Ways to Improve Your Memory Skills Podcast Interview

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I had the pleasure of being interviewed by Kathe Kline in March 2017 for the Rock Your Retirement Show and it went live on 23 Oct 2017. Have a listen to my 30-minute audio only podcast (it’s like a radio show) to hear me talk about various topics including tips on how to improve memory skills. You can play it off your device, or download and listen to it later. There is a freebie on this as well, you just have to sign up to get a copy of it (see link below).

Link to the interview – Ways to Improve Memory Skills

Here are links to the show in popular smartphone apps:

iTunes

Stitcher

iHeartRadio

I have also provided a Freebie for the listeners – Five Strategies to Help Improve Memory Skills.

After you’ve had a listen, please feel free to comment on the Rock Your Retirement Show interview link page (see link above), or down below, here. Or just send me a personal note.

About Rock Your Retirement and Kathe Kline.

Rock on!

Angela G. Gentile

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Angela G. Gentile  MSW, RSW is a clinical social worker and author of the book, “Caring for a Husband with Dementia: The Ultimate Survival Guide”, “A Book About Burnout: One Social Worker’s Tale of Survival” and the “Dementia Caregiver Solutions” app for iPhone and iPad. She lives in Winnipeg, Manitoba with her husband and has two adult children. She is creator of the Facebook communities – “Aging Well for Women” as well as “God, Cancer and Me.” For more information, visit: www.AngelaGGentile.com

 

 

 

A Prayer Shawl is a Perfect Gift of Comfort

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“It is a truly helpless feeling when a loved one has a very serious diagnosis, knowing she will have to endure brutal treatment as a result. Creating the prayer shawl was therapeutic for me. Putting my energy into knitting it, and thinking of her, and praying for her while I knit it, helped me feel I was doing something to help.” – Lynda

Early on in my cancer diagnosis, as I was awaiting treatment, I received a beautiful hand-knit blue shawl from a dear friend, Lynda. She packaged it up in a beautiful aqua-coloured gift bag and presented it to me one evening at church after we had attended Novena (a Catholic Church mass).

As I open the gift, I am awestruck by the beauty of the colours and the softness of the yarn. The blues, aqua and white are so heavenly to me. Colours are chosen for a reason. Lynda explained that she hand-knit it for me. In the card she gave me, the colours are explained:

“In Prayer Shawl Ministry, the colour blue signifies healing and spiritually; aqua – courage; and white – peace. Think of it as a hug from me whenever it’s by you.” – Lynda

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I used this shawl a lot at the beginning of my treatment and it comforted me. I felt the love and energy from Lynda, knowing she had put so much effort into it. The little beads at the ends were a pretty touch, too. Now, I keep it near me, and use it when I feel I need a little extra comfort or hug. I plan to use it when I attend church.

The information that came on the card from the parish reads:

“This shawl was made especially for you. It is a gift from the people of St. Paul’s. The crafter prayed for you while making it. When your shawl was completed, the members of the Prayer Shawl Ministry gathered in a circle and blessed it. May you find comfort and solace as you wear it. May it encircle you in God’s love and peace. Blessings” (The Parish Family of St. Paul’s, Fort Garry)

Lynda says that when she saw me “leaning into my faith” during a difficult time of tests, diagnosis, pain and treatment, she felt confident this gift would be well-received. She says not everyone turns to their faith when tragedy strikes. Some people get angry with God and turn away from their faith. That wasn’t the case for me.

Included in my gift was more info on the history and meaning of Prayer Shawls:

For it was you who formed my inward parts. You knit me together in my mother’s womb. Psalm 139:13

The word “shawl” first appears in the English language in 1662, and it is derived from the Persian word shal.

“Shawls have been made for centuries; they are universal and embracing; symbolic of an inclusive, unconditionally loving God. They wrap, enfold, comfort, cover, give solace, mother, hug, shelter and beautify. Those who have received these shawls have been uplifted and affirmed, as if given wings to fly above their troubles.” – Janet Severi Bristow, 1998

In 1998, Janet Bristow and Vicky Galo started the Prayer Shawl Ministry in Hartford, Connecticut. In only 7 years, the ministry had grown to over 900 groups across Canada and the USA, with groups sprouting in Great Britain, Australia, Philippines, South America, Greece, New Zealand and South America,

These mantles are called Prayer Shawls, not because they are to be ceremonially worn during prayer — But because woven into the miles of yarn are prayers for friends and strangers. Blessings are knitted into every shawl through every stitch, as needleworkers invite God’s bountiful blessings for healing, hope, comfort, gentle caregivers and peace of mind for the shawl recipients. Like a calming mantra, they are made of a 3-seed stitch, reminding us of Father, Son and Holy Spirit; Creator, Redeemer and Sustainer; Faith, Hope and Charity; past, present and future; birth, death and re-birth; mind, body and spirit and so on. For those who receive them, the shawls wrap them in the prayer and love that is so much a part of each shawl created.

Information adapted from The Parish Family of St. Paul’s Anglican Church, Fort Garry, Winnipeg, Manitoba, Canada

I would highly recommend a Prayer Shawl as a gift to someone who is going through a difficult time. It has meaning way beyond the physical. There are many books written on the subject and if you check the Prayer Shawl Ministry website mentioned above, you will find lots of helpful resources.

Peace, love and hugs,

Angela

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Angela G. Gentile  MSW, RSW is a clinical social worker and author of the book, “Caring for a Husband with Dementia: The Ultimate Survival Guide”, “A Book About Burnout: One Social Worker’s Tale of Survival” and the “Dementia Caregiver Solutions” app for iPhone and iPad. She lives in Winnipeg, Manitoba with her husband and has two adult children. She is creator of the Facebook communities, Aging Well for Women as well as God, Cancer and Me. For more information, visit: www.AngelaGGentile.com

 

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“Aging Well for Women” News

After a brief hiatus, I have decided to get back into the swing of things by teaming up with Camille Goscicki who is also passionate about aging well! I have known Camille for many years now. We have only known each other “virtually” through the internet (Facebook, email, blogs, etc.), but we have very similar views on women and aging. I respect her knowledge and research skills and I can always feel confident about the interesting articles she posts.

FB PHOTOBy day, Camille is an Administrative Assistant for her local municipality, in Sterling Heights, Michigan. She has a Bachelor’s Degree in Business Administration. As the co-chair of her workplace wellness program, she helps plan and coordinate wellness activities and writes wellness newsletters for employees. She also curates an online newspaper for women, Bea’s Vital Aging Weekly and is founder of the blog, Vital Aging 4 Women.

I welcome Camille to the Aging Well for Women community on Facebook and look forward to her contributions as an admin. Together, Camille and I will help women age in a graceful way, providing helpful discussion topics, education, humour, and inspiration.

Please check out our Facebook page, LIKE it and welcome Camille to our team. We’d love you to join our community of over 2,500 readers!

Warm regards,

Angela

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Angela G. Gentile  MSW, RSW is a clinical social worker and author of the book, “Caring for a Husband with Dementia: The Ultimate Survival Guide”, “A Book About Burnout: One Social Worker’s Tale of Survival” and the “Dementia Caregiver Solutions” app for iPhone and iPad. She lives in Winnipeg, Manitoba with her husband and has two adult children. She is creator of the Facebook community, Aging Well for Women. For more information, visit: www.AngelaGGentile.com

 

 

What a Cancer Diagnosis Taught Me About Hope and Faith

 

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Image courtesy of Evgeni Dinev at FreeDigitalPhotos.net

A cancer diagnosis in April 2017 has jerked my world. Just hearing the words “You have cancer” changed my whole perception of life. There are no other three words I have ever heard that have impacted me so greatly, in a negative way. My initial reaction was all about How do I tell the kids? Then it moved to I am not ready to die. I want to see Simone graduate. I want to grow old. I want to see my grandchildren. I became very sad and scared. I was mourning the loss of my future. I found myself not only turning to loved ones in my life but God.

My gut instinct was telling me to go to church. I saw the priest and he performed an “Anointing of the sick.” I cried as he did this. I also attended a “Spirit Room” where they pray for people’s healing. I went to Sunday mass. I went to Novena. Most times I had loved ones with me. I bought a Catholic prayer book. I wore a rosary bracelet, gifted to me by a dear friend. I prayed to God. I prayed for strength and courage to get me through. I asked the priest how I will get through this. He said, “Let God carry you.”

As I went through tests and learned about my treatment plan (chemotherapy and radiation), I continued to pray. I found myself questioning why this happened to me. I was a good person. I lived a healthy lifestyle. I read a book called, “When Bad Things Happen to Good People.” I read all kinds of books and articles on the internet. Articles written by people of faith. People who had cancer. I tried to understand why this happens in God’s world.

I started to question natural disasters. The year of 2017 has been the most tragic I can ever remember in terms of hurricanes, wildfires, earthquakes and mass shootings. I questioned why God would allow this to happen. Many people pray for those who are suffering, grieving, ill and forlorn. We pray to God who we expect to make things better.

I have learned throughout my cancer treatment for anal cancer (which was torturous) that God has a plan. He has given us human will. He has not taken this away from us. There are tragic events that will happen due to malicious human will whether it be from mental illness or a criminal mind. As examples, the mass shootings or terrorist massacres are a direct result of human will. In addition, tragic events happen due to human error. God does not “will” these things to happen. But He gives us the strength and courage to come together to aid and comfort one another. He gives us the capacity to love and support one another.

When God creates such a magnificent world in which we live, we have to learn how to live with the natural events that occur. Severe weather patterns, the earth’s shifts, and other disasters such as widespread fires happen which I believe is beyond God’s control. We take the beauty of a rainbow, or a sunset, or in the tiny petals of a flower as signs of God’s creation and love for us. We seek God’s good as He is an all-powerful, loving God.

When illness or suffering strikes, I witness many people praying for God’s healing powers. There are faiths based on the Bible that believe God can heal. In the Bible it says Jesus healed those who were ill.

I believe that God gives the healers in our lives the ability to learn and use their God-given talents to help when one is sick. For example, when I went through radiation, I believe it was God working through the doctor who determined where to aim the destructive beams of radiation. I trust that the specialist did her best and that God helped guide her. I also believe that God was working with all the support staff, such as the radiation therapists, who ensured the proper administration of my treatment. This is an example of my faith.

The way my body responds to the treatment is all part of the bigger plan set out by God. I believe the plan is already designed. Praying for “health and healing” won’t matter because the determination of my fate has already be set. Instead, I HOPE for these things but accept what is meant to be. This belief helps me cope with the unknown. I focus on my day-to-day life and avoid thinking about my unknown future. I think about that infamous line in the Lord’s Prayer, “Thy will be done”, and find comfort knowing that my future is in God’s hands.

God helped me through my darkest, most traumatic times during my treatment. I pray for strength, courage, and patience. At times I called out for God to help me. The pain was so severe that one time I asked Jesus to help and I actually saw him standing by my side in his white robe. This was very comforting in the most painful time of my life.

When people pray for God to heal someone or themselves, some will be disappointed. Some people will not be healed, and they will succumb to their ailments. So if someone does not make it, does that mean God did not answer his or her prayers? Does it mean they did not pray hard enough? Maybe their faith wasn’t strong enough? This is where it gets difficult to keep the faith. It may leave people wondering why God did not answer their prayers.

I think the better way to go about praying for healing is to pray that the person has the courage, strength, and patience to get through whatever is happening and they don’t have to suffer too long. If it is God’s will that they suffer, we must remember that the reason for suffering may have an answer, or it may not. A priest I talked to even said sometimes we don’t know why some things happen. It’s a test of our faith, to know that God has a plan, and we need to accept it.

Encouraging people with cancer to “fight the fight” can also create the same kind of outcomes. If they did not “fight” hard enough – if they decide to “give up the fight” – does that mean they were bad or weak? We want to believe we have control over our health and our outcomes. We only have so much control. The rest is in God’s hands.

Hoping for a speedy recovery, hoping for the end of suffering, hoping for a positive outcome is what we all wish for. No one wants to see suffering. No one wants to lose a loved one. But if it is God’s plan that the outcome is other than what we hoped for, we need to accept it. How many times have we heard, “Now she won’t be suffering anymore.” “His pain is gone.”

Faith and hope are two concepts which are very closely related. I now understand the difference. Faith in an all-knowing, all-powerful God with a master plan helps me cope with my circumstances and what is happening to others who are facing adversity. He knows best. We can learn from these adversities. It usually helps us become more compassionate, and loving if we look for the positive in these situations. I actually admitted that having cancer and going through treatment was a gift. It has helped me become more understanding and compassionate towards those suffering or diagnosed with a life-threatening illness. I understand what “torture” is. I understand what depression feels like.

Hope is what we need to keep us going. Hope helps us sort out what is important to us and what we want and need in life. Hope is the belief in positive outcomes. It helps us cope and cling on to what we value and love. Hope is a way to show others that we care.

My faith is strong and will continue to be strong throughout my healing journey. I put my trust in God and will accept whatever His plan is for me. I will continue to hope for the end of suffering and many more years of health and happiness. I hope that I can see my daughter graduate from university, start a career (like my son Lorenzo has) and see my children get married and have children of their own. I hope that I can grow old with my husband, Agapito. God-willing.

Peace, love and hugs,

Angela G. Gentile

 

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Angela G. Gentile  MSW, RSW is a clinical social worker and author of the book, “Caring for a Husband with Dementia: The Ultimate Survival Guide”, “A Book About Burnout: One Social Worker’s Tale of Survival” and the “Dementia Caregiver Solutions” app for iPhone and iPad. She lives in Winnipeg, Manitoba with her husband and has two adult children. She is passionate about all things related to Aging Well. For more information, visit: www.AngelaGGentile.com

 

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Finding a Cure for Sleepless Nights is Not An Easy Task – Tips for Better Sleep

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Image courtesy of theerapong82 @ FreeDigitalPhotos.net

I believe one of the most important foundations of a healthy and happy life is adequate and regular sleep. Our day starts the moment we wake up. Waking up from a night of good quality slumber is very different from starting our day after a night of restless, interrupted insufficient sleep.

Finding a way to help you with sleeplessness can get frustrating. There is so much information out there. Forget about counting sheep, research indicates it may, in fact, take you longer to fall asleep!

I asked some of my Facebook friends to give me some ideas on natural sleep aids, and they were very eager to share their tips with me. I’ll include them here as well.

Ages and Stages of Life

Everyone has different sleep habits and routines. It depends on your lifestyle, life stage, personality, and overall physical and mental health. For example, a busy and socially active teenaged university student may have many late nights going out with friends or studying, causing her to need to sleep in later in the day. Another example is a middle-aged full-time employee who works Monday-Friday, 9:00 am – 5:00 pm. The sleep habits of this mature person are most likely very different from the younger student. An anxious person may also have problems falling asleep.

Ages and stages cause us to have changing sleep needs during our lifetime. When we are very young, as babies, we need a lot more sleep than when we are adults. Older adults need about 7-8 hours of sleep a night.

Problems occur when we have trouble getting the required sleep to “recharge” our batteries. The occasional restless night usually isn’t that much of a concern. We can usually catch up the next night. Chronic, long-term issues with either falling asleep or staying asleep can cause other problems in our lives. Sleep deprivation can cause us to be disorientated, agitated or less able to handle the stressors in our lives. Insomnia is often a serious health condition that requires intervention. Research tells us that women over the age of 60 are at higher risk of having insomnia.

For those of us women who are menopausal, we have other issues to contend with such as hot flashes and night sweats. Hormone changes can cause sleep disturbances, and a visit to a health care professional is highly recommended.

Caregivers of people with dementia often have trouble getting enough rest. As do new parents, especially mothers.

Sleep Hygiene, Sleep Aids and Other Tips

The basics for a good night’s rest include a comfy bed/mattress, the perfect pillow/s, sheets and blankets that provide just the right amount of warmth. If you don’t have these basics, you will need to get those things sorted out. If you have a bed partner, make sure they don’t take up too much room, snore too loud or steal your covers! (Some people have sleep apnea and this is a serious condition that requires a medical assessment).

There are many articles and books written on how to get a good night’s sleep by implementing some lifestyle changes and habits. The term commonly used is “sleep hygiene.” Some ideas to try include:

  • Avoid caffeinated beverages such as colas, coffee, and tea too close to bedtime
  • Participate in some kind of physical activity during the day but not too close to bedtime
  • Get some sunlight and/or fresh air on a daily basis
  • Don’t eat a heavy meal right before going to bed
  • Keep your room cool, dark and quiet
  • Manage stress to help keep a relaxed mind
  • Meditate, pray, breathe deeply, practice yoga or listen to music before bed
  • Avoid blue light found on cell phones, tablets and computers at least one hour before sleep
  • Avoid long naps during the day

If you can’t sleep – Instead of lying in bed awake,

get up and do something else before returning to bed.

For those who are looking for a “sleep aid,” these can come in many forms. A medicated sleep aid can be prescribed by a doctor or other healthcare professional. Home remedies can be tried. Products found in nature can also be tried, such as herbs and essential oils. Tools such as sound machines or white noise can work, too. Some ideas to try include:

  • “Sound Machine” with white noise or nature sounds
  • Apps for your smartphone or tablet such as “White Noise”
  • Turn on a bathroom fan to drown out other noises if it’s close to your bedroom
  • Essential oils such as lavender (Lavandula angustifolia) – in a diffuser, rubbed on your feet (put socks on after if the oil is in a carrier oil or lotion!), sprayed on your sheets or on a cotton ball by your head
  • Herbal tea to take before bed such as Sleep and Relax Tea or Nighty Night with ingredients such as chamomile, passionflower and/or valerian root
  • Supplements such as “Super Sleep” also known as Melatonin Plus from Webber Naturals or those that contain melatonin, 5-HTP and/or L-theanine; or Healthy Sleep supplement by Jamieson that contains melatonin, skullcap, Rhodiola, rosavin chamomile and L-theanine (be aware melatonin can cause depressive symptoms in some people)
  • Herbs such as ashwagandha are also helpful for some people
  • Amino acid such as gamma-aminobutyric acid (GABA) can help you feel calmer
  • Magnesium can help people relax
  • Vitamin B3 (Niacinamide) has been known to help in some cases (ask your healthcare practitioner about this)
  • Gentle massage with an aromatic essential oil such as peppermint or lavender
  • Try some yoga poses before bed
  • Bath with Epsom salts
  • 30 minutes before bedtime, use passive heat then cool off. A shower, bath, hot water bottle or wheat bag may work for some for as the body cools, it naturally releases melatonin (a naturally-occurring hormone related to the sleep-wake cycle)
  • A glass of milk

Other ideas to help you feel calm and relaxed include:

  • Get an easy-to-do crossword puzzle book or do some light reading right before bed
  • Write in a journal, include things you are grateful for
  • Avoid the news, especially if it upsets you
  • Try eating some kiwi before bed

Techniques to help you fall asleep, especially for those whose thoughts keep them awake:

  • Counting backwards from 100 combined with deep breathing can relax your mind and body. While lying in bed in a comfortable position, with your eyes closed, say the number 100 in your mind. Then take a deep breath in through your nose, hold it for 1-2 seconds, then slowly exhale through your mouth (or nose). Pause. Imagine the next number which would be 99. Repeat the breath in and breath out. Continue counting down and deep breathing. Concentrate on your breath and remembering which number you are on. If your mind wanders, go back to the last number you remembered. Number – breath in – pause – breath out – pause. Repeat until asleep!
  • Word games can also help you relax. While lying in bed in a comfortable position, with your eyes closed,  pick a letter in the alphabet. For example, start with A. In your mind, start thinking of 5-7 (or more) words that start with A. “Angela, Asia, apple, achieve, angst, approve…” Then when you are done with that letter,  go on to the next. “B – Baby, boy, balloon, bubble, Bill, Boston, brush…” Continue going through the alphabet. If your mind wanders, go back to the same letter you were on or move on to the next. You can start at any letter in the alphabet.

Medicated sleep aids to be used with caution include:

  • Zopiclone (by prescription, not to be taken long-term)
  • Gravol for nausea (contains dimenhydrinate which is an antihistamine and anticholinergic and can cause drowsiness)
  • Vick’s NyQuil Complete Cold & Flu liquid (contains doxylamine succinate, an antihistamine which can cause make people feel drowsy, relaxed, and help them fall asleep and can cause dependence)
  • Benadryl for colds (contains diphenhydramine HCl, an antihistamine which can make you feel drowsy)

You can also try finding a therapist to help you with CBTi – Cognitive Behaviour Therapy to treat insomnia. It is considered the first-line treatment for insomnia and is safer and more effective than sleeping pills. You can even try doing it on your own.

Caution: Older adults are advised to avoid medicated sleep aids as mentioned above as they can increase the risk of confusion, falls and car accidents.

Some not-so-common ideas to consider:

I would recommend a trial-and-error approach to find what works for you. What worked for you when you were younger may no longer work for you now. Ages and stages create different stressors and needs.

When you find something that works, use it for only 3-4 nights in a row and alternate with other methods. Your body will get used to it and you will benefit from switching it up.

And remember, never go to bed angry.

If All Else Fails

I saw this on Facebook so it must be true (insert a laugh here):

Did you know?

Convincing yourself you slept well

tricks your brain into thinking it did.

Please share your tips on how to get a good night’s sleep.

Sleep well, my friend. Sweet dreams.

Angela G. Gentile, MSW, RSW

For more information on insomnia, check out this Mayo Clinic article.

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Angela G. Gentile  MSW, RSW is a clinical social worker and author of the book, “Caring for a Husband with Dementia: The Ultimate Survival Guide”, “A Book About Burnout: One Social Worker’s Tale of Survival” , “Cancer Up the Wazoo”, and the “Dementia Caregiver Solutions” app for iPhone and iPad. She lives in Winnipeg, Manitoba with her husband and has two adult children. She is passionate about all things related to Aging Well. For more information, visit: www.AngelaGGentile.com

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Aging Specialist Offering Two New Courses This Spring (Winnipeg)

7fd3c75caf166af80aef7cb58709152dWinnipeg, Manitoba – There are two new courses being offered by Angela Gentile, a registered clinical social worker. Angela has a Master’s degree in Social Work and a graduate specialization in aging. She has worked with many older adults and their families and she has written two books and an app. She is passionate about helping people and exploring what it means to age well. Attend these informative and interactive sessions and get Angela’s professional advice. Come away feeling confident and empowered.

10 Tips for Graceful Aging

Learn what you can do to help yourself thrive in your middle years and beyond. The dimensions of wellness will also be covered.

►Date and Time: Tuesday April 25, 2017; 7:00 – 9:00 pm.

►Location: St. James Civic Centre, 2055 Ness Avenue, Winnipeg Manitoba.

►Fee: $25.00

When a Loved One Has Memory Loss

Are you living with or do you know someone who has been experiencing memory loss and you’re not sure how to help? Get some information and tips on how to approach this sensitive and difficult topic.

►Date and Time: Thursday May 11, 2017;  7:00 – 9:00 pm.

►Location: St. James Civic Centre, 2055 Ness Avenue, Winnipeg Manitoba.

►Fee: $25.00

Registration Information:

Both courses are listed in the City of Winnipeg Leisure Guide, Spring/Summer 2017 pages 69 and 70. See page 4 of the guide for registration information which begins Wednesday March 15, 2017 at 8:00 am. It can be done online, by phone, or in-person. Limited spots available!

Contact Angela toll-free at: 1-(855) 974-4219 or online at www.AngelaGGentile.com for more information.

Eternal Love

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Image courtesy of Ben Schonewille at FreeDigitalPhotos.net.

 

As a geriatric specialist, I hear all kinds of stories. A nurse colleague told me this touching love story (I have changed the details to protect anonymity). – Angela G. Gentile, MSW, RSW.

 

One time I was speaking to a man who told me the love story about his parents Gerald (82) and Mary (80) who both had dementia. They had been married for almost 60 years.

Gerald’s dementia was more advanced that his wife’s so he was moved into a Personal Care Home. Mary moved into a seniors’ residence, which was attached to the long-term care centre.

Soon after, Mary’s needs progressed to the point where she needed to be moved into the Personal Care Home as well.

Gerald had no memory of his wife, but soon fell in love with his new neighbour, Mary (who was actually his wife.) He spent every waking minute with her.

One day, Mary needed to be rushed to the hospital. Not long after her hospital admission, she died.

After having no luck finding his love again, Gerald gave up. He died 37 days after Mary’s death.

It looks like eternal love is possible after all.

 

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Angela G. Gentile  MSW, RSW is a clinical social worker and author of the book, “Caring for a Husband with Dementia: The Ultimate Survival Guide”, “A Book About Burnout: One Social Worker’s Tale of Survival” and the “Dementia Caregiver Solutions” app for iPhone and iPad. She lives in Winnipeg, Manitoba with her husband and two adult children. She is passionate about all things related to Aging Well. For more information, visit: www.AngelaGGentile.com

 

Alzheimer Caregivers Need Help, Too

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Courtesy of the Fort Frances Times

I enjoyed presenting at the Alzheimer Society Forget Me Not Dinner in Fort Frances, Ontario. It was my first out-of-town request to be a guest speaker. It was a sold-out crowd and they raised over $4,000.00.  Duane Hicks did a great job of covering the story. The only thing I would like to correct is that I have two children, a son (Lorenzo) and daughter (Simone). Lorenzo is the app developer for the mobile app, “Dementia Caregiver Solutions.”

 

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Courtesy of Fort Frances Times/Duane Hicks

Above is a picture of my husband, Agapito, and I getting ready to dig in! He was a big help to me as he drove the whole way (4 hours one way). He was my official assistant during my presentation as he advanced the slides for me.

If you would like more information on my services or products, please check out my website, www.AngelaGGentile.com.

Sincerely,

Angela G. Gentile, MSW, RSW

Learn About Burnout at the Transform Conference

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From Burned Out to Fired Up!

Angela G. Gentile MSW, RSW

I am honoured to be one of six guest speakers at the Transform Conference to be held on February 21, 2017 in Winnipeg, Manitoba. I will be presenting on my knowledge and experience with job burnout and compassion fatigue. In addition to discussing the issues of the costs of caring too much, I will share my personal story of burnout. I will offer advice, tips and solutions to nurses, social workers, healthcare professionals, students and other helping professionals on how to recognize, cope and survive in the demanding yet rewarding field of healthcare.

What better way to learn. Be inspired. Some consider it a gift from a wounded healer.

You may also want to read my eBook, “A Book About Burnout: One Social Worker’s Tale of Survival“. Paper copies will be available at the conference.

For more information on Transform, the conference, please visit Sycamore Care.

www.AngelaGGentile.com

 

 

When the Going Gets Tough: A Best Practice Guide for Caring for People Living With Dementia

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Image courtesy of Ambro at FreeDigitalPhotos.net

The Alzheimer Society of Canada website states that in 2011, there were 747,000 people living with some form of cognitive impairment, including dementia. This number is expected to double to 1.4 million by 2031. This means that many of us will be affected by dementia in some way, if we haven’t been already.

The Canadian government and health care sectors are well aware of the need for improved dementia care strategies, and a lot of research has been done on how to best serve this growing population. In some cases, dementia can affect a person such that his or her behaviour becomes very difficult to manage. Agitation, aggression, sundowning, and repetitive vocalizations are some of the most challenging behaviours to manage. In many of these cases, people living with dementia are over medicated or inappropriately managed which often results in other problems which can be quite disconcerting.

The Government of British Columbia has produced a document titled, “Best Practice Guideline for Accommodating and Managing Behavioural and Psychological Symptoms of Dementia in Residential Care: A Person-Centered Interdisciplinary Approach” (2012). In this 16-page document care providers at all levels will find ways to help improve the quality of care for people living with dementia, which includes better engagement with the person’s advocates and family members. The appropriate use of antipsychotic drug treatment is discussed, and it stresses that the first steps to best practice care are to look at environmental and behavioural modifications as well as psychosocial interventions.

In terms of pharmacological management, antipsychotic use in the older adult population comes with its own set of risks. In fact, there is a “black box” warning, as it is a well-known fact that there is increased mortality risk as well as other side effects that can be quite serious. Other psychotropic drugs, such as anxiolytics or benzodiazepines can also cause increased risk for falls and confusion. These medications should be used with caution. Other ways of managing the behavioural and psychological symptoms of dementia are now strongly encouraged as we are encouraged to shift away from using medication as a first line of defense. A risk and benefit analysis of the use of these medications is always recommended.

Person-centered care is now recognized as the most appropriate and effective way to care for people affected by dementia. It means that we consider each person as an individual, with his or her own unique history, personality, strengths, weaknesses, and challenges. It means that we take the time to learn about the person, which makes our care towards that person special, unique, and most effective.

For example, if there is a problem with a man who is up at night wandering the halls, we may want to look into his social and work history to find out what may be going on. We learn by talking to his family that he was a night shift supervisor for a large factory. This helps us learn more about his routines and lifestyle as he may be “back there” in his mind. This person-centred approach can be applied in all situations with every person we deal with. Many care providers believe that there is a reason for every behaviour. It is up to us to find out what the person is trying to communicate to us through their actions.

Another useful tool that is referenced in the aforementioned document is the concept of the person-centred “P.I.E.C.E.S. (TM)” approach. The cornerstones of this approach include looking at the following aspects of the person: Physical, Intellectual, Emotional, Capabilities, Environment, and Social. I am a P.I.E.C.E.S. trained assessor and these concepts help provide the best assessment and interventions from a person-centred approach.

A person-centred approach to the care of those with dementia or other related cognitive disorders takes into account aspects such as the person’s likes, dislikes, cultural and religious preferences, medical health, as well as their social history. An interdisciplinary team approach to care which includes professionals, non-professionals, family members and others with a vested interest is highly effective and recommended. Proper assessment, symptom management and ongoing evaluation is needed in order to continuously improve and manage a person’s care, especially as their dementia progresses and challenging behaviours present themselves.

Angela G. Gentile, MSW, RSW

Sources:

The Alzheimer Society of Canada: http://www.alzheimer.ca/en/About-dementia/What-is-dementia/Dementia-numbers

Best Practice Guideline for Accommodating and Managing Behavioural and Psychological Symptoms of Dementia in Residential Care: A Person-Centered Interdisciplinary Approach (2012): http://www.health.gov.bc.ca/library/publications/year/2012/bpsd-guideline.pdf

P.I.E.C.E.S. – http://piecescanada.com/

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Angela G. Gentile  MSW, RSW is a clinical social worker and author of the book, “Caring for a Husband with Dementia: The Ultimate Survival Guide”, “A Book About Burnout: One Social Worker’s Tale of Survival” and the “Dementia Caregiver Solutions” app for iPhone and iPad. She lives in Winnipeg, Manitoba with her husband and two adult children. She is passionate about all things related to Aging Well. For more information, visit: www.AngelaGGentile.com

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