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Forgetting After Fifty

February 8th, 2012

June Davis, Director Aviv Centers for Living Adult Day Health

Do you forget people’s names? Do you forget where you put things? Do you have to recheck whether you have done something you meant to do?

As people age, many are concerned about the subtle changes they notice within themselves and wonder if these changes are precursors to a more serious type of memory loss such as Alzheimer’s disease. There are real changes that take place as we age that can affect our memory. To comprehend the changes, one must first have an understanding of memory. The two words frequently used to describe memory; short term and long term are often misunderstood. Long term memory is not just our memory from long ago. It consists of the information we store in our brain for later recall. It could be as simple as remembering what ingredients we need for a recipe when we go shopping. The storage capacity of our long term memory is endless.

Short term memory refers to information that we retain in our conscious thought for short periods of time. If the information does not get transferred to our long term memory it will be forgotten. Severe cognitive impairment occurs when the ability to transfer information from short term to long term memory is lost.

With normal aging, there are several changes that should be expected. First, it becomes more difficult to retrieve information from our long term memory. As we age there is more information stored in our long term memory so it becomes more difficult to find it. Second, as we age it becomes more difficult to pay attention to several things simultaneously. Our capacity to learn new information does not change as we age, it just takes more effort.

There are some real physical and psychological factors that can also affect memory including: medications, stress, nutrition, depression and negative expectations. Once it is understood that real changes do occur to our memory as we age, solutions can formulated to keep the mind active and healthy. Memory loss is not inevitable. As we accept the physical changes that occur in our body as we age, we need to understand what occurs in the brain. Each one of us can draw comfort from knowing that we are not alone.

Winter Warm Up!

January 31st, 2012

Patrice Cahill - Fitness Director at Aviv’s Center for Living’s Woodbridge Assisted Living

January, February, March – seems like these months never end making us look forward to the spring. These months are cold and dark, which isn’t all that bad except your body does needs to stay warm to be at its maximum benefit of health. Because of the cold (never mind snow and ice) folks tend to stay more indoors than venture out to the stores, and sadly the gym or exercise classes. At this time of year,you can still do “summer” exercises indoors such as swimming or running/jogging without ever leaving your house or breaking anything of value that happens to get in your way! Below are a few examples of how you can do these “summer” exercises and still stay in the comfort and warmth of your happy home!

RUNNING: “Taps” as I call them: Sit in a sturdy/comfy chair. Put feet flat on floor with shoes/sneakers on your feet. Lift your heels up so that the toe portion of your foot is on the floor. Alternate lifting one toe off the floor and then the other, simulating running in place. Start by doing this for 10 seconds and work up to a minute. Trust me these are harder than they sound! When you get the hang of these, voila! You are “running” in place!

SWIMMING: Seated in that sturdy/comfy chair, place your arms straight out in front of you. Simulate “swimming” by taking your right hand and pushing the “water” back and then do the same with the left arm. The swimming style is called free style swim. Do these for 10 repetitions, 3 sets. Once you have mastered this – add the legs! Lift both legs off the floor straight in front, with your toe pointing forward, “flap” your legs alternating to simulate kicking the “water” with your toes. Once you have mastered that portion, add the arms and you are “swimming!”

These exercises will not only keep you flexible and limber; they are primarily targeting circulation by involving your heart and lungs as well as your muscles. Important especially if you don’t get out much nor can you increase your heart rate easily or safely. As you can see, with a little education, ingenuity and motivation to exercise, not to mention a good sense of humor about looking a bit silly to the rest of the world, you can get benefits of exercise pretty much anywhere indoors regardless of the weather outside!!! Keep healthy and warm from Aviv Centers for Living!

Veterans Benefits for Homecare

January 23rd, 2012

Kimberly McBrine Private Duty HomeCare Director Aviv HomeCare

If you are a veteran, the spouse of a veteran or know a veteran in need of homecare services, we would like to draw your attention to The Veterans Aid & Attendance Pension. This benefit assists veterans and their spouses to pay for the care needed to remain safely at home. Whether using private in-home care or living in an assisted living community, a veteran and his/her (surviving) spouse may qualify for a pension from $1,094.00 per month up to $2,019.00 per month to help pay for these services.

In order to be eligible, the veteran must have served 90 days with at least 1 of those days during a period of war. The applicant must need the assistance of a caregiver to assist with activities of daily living. An example of such a veteran is one who does not drive and needs assistance with showering, dressing and medication management. He currently lives at home with his wife and has a homecare company help him with his activities of daily living in the mornings, manages his medications and escorts him to medical appointments. This veteran can possibly qualify for $1,703.00 per month.

Of course there are financial requirements as well, but 75% of assisted living cost and 100% of homecare cost is considered non-reimbursed medical expenses and is deducted from a veteran’s income. Also keep in mind that there are partial pension payments as well so if a veteran’s assets are high, he or she may still qualify for a partial payment.

For more information call Aviv’s HomeCare office at 978-854-1860.

Fun and Games for Seniors

January 12th, 2012

Lynne Nieman, Director of Resident Life at Woodbridge Assisted Living

Fun is good.
Dr. Seuss

When I was a child growing up in Swampscott, fun and games were number one on my agenda. The same holds true today. As Director of Resident Life at Woodbridge Assisted Living, it’s my responsibility to make sure that we create a sense of delight each day. Joy may be found in trivia games, word games, arts & crafts, musical entertainment, or sing-a-longs. Shopping trips, lunch out, and mystery rides are planned on a regular basis to keep life interesting and fun.

I know how important it is to incorporate fun into each day. An active mind is a happy mind. Laughter truly is the best medicine. I notice a difference between the residents who participate in fun activities and those who don’t. The ones who do are so much happier and always have a smile on their faces. They are positive and full of energy. There is definitely a difference and the activity staff is so wonderful at engaging the residents.

Joy also comes from simple pleasures like watering flowers in a garden, reading a book from the library, a morning exercise session or a simple cup of tea and a chat with a friend in the cafe.

This month we have planned movie nights, a hot chocolate social, exercise classes, sing-a-longs,entertainment, ceramics, comedians, story-telling and study groups. Seeing our residents enjoying activities is the best part of my job.

Although I don’t play hide and seek anymore and I don’t have to come in when the street lights come on…I remember those days fondly and I am so grateful to be able to bring fun into other’s lives on a daily basis. It truly does make a difference.

Switch New Year’s Resolutions for Lifestyle Health Regiment

December 29th, 2011

Patrice Cahill - Fitness Director at Aviv’s Center for Living’s Woodbridge Assisted Living

Ahhh it’s here… the turkey is done and consumed (all 5 meals), the December holidays are nearly over and that means the dreaded… New Year’s resolutions…or in other words… what you “want to get done but end up not getting done” resolutions.  New Year’s resolutions are a good idea and they give most people something to strive for, be it losing weight, quitting smoking, saving more money or even trying to be a better person.

The problem with resolutions is that over the years,  resolutions have become a somewhat of a joke.  People make them KNOWING they will break them,usually by sometime in February or worse – a week after the start of the New Year.  I recall my days at Bally’s when loads of people signed up in January for their fitness resolutions and come February, only the regulars throughout the past year showed up to work out.   In fact, there is a cute little commercial that I have heard countless times regarding fitness…a man and a woman trying to get the urge to work out and the man sings a little jingle”too tired” as he plays the piano and they never actually get to work out.

I say ENOUGH!  If you think you are going to break your resolutions – don’t make them – especially in regard to fitness!  Instead, realize that the winter is a good time to start a program to get fit because as you know, spring and summer are just around the corner!  This can be done without much ado or fanfare. There is no need to feel guilty if you haven’t made your resolution stick because it doesn’t exist.  Here’s the deal, don’t call it a resolution; call it your new lifestyle health regiment.  Tell the world that you no longer will do resolutions that will end up being broken and that you are currently involved in your own exercise/health wellness program.

Here are a few tips to launch your new lifestyle health regiment:

See a licensed nutritionist. Nutritionists are specialists in the management of dietary goals for health and well-being.  There will be a barrage of diets in the media at the start of the New Year but my best suggestion is to start with the experts.  Meet with one and have your dietary needs discussed and scheduled.

Take advantage of specials and deals that the fitness industry has to offer at this time of year. Sign up for a class or two and never feel pressured to join unless the particular gym or fitness facility has enough to keep you engaged and stimulated to workout throughout the year.

Set new goals for the spring/summer. Nothing motivates a fitness buff like realistic goals do!  Figure out what you need to get accomplished such as walking around Salem Willows, strolling along Rockport’s fabulous streets or even fitting into your new bathing suit!  Use this time to get a fitness routine started to allow you to work towards that goal or goals!

As you can see, making and not breaking New Year’s resolutions is a good start but the point of making a resolution is to get yourself to a point that you don’t even need to make any resolutions.  If you are already in a fitness/wellness program – you can tell people proudly when they ask if you have made your resolutions, that you don’t need to make any this year – all goals have been set and are just ongoing.  Happy and Healthy New Year from Aviv Centers for Living!

 

Best Gift for Caregivers: Taking Care of Yourself

December 23rd, 2011

Janice Glick, Aviv Centers for Living Director of Social Work Services

The holiday season sets many demands on us. We are asked to give gifts, attend holiday gatherings, donate time and money to those less fortunate, and create indelible family memories. The list is infinite. As a caregiver, you are constantly giving and this time of year can create even more stress in your life. How can you begin to care for yourself? This is an excellent question to pose at the New Year to inspire you to understand the importance of caring for the caregiver.

 

Caregiving is a universal phenomenon. Roslyn Carter recited a fabulous quote that has been used for many years in discussions surrounding caregivers. “There are only four kinds of people in the world: those who have been caregivers; those who currently are caregivers; those who will be caregivers and those who need caregivers.”

Think about when you are on an airplane and the flight attendant does the routine emergency landing lesson. Reflect about the lesson surrounding the mask and the message that is reinforced. The flight attendant message is that if you are sitting next to a young child, take the mask for yourself first and then help the child. Translation: take care of yourself first in order to care for someone else.

Kick off 2012 with a renewed commitment to take care of yourself. You will be healthier, feel better about yourself and have more energy to devote to your role as a caregiver. Here are some tips to help you jump start your plan:

Eat a healthy diet full of good sources of energy.
Get enough sleep each and every day.
Carve out time to enjoy an activity you enjoy each day.
Get regular medical and dental checkups.
Watch for signs of depression and seek help if you need it.
Accept gifts of help from family and friends.
Attend a Caregivers Support Group.

Did you know that Aviv Centers for Living hosts a monthly Caregivers Support Group? Our next meeting will be held on Thursday, January 5 from 6:45 – 7:45 pm at Woodbridge Assisted Living, 240 Lynnfield Street in Peabody. I will be facilitating the group that will unite caregivers to share challenges and success stories. For more information, contact me at 781-598-5310 x. 1561 or e-mail me at jglick@avivliving.org.

The Gift of Giving to Non-profits

December 13th, 2011

Michael Hammerschmidt, Aviv Centers for Living Chief Development Officer

As a development professional, I am passionate about my belief in the gift of giving to non-profit organizations. At this time of year, mailboxes are brimming with appeals from a variety of organizations, many groups who rely on fundraising dollars to support their worthwhile missions.

 

Aviv Centers for Living recently sent out an appeal that quoted the Talmud as saying, “One person’s candle is a light for many.” We took a walk down memory lane recalling that when the original founders of Aviv gathered in 1945, the world was a very different place. Gasoline cost about 15 cents a gallon. Elvis Presley debuted at age 10. Harry Truman was sworn in as the 33rd President of the United States as George and Barbara Bush wed and the United Nations was formed. While the darkness of World War II clouded the universe, a group of citizens gathered in Lynn to create light for seniors and founded the Jewish Convalescent Home, fondly called “the Home.”

Well over 66 years ago, while the world was a different place, the desire for good people to galvanize for grand purposes was just as important as it is today. As you prepare for the holidays, take a moment to look in your heart and make a donation to a non-profit organization. It may be the best gift you give this holiday season.

Best Holiday Gift Ever: Aviv’s Skilled Nursing Earns Top Rating

December 9th, 2011

by Stephen H. Neff
President and CEO

This week I received the best holiday gift any Chief Executive Officer of an organization providing a continuum of care for seniors could wish for. I opened a letter from the Massachusetts Department of Public Health outlining the deficiencies of our skilled nursing facility, the Jewish Rehabilitation Center. It was blank. The feeling of overwhelming joy is akin to learning of your child’s college acceptance to an Ivy League School, winning the lottery or getting a hole in one on an impossible course on a windy day.

For those who do not know the significance of this rating, let me explain. The Massachusetts Department of Public Health surveys skilled nursing facilities to assess compliance with Federal and State standards such as adequacy of staffing, quality of care, safety, dining services and cleanliness of facilities. Surveys are unannounced and may be conducted at any hour on any day. The perfect rating as a result of the State’s rigorous examination is the single best indicator of excellence in skilled nursing facilities.

I am so proud of the Aviv Centers for Living team for achieving this high-ranking honor. I would say that I feel like a celebrated coach of the winning Super Bowl team, but I rank it higher. I know that at the end of the day the perfect score translates to the delivery of exceptional care for our residents and clients. Knowing that you have created delight in the life of a senior is the best gift to give.

Wishing you a healthy and happy holiday season full of all the good things that really matter!

Holiday Fitness To Do List

November 28th, 2011

Patrice Cahill - Fitness Director at Aviv’s Center for Living’s Woodbridge Assisted Living


It’s November and as my dear Grandmother used to say, “The holidays are here!” People celebrate this time of year very differently but there are a few common elements that mark this wonderful and very festive time of year. The list often includes: stress, overeating and sadly, skipping workouts. As hard as this concept is to imagine, people SKIP their fitness routines! Since this time of year brings a lot of stress, one of the worst things a person can do is stop exercising! Can you believe it? People stop exercising! The holiday stretch is probably the worst time of year to put the brakes on your workout routine. The stresses (both good and bad) and all the other wonderful things that contribute to the festive vibe need energy, clear minds and good strong bodies that can withstand the pressures we put ourselves under. At this time of year when giving is the primary message we hear, I have a suggestion – give a gift to you! It doesn’t have to cost a lot. It doesn’t have to take a lot of time. It won’t spoil your appetite. Can you guess what that is? The one gift you need to bestow upon yourself is the keep up with your workout routine. Below I have compiled a few little tricks and tips to help you to keep that gift from going to your waist (grins!).
-On your calendar, block off the times you usually do your workout or attend your fitness classes. Mark the dates in a colorful vibrant pen and don’t schedule anything when you need to do your workout. In other words, don’t miss the class!
Bring a friend! If the occasion calls for a luncheon or dinner celebration – bring a friend to your gym or class before the celebration and then go out and celebrate after the class is done!
-Change it up a little! If you normally work out to music, change that music to reflect the holiday season and sing along! Work your lungs as much as you are your body.
-Keep to your normal eating schedule as much as you can. Different and fun holiday foods will be available but try to go easy on them.
-Park (if in a safe, well lit area) so you will need to walk as far as you can to get to the store or mall. While you are shopping, walk around the store or mall between looking at merchandise. Try to do the same amount of walking you would normally do during your exercise program but combine it with your holiday shopping.
As you can see, there is no reason to give up your fitness endeavors over the long holiday season. In fact, keeping up your fitness lifestyle will allow you to enjoy this season even more! You should be able to sleep more soundly, have more energy to party and even allow the occasional piece of holiday pie or a hot toddy! After all, this season only comes around once a year so enjoy and if you keep up your program – you will! Warm wishes for a wonderful holiday season from everyone here at Aviv Centers for Living.

Memory Screening Matters  

November 14th, 2011

Janice Glick, Aviv Centers for Living Director of Social Work Services

Aviv Centers for Living is encouraging members of the community to be proactive about memory health by taking advantage of free, confidential memory screenings at 330 Paradise Road in Swampscott on Tuesday, November 15 from 10 a.m.to 3 p.m. The Alzheimer’s Foundation of America (AFA) has created a fact sheet to address some of the common misconceptions about memory screening and National Memory Screening Day. AFA believes that all individuals should be empowered to make informed decisions to better manage their own health, not discouraged from screening based on misinformation.

Memory screenings are a significant first step toward finding out if a person may have a memory problem. Memory problems could be caused by Alzheimer’s disease or other medical conditions.

The memory screening tests made available to participating sites for use during National Memory Screening Day are validated for effectiveness.
It is important to keep in mind that no medical test, whether for screening or diagnosis, is 100 percent accurate and any test can produce “false positive” or “false negative” results. However,the memory screening tests that AFA makes available for use during National Memory Screening Day (GPCOG, MIS and Mini-Cog) demonstrates 80 percent to 90 percent or higher sensitivity (probability of true positives) and specificity (probability of true negatives) in reviewed studies—similar to other established screening tests such as a mammography and Pap smear.

Qualified healthcare professionals administer the memory screening tests on National Memory Screening Day. AFA explicitly recommends that qualified healthcare professionals—including social workers, pharmacists, physician assistants, psychologists, nurse practitioners and doctors—provide the screenings.

Screening results do not represent a diagnosis. The screening is neither a diagnostic or case finding process. Screening tests in general simply help determine whether diagnostic tests should be considered. A “positive” result from a memory screening should never be interpreted as a diagnosis of Alzheimer’s disease or a related illness or any other illnesses—no more than a “positive” mammogram means an individual has breast cancer.

If you would like more information, call Janice Glick, Director of Social Work Services at 781-598-5310 x. 1561