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Exercise Programs Help Stroke Survivors Mentally and Physically

Exercise programs have been shown to be beneficial for stroke survivors both mentally and physically. Here are some ways in which exercise can positively impact stroke survivors:

Physical Rehabilitation: Stroke survivors often experience physical impairments, such as muscle weakness, balance issues, and difficulty with coordination and mobility. Exercise programs, including both cardiovascular and strength training exercises, can help improve physical function, regain strength, and enhance overall mobility.

Mental Well-being: Stroke can have a significant impact on a person’s mental well-being, leading to depression, anxiety, and a decreased quality of life. Regular exercise has been found to alleviate symptoms of depression and anxiety, improve mood, and enhance overall psychological well-being in stroke survivors.

Cognitive Function: Stroke can also result in cognitive impairments, including memory problems, difficulties with attention and concentration, and reduced executive functioning. Exercise programs have been shown to improve cognitive function, including attention, memory, and processing speed, in stroke survivors. Physical activity stimulates the brain, promoting the growth of new neurons and enhancing cognitive abilities.

Cardiovascular Health: Stroke is often caused by problems in the cardiovascular system, such as high blood pressure, heart disease, or arterial blockages. Regular exercise can help improve cardiovascular health by reducing blood pressure, improving blood flow, and enhancing heart function. This, in turn, reduces the risk of future strokes and promotes overall heart health.

Social Engagement: Participating in exercise programs can provide stroke survivors with an opportunity for social interaction and support. Group exercise classes or therapy sessions can create a supportive environment where individuals can connect with others who have had similar experiences, fostering a sense of belonging and reducing feelings of isolation.

When designing an exercise program for stroke survivors, it is important to consider individual needs and abilities. Working with home health rehabilitation specialists can help ensure that the exercise program is safe and tailored to meet specific goals and limitations. When patients qualify, Medicare pays 100%.

Remember, before starting any exercise program, stroke survivors should consult their healthcare providers to determine the most appropriate exercises and intensity levels based on their unique circumstances.

Caring for Your Eyes and Vision

Let’s raise awareness about the importance of maintaining healthy eyes and preserving clear vision. Our eyes play a crucial role in our everyday lives, allowing us to perceive the world around us. However, many people often take their vision for granted, neglecting proper eye care practices. This article aims to shed light on the significance of healthy vision and provide practical tips for maintaining optimal eye health.

Vision is an invaluable sense that allows us to navigate the world with ease. Clear vision is essential for performing daily activities, such as reading, driving, and even enjoying recreational pursuits. Additionally, our eyes can provide early indicators of various underlying health conditions, including diabetes, high blood pressure, and even certain types of cancer. Thus, ensuring good eye health is not only about maintaining clear vision but also plays a vital role in overall well-being.

Tips for Maintaining Healthy Vision:

  • Schedule Regular Eye Examinations: Routine eye exams are crucial for detecting potential eye problems and ensuring early intervention. Even if you believe your vision is perfect, regular check-ups with an eye-care professional are essential. They can identify refractive errors, eye diseases, and other issues that might otherwise go unnoticed.
  • Protect Your Eyes from Harmful Ultraviolet (UV) Rays: Exposure to UV rays can lead to various eye conditions, including cataracts, macular degeneration, and even cancer. Whenever you’re outdoors, wear sunglasses that offer 100% UV protection. Additionally, consider wearing a wide-brimmed hat to provide further shade and protection for your eyes.
  • Follow a Nutritious Diet: Maintaining a balanced diet is not only beneficial for your overall health but also supports good eye health. Include foods rich in vitamins C and E, zinc, lutein, zeaxanthin, and omega-3 fatty acids. Such nutrients can be found in leafy green vegetables, fish, nuts, citrus fruits, and colorful vegetables, which help reduce the risk of age-related vision problems.
  • Practice the 20-20-20 Rule: Staring at screens for extended periods can strain your eyes and contribute to digital eye strain. To alleviate this, follow the 20-20-20 rule: every 20 minutes, take a 20-second break to look at something 20 feet away. This practice helps reduce eye fatigue and allows your eyes to relax.
  • Give Your Eyes Adequate Rest: Getting enough sleep is vital for your eyes’ health and overall well-being. Insufficient sleep can lead to dry eyes, eye spasms, and blurred vision. Aim for 7-8 hours of quality sleep each night to promote optimal eye health.
  • Maintain Proper Hygiene: Practicing good hygiene habits can help prevent eye infections. Wash your hands thoroughly before touching your eyes, and avoid rubbing them to reduce the risk of introducing bacteria. Also, replace eye makeup regularly to prevent the accumulation of harmful bacteria.

Take this as a reminder to prioritize your eye health and take proactive measures to preserve clear vision. By following the tips outlined above, you can reduce the risk of eye problems and maintain optimal eye health throughout your life. Remember, caring for your eyes is an investment in your overall well-being, allowing you to enjoy the beauty of the world around you with clarity and comfort.

Navigating Forgetfulness in Seniors: Recognizing Signs and Taking Action

As we age, it’s natural to experience occasional memory lapses. However, distinguishing between normal age-related forgetfulness and cognitive decline or dementia can be challenging. For seniors and their family caregivers, understanding when to be concerned and taking appropriate action is crucial for maintaining quality of life. This article aims to provide valuable insights into recognizing signs of cognitive decline, when to take action, and the role of home care in supporting seniors and their families.

Differentiating Normal Aging from Cognitive Decline:

Normal age-related forgetfulness is often mild and sporadic, not significantly impacting daily life. It’s important for seniors and their caregivers to be aware of the following characteristics:

1. Occasional memory lapses: Forgetfulness occurs infrequently and does not disrupt routine activities or independence.

2. Memory retrieval: The ability to recall forgotten information later, often with reminders or cues.

3. Minimal interference: Memory lapses do not cause significant distress or impair familiar tasks, social interactions, or decision-making abilities.

4. Self-awareness: The senior acknowledges and expresses concern about their occasional forgetfulness.

Cognitive decline encompasses more pronounced and persistent memory problems that can indicate the presence of dementia or other cognitive disorders. Pay attention to the following signs:

1. Progressive memory loss: Consistent and worsening memory problems that disrupt daily life and affect independence.

2. Difficulty with familiar tasks: Struggling to perform previously routine activities, such as managing finances, following recipes, or using technology.

3. Language and communication challenges: Difficulty finding words, forming coherent sentences, or following conversations.

4. Disorientation and confusion: Getting lost in familiar surroundings, trouble recognizing people or objects, or difficulty with time and place.

5. Impaired judgment and decision-making: Exhibiting poor judgment, making risky choices, or falling victim to scams.

6. Personality and mood changes: Uncharacteristic shifts in mood, behavior, or personality, including apathy, agitation, or withdrawal.

When to Take Action:

Seniors and their family caregivers should be proactive in recognizing signs of cognitive decline and taking appropriate action. Consider the following indicators:

1. Consistent and significant impact: When memory problems begin to disrupt daily life, compromise safety, or impede essential activities of daily living.

2. Noticeable decline over time: If memory problems worsen progressively or demonstrate consistent deterioration.

3. Concerns from others: When family members, friends, or caregivers express worries about cognitive decline, their observations should be taken seriously.

Actions to Take:

1. Consult a healthcare professional: Schedule an appointment with a healthcare provider who specializes in geriatrics or cognitive health. They can conduct a thorough assessment to diagnose the underlying cause of memory issues.

2. Create a support network: Seek emotional support and information from local support groups, community organizations, or online communities focused on dementia and caregiving.

3. Home care services: Consider engaging the assistance of home care providers. Home care can play a crucial role in supporting seniors and their families in the following ways:

   a. Personalized care plans: Home care agencies develop customized care plans based on the unique needs and preferences of each senior.

   b. Assistance with daily activities: Home care professionals can help with tasks such as medication management, meal preparation, grooming, and mobility support.

   c. Cognitive stimulation: Engaging activities that promote cognitive function, such as memory exercises, puzzles, and conversation, can be incorporated into the care plan.

   d. Companionship: Home care providers offer companionship and social interaction, reducing feelings of isolation and enhancing overall well-being.

   e. Respite care: Home care agencies can provide respite care to relieve family caregivers,

ensuring they have time for self-care and reducing caregiver burnout.

Recognizing the signs of cognitive decline in seniors and distinguishing them from normal age-related forgetfulness is crucial for both seniors and their family caregivers. By being vigilant, taking appropriate action, and seeking support from healthcare professionals and home care services, seniors can receive the assistance they need to maintain a fulfilling and independent life. Remember, early intervention and a supportive care network are essential in managing cognitive decline and ensuring the well-being of both seniors and their devoted caregivers.

Health Hazards of Snoring

Snoring is a common sleep-related issue that can have various health hazards, both for the snorers and their sleep partners. Here are some potential health risks associated with snoring:

Snoring often leads to fragmented and poor-quality sleep, both for the snorer and their bed partner. The frequent interruptions in breathing can cause the snorer to wake up multiple times during the night, resulting in excessive daytime sleepiness, difficulty concentrating, and decreased overall cognitive function.

Snoring can be a symptom of obstructive sleep apnea (OSA), a condition where the airway becomes partially or completely blocked during sleep, leading to pauses in breathing. OSA is associated with several health risks, including high blood pressure, heart disease, stroke, and an increased risk of accidents due to daytime sleepiness.

The chronic sleep disruption caused by snoring and sleep apnea can contribute to the development or worsening of cardiovascular conditions. These include hypertension (high blood pressure), irregular heart rhythms (arrhythmias), coronary artery disease, and an increased risk of heart attacks and strokes.

Snoring and the associated sleep disturbances can have a negative impact on mental health. Chronic snoring has been linked to an increased risk of depression, anxiety, and decreased overall quality of life. The daytime sleepiness and fatigue can also affect mood and cognitive function.

Snoring can strain relationships, particularly when the sleep partner is consistently disturbed by the noise and sleep disruptions. This can lead to irritability, resentment, and ultimately impact the overall quality of the relationship.

It’s important to note that not all snorers will experience these health hazards, and the severity of the risks can vary. However, persistent, and loud snoring should not be ignored, especially if it is accompanied by other symptoms such as daytime sleepiness or witnessed pauses in breathing during sleep. If you or your partner are concerned about snoring, it is advisable to consult a healthcare professional for a proper evaluation and potential treatment options.

Understanding Mild Cognitive Impairment

Mild Cognitive Impairment (MCI) refers to a condition characterized by noticeable cognitive decline that is greater than what is considered typical for a person’s age but does not interfere significantly with their daily functioning. MCI is often considered an intermediate stage between normal aging and dementia, particularly Alzheimer’s disease. While MCI can affect memory, thinking, language, and judgment, the changes are generally not severe enough to cause major disruptions in a person’s daily life.

Here are some key points to understand about Mild Cognitive Impairment:

  • There are two main types of MCI: amnestic MCI and non-amnestic MCI. Amnestic MCI primarily affects memory, while non-amnestic MCI involves other cognitive functions such as attention, language, or executive functions.
  • The symptoms of MCI can vary but often include forgetfulness, difficulty remembering recent events or conversations, trouble finding words, decreased concentration, and challenges with decision-making and problem-solving. These changes may be noticeable to the person experiencing them and their close family members or friends.
  • A diagnosis of MCI is typically made through a comprehensive evaluation by a healthcare professional, such as a neurologist or geriatrician. The evaluation may involve medical history review, cognitive assessments, neurological exams, and sometimes brain imaging or laboratory tests to rule out other causes.
  • While MCI can increase the risk of developing dementia, not everyone with MCI progresses to dementia. Some individuals may remain stable or even improve over time. However, studies suggest that around 10-15% of people with MCI progress to dementia each year.1
  • The exact causes of MCI are not fully understood, but certain factors may contribute to its development. These include age, genetic predisposition, family history of dementia, cardiovascular risk factors (e.g., high blood pressure, diabetes), depression, and certain lifestyle factors such as lack of physical exercise, smoking, and poor diet.
  • There is no specific cure for MCI. However, managing underlying conditions like hypertension or diabetes, engaging in regular physical exercise, maintaining a healthy diet, getting enough sleep, and staying mentally and socially active may help slow down the progression of cognitive decline. In some cases, medication may be prescribed to manage specific symptoms or underlying conditions.
  • Regular follow-up appointments with healthcare professionals are important for individuals diagnosed with MCI. These appointments allow for monitoring of cognitive changes, adjustment of treatment plans if necessary, and the opportunity to address any concerns or questions.

If you or someone you know is experiencing cognitive changes that are causing concern, it is recommended to consult with a healthcare professional for a thorough evaluation and appropriate guidance.

Reference:

  1. Pandya S.Y., Clem M.A., Silva L.M., et al. Does mild cognitive impairment always lead to dementia? A review. J Neurol Sci. 2016; 369: 57-62

Knowing When to Seek Skilled Help for Senior Care

As our loved one’s age, their care needs often increase, requiring assistance and support to ensure their well-being. While family members may try their best to provide care, there are instances when professional help becomes necessary. Recognizing when to seek skilled assistance for senior care is crucial in ensuring the safety, health, and overall quality of life for our elderly family members.

When seniors experience a decline in their overall health or are diagnosed with complex medical conditions, it may be time to consider skilled help. Skilled healthcare professionals, such as nurses, possess the necessary expertise to manage medical conditions, administer medications, monitor vital signs, and address emergency situations effectively. Their presence ensures that seniors receive appropriate medical attention, and their health needs are met.

Medicare-certified home health care is available to individuals who meet certain criteria set by the U.S. Centers for Medicare and Medicaid Services (CMS). Medicare will pay 100% for those qualified.

To qualify for Medicare-certified home health care, an individual must meet the following requirements:

MediCare Eligibility: The person seeking home health care must be eligible for Medicare Part A and/or enrolled in a Medicare Advantage plan that covers home health services. Typically, this includes individuals who are 65 years or older or those with certain disabilities.

Physician’s Order: A doctor must certify that the person requires intermittent skilled nursing care, physical therapy, speech-language pathology services, or continued occupational therapy. The certification must be based on a face-to-face examination conducted by the physician or an allowed non-physician practitioner.

Homebound Status: The individual must be considered homebound, which means leaving home requires a considerable and taxing effort. This can include assistance from another person or the use of a mobility aid.

Care Plan: A plan of care must be established and reviewed regularly by a doctor. The plan should outline the necessary services, and it must be reviewed at least once every 60 days or when there is a significant change in the individual’s condition.

It’s important to note that not all home health care agencies are Medicare-certified. If you’re looking to receive Medicare coverage for home health care, you must select an agency that is certified by Medicare. These agencies meet specific quality and safety standards set by CMS.

Recognizing when to seek skilled help for senior care is essential for the well-being of our aging loved ones and ourselves as caregivers. By acknowledging the signs of declining health, increased dependence, cognitive impairment, social isolation, and caregiver burnout, we can make informed decisions to ensure seniors receive the professional care they require. Seeking skilled assistance not only improves the quality of life for seniors but also provides support for family members, fostering a sense of peace and confidence in the care being provided.

America in Crisis – COVID-19

The coronavirus (COVID-19) is quickly changing the way we live. The terms “self-quarantine”, “social distancing,” and “isolation” are often mentioned by the media. What do they mean, and how do we apply them to our families and communities?

What is self-quarantine?
A person who has been exposed to COVID-19 may decide to self-quarantine or voluntarily refrain from going out of his/her home. The Centers for Disease Control and Prevention (CDC) recommend self-quarantine for 14 days.

What is social distancing?
Social distancing means avoiding places where large numbers of people gather. For example: shopping centers, conferences, sporting events, and classes. According to the CDC, social distancing includes avoiding mass gatherings and maintaining a distance of approximately (6 feet or 2 meters) from others when possible. The cancellations of events and closings are social measures designed to minimize possible exposure to someone carrying COVID-19.

What is isolation?
Isolation means a person who has contracted a communicable disease is completely separated from others. According to the CDC, for public health purposes, isolation may be voluntary or compelled by federal, state, or local public health orders. The person is kept away from everyone with the exception of health care providers, who will care for the person wearing protective gear.

The coronavirus is spread through respiratory vapor, such as when someone sneezes or coughs in the air around another person. According to the CDC, handwashing can prevent about 20% of respiratory infections. 

Know The COVID-19 Facts

A map of the world with text "Covid-19 Need to know....."

According to the CDC, illnesses have ranged from very mild (including some with no reported symptoms) to severe, including illnesses resulting in death. The CDC says information so far suggests that most COVID-19 cases are mild, while China suggests serious illness in 16% of the cases.

Watch for symptoms:
• Fever
• Cough
• Shortness of breath

Treatment:
There is no specific antiviral treatment recommended for COVID-19 according to the CDC. People who things they are sick or have been exposed to COVID-19 should contact their healthcare provider.

Prevention:
The best way to prevent illness is to avoid exposure. CDC recommends everyday preventive actions to help prevent the spread of respiratory diseases:
• Avoid close contact with people who are sick.
• Avoid touching the eyes, nose, and mouth.
• Stay at home when sick.
• Cover coughs and sneezes with a tissue and then toss it in the trash.
• Wash hands!
• Clean and disinfect frequently touched objects and surfaces.

To stay up to date about the COVID-19 virus, visit cdc.gov.

March is National Nutrition Month

March is National Nutrition Month, an awareness campaign held by the Academy of Nutrition and Dietetics. The campaign focuses on the importance of making informed food choices, developing sound eating practices, and committing to physical activity habits.

The theme for 2020, “Eat Right, Bite by Bite”, promotes eating a variety of nutritious foods daily and planning & creating healthy meals each week. “Developing healthful eating habits does not mean undertaking drastic lifestyle changes,” said nutritionist Jerlyn Jones, a national spokesperson for the Academy based in Atlanta, GA.

Eat Right, Bite by Bite campaign health tips for 2020:

  1. Eat a healthy breakfast that includes lean protein, whole grains, fruits, and vegetables.
  2. Watch portion sizes. Get out those measuring cups!
  3. Be active.
  4. Drink plenty of water.
  5. Reduce added sugars.
  6. Get to know food labels.
  7. Explore more foods and flavors

National Nutrition Month is a great time to “spring clean the diet plan” and remember every bite counts.

Nagging Cough

Everyone coughs, some more than others. Many people have experienced a cough caused by a cold or flu, the kind of cough that comes on strong for a few days during an illness, and then tapers off as we start to feel better. What if the cough just won’t go away? While having a cough is not normally harmful, there are times when it could be hinting at other serious conditions.

What is a nagging cough?
A nagging cough is often a persistent dry cough that has lasted 3 weeks or longer. The cough can hang around after the cold and flu symptoms have resolved. A nagging or lingering cough is a frustrating symptom that can affect work, sleep, and social or recreational activities.

A cough is considered “acute” if it lasts less than three weeks and “chronic” if it lasts longer than eight weeks. Some causes of a nagging cough include:
• Postnasal drip
• GERD
• Treatment with ACE inhibitors
• Heart failure
• Psychological disorders
• Asthma
• Smoking

The fatigue and discomfort of a nagging cough are annoying enough without scheduling a doctor’s appointment. However, lingering coughs could hint at a more serious illness. The Mayo Clinic recommends seeing a doctor if a cough lingers for weeks, especially one that brings up sputum or blood, disturbs sleep or affects school or work.