According to the U.S. Census Bureau, each individual has a 1 in 5 chance of becoming disabled at some point in life. Moreover, the Council for Disability Awareness says the average long term disability benefits last for only 2.5 years, which can leave people without a steady income for a long period of time. Emotions run high when an injury results in disability. Not only does the individual worry, “How am I going to pay for my medical treatment,” but they also worry “How will I afford the time off from work?” The good news is that many people are eligible for disability income insurance, which can help them get by.

When you are sick or injured, you will first begin by filing for short term disability insurance, which will cover you for a few weeks or up to six months. Once your short term benefits expire, your long term disability benefits will kick in. Each month, you will receive a flat-rate percentage of your income, which is usually around 50 to 60%. The best policies can provide as much as 80% and will pay cost-of-living adjustment increases over the years to keep up with inflation. Your benefits can be paid for 2 to 5 years or until you’re 65, at which time you will be eligible to apply for Social Security.

Ideally, a person would use their long term disability benefits as a supplement, while they continue to work part-time, perhaps performing different duties than they’re used to. As an incentive, many insurers offer employers reduced premiums if they allow workers to return in some facet. Insurers may also cover child care expenses during that time to encourage new mothers to return to work at least part-time. However, working is not always possible, particularly for debilitating injuries or illnesses like cancer. One in seven people can expect to be off from work for five or more years before retiring, according to the Council for Disability Awareness.

Long term disability benefits vary depending on which policy has been purchased, so you should check with your employer to determine whether that arrangement is suitable or whether you need to purchase individual insurance. For instance, some policies pay disability insurance claims if you can’t perform your old job tasks (partial disability), while others only cover you if you can’t work any job at all (total disability).

Some policy options include “residual benefits,” which makes up for lost income if you can still work but not perform all your normal tasks. Some policies also offer cost-of-living adjustments, which increases payouts from 4 to 10%. You may have a waiting period of as short as 90 days or as long as six months before you are allowed to collect. Also, the length of coverage may last anywhere from two years to five years, or until your turn 65 and can apply for Social Security benefits.

Research has shown that human aging has a mind body connection that we enjoy with the benefits of laughter. Humor, priceless humor, and our response to it can have many unexpected health benefits.

Who would ever think that laughing can be so beneficial? Here are some reported health benefits of laughter and a good sense of priceless humor:

• Stress reduction – research studies have shown that the ability to see humor, even in difficult situations, causes the reduction of stress reducing hormones in our bodies
• Elevates our mood – Laughing increases the release of endorphins in our bodies. This increases our sense of well being and improves our mood.
• Boost immune system – studies show that laughter can raise the level of hormones that produce infection-fighting antibodies in the body and boost the effectiveness of immune cells.
• Enhance brain functioning – as you experience a bout of laughter, the increase in your circulation also effects the amount of blood to your brain. Laughing stimulates both sides of the brain, so it also increases our ability to focus and retain information: the result is improved mental clarity and attentiveness.
• Reduce risk or even prevent heart disease – a research study has been released that laughing has been found to be linked to a healthy heart. The study found that people with a priceless sense of humor, found humor even in everyday situations that may cause others stress. The study found that 40% of individuals with heart disease were less likely to life at life’s situations.

More on Human Aging and the Mind Body Connection. Humor and the Benefits of Laughter

• Like a mild workout- A good hearty laugh causes your pulse and respiration rate to increase, your blood pressure to go up and many of your muscles to stretch. This increases the blood supply to the body and increasing the amount of oxygen to the body’s tissues.
• Promotes relaxation- After your body stretches the muscles and the blood flow increases to the muscles of the body, you feel a sense of relaxation. In fact, muscle physiologists have found that this relaxed response can last as long as forty five minutes.
• Encourages social interactions- an individual that has a sense of humor and laughs is an individual others want to be around. Laughing is contagious. It is a powerful reaction that can deescalate a difficult situation, can dissipate anger and bring families together. It is the stuff good memories are made of. Laughing with others makes everyone feel good and experience an elevated mood. This can create decrease the stress of all involved and enhance the social interaction as well.
• Promotes an increased pain threshold- when we laugh the increase of production of endorphins also acts as a pain reliever. Studies show that individuals suffering pain experience pain relief after watching comedy.
• Maintains blood sugar levels- it has been discovered that individuals diagnosed with type II diabetes experience smaller spikes in their blood levels after eating when they enjoy and experience laughter after their meal. Scientists feel that the increase in use of the abdominal muscles and utilizing more energy may attribute to a more stable blood sugar level.

“Laughter is definitely a healing experience, and we’re not talking metaphorically, we’re speaking absolutely literally. Laughter is one of the best medicines you can have.” Quote by Deepak Chopra

There is an increasing interest in the benefits of laughter and a growing industry of programs that encourage laughing. There is laughter yoga that mixes yoga deep breathing with laughing exercises and child like playfulness.

There are even Laughter clubs growing all over the world. The purpose of the club is to help individuals to have a more positive attitude towards life.

Laughter therapy promotes laughing as a coping skill for survival. There is even a weight loss program that promotes laugh yourself skinny!

There is still much more research to be done on the health benefits of laughter. There is definitely a mind body connection with the benefits of laughter affecting human aging.

Priceless humor and enjoying a day with some laughter is better than a day without any laughter at all.

The emotional and physical demands of caring for someone 24/7 are far too overwhelming for one person to handle alone – at least they are if you want to maintain your health and sanity. It’s not uncommon for the stresses of care giving to take a serious toll on our physical and emotional well-being. Studies link high blood pressure, cardiovascular disease, depression and other health ailments with care giving. Respite care could beyour saving grace.

So what exactly is respite care? Respite care refers to a short rest or a temporary period of relief. It benefits the care recipient and provides support to the caregiver so he/she doesn’t feel so alone in the care giving journey. Whether you want to spend time with friends, go to the movies or just catch up on your sleep, respite care means a responsible caregiver will watch your loved one so you can have a well-deserved break.

Don’t make the mistake of waiting for a crisis before taking advantage of respite. And remember that the first step to finding respite care that works for you is to take stock of the skills, type and frequency of services you need.

What is it that you and the care recipient need the most? Is it help with transportation? Someone to do the grocery shopping and cook meals? Assistance with daily walks or other forms of exercise?Companionship for a few hours each day? Bathing and grooming? Or maybe you need help with catheter insertion and transferring?

Answering the aforementioned questions will help you choose from a variety of available respite services:

• In-homecare – This enables individuals the comfort and familiarity of remaining in their home environment. You can request a companion who will engage the individual in stimulating recreational activities and provide transportation to appointments. A personal care provider assists with bathing, dressing, feeding and toileting. A skilled health care provider is trained in providing medical care. Homemaker services offer meal preparation, shopping, and housekeeping. Depending on your needs, you can choose one or a combination of these services.
• Adult daycare – Group respite care is provided in a structured and stimulating environment outside of the home. This type of respite is typically available Monday through Friday. Daily activities may include music, exercise, art and lectures.
• Residential care – When you need a break, residential facilities offer shortterm stays. Care recipients can stay overnight, for several days or for several weeks. Home care agencies will also send a companion, caregiver, homemaker over-skilled health care provider to stay overnight in your home for as long as you need.

We all know the golden rule of good caregiving: first, take care of thy self. Respite care gives you an opportunity to do this. After all, if we don’t take care of ourselves who is going to take care of those who depend on us? Now, go forth and conquer!

As people age, their muscles and bones can weaken, balance can be affected, and certain medications and medical conditions can make falling and fractures more likely. Senior citizens who are also more prone to diseases like osteoporosis are more susceptible to experiencing a fall. Bone fractures in senior citizens are not only traumatic but can lead to more serious problems later on. You can decrease the probability of falling by following some simple guidelines. Falling rarely just happens, but rather results from multiple causes that occur over time. Senior citizens and their caregivers should consider the factors that contribute to falls and take the appropriate precautions to prevent them.

Preventive Measures

• You can ask your doctor to perform a bone mineral density test that measures bone strength. Some medications can increase bone strength which can prevent likelihood for falling.
• You can take part in healthy amounts of physical activity which will improve balance, muscle tone, joint flexibility, or even slow osteoporosis.
• Test your vision and hearing since defects in sensory functioning can make you less stable overall.
• Be aware of the side effects of your medications which can affect balance and coordination.
• Limit the amount of alcohol consumed which can also affect balance and coordination.
• Keeping your house at a comfortable temperature will prevent you from becoming dizzy.
• Use a cane or walking stick if needed, and always be careful when walking on unstable or slippery surfaces
• Wear the right footwear that has rubber soles or low heels that will help keep you stable on your feet
• Hold the handrails when going up and down stairs and only hold items in one hand so that you can keep a hand on the rail at all times
• Use your judgment – stay away from situations that could cause a fall, like a freshly washed floor, trying to reach something that is too high – you can purchase special grapping tools to assist in tasks that involve more exertion
• Research home monitoring systems that will allow for access to help after experiencing a fracture

Tips to Create a Safe Environment

• Be sure that there is good lighting with light switch access both at the top and bottom of staircases.
• Keep areas where you walk clear.
• Be sure that carpets are firmly fixed to the floor or apply no-slip strips to slippier surfaces like wood and tile.
• Install handrails on both sides of the stairs or inside the bathroom.
• Place non-skid mats and strips on surfaces that get wet within the bathroom.
• Keep night lights for easy navigation in the dark in hallways, near the bed, and in the bathroom.
• Keep a telephone near the bed.
• Keep electric cords and wires near the wall and out of paths of travel.
• Tack down carpets and rugs firmly to the floor.
• Arrange furniture for easy walking around living spaces.
• Make sure that sofas and chairs are at a good height for access.

Your doctor may use the technical term hypertension, but it is more commonly called high blood pressure and at least 65 million American adults have high blood pressure. That translates into almost one-third of all American adults, and two thirds of all Americans over the age of 65. Because high blood pressure often has no warning signs or symptoms, it is often called “the silent killer”. High blood pressure is a very dangerous condition. If you don’t treat high blood pressure it can kill you and unfortunately, one-third of the people that have high blood pressure don’t even know it. One important thing to know about high blood pressure is that you can’t cure it. You can only treat high blood pressure with lifestyle changes and medication, and you will need to treat it for the rest of your life.

What is blood pressure? Blood pressure is the amount of force your blood is putting on to the walls of your arteries as it is moved through your body by your heart. Arteries are the blood vessels that carry the oxygen rich blood away from your heart and to all the muscles, organs and tissues in your body.Without this oxygen rich blood, your muscles, organs and tissues would die and eventually, so would you. Blood pressure normally rises and falls throughout the day, and changes heartbeat to heartbeat.

How is blood pressure measured? The test is quick and painless. The doctor or nurse puts a cuff around your upper arm (the technical term for the devices is a sphygmomanometer; pronounced sfig’-mo-ma-nom-e-ter). This device is used to get an actual measurement of the pressure inside your arteries. Your blood pressure measurement is made up of two numbers, one above or before the other. The top or first number which is technically called systolic blood pressure is the pressure in your arteries while your heart contracts during a heart beat. The bottom number is technically called your diastolic blood pressure and it is the pressure in your arteries as your heart relaxes between heart beats.

If you have ever felt your pulse in your wrist or your neck you have felt the differences between your systolic and diastolic blood pressure. The pulse you are feeling is the heart beating, which creates your systolic blood pressure. Between pulses, your heart is relaxing and the measurement of pressure during that time is your diastolic blood pressure.

These two numbers make up what is called your blood pressure reading. For example a blood pressure measurement of 120/80mmHg (that is, millimeters of mercury) means the pressure measured during a heart beat is 120, and measured in between heart beats at 80. This measurement would be expressed verbally as “120 over 80”. Both numbers in the test are important.

Why is high blood pressure dangerous? High blood pressure is dangerous because it makes your heart work too hard, and puts undue stress on your arteries. Having high blood pressure increases your chance of having a heart attack or stroke, (the 1st and 3rd leading causes of death). In fact, every 20mmHg increase in your systolic blood pressure or 10mmHg increase in your diastolic blood pressure DOUBLES your risk of dying from a heart attack or stroke. It also contributes to your chance of developing other conditions such as congestive heart failure, kidney disease and even blindness. High blood pressure is especially dangerous because it often has no warning signs or symptoms. Regardless of age, race, or gender anyone can develop high blood pressure and once it develops, it usually lasts a lifetime. So it is especially important to continue treatment of high blood pressure for a lifetime.

What is high blood pressure? By viewing the table below, you can see that a reading of 140/90 is considered high. If your blood pressure is between 120/80 and 139/89 you are considered prehypertensive. That means you don’t have high blood pressure now, but you are probably going to develop it in the future.You can take steps now by adopting a healthy lifestyle to reduce your risk of developing it in the future.

Blood Pressure Level (mmHg)

Category Systolic Diastolic

Normal Less than 120 and Less than 80

Pre-hypertension 120-139 or 80-89

High Blood Pressure

Stage 1

Hypertension 140-159 or 90-99

Stage 2

Hypertension > or = to 160 or > or = to 100

At the age of 55, if you do not have high blood pressure, there is still a 90% chance you will develop it in the future. As you can see, high blood pressure is a disease that most people will develop over their lifetime. Your doctor will make a diagnosis of high blood pressure if the results of your test are high on two separate occasions.

There are two numbers! Which one is the most important? Both numbers are important. But once you are over the age of 50, the top number or systolic blood pressure becomes the more accurate reading for high blood pressure. It is high if it is 140 or above. Diastolic blood pressure does not need to be high for you to have high blood pressure.

When only the top number or systolic blood pressure is high, your doctor calls it “isolated systolic hypertension” or ISH. This is the most common form of high blood pressure in older Americans. You may have ISH and feel fine. As with other kinds of high blood pressure, ISH often has no symptoms or warning signs. Also like any form of high blood pressure ISH is dangerous if left untreated. Like all types of high blood pressure, ISH can never be cured once it has developed, it can only be controlled.

Many studies have proven that controlling high systolic blood pressure can reduce deaths, illness, and improve quality of life; most Americans do not have their systolic blood pressure under control.

Diastolic blood pressure or the bottom number continues to be an important measure of blood pressure, especially in younger people. The higher the diastolic number, the greater the risk of heart attack, strokes, and kidney failure. As people get older, the diastolic blood pressure reading tends to get lower as the systolic number tends to get higher.Your doctor will use both number when determining your blood pressure category and the appropriate prevention and treatment.

What causes high blood pressure? The causes of high blood pressure vary. It may include narrowing or hardening of the arteries, a greater than normal blood volume, or the heart beating faster or more forcefully than it should. Any of these things will increase the pressure against the artery wall. High blood pressure could be caused by another medical condition like gestational hypertension (high blood pressure during pregnancy). Or it may even be limited to a specific part of your body like pulmonary hypertension, but those conditions are rare. By far, the most common cause of hypertension, or high blood pressure, is a genetic predisposition which is called “essential hypertension”.

How is high blood pressure treated? Along with there being a lot of different causes of high blood pressure, there are also a lot of different treatment options for high blood pressure.Your minimum treatment goal is to have your blood pressure below 140/90 and even lower for people with diabetes, kidney disease or other conditions. Adopting a healthy lifestyle is an important factor, however most patients will require medication to control high blood pressure. Many patients need two, three or even four different types of prescription medications at once to control their high blood pressure. Because high blood pressure can be deadly, it is important that patients get and keep blood pressure under control, and monitor it at home as well as with your doctor.

Hypertension, more commonly called high blood pressure, is often referred as “the silent killer” because it often shows no signs or symptoms. In the United States alone, at least65 million American adults have high blood pressure.

There are many different types of blood pressure lowering medications that your doctor may prescribe, however these prescriptions can cause certain nutritional deficiencies that may increase your risk for chronic degenerative diseases. NutraMD High Blood Pressure Essential Nutrients® supplement was designed to work with your blood pressure lowering medications by replacing lost nutrients, reducing the risk of dangerous side effects, and promote better health.

Types of High Blood Pressure Medications

The main categories of blood pressure lowering medications that deplete your nutrients are:

Diuretics (loop, potassium sparing, and thiazide),

ACE inhibitors

Beta blockers

Central alpha agonists.

Why do I need blood pressure medication?

The main reason for your doctor to prescribe blood pressure medicines is because there is clear evidence that any blood pressure reading greater than 115/75 has an increased risk of cardiovascular events such as heart attack and stroke, and a greater risk of sudden death. This risk increases dramatically with a blood pressure reading above 140/90. The main problem with blood pressure medications as a whole is that they have been found to cause depletion of the following nutrients: Calcium, magnesium, potassium, zinc, sodium, coenzyme Q10 (CoQ10), folate, vitamin B1 (thiamin), vitamin B6 (pyridoxine), and vitamin C. Calcium, magnesium, potassium, and CoQ10 deficiencies are directly linked to high blood pressure. Therefore reducing their amounts in the body can make it more difficult for your doctor to normalize your blood pressure.

Why are these nutrients important?

• Calcium deficiency is related to osteoporosis, and arthritis.
• Magnesium is responsible for more than 300 chemical reactions in the body.
• Vitamin A deficiency is related to high cholesterol, diabetes, depression, muscle and joint pain, osteoporosis, heart arrhythmias, fatigue, and many more.
• Potassium deficiency is related to heart arrhythmias, and mental disturbances.
• Zinc is responsible for more than 200 chemical reactions in the body. Deficiency of zinc is related to heart disease, osteoporosis, arthritis, diabetes, psoriasis, gout, and more.
• CoQ10 deficiency has been linked to the following diseases and symptoms: Congestive heart failure, high blood pressure, rhabdomyolysis (muscle break down), muscle and joint pain, angina (pains in the chest), and fatigue.
• Folate deficiency is directly related to heart disease, cancer, neural tube defects, anemia, and more.
• Vitamin B1 deficiency is related to congestive heart failure, depression, muscle pain, and fatigue.
• Vitamin B6 deficiency is linked with heart disease, carpal tunnel syndrome, PMS, depression, and fatigue.
• Vitamin C deficiency is related to heart disease, high cholesterol, muscle pain, and osteoporosis.

Many of these side nutritional side effects are well known, which is why your doctor may monitor your serum electrolytes (calcium, potassium, magnesium, and chloride) while you are on some of these medications, however, serum electrolyte levels are not good markers for tissue levels of these nutrients and thus do not reliably detect nutritional deficiencies.

Therefore to achieve maximum benefit from the blood pressure medication and minimize potential side effects of nutrient deficiencies, you should compliment your prescription medication by taking NutraMD High Blood Pressure Essential Nutrients® supplement. By doing this you will balance the risk/benefit ratio further in your favor.

In summary, blood pressure lowering medications prescribed by your doctor are necessary to treat your condition, however, you should also be aware that the long term potential nutritional side effects can be just as big a risk factor for your condition and for other conditions as well. Put the odds in your favor and maintain your health with NutraMD High Blood Pressure Essential Nutrients® supplement.

High Blood Pressure Essential Nutrients® supplement are designed for patients taking blood pressure agents such as Lasix (furosemide)or hydrochlorothiazide (HCT) which can deplete levels of Vitamins B1, B6, C, Magnesium, Calcium, Potassium, Zinc, Sodium and Coenzyme Q10. Products like Toprol, Coreg, Inderal, Corgard, Atenolol, Catapres or Aldomet can also deplete levels of Coenzyme Q10, and products that contain Apresoline that can deplete levels of Vitamin B6 as well as Coenzyme Q10.

Assistive Technology for Seniors and people with Disabilities

Many senior citizens or people with disabilities or injuries make use of assistive technology-tools, products, or kinds of equipment that help people perform tasks and activities. They can be as simple as a hearing aid, a walker, or a magnifying glass, or as complex as a computer or motor scooter.

More specifically, assistive technology or adaptive devices are services or instruments that help senior citizens or people with disabilities perform the activities they used to perform but must now perform differently. Anything that helps the elderly continue to do daily activities in the context of in home care is considered assistive technology.

Assistive Technology Options and Devices

Many kinds of disabilities exist, so many kinds of assistive technology have been created to help people overcome a great range of disabilities. Some kinds of assistive technology are described below:

• Adaptive switches. These are modified switches that senior citizens can use to adjust devices like air conditioners, power wheelchairs, etc. by using the tongue or voice.
• Communication equipment. This is anything that helps someone send and receive messages, such as a telephone amplifier.
• Computer access. This is special software that helps senior citizens access the Internet or basic hardware like a modified mouse or keyboard to make the computer more user-friendly.
• Education. This category includes audio books, Braille writing tools, and resources for people to get additional vocational training.
• Home modifications. This can include some remodeling to overcome physical barriers and live more comfortably. An example is constructing a ramp to allow wheelchair access.
• Tools for independent living. This is anything that allows senior citizens to enjoy daily life without additional assistance. An example is a handicapped-accessible bathroom with grab bars in the bathtub.
• Job-related items. This is any process or device that facilitates your job. This could include a special type of chair or pillow if you work at a desk or a back brace if you perform physical labor.
• Mobility aids. This is any device that allows a senior citizen to move around more easily, including a power wheelchair, a wheelchair lift, or a stair elevator.
• Orthotic or prosthetic equipment. This is a tool that compensates for a missing or disabled body part. This could include shoe inserts for someone with fallen arches or an artificial arm for someone who has undergone an amputation.
• Recreational assistance. This is a method or device that enables people with disabilities to enjoy fun activities. A couple examples are swimming lessons from recreational therapists and specially made skis for senior citizens who have lost a limb.
• Seating aids. This is a modification to a chair, wheelchair, or motor scooter that helps someone remain upright, move up and down without assistance, or decrease the amount of pressure on the skin. This could be as simple as an extra pillow or as complex as a motorized seat.
• Sensory enhancements. These are devices that help people who are partially blind or deaf to participate in more activities. This could include a caption option on a television for a senior citizen who is hard of hearing.
• Therapy. This could include equipment or processes that encourage and work toward recovery after an illness or injury. This may involve both services and technology, like having a physical therapist use a specialized massage unit to restore a more complete range of motion in stiff muscles.
• Transportation assistance. This category includes devices for senior citizens that facilitate getting into and out of vehicles and driving safely, including adjustable mirrors, seats, and steering wheels. Drive-up windows at the department of motor vehicles that allow the elderly to maintain and register their vehicles are also included.

Now that you know what falls into the category of assistive technology, you may be wondering what the benefits are. For starters, many senior citizens view assistive technology as a way to live independently without worrying about having long-term elder care or living in a nursing home. It allows in home care to be conducted in areas of living such as bathing and going to the bathroom.

Studies show that the majority of senior citizens who use methods of assistive technology have reduced their dependence on others, including paid assistance. Families may need to make monthly payments for this kind of equipment, but the costs are generally less than those associated with in home care or nursing homes. This means that assistive technology can reduce the cost of elder care for senior citizens and their families.

Assistive Technology Needs Assessment in the Elderly Is assistive technology right for you? Planning and assessment are important parts of deciding whether to use assistive technology since it can interfere with your current services or the way in which those services are provided.

This assessment is most thorough when it involves many people within your spectrum of support. For instance, if you have trouble communicating or are hard of hearing, you may wish to consult with your doctor, an audiology specialist, a speech-language therapist, or other elder care provider to identify your specific problem and determine the plan that will best address your needs. If assistive technology is a part of this plan, your team can help decide which devices are appropriate for you, choosing the most effective tools at the lowest cost. Training to use the devices chosen may also be included in your plan.

A case study shows the benefits of conducting a needs assessment and working with a team in terms of improving the quality of life of an elderly woman:

A team worked together to help Christina find and buy a hearing aid that allowed her to hear well again. She could watch television again with the help of special magnification equipment and a telecaption decoder. More assistive technology allowed her to talk on the phone and use the computer like she used to. When combined with her hearing aid, assistive technology improved the quality and ease of Christina’s life.

When you’re considering assistive technology, it’s helpful to look at both simple and complex solutions to find the one that’s best for you over a range of time. Complex, high-tech solutions may be more expensive, but they’re usually more adaptable if your needs change over time. Simple, low-tech solutions may be cheaper in the short-run, but they aren’t as adaptable. Before purchasing any expensive assistive technology, make sure it can be upgraded to change with your needs and upgraded as improvements are designed. Here are some questions to ask when considering assistive technology:

• Which tasks do you need help with, and how frequently do you need help?
• Which types of assistive technology will enable you to be most independent?
• Is there a more advanced device that addresses more than one of your needs?
• Does the manufacturer have a preview policy so you can try out the equipment and return it for credit if it isn’t what you need?
• How do you expect your needs to change over the next six months? the next six years or longer?
• Is the equipment up-to-date? Will it likely be off the market in the near future?
• Which kinds of assistive technology are available that meet your needs?
• Which types of assistive technology have you used before, and how did those devices work?
• Will you always need help with a certain task, and can the device be adjusted to fit your needs as your condition changes?

Costs and Payment Options for Assistive Technology

Another important aspect of deciding whether you’d like to use assistive technology is cost and financing. Currently, no single private insurance plan or public program will cover the entire cost of assistive technology under any circumstances, but Medicare Part B can cover up to 80 percent of the cost of equipment that falls under the category of “durable medical equipment.” This includes devices that are “primarily and customarily used to serve a medical purpose, and generally are not useful to a person in the absence of illness or injury.”

Some state-run Medicaid programs also cover some assistive technology. This may help you, but it will not cover the entire cost of buying an expensive device like a power wheelchair.

If you’re a senior citizen who is eligible for veterans’ benefits, you may also want to explore the possibility of financial assistance from the Department of Veterans Affairs (DVA). This agency has an existing structure to pay for the large volume of devices it purchases, and it invests in training people to operate assistive technology.

Other options to pay for assistive technology are private health insurance and paying with your own funds. Paying out-of-pocket is generally a viable option for simple items like modified eating utensils, but most senior citizens need assistance in paying for more complex devices. Another option is finding discounts, grants, or rebates from not-for-profit organizations or companies that want you to try a certain product that you might not otherwise consider. If you’re looking into this option, you may want to be careful-businesses with commercial interests have the potential to be fraudulent.

Since private health insurance does not cover the entire cost of this equipment, you may want to look into subsidy programs, which can provide some kinds of assistive technology at a reduced cost or for free.

Depression is a medical condition that is characterized by feeling down, depressed, or hopeless; low self-esteem; and loss of interest in things one used to enjoy. Senior citizens are prone to life-altering changes that can lead one to feel depressed. Dealing with the trials life throws at us such as, loss, change, loneliness, or a chronic medical condition can be quite overwhelming. Still, depression is not a “normal” part of aging. Like heart disease or diabetes, depression is a medical condition and it can be treated with medication and therapy. Treatment is effective at alleviating symptoms within a few weeks in at least 80 percent of people.

It is important that senior citizens and those providing their elder care understand the symptoms of depression. If you think you or someone you know may be suffering from depression, identify your symptoms by using the checklist provided below. Then, if necessary, seek assistance. For senior citizens, the most frequently used resource is a family doctor. Bringing a trusted friend or relative may help ease any anxiety when going to an appointment. Understand that your doctor may suggest a checkup and begin treatment or refer you to a mental health specialist.

Before you say, “I’m okay”…

Do you feel:

• Anxious or “empty”
• Guilty or useless
• Agitated or irritable
• Less interested in things you used to enjoy
• Like no one loves you
• Life is not worth living

Or if you are:

• A change in sleeping habits
• A change in eating habits
• Persistent headaches, stomach aches, or pain

Remember that these may be real symptoms of a real medical condition that can be effectively treated. Talk to your doctor today. Though many senior citizens suffer from depression, feeling depressed is not a normal part of aging.

Health and Wellness Tips

There are many measures senior citizens can take to help relieve the symptoms of depression. Those involved in the elder care of senior citizens experiencing depression should encourage the senior to follow these tips and improve their wellbeing.

Check your medications. Senior citizens often take many medications. Some medications, including those for sleep, blood pressure, and nervousness, may affect mood. Talk with your doctor about each of the medications you are taking. Be sure to include all over-the-counter medicines, vitamins, and herbal supplements to minimize the chances of having side effects.

Limit alcohol consumption. Alcohol use can bring about depression. And, when alcohol and drugs are combined, interactions that lead to depression can occur.

Stay connected. Sometimes, senior citizens find it more difficult to get out and stay connected with others. Still, talking with friends and family members, getting a pet, or even finding a new interest or hobby can help one through this tough time. Get involved in activities you take pleasure in, such as reading a good book, going to a ballgame or a taking a class in a subject that interests to you.

Be active. Physical activity can improve physical and mental wellbeing. Though some senior citizens believe they cannot exercise, there are activities like walking, gardening, or working out (even if one is in a wheelchair) that can be helpful. Make a goal of 30 minutes of activity 5 days a week. If you have not taken part in physical activity in a while, be sure to check with your doctor and get his ok before you begin.

Eat healthy and drink plenty of fluids. Choose healthy snacks like fruits, vegetables, yogurt, or nuts to increase your nutrition and energy. Also, try to eat well-balanced meals. Some senior citizens suffer from loss of appetite and weight loss; if you have experienced either of these, consult your doctor.

I’ve been teaching library computer classes since 1997. Here are my top 10 tips for teaching seniors how to use a computer.

1) State the goals of the class before you begin instructing. People will come into a class with different skill levels. Advanced students will often work ahead or surf the web if the class material is too basic for them.

This can distract you and other people in the class.

After everyone in the class has been seated, I introduce myself and then say something like: “Just to make sure we’re all on the same page here, this the Introduction to Email Class”. In this class we cover the very basics of sending and receiving email messages. Is that why we’re all here?”

2) Use real life parallels whenever possible.

For example, if I’m describing the “To:” box on an email screen, I’ll hold up the front of an envelope that has been addressed.

This really seems to help to “Demystify” computers for seniors.

Another analogy that seems to go over very well is comparing web pages to electronic documents. I’ll hold up a People magazine page and state that web pages are really just magazine pages that you can read on a computer screen.

3) Use humor to lighten the mood. This is especially important if you are much younger than the people that you are teaching.

Many seniors seem to feel ignorant (or worse!) because they can’t use a computer like their 10 year old grandchildren. This being the case, they can really feel intimidated by a younger instructor.

I usually begin a class by stating: “Nobody was born knowing this stuff”. I then segue into the story of my father getting whiplash from teaching me how to drive a standard shift.

4) Emphasize that if they learn 3 things from an hour long class then they’ve done really good. Many seniors that I have taught over the years seem to be trying to make up for “lost time” by frantically trying to learn everything at once.

5) Speak slowly and take frequent pauses to make sure everyone in the class is following what you’re saying.

6) In my experience, hands-on instruction seems to work best. I’ll describe what the class is going to do (such as starting a web browser and visiting a particular web site). Then we all do it together.

7) Use positive reinforcement. Say things like: “That’s an excellent question. Thanks very much for asking it.”

8) Emphasize that “practice makes perfect —- or at least almost perfect —- when it comes to learning how to use a computer.” I then return to my learning how to drive a standard shift story stating that what was once so difficult is second nature to me now.

9) The “strange neighborhood” analogy also seems to work well. I’ll ask the class: “What do you do when you drive into a strange neighborhood? Do you floor the accelerator and start making random turns? Of course not. You proceed slowly and follow directions. That’s the golden rule for learning how to use a computer.”

I’ll then add somewhat dramatically while gesturing to myself: “And if you get lost, you ask somebody for help.”

10) I like to hand the class notes out at the end of the class. If I hand the class notes out at the beginning, people tend to thumb through them and not pay attention to what is being taught.

Seniors also seem to relax quite a bit when I tell them that class outlines will be handed out later. They really seem to appreciate having something in writing.

Once seniors are able to relax and have realistic goals about what they can learn in one class or session, they seem to both enjoy the computer instruction and get more out of it.

Manipulation – taking advantage of a person’s weaker state of mind – is one key element in cases involving elder financial abuse.

Undue influence, coercion, isolation and manipulation are all weapons used by perpetrators to carry out this abuse. Manipulation may come from more than one individual. A conspiracy to manipulate an elder may develop.

Let’s consider a factual scenario to illustrate how this is accomplished.

Dad is 80 years old, widowed, and has lived alone for several years but is now suffering from short term memory loss. He previously made a will, in which he left his entire estate to his two children in equal shares.

One son lives in another state and telephones his father regularly but has had little physical contact because of the distance involved. The other son (and his wife) lives nearby and visits Dad every week or so. But now, this son begins to get pressure from his wife.

They’re behind on their own mortgage and credit card payments and now see a quick way out. They know that Dad has plenty of money in the bank and owns his home free and clear. With his fading memory and loneliness, it won’t be hard for Dad’s son and daughter-in-law to take advantage of the situation and manipulate Dad into turning over his ATM card. The manipulation is not accomplished in one fell swoop. The son and his wife will execute the rip-off in gradual steps by planting the seed in Dad’s mind that he needs help in handling his finances, including his bank accounts.

Initially, the son and wife may not have planned to completely take over all of Dad’s assets. At first, they may have sought only to get themselves out of immediate debt. However, once they have tasted their new found financial freedom, it gets easier and easier to continue to use Dad as their cash cow. Greed soon takes over, and the two perpetrators decide that they don’t want Dad’s other son to share in Dad’s estate when he passes away.

They then begin to gradually plant half truths in Dad’s mind, with the intent to eventually convince him that his other son does not care about Dad, never visits and therefore is not worthy of receiving any of Dad’s estate. Over time, the plan works and Dad is now ready to sign a new will that leaves everything to the bad son and his wife.

They may also convince Dad into signing a power of attorney that gives daughter-in-law the right to access all of Dad’s bank accounts, change the address where bank statements are mailed, and even transfer ownership of the house.

An elder law attorney can assist with civil litigation to stop the financial bleeding and recover money and property wrongfully taken. The key is to identify the problem and act upon it before it is too late.

This type of financial manipulation occurs throughout the United States, from my hometown in Riverside, California, to Miami, Florida and all parts in-between. Wherever greed exists, family members can prey on their elders in an attempt to receive an early inheritance.

It can be tough on families when grandparents are separated by a great distance from their grandchildren. It is only natural to want to be close to those that you love. But being a long distance grandparent does not mean that you cannot be a fully involved one. There are plenty of great ways to maintain your connection with your grandchildren. Discover some of the ways you can make your family the priority that they are without ever having to feel guilty or distressed over the space between you. Space and time does not determine the quality of love and commitment that you have for one another.

The point of family relations is forming a special bond that will last a lifetime and cannot be touched by such things as distance. A committed long distance grandparent can be more deeply devoted than one that lives across the street if it is in their actions to do so. Nurturing the relationship that you have with your grandchildren is essential. It is the root of all that you share. Regardless of age, you can have that special bond with each of your grandchildren. Though it may take some dedication and work, it is all a matter of reaching out and making yourself available.

One of the best ways to maintain a healthy relationship with your family is to keep in touch. Call or email them on a regular basis to find out how they are doing. Set up a time to have a web chat where you can talk with the use of a web cam so it is just like having a visit in person. Being able to see one another makes it much more personal and young grandchildren will especially enjoy it. Make a point to do this regularly so that you each have something to look forward to.

Planning a future trip or visit to get together is always a lot of fun. Even if you can only do it once a year, it is something to be celebrated and made special. Write letters or email and have conversations about everything that you can do together. Family that does not get to see each other all that often will never run out of ideas or things to do. Get your grandchildren excited about that future visit by getting them to make a list of everything they want to do during your visit. It will get you both anticipating that special time.

It is important to make sure that children realize why you must live so far apart. It can be difficult to understand for those that are incredibly young. Have them send you pictures and drawings regularly so they know that you want to hear from them and look forward to all that they have to share with you. Being a dedicated grandparent is what matters most, more than any span of distance. There are plenty of resources that can help to make long distances easier to deal with. Take advantage of them so that you can focus on enjoying your family.

It may seem like every time you visit your doctor he recommends another test or screening. You may wonder why since you are not having any noticeable problems. As a doctor who has treated hundreds of bone injuries over the years, there is one test I highly urge you to consider and that is bone density.

There was a time when a broken bone was the only clue doctor’s had that a person’s bones had become more fragile and at that point it was too late to do anything about it. Luckily medical science has progressed over the years so today we can easily screen for osteoporosis and low bone mass.

Out of 44 million Americans affected by bone loss, 10 million have osteoporosis, and the remaining 34 million have a lower than normal bone mass. Women are particularly more likely to develop osteoporosis than men. Other risk factors that play into bone loss are age, family history, small body frame, inactive life style, alcohol, and use of certain medications. Given all the variables, you can see why it is so important to get a bone mineral density evaluation (BMD) as part of your physical exam every two to three years.

The truth is that everyone is subject to bone loss in their lifetime. In early adulthood a person’s bone mass is at its peak but it gradually declines with age. Within the first six years after menopause, a woman can lose up to 20% of her total bone mass. Men are at risk too especially if they have certain illnesses, low testosterone, smoke, or are sedentary.

Along with aging and change of normal hormones, osteoporosis is commonly the result of diets low in calcium and vitamin D. Without getting too technical, let me just say that your bones become thinner and weaker leaving you vulnerable to fractures and breaks. This is why we see so many elderly people with hip fractures and other weight supported broken bones.

A Simple and Painless Test

When taking a bone density measurement, your doctor will use x-rays to measure the mineral density of a segment of bone. Bone density testing has become one of the best ways of diagnosing osteoporosis and is fairly accurate in determining your risk for fracture. The purpose of the test is to see if enough calcium and other minerals are in a segment of bone to ensure that they are strong and healthy.

Usually an x-ray is taken of the bones that are most likely to become thin and break easily. The lumbar vertebrae of the lower spine, the upper section of the femur, and the bones of the forearm and wrist are the most common places to be x-rayed.

The test is fast and easy. You don’t have to do anything to prepare for it and it is completely painless. In fact, many pharmacies and health fairs offer bone density screening along with other tests such as cholesterol. So there is really no reason not to have your bone density checked.

The results of your bone density test will be given to you in the form of a T-score.

If your T-score is above -1 then your bones are normal, healthy, and strong.

If your score is between -1 and -2.5, your bones are beginning to thin and you are at risk of osteoporosis. If your score lower than -2.5 it is an indication that you already have osteoporosis.

Take the Right Steps to Strengthen Your Bones

The medical profession has come a long way when it comes to prevention of many diseases and osteoporosis is only one of them. Building strong bones early in life before the age of 30 is the best defense against developing bone loss later in life. A healthy lifestyle is also of utmost importance. Learning to prevent osteoporosis is critical because once you have it there is no cure.

There are several key things you can do to prevent osteoporosis and give your bones the care they deserve.

• Calcium is needed for your heart, muscles and nerves to function and for blood to clot. When calcium is lacking it contributes to the development of osteoporosis so make sure you get your recommended amounts either in foods or supplement form. Adults under age 50 need 1,000 mg and those over 50 need 1,200 mg.
• Vitamin D is necessary to absorb calcium so without enough you cannot get the calcium you need from the foods you eat. When this happens your body takes the calcium from your bones. Vitamin D comes from direct exposure to sunlight and from your diet. Adults under age 50 need 400-800 IU of vitamin D daily, and adults over age 50 need 800 – 1,000 IU daily.
• Exercise is a must in maintaining bone strength. The best type is weight-bearing such as walking, dancing, jogging, stair-climbing, racquet sports and hiking.
• Avoid smoking and excessive alcohol.
• Schedule a bone mineral density test (BMD) and take medication as prescribed by your doctor if you are diagnosed with osteoporosis.

Although Osteoporosis is not curable you can easily find out if you are at risk by taking a simple test.

There are several medications available now that help combat bone loss and in some cases may even help prevent further deterioration. With proper care and maintenance your bones will be strong and healthy throughout your entire life.

“I wake up early in the morning to realize that, its not the usual day. I am retired. I don’t know how to spend the day. I pass some time with the newspaper and the rest watching TV. Till then my grandkids come back from school. I plan to go out with the family, but everyone is tired and they have their own set of works to do. I have no other go, but dig myself into those philosophical books. The day is over and I am back on my bed to welcome another day of loneliness, loss, frustration, and grief”.

This is the life after retirement, as Richard Armour Quotes,

“Retired is being twice tired, I have thought

First tired of working,

Then tired of not.”

Studies show that high percentage of people die during their first year of retirement. One of the reasons being, psychological trauma. A sense of feeling that you’re a worn out individual and should be placed in the corner of the house sitting idle most of the time.

This period of life can be made fun and worth living to explore the unexplored.

There may be times in your life when you wanted to learn to play golf or wanted to write a book on your experience and learning, or wanted to learn salsa. But your desires where never fulfilled, because you were too busy at work or family. This is the right time to explore your hidden talents and fulfill your deepest desires.

Here are few ways to stay active and make money after retirement. Work is the important way of coping with the nagging worries.

Physical activity:

The best way to be healthy, independent and occupied is by doing some minor physical exercise such as walking and yoga. Get started with activities that will make you feel warm and breath deeply. It may not be some heavy stuff, but small things like walking whenever and wherever you can, taking the stairs instead of an elevator etc. You could also enroll in the neighbourhood yoga or laughter club. Being healthy will also help you be independent.

Meet friends:

Meet your old friends outside. There may be times when you missed out the most important events with your friend. Plan a picnic, as even he may be feeling lonely. Go out to play golf or any game you like.

Gardening:

Gardening is the best way to keep you occupied. This is also a great stress buster. Grow some flowers or vegetables in your garden. If you don’t have a garden you can grow plants in a pot. You can even get the younger ones involved in this work. Decorate your house with these plants and flowers. Look how proud and contented you will feel.

Help grandkids:

If your grandkids are busy with homework and you have some time on your hands, why not help them with their work? Apart from homework, you can play with them, tell them stories, take them to the park etc. Thus you will gain a good listener and even build a healthy relationship.

Go on a holiday:

Go on a cruise with your partner. Visit a distant land, which you have always wanted to see. And remember there is no age bar for a second honeymoon. This is the age when you are alone most of the time with your partner, so make the best use of it. Discover those facets about each other left untouched and forgotten over the years.

Volunteer:

Be a volunteer to an NGO who deal with projects relating to the empowerment of women, child care or anything that draws your interest and is also of a major help to the society.

Use your skills:

You may be a businessman, a professional, or an accountant. Years of experience in that field will surely be of some help to the youngsters. Use your skills to train them. Start a course. This will fill your pockets and even finds you some work to keep going.

Pen them:

You may not be a celebrity to the world, but life must have taught you something, that you always wanted to pen down. So why don’t you try it now? You have the leisure and even the patience too. This is the best opportunity, to tell the world what you feel. You may not win the Booker Prize, but maybe many can learn from your experience..

Join a course:

Wasn’t there a time when you badly wanted to learn to paint, sing or dance. Here the time has come. Join a course that interests you. Fulfill all your desires. Use your creativity to put forth your ideas.

Let not age make you surrender to its oddities. Soar and fly. Begin your life anew in its own colours. Retirement is the respect given to your years of service. But if you don’t want to sit and rest why not explore and say “here life I am back like a Phoenix. Ready to go.” Live the life that you’re worth living, after all, ‘Age is a state of the mind.’

The idea of having your will or estate go through “probate” conjures up visions of money that should have gone to your heirs being peeled off and divided up for the state’s administrative services in seeing to your last wishes. In addition, the process of probating a will or estate can be a lengthy one, particularly trying for a spouse or children who have to wait until it is finished to gain clear title to a home or access to bank accounts.

Consequently, attorneys and financial planners often encourage people to structure their estates in ways that will avoid probate. That may or may not be beneficial, given that probate court systems in many states have been restructured in recent years and there are only certain types of assets that aren’t required to be probated.

What is probate and how does it work? There are actually two facets to the process commonly referred to as “probate”. When a person dies, his/her will must go through a formal process of being finalized. The probate court, depending on the state, determines that the will is your last statement confirming the disposition of your estate and officially appoints the person or business that you have already chosen to administer the will (your executor). In cases where a person dies intestate (without a will), the state court may appoint an estate executor, generally an attorney or agency that specializes in such matters.

In addition to the formalities, the term probate is also applied to the whole process of gathering and paying any final bills and taxes that are filed against the estate, as well as distributing the remaining assets to the heirs. The executor is supervised, or at least reports to, the court, and may come under close scrutiny by the will’s beneficiaries. Because the executor performs a number of tasks that can be technically difficult and time consuming, he/she is also entitled to be paid a reasonable amount for services rendered. The actual amount of compensation may be provided for in the will, or could be a percentage established by the particular state’s probate laws. In either case, it does constitute a certain portion of a person’s net assets that subtracts from the amount eventually dispensed to the heir(s).

There are certain assets that are exempt from probate. Those include life insurance or retirement plans that pass to a specific, previously named beneficiary and real estate held jointly by the deceased and the beneficiary. In addition, bank accounts or brokerage accounts that are jointly held and which specify the right of survivorship do not have to be probated.

A living trust, which passes property to your heirs prior to your death is often marketed as a way to avoid probate. However, that assertion may not be entirely true. It is only rarely that some part of a living trust does not have to go through probate, despite the original intentions. Any property that has not been transferred to others prior to your death is generally willed to the trust itself, then transferred to the heirs via a trustee who very probably charges fees, after he or she pays any outstanding taxes from the estate. It is the very process of settling those same taxes and administrative details that can delay and extend the process of probate. Thus, depending on the state where the property is being dispersed and the extent of the estate, the actual time frame and cost of probate can potentially be less than those involved in the distribution of a living trust.

Probate, therefore, is generally a necessary court procedure through which a person’s final will is confirmed and the proceeds from it are distributed. Because states have been working toward simplifying the procedures involved in probate, it is not something that must necessarily be avoided at all costs.

Caring for aging parents can take many forms. For some grown children, that care may be as simple as mowing a lawn a couple of times a month. Others may need to drive their elderly parents to the grocery store or make sure that financial matters have been attended to and bills are paid. Still others may have to help attend to basic daily needs of infirm parents. Some grown children may have actually reversed roles with their parents, and now they are the cooks, maids, and sitters.

If you have taken up this role, then you are certainly not alone. The informal, unpaid caregiving duties are valued at over 3 billion dollars in the US. The value of this contribution totals up to more than Medicaid spending for long term care. This does take the pressure off of government programs. You may feel as if you are just doing your duty to the people who dedicated a good part of their lives to bring you up, but you should also take a moment to pat yourself on your back. Even though you may not believe your contribution is noticed, believe me, it has been.

But even though you are providing a valuable contribution to yourself, and to your elderly parents, you may be paying a price. Caregivers do suffer from anxiety and depression. Some resent the burden, but then feel guilt over the resentment. You may also be missing time from work, just as you do when you have to stay home because a child is ill. Some employers are friendly towards adult custodians of elderly parents, but some employees have not progressed to that point yet. This can be a source of additional stress.

Of course, you want to be a responsible adult child, and since you love your parents, you do want to make sure they are well cared for. However, you will not do anybody good in the long term if you do not accept some help when you need it. If you are feeling the strain, do not be afraid to look into sources of help. Services are out there, from counseling to home health care professionals to adult day cares. If you can release some of the burden, your relationship with your charges will improve, and everybody will be happier in the long run.

Although everyone experiences constipation at times, senior citizens tend to experience it more often. Constipation specifically describes a symptom of some underlying cause characterized by less frequent bowel movements, more time required to pass stool, and harder stool. Regularity is different for everyone, so people should not be too concerned about having a certain number of bowel movements in a certain time period.

Senior citizens suffering from constipation should consider the following questions:

• Do you often have less than three BMs a week?
• Do you find it difficult to pass stool?
• Are your stools lumpy and hard?
• Do you have the feeling of being blocked or that you have not emptied your bowels?

Answering yes to one or more of these questions could indicate an issue with constipation.

Causes

Senior citizens and their caregivers should consider what might be contributing to their symptoms so that they can take the appropriate measures to address the problem. People typically experience constipation for the following reasons:

Diet: If you are not eating enough high-fiber foods or eating too much high-fat meats, dairy, eggs, or sugary foods, this can cause constipation. Senior citizens may be more prone to becoming constipated for this reason, since cooking for fewer people may lead to eating more pre-made, less nutritious foods. Also, senior citizens with teeth problems may feel they have difficulty maintaining a diverse, fiber-rich diet. It is also important that senior citizens remain hydrated and drink plenty of fluids, which can prevent constipation. Caregivers should encourage healthy eating practices by preparing nutritious, well-balanced meals. Also, caregivers should remind their patients to take in sufficient fluids by providing them with juice and water throughout the day.

Using too many laxatives and enemas: Although many people think that laxatives are a cure for constipation, the effect they have on the body works in the opposite way. In simple terms, using laxatives causes the body to think that it needs laxatives to have a normal bowel movement and leading to more constipation when not taking laxatives.

Lack of exercise: Inactivity or spending large amounts of time in bed or a chair for recovery from medical procedures can result in constipation. Since we often become less active with age, this is also likely to contribute to constipation in senior citizens. Still, it is important that senior citizens maintain an appropriate level of physical activity. Caregivers can encourage this with simple activities like going on walks with their patient.

Holding back bowel movements: If someone prefers to have a BM at home or holds back the urge, this can eventually lead to constipation.

Medical conditions: Some underlying causes of constipation include stroke, diabetes, blockage in the intestines, or a more specific disorder called irritable bowel syndrome (IBS) characterized by pain, bloating, and constipation or diarrhea.

Medications: Some drugs that treat depression, antacids containing calcium or aluminum, iron supplements, allergy medications, certain painkillers, some high blood pressure medications, diuretics, and some drugs used to treat Parkinson’s disease can cause constipation.

Treatment

There are simple changes in diet and physical activity that can help treat constipation. It is important that caregivers facilitate and encourage these changes.

Eating more foods with fiber like fresh or dried fruits, vegetables, and whole-grain cereals.

You can add a small amount of brain to baked goods, cereal, or fruit that you consume that may not have much fiber naturally. Although changing the amount of fiber in your diet may cause some bloating and gas at first, the body will adapt. You can use fiber products like psyllium seed which is sold in grocery stores.

Drinking at least three 12-oz servings of water or juice everyday can prevent constipation.

Participate in a healthy amount of physical activity.

If symptoms associated with constipation are severe, it may be necessary to talk to a doctor. You should seek medical attention if bowel habits change, if you find blood in the stool, you have serious stomach pains, you experience weight loss without trying, or fiber and exercise do not help with constipation.

Choosing a nursing home is an important decision, and it is vital to ensure that the facility you select will provide the highest quality of care for your loved one. There are three main steps you can take to find the nursing home that offers the services, environment, and lifestyle options that best suit your loved one’s needs and preferences. Planning ahead, taking the time to analyze your options, and carefully researching several facilities before making a decision will help to ensure that the nursing home you choose will help your loved one maintain health, happiness, and dignity. Review the steps listed below as you begin this critical decision making process.

Step 1: Find nursing home facilities in your area.

- Ask people you trust, like your doctor, family members, friends, neighbors, and clergy if they have had positive experience with a particular nursing home Keep a list of the names of these facilities and look up contact information for each using the phone book or internet.

- Call your Area Agency on Aging (AoA). This telephone number should be listed in your local telephone directory or you can find it online by visiting aoa.gov. The local AoA can provide information about nursing homes in your area.

- Call the Medicare Eldercare Locator at 1-800-677-1116 for information about nursing homes in your area.

Step 2: Find out how nursing homes compare in quality.

- Nursing homes are certified to make sure they meet certain Federal health and safety requirements. To find out how nursing homes compare in quality in your area, look at www.medicare.gov on the web. Select “ Nursing Home Compare.” You can compare the State inspection reports of the nursing homes in your area and look at other information, like resident characteristics and staffing levels.

- Ask friends and other trusted community members if they are or were satisfied with the quality of care.

- Call the local office of consumer affairs for your state. Ask if they have information on the quality of nursing homes. Look in the blue pages of your telephone book for their telephone number.

- Call your state’s health department. Ask if they have information on the quality of nursing homes. This phone number will also be listed in the blue pages of your phone book.

Step 3: Visit the nursing homes you are interested in.

- Before you make a decision, visit the nursing homes you are interested in. This will give you the chance to see the residents, staff, and facility. It also allows you to talk with nursing home staff, the people who live and get care at the nursing home and their family members. Be sure to call the nursing home office and make an appointment to tour the nursing home before you visit.

- Ask about the types of services and activities the nursing home provides for residents.

- Ask about the cost and fees for care. Find out if there is an extra charge for any special medical needs your loved one may have.

- Ask to see a copy of the most recent inspection report for the facility. Ask if the deficiencies noted have been corrected.

- Revisit the nursing home a second time, on a different day and at a different time of the day than when you first visited. Staffing can be different at different times of the day, and on weekends.

- Don’t be afraid to ask questions. Find out if the nursing home is Medicare/Medicaid certified, if there is a waiting list, and what their visiting policies are.

Potential nursing home residents should be involved in the decision-making process if possible. However, cognitive ability, emotional issues, current state of mind, and physical status may limit a senior’s ability be an active part of the nursing home selection process. It is important to be honest, forthright and supportive with your loved one during this time. Don’t forget to keep visiting once your loved one has been admitted in order to ensure that he or she is handling the transition smoothly and that the care is of the quality that you expected.

Taking care of aging parents is not an easy task. Many in our aging society are not aging gracefully, and fighting or ignoring their decline in physical and cognitive abilities. No matter how well we eat, how much we exercise, how many supplements we take, there is nothing that stops the aging process. Granted, we all age at different rates, but eventually our bodies wear out, and we can no longer do things as easily as we once did. Taking care of an aging loved one is not for sissies! To assist you as you go the through process of aging with your loved one, here are the top 8 common mistakes made by seniors and their families.

Not planning ahead, even for a health care crisis

Common sense tells us that as we age we should expect to require some assistance , or even total care at some point. Yet, many aging adults find aging gracefully difficult. Fear of aging and a need to hold on to their independence causes many seniors not to ask for help. Those in the early stages of dementia may not recognize their need. Family members need to prepare themselves so that if a health care crisis does occur that their aging loved one will have some protection. Preparing for this will take time and energy. It requires learning about Medicare, Medicaid, insurance policies, legal forms and health care options available. Being prepared, can decrease stress and anxiety in a time of crisis, and gives you a sense of confidence as you assist your aging parent in making important decision.

Denial

Many adults who have a fear of aging neglect signs of poor heath.. Many overlook health problems for such reasons as worrying about paying their co pay, so they delay going to the doctors until the condition worsens. Such a delay can result in more advanced stages of a condition. Many aging adults feel as if they can fight the process and refuse to wear hearing aides, braces or walking aids. Family members often do not address these behaviors as they are met with strong resistance. This can be a difficult and uncomfortable situation for many family members. Sometimes having a family meeting and having a person that your parent respects and trusts will open the lines of communication.

Reluctance

Not aging gracefully causes many adults to be reluctant to discuss that they need assistance, because to admit that fact means they are growing old. To many aging adults, that is a blow to their self esteem and many perceive that they must give up their independence or become a burden to the family. Family members, many times are reluctant to bring up the subject of your aging parent needing care, due to family dynamics. Within the family there may be challenges of overcoming guilt, anxiety or even anger. It is important that you make your aging parent aware that you are there to support them and not to interfere, that their safety and health are your utmost concern.

Are not aware of all the options and levels of care available

The healthcare delivery system can be overwhelming. Many families have no idea that where to begin to look for assistance or what services and options are available. There are many county, state and senior services that can provide direct access to specific care providers. Your local agency on aging can direct you to programs and services that are specific to your area. You clergy member may be able to assist you in directing you and your family members to professionals that have successfully supported other church members. You may want to utilize the services of a care manager or eldercare consultant to assist you in maneuvering the health care system. These are individuals that specialize in the care of the aging population and can advocate, make recommendations and assist in overseeing every aspect of the care and services that are needed for your aging parent.

Family disagreement

Inaction by family members due to differences of opinion with in a family as to what care is needed, and where and from whom it should come. Nothing can revive conflicts in adult siblings than making decisions about an aging parent. All the old roles, parents favorite, the black sheep, the unresolved battles and family rivalries resurface. Old family dynamics come back, and adult siblings can sabotage wise decisions during those anxiety producing conversations about the aging parent. There are also cultural differences, where the eldest son, no matter what his relationship with his aging parents has been, is expected to be the decision maker in those families. Many of the sisters/daughters in these cultures are not involved in the decision making process, even though they are the ones that have been providing the care. It is important to focus, as a group, on what your parents would want and provide them with the best possible care in a safe and comfortable environment. In these situations, an outside objective third party is recommended. There are eldercare facilitators, care managers and eldercare consultants to assist your family through this process.

Misunderstanding of what health insurance, long term care, and supplements provide

It is important for seniors and their family members to investigate and understand what Medicare, Medicare supplements and Medicaid covers. If your aging parent has long term care insurance, it is also important to review waiting periods, cost of living riders and home care coverage. This is the first time many family members hear the term, “spend down”. Spend down is depleting private or family finances to the point where an individual is sufficiently poor to meet the eligibility criteria for Medicaid. The spend down process and transition to poverty can involve multiple losses. It is wise to consult an elder care attorney early, before a crisis to assist you in planning to protect your aging parent’s assets.

Concern over financial loss and downsizing

Many aging adults have worked their entire life and they want to leave an inheritance. They do not want to give up everything they have worked for. There are emotional and logistical factors of downsizing. It is emotionally traumatizing and overwhelming to the aging parent to give up their possessions. For many, their former life style was their identity. It is can be a difficult transition to fit into this new lifestyle. People want to age in their homes and do not realize there are options available to them to help keep them there. Eighty percent of long term care is provided by families, not institutions. There are more than 20 million Americans that provide care for an aging loved one. This allows the aging parent to continue to age in place in the comfort of familiar surroundings and be close to their loved ones.

Inability to discuss end of life issues

Aging gracefully is no longer a part of our culture. Billions of dollars are spent trying to avoid growing old. It is a fact that no one lives forever. We all are going to die. If we don’t die young, we are going to die old. So we should prepare for this time. We should be able to say what we want to do to stay alive. Some choose multiple medical tests, invasive and painful procedures and multiple admissions to the hospital to avoid death at all costs. Others, do not discuss death and do not express their wishes to others, and leave the difficult decisions to family members. This takes a terrible toll on a family during a very difficult time. There is such a thing as dying with dignity. It is the very last thing we can have a say in as we age. Establish advanced directives now. Five Wishes, an advanced directive form, is a very complete and unique among all other living will and health agent forms because it looks to all of a person’s needs: medical, personal, emotional and spiritual. Five Wishes also encourages discussing your wishes with your family and physician. Complete durable power of attorney for finances and durable power attorney for health care. These simple documents allow another person to make financial and health decisions for you should you become incapacitated in the future. You should also discuss developing a will and planning funeral arrangements. This will not only save you money, by preparing for your final arrangements, your family will have comfort in knowing that your final wishes are being honored. It will alleviate stress and allow them to celebrate you and your life.

In an effort to help family members become better informed and more feel empowered about assisting or even just with dealing with the issues of your aging parent, the resources are there. You just need to take the time, have the energy and the commitment to getting the right assistance at the right time. Being proactive and planning ahead makes this process much easier. Realize that your parents are adults and are responsible for their own lives.

You can only do what they will allow you to do. Hang in there and continue to work with your parents and do not take what they are saying personally. It is about them and fear of aging and change, fear of loss of independence and fear of loosing control, over their lives.

Diane Carbo RN- As a geriatric care manager, that has cared for her father and mother in law in their homes, she learned first hand how overwhelming, stressful, and time consuming caring for a loved one can be. Staying in their homes was very important to them. As a result, Diane started http://www.aginghomehealthcare.com to assist others age in familiar surroundings and avoid the emotional and frustrating task of maneuvering the medical delivery system. Check here for additional help

Although the challenge of quitting smoking seems too great for the benefits that will result, there are many short term and long-term benefits of kicking a bad habit like smoking at any point in one’s life. Many senior citizens, especially those who are life-long smokers, may not realize that they too can gain from quitting. Still, it is especially important that senior citizens try to maintain a healthy lifestyle. Those who provide elder care for senior citizens should encourage them to quit smoking.

Some of the benefits of quitting smoking include:

• Having a lower risk for cancer, heart attack, and lung disease
• Having better blood circulation
• Having no odor of smoke on your belongings and in your house
• Having a better sense of taste and smell
• Having healthier family members
• Adding more years to your life and having more energy to do other activities that you enjoy

Smoking is bad for your health because it damages the lungs and airways, causing swelling and complications with breathing and clearing mucus from the lungs. Smokers who cannot easily clear the airways often develop a chronic cough which can lead to chronic bronchitis. Some smokers develop emphysema where the lung tissue is destroyed and makes breathing very difficult.

Life long smokers have a 50% chance of dying from a smoking related disease. Smoking does not only cause direct effects as referred to above, but it can also lead to the development of other illnesses like:

• Heart disease. A combination of smoking and high cholesterol or blood pressure will increase the likelihood of heart attack.
• Cancer. The risk of cancer in the lungs, larynx (voice box), esophagus, stomach, liver, pancreas, kidney, bladder, and cervix increases as you smoke more.
• Respiratory problems. Smoking increases your susceptibility to the flu, pneumonia, and other infections that interfere with the breathing passages. This is more dangerous for senior citizens who are already at risk to the adverse affects of these diseases.
• Osteoporosis. Women especially who are past menopause can experience earlier and more severe bone weakening if they smoke regularly.

Quitting smoking is beneficial for people of all ages, including senior citizens. This statement is valid in that the effects of quitting are immediate as the body begins to heal after smoking has ceased. This is evident in the following trends observed in people who have quit smoking:

• The chance of heart attack and stroke drops within the first year of quitting.
• You are half as likely to develop heart disease within one year of quitting.
• Flow of blood to the hands and feet get stronger after quitting.
• Breathing becomes easier within a few months.
• The chances of cancer are decreased (within 10-15 years after quitting, your chances of developing cancer may be as low as that of a nonsmoker).
• Although there may be some weight gain, your health will most likely be better regardless.

Although the negative effects of smoking are caused by the smoke being inhaled into the lungs, the addictive properties of smoking (that is, the reason that it is hard to stop smoking) are caused by a drug in the tobacco called nicotine. Nicotine causes pleasurable effects in the body which causes people to smoke more in order to sustain that pleasurable sensation. For these same reasons, quitting is difficult due to withdrawal effects that make someone feel worse when the body is cut off from a constant supply of nicotine. Some common withdrawal symptoms include feeling hungry, tired, experiencing headaches, feeling depressed, or having trouble concentrating or sleeping.

Although quitting is difficult, it is possible, and there are many resources available to help in the process of kicking this bad habit. These include:

• Self-help literature
• Individual and group counseling
• Support groups
• Quitting with others who also smoke
• Taking medication that alleviates symptoms of withdrawal
• Using nicotine replacement therapy

You can use any combination of these methods to quit, but the most important step involves making an active decision to quit and starting the process. Once you have resolved to quit, make a date that you will begin to quit smoking. It may help to alter your smoking habits in the mean time by either reducing the amount that you smoke or trying to abstain from smoking at certain times that you have made a ritual of smoking such as after meals or in the morning. Some people may need extra help with withdrawal by replacing nicotine in different ways by employing:

• Nicotine chewing gum
• Nicotine patch
• Nicotine lozenge
• Nicotine nasal spray (prescription required)
• Nicotine inhaler (prescription required)

Replacement therapies are helpful in administering a lower dose of nicotine to the body without the harmful side effects of smoking. This way, withdrawal is curbed and health risks are still decreased.

There are also medications that do not contain nicotine and aid in withdrawal, although these may include some side effects like dry mouth, sleep problems, nausea, and headache.

Although many of the adverse effects of smoking are caused by the actual smoke entering the lungs, this does not mean that smokeless forms of tobacco use are any safer such as cigars, pipes, chewing tobacco, and snuff. These forms of tobacco use are linked to a higher risk of mouth cancer, pre-cancerous lesions known as oral leukoplakia, nicotine addiction, and possibly cancer of the gums, larynz, and esophagus. Pipes and cigars especially lead to increased risk of mouth, lip, larynx, pharynx, esophagus, and bladder cancers.

There are also risks associated with secondhand smoke exposure, which is caused from being around someone who is smoking tobacco products. Nonsmokers who live with smokers are more at risk for lung cancer and heart disease. People with asthma or children are more at risk to the adverse effects of secondhand smoke like increased susceptibility to bronchitis, pneumonia, asthma attacks, and inner ear infections. Secondhand smoke has also been linked to SID (sudden infant death syndrome). It is always a better idea that smokers not use tobacco products around others of any age.

Seniors, contrary to popular opinion, are thrilled with modern technology and have embraced the world of computers enthusiastically. There are no “simple” computers designed especially for seniors because the concept of computers isn’t that difficult to begin with—-it just seems that way.

Why a computer? The world is a pretty exciting place, so don’t give me that “too old to learn new tricks” routine, or let me hear you mumbling under your breath about not being interested. Of course you are interested!

I want you to picture yourself (or your senior parent) learning about a wonderful new way to stay in touch with friends and relatives, or even make new friends. E-mailing and sending pictures are a great way to communicate, so even if that is the only thing that you learn how to do, it is a good thing.

It won’t be long before that isn’t enough and you will want to jump in with both feet when you discover that you can follow your stock options, keep informed, write in your journal, and continue to learn.

Don’t forget that learning new things and having new experiences is a good way to exercise your brain. Studies say that older adults who use computers have fewer depressive symptoms than those who don’t.

Kids seem to pop into the world already able to use a computer and you may feel a little intimidated when a six year is savvier than you are. There is no reason why you can’t learn to enjoy a computer too. Colleges, community colleges, universities, neighborhood recreation centers and senior centers all offer classes designed especially for seniors. If you can’t get out, you can find books and computer tutorials (right on your computer) that are geared for the senior audience. Just look up “computers for seniors” in your search engine.

Don’t give up! If you love your computer but are finding it hard to see or manipulate the keys on your standard keyboard, help is available. A number of modifications are available to make your work easier and to keep you in touch with your family and friends.

If your fingers lack precision and aren’t as nimble as they used to be, you can find key locks and other modifications that enable you to press more than one key at a time. A key lock pivots onto a key that you want to hold down and holds it in place while you press another key at the same time. A sticky key works in much the same way if you have limited hand/arm control. If you press a sticky shift key, the computer waits for a second key to be pressed before acting on the initial stroke. Other options to investigate are one-handed keyboards, key guards, ergonomic keyboards and even on-screen keyboards where you just touch the letters on the screen.

Still nervous? For people with 20/20 vision using a standard sized computer screen is as easy as looking at your monitor. People with cataracts, glaucoma, diabetic retinopathy, macular degeneration, and other eye conditions encounter a whole new set of problems. Once again, modern technology has not forgotten the folks who don’t see quite as well as they used to.

People with low vision do not have to give up the joy and/or convenience of using their computers. Screen magnification products enlarge text and pictures to sizes more easily viewed. You can purchase free standing magnifiers that attach to the monitor or find software programs that will magnify the full screen.

Another type of software called Optical Character Recognition Software allows you to scan newspapers, recipes, bills, etc. where they can be stored, edited and used with screen magnification or screen reader programs.

Another option might be the use of speech synthesizer software. The screen reader reads the contents of all documents, as well as talking you through standard computer functions. The screen reading software helps you with writing, hearing what you are typing, reading back and editing your work, saving files, reading e-mails and web pages and more.

Isn’t this exciting? You can also find Assistive Mouse Adaptors that make it easier to control your mouse if you suffer from hand tremors or the Quick Glance for anyone who cannot use a hand operated mouse. There are easy to use Trackballs to make mouse control easier and Touch Pads that allow for mouse movement by just dragging your fingertip across a grid surface.

Many senior citizens experience some form of memory loss. Still, there are differences between mild forgetfulness and more serious memory problems. And, it is important that senior citizens and those involved in their elder care address problems with memory, as it may be a sign of a more serious condition.

Mild Forgetfulness

As we age, we lose some of the sharpness of memory we had when we were younger. We may notice that it takes longer to recall facts or information, learn new things, or find or identify familiar objects. In general, these are all signs of mild forgetfulness rather than a more serious medical problem. If you are becoming worried about your memory, schedule an appointment with your doctor to rule out larger problems. Many activities can sharpen your mind and memory, such as picking up a new hobby, visiting friends, eating well, and exercising.

Some more tips for helping your memory are listed below:

• Learn a new skill.
• Volunteer in a local school, hospital, place of worship, or somewhere else in your community.
• Spend a lot of time with loved ones.
• Make use of memory tools such as large calendars, agendas, and notes to yourself.
• Make an effort to put your wallet, purse, keys, or glasses in the same place each time you set them down.
• Get ample rest.
• Exercise and eat a healthy diet.
• Avoid drinking a lot of alcohol.
• Seek help if you feel depressed for an extended period of time (more than two weeks).

You can also make use of the following:

• Large calendars
• Agendas for each day
• Notes about safety in the home
• Directions for using common items around the house

Serious Memory Problems

More serious memory problems disrupt your ability to carry on normal activities like driving, shopping, or handling money. Some signs of a serious memory problem include:

• Repeating the same questions over and over.
• Getting lost in a usually familiar place.
• Being unable to follow directions.
• Experiencing confusion about time, people, or places.
• Taking poor care of yourself (eating poorly, forgetting to bathe, or engaging in unsafe actions or activities).

Causes of Serious Memory Problems

Medical conditions. Certain medical conditions can lead to serious memory problems that should disappear after treatment. Some things that can cause memory problems are bad reactions to certain medications, depression, dehydration (insufficient amount of fluids in the body), poor diet (insufficient vitamins and minerals), minor head injuries, and thyroid problems. These are all serious medical conditions that should be handled by a physician.

Emotional problems. When senior citizens have certain emotional problems, serious memory problems may develop. Sadness, loneliness, worrying, or boredom can cause confusion and forgetfulness. An active lifestyle, visiting with loved ones, and learning new skills can be helpful, but it may be necessary to seek the help of a doctor or counselor for treatment. If this is the case, getting proper help should minimize memory problems.

Alzheimer’s disease. This disease also causes problems with memory. It begins slowly, but the symptoms get progressively worse as the brain changes. Although it may appear to be mild memory loss at first, people with Alzheimer’s get to a point at which it’s difficult to think clearly. Everyday activities like shopping, driving, cooking, and carrying on a conversation become complicatedTaking medication during the early or middle stages of Alzheimer’s disease can delay memory loss and can be of great help if you have trouble sleeping or are worried or depressed.

Multi-infarct dementia. This is another disease that causes memory problems, where symptoms often appear abruptly. Memory loss and confusion associated with this disease come about through small strokes or short periods of decreased blood flow to the brain. Preventing additional strokes can maintain or improve memory after a stroke, but having more strokes generally leads to more memory loss. To prevent strokes and multi-infarct dementia, maintaining a healthy blood pressure is key.

Diagnosing Serious Memory Problems

As with all health concerns, if you have cause to worry about your memory, you should see your doctor. Be prepared to have a complete checkup if your doctor thinks it is necessary. This checkup may include tests to check memory, problem solving, counting, and language skills, and your doctor may need to take a CAT scan of your brain. A CAT scan is helpful because it shows normal and problem areas in the brain and can help to identify a problem. When your doctor comes to a conclusion as to what is causing your memory problems and makes a diagnosis, ask which treatment options are best for you.

Support

Friends and family members can provide support to help you cope with memory loss. They can help you exercise, visit friends, and continue daily routines and activities. They can also remind you of the time, your location, and what is going on around you.

If memory problems progress to the point that you have difficulty taking care of yourself, in home care for senior citizens can be helpful. Home health care aides can assist with personal care, meal preparation, and health management. And they provide services according to your need, from a few hours a week to 24-hours a day.

Self esteem is an integral part of an individual’s mental makeup and human psychology. It is an image we have about ourselves, how we feel, how we react to our work, our relationships with family and in general, how we socialize in the community as a whole. Self esteem is viewed as the basis of human psychology and each person is quite aware of their own self esteem. The same awareness of self esteem is present in the elderly, though it may change with the changes in the lifestyle and a change in the roles. As the elderly people become more and more dependent on others, they begin to feel they are unimportant, and that others also perceive them to be so.

Caring for the elderly may not be your first experience at care giving. You may have been performing the role of a caregiver to your children by taking care of their psychological and emotional needs. Self esteem is an important aspect of child psychology too and it is crucial to their success later in life. As the caregiver for your elderly parent, you may have to perform the same functions, though you are not ‘raising them’. That means you have to take care of their physical health, their finances, their living arrangements and their self esteem and mental health as well.

As an individual, one cannot empathize with the elderly parents due to the constant changes that go on in their lives and the great impact it has on their self esteem. Your own sense of self esteem stems from the fact that you are an independent individual and your ability to provide for your kids, perform your job well and also be useful to others in the society. From the viewpoint of the elderly, these factors have changed and the roles have been reversed. This results in a feeling of worthlessness and low self-esteem for them.

The changes that the older adults face in terms of role reversals, dependency on their children or the loss of a spouse can be very difficult to cope. According to the perceptions of the seniors, they cease to be useful to anyone in any way and this increases their feeling of worthlessness. Their pillars of existence and the ideas of life in general begin to disappear. They go from being heroes to their kids to being dependent on their kids, a fact that they cannot accept. Simple things like driving around or even walking become an ordeal.

Loss is always painful, be it loss of a spouse, of mobility, or health or independence. In such situations, it is no wonder that the senior citizens suffer from low self esteem. This is a precarious mental situation that may lead to depression and health problems that will prevent them from enjoying life. If there is no support system, the elderly may even turn to alcohol or drug abuse and in severe cases, suicide.

We as caregivers should try to catch the signs of low self esteem at the earliest. These may manifest in the form of sadness, or losing interest in hobbies, not taking care of oneself, not socializing or having suicidal thoughts, etc. Other symptoms may be narration of pleasant memories repetitively or trying to do things which they cannot cope with.

There are many ways to help the elderly to regain their self esteem. The first is to offer emotional support. Ensure that they are given adequate medical attention for their ailments. Another good therapy would be to allow them to spend their time in the company of their grandchildren. Encourage them to meet their friends and to talk of the old times. As a caregiver, you can be compassionate and patient while dealing with their fears and anxieties.

Children do not come with instruction booklets. You found this out the hard way as a parent. Now, as a grandparent, you are hoping the road ahead will be easier. After all, you have walked the path before. Do not fool yourself; this journey also has no written rules.

Creating a real and lasting relationship with grandchildren does take time and effort. The payoff, however, is well worth every second spent. While there is no “easy” way to forge bonds, there are things you can do to help. Whether you live right next door or hundreds of miles away, you can be an important person in your grandchild’s life and a real help to your adult children.

If it is your intent to forge a strong relationship with your grandchildren, these tips can help you along the way:

Remember your role – It is perfectly acceptable for you to want to play a very big role in the life of your grandchildren. Remember your boundaries, however, and try not to cross over the line. Never let yourself forget that your child is now the parent – not you. If you tread over the line and undermine your child, your relationship could feel the strain.

Offer to help out – One of the best ways for you to create a strong bond with a grandchild is to spend time with that child. If you live close by, offer to be the “designated” babysitter or at least babysit as often as you can. Should you live a great distance away, try to make a point to visit as often as you can or open your house up for visits from your family.

Make sure your grandchildren know your time together is special to you – Whether you live close by or far away, make a big deal about the time you share. Even if you just spend a day baking cookies or going to a park, snap pictures. Turn those shots into a memory album for you and your grandchildren.

Show them their milestones matter to you – Make sure your grandchildren know that their victories, triumphs and milestones are of importance to you. When they are little, display their artwork in your home, show off their pictures and brag – it is your right after all! As they grow, stay involved in their activities, follow their progress and never fail to give them a pat on the back when it is deserved.

Treat them with respect – Connecting with younger children tends to be fairly easy. If your grandchildren are older, you could have a harder road to hoe. Remember to treat them with respect, listen to them and keep the door always open for them whenever they need you. The unconditional love a grandparent can provide is appreciated even if the children do not make this readily noticeable all the time.

Creating strong and lasting relationships with grandchildren does not necessarily come naturally. There are no instructions to guide this job. When you show your grandchildren you love them, are interested in them and are proud to be in their lives, they will take notice.

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Seniors worry about aging and illness as well as who will take care of their family when they are gone. Because of this estate planning is so important. With estate planning seniors can make a plan while they are still healthy as to how their estates will be handled upon their death and they will have the reassurance knowing their families are taken care of. There are several things seniors need to do, but the first and most important is to create a financial plan.

In order to create a financial plan it is important to consider all the different retirement issues. The plan should include developing a retirement budget. Many times during retirement income is reduced so a budget is very important. Also, the plan should address consolidating income. A discussion of how long term care would be paid for and financing options should be had so there is a basic understanding of what will pass. Investment planning should be included in the plan as well as any estate decisions that will need to be made. Tax issues are also important and should be discussed and included in the plan.

The place seniors should start is with a complete financial inventory. This includes taking not of income, assets, expenses and even liabilities. Talk about what the senior is interested in long term. Is retirement living an option or will the family home be sold. These are important questions that should be worked out early on before a situation arises. Finally, determine what kind of insurance the senior will have as well as how much money for retirement.

Also, discuss a senior life settlement. This is an option for seniors who want to sell their life insurance policy for more than the cash value the life insurance company would give them to cash out. This means seniors can sell life settlements and get money to live their retirement on and the individual who bought the insurance policy will simply cash it out upon death.

Before making any of these serious decisions it is important for seniors to discuss their options with a professional. Lawyers well versed in senior matters or financial planers are two great resources for seniors to have their legal questions answered and to receive the help they need planning their retirement. Most of the time using an expensive attorney will be expensive in the short run but it will result in major savings down the road and is worthwhile.

Probably one of the most difficult things you’ll every have to do, is care for someone with Alzheimers. The reality that the person with Alzheimers is likely very close to you, only makes the task more challenging. Being armed with as much Alzheimers info as possible, and knowing where you can turn to if you need more help or information can make a world of difference. Being someone who cares for another human being puts you into a category with a high degree of burnout. It can be a stressful, thankless job. You need to stack the odds in your favor as much as possible.

Don’t Be Afraid To Ask

Nobody likes to look clueless, and it’s human nature to be reluctant to ask questions. Now is the time to go against that nature. The medical community, specifically your physician, or the physician of your patient should be your first avenue for help. Be as involved as possible in their care That includes doctor visits, hospital visits, and any therapy or coping sessions the Alzheimers afflicted individual attends. Seek out other sources of information as well. Support groups, medical journals, newsletters are all good places to start. While a good doctor can be a fountain of information and support, they are probably very busy, and you are likely one of hundreds they see every week. You need to educate yourself as much as possible.

Lean On Me

While arming yourself with as much Alzheimers information as possible is a great strategy, don’t try to be Superman. Having a plethora of information is of no help, if your too exhausted to put it to good use. Medical professionals in the community should be able to point you towards organizations and support groups for caregivers. Potentially even specific to caregivers of Alzheimers patients, depending on the size of the community in which you live. These groups may even be able to provide temporary support for your Alzheimers patient while you attend to personal matters.

Your Already Doing The Right Thing

Suggesting you should look online for Alzheimers information and support may seem kind of redundant, since your likely already reading this article online. But, there may be other online resources your not aware of for help. Messaging and chat rooms are great places to go, if your looking for immediate interaction and feedback from like minded caregivers. Discussion boards while not quite as real-time-interactive, can be better, because they maintain their discussions forever. Chat room discussions tend to just disappear.

Choosing to care for someone with Alzheimers can be one of the most generous gifts a person can give. Be sure you prepare yourself with the information and support you need to set yourself up for success. It will benefit not only you, but your patient as well.

Heart disease is the number one health problem in the U.S. today. It is the number one killer of both men and women.

However, heart disease can actually mean one of several health problems. For instance, there is coronary artery disease, which is what most people think of when they think of heart disease.

There are also other health issues in the heart disease category, including things like abnormal heart rhythms, heart failure, heart valve disease, congenital heart disease and vascular disease.

All of these can be serious health problems if not treated.

One of the things that can be an early symptom of heart disease are the risk factors for people who are more likely to get heart disease. These health risk factors include being male, at an older age, having a family history of heart health problems, being a post-menopausal woman, and being of the African American, Native American or Mexican American race.

If a person has one or several of these risk factors, it can be an early symptom of heart disease or heart health problems.

Other risk factors include smoking, high cholesterol, a sedentary lifestyle, being overweight and having uncontrolled diabetes or stress.

One of the most common signs of heart health issues is angina. This is pain, discomfort, heaviness or aching in the chest, or in the areas of the shoulder, arm or jaw.

Another symptom of heart disease is often shortness of breath, having heart palpitations, experiencing a faster heartbeat, periods of dizziness, nausea and sweating.

The type and severity of these symptoms could mean serious health problems.

A person who experiences any of these symptoms and has other risk factors or other health problems should see their doctor right away.

Heart disease is one health issue that should not be taken lightly, because it is a health problem that could have serious implications.

All of these health problems can get progressively worse if not treated, see a doctor.

Do not feel alone if you are caring for your aging parents because you are one of 50 million Americans in the same boat. Whether they are staying with you or in another location, if you have the responsibility for their care, prepare yourself for a time consuming and emotional experience.

Tips for the Son or Daughter

Caring for your aging parents can be a very draining and exhausting ordeal. A support system between your brothers and/or sisters and friends will help lighten the load. Caring for aging parents is impossible to do on your own, especially if you work full time. You must come to the realization that at some point in time, one or both of your parents might have their normal thoughts, behavior, and attitudes changed radically by disease.

If this happens, caring for your parent can be like dealing with a complete stranger. For your own emotional and physical health, you will need an occasional break. Having your own parent not recognize you or think you are somebody else can come as a big shock to your system.

Tax Implications

Consulting with an accountant and/or attorney, if you are caring for aging parents, is time, energy, and money well spent. By making sure a will is drawn up and estate laws examined in detail, you will be free to give loving care for your aging parents. Depending on your circumstances, you may find that you can claim your parent as a tax deduction.

Taking Away the Car

This usually happens before the house is taken away. There are many things that have a negative effect on an older driver. Diminishing eyesight, physical handicaps, and mental disease can all make it very dangerous for these people to drive, both for their own safety and the safety of others. Very seldom does the parent voluntarily give up their car keys. Often times it is best just to make the car disappear over night.

Taking Away the House

Get ready for the battle of your lifetime when you determine, for their own safety, that your parents must be moved to a care facility. A home can be a very dangerous place for an older person who forgets things easily or has physical limitations. Falling down the stairs or leaving the stove burner on can have devastating effects.

You Are Not a Parent

While you are a care giver for your aging parents, you can never be a parent to your parent. The most that you can do is respond with love to their needs as they responded to your needs when you were young. Always remember that caring for your aging parents requires patience, patience, and more patience.

The benefits of being physically fit are so numerous that it makes no sense not to attempt to develop a reasonable level of fitness. As we age, keeping fit can become more of a challenge, but the benefits are even more numerous and rewarding. Here are six keys that seniors should keep in mind as they are pursuing a fitness program:

1. Frequency – How often you exercise is an important factor in a successful fitness program. For someone pursuing health related fitness rather than sports specific fitness, you don’t have to exercise all that often. The American College of Sports Medicine (ACSM) says that excellent results can be achieved by seniors with 2 sessions per week of strength training and at least 3 days a week of aerobic exercise (walking, etc.).

2. Intensity – How hard you push yourself is also important. Seniors looking for health related fitness don’t have to push too hard though. For aerobic exercise you should aim to work at a heart rate of about 60 -70% of your target heart rate (220 minus your age). Strength training requires enough weight to challenge your muscles, but not so much that it makes you really uncomfortable. The “no pain, no gain” mentality is definitely not necessary for good results.

3. Duration – This refers to how long your exercise session lasts. For good health, the requirements are very reasonable. A good target for aerobic exercise is 30 minutes per day. But, sessions of as little as 10 minutes each (if you do 3 per day) have been found to create good results. For strength training, duration is not too important. It’s more important that you make sure you do a variety of exercises that target all of your major muscle groups.

4. Stretching – As we get older, most of us lose some of the flexibility in our joints. Regaining as much of this flexibility as we can is extremely beneficial. I recommend to my clients that they try to do some stretching exercises every day. Even a few minutes a day can make a big difference.

5. Warm-up – Everyone should include at least a few minutes of warm-ups before they start their regular exercises. Your goal with a warm-up is to simply loosen up the muscles you’re about to use and get some extra blood flowing to them. For strength training a warm-up might include a set of your exercises with little or no weight. For aerobic exercise, doing the exercise at a slower rate at the beginning works well. A warm-up before stretching is also a good idea. A few calisthenics that gently move the joints you’re going to stretch is all that’s needed.

6. Cool Down – This is overlooked by many people. The principle is pretty much the opposite of a warm-up. When you are through exercising and increasing your heart rate and the blood flow to your muscles, you need to slow everything down again. Make sure you do some movements to slowly bring your body back down to a more normal level before you stop completely.

Using these keys will help you to develop an exercise program that is both beneficial and easy for you to follow. The results that you will start to feel in just a few short months will make the effort well worth it. Keep in mind that an exercise program to improve your health is something you must plan on doing the rest of your life. And you are worth it.

There are few circumstances when your loved one should execute a financial power of attorney that gives their agent the immediate authority to make financial decisions. Financial powers of attorney are one of the easiest ways to commit elder financial abuse.

The preferred method is to require that the agent’s authority is granted only after two qualified medical doctors declare in writing, under penalty of perjury, that the elder is mentally incompetent and unable to make sound financial decisions.

Although still not foolproof, this requirement gives a great deal of protection against financial exploitation. A bad guy must now involve two doctors in order to carry out the rip-off.

It is always possible that the perpetrator will simply have the elder execute a new power of attorney that revokes all prior powers and gives the agent the immediate authority. When family members and friends are actively involved in the elder’s life, the crook will have much more difficulty in accomplishing this without being caught.

When the elder has no immediate family or friends, the odds of being financially abused are greatly increased. However, there are still some preventive measures that can be taken to reduce the risk.

Speak with bank personnel and other financial institutions where the elder’s money is invested. Show them the power of attorney and explain that its purpose is to protect the elder in case someone tries to take advantage. Point out the added protection that requires two qualified medical doctors confirm the elder’s lack of capacity before the power of attorney is effective.

Ask them to red-flag the elder’s accounts by placing a computer notation that the bank personnel should question any substantial withdrawals or unusual activity.

In my city and state (Riverside, California), for example, a law exists that makes all bank employees a mandated reporter. This requires bank personnel to report any reasonably suspicious activity to local law enforcement. In states where similar laws exist, bank employees will receive some training to identify the signs of financial exploitation in order to comply with their mandated reporter requirements.

Many family members hesitate on broaching the subject of powers of attorney, in fear that their elderly loved one may take offence and tell them to mind their own business. Every family has their own unique dynamics. However, you can ease some of the awkwardness by doing some of your own research and sharing it with your loved one. Many counties agencies have informational brochures that explain the purpose in creating powers of attorney and how they can assist in financial matters.

Delaying the discussion often results in no action being taken. Then, when the need arises, it is often too late because the elder no longer has the requisite mental capacity needed to execute the power of attorney.

There is no surefire way to avoid financial exploitation of an elder. However, through education, discussion and assistance with the financial institutions involved, and with the help of a qualified elder law attorney, a power of attorney can be put in place that affords piece of mind that the chances of financial abuse are minimized.

By: George F. Dickerman, Esq.

George F. Dickerman is an elder law attorney in Riverside County, California, practicing law for 24 years.

No matter the age, anyone can experience the benefits of a healthy lifestyle. Senior citizens are prone to experiencing certain conditions, like heart disease, high blood pressure, high cholesterol levels, and diabetes. To reduce the risk of these conditions, it is important that senior citizens exercise and eat a healthy diet. Those involved in the elder care of senior citizens should encourage and try to facilitate these healthy practices.

Some research findings on the benefits of exercise and proper nutrition in senior citizens are listed below:

Healthy aging is enhanced by both exercise and good nutrition. A healthy diet can reduce risk of diabetes in senior citizens that are at a high risk. Studies have shown that dedication to a lifestyle of exercise and nutrition has led to a 71 percent decrease in diabetes amongst senior citizens 60 years and older. A different study of older women who were taking care of a family member suffering from dementia, found the women who exercised to have less sleep problems and decreased stress levels. Better sleep conditions, such as falling asleep quickly, and sleeping longer has been found senior citizens who engage in moderate exercise. Exercise has also been found to improve balance in senior citizens and reduce their risk of falling. People with osteoarthritis have been found to experience less pain when they participate in strength building and walking.

Exercise and Physical Activity

For senior citizens specifically, exercise has been proven to lower the risk of diseases such as cardiovascular disease, hypertension, type 2 diabetes, osteoporosis, obesity, color cancer, and breast cancer and it has also helped lower the risks of falls.

If you are involved in the elder care of a senior citizen, it is important to motivate and encourage exercise. They may already feel that they should start to exercise in order to feel better, and you can reinforce this notion by telling them the benefits of exercise. Talking with senior citizens about their exercise habits and daily activities may also help motivate them.

Below is a list of ways to motivate senior citizens to exercise:

Help the senior citizen develop attainable goals with an exercise plan Share with the senior citizen that physical activity on a regular basis helps facilitate healthy aging. This includes endurance, muscle strengthening, flexibility, and balancing exercises. If they are worried about beginning an exercise routine, encourage them to talk with their doctor about the type, frequency, intensity, and amount of exercise they should be doing. Help get them involved in community activities such as exercise classes at senior citizen centers or mall-walking groups. Inform them about Exercise and Physical Activity: Your Everyday Guide from the National Institute on Aging a free book that shows senior citizens how to begin and keep up an exercise routine.

Proper Nutrition

The need for certain vitamins and minerals increases after age 50, so it is important to be sure senior citizens are getting the nutrition their body needs. A senior citizen may not be getting the nutrition they need due to poor eating habits. They may have a decreased sense of smell and taste due to teeth problems. Also, they may find it challenging to get to a grocery store, or it may be too difficult for them to stand for long-enough to cook a meal.

Below are some strategies to help senior citizens discover helpful ways to get the nutrition they need:

Express the importance of good nutrition and the positive effects it has on the body and their well-being. If necessary, liquid nutrition supplements are helpful, but also explain the positive effects of solid food. Multivitamins that are 100 percent of the needed daily value are good suggestions, but avoid megadoses. Meal services, such as Meals on Wheels, can also be an option as a nutrition program. There may also be local area agencies that provide meals as well.