How Much Do You Know About Your Parent’s Health?

Adult children with Parent at Maple Knoll Village

With nearly 10,000 baby boomers reaching retirement age every day, the demand for caregivers increases each year. According to a report from Families Caring for An Aging America, at least 17.7 million individuals in the U.S. are caring for an older adult with various health needs. For many families, this responsibility often falls on a family member, such as a spouse or an adult child. In fact, data suggests that more than half of older adults between the ages of 85 and 89 require a family member’s help because of health or other functional issues. However, many older adults require help much sooner than this. Other conditions which are common among older adults such as Alzheimer’s disease, stroke, heart-attack or heart-disease, and fall-related injuries can result in needing assistance with basic daily tasks. Sometimes the need for assistance is quite obvious and other times it can go unrecognized for long periods of time.

For long-distance adult children, it can be difficult to know when a parent needs extra support. Many older adults either learn how to hide their condition or don’t want to burden their children with asking for help. It’s not uncommon for adult children to be surprised by their parent’s condition after going long periods of time without visiting, especially due to the COVID-19 pandemic. It’s even more common for adult children to wonder why their parent isn’t asking for help when they need it.

Why isn’t your parent asking for help?

Whether your loved one is experiencing normal age-related forgetfulness or decreased mobility, it might come as a surprise when they don’t ask for help. However, there are a number of reasons why parents hesitate to ask their adult children for assistance:

  • Denial. As humans, we can rationalize any situation no matter its severity. Even if your loved one is experiencing changes in their memory or physical health, they may not have accepted these changes yet. Instead, your parent might be placing blame on others around them.
  • Cognitive decline. When adults develop Alzheimer’s or dementia, they may not realize that they are putting their safety at risk. In addition, it’s not uncommon for those with memory conditions to hide their symptoms from their loved ones.
  • Fear of losing autonomy. Oftentimes older adults worry that receiving more care and assistance results in a loss of independence. They might fear losing the ability to drive, take care of themselves, or live in their home independently.

Understanding the Warning Signs

Whether you’re already noticing signs of declining health in your loved one, or aren’t exactly sure what to look for, there are some common warning signs that can help you identify a problem. The Mayo Clinic has developed a list of signs and symptoms of various health conditions that should spark concern. The next time you visit your loved one, you may consider asking these questions:

Are your parents able to take care of themselves?

Failure to keep up with basic daily routines, such as bathing and brushing teeth, could be a sign of depression, dementia, or other physical impairments. The next time you’re with your parents, pay attention to their physical appearance. In addition, any changes in the way your parents do things around their home could also provide insight into their health. Are they paying the bills on time? Are the dishes clean? Neglecting housework or having problems buying groceries could also be signs of depression or dementia.

Are your parents experiencing memory loss?

It’s common for older adults to experience sporadic forgetfulness, however, there is a difference between these normal changes and memory loss that interferes with daily life. Warning signs of abnormal memory loss can include: asking the same questions repeatedly, getting lost in familiar places, not being able to follow instructions, and becoming confused about time, people and places.

Are your parents safe in their home?

Take a look around your parents’ home and look for anything out of the ordinary. Are they able to refill their medications and take them consistently? You may consider looking around for any fall hazards or signs they have recently fallen.

Are your parents safe on the road?

If your parents become confused while driving or you have concerns about their ability to drive—especially if you have noticed any new scratches or dings in their vehicle, it might be time to have a conversation about driving alternatives.

Have your parents lost weight?

Losing weight without trying could be a sign that something is wrong. Weight loss can be related to many different factors including difficulty cooking, loss of taste or smell, social issues and underlying conditions such as malnutrition, dementia, depression, or cancer.

Are your parents still social?

If your parent is neglecting their normal social activities, it could be a sign of depression or dementia. If you notice your parent withdrawing from their hobbies or avoiding their friends, it may be time to address your concerns.

Next Steps

If you’ve noticed any warning signs in your loved one, it can be difficult to know what to do next, especially if you live cross-country or far away. However, there are many steps you can take to ensure your parent is getting the support and care they need. Here are a few ways to get started:

  • Consider a CCRC. Continuing care retirement communities are great options for older adults who want access to different levels of care in one place. CCRCs offer independent living, assisted living and skilled care nursing. These are also great options for couples who prefer to age together, especially in situations where one spouse requires more care than the other.
  • Share your concerns. Talk to your parents about your concerns and ask them to visit their health care provider. If you are long-distance, you may ask a trusted friend or family member to accompany them.
  • Address immediate safety concerns. If you notice any threats to your parents’ health or safety, such as malnourishment or fall-hazards, it’s important to address these first. This might include hiring additional support, such as a personal care attendant, or installing grab bars around the home.
  • Contact your parent’s healthcare provider. If your parents dismiss your concerns, it may be time to seek help from their healthcare provider. Sharing your concerns with their doctor will help them look for warning signs at their next appointment or conduct assessments to diagnos memory loss or other conditions. You parent may be more open to hearing feedback from a trusted doctor or other healthcare provider.

At Maple Knoll Communities, our main priority is the health and safety of our residents in all levels of care. We work together with family members to provide support, address concerns, and offer peace of mind. If you’re interested in learning more about our offerings or to schedule a tour, please contact us.

Noticing Memory Loss in Loved Ones

Group of Old Peoples Enjoying

As we age, it’s very common to notice changes in our physical and cognitive abilities.  While these conditions might spark worry and concern about their overall health, they can be normal age-related changes. However, when it comes to memory, it’s important to understand the difference between normal mild forgetfulness common with aging and serious memory problems. Nearly 50 million people worldwide have been diagnosed with dementia, which is group of symptoms affecting memory, thinking, and social abilities. While some memory loss is common with aging, dementia is not a normal part of aging. Alzheimer’s, which is the most common form of dementia makes up 60-70% of all dementia cases and is the sixth leading cause of death in the United States. While Alzheimer’s disease and dementia can look different on each individual, many people first notice changes in their memory and cognitive abilities. While it can be tempting to ignore the warning signs in a loved one, it’s important to address them early on in the disease. The first step in addressing memory loss in a loved one is to get familiar with the warning signs of Alzheimer’s disease and dementia.

Signs and Symptoms of Alzheimer’s disease and Dementia

The warning signs of Alzheimer’s disease can be very subtle and difficult to identify at first, especially for the individual who is experiencing symptoms. In many cases, family members often notice changes in their loved one first. While every case is different, the Alzheimer’s Association has compiled a list of the most common warning signs of Alzheimer’s disease. It’s important for family members to become familiar with these signs to ensure an early diagnosis for their loved one.

  • Memory loss that disrupts daily life. One of the most common signs of Alzheimer’s disease, especially in the early stages, is forgetting newly learned information. You might notice your love one repeating questions, using memory aids like notes and alarms, or relying on family members for tasks they were once able to handle themselves. It is normal for older adults to occasionally forget appointments, but remember them later on.
  • Difficulty with problem solving. It’s normal for older adults to make occasional errors when managing finances or household bills, however, those with dementia may experience progressive difficulty managing their finances or following instructions in a recipe or keeping track of monthly bills. If this interferes with daily life, it could be a warning sign of dementia.
  • New problems with words in speaking or writing. Those with Alzheimer’s may have trouble following along in a conversation. You may notice your loved one repeating themselves often, struggling with recalling words, or calling objects by a wrong name.
  • Misplacing items. As we age, we may misplace things from time to time but are able to retrace steps to find them. However, those with dementia or Alzheimer’s disease may put things in unusual places, misplace items and be unable to retrace steps to find them again. Some individuals may accuse others of stealing as the disease progresses.
  • Changes in mood and personality. Some individuals with dementia and Alzheimer’s disease may experience mood and personality changes, such as becoming confused, suspicious, anxious, fearful or depressed. This can occur at home or when they are out of their comfort zones.

What to Do When You Notice Changes?

If you’re noticing warning signs in your loved one, it can be difficult to know what steps to take next. However, it’s important to address these concerns as an early diagnosis can ensure your loved one gets the support and care they need as the disease progresses. According to Psychology Today, here are some steps to take if you are noticing signs of memory loss in your loved one:

Write down what you observe

As you prepare to talk to your loved one about memory loss, it’s important to write down what you notice. For example, perhaps your loved one is getting lost going to the grocery store, leaving food burning on the stove, or is mismanaging finances.

Pay attention to any stressors

Write down when you began to notice the changes and note if they or gradual or sudden. It’s also helpful to note if the changes correlate with any sudden life changes such as losing a spouse or a move to a different home or new area.

Share concerns in a compassionate way

Sharing your concerns with your loved one is not an easy conversation to have at any time. However, preparing beforehand can make things easier. Think about the time and place that would be best to have the conversation and explain why you’re worried. This is a good opportunity to share your observations and ask if they’ve noticed any changes themselves. Reassuring your loved one that you are in this together and you are there to support them can also be helpful.

Help your loved one go to the doctor

Getting an early diagnosis can help your loved one access treatment options, participate in clinical trials, and make lifestyle changes that can help manage the symptoms of Alzheimer’s disease and dementia. It’s important to ask your loved one to make an appointment with their primary care physician as soon as you notice symptoms. The earlier they receive a diagnosis, the sooner they can manage the disease and help preserve cognitive function.

What if your loved one is resistant?

If your loved one quits talking or doesn’t want to listen to your concerns, you may have to start the conversation at another time. Receiving a diagnosis can be painful and scary, so giving your loved one time to accept their own cognitive changes may be necessary. You can always ask another individual who is close with your loved one or a healthcare provider to assist if appropriate.

Living with Memory Loss at Maple Knoll Communities

Our priority at Maple Knoll Communities is to provide high-quality support for all residents at every level of care. We provide additional assistance, spiritual care, and support groups for those experiencing memory loss, caregivers and family members. If you’re interested in learning more about these offerings, please contact us!

Everything You Should Know About Parkinson’s Disease

Parkinson Diseases And Its Measures

The month of April marks Parkinson’s Awareness Month and provides a great opportunity to learn more about the disease. According to the National Institute on Aging, Parkinson’s disease (PD) is a brain disorder that leads to shaking, stiffness, difficulty with walking, balance, and coordination. PD is a progressive nervous system disorder that affects the area of the brain that controls movement. Parkinson’s can cause changes within the brain that can begin to interfere with cognition, judgement, posture and facial expressions.

Parkinson’s disease is common among older adults, in fact, according to the Alzheimer’s Association, PD affects nearly two percent of older adults over the age of 65 and is the second most common age-related neurodegenerative disease after Alzheimer’s disease. While the symptoms of PD can look different depending on the individual, there are some commonalities in most cases of Parkinson’s.

Symptoms of Parkinson’s Disease

Symptoms of PD can begin gradually and often get worse as the disease progresses. However, in the beginning stage of the disease, the symptoms can be so subtle that they often go unnoticed. People with PD may have difficulty walking and talking, and also experience mental and behavioral changes, such as depression and fatigue. According to the Mayo Clinic, signs and symptoms can include the following:

  • Tremor. A tremor, or shaking, usually begins in a limb, often your hand or fingers. You may rub your thumb and forefinger back and forth, known as a pill-rolling tremor. Your hand may tremble when it’s at rest.
  • Slowed movement (bradykinesia). Over time, Parkinson’s disease may slow your movement, making simple tasks difficult and time-consuming. Your steps may become shorter when you walk. It may be difficult to get out of a chair. You may drag your feet as you try to walk.
  • Rigid muscles. Muscle stiffness may occur in any part of your body. The stiff muscles can be painful and limit your range of motion.
  • Impaired posture and balance. Your posture may become stooped, or you may have balance problems as a result of Parkinson’s disease.
  • Loss of automatic movements. You may have a decreased ability to perform unconscious movements, including blinking, smiling or swinging your arms when you walk.
  • Speech changes. You may speak softly, quickly, slur or hesitate before talking. Your speech may be more of a monotone rather than have the usual inflections.
  • Writing changes. It may become hard to write, and your writing may appear small.

Causes and Risk Factors

According to Johns Hopkins Medicine, “there are no biomarkers or objective screening tests that indicate one has Parkinson’s disease.” However, there are some environmental and genetic factors that are linked to this disease. In addition, researchers have suggested that some specific genetic mutations are directly related to Parkinson’s disease. Experts believe that the majority of Parkinson’s cases are caused by a combination of environmental exposure, such as pollution and pesticides, and genetic makeup. While researchers are still gathering data on the causes and risk factors of the disease, here’s what we do know:

Age. The biggest risk factor for developing Parkinson’s disease is progressing age. Most people begin recognizing symptoms of PD at 60.

Gender. Men are more are 1.5 times more likely to be diagnosed with PD than women.

Genetics. Those with a family history of Parkinson’s disease are more likely to develop the disease compared to those who no family history of the disease.

Environmental causes. Medical experts believe that exposure to toxins, especially farming chemicals and heavy metals, detergents, and solvents are linked to the disease. However, it is unlikely that most people who develop Parkinson’s disease do so primarily due to environmental toxins.

Head trauma. Repeated head traumas, due to sport injuries or accidents, have also been linked to Parkinson’s disease. However, researchers are still studying the impact of head trauma on the development of Parkinson’s disease. While experts aren’t sure if head trauma can cause PD, there is thought that two could be related.

Treatments for Parkinson’s Disease

Treatment for Parkinson’s disease is usually based on an individual’s symptoms, as there is no medication to reverse the effects of the disease. Treatments often include a variety of medications designed to manage tremors, stress, anxiety, and sleep disturbances. Lifestyle changes are also suggested to help minimize symptoms. Exercise and therapies to help improve flexibility and balance, and reduce rigidity are often helpful for PD patients.

In more severe cases, surgery can be a helpful treatment option. Depending on the individual, lesion surgery, deep brain stimulation and neural grafting or tissue transplants can provide comfort and help ease the symptoms. It’s important to remember that surgery is designed to help with symptoms, but cannot reverse the effects of the disease or stop its progression.

Navigating Life with Parkinson’s

Receiving a Parkinson’s diagnosis can be difficult for everyone involved. As part of the diagnosis, the biggest challenges can be managing overall health and wellness including managing medication appropriately, getting enough exercise while remaining flexible, and managing stress and anxiety. Managing Parkinson’s can feel like a full-time job. Transitioning into a continuing care retirement community (CCRC) can help carry the burden of the disease by providing additional support and high-quality medical care. Here are a few ways CCRCs can help manage life with Parkinson’s disease:

Health and wellness-One of the most important elements in maintaining independence with a Parkinson’s diagnosis is to focus on overall health and wellness. CCRCs can provide medical teams to help with medication managements, individualized care, and provide nutritionally balanced and healthy meals.

Physical exercise- Experts recommend consistent exercise routines for those living with Parkinson’s. Physical activity can help slow down the progression of the disease and improve motor function. Most retirement communities have recreation facilities that offer daily group exercise classes and individual fitness programs to help increase flexibility.

Support groups- Stress and anxiety can actually make Parkinson’s symptoms worse. CCRCs can help manage stress by offering support groups, individual counseling, music therapy and social programs.

Managing Parkinson’s at Maple Knoll Village

Those who have been diagnosed with Parkinson’s disease are likely to need both physical and emotional support. At Maple Knoll Village, our staff are highly skilled in caring for those with Parkinson’s in many ways, such as providing medical attention and offering activities designed to promote physical and mental wellness. If you’re interested in learning more about our offerings, please contact us!