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Category: Wellness

  • Write a Memoir – Part 1

    Write a Memoir – Part 1

    Ready to Write a Memoir?

    Here is Your Guide on How to Tell Your Story and Inspire Your Loved Ones:ย Part 1

    When it comes to reminiscing about your life, setbacks, adventures, and milestones, writing a memoir may be a great idea and allow you to share your unique story with your loved ones. In fact, this is your chance to explain some of your choices and share some of your deepest secrets with your family and future generations. Your loved ones may feel inspired after reading your story and benefit from your life experiences, making it a worthwhile undertaking.

    Experts suggest that writing allows older Americans to tap into their brain power using word associations and sentence structure as an intellectual activity. In addition, a Yale study has found that memoir writing for seniors encourages community building and embracing the later stage of their life which may add up to 7 years to their lifespan.

    Some older adults seem to be reluctant to write their life story for one simple reason. When they think about memoirs, they usually imagine some of the most famous, powerful, and influential individuals who have the most captivating narratives to tell. Anything less than that just doesnโ€™t seem to be important enough. Besides, working on a memoir can be very time-consuming and challenging; itโ€™s a lot of work and writing about something โ€œordinaryโ€ and โ€œunremarkableโ€ may not be worth the time and effort. Why even bother? But here is the surprising truth: anyone can write a memoir, and most people probably underestimate the significance and potential impact of their story.

    Contrary to popular belief, facts can be so much more fascinating than fiction and everyone (yes, everyone!) has a story to tell. Why donโ€™t you look back on your life? Have you experienced rejection in the past? How many obstacles did you have to overcome or what did you have to do to attain some of your biggest goals? Even if you were unable to achieve everything youโ€™d set out to achieve, itโ€™s the journey that matters the most. The experience. The learning. The people you met along the wayโ€ฆNot necessarily the outcome.

    So, if you are still thinking about writing your own memoir, itโ€™s time to dust off those memories and embark on a new, creative, and intellectually stimulating journey. Hereโ€™s how:

    Write an outline

    As you may already know, one of the best ways of organizing your thoughts is to write an outline. A good outline serves as the skeleton of your memoir, providing the structure you need to cover all the necessary details and say everything you need to say. Itโ€™s your jumping-off point that will grow, evolve, and stretch as you move forward with your project.

    Just get the ball rolling

    Choose a starting point that may stir up some emotions or provoke hearty laughter. Can you think of a childhood adventure you would like to mention, your wild college years, or perhaps the moment you realized you were the coolest parent on the block? Donโ€™t think too long and too hard โ€“ this may impede your progress. Just initiate the process and get your creative juices flowing. No need to obsess over the outcome right from the get-go.

    Add a dash of humor

    Letโ€™s face it, life is too short and people spend more time worrying and stressing out than laughing. Let your memoir reflect the chuckles and giggles you have earned over the years. Donโ€™t hesitate to share some awkward moments with your readers and make them laugh. Do you remember the time you tried to learn how to tap dance, the way you used to dress for Halloween, or the karaoke night where you tried to sound like Stevie Wonder? Imagine how funny and enjoyable it would be to read about your undertakings or foray into pop music. Donโ€™t keep it a secret โ€“ get it off your chest and make people laugh to their heartโ€™s content.

    Add some quirky characters to your story

    Have you ever met someone unusual, quirky, and eccentric in the past? Most of us have. How did this person shape your life or impact your outlook on things? Was it Aunt Gloria with her fancy hat collection, Cousin Henry with his obsession with video games, or some long-forgotten childhood friend who had a knack for getting you into trouble. Bring these characters to life and let them dance through your pages. You will be glad you did.

    Final thoughts

    Although writing may not necessarily provide the same benefits to everyone,ย it could be a useful addition to a traditional healthcare regimen and help support mental wellbeing.


  • The Benefits of Sleep

    The Benefits of Sleep

    Enjoy a Good Nightโ€™s Sleep and Wake up Refreshed and Ready to Go

    A Few Savvy Sleep Tips for Older Adults

    According to the National Institute on Aging, many older adults donโ€™t sleep well. In fact, roughly one in three older Americans report NOT getting enough rest on a daily basis. Letโ€™s also take a look at the statistical data provided by the Mayo Clinic, a nonprofit American academic medical center focused on integrated healthcare. The organizationโ€™s website states that as many as 57% of older adults report major disruption of sleep, 29% struggle to fall asleep, and 19% complain of early-morning awakening.

    There are many reasons why. Some older adults are taking medications that may keep them awake, while others feel sick or experience pain which precludes them from falling asleep. There are those who suffer from sleep apnea (a disorder that causes a person to repeatedly stop breathing while they sleep) or restless leg syndrome (an uncomfortable urge to move your legs). Not to mention Alzheimerโ€™s disease which can impact sleep-wake cycles for older adults,causing them to sleep too much or not sleep enough.

    No matter the reason, lack ofย aย good nightโ€™s sleepย can make you irritable,ย affect your memory,ย and even potentially result in falls or accidents.ย It is important to remember that insufficient sleep can lead toย increased risk of cardiovascular disease, diabetes, weight problems,ย or even breast cancer in women.ย Disturbed sleep, waking up feeling tiredย or groggy,ย and other symptoms of insomnia are NOTย necessarilyย a normal part of aging, as suggested by HelpGuide.org.

    It goes without saying that sleeping well is crucial to our health, wellbeing and longevity. Especially when it comes to older adults. 

    The simple insights below may help you develop a few sleep-friendly habits. 

    Avoid artificial lights

    As you may already know, artificial lights at night can suppress your bodyโ€™s production of melatonin, the hormone that makes you sleepy. Therefore, experts suggest you should use low-wattage bulbs, and turn off your TV and computer at least one hour before bed. 

    Transform your bedroom into a sleep sanctuary

    Make sure your bedroom is quiet, dark, and cool and your bed is comfortable. Most people become more sensitive as they age; light and heat can also cause sleep problems. You may want to resort to a sleep mask, ear plugs, or a sound machine. Donโ€™t forget to ditch the gadgets at least an hour before bedtime. After all, funny cat videos can wait โ€“ your sleep cannot.

    Develop and stick to relaxing bedtime rituals.

    There are quite a few things you can do to wind down before bed. You may take a bath, play some relaxing music, or engage in a relaxation technique such as mindfulness meditation, deep breathing, or some gentle stretching to keep those joints happy. It might be a good idea to read another chapter of that book you were meaning to finish. 

    Avoid changes in sleep schedules

    Why donโ€™t you embrace your inner child and establish a bedtime routine? As stated by the Sleep Foundation, aging can make it so much more difficult to recover from lost sleep. It is essential that you go to bed and wake up at the same time, every day. In addition, make sure you avoid long naps, especially too close to bedtime.

    Steer clear of meals or substances that may ruin your sleep

    Keep in mind that there are quite a few substances that are better to avoid if you are determined to get a good nightโ€™s rest. Scratch alcohol, tobacco, and large meals late in the day off your list and consider quitting smoking or reducing caffeine intake. The Sleep Foundation suggests you eat your dinner at least four hours before bedtime.

    Final thoughts:

    The magic and impact of a good nightโ€™s sleep cannot be overestimated. In fact, for older Americans, itโ€™s not just a luxury โ€“ itโ€™s a necessity, protecting them against aches and pains that come with aging. Itโ€™s the brainโ€™s clean-up crew sweeping away all the mental clutter from the day. And letโ€™s not forget about the mood boost allowing you to wake up feeling energized, upbeat,and ready to tackle the day.

    The information in the above article is not intended nor implied to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition or beginning any exercise program. 


  • Fall Reduction Strategies For Seniors

    Fall Reduction Strategies For Seniors

    Fall Reduction Strategies: How to Lower Your Risk and Live a Productive Life

    If you or anyone you know has fallen, let us assure you that you are not alone. As one would expect, falls are usually more prevalent among older adults. In fact, according to National Institute on Aging, more than one in four people who are 65 or older, fall each year or develop fall-related issues. Sadly, many older Americans choose to restrict certain activities, such as walking, jogging, biking, or dancing, just to prevent potential accidents and avoid getting hurt.

    It doesnโ€™t have to be like this.

    The good news is that the risk of falls can be reduced, as likewise are the problems caused by fall accidents. There are specific steps you can take to reduce risk and enjoy the active, healthy, and productive life you deserve, no matter how old you are.

    In order to avert the risk of falling, it is crucial that every older American finds out what causes falls. This way he or she will be better equipped to stay safe while maintaining an active lifestyle.

    A Few Things That May Cause Falls among Older Adults

    As people age, they typically experience changes in eyesight and hearing that can make them more susceptible to falls. In addition, some ailments and physical conditions may impact their strength, balance, and coordination. Letโ€™s not forget that poor lightning at home can also potentially result in an accident.

    As stated by American Family Physician, certain side effects caused by medication can throw older adults off balance and make them unsteady. Some older folks take medication to treat a wide variety of issues โ€“ from sleep problems and high blood pressure to diabetes and heart condition, and taking four or more medicines can put them at risk for falling.

    Now that we know some of the most common reasons for falling, letโ€™s turn our attention to lowering the risk and staying safe for years to come.

    Crucial Steps to Reduce Falls

    Make your health a priority: If you are determined to stay healthy and avoid slips, trips, and falls, never skip a doctorโ€™s appointment. Get an annual eye examination and a physical, and check with your physician about any side effects of your medications as fatigue and confusion may potentially result in a fall. In addition, many medical experts urge older individuals to take medications on schedule, maintain proper diet, and limit alcohol intake. Those who smoke may have to say goodbye cigarettes for the sake of their safety and wellbeing.

    Get active and get healthy: It is very important to engage in regular exercise, build endurance, and keep your body in good shape. If your doctor gives you the green light, you could benefit significantly from walking, running, gardening, dancing, or/and weight lifting. Of course there are other activities you could consider, such as biking, swimming, climbing stairs, or tai-chi. Remember, the right exercise routine can facilitate agility, flexibility, strength, and coordination, as stated by American Academy of Orthopedic Surgeons. Make sure you have fun exercising which may give you the incentive to stick to your routine and even look forward to the next workout.

    Invest in comfortable shoes:ย Comfortable footwear can help keep you from falling. According to the Mayo Clinic, it is crucial that you wear flat, slip-resistant, and sturdy shoes that fit properly and make walking so much easier and more enjoyable. In fact, the shoes you wear should become part of your fall reduction plan. As stated on the Mayo Clinicโ€™s website, in addition to providing support and comfort, sensible shoes may also reduce joint pain โ€“ great way to nail two targets with one stone.

    Your loved ones are your saviors:ย You certainly have an advantage if you have your family members looking out for you and addressing any concerns you may have about feeling dizzy, tired, or unsteady on your feet, while watching carefully for any changes in your balance and providing emotional support. Your loved ones can also help you make your home safer, clear clutter, and notice potential hazards that may result in tripping or falling. You may also want to keep your home brightly lit and get those magazine racks or plant stands out of the way.

    According to the Mayo Clinic, falls remain a leading cause of injury among older Americans. That being said, the fear of falls should not rule your life. If you follow the simple suggestions outlined above, you may be able to reduce the risk of falls and improve the quality of your life.

    For Osborn residents, an in-home falls assessment can be completed in your residence on campus by our Outpatient Department. If you live in the outside community,ย Osborn Home Careย can conduct an assessment as part of the services they provide. Additionally, Burke Rehabilitation Hospital in White Plains NY offers a Home Assessment Program and will make recommendations on how to reduce your risks by following certain recommendations. A little planning can help make your home safer and reduce your risk of falling.

    The information in the above article is not intended nor implied to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition or beginning any exercise program.


  • Creativity and Seniors

    Creativity and Seniors

    Creativity for Seniors: A Few Simple Ideas to Transform Your Life

    ~ by Angela Kambarian

    Letโ€™s face it, when it comes to creativity, it is never too late to get your creative juices flowing and engage in a variety of artistic pursuits. Even if youโ€™ve never thought of yourself as the imaginative type, now may be a good time to re-evaluate your potential, expand your horizons, and develop a new set of skills. You will be glad you did.

    Remember, no one is expecting you to magically transform into Picasso or Robert Frost and deliver a world-renowned masterpiece. In fact, if you feel pressured to create something riveting or spectacular, your enthusiasm may subside and you may be reluctant to move forward. Itโ€™s the learning process and a sense of personal fulfillment that matter the most โ€“ not necessarily the outcome. As stated on Diversus Health, being creative has countless benefits for older adults. It can dramatically improve the function of your immune system, enhance brain function, boost your mood and strengthen a sense of identity, among other things.

    So here are a few stimulating activities to get you on the path to self-fulfillment, help you unleash your creative potential, and revitalize your health. Donโ€™t be afraid to try something new, no matter how old you are.  Just get the ball rolling, bring your ideas to life, and see how it is going to invigorate your lifestyle.

    Liven up your life with painting

    The benefits of painting are undeniable. It is not only a therapeutic activity and a good way to relax and de-stress, but also an amazing skill and a beautiful art form that can evoke a positive reaction among your friends and loved ones. You can paint on your own or organize painting sessions with the most important people in your life and enjoy quality time together. Think of it as โ€œbonding over artโ€ which can be incredibly fulfilling for everyone involved. In addition to painting, you can also engage in book coloring, scrapbooking, or any similar activities that have become so popular among people of different ages, including seniors.

    Express yourself through poetry

    Just as you can create beautiful paintings with a brush, you can paint amazing stories with words. It goes without saying that poetry is good for the soul and may reflect some of your deepest emotions, feelings, or concerns. Putting words on paper and digging into your thoughts is a great way to develop emotional awareness. According to studies provided by Harvard Health Publishing, poetry writing lowers stress and anxiety, wards off depression, and even improves memory among seniors. Alternatively, you can start writing short stories or even a memoir, and surprise yourself and others with your creative ideas.

    Have fun with crafting

    Craftmaking is not only for little kids or elementary school students. The Center on Aging, Creativity and Humanities at the George Washington University released a study stating that senior citizens who regularly engage in crafting usually experience significant psychological and physical benefits.  Some experts maintain that this activity can reduce the chances of developing a cognitive impairment by up to 50%. From knitting and sewing to jewelry making or designing heart-shaped baskets, these activities can help you improve and refine your motor skills, enhance your hand-eye coordination and gain more confidence. You may also consider book coloring, scrapbooking, or candle making. As stated by National Library of Medicine, crafting can impact different parts of the brain which ultimately strengthens memory, processing, and problem-solving skills.

    In conclusion, embracing a creative lifestyle can transform your mental, emotional and physical health making it a worthwhile undertaking. You will have a sense of accomplishment and feel better about yourself which will help you enhance your interactions with others. Research studies (such as this one done by Lesley University) suggest that encouraging creative expression can improve the quality of life for seniors, give them a sense of purpose, revitalize their minds, improve coordination and concentration, and boost their physical health. The time to start creating is now!

    The information in the above article is not intended nor implied to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition.


  • October is Breast Cancer Awareness Month

    October is Breast Cancer Awareness Month

    What To Know about Breast Cancer

    Breast Cancer Awareness Month is about more than awareness of the disease. It needs to be a catalyst for removing barriers to care for the people it affects. It should also be about removing the disparities that exist across races, genders, and ethnicities. It is should also be a time to remind people that one in eight women will be diagnosed with breast cancer in their lifetime.

    According to breastcancer.org, more than 280,000 women and men will be diagnosed with breast cancer this year, and 42,000 are expected to die from breast cancer in the United States alone.

    What is breast cancer?

    Breast cancer is a disease where the cells in the breast tissue grow abnormally. As they grow, they can form a mass or a lump, called a tumor. Some of these tumors that form in the breast are malignant, or cancerous. The cells of these tumors can spread into the surrounding breast tissue, becoming invasive breast cancer. Along with the ability to spread within the breast comes the ability of these cells to break away from that tumor in the breast and spread to other organs of the body. This is called metastatic breast cancer.

    How do you get it?

    No one really knows why breast cancer develops in a certain person and not others. According to The National Cancer Institute, it is now known that breast cancer develops as a result of a gene mutation. Some gene mutations are inherited from our parents and these account for about 5 to 10 percent of breast cancer in the United States. But 90 to 95 percent of breast cancers occur as a result of a gene mutation within the body. A harmful variant in BRCA1 or BRCA2 can be inherited from either parent. Each child of a parent who carries a mutation in one of these genes has a 50% chance of inheriting the mutation. We donโ€™t know what causes these mutations, only that they exist.

    Why should someone with no history care about breast cancer?

    We know there are certain factors that increase our chance of getting breast cancer, such as having an inherited gene mutation, or being overweight as an adult, or taking menopausal hormones. But not everyone with an inherited mutation or is overweight or takes menopausal hormones gets breast cancer. In fact, most donโ€™t. We know the two most common risks for breast cancer are being female and getting older. But some men get breast cancer and some young women get breast cancer, too. So, what it boils down to is everyone is at risk of developing breast cancer โ€“ even people who are healthy, eat right, exercise, are an ideal weight, and have no family history of the disease. And, with more than 279,000 women and men in the United States expected to be diagnosed with breast cancer this year, alone, chances are you know someone who will be affected by breast cancer.

    Whoโ€™s at risk for developing breast cancer?

    Some people โ€“ especially women โ€“ face an increased risk for developing breast cancer. While some risk factors cannot be changed, such as your age, others can be managed in order to lower your risk. Here are a few, but not all, of the risk factors associated with breast cancer:

    • Age โ€“ Incidence rates are higher for women over 50, however, adults of any age can develop breast cancer. Regular mammograms are recommended for women ages 40 and older.
    • Family History โ€“ Some cases of breast cancer are caused by inherited genetic mutations. If breast cancer runs in your immediate family, you may be more at risk.
    • Birth Control โ€“ Research reveals that taking birth control pills can cause an elevated risk of developing breast cancer.
    • Hormone Therapy โ€“ Some post-menopause hormone therapies seem to increase a womanโ€™s chances of developing breast cancer.
    • Diet and Exercise โ€“ Obesity and lack of exercise have both been linked to elevated breast cancer risk.  
    • Alcohol โ€“ Drinking more than two alcoholic drinks a day has been directly linked to breast cancer risk in women.

    How is breast cancer treated?

    According to Healthline.com, There are five treatment types for breast cancer;

    1. Surgery
    2. Radiation Therapy
    3. Chemotherapy
    4. Hormone Therapy
    5. Targeted Drug Treatment

    Since no two patients are alike and cancer types can differ, each patients should discuss the risks and benefits of breast cancer treatments. You, your physician, and family can and should make an informed decision about the best option for you.

    In honor of National Breast Cancer Awareness Month, we have curated some additional online resources for further reading:

    www.breastcancer.org

    www.cancer.org

    www.komen.org

    The information in the above article is not intended nor implied to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition.


  • Parkinson’s Disease and Some Good News

    Parkinson’s Disease and Some Good News

    News about progressive diseases that are incurable, and have limited treatment options, is often bleak. Parkinson’s Disease (PD) is one of those diseases.

    Just two weeks ahead of Parkinson’s Awareness Month 2022, the Michael J. Fox Foundation for Parkinson’s Research posted this headline on its website:

    Breaking News: Critical Advance Announced in Imaging the Living Parkinson’s Brain.   

    AC Immune, a Swiss Biotechnology company, has shown the first images of alpha-synuclein in a living patient’s brain, using a ‘tracer’ they developed.ย  ย 

    “The misfolding and clumping of the alpha-synuclein protein in brain and body cells are the pathological hallmark of Parkinsonโ€™s disease. Scientists believe this toxic dysfunction gives rise to Parkinson’s onset and progression. . .  The ability to visualize alpha-synuclein activity in the living brain would be a game-changer for testing and developing potential new Parkinsonโ€™s drugs.”

    The Michael J. Fox Foundation “is committed to the development of an imaging tracer for Parkinson’s,” says MJFF Vice President of Research, Jamie Eberling. The foundation has been funding this development over the past five years. Additionally, The Foundation just awarded $10 million to be shared by AC Immune and two other research companies engaged in advancing the diagnostic tool.

     Parkinson’s Awareness

    Opening the month of April with a stunning headline is gratifying, but increasing public awareness about PD remains paramount. Promoting the facts about a neurodegenerative disease that affects a million Americans can help individuals recognize its symptoms and seek early diagnosis. It also highlights the need for patients to participate in clinical trials, so potential new treatments donโ€™t go undiscovered.

    For those of us who don’t have PD (and hope not to develop it), there’s a fundamental reason to increase awareness. Financial support, from donors large and small is what powers the research that results in treatments and cures.

    Parkinson’s Awareness Month has been observed for nearly 40 years. Not every April breaks with a leap in scientific understanding, but every Awareness Month reminds us that PD continues to diminish the abilities and lives of those who suffer from it. 

    What are the signs or symptoms of Parkinson’s?

    There are several “early signs” of PD, including:

    • Tremor: A slight shaking in a finger, thumb or hand, while at rest.
    • Small handwriting: Changes in the way you write on a page, with small letter sizes, and crowding of words
    • Loss of smell: Having trouble smelling certain foods (bananas, dill pickles, licorice).
    • Trouble moving: Stiffness in your body, arms or legs that does not go away when you move. The same symptom can be caused by arthritis or injury.    

    You can review all 10 early signs of PD at Parkinson’s Foundation.org. While having one of the signs doesnโ€™t mean you have PD, it’s a good idea to consult your doctor if you recognize several.

    The greatest risk factor for Parkinson’s Disease is age. But itโ€™s not the only risk factor.  About 10 to 20 percent of people with Parkinson’s experience symptoms before age 50, which is called “young onset.”

    Perhaps the best-known young-onset patient is the actor Michael J. Fox, who was diagnosed at the age of 29 and has lived with PD for 30 years. He launched the Michael J. Fox Foundation in 2020 to support the search for better treatments — and a cure.

     He must be proud of his foundation’s latest news.

     Learn about rehabilitation for Parkinson’s patients at The Osborn, including short-term and outpatient rehabilitation.

    The information in the above article is not intended nor implied to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition.


  • Reducing Loneliness and Isolation for Seniors

    Reducing Loneliness and Isolation for Seniors

    Lonely Is Not the Same as Alone

    It’s no secret that older people can become isolated, especially if they suffer chronic illness or have physical limitations brought on from aging. But recently, the Journal of the American Geriatrics Society has noted that, “There is growing attention to loneliness and social isolation in later life. Both have been linked to adverse outcomes such as depression, cardiovascular disease, and mortality.”

    Those who are studying that connection distinguish between social isolation and loneliness. Isolation is the objective measure of the social contacts one has. Loneliness is subjective — it is the feeling, or the perception, of being isolated.

    Thus, not all socially isolated people experience loneliness. While about a quarter of adults over 65 are considered to be socially isolated, more than a third of adults 45 and over feel lonely (National Academies of Sciences, Engineering and Medicine, NASEM).

    “We found that whether people considered themselves to be lonely was a bigger risk factor for depression than how many social contacts and support they had,โ€ said Dr. Gemma Lewis of University College London (UCL), Psychiatry. The 2020 UCL study found loneliness responsible for 18% of depression among people over age 50 in England.

    The Centers for Disease Control and Prevention (CDC) concur that Americans ages 50 and older are at increased health risk from social isolation and loneliness. Citing recent studies, the CDC states that being socially isolated significantly increases the risk of premature death from all causes. The risk equates to those from smoking, obesity, and physical inactivity. In addition, social isolation is linked to a 50% increased risk of dementia.

    Loneliness, when combined with actual social isolation, can result in poor social relationships, which are associated with a 29% increase in the risk of heart disease and a 32% increase in strokes. As noted by the UCL study, loneliness is linked to increased rates of depression and anxiety.

    What Can Be Done to Reduce Social Isolation or Loneliness?

    Obviously, lonely or isolated individuals cannot magically change their own circumstances– or their feelings. They’re not likely to seek help for non-medical issues. So, while numerous agencies and organizations, like AARP and The National Council on Aging, can provide information, solutions, and services, an intermediary is needed to connect individuals to them.

    A 2019 study by the NASEM, “Integrating Social Care into the Delivery of Health Care,” outlined the role of health care systems in linking patients with social care resources.

    A health care provider may be one of the few connections a socially isolated individual has, so that professional is in a unique position to determine a patient’s social health, and to ‘prescribe’  solutions — like a physical exercise program to increase mobility, and help expand patients’ social participation.

    Integrated care consortiums, like Kaiser Permanente, are piloting programs (like Thrive Local) to create connections between health care providers and social service agencies. Thrive is also integrated into Kaiser’s electronic health record to track social needs and referrals to local providers.

    Health insurance companies, too, are focusing on social isolation and loneliness as problems to address in their broader health campaigns.

    The growing recognition of social isolation and loneliness as significant health risks for older people has spurred action among a diversity of players.

    Like the adage,ย “It takes a village to raise a child,” it seems equally clear that ‘It takes a community to sustain an elder.’


  • It’s Never Too Late for Good Mental Health

    It’s Never Too Late for Good Mental Health

    It seems counterintuitive, but as the aging population increases, the number of physicians dedicated to geriatric medicine in the U.S. is decreasing. This includes the psychiatrists who have expertise in treating older citizens.

    The American Association for Geriatric Psychiatry calls this shortfall a crisis. โ€œThe proportion of the population over age 65 will increase from 12.4% of the U.S. population in 2000 to 20% by the year 2030 (U.S. Census Bureau). During that period, the number of older adults with mental illness is expected to double to 15 million.โ€

    Depression is a common mental health disorder, from peopleโ€™s teen years through adulthood. Elder individuals are typically happier with their lives than their younger counterparts, despite age-related physical limitations or illness. Depression is not a normal part of aging. Yet, late-onset depression affects more than two million Americans over age 65.

    General practitioners may not recognize its symptoms, though, because they often attribute grumpiness and irritability, sleep problems, and memory lapses to an older personโ€™s health issues, or medications.

    What Causes Later-Life Depression?

    The most common causes of later-life depression are:

    • Genetics: Older adults who have had relatives with depression are more apt to develop it themselves
    • Personal history: People who experienced depression earlier in life are at higher risk
    • Physical illness: Heart disease, cancer, arthritis, diabetes, etc. may trigger late-onset depression, and depression can exacerbate those illnesses
    • Brain chemistry: Some people have imbalances in the brainโ€™s neurotransmitters–serotonin and dopamine
    • Environment: Older adults may experience unique stress that comes with aging:ย complicated grief, social isolation, physical disabilities, financial struggles, andย juggling multiple medications

    According to the National Institutes of Health, the most common depressive disorders are: 1) major depression, which may occur as an episode only once in a lifetime, or may involve several episodes over time. Its symptoms are severe and interfere with the ability to work, sleep, study, eat, and enjoy life; 2) persistent depressive disorder, a depressed mood that lasts at least two years and includes episodes of major depression, and periods of less severe symptoms; and 3) vascular depression, which occurs when changes in the brain and body–such as restricted blood flow– cause depression for the first time in an older adult. 

    What is the Impact of Fewer Psychiatrists?

    A shortage of practicing psychiatrists in general, and geriatric psychiatrists specifically, is a reality. A 2018 report by physician recruitment firm, Merritt Hawkins, showed there are 30,451 practicing psychiatrists in the United States, an average of only nine per 100,000 people. They are not evenly distributed, however, leaving 60 percent of U.S. counties with none.

    Coupled with the fact that 45 percent of psychiatrists do not accept Medicaid or private health insurance (JAMA Psychiatry, 2014), the dearth of psychiatrists also leads to longer wait times, shorter visits, and longer-spaced appointments for medication monitoring.

    Extending Mental Health Careโ€™s Reach

    Fortunately, a growing community of trained psychiatric professionals, along with technology, is helping to fill the gap.

    Psychologists, because they are not M.D.s like psychiatrists, do not traditionally prescribe and monitor medication for depression.  But they are highly skilled in psychotherapy, and part of a network that includes psychiatrists, who can prescribe and monitor medication several times a year for patients in the psychologistโ€™s care. Many late-onset cases of depression do not require medication and respond well with psychotherapy alone.

    Psychiatric-mental health nurse practitioners (PMHNP) provide care โ€œsimilar to that of psychiatrists, that is high quality and leads to positive outcomesโ€ (American Journal of Preventive Medicine 2018). They are registered nurses, further trained in mental health, to assess patientsโ€™ mental health, diagnose mental health disorders, prescribe medication, and provide therapeutic treatments, like psychotherapy.

    Physician Assistants (PAs) in psychiatry, working under the supervision of a psychiatrist or other physician, can provide mental health assessments, make diagnoses and rule out underlying medical problems that could be behind symptoms, prescribe medications, order lab tests, and make referrals to other medical practitioners.

    In addition, technology is making it possible for more people, in more places, to get care faster and more conveniently. Telepsychiatry enables you to โ€œseeโ€ a psychiatrist or other mental health professional for a psychiatric evaluation and treatment plan.

    Most states already require private insurers to cover telepsychiatry in some way, although Medicare subscribers may only be covered for telehealth while in a medical office or facility.

    How Can You Help?

    Perhaps the most confounding aspect of depression is the affected personโ€™s reluctance to use the word โ€œdepressed.โ€ In earlier generations, mental health problems cast a stigmatizing shadow. The mere thought of being confined in a state โ€œmental institutionโ€ undoubtedly kept people from seeking professional help. Today, that haunting association may still present a challenge to seeking help.

    Untreated chronic depression in older adults can have ongoing side effects. Grandma prefers to be โ€œleft alone,โ€ and has withdrawn from activities and social contacts she once enjoyed. Sheโ€™s irritable and fatigued, and her flagging appetite is melting pounds off her already slight frame.  As her loved one, you likely feel helpless and frustrated when she brushes off your offers of help.

    Severe depression can prevent the patient from adequately verbalizing the distress. Physicians or caregivers may mistake symptoms of late-onset depression for dementia. Family members are often the best-equipped to recognize what is not normal sadness in a loved one.

    So, what can you do?

    • Educate yourself, because the more you understand about later-life depression, the better advocate you can be for your parent, uncle, or friend.
    • Make an appointment with his or her doctor, and be there to tell the doctor what you see going on with your loved one. The doctor can perform some pre-assessments to help determine treatment options.
    • Reassure your loved one that you will be by her side through the experience. Sometimes, an in-patient treatment center that specializes in elder care is the best option, particularly if medication management will be involved. Outpatient group, individual, and family therapy may also be recommended.

    Older individuals donโ€™t have to bear the weight of depression, or other mental illness, alone. Life at any age deserves its measure of contentment and joy.

    The information in the above article is not intended nor implied to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition.


  • The Benefits of Pets for Older Adults

    The Benefits of Pets for Older Adults

    Pets can warm our hearts and enrich our lives. This can be especially true for older adults who sometimes feel isolated and alone. They can form strong, meaningful bonds with their four-legged companions and receive health benefits as well.  These benefits are varied and differ from person to person. In fact, many older adults report gaining a feeling of general wellbeing and joy from their pet.

    Lowers blood pressure

    According to a 2019 study by The Mayo Clinic, older adults with a dog had overall better cardiac health than others who didnโ€™t have a dog. According to the study, “In general, people who owned any pet were more likely to report more physical activity, better diet and blood sugar at an ideal level.โ€ Even those who did not increase their physical activity due to a pet saw a cardiac benefit.

    Reduces depression and loneliness

    The Mayo Clinic study stated that in addition to the cardiovascular benefits of pet ownership, participants in the study were less likely to feel lonely, isolated or depressed. There are several factors for this. One is that pet owners feel needed when a pet is depending on them. It gives them a sense of companionship and wellbeing. It also is a warm cuddly family member that they canโ€™t help feeling good around.

    Promotes living in the present

    Anyone who has ever had a pet knows that they are work. For example, dogs must be fed and walked multiple times per day. This schedule often helps the older pet owner stay in the present, knowing that at 4:00pm Sparky needs to be fed and then walked. It gives an older adult a sense of timing and perspective in their life. According to a recent article in Aging.com, โ€œDogs and cats live very much in the present. They donโ€™t worry about tomorrow, which can be a very scary concept for an older person. An animal embodies that sense of here and now, and it tends to rub off on people.โ€

    Increases mobility and independence

    Both dog and cat owners tend to be more independent that their non-pet counterparts. This is because pets have needs. They need to be fed, walked, have their litter box changed, to name just a few of the activities of pet ownership. Even those with mobility issues have reported feeling more independent when caring for a pet. Even short walks have shown a benefit for overall mobility andย independence of older adults.

    Eases anxiety and pain

    Feeling anxious can amplify a sense of pain. By reducing anxiety, pets canย help ease pain for olderย adultsย who may experience conditions such as arthritis. In fact,ย a recent study published inย Reuters Healthย foundย that pet therapy after surgery may even reduce the need for pain medication during recovery.

    While pet ownership can have some downsides, there is no denying the many health benefits of pets for older adults. When considering adding a furry friend to your life, you should weigh the advantages with the risks to determine whether it is practical for you to adopt one. If you decide to move forward, adopting from shelters is usually much less expensive and comes with the added benefits of giving an unwanted animal a home and possibly saving it from euthanasia. Some shelters even offer reduced adoption fees for older pets and adopters age 55 and up.

    Where can you adopt?

    You can contact the localย ASPCAย or the localย Humane Societyย to inquire about adoption. Sites likeย Petfinderย allow potential owners to search for their perfect pet in a nationwide database. Please consider adopting a senior animal โ€“ they tend to be a bit calmer then puppies and often are less desirable to younger people and are often overlooked. Senior animals can enrich our lives and are often a great fit for their senior counterparts.ย ย ย 

    The information in the above article is not intended nor implied to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition.


  • February Is Library Lovers Month

    February Is Library Lovers Month

    In the age of the Internet, we might expect fewer people to borrow books from libraries. On the contrary, Americans continue to love their public libraries.

    According to The Institute of Museum and Library Services, Americans made 1.4 billion in-person visits to public libraries across the United States in 2016, the equivalent of four million visits each day, or 2,664 every minute.

    In factpeople frequent libraries more often than they go to the movies, according to the Motion Picture Association of America. And, incredibly, more people attend public library events than all Major League Baseball, National Football League, and National Basketball Association games combined.

    In the United States, libraries outnumber the seemingly ubiquitous Starbucks coffee shops. There are 16,568 public libraries, including branches (Public Library Survey), compared to 14,606 corporate and licensed Starbucks locations (Starbucks Corporate Customer Relations).

    Americansโ€™ affection for their libraries is fittingly celebrated on February 14, National Library Loversโ€™ Day. In fact, the whole month of February is a celebration of Library Lovers.

    Osborn residents are library lovers, too

    There are 170 active patrons of The Osborn Library, representing 60 percent of The Osbornโ€™s independent and assisted living residents. They enjoy three Osborn Library branches on campus.

    The recently-renovated Adams Library houses regular and large print books of fiction, non-fiction, and biographies, and includes a glass-walled, four-seasons reading room which faces out to our gorgeous South Lawn and honors former Board Chair William W. Mauritz. Magazines are available, as are daily copies of The New York TimesThe Journal News, and The Wall Street Journal.

    The Dalphin Library is also located in the Osborn building, and contains non-fiction, biographies, and an extensive collection of art books.

    Sterling Park at The Osborn is home to the 3000 Library, with its collection of large and regular print fiction, magazines, and newspapers.

    A branch on the Westchester Library System tree

    The Osborn Library is a branch of the Rye Free Reading Room, and, therefore, of the Westchester Library System (WLS). Osborn residents, staff, and neighbors have access to all the books and materials available throughout Westchester County, NY. Even audiobooks are available on campus when ordered from WLS.

    Professional librarian Marjorie Shapiro tends The Osborn libraries and runs a monthly book group that is open to all. Library Committee volunteers assist her, and select the books to purchase each month.

    Osborn residents are avid readers. According to Ms. Shapiro, one of her regulars is a 107 year-old who reads a book a week.

    Ms. Shapiro enjoys getting to know her patrons and facilitating their reading habits. One service she provides is helping individuals with vision issues gain access to New York State Talking Books and Braille. This makes it possible for them to order books consolidated on a single cassette, so they donโ€™t have to handle or read small labels on multiple cassettes.

    A digital reading device, like a Kindle or Nook, can also be a boon to older readers. Not only do they weigh a fraction of a hardcover print book, but their backlit, non-glare screens and adjustable type makes the โ€œprintโ€ size perfect for the reader. Device users can purchase digital books, but the library loans digital books as well.

    Ways to celebrate your love of libraries

    To demonstrate your library love this February, consider:

    • Getting a library card if you do not have one, or encouraging friends and family members to get one, so they can explore the wealth of options available
    • Visiting your library and taking home a book
    • Enjoying quiet camaraderie with like-minded neighbors, while you read a magazine, newspaper, or book
    • Stopping at one of the Osborn Library locations to wish your librarian, Marjorie, a โ€œHappy Library Loversโ€™ Monthโ€
    • Volunteering to help out at your library

    This month, when you see Valentineโ€™s hearts all around you, remember that February is not just for lovers. Itโ€™s also for Library Lovers.