december 2020 nsl...the carlton times theme of the month: in the month of august, we will celebrate...

The Carlton Times

Theme of the Month:

In the month of August, we will celebrate all things related toResidents will be encouraged to join in programming centered around

geography, cultural experiences, food tasting, and travel related todifferent experiences with stories All About Us. For theme relatedprograms, see the activities highlighted in on our monthly calendar.Join us in celebrating….

August 2020

380 Branham Lane, San Jose, CA 95136 408.972.1400 License# 435200727www.carltonseniorliving.com www.facebook.com/CarltonSeniorLivingSJ

The Carlton Times

Theme of the Month:

In the month of September, we will celebrate all things related toResidents will be encouraged to join in programming centered

around geography, cultural experiences, food tasting, and travel related todifferent experiences with back to school. For theme related programs, seethe activities highlighted in on our monthly calendar. Join us incelebrating…. Back to School

2726 Fifth Street, Davis, CA 95618 530.564.7002 License# 577005341www.carltonseniorliving.com www.facebook.com/CarltonSeniorLivingDavis

September 2020

The Carlton Times

Theme of the Month:

In the month of October, we will celebrate all things related to Harvest &Farm Life Residents will be encouraged to join in programming centeredaround geography, cultural experiences, food tasting, and travel related todifferent experiences with back to school. For theme related programs, seethe activities highlighted in on our monthly calendar. Join us incelebrating….


October 2020

Harvest & Farm Life

The Carlton Times

Theme of the Month:

In the month of November, we will celebrate all things related to CulturesResidents will be encouraged to join in programming centered aroundgeography, cultural experiences, food tasting, and travel related to differentexperiences with Cultures. For theme related programs, see the activitieshighlighted in on our monthly calendar. Join us in celebrating….


November 2020

Cultures

The Carlton Times

Theme of the Month:

In the month of December, we will celebrate all things related to Theatres& Arts. Residents will be encouraged to join in programming centeredaround geography, cultural experiences, food tasting, and travel related todifferent experiences with Theatres & Arts. For theme related programs, seethe activities highlighted in on our monthly calendar. Join us incelebrating….

December 2020

Theatres & Arts2726 Fifth Street, Davis, CA 95618 530.564.7002 License# 577005341www.carltonseniorliving.com www.facebook.com/CarltonSeniorLivingDavis

There is a special bond between grandparents and grandchildren. Grandparents are the people whoget to lovingly spoil the kids and then send them home with their parents for the hard work of parent-i

The Clinical Stages of Alzheimer’s DiseaseBy Lynne GripThe number of stages assigned to Alzheimer’s disease varies depending on the

source. TheAlzheimer’s Association designates three broad categories that include early-stage, middle-stage,and late-stage. Other resources such as the Mayo Clinic include a pre-clinical category, whichdevelops long before any symptoms are apparent. This stage can be identified only in researchsettings and can last for years and possibly even decades.

The early or mild stage of Alzheimer’s is one where people still live normally and independently butmay experience memory lapses beyond what is considered “normal aging.” We’ve all blanked onsomeone’s name, misplaced our keys or phone, or walked into a room and forgotten why we wentthere. Usually we laugh it off as having a “senior moment,” and that is essentially what it is. As wegrow older, most of us notice we’re just not as quick as we used to be and that it may take longerto learn and recall information, which is why it’s important to keep our brains active and maintaingood health.

With early-stage Alzheimer’s, memory deficits are more noticeable and include forgetting the rightname or word for something familiar, having difficulty performing usual tasks, forgetting what wasjust read, and having trouble with planning and organizing. People may also experience moodchanges and become more easily upset or frustrated. During this time, it’s important to seekmedical advice and continue to live well by taking control of overall health and wellness. It’s time tofocus on what’s important and make plans for the future to address legal, financial, and socialneeds. Though the rate of progression varies, it is estimated this stage can last anywhere from twoto four years.

With middle-stage or moderate Alzheimer’s, the symptoms of dementia are more pronounced.Words may be confused, and thoughts expressed with increased difficulty. The performance ofusual tasks and routines may require some level of assistance. There may be confusion about timeand place and increased difficulty controlling bowel or bladder functions. This stage is estimated tolast anywhere from two to 10 years.

In late-stage Alzheimer’s, symptoms are severe. The ability to engage and respond to theenvironment is essentially lost. Loved ones may not be recognized, and communication becomesmuch more difficult. At this point, around-the-clock personal care is generally required. It’simportant to maintain interaction through such things as family visits, gentle touch, and the playingof relaxing music. It is estimated this stage can last from one to three years.

It is important to remember that people may not fit neatly into specific stages and that stages canoverlap. People need to be assessed individually, and their care should be tailored to who they areand what they need at any given point in time.

What Do We Tell the Kids?by Lynne Grip

The Impact of Isolation on Dementiaby Lynne Grip

A recent study•conducted by the Florida State University College of Medicine evaluated•data col-lected from 12,000 people for 10 years. The study results indicated that loneliness increased therisk of dementia by 40% in the group studied. The risk was determined to be across the board andnot affected by gender, ethnicity, race, or education. It also was not dependent on whether partici-pants engaged in regular social contact. For the purposes of the study, loneliness was defined as“the subjective feeling of isolation,” which can be separate from actual social isolation. According toa study conducted by researchers at Rush Alzheimer’s Disease Center in Chicago, lonely individu-als may be twice as likely to develop the type of dementia linked to late-life Alzheimer’s disease.

It’s been well-demonstrated that our social environment and relationships affect both our behaviorand mental health. Feeling lonely and disconnected from others is stressful, and the impact ofstress, on especially the older body and mind, can worsen cognitive decline and increase the riskof dementia. The focus on staying mentally and socially active has been a long-standing approachto maintaining mental health.

With the arrival of the COVID-19 pandemic, the drastic measures to isolate, social distance, andlimit group activities and interactions with family members and friends translated into a nightmarefor maintaining mental health and well-being for all ages, but especially for the elderly.

The challenge for both family members and caregivers has been how to protect loved ones from thespread of the virus while maintaining cognitive and emotional health. A tough order on every level—individual, community, country, and worldwide. Here are a few interventions you may find helpful:

· Identify the elderly in your neighborhood who may be at risk and establish regular communi-cation and support. Regular phone calls, help with shopping, and outdoor visits with masksand appropriate social distancing are a few ways to stay connected.

· If you have a loved one in a senior care facility, partner with the staff to arrange for outdoorvisits and drop-offs of such things as letters, gifts, photos, and special treats.

· Arrange for regular video conferencing visits through such platforms as Zoom, Skype, or Fa-ceTime.

· Interactions with pets can help reduce loneliness and give people a sense of purpose.

· Books to read, games to play, and television shows to watch can help alleviate feelings ofboredom and loneliness.

· Most importantly, take care of yourself while you are caring for others.References:

https://theconversation.com/the-loneliness-of-social-isolation-can-affect-your-brain-and-raise-dementia-risk-in-older-adults-141752

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5764000/

https://www.alzheimers.org.uk/blog/tackling-loneliness-people-living-dementia

https://www.alzdiscovery.org/cognitive-vitality/blog/loneliness-in-the-time-of-covid-19

Holiday Tips for Dementia CaregiversBy Ava M. Stinnett

Holidays are festive occasions that celebrate being with the people we love, honoring family tradi-tions, recalling old memories, and creating new ones. For caregivers and people living with dementia-related conditions such as Alzheimer’s, however, there will come a time when it’s just not feasible orpractical to do everything you once did. How do we celebrate special occasions when one of the peo-ple involved doesn’t remember or even understand what the celebration is about? How do caregiverson the dementia journey with a loved one—not just on the holidays, but all day every day—manage tokeep it together?

The holiday season can be stressful, so it’s critical to adjust expectations. Caregiver expert Amy Goyerdescribes caregiver burnout, saying, “The prolonged stress builds up, we are robbed of energy, andsometimes we reach a point of total emotional, mental, and physical exhaustion. We may lose motiva-tion completely or feel we just don’t care about our loved ones, our other relationships, or our work. Wemay feel that we’ve lost ourselves in the vastness of caregiving and that nothing we can do will make adifference. If you feel like this most of the time, you may have reached burnout” (Goyer, 2015). The fol-lowing tips may help caregivers weather the holiday season.

· As much as possible, maintain a similar routine for your loved one and yourself so that holidaypreparations don’t become stressful or disruptive. Changes to the daily schedule can increasedisorientation and anxiety for those with cognitive impairment.

· Trust your instincts. Keeping past traditions alive, such as eating favorite holiday foods, visitingwith family and good friends, or looking at family photo albums and heirlooms—activities thattake advantage of long-term memory—can help a person with dementia connect to holidaycelebrations. Determine how much you and your loved one can handle without feeling over-whelmed. Feel free to reschedule or decline invitations when needed.

· Music, whether seasonal or not, can cause a positive shift in mood. Try engaging the individual insinging along to familiar songs. It’s important to remember that a particular melody that evokes asoothing memory for one person might be upsetting for another. Depending on the setting, it maybe more practical to have ambient music playing in the background.

· Caregivers need to take time for themselves whether it’s having a break to go to a movie, taking awalk, meeting a friend for lunch, or having someone cook a meal or help clean the house. Payingattention to your own needs and getting support from others is of utmost importance.

· Be aware that the holidays may evoke memories of better times—not just for your loved onebut for you as a caregiver. Talking with a close friend or a counselor often helps one managethe emotions that come with holidays and other special days. You can also find help for care-givers from the Family Caregiver Alliance, AARP, your local Alzheimer’s Associationchapter, or support groups through hospitals, mental health programs, and communitysupport organizations.

Sources

The Alzheimer's Association. (n.d.). Holidays and Alzheimer’s families. Retrieved from https://www.alz.org/care/alzheimers-dementia-holidays.asp

Family Caregiver Alliance. (2014, December 31). Caregiving and the holidays: From stress to success! Retrieved fromhttps://www.caregiver.org/caregiving-and-holidays-stress-success

Goyer, A. (2015). Juggling life, work, and caregiving. Chicago: American Bar Association.

Miriam FarisExecutive Director

Alex BevacquaRetirement

Counselor

JessalynEernisse

PersonalExpressions

Jesse VasquezAssociateRetirementCounselor

Christin PannellED Assistant

The Management Team

Jamie McQuownMemory CareProgrammingManager

Ryan PughAssisted LivingPC Manager

June HeoMemory CarePC Manager

Josh TurnerPlant OperationsManager

Lindsey Feifert-MoretDirector ofResident Services

Jake CurriDining Room

Manager

Ben SladeResidentLiaison

Welcome Our New Residents

Ethel Theis

Holiday Matchett

Roberta RandstromRoberta was born on December 4,1933 in the Mid West. She met herhusband Don and together they hadsix children. Roberta spent her careerworking as a nurse, an attorney andheld a position as a Director of LegalServices. She was a strong advocateof Civil Rights and did a lot of probono work in her career. Roberta is adevout Lutheran and was very activein her church. She loves animals andhas owned several dogs throughouther life. Roberta loves to laugh andsmile and is always ready to sing withyou. Roberta is celebrating herbirthday on the 4��. If you ever need afriend who will certainly bring a smileto you’re face, you found that inRoberta!

Alan WardAlan Ward was born on January 6��,

1935. His parents were both teachers, soAllan was raised with a great

appreciation for education. Allan is akind and well-read gentleman. He enjoysreading and writing in his free time, and

has self-published 5 of his ownliterature, most about the Civil Rights

movement. Alan also enjoys attendingplays and orchestras. Alan is quitemusically talented as he is an avid

pianist. He work at the University ofArkansas for some time. If you’re looking

for Alan you can often find him playingthe piano and entertaining his fellow

residents.

Doctor Shuttles

Carlto n Sen i o r Livin g

Beauty Sa lonTemporary Closed

Please Contact

June to schedule nail trimming

and haircuts

HAPPY BIRTHDAYResident

LR Living roomAR Activity Room

DR Dining RoomCY Courtyard* Activities are subject tochange

ACTIVITY KEY

Please reach out to Jamie for a family facetime call with your loved one

Roberta Randstrom

December 4th

WEDNESDAY, DECEMBER 2

FRIDAY, DECEMBER 4

SATURDAY, DECEMBER 5

9:45 AM - On This Day in History (LR)10:45 AM - Fabulous Fitness (LR)1:00 PM - Sing Fit with Jamie (LR)2:45 PM - Drum Circle (AR)3:00 PM - Advent Calendar making (AR)3:30 PM- Holiday Time Slip (AR)5:30 PM- St. Nicholas Trivia (LR)6:00 PM - Sunset Theater (LR)

THURSDAY, DECEMBER 3

TUESDAY, DECEMBER 1

SUNDAY, DECEMBER 69:45 AM - On This Day in History (DR)10:45 AM - Fabulous Fitness (AR)1:00 PM - Sing Fit with Jamie (AR)2:45 PM- F l o w e r A r r a n g i n g ( A R )3:30PM - Group Exercise (AR)4:00 PM- BINGO (AR)5:30 PM- Trivia (LR)6:00 PM- Sunset Theater (LR)

9:45AM - On This Day in History (DR)10:45 AM - Fabulous Fitness (AR)1:30 PM - Sing Fit with Nick (AR)2:45 PM- Name 10 (AR)3:45 PM- Ornament making (AR)5:30 PM- Guess Who (LR)6:00 PM- Sunset Theater (LR)

9:45 AM - On This Day in History (DR)10:45AM - Fabulous Fitness (AR)1:30 PM - Sing Along with Ashley (AR)2:00 PM- Holiday cookie baking (DR)3:00 PM - Scenic Drive3:45PM - Christmas Tree decorating (LR)5:30PM- Dakim (LR)6:00 PM- Sunset Theater (LR)

9:45AM - On This Day in History (DR)10:45 AM - Fabulous Fitness (AR)1:00 PM - Sing Fit with Jamie (AR)2:45 PM- Trivia (AR)3:00 PM - Scenic Drive3:30 PM- Name 10 (AR)5:30 PM- Guess Who (LR)6:00 PM - Sunset Theater (LR)

9:45 AM - On This Day in History (DR)10:45 AM - Fabulous Fitness (AR)1:00 PM - Sing Fit with Jamie (AR)2:45 PM- Beanbag Baseball (AR)3:30 PM - Group Exercise (AR)4:00 PM- BINGO (AR)5:30 PM- Guess Who (LR)6:00 PM- Sunset Theater (LR)


9:45 AM - On This Day in History (DR)10:45 AM - Fabulous Fitness (AR)1:30 PM - Sing Fit with Nick (AR)2:45 PM - Dakim (AR)3:00 PM - Beanbag Baseball (AR)4:00 PM- BINGO (AR)5:30 PM- Guess Who (LR)6:00 PM - Sunset Theater (LR)

9:45AM - On This Day in History (AR)10:45 AM - Fabulous Fitness (AR)1:00 PM - Sing Fit with Jamie (AR)2:45 PM - Trivia (AR)3:00 PM - Scenic Drive3:30 PM- Name 10 (AR)4:00 PM- BINGO (AR)5:30 PM- Guess Who (LR)

TUESDAY, DECEMBER 8

9:45AM - On This Day in History (DR)10:45 AM - Fabulous Fitness (AR)1:00 PM - Sing Fit with Jamie (AR)2:45PM - Flower Arranging (AR)3:30 PM- Holiday Frame decorating (AR)5:30 PM- Name 10 (LR)6:00 PM- Sunset Theater (LR)

9:45 AM - On This Day in History (DR)10:45 AM - Fabulous Fitness (AR)1:30 PM - Sing Along with Ashley (AR)2:00 PM- Holiday Photo Shoot (AR)3:00 PM - Scenic Drive3:30 PM- Group Exercise (AR)5:30 PM- Name 10 (LR)6:00 PM - Sunset Theater (LR)

9:45AM - On This Day in History (DR)10:45 AM - Fabulous Fitness (AR)1:00 PM - Sing Fit with Jamie (AR)2:45 PM - Beanbag Baseball (AR)3:30 PM- Trivia (AR)4:00 PM- BINGO (AR)5:30 PM- Name 10 (LR)6:00 PM - Sunset Theater (LR)

9:45 AM - On This Day in History (DR)10:45 AM - Fabulous Fitness (AR)1:00 PM - Sing Fit with Jamie (AR)2:00 PM - Drum Circle (AR)3:00 PM - Make a Snowman (AR)3:30PM - Group Exercise (AR)5:30 PM- Name 10 (LR)6:00 PM- Sunset Theater (LR)

WEDNESDAY, DECEMBER 9 SUNDAY, DECEMBER 13

MONDAY, DECEMBER 7 FRIDAY, DECEMBER 11

9 :45 AM - On This Day in History (DR)10:45 AM - Fabulous Fitness (AR)1:30 PM - Sing Fit with Nick (AR)2:45 PM - D a k i m ( A R )3:00 PM - Holiday Trivia (AR)4:00 PM- BINGO (AR)5:30 PM- Guess Who (LR)6:00 PM - Sunset Theater (LR)


TUESDAY, DECEMBER 15 SATURDAY, DECEMBER 19


9:45 AM - On This Day in History (LR)10:45 AM - Fabulous Fitness (AR)1:30 PM - Sing Along with Nick (AR)2:45 PM - Dakim (AR)3:30 PM- Beanbag Baseball (AR)4:00 PM- BINGO (AR)5:30 PM- Guess Who (LR)6:00 PM - Sunset Theater (LR)

9:45AM - On This Day in History (LR)10:45 AM - Fabulous Fitness (LR)1:30 PM - Sing Along with Nick (AR)2:45 PM - Trivia (AR)3:30 PM- N a m e 1 0 ( A R )4:00 PM- BINGO (AR)5:30 PM - Dakim (LR)6:00 PM- Sunset Theater (LR)

9:45 AM - On This Day in History (LR)10:30 AM - Fabulous Fitness (LR)1:00 PM - Sing Fit with Jamie (AR)2:45 PM- Name 10 (AR)3:30PM - Group Exercise (LR)4:00 PM- BINGO (AR)5:30 PM- Trivia (LR)6:00 PM- Sunset Theater (LR)

9:45 AM - On This Day in History10:45 AM - Fabulous Fitness (AR)1:30 PM - Sing Along with Ashley (AR)3:00 PM - Scenic Drive3:30 PM- Group Exercise (AR)4:00 PM- BINGO (AR)5:30 PM- Name 10 (LR)6:00 PM - Sunset Theater (LR)

MONDAY, DECEMBER 14 FRIDAY, DECEMBER 18

9:45 AM - On This Day in History (LR)10:45 AM - Fabulous Fitness (LR)1:00 PM - Sing Fit with Jamie (AR)2:45 PM- Name 10 (AR)3:00 PM - Scenic Drive3:30 PM- BINGO (AR)5:30 PM- Guess Who (LR)6:00 PM - Sunset Theater (LR)

9:45 AM - On This Day in History10:45 AM - Fabulous Fitness (LR)1:00 PM - Sing Fit with Jamie (AR)2:45 PM - Flower Arranging (AR)3:30 PM- Ornament Making (AR)4:00 PM- BINGO (AR)5:30 PM- Name 10 (LR)6:00 PM- Sunset Theater (LR)

9:45 AM - On This Day in History (LR)10:45 AM - Fabulous Fitness (LR)1:00 PM - Sing Fit with Jamie (AR)2:45 PM - Beanbag Baseball (AR)3:30 PM- Afternoon exercise (AR)4:00 PM- BINGO (AR)5:30 PM- Name 10 (LR)6:00 PM - Sunset Theater (LR)

WEDNESDAY, DECEMBER 16 SUNDAY, DECEMBER 20

StayHydrated

9:45 AM - On This Day in History (LR)10:45 AM - Fabulous Fitness (LR)1:30 PM - Sing Fit with Nick (AR)2:45 PM - Dakim (AR)3:00 PM - Ring Toss (AR)3:30 PM- BINGO (AR)5:30 PM- Trivia (LR)6:00 PM - Sunset Theater (LR)

9:45AM - On This Day in History (LR)10:30 AM - Fabulous Fitness (LR)1:00 PM - Sing Fit with Jamie (AR)2:45 PM- Trivia (AR)3:30PM - Group Exercise (LR)4:00 PM- BINGO (AR)5:30PM- Trivia (LR)6:00 PM- Sunset Theater ( LR)

9:45AM - On This Day in History (LR)10:45 AM - Fabulous Fitness (LR)1:00 PM - Sing Fit with Jamie (AR)2:45 PM- Trivia (AR)3:00 PM - Scenic Drive3:30 PM- Guess Who (AR)5:30 PM- Trivia (LR)6:00 PM - Sunset Theater (LR)

9:45AM - On This Day in History (LR)10:45 AM - Fabulous Fitness (LR)1:30 PM - Sing Along with Ashley (AR)2:00 PM- Flower Arranging (AR)3:00 PM - Scenic Drive3:30 PM- Group Exercise (AR)5:30 PM- Dakim (LR)6:00 PM - Sunset Theater (LR)



FRIDAY, DECEMBER 25MONDAY , DECEMBER 21


TUESDAY, DECEMBER 22

SUNDAY, DECEMBER 27

9:45AM - On This Day in History (LR)10:45 AM - Fabulous Fitness (LR)1:00 PM - Sing Fit with Jamie (AR)2:45PM - Build a snowman (AR)3:30 PM- Beanbag Baseball (AR)4:00 PM- Bingo (AR)5:30 PM- Name 10 (LR)6:00 PM- Sunset Theater (LR)

9:45 AM - On This Day in History (LR)10:45 AM - Fabulous Fitness (LR)1:00 PM - Sing Along with Ashley(LR)2:00PM- Beanbag Baseball (AR)3:00 PM - Hot coco and holiday movies (LR)4:00 PM- BINGO (AR)5:30 PM- Name 10 (LR)6:00 PM - Sunset Theater (LR)

MONDAY, DECEMBER 28

9:45AM - On This Day in History (DR)10:45 AM - Fabulous Fitness (AR)1:30 PM - Sing Fit with Nick (AR)2:45 PM- Dakim (AR)3:00 PM- Ring Toss (AR)4:00 PM- BINGO (AR)5:30 PM- Trivia (LR)6:00 PM - Sunset Theater (LR)

9:45 AM - On This Day in History (DR)10:45 AM - Fabulous Fitness (AR)1:30 PM - Sing Along with Nick (AR)2:45 PM- Dakim (AR)3:00 PM - Afternoon exercise (AR)4:00 PM- BINGO (AR)5:30 PM- Name 10 (LR)6:00 PM - Sunset Theater (LR)


9:45 AM - On This Day in History (LR)10:45 AM - Fabulous Fitness (LR)1:00 PM - Sing Fit with Jamie (LR)2:45 PM - Trivia (AR)3:00 PM - Baking holiday cookies (DR)4:00 PM- BINGO (AR)5:30 PM- Name 10 (LR)

9:45 AM - On This Day in History (LR)10:45 AM - Fabulous Fitness (LR)1:00 PM - Sing Fit with Jamie (LR)2:00 PM - Name 10 (AR)3:00 PM - Scenic Drive3:30 PM- Balloon toss (LR)4:00 PM- BINGO (AR)5:30 PM- Guess who (LR)6:00 PM - Sunset Theater (LR)

THURSDAY, DECEMBER 319:45AM - On This Day in History (LR)10:15 AM - Morning Walk/Gardening (LR)10:45 AM - Fabulous Fitness (LR)1:30 PM - Sing Along with Ashley (LR)3:00 PM -Scenic Drive3:30 PM- Trivia (AR)4:00 PM- BINGO (AR)5:30 PM- Name 10 (LR)6:00 PM- Sunset Theater (LR)

TUESDAY, DECEMBER 29

A message from your local health ofcer andthe California Department of Public Health, Division of Communicable Disease Control IMM-825(7/19)

Wash Your Hands

Protect yourself. Prevent20

Stop the spread of germs that can make you and others sick!

You may be asked to put ona facemask to protect others.

If you don’t have a tissue, cough orsneeze into your upper sleeve orelbow, not your hands.

Wash hands often with soap andwarm water for 20 seconds.If soap and water are notavailable, use an alcohol-basedhand rub.

Cover your mouth and nose with atissue when you cough or sneeze.Put your used tissue in thewaste basket.

CS208322

Recognizing and Reducing Fall Risk Factors for VariousStages of Alzheimer’s

By Adrienne Lameray

Customer Success Manager, SafelyYou

People living with Alzheimer’s are four to five times more likely to fall than older adults who do not have cognitive impairment.However, the risk of falling varies depending on the stage of Alzheimer’s. Since June is Alzheimer’s and Brain Awareness Month, Iwant to provide a quick overview of the three stages — mild, moderate, and severe — and examine fall risks and preventativemeasures as the symptoms worsen over time.

Mild

In the early stage of Alzheimer’s, a person may function independently. This is not typically a high fall-risk stage unless other healthissues co-exist with cognitive change.

Moderate

During the middle stage of Alzheimer’s, dementia symptoms are more pronounced. The person may confuse words, get frustratedor angry, and act in unexpected ways, such as refusing to bathe. Damage to nerve cells in the brain can also make it difficult for theperson to express thoughts and perform routine tasks without assistance.

Wandering behaviors can lead to exhaustion and subsequently falls Losing physical strength and balance Incontinence can lead to frequent trips to the bathroom — often at night in poor lighting and without mobility aids or

assistance. UTIs can then lead to confusion and discomfort Experiencing changes in sleep patterns, such as sleeping during the day and becoming restless at night

Severe

In the final stage of the disease, dementia symptoms are severe. Individuals lose the ability to respond to their environment, carryon a conversation, and eventually control movement.

At this stage, many people living with dementia experience changes in physical abilities, including walking, sitting, and,eventually, swallowing. Some people may not recognize these changes from day to day and attempt certain activities of dailyliving, such as walking, transferring from bed to walker, or changing their clothes without help. These activities can easily lead

to a fall. Since those living with Alzheimer’s have difficulty communicating, they are often not able to express their needs and desires.

This can unfortunately lead to falls as they attempt to attend to their own unmet needs without assistance.

Reducing the Risk of Falls

To reduce the risk of falls, here are a few key tips to consider:

Keep frequently used items within reach Place mobility aid in the best position for self-transfer; remove if unable to self-transfer to avoid cueing Understand preferences and nighttime routines: lights on/off, TV on/off, toileting, showering, sheets, bed positioning Take extra care to reduce clutter and ensure clear pathways Provide comfort; less anxiety and agitation will help calm the person living with Alzheimer’s, so they will, hopefully have fewer

falls

Recognizing and Reducing Fall Risk Factors for VariousStages of Alzheimer’s

By Adrienne Lameray

Customer Success Manager, SafelyYou

People living with Alzheimer’s are four to five times more likely to fall than older adults who do not have cognitive impairment.However, the risk of falling varies depending on the stage of Alzheimer’s. Since June is Alzheimer’s and Brain Awareness Month, Iwant to provide a quick overview of the three stages — mild, moderate, and severe — and examine fall risks and preventativemeasures as the symptoms worsen over time.

Mild

In the early stage of Alzheimer’s, a person may function independently. This is not typically a high fall-risk stage unless other healthissues co-exist with cognitive change.

Moderate

During the middle stage of Alzheimer’s, dementia symptoms are more pronounced. The person may confuse words, get frustratedor angry, and act in unexpected ways, such as refusing to bathe. Damage to nerve cells in the brain can also make it difficult for theperson to express thoughts and perform routine tasks without assistance.

Wandering behaviors can lead to exhaustion and subsequently falls Losing physical strength and balance Incontinence can lead to frequent trips to the bathroom — often at night in poor lighting and without mobility aids or

assistance. UTIs can then lead to confusion and discomfort Experiencing changes in sleep patterns, such as sleeping during the day and becoming restless at night

Severe

In the final stage of the disease, dementia symptoms are severe. Individuals lose the ability to respond to their environment, carryon a conversation, and eventually control movement.

At this stage, many people living with dementia experience changes in physical abilities, including walking, sitting, and,eventually, swallowing. Some people may not recognize these changes from day to day and attempt certain activities of dailyliving, such as walking, transferring from bed to walker, or changing their clothes without help. These activities can easily lead

to a fall. Since those living with Alzheimer’s have difficulty communicating, they are often not able to express their needs and desires.

This can unfortunately lead to falls as they attempt to attend to their own unmet needs without assistance.

Reducing the Risk of Falls

To reduce the risk of falls, here are a few key tips to consider:

Keep frequently used items within reach Place mobility aid in the best position for self-transfer; remove if unable to self-transfer to avoid cueing Understand preferences and nighttime routines: lights on/off, TV on/off, toileting, showering, sheets, bed positioning Take extra care to reduce clutter and ensure clear pathways Provide comfort; less anxiety and agitation will help calm the person living with Alzheimer’s, so they will, hopefully have fewer

falls

How to Safely Transfer from Sitting to Standing in Memory Care

Helping a person living with dementia transfer to or from a bed to a chair safely may seem like a simple task,but the truth is, both people can be injured if you aren’t careful with the procedure. With the right instructionsand the correct aids, you can minimize most problems that may occur when doing a sit to stand transfer.

It is critical to take into consideration each person’s strengths and weaknesses, the proper mobility devicesto use, and the environment. The following are some established recommendations for assisting with a safetransfer from sitting to standing:

● Ask the person for their help: Use simple instructions, even if you think the person will notunderstand you, providing plenty of time to respond. Sometimes, all a person needs in the early stagesof dementia is a hand on the lower back and one on the shoulder to gently guide them forward.

● Use a gait belt or other lift support devices: Support the transfer instead of physically lifting froma sit to stand position to reduce the chance of injuring yourself.

● Position walker or wheelchair nearby: Have the device close to the bed or chair and lock thewheels. Check the area for clutter so you or the resident don’t trip.

● Maintain a “neutral” spine: Anytime that you lose the natural lumbar curve, you’re putting yourback at risk for injury. It’s the small micro traumas that develop into an injury versus just one singleisolated event.

● Determine the best position: For standing transfers, make sure the resident’s feet are positionedslightly under his or her knees. For seated transfers, ensure their head/shoulders are bending awayfrom the surface they are transferring from.

● Know their strengths: If the resident you are assisting has a stronger left or right side, make sureto lead with that side. If they tend to push or grab, lead with the resident’s non-pushing or grabbingside, or position your hands to control the “pushing/grabbing arm(s).

● Communicate: Give simple, step-by-step instructions, especially when you’re ready to transfer.Counting to three can be quite helpful – you can then both move at the same time. Make sure to allowfor greater time if the resident has Parkinson’s disease because initiating movement will be moreDifficult.

● Use momentum: While transferring encourage rocking or count to three.

● Take a break: Give the resident a moment to adjust to each new position.

● Stay aware of changes: From day to day, keep in mind that with individuals with dementia, whatworks today may not be work a month from now.

Now that we know some safe techniques, let’s review what NOT to do when transferring a resident withdementia from a seated position to standing:

● Don’t bend or round out your back. This puts tremendous strain on the joints and will lead to aback injury over time. Keeping your back straight and bending with your knees allows you to lift with thestronger leg muscles, not the weaker back muscles.

● Don’t do all the work. Many residents, even in the late stages, can offer limited assistance if yougive them simple instructions and enough time to respond.

● Don’t lift under the resident’s arms. This can cause damage to the arms and shoulder joint, andit doesn’t allow you adequate control of the person’s body. In addition, it’s painful for the resident if yougrab them here, because this is where a network of nerves and blood vessels run (brachial plexus). Ifyou need to give assistance, assist from the hips.

● Don’t twist your body without moving your feet in the same direction. This is how manyinjuries occur.

Technology to Enable Safer Memory Care

How to Reduce Transfer Risks and Prevent Falls in Memory Care

Adults living with dementia fall four times per year on average — nearly twice as often as those without de-mentia. These falls often happen when a resident tries to move without help from a wheelchair to a chair or bedor from a sitting to a standing position. When residents are assisted with transfers, they only fall 1% of thetime.

Fall Risk FactorsLet’s take a closer look at the contributing factors leading to these falls:

· Fatigue:•Walking or self-propelling with a wheelchair to get to the desired location can be tiring formany.

· Time of day:•A resident may have been sleeping and is drowsy, or the room could be dark, which isimpairing their ability to gauge distance, location of walker, etc.

· Overestimate abilities:•Residents may overestimate their ability to self-transfer safely; their abilitiesalso may change from day to day.

· Mobility aid position:•The aid may not be placed in the most accessible position, or it is completelyout of reach.

· Mobility aid unlocked:•An unlocked aid can easily move away from a resident as they attempt totransfer.

· Improper mobility aid:•Residents may not have the best fitting and/or most appropriate mobility aidfor their current status.

Reduce Transfer Risks and Prevent Falls with Interventions

Now that we understand the most common risk factors, what are the best solutions for preventing transfer falls?

· Modify wheelchair:•Add anti roll-back system to wheelchairs.· Transfer aids:•Provide transfer poles, bed canes, or halos to assist residents with transfers. A hospital

bed with a half rail should be considered as a safety measure as well.

· Establish transfer technique policy:•It is crucial to have 100% staff compliance on your community’spolicy for proper transfer techniques, such as using gait belts when appropriate and transfer equipmentwhen applicable (i.e. hoyer, sit-to-stand device, etc.)•.

· Training:•There can never be enough training, so train and re-train the care staff on transfer techniqueson a regular basis.

· Physical/Occupational Therapy:•Leverage therapy referrals regularly to ensure residents have the ap-propriate mobility aids and transfer assistance for their changing condition.

Technology to enable a safer Memory Care

Tips for Reducing Fall Injuries: Hip FracturesUnfortunately, falls are a common occurrence for many seniors, and theyare even more common for adults living with dementia, who fall four timesper year on average — nearly twice as often as those without dementia.

While falls lead to a variety of injuries, I want to focus on one specific injurythat springs to mind for many of us — hip fractures. Falls cause•more than95 percent•of hip fractures that occur in older adults and often require sur-gery, physical therapy and months of recovery time. And approximately 25%of long-term care patients who fracture a hip die within six months of theaccident.

These are daunting statistics, so I want to share an interesting study pub-lished in the•Journal of Bone and Mineral Research, which explores how toprevent falls that result in hip fractures specifically.

A research team at Simon Fraser University in British Columbia analyzedvideo footage of real-life falls and found that all hip fractures involved fallsfrom standing height and pelvis impact with the ground.•Interestingly, back-ward falls were safest, and forward and sideways falls reported similar inci-dences of hip fracture.

When patients used wearable hip protectors, they reduced their risk of hipfracture twofold. And when they used mobility aids like walkers, they re-duced their risk of hip fracture during a fall by over threefold.

The researchers are currently developing strategies that will help increasethe use of hip protectors in senior living communities and are finding newways to design hip protectors and make them even more effective in thefuture.

Keep in mind that hip protectors and mobility aids are just part of the equa-tion. For a well-rounded fall prevention program, you don’t want to overlookthe importance of balance and strength training.

Every cell, tissue, and organ in your body requires water to function.Water helps regulate body temperature, lubricate joints,transport nutrients, remove waste, and circulate blood.That means your body can’t properly perform these func-tions if you’re dehydrated, which happens when you losemore fluids than you take in. Certain populations are moreprone to dehydration than others, including children, olderadults, and people with certain medical conditions likediabetes and kidney disease. Here are the five ways to rehydrate quickly:

Water - For most people, drinking water is sufficient for rehydrating. Ifyou’re a salty sweater, be sure to replace both the sodium and fluid youlose through sweat, preferably through a balanced diet.

Coffee and Tea - Contrary to popular belief, drinking moderate amountsof coffee and tea have similar hydrating properties as water.

Milk - Skim and low fat milk can be used as an effective post-workout orgeneral rehydration beverage if you don’t have lactose intolerance or amilk protein allergy, of course.

Fruits and Vegetables - Due to their high water content, both fresh andfrozen fruits and vegetables make excellent hydrating snacks.

Oral Hydration Solutions - Oral hydration solutions contain water, elec-trolytes, and sugar. You can make your own simple rehydration solutionat home. Check out this simple recipe from Food.com:www.food.com/recipe/oral-rehydration-salts-230966

Article Source: www.healthline.com/nutrition/how-to-rehydrate#Signs-and-symptoms-of-dehydration

About Live 2 B Healthy: The Live 2 B Healthy program is tailored to seniorsand is proven to increase balance, mobility and strength - directly reducing fallsand injuries which can hasten health decline and limit activity.

5 Ways to Rehydrate Quickly

u www.Live2BHealthy.com u

There’s No Finish Line to Cognitive StimulationBy Dan Michel, Founder and CEO of Dakim, Inc.

I realize that to help fight against dementia, a brainfitness program had to be life-long and enjoyable.

That’s where my background in entertainmenthelped me. Working closely with Dr. Gary Small

and other scientists and doctors at UCLA, we wereable to determine just what kinds of exercises and

activities would be most useful, and by transforming them into a widevariety of games, we made them fun to do. In fact, we wanted them to

be so much fun that people would wake up every morning and say “I can’twait to get on the Dakim BrainFitness system.” And today, they do.

In fact, more senior living providers rely on Dakim BrainFitnessthan any other brain fitness product.

Thoughts on Power AgingFrom Jack LaLanne who was known

as “The Godfather of Modern Fitness”I practically spent my entire life promoting physical fitness.

It helps you look better, feel better and live longer. Well, itturns out, what’s good for the body is good for the brain.

Science is proving that staying fit and healthy can actually improve yourmind and decrease your risk for memory loss and dementia. And it’s never

too late to start. Here are just 3 things you can do starting today:

Stop smoking. In findings published in the Archives ofInternal Medicine, among middle-aged people, smoking was

associated with poorer cognition. The good news is that whensmokers quit and took on the other healthier behaviors,

there was little residual adverse effect on cognition.

Walk. According to a study in the Journal of the American MedicalAssociation, senior men who walked more than two miles a day

were almost half as likely to develop Alzheimer’s and otherforms of dementia than men who walked less

than a quarter of a mile a day.

Antioxidize. According to the Alzheimer’s Association,research suggests that certain foods rich in antioxidants

may actually help protect brain cells. I’ve been a big fan ofthese foods for more decades that I can count: Dark-

skinned vegetables like spinach, kale and broccoli anddark-skinned fruit including prunes, raisins, blueberries,

strawberries and raspberries.

So, do something for the most important person on the planet: You!Do - don’t stew!

BrainStormTMby Dakim®

Dakim BrainFitness isavailable to use on your

computer or tablet!

Ready to get started?If you’d like to use Dakim

BrainFitness on your PC, MAC,tablet or iPad, call the

Personal Expressions orProgramming Team for help

getting started.

Have an idea? ContactDakim BrainFitness.If you have any thoughts,feedback or anecdotes, wewould love to hear from you.Send an email [email protected] orwrite at: Brain Storm, 2121Cloverfield Blvd., Suite 205,Santa Monica, CA 90404

december 2020 nsl...the carlton times theme of the month: in the month of august, we will celebrate...

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