 42:353-375.

22. Weinberg ED 1996. The role of iron in cancer. Eur J Cancer Prev, 5:19-36.

Copyright Protica Research - http://www.protica.com

Exercise has a very important role in the general health and the quality of life of everyone, but especially in seniors. Seniors who walk tend to look younger, sleep more soundly and have fewer visits to the doctor. Walking for 30 to 60 minutes four to six days a week will help improve osteoarthritis and decrease the risk of osteoporosis, heart disease, hypertension, diabetes and obesity. Walking is the top recreational sport for seniors.

Although many seniors may be scared to start an exercise program because they are worried about injury, the health benefits of exercise outweigh the risk of injury. Walking is considered one of the best forms of exercise because it’s safe, cheap and easy. Unfortunately, foot problems can prevent seniors from starting or continuing with a walking program. Follow these tips to help avoid foot problems when walking:

1. Choose the right shoe. Make sure the shoe is supportive and bends only at the toes. The shoe should also be stable from side to side. If you can twist the shoe or fold it in half, it is too flexible. The shoe should have enough wiggle room for the toes, yet be snug enough to keep the heel from slipping.

2. Buy shoes in the afternoon. Feet swell during the day and it is better to fit your shoes at this time. The only exception to this rule would be if you always do your walks in the mornings. Make sure your foot is measured at the store to obtain your correct size. Feet change size over time. Most feet lengthen and widen over the years, increasing the shoe size. Don’t assume you’ve always been the same shoe size.

3. Start slowly with an easy pace. Try a short walk of 15 minutes and gradually increase the time each day.

4. If you haven’t walked before, make sure you start on a flat, soft surface. A great surface to start on is a level, dirt path. Don’t jump into climbing hills until you build some endurance.

5. Warm up before walks. Gentle stretching before and after walking can improve circulation and prevent injury. But, don’t over stretch. If you haven’t stretched before, be careful not to over do it. This can lead to injury.

6. Avoid walking in bad weather. Cold, wet weather makes surfaces slippery and hard and decreases visibility. Muscles can become tight and the feet can become numb, increasing the chance of injury.

7. Examine your feet after the walk. Look for areas of irritation, red spots, blisters or areas of swelling. Self- treating can turn a minor problem into a major problem. Consult a podiatrist if a problem persists.

8. Avoid cotton socks. The white cotton socks you’ve been told to wear all these years are not appropriate for exercise walking. Synthetic or wool socks will help wick moisture away from your feet as you walk. This will decrease your chance of fungal infections, excess rubbing or blister formation.

9. Walk in well-lit places. The darker the trail or road, the more difficult it is to see and the higher the chance you will have of tripping, falling or twisting an ankle.

10. Don’t walk through pain. As soon as you notice a foot problem, stop walking. If you continue walking with an injury you could be making the problem worse. If you feel it’s necessary to continue your exercise program, try using a stationary bike while you give your foot a rest. If a few days of rest does not resolve the problem, see a podiatrist.

Christine Dobrowolski is a podiatrist and the author of Those Aching Feet: Your Guide to Diagnosis and Treatment of Common Foot Problems. To learn more about Dr. Dobrowolski and her book visit http://www.skipublishing.com. For information on foot products to keep you walking, visit http://www.northcoastfootcare.com.

Moving to a smaller house or apartment in a retirement community almost always involves a certain degree of trauma, both for the elder who’s moving and for family members. However, by planning ahead you can reduce the discomfort involved and turn what might well become a nightmare into a pleasant event.

Begin by Planning for the Move

Where is the elder moving? Go to the actual house or apartment with tape measure, pad and pencil and write down measurements. Floor space is important, but don’t forget about ceilings. Many elders own large pieces of furniture that may not fit into rooms with low ceilings. Your work here will determine which pieces can move with your elder.

And while you’re at the actual location, talk to several other elders who already live there. What is their life style? Do they go outside the property on frequent trips? How do they dress? Casual lifestyles will require an entirely different style of dress than more formal ones.

Gather Supplies and Contact Helpers

Having all the supplies you will need in one place will speed your task. You’ll want a number of storage bins; five or six should be sufficient to hold sorted items. Plastic bags can be used for discarded belongings and as a container for articles to be donated to charities. Packing boxes and supplies such as padding materials and wide sealing tape are must-haves. Labels and dark marking pens are essential to ensure that boxes go to their intended location.

While you’re in the gathering stage, begin to contact helpers you’ll need. Among these may be:

Ask friends, relatives, and senior real estate specialists for recommendations. Also, check with the Better Business Bureau to ascertain whether problems have been reported about particular companies or individuals.

Approach Your Task One Room at a Time

Who should help? The elder and one family member should assume responsibility for sorting all items and some packing. Do not include everyone in the family if you want to make the job quick and easy because distractions increase in geometric proportion to the number of persons doing the sorting.

Sort all the items in one single room at once, beginning and ending in the kitchen. Why start there? Because kitchens in small houses and apartments typically are short on storage space, and the elder needs time and experience to determine which items are true necessities, and which may never be used. If you reduce kitchen items to a bare minimum at the beginning, your elder can determine what’s needed and what’s not by living with them ahead of time. After living with fewer items, your elder may find that items once thought essential may not be needed. Complete work in the kitchen at the very end of your tasks.

Even though you intend to stay in only one room, distractions will occur. Resist them by stacking items that belong in another room at the door. A bin or box placed just inside the door can contain all the items that have homes elsewhere.

Make your motto One Thing at a Time; One Time for each Thing. Once you’ve picked up an item, decide then and there what its fate should be. Place it in one of the bins you’ve labeled:

Large collections of books may require their own bins. You might have bins for Collectors’ editions, books to be stored, books to be sold to book dealers.

When you have finished categorizing all the items in the room, start the packing process. Items in the Uncertainties bin can be packed for storage.

If an unbreakable item is to be moved only a short distance, don’t waste time on elaborate packing and padding. Items like crystal and china, however, require excellent packing, regardless of the distance they will be moved. If you can’t do a great job, leave packing fragile items to professionals.

Mark boxes as you go.

Mark boxes as you go.

Mark boxes as you go.

Nothing is more frustrating than finding that you’ve shipped your elder’s bed linens to Aunt Minnie and kept a silver salver you meant to send your nephew.

Don’t try to do everything at once. Do only one room on any given day, and take the time to enjoy reminiscing as you sort items.

This is also the perfect time to have a certified appraiser come in to appraise items that may be of significant value. Very expensive items may be auctioned at an auction house such as Christy’s or Sotheby’s. Less expensive items can be sold to local antiques dealers. By having an idea of their value before going to dealers, you reduce the chance that dealers can scam you.

You could also consider selling items through an on-line auction. If you do so, remember that you will be responsible for shipping items and ensuring their condition to successful bidders.

Distribute Items to the Intended Recipients

Schedule a single day for distribution of items. In-town relatives can come to pick up items intended for them; they may also be helpful by taking bags to charities, books to resellers, boxes to storage, and trash to dumps.

Use this day for shipping as well. Small items can be shipped via UPS or FedEx; large pieces of furniture and antiques may require special handling by movers. Once you’ve finished distribution, you should have a considerably reduced pile of boxes and furniture. These boxes should contain only items to be moved to the elder’s new residence or to storage. Remaining items should be those to be sold in an estate sale.

Move the Elder to His New Residence

Will the mover actually show up on time? Will the mover actually show up at all? Increase the probability of a good outcome for the move by contacting the mover to confirm arrangement a week ahead and the day before the actual move is scheduled. Of course, missed appointments may still occur, but if you’ve checked out the company with the Better Business Bureau and reminded the company of your appointment, the chances are good that the move will go as planned.

Accompany your elder to his new residence and help him with the moving-in process. Even if not all boxes can be emptied in a single day, he will feel more comfortable if a few items that are meaningful to him are unpacked and placed where he can find them.

Hold an Estate Sale

Once the movers have left the premises, the estate sale professionals should come in to evaluate and price items for the estate sale. Give them a key to the house, and then get out of their way. If you have chosen well, these professionals can do a great job of pricing items to sell and clearing the house of whatever remains. They will take a percentage of the sale receipts as compensation.

The days of the sale are good days to keep your elder busy elsewhere. A tearful elder does nothing to help sales.

Schedule a professional cleaning service to clean the house once the estate sale is over. When that has been completed to your satisfaction, turn the keys over to your senior real estate professional and give yourself a big pat on the back. You’re done!

Click here for a checklist to help you through this process. Or copy this address into your browser address bar.

http://www.thebestisyet.net/cgi-bin/cgiwrap/pando19/start.cgi/movechecklist.htm

About The Author

Phyllis Staff, Ph.D. - Phyllis Staff is an experimental psychologist and the CEO of The Best Is Yet.Net, an internet company that helps seniors and caregivers find trustworthy residential care. She is the author of How to Find Great Senior Housing: A Roadmap for Elders and Those Who Love Them. She is also the daughter of a victim of Alzheimer’s disease. Visit the author’s web site at http://www.thebestisyet.net

pando19@thebestisyet.net

As HMOs Continue to Drop Coverage for Seniors - Now Over 500,000 Victims - Those Needing Expensive Respiratory Medication, Support and Homecare Services are the Hardest Hit

One Patient Advocate, Geriatric Services of America, is Providing Relief to Victimized Patients Through a Unique, Often No-Cost Program

More than 536,000 US senior citizens are scrambling to find new doctors or new coverage because their health plans terminated their Medicare managed-care services, according to a Nonrenewal Report issued by the Centers for Medicare & Medicaid Services for the year 2002. Among the hardest hit are seniors in California (84,000), Florida (59,000), Pennsylvania (55,000), New Jersey (53,000), Texas (46,000), and Michigan (31,000), who will be losing coverage in the coming year. Even those with continuing coverage face substantial premium hikes and dwindling drug benefits. Particularly hard hit will be those with chronic illnesses such as respiratory disease, who will bear the brunt of high medication and healthcare costs.

Though all seniors 65 and older are covered by Medicare, those enrolled in managed-care programs agree to see doctors within a limited network and receive additional benefits, such as preventative care and prescription-drug coverage. The current coverage crisis stems from rising delivery costs and limited government reimbursement, as doctors and hospitals increasingly balk at seeing Medicare HMO patients, since they aren’t sufficiently reimbursed for their services. Without enough doctors and hospitals providing care, an HMO can’t serve its members. The problem is worst in large urban markets, where more than half of Medicare + Choice beneficiaries live nationwide but where reimbursement rate increases have trailed rising costs since 1997.

To compensate for the funding shortfall, premiums for seniors retaining Medicare HMO coverage are expected to spike while benefits dwindle in the coming year. In California’s Sacramento-area, for example, monthly premiums for Kaiser Permanente’s Senior Advantage Medicare Plan will double from $40 to $80 starting Jan. 1st. Healthnet, following suit, is raising premiums 50 percent, from $40 to $60 per month for its Seniority Plus members in the area. Pacificare and Western Health Advantage, while holding monthly premiums at $50 in their Sacramento-area Medicare plans, will eliminate brand name drug coverage next year.

Across the nation, seniors caught between rising premiums and shrinking coverage will find themselves in a similar bind. Even those with Medigap policies will feel the squeeze. Medigap policies A through J, for instance, have minimum standard benefit packages, and the H, I, and J plans covering prescriptions have annual drug caps ranging from $1,250 to $2,000.

For the 30 million Americans with a Chronic Obstruction Pulmonary Disease (COPD) such as asthma, emphysema or cystic fibrosis - collectively the fourth leading cause of death in the US, however, help is available with Geriatric Services of America (GSA), a national community service organization based in Tempe, Arizona which provides direct help and support to older Americans suffering from chronic respiratory disease. Through its Respiratory Disease Control Program, GSA provides access to a comprehensive range of special medication benefits, as well as support and homecare services, which eliminates out-of-pocket expenses for patients with primary or supplemental insurance coverage.

Through GSA’s patient support center, nebulizers and respiratory medication are provided and paid for with free home delivery, conveniently packaged and ready to use. GSA handles all paperwork, and clinical Patient Care Coordinators work with doctors and insurance companies once a patient has enrolled in the Respiratory Disease Control Program. Patients can enroll themselves in the program; there is nothing to buy, and no enrollment or membership fees.

Currently, Medicare, AARP, Blue Cross, Blue Shield, and over 180 other insurers have special benefits for patients with respiratory disease. GSA provides access to these benefits, and coordinates all elements of care to help patients, doctors, and insurance companies combat respiratory disease.

At a time when US seniors face restricted health care access, rising premiums, and shrinking benefits, GSA stands out as a welcome ally for those needing respiratory medication benefits, support, or homecare services. For more information about GSA, or how someone you know can enroll in this special wellcare program, write to 4812 South Mill Ave., Tempe, AZ 85282; call 800-307-8048; fax 800-345-2425; or email Gary Rheault directly at grheault@geriatricservices.com.

About The Author

Del Williams is a technical writer based in Torrance, California.

During the week of February 17, 2002, headlines screamed the news - more than 92% of US nursing homes fail to have an adequate number of staff to provide quality care for elderly residents. Newspapers and radio programs based their stories on the new study the Health Care Financing Administration (HCFA) recently provided to the Senate’s Special Committee on Aging.

Interesting findings led us to reexamine our current data set of nursing home deficiencies. What we found may surprise you; there was no relationship between the level of staffing and the number of deficiencies reported for nursing homes. However, there was a relationship between level of staffing and percent of residents with pressure sores and physical restraints.

This article is provided to you so you’ll have a greater understanding of what these findings mean.

The HCFA Study

Purpose - HCFA’s study was performed at the request of the Senate’s Special Committee on Aging to determine what minimum level of nursing home staffing was required in order to provide quality care.

Findings - The study reported that a minimum level of staffing, determined to be 2.9 hours of Certified Nursing Aide (CAN) time per resident was required for quality care. A number of measures went into this finding. Among them, a time and motion study examined the time required for basic services such as dressing and toileting.

A correlational study that examined the relationship between pressure (bed) sores and staffing found that a higher level of staffing was related to lower levels of pressure sores. This study was somewhat limited by the fact that homes with very low levels of staffing refused to participate; it may be inferred that the correlational findings would have been stronger with the participation of these homes.

In addition, the HCFA study examined the accuracy of reported level of staffing in survey and cost reports. They found that cost reports were more accurate than survey results in reflecting an accurate level of staffing as determined by nursing home payrolls.

Limitations - The report was limited by the extent of the data gathered (3 states included) and may not be generalizable across all states.

When Should Staffing Concern You

When the best is yet.net began examining long-term care, we attempted to gather data on staffing and found that it was extremely difficult to acquire accurate information. Then a well-respected administrator advised us that while staffing was important, it was not as good as measure of quality as the level of care residents actually received. We have learned through experience how right his advice was.

So what should you look for when determining the quality of care residents receive?

What You Can Do to Find Good Care

What Else Can You Do?

The current growth in an aging population means that more and more people will require long-term care unless we do something about it now. That something becomes very personal for those of us in the Baby Boomer generation who will, within a few years, be part of the generation potentially needing nursing home care.

So, how’s your health? Do what you can to ensure that your later life will not be complicated by any of the three leading causes of nursing home stays: heart disease, stroke and cancer.

About The Author

Phyllis Staff, Ph.D. - Phyllis Staff is an experimental psychologist and the CEO of The Best Is Yet.Net, an internet company that helps seniors and caregivers find trustworthy residential care. She is the author of How to Find Great Senior Housing: A Roadmap for Elders and Those Who Love Them. She is also the daughter of a victim of Alzheimer’s disease. Visit the author’s web site at http://www.thebestisyet.net

pando19@yahoo.com

Severe degradation of short-term memory means that my father, an Alzheimer’s elder, is seldom interested in movies or books. And, although music used to be a source of enjoyment, he no longer listens with pleasure. Left to his own devices, he sits. . .and sits. . .and sits unless he’s sleeping. What to do?

We’ve found that visually stimulating events often perk our Alzheimer’s elder right up. So we’ve added weekly, sometimes daily, trips, preferably four hours or less in duration, to his routine. These appear to add to his enjoyment of life and stimulate him to the extent that sometimes he’ll add spontaneous comments to a conversation, a rare event nowadays.

Here are some of the outings that have added a little oomph to his life (and provided a short break from the daily grind of caregiving):

IMAX

IMAX presentations offer stunning cinematography that grabs and holds attention. The presentations are usually fairly short, about an hour in length, without a complicated story line. He enjoys the 3D effects and has remembered these films for several hours after the fact.

RIDE THE RAILS

A ride on the Dallas Area Rapid Transit rail takes less than three hours when you board at one end of the line and ride round-trip. In between, there are interesting stopovers, such as the West End, where people congregate for restaurants and entertainment. We think he enjoys watching the people as much as the museums and restaurants.

VISIT THE FARMER’S MARKET

Talk about visual stimulation! You couldn’t find a place with more going on or more interesting things to see. He loves the market, and, as a bonus, we’re able to find really fresh fruits and vegetables and flowers for the garden.

COMMUNITY THEATER

From time to time, community theaters produce old favorites that he still remembers. And the Grandbury Opera produces farces that we can all enjoy together. Trips to small towns like Grandbury that have preserved their history can supply openings to reminisce.

SHOP IN THE GROCERY STORE

If you’d never visited a supermarket, imagine how exciting your first trip would be! It’s probably quite similar for our Alzheimer’s elder and never fails to amuse him.

VISIT A SHOPPING MALL

Bookstores no longer hold much interest for my father, but walking the mall provides lots of opportunity for people-watching. He doesn’t care much for exercise these days, so a trip to the mall provides a built-in excuse for walking.

These particular jaunts might not work for your Alzheimer’s elder, but they should fire up your imagination.

About The Author

Phyllis Staff, Ph.D. - Phyllis Staff is an experimental psychologist and the CEO of The Best Is Yet.Net, an internet company that helps seniors and caregivers find trustworthy residential care. She is the author of How to Find Great Senior Housing: A Roadmap for Elders and Those Who Love Them. She is also the daughter of a victim of Alzheimer’s disease. Visit the author’s web site at http://www.thebestisyet.net

pando19@thebestisyet.net

There is now widespread agreement among research scientists and medical professionals that Alzheimer’s Disease (AD) is a problem quickly growing to vast proportions. As the life expectancy of Americans continues to rise, increasing the percentage of the population over 65 years of age, so does the number of Alzheimer’s cases.

It is currently estimated that people over 65 years of age have a 10% chance of developing Alzheimer’s, while those over 85 have a 50% likelihood of developing AD, making it the leading cause of dementia among older people. Though the disease is associated primarily with memory loss, its effects also comprise a number of other severe disabilities, including changes in personality, disorientation, difficulty with speech and comprehension, and a lack of ability to move normally.

Consequently, most Alzheimer’s patients require a great deal of care, costing society close to $100 billion annually. According to Christian Fritze, Ph.D., Director of the Antibody Products Division at Covance Research Products, "The impact of Alzheimer’s Disease on our society will only increase as our population ages. The prevalence of the disease and disabling effects on the patient are significant by themselves. In addition we are becoming increasingly aware of the far-reaching effects on families, care-giver networks and the economics of our health care system. The drive for progress towards effective treatments by the research and drug development community is growing stronger every day."

A New Consensus

But recent developments in the medical research community do provide some hope. During the last two years, there has been a growing consensus among Alzheimer researchers about the cause of Alzheimer’s disease, providing focus for scientists exploring the new treatment options.

The focus is on amyloid beta oligomers, a new wrinkle on an older hypothesis called the “amyloid cascade hypothesis”. Widespread acceptance of this new conclusion is something of a milestone in the history of Alzheimer’s research. As Dr. Fritze says, "The decades old quest for the causative agent in Alzheimer’s Disease has recently focused on the precursors of amyloid plaques. These precursors are part of a bewildering array of processed (APP) Amyloid Precursor Protein) variants, Tau isoforms and secretase components that play a role in neuronal cytotoxicity and subsequent brain dysfunction.”

Amyloid plaques are sticky protein deposits in the brain containing amyloid beta peptide. Researchers have associated the buildup of this plaque with Alzheimer’s disease since its discovery in 1907. But despite the clear correlation, scientists were not sure what, exactly, spurred the onset of Alzheimer’s Disease.

The hypothesis that amyloid beta accumulation in the brain is the major cause of Alzheimer’s Disease1 has been the focus of much attention over the past decade. Although this hypothesis was the leading explanation for the cause of AD, it had several weaknesses. The most obvious problem with the theory was the fact that the buildup of amyloid beta peptides did not necessarily correspond with the severity of Alzheimer’s symptoms.

However, in 19982 and in 20023, researchers proposed that it was not the amyloid beta plaques themselves that were neurotoxic – and therefore the cause of Alzheimer’s – but rather precursors to amyloid beta plaques formed by smaller aggregates of amyloid beta. These new ideas are gaining widespread acceptance among the Alzheimer’s research community, creating a consensus that had not existed before.

This new focus provides one more spur to action for Alzheimer’s researchers, and underscores the need for further advancement. “The AD field demands sophisticated, highly-sensitive research tools to track these components and quantitate the existence of monomeric, oligomeric and fibrillar amyloid forms present in the progression of Alzheimer’s disease,” says Dr. Fritze.

Antibody Treatment

Two new studies, both released in October 20044, suggest that new treatment options may be on the horizon. The studies are the modification of one of two previous attempts using amyloid beta (Aβ) antibodies in the treatment of Alzheimer’s Disease. The previous attempts, though not successful, did at least suggest new courses of action in Alzheimer’s research and provided invaluable information for researchers.

In the first of the two previous attempts, researchers injected the antigen itself – pieces of the beta amyloid protein that makes up amyloid plaque – into mice, in the hopes that the injections would generate an immune (antibody) response against amyloid. Results were initially positive. The injected antigen produced Aβ antibodies and slowed the onset of the disease by decreasing Aβ levels. However, when tried on humans, the procedure led to meningoencephalitis (an inflammation of tissue around the brain) in some patients, and was therefore halted.

In the second attempt, a passive immunity therapy was tried in which antibodies to amyloid beta (not amyloid protein) were injected into mice, but hemorrhaging and inflammation ensued due to the high antibody doses required to be effective.

New Hope

But now there appears to be new hope for the use of antibodies as therapeutic agents for the treatment of Alzheimer’s patients. In the first of the two new studies that appeared in October conducted by the National Institute for Longevity Sciences, NCGG, and the Center for Neurological Diseases, Brigham & Women’s College, Harvard Institute of Medicine, researchers modified the first procedure. Concluding that the meningoenchaphalitis which occurred in some patients was caused by autoimmune T-cell activation, the researchers hoped to develop a vaccine that could minimize this T-cell activation while retaining the production of Aß antibodies.

To accomplish this they created an oral vaccine that attached Aß DNA to an adeno-associated virus vector, which served to mitigate T-cell activation. Thus they were able to decrease Aß levels in the brains of the mice and yet not activate T-cells to the degree they had before, greatly reducing the risk of meningoencephalitis.

In the other new study, conducted at the University of Illinois at Chicago, researchers succeeded in making the passive immunity protocol much safer. This they accomplished by changing the point of entry for the Aß antibodies. Rather than injecting the antibodies into the body of the mice, as was done previously, antibody was injected directly into the brain of the mice. Because the antibodies were injected directly into the brain, smaller doses were needed, and side effects were minimized.

The results of the above studies, and the potential for further optimized immunization strategies may prove to be watershed events in the history of Alzheimer’s treatment.

Covance is a leading provider of innovative antibody products and custom antibody development services to the research community for Alzheimer’s disease. Visit www.Covance.com for more in-depth information and to view the suite of products for Alzheimer’s disease. Boris Predovich is Vice President of Immunology and Surgical Services at Covance Research Products.

Notes

1. J.A. Hardy, G.A. Higgins (1992), Science, 256:184-5.
2. M.P. Lambert et al (1998), Proc Natl Acad Sci, 95:6448-53.
3. D.M. Walsh et al (2002), Nature, 416:535-9.
4. Neelima B. Chauhan et al (2004), Journal of Neuroscience Research, 78, 5:732-741.
Hideo Hara et al (2004), Journal of Alzheimer’s Disease, 6, 5:483-488.

R. L. Fielding writes on many health-related topics.

Every year we hear stories of seniors falling, ending up in hospitals and never fully recovering. Unfortunately, these falls often result in death. According to the Centers for Disease Control and Prevention (CDC), falls are the leading cause of injury related deaths for seniors age 65 and older. Every year, approximately 35% to 40% of seniors over 65 years of age fall at least one time. The following are five ways to help reduce the risk of you or a loved one from falling:

1. Keep Indoor Pathways Safe- Remove throw rugs or use double sided tape to prevent rugs from becoming loose. Keep telephone and electrical cords out of walkways as well as items such as shoes, blankets and books. Move furniture out of walkways to ensure the path is clear. Always keep stairways free from clutter.

2. Review Medications- Visit with your doctor or pharmacist about the medications you or a loved one is taking. Some prescriptions and over the counter drugs can cause one to become drowsy, dizzy or unsteady. In addition, make sure to get your vision checked once a year to reduce the risk of falling due to poor vision.

3. Exercise Regularly- It is important to improve your muscle flexibility and strength to reduce the risk of falling. Balance and coordination are also important to help prevent falling, and these can be accomplished through regular exercise.

4. Add Safety Features to Bathroom and Bedroom- Install mats or suction cups in the bathtub. Place grab bars near the toilet, shower, and tub area, as well as bench or a stool in the shower. Consider using an elevated toilet seat to help reduce the risk of falling. In the bedroom, keep a lamp or light switch that can be easily reached without getting out of bed. Use night lights in the bedroom, bathroom and hallways.

5. Improve Outdoor Walkways- Paint the edges of outdoor steps, especially steps that are narrow or are higher or lower than other steps. Paint outside stairs with a mixture of sand and paint to help with traction. Keep walkways well lit and clear from debris, snow and ice.

In addition to keeping the home safe from hazards, always try to maintain good health and exercise habits. It is important to wear rubber soled shoes that fully support your feet. Furthermore, limit the consumption of alcohol, and use walking devices such as a cane or a walker if extra support is needed. By reducing the risk of falling, one is increasing the chances of living a happy and safe life.

————————————————————————— You have permission to use this article as long as the author’s full bio is present as well as any hyperlinks to author’s website.

Torey Farnsworth has over 12 years of experience working with seniors. Ms. Farnsworth’s vast expertise encompasses a wide variety of senior issues ranging from adult care to elder law. Her legal experience includes long term care planning, estate planning, ALTCS eligibility and Medicaid planning. Ms. Farnsworth is also a certified caregiver with the State of Arizona as well as a Certified Senior Advisor. Ms. Farnsworth has spent her career in senior care as her family owns and operates assisted living homes.

Ms. Farnsworth owns and operates a senior care placement business in Arizona called Horizon Senior Care Referral. Her placement services are free to seniors and their families. For information on placement services in Arizona, visit http://www.adultcarecentral.com

A skilled nursing home is a medical facility providing services similar to a hospital. The homes are staffed with licensed nurses, shared rooms, hospital beds, regular scheduled doctor rounds, meals and housekeeping. Skilled nursing homes often provide a more pleasant setting with optimal nurse to patient ratios and relaxed atmospheres.

Skilled nursing homes provide both long-term and short-term care solutions for seniors. Unlike Assisted Living or Board and Care homes, skilled nursing homes provide solutions for patients with complex medical issues that require 24-hour supervision. These issues can include mental issues such as dementia and physical issues such as major infections, wound care, IV therapy, tube feeding and physical/occupational therapy. Skilled nursing facilities are also a common solution for seniors that are unable to care for themselves on daily basis such as those suffering from Alzheimer’s and Parkinson’s disease.

A skilled nursing home typically provides a team approach when providing medical care to patients. A licensed individual, usually called the “administrator”, oversees the departments comprising the skilled nursing home. A licensed Director of Nursing [“D.O.N.”] is then responsible for the administration of each department providing care to residents. Each D.O.N. is directly involved in the medical care of each patient. Their duties include overseeing nurses, interacting with physicians and resolving any patient-related issues. In essence, the D.O.N. is the person overseeing the day-to-day medical care of the patient.

In addition to the Director of Nursing, a skilled nursing home will customarily have other professionals on staff to assist patients. A med nurse is always assigned for the sole purpose of administering medications prescribed for the patients. Physical and occupational therapists also work within the structure of care, coordinating specifically ordered therapies and reporting progress to doctors. An activities director is in charge of all social interaction and planned activities. Finally, a social worker is typically on staff to assist patients with emotional issues and arrangements for their care after discharge.

Alex Jensen is with http://www.careplacement.com - a free placement service for Southern California. Care Placement’s staff can review your care requirements to determine whether skilled nursing care, assisted living facilities or board and care homes are a viable option for seniors.

It’s not a surprise that thousands of families across the nation are facing the challlenges of an aging population. The "sandwich" generation, those who are caring for their children as well as their parents, have been feeling the financial pinch of caring for loved ones. Paying the high cost of Elder Care can cost a family thousands of dollars a month. Too many families are unaware of how utilizing a loved one’s life insurance policy can not only pay for Assisted Living and Nursing Home care, but can maintain the standards of living for the remaining spouse.

Not too many financial specialist inform their clients who have purchased life insurance policies with a death benefit over $250,000 that they can utilize a somewhat unknown option on their life insurance to pay for the high cost of Elder Care. It is called a Life Settlement and it can fully take the financial burden off of families who struggle to keep their loved one in a quality facility.

A policy owner has the right to sell his or her life insurance policy to an institution for signifantly more than the cash value of the policy. For example, a life insurance policy with a $500,000 death benefit and a $75,000 cash value can be purchased for $250,000 and up. This money can be used now to pay for assisted living, nursing homes as well as in home services also. The procedure is relatively quick with minimal paperwork. It is senseless to struggle financially to pay for the needs of elderly loved ones when they can utilize their life insurance policy to pay for care. Many, many times life insurance policies lapse when a loved one goes into assisted living or a nursing home just out of financial neccessity as well as through medicaid planning.

Instead of letting a policy lapse or into surrendership, smart families are looking into life settlements as a funding source for the high expense of Elder Care.

Chuck Bongiovanni, M.S.W. has been helping seniors and their fanmilies for over 20 years in the assisted living industry. Chuck can help your family investigate your options for paying for Elder Care through a Life Settlement. You can go to his website at http://www.LifeTransitionsOnline.com or call him directly at 480-703-7005.