Eye Care Advice for Aging Eyes

(ARA) – Growing older and getting reading glasses seem to go hand in hand, just like getting gray hair or wrinkles as you age.

But that doesn’t have to be the case if you take steps to care for your eyes as you age. Presbyopia, a natural effect of aging, happens to just about everyone around the age of 40, even if you have had laser eye surgery. As you age, the lens in each of your eyes begins to lose its ability to change focus quickly on an object or page of text, causing blurred vision at reading distance. Chances are that you know several people who have this condition, and you may develop it yourself, now or in the future. Some simple, yet often overlooked steps can help you take care of your eyesight as you age:

• During prolonged intervals in front of a TV, computer or other electronic device, try blinking more often than you might normally. Every so often, look away from the device and focus on a distant object.
• Be sure to have adequate light while reading; a simple lamp may not do the trick, causing you to strain your eyes.
• Maintain a healthy diet. Contrary to popular belief, carrots are not the best vegetable for your eyes: spinach and other dark, leafy greens contain high amounts of lutein and zeaxanthin, beneficial antioxidants for vision.
• Visit your eye care professional regularly.

Beyond a healthy lifestyle, there are solutions to common age-related vision problems. With presbyopia, bifocals or reading glasses (for contact lens wearers) are a common solution. However, reading glasses can be cumbersome and easily misplaced, and bifocals require you to use a magnification lens intended for reading anytime you look down, which can make mundane tasks as simple as walking down stairs unnecessarily difficult. Bausch + Lomb’s Multi-Focal contact lenses are designed with All-Distance Optics, a technology that delivers sharp, clear vision wherever you choose to focus. By using a gradual power shift across the entire lens, your eyes effortlessly adjust from up-close reading to mid-range computer work to distance vision while driving. There’s no need to reach for glasses to accommodate a quick change in distance. Multi-Focal contact lenses mean you don’t have to sacrifice convenience for clear, crisp vision. Ask your eye care professional about how Multi-Focal contact lenses can help you say goodbye to your readers today, or log on to www.goodbyereaders.com to learn more.

Courtesy of ARAcontent

When Maggie fell into a coma after experiencing a brain stem stroke, one of the many stressful challenges Worthen faced was keeping family and friends from around the world updated on her daughter’s condition. "You just have so many people who want information and are trying to reach you," she says. "We wanted to make it simple for people to find out what was happening."

Worthen turned to a resource that’s becoming increasingly popular among families and caregivers of patients who’ve experienced a serious health event like Maggie’s stroke – free, personalized Web pages where they can post information about their loved one’s progress.

"Caregivers face many stresses when dealing with a loved one’s injury or illness, including the need to provide consistent updates to an extended network of family and friends who want to know how the patient is doing," says Sona Mehring, founder of CaringBridge.org, a nonprofit organization that helps caregivers create Web sites for health updates. "Putting information online can be a big stress reliever for caregivers because it allows them to communicate important, and sometimes difficult, information quickly and effectively to a large number of people, without having to repeat the same news over and over again."

Having a Web site "allowed us to tell the story we could never have told to people personally," says Michael Dunn, whose identical twin daughters were diagnosed with neuroblastoma when they were just two months old. "It would have been a much more difficult and lonely time without it."

"It’s important for caregivers to take care of themselves, as well," Mehring says. In addition to using the Internet to stay connected with family and friends, she suggests, caregivers should:

• Talk about it – Don’t avoid telling friends and family; it’s not good for your mental well-being to keep such stressful news to yourself.
• Ask questions – You’ll hear a lot of medical terminology and treatment options. Don’t be afraid to ask questions, seek second opinions and even gather information online from credible Web sites. The more you understand the situation, the more you will feel able to cope with it.
• Try therapeutic journaling – "Many people who use CaringBridge say it is beneficial to write their thoughts and feelings down," Mehring says. "Journaling can bring relief and allow people to focus their thoughts on other important matters. Sometimes it’s easier to write down what you’re feeling rather than speak it out loud."
• Accept help – People truly care and truly want to help; let them. Post on your personalized Web page what you need and let family and friends in your online community decide how and when they can help. One person might offer to help with transportation to appointments. Another may be able to help with babysitting or cooking meals. "View help as a useful expression of that person’s caring, not as a favor," Mehring suggests.
•  Relax – This is a stressful situation. Patients and caregivers need to take time for themselves. Meditate, do yoga, go for a walk, take time off from work, turn off your phone for a few hours or get a massage.

Courtesy of ARAcontent

If you need help with the care and assistance for a loved one in the New York City area, visit www.northstarcare.net for more information.
 

You’ve probably heard that the new health overhaul law this year will provide an option for young adults to stay on their parents’ health plans and set up insurance pools for people with pre-existing medical conditions who can’t find insurance. But several lesser-known provisions also take effect in coming months that could have a lasting impact on the nation’s health care system.

These provisions include eliminating patients’ co-payments for certain preventive services such as mammograms, giving the government more power to review health insurers’ premium increases and allowing states to expand Medicaid coverage to low-income adults without children.

While these changes might not have gotten at lot of attention, they could help build support for the law in the run-up to the contentious mid-term elections. Here’s a quick look at some of the changes occurring this year:

Prevention For Less
What: Insurers won’t be able to charge co-payments or deductibles for certain preventive services such as breast cancer screenings every one to two years, cholesterol blood tests and some sexually transmitted disease screenings. Insurers will also have to cover recommended immunizations at no cost to patients. Some health care analysts have suggested that premiums may rise as a result of this and other new requirements, but administration officials say any increase in premiums would be miniscule.
When: The change takes effect Sept. 23, which means it applies to plan years that begin after that. For many plans, their new year begins after Jan. 1.
Status: The Department of Health and Human Services says regulations are on their way. Paul Bonta, associate executive director for policy and government affairs at the American College of Preventive Medicine, predicts manufacturers of vaccines and diagnostic tests will push for their products to be labeled preventive services in a bid to have them covered at no cost to consumers.

Knowing Which Treatments Work Best
What: A nonprofit research institute will examine various medical treatments — by looking at data and conducting its own studies — to determine which methods work best. This is often called "comparative effectiveness research."
When: The comptroller general of the United States — who runs the Government Accountability Office — will appoint the 17 members of the institute’s board of governors, which will oversee the institute’s operations.
Status: Everything about this institute, from its board members to its findings about treatments, is likely to generate great interest and potential controversy. The law says the board’s findings can’t be interpreted as requiring how doctors practice medicine or what insurers cover. However, in the quest to control health care costs, employers, insurers and others may point to such data as rationales for changes in coverage and treatment patterns.

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At North Star Care and Guidance, we help many families in the New York City area care for their loved ones. If you need information, please visit us at www.northstarcare.net.

Getting cataracts? Need reading glasses too?

Several new options for artificial lenses can both eliminate cataracts and correct vision problems so you may not need glasses ever again.

The same crystalline lens in the eye creates both presbyopia and cataracts. In healthy, young eyes, the lens, which sits behind the iris, adjusts automatically for near, intermediate and long-range vision. But over time it becomes harder and less able to focus on objects close up, a condition called presbyopia, which most people notice around age 40, when they need help to read. Eventually, the lens can become cloudy and opaque as a cataract forms. By age 65, about half of all Americans have some lens clouding, and by age 75 as many as 70% of Americans have significantly impaired vision due to cataracts.

Read more from the Wall Street Journal  here…

For information about how NorthStar Care & Guidance can help you and your family in New Jersey, visit www.northstarcare.net or call 888-288-6152.

By the end of the 1950s it was apparent that Social Security beneficiaries were living longer and that the nursing home subsidy could eventually bankrupt Social Security. But in order to protect the thousands and thousands of existing nursing homes Congress had to find a way to provide a subsidy but remove it as an entitlement under Social Security. In 1965 Medicare and Medicaid were created through an amendment to the Social Security Act. Under Medicare, nursing homes were only reimbursed on behalf of Social Security beneficiaries for short-term rehabilitation. Under Medicaid, nursing homes were reimbursed for impoverished disabled Americans and impoverished aged Americans over the age of 65. It has never been the intent of Congress to pay for nursing home care for all Americans. The nursing home entitlement for all aged Americans was now gone.

Over the last 40 years, there has been a gradual change away from the use of nursing homes for long-term care towards the use of home care and community living arrangements that also provide in-house care.

With Proper Planning People Could Remain in Their Homes for the Rest of Their Lives
We are seeing a trend towards working conditions like those in urban America in the early 1900’s where both husband and wife are working and putting in longer hours. We are also seeing a return of the trend in the early part of the 20th century where outside visitor caregivers are becoming available to replace working caregiver’s and allow the elderly to receive long-term care in their homes. In addition there is a significant trend in the past few years for Medicaid and Medicare to pay for long-term care in the home instead of in nursing homes.

Given enough money for paid providers or government funding for the same, a person would never have to leave his home to receive long-term care. All services could be received in the home. Adequate long-term care planning or having substantial income can allow this to happen.

We only need to look at wealthy celebrities to recognize this fact. Christopher Reeve, the movie star, was totally disabled but he had enough money to buy care services and remain in his home. President Ronald Reagan suffered from Alzheimer’s for many years but received care at his California ranch. He was also wealthy enough to pay for care when needed. Or what about Annette Funicello or Richard Pryor? Income from their movie careers allowed them to receive care with their multiple sclerosis at home. We will be willing to bet that Mohammed Ali, who is severely disabled with Parkinson’s disease, will probably never see the inside of a care facility, unless he chooses to go there to die. With the proper planning and the money it provides, most of us could remain in our homes to receive long-term care and we would never have to go to an institution or a hospital.

The Popularity of Home Care
Most of those receiving long-term care and most caregivers prefer a home environment. Out of an estimated 8 million older Americans receiving care, about 5.4 million or 67% are in their own home or the home of a family member or friend. Most older people prefer their home over the unfamiliar proposition of living in a care facility. Family or friends attempt to accommodate the wishes of loved ones even though caregiving needs might warrant a different environment. Those needing care feel comfortable and secure in familiar surroundings and a home is usually the best setting for that support.

Often the decision to stay in the home is dictated by funds available. It is much cheaper for a wife to care for her husband at home than to pay out $2,000 to $4,000 a month for care in a facility. Likewise, it’s much less costly and more loving for a daughter to have her widowed mother move in to the daughter’s home than to liquidate mom’s assets and put her in a nursing home. Besides, taking care of our parents or spouses is an obligation most of us feel very strongly about.

For many long-term care recipients the home is an ideal environment. These people may be confined to the home but continue to lead active lives engaging in church service, entertaining grandchildren, writing histories, corresponding, pursuing hobbies or doing handwork activities. Their care needs might not be that demanding and might include occasional help with house cleaning and shopping as well as help with getting out of bed, dressing and bathing. Most of the time these people don’t need the supervision of a 24/7 caregiver. There are, however, some care situations that make it difficult to provide long-term care in the home.

Please note that a great amount of home care revolves around providing help with activities of daily living. Note from the second graph below that the average care recipient has need for help with multiple activities of daily living. Finally, it should be noted from the second graph that well over half of home care recipients are cognitively impaired. This typically means they need supervision to make sure they are not a danger to themselves or to others. In many cases, this supervision may be required on a 24-hour basis.

It is precisely the ongoing and escalating need for help with activities of daily living or the need for extended supervision that often makes it impossible for a caregiver to provide help in the home. Either the physical demands for help with activities of daily living or the time demand for supervision can overwhelm an informal caregiver. This untenable situation usually leads to finding another care setting for the loved one. On the other hand if there are funds to hire paid providers to come into the home, there would be no need for finding another care setting.

Problems That May Prevent Home Care from Being an Option
Caregivers face many challenges providing care at home. A wife caring for her husband may risk injury trying to move him or help him bathe or use the toilet. Another situation may be the challenge of keeping constant surveillance on a spouse with advanced dementia. Or a son may live 500 miles from his disabled parents and find himself constantly traveling to and from his home, trying to manage a job and his own family as well taking care of the parents. Some caregivers simply don’t have the time to watch over loved ones and those needing care are sometimes neglected.

The problems with maintaining home care are mainly due to the inadequacies or lack of resources with informal caregivers, but they may also be caused by incompetent formal caregivers. These problems center on five issues:

1.    Inadequate care provided to a loved one

2.    Lack of training for caregivers

3.    Lack of social stimulation for care recipients

4.    Informal caregivers unable to handle the challenge

5.    Depression and physical ailments from caregiver burnout

In order to make sure home care is a feasible option and can be sustained for a period of time, caregivers must recognize these problems, deal with them and correct them. The responsibility for recognizing these problems and solving them is another function of the long-term care planning process and the team of specialists and advisers involved.

Adequate Funding Solves Most Problems Associated with Providing Home Care
None of the problems discussed in this article would be an obstacle if there were enough money to pay for professional services in the home. These services would be used to overcome the problems discussed in the previous section. If someone desires to remain in the home the rest of his or her life, adequate preplanning could provide the solution.

This planning must occur prior to retirement. The most obvious way to provide sufficient funds for home care is to buy a long-term care insurance policy when someone is younger, healthy and able to afford the lower premiums. If insurance is not an option, then money must be put aside early in life to pay for care in the future. The only other option is to be rich.

Unfortunately, very few people address the issue of needing long-term care when they are older. This leads to a lack of planning and in turn leads to few options for elder care when the time comes. Lack of planning means most people do not have the luxury of remaining in their homes and must rely on Medicaid support in a nursing home to finish out the rest of their lives.

For information about care and assistance in the New York City area, visit www.northstarcare.net..
 

When an elderly parent starts having trouble with memory, the family automatically think its Alzheimer’s disease. The concerns are valid. Alzheimer’s usually begins after age 60 and nearly half of people age 85 and older may have Alzheimer’s, according to the National Institute on Aging. However, only a doctor can diagnose Alzheimer’s, and there are some other diseases or conditions that may cause Alzheimer’s-like symptoms.

If you suspect your parent has Alzheimer’s, here are some warning signs to look for:

Read more at agingcare.com…

If you need help with a loved one suffering from Alzheimer’s Disease in the New York City area, please visit www.northstarcare.net.

Not only was caffeine found to aid memory care, it also proved to be an agent in slowing or stopping the production of amyloid-beta proteins. A morning cup of coffee could help fight Alzheimer’s Guest journal editors Alexandre de Mendonça and Rodrigo A. Cunha describe these compounds as one of the main causes of Alzheimer’s.

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For information about caregiving for an elderly loved one in the NYC area, visit www.northstarcare.net.

Excerpted from The Comfort of Home for Alzheimer’s

By Maria M. Meyer, Mary S. Mittelman, Cynthia Epstein, and Paula Derr, Contributing writers

As a person ages, he feels less thirsty, so a special effort should be made to provide enough fluids. A person’s fluid balance can be affected by medication, emotional stress, exercise, nourishment, general health, and the weather. Dehydration, especially in the elderly, can increase confusion and muscle weakness and cause nausea. Nausea, in turn, will prevent the person from wanting to eat, thereby causing more dehydration.

Preventive measures include:

    * encouraging 6-8 cups of liquid every day (or an amount determined by the doctor)
    * serving beverages at room temperature
    * providing foods high in liquid (for example, watermelon)
    * avoiding caffeine, which causes frequent urination and dehydration

Original content

If you need care and assistance for your loved one, visit www.northstarcare.net for more information.

Medicare is changing its supplemental policies: how will this affect you?

Understanding the changes to Medicare’s supplemental policies

Important changes to Medicare supplemental policies — also known as Medigap plans — took effect in June. Millions of older Americans buy the plans each year to help pay medical bills. Vicki Gottlich, an attorney at The Center for Medicare Advocacy (medicareadvocacy.org), described the new developments. Her remarks have been edited.

Q What are Medigap plans and how do they work?

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Visit www.northstarcare.net for information and assistance with elder care in the Northern NJ and NYC areas.