Not all aged care facilities are created alike. Some offer memory care options, while others do not. Independent living facilities, for example, are geared toward older adults who are able to live an active lifestyle. Assisted living facilities and skilled nursing facilities (also known as nursing homes) may offer memory care options for people with dementia. Before choosing a care facility, ask the facility director if the institution provides specialized care or not.
What is the cost?
Caring for a person with dementia is expensive. According to an analysis conducted in 2016, the cost of health and residential care of people living with dementia can reach up AU $88,000 annually. Before committing to a facility, ensure that the facility and their services are up to or above par. Check the facility’s basic daily fee, plus its means-tested care fee and accommodation cost. Some facilities also charge fees for additional services.
What activity programs are available?
Mental stimulation can have physical benefits for people with dementia. Thus, an ideal aged care facility should provide inclusive programming, as well as specific recreational activities for residents with dementia. Some examples of activities include:
Reading and solving puzzles
Exercise and meditation
Playing a musical instrument/ listening to music/ sing-a-long
Painting and crafts
What kind of training has the nursing staff received?
Thoroughly check ALL nursing staff credentials to make sure that they are adequately trained. Observe how the staff deals with the residents. Do they treat the residents with compassion and respect, or do they raise their voices or are rude when they communicate? Do you see signs of abuse or neglect? What is the staff-to-resident ratio per shift?
Also, make sure that a registered nurse is on duty 8 hours a day, and the facility is operated by licensed nursing staff 24 hours a day. Many dementia patients are unable to eat or drink by themselves, so check whether the staff is willing to assist residents who are unable to do so.
Sheena Nancy Sarles writes about her new book titled Growing Younger Gracefully. The book is a full-spectrum exploration and curation of simple tips to navigate and celebrate the gift of aging.
My intention for writing “Growing Younger Gracefully: Your Guide to Aging with Vitality, Resilience, and Pizzazz” is for you to be inspired to appreciate your gift of aging, and to be motivated to incorporate daily, weekly, monthly, or once-in-a-lifetime rituals that enhance your well-being regardless of your chronological age. Growing Younger Gracefully is not about looking younger, but about the positive attitude and vibrant energy, we can choose as our foundation, as we navigate this journey in body, mind, and spirit.
This book springs from many sources that came about at the same time. First, I am aging, and I really want to face my aging without panicking. And, not long ago, I was panicking! I want to look and feel my best. Yet, it is time to acknowledge that I am in transition. My body doesn’t respond the way it used to. My face looks different. I care less about some things and more about others. There suddenly seem to be more people around who are younger than me than who are older. I get notices on hearing aids and retirement needs instead of ads for gym memberships. Yikes!
I have always been interested in being active, healthy, and living well. I want to enjoy all the aspects of my life. A few years ago, I began picking up books and articles with terrific ideas on well-being, yoga, nutrition, meditation, health products, and pretty much everything in this area. I’ve kept notes and tried whatever tips interested me. That compilation grew and grew, and is now this book.
“Growing Younger Gracefully: Your Guide to Aging with Vitality, Resilience, and Pizzazz” is my curation of the various elements that offer well-being at any and every age. We actually can enhance our well-being, or as I like to say, “grow younger gracefully,” with a commitment to the pillars of well-being: nourishment, movement, and attitude. Each relies upon the other, yet each holds great significance independently.
“Growing” is our constant cellular state. Our cells are ever-changing. “Younger” is the notion that youth is about creating new experiences, gaining new perspectives, and exploring life’s mysteries. Let’s keep doing that, no matter our physical age. “Gracefully” is the way in which we want to explore these mysteries of life—with elegance, ease, and respect.
Aging is identified in our culture as something to fear, deny, resent, remedy, cure, and most of all, regret. As we age, we can feel great. As we age, we can feel awful. As we age, we can feel it all. Our aging is real, and it’s all ours. Most of all, how we age is all about our choice and our perspective.
These tips are organized by topic, but it is not recommended that you start at the beginning and read through in order. I suggest you find one randomly and take that tip into your routine for a day. Or, if you are looking for something specific to address a current interest or struggle, do just that.
Welcome to “Growing Younger Gracefully: Your Guide to Aging with Vitality, Resilience, and Pizzazz”!
Sheena Nancy Sarles is the founder of Growing Younger Gracefully™ (GYG) workshops and creator of GYG Organic Facial and Body Serums. A certified yoga instructor, holistic life coach, and Reiki practitioner, she has curated her studies and practice of well-being in her newly released book, Growing Younger Gracefully: Your Guide to Aging with Vitality, Resilience, and Pizzazz. Follow Sheena on Twitter.
In an effort to increase awareness for the first annual National Memory Screening Week held Nov. 1-7, Vicki Tapia, author of Somebody Stole My Iron, has joined with four other authors of books about dementia/Alzheimer’s. This article describes the campaign and presents a brief synopsis of their books.
It was the weekend of our family reunion and almost everyone was gathered together at my parent’s condo to celebrate a milestone. Our patriarch, my dad, was turning 90. When the front doorbell rang, Mom opened the door, took one look at her oldest granddaughter and asked in a perplexed tone of voice, “Who are you?” After a moment of silence, we all laughed a little uncomfortably, but brushed it off, rationalizing the comment as a manifestation of Mom’s stress in caring for Dad, who had been diagnosed with Parkinson’s disease. It was not mentioned again.
Our family continued to somehow normalize or overlook the ever-increasing signs that something was not quite right with Mom’s behavior. Another two years passed before she finally agreed to be evaluated by her health care provider, around the same time Dad was diagnosed with Parkinson’s-related dementia. Although by this time, our family wasn’t completely surprised by Mom’s Alzheimer’s diagnosis, we were alarmed to hear she was already considered to be in the “moderate” stage of the disease. I later learned this scenario is typical.
Studies tell us that the delay in diagnosis can be attributed to the family’s own denial in not wanting to face the fact that something is wrong. In retrospect, this could be applied to our family, although in many ways, we were simply clueless in the beginning. Sometimes, a fear of diagnosis can result in reluctance on the part of the affected person to agree to an evaluation, particularly if it involves an adult child prodding an intractable parent. Healthcare costs may also be a factor in avoiding an assessment by a qualified health care provider (HCP). The oft-perceived stigma associated with a potential diagnosis of dementia/Alzheimer’s can be a barrier to evaluation for the entire family.
National Memory Screening Week
In an effort to promote the importance of early detection of memory problems, the Alzheimer’s Foundation of America (AFA) has launched the first annual National Memory Screening week scheduled for Nov. 1-7.
The screenings will be free and confidential, and if deemed necessary, refer people onto appropriate follow-up services. One of the goals of the screening is to work toward eliminating the stigma and fears associated with dementia. The AFA also hopes to alleviate fears for people who participate in the memory screening, but do not show a concerning memory problem.
The scene described in the opening paragraph of this blog post is based on an excerpt from my memoir, Somebody Stole My Iron, which details the daily challenges, turbulent emotions, and many painful decisions involved in caring for my parents. Laced with humor and pathos, reviewers describe my book as “brave,” “honest,” “raw,” “unvarnished,” as well as a “must-read for every Alzheimer’s/dementia patient’s family.” I wrote this story to offer hope to others whose lives have been intimately affected by this dreadful disease, and to reassure them that they are not alone.
Four other engaging books about dementia/Alzheimer’s disease that I am pleased to recommend include:
Greg’s story is not about losing someone else to Alzheimer’s, it is about losing himself. Acting on long-term memory and skill, coupled with well-developed journalistic grit, O’Brien decided to tackle the disease and his imminent decline by writing frankly about the journey. “On Pluto is a book about living with Alzheimer’s, not dying with it.”
Jean’s memoir details her journey caring for both parents who were diagnosed on the same day. It is written with wincing honesty about the cruel affects of the disease, but a World War II love story held together by faith and family is contained within the pages.
Marianne describes herself as a writer who happens to be a nurse. She writes this work of fiction based upon her care for the elderly. It is a tenderly told love story about Jack and Sara, owners of a New England bed and breakfast. Sara is stricken with Alzheimer’s and Jack becomes her caregiver.
Shannon writes this work of fiction through the eyes of a young girl, perhaps not surprising, as her author bio notes that her own grandfather had Alzheimer’s. In the story, when thirteen-year-old Delia Burns realizes that her elderly neighbor is beginning to forget, she involves the entire town in saving his memories.
Vicki Tapia, long-time lactation consultant and published author of numerous lactation articles, found her energies redirected to the other end of life when both her parents were diagnosed with dementia in 2004. Her diary documenting their journey resulted in the publication of Somebody Stole My Iron: A Family Memoir of Dementia, a 2015 finalist for the High Plains Book Awards. The mother of three grown children and eight grandchildren, Vicki lives with her husband and Mini Schnauzer in South Central Montana, USA.
In many developed countries, the aging populations are on the rise and Australia is no exception. Currently, 13% of Australia’s population is over 65 years and this is projected to grow 19-21% by 2031 and 26% by 2051. The experience of aging can range from a positive, fulfilling one to an anxiety filled, negative experience. In Australia, mental health disorders are highly prevalent among the elderly.
Existing mental health services are provided at the primary care level, with the general practitioner. In 1992, Australia changed its mental health services policy from an institutional to a community-oriented set up. When it comes to health, one’s General Practitioner (GP) is usually the first point of contact for an elderly patient. By integrating mental health services at the primary care level, the Australian government places mental health as a mainstream agenda in the health system.
An example of a model is the case of St. Vincent’s District in the inner city of Sydney. This district had a heterogeneous elderly population, comprising of Holocaust survivors, people who are homeless, or in hostels among others. Less than 1% of the population surveyed went directly to a hospital for mental health services, and a significantly larger proportion went to their GP. Since the elderly have the freedom to choose their GP, they place a high level of trust with these health professionals. The model encouraged collaboration across primary care, community services and specialist services such as geriatric medicine and geriatric psychiatry. An impact evaluation of this program suggested that general practitioners and other primary health care workers became more skilled in assessing and managing elderly mental health, requiring less support. Additionally, there has been better outcomes with regards to maintaining continuity of care.
It is estimated that 10-15% of the elderly population have experienced depression. If one looks specifically at the elderly population in residential care homes, this population has more than twice the rate of the depression, at 35%. Additionally, about 10% have experienced problems with anxiety. Suicide rates among the elderly are also a cause for concern as men over 85 years have the highest likelihood of dying by suicide than any other age group. This age group’s suicide rate is three times higher than the national rate, at 37.6 deaths per 100,000 people. Some of the key reasons for depression include loss of a partner and deterioration of health.
These figures look grim. Perhaps there is a need for the re-evaluation of this model, looking at health systems factors as well as sociocultural factors affecting access and use of mental health services.
Namratha Rao is currently pursuing her MSPH in International Health in Social and Behavioral Interventions at the Johns Hopkins University Bloomberg School of Public Health.