Memory and Aging Program™ is Motivating and Uplifting

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Creative Retirement Manitoba – Memory and Aging Program™

I first heard Dr. Ronak Patel, clinical neuropsychologist, speak about the Memory and Aging Program™ last fall here in Winnipeg. This is an evidence-based program that comes out of Baycrest Centre for Geriatric Care in Toronto, Ontario. Many of us fear developing dementia in our older years, and many of us start to get worried when we have memory problems. Now there is a program to help enhance memory skills that works. (It doesn’t prevent Alzheimer’s or related dementias, however.)

I met up with a friend, Sherry Cels, a retired social worker, who completed the Memory and Aging Program™. She says it is a very popular program, and there is a wait list for people who want to go. It’s very popular with those 60 and over who are experiencing memory problems.

For Sherry, at 70, she was worried about her own cognitive health and memory skills. One of her parents had Lewy Body dementia, and she was concerned she may have inherited the condition.

I asked her, if after taking the course, was she still worried about developing Lewy Body dementia and she replied,

“There is no predicting that. But for now, I believe my memory problems are very normal for my age group. Sharing with others in the class helped me see that.”

Not everyone has problems in this area, but she learned it is quite normal to experience changes and there are things that can be done to combat these memory problems. I asked her to tell me about the Memory and Aging Program™ she attended.

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The workshop was $150.00 and it is held at the classroom at 1075 Portage Avenue in Winnipeg (The Creative Retirement Manitoba office). Free parking is available. The building has an elevator, but unfortunately it isn’t reliable. Space is limited to 25 participants. They met once weekly for five sessions, of two-hours duration (1:30-3:30pm). She said everyone, except for one man, attended every session. No one stayed home!

They are given a 74-page participant workbook, “A Practical Guide to Managing your Memory: Memory and Aging Program™.” It has “Baycrest” on the cover, and it is authored by Dr. Angela K. Troyer and Dr. Susan Vandermorris. It’s unfortunate that the binding is already falling apart, but the content is very useful (it’s well-used!). This was the book that Dr. Patel used during the course. It includes worksheets and space for notes. Each participant had “at home” activities to complete between sessions.

The content includes three sections:

  1. The Science of Memory
  2. Memory Strategies
  3. Putting your Skills to Practice

The main focus of the course was on the Memory Strategies portion. The acronym SHARP is used, which stands for:

SHARP:

  • Seeing and Saying

  • Habits

  • Associations

  • Records

  • Practice Retrieval

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Sherry learned about associations, and how it can help her learn names. For example, she has a beautiful garden in her backyard. In order to remember the names of flowers, she makes an association with them. She doesn’t forget the name of the “climbing” Clematis anymore. She is able to remember her license plate by giving each letter a name of the people she knows or knew. I was impressed when she told me the names of the new neighbours, including their kids names, based on association!

She uses the same purse she’s had for years because it helps with remembering where everything is. This is an example of the the “Habit” strategy she learned about. This made me well aware of the fact that I need to decide what purse pocket to put my keys in because I can never remember which pocket I put my keys in! Sherry learned we can develop new habits to help us remember things more easily.

Sometimes habit can backfire though. We laughed as we could both relate to our forgetfulness in the shower. For example, we both use shampoo and conditioner. We sometimes forget if we’ve used the conditioner or not!

“Hmm, let me think? Does my hair feel like it was conditioned? Did I use conditioner?”

To help correct this memory issue, we are to pay attention to what we are doing, instead of doing activities on autopilot. At least if we put our seat belt on without thinking about it, we can easily check to make sure it’s fastened. This reminded me of the term “mindfulness” and how we can be more in tune with our actions if we pay more attention and be mindful of what we are doing.

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Deep breathing and visualization (such as meditation) is recommended for managing stress and promoting relaxation.

An important part of the program is keeping a log of your activities. The program recommends at least 100 minutes a week of physical activity (to get the blood flowing to the brain for good brain health) and cognitive activity which includes brain exercises and socializing with others. Good nutrition is also an important part of nurturing our bodies and brains for good brain health.  Canada’s Food Guide can also be helpful.

Sherry and I were also discussing the different ways we prefer to learn and remember things. I like to write things down, as doing this can help me remember. How many of us write our shopping list out, then can still remember the items on the list although we forgot the list at home? When receiving and retaining information, some of us need to see it, others need to hear it. Some of us may also say it out loud to ourselves to help remember. Others like to do or act it out. The four main learning styles are: Visual, Auditory, Kinesthetic (movement) and Tactile (touch). Exploring what your preference is and implementing it can make a big difference in remembering.

The main takeaway for Sherry was the emphasis on lifestyle and memory strategies. She felt very uplifted. The group discussions among the participants were quite helpful. She says with the cocooning phase of a Winnipeg winter, she found her “memory slipping,” and this course has motivated her to make lifestyle changes, such as “more physical and cognitive activity.” Adding to this, several new strategies practiced in the five weeks of the course has resulted in an improved memory and more positive attitude. She would highly recommend it anyone 60 or older who is experiencing mild memory problems.

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Angela G. Gentile, MSW, RSW

http://www.AngelaGGentile.com

“Tax Fraud” Scam Phone Call Alert

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I received a message on my answering machine on Monday July 11, 2016. The message went like this:

“The reason behind this call is to notify you that we have registered a criminal case against ‘your name’ concerning ‘tax agency’ and tax fraud. So, if you need more information about this case, you can call our direct line number which is: 613-505-4790. I will repeat the number, 613-505-4790. Call back as soon as possible. Thank you.”

Have a listen:

I also received an email from a dear friend warning me of these kinds of scams going around. Many people have become victims, unfortunately. The send money to the perpetrators thinking that they are actual government officials.

These scams can cause people a lot of worry and fear. Older adults and newcomers to our country are especially at risk. I even know of a middle-aged woman who was dragged into this as she thought it was real.

I also know of a woman with early dementia who has taken this kind of scam to heart. She truly believes she is going to be arrested and she is fearing for her safety. Her family worry about her mental health.

If you receive a call like this, report it to the Canadian Anti-Fraud Centre or your national anti-fraud unit in your country (e.g., FBI in USA).

If you or anyone you know has been defrauded, deceived, tricked or robbed contact your local police.

Check out this Canada Revenue Agency article: Protect Yourself Against Fraud

 

Angela G. Gentile, MSW, RSW

http://www.AngelaGGentile.com

 

 

A Canadian AncestryDNA Reveal

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I received some gift money for my 50th birthday. I wanted to do something special. I considered getting a nice piece of jewelry, but instead I decided to get my DNA tested through AncestryDNA.com.I am really happy I did it because now I can truly say what my heritage is.

We all have a unique set of DNA and it carries our genetic information. We inherit or “receive” our genes from our parents, who receive them from their parents, and so on, way back through the generations.

I have done some genealogy (Family Tree history) over the years, and I know that my parents and three grandparents were all born in Canada (one was born in the USA). My great-grandparents were born in Canada, Sweden and Scotland. Through my research, I learned my  great-grandparents and their parents (my great-great-grandparents) on my fraternal grandmother’s lineage were all born in Sweden.

Prior to getting my DNA results, I guessed that my ancestry was about 60% Great Britain (including Scotland, Wales and England) and 25% was Europe North (Scandinavian/Swedish).

I was very surprised to find out that I am 97% European! I was born in Canada, have lived here all my life, but my DNA is primarily European. This is how my “Ethnicity Estimate” breflat,1000x1000,075,faks down:

  • 30% Scandinavia (Norway, Sweden, Denmark)
  • 23% Ireland
  • 17% Great Britain
  • 11% Europe East (Includes Poland, Slovakia, Czech Republic, Russia, Austria)
  • 10% Finland/Northwest Russia
  • 6% Trace Regions – Includes 4% Italy/Greece (I married an Italian!), 1% Europe West, and less than 1% European Jewish and Iberian Peninsula.

The remaining 3% is comprised of traces (less than 1%) of Native American, Asia South (India) and West Asia (Middle East such as Saudi Arabia).

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I find my results very interesting and it makes me realize that although I was born in Canada and my parents are also from Canada, my DNA mainly originated from Europe. I don’t even think I can really call myself Canadian after learning this. (I also have a Canadian Passport!)

AncestryDNA also notified me to say that I have some possible matches in their database and two are possible 2nd-3rd cousins! Confidence level: Extremely High. I have sent them both an email asking if they would like to explore this further.

Maybe I should get into Scandinavian art. I’ve always liked painting and I love old folk art. Maybe I’ll have to take a trip to Sweden and Ireland! I will have to explore all those other cultures in my heritage, too (e.g., Poland, Finland and Austria).

If you are interested in knowing more about your DNA and ancestry, it’s a fun thing to do. It costs about $129.00 Canadian (www.AncestryDNA.ca).

I recorded my reveal on video. Take a look if you are interested in hearing/watching my reaction (6 minutes).

Thanks for reading and watching.

Angela G. Gentile MSW, RSW

http://www.AngelaGGentile.com

 

 

 

 

Senior Moments: Should I Be Worried?

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Although I don’t particularly like the term “senior moment,” most older people know what that means. When someone who is at middle age or beyond has difficulty remembering something such as, “Where did I put my reading glasses?” or “I can’t remember her name” he/she may find someone else responding in a joking fashion, “Are you having a ‘senior moment?'” The other person is replying with a joke about having a poor memory. I have heard people themselves make jokes about their own “senior moments” in hopes of making light of the situation. It’s true that as people age there are normally changes in memory and thinking skills. On one end of the spectrum there is normal aging that affects everyone. At the other end is dementia which is common but not normal.  In between is a condition known as mild cognitive impairment. I will touch on all three.

We all have memory lapses on occasion

It’s true we all have occasional lapses in our memory. I even see my teenage children doing it. I even remember walking into a room years ago, forgetting what I went in there for, having to go back to what I was doing in order to jog my memory. Little lapses in memory is common for everyone. We get distracted or side-tracked especially when it is something that is not really that significant. Forgetting names is a common occurrence for example.

I have been working with older adults for over 25 years now and I see all different types of memory and thinking problems. I also know many older people (including caregivers) who do not show any signs of cognitive (brain function) decline.

I often note increased anxiety in people who are struggling with the loss of cognitive abilities. It must be a scary feeling to know that they are losing their faculties.

One of the common fears people have is developing dementia. Declining memory skills are often one of the first signs of dementia. The good news is that memory problems do not always lead to dementia.

Normal aging, mild cognitive impairment and dementia

Slowed thinking and minor problems with remembering things is quite common and almost expected in our later years. There are some things we can do to help reduce our risks of further problems with our cognition such as exercising (to get the blood pumping to our organs including the brain) and doing brain exercises (such as crosswords and learning a new musical instrument). Normal aging causes us to slow down in more ways than one.

Sometimes our memory problems become more problematic and they are noticed by other people. If you are continuously forgetting someone’s name or miss appointments, this may start to interfere with your relationships and daily functioning. You may have to learn new ways of coping with the normal changes in your brain such as keeping lists handy and using your calendar more regularly. Memory and thinking problems that can be noticed by others but don’t really affect your day-to-day functioning is called Mild Cognitive Impairment (MCI).

By the way, it’s a good sign if a person is aware of or concerned about their changing memory skills as one of the skills lost in dementia is the ability to know they have problems with their memory. If you ask someone with dementia if he/she has memory problems, he/she will most likely say “No.” It’s true that long term memory may still be intact.  It’s the ability to remember recent events and learn new information that is lost.

In some cases your memory skills, thinking and cognitive functioning may be impaired to the point where you can no longer do things on your own. For example, you may need someone to give you your medication on a daily basis or else you will forget. Or you can no longer drive because your sense of direction is off. Dementia is a syndrome and can be found in a variety of conditions  that affect cognition (such as Alzheimer’s disease). In early stages of dementia you can  live on your own as long as you can enlist the support you need to keep yourself safe. Dementia can create a variety of problems. For example, sometimes people with dementia forget to eat, or think they have already eaten. In this case it’s important to have someone provide a reminder or stop by to ensure he/she eats. In the later stages of dementia, it is not possible to live alone.

Seek a memory assessment if you are concerned

If you are concerned about your memory skills or other brain-related functions (such as language, problem-solving or judgment skills), please speak to your doctor for a memory assessment. Let your doctor know if you are concerned your problems are beyond the changes seen in normal aging (such as slowed thinking, and the occasional difficulty remembering things). Only a skilled practitioner can diagnose and determine the difference between normal aging, mild cognitive impairment and dementia, and provide treatment and management solutions.

For more information, check out National Institute on Aging’s  Memory, Forgetfulness, and Aging: What’s Nomal and What’s Not.

You may also like to check out Senior Moments Explained by Terry Hollenbeck, M.D.

Angela G. Gentile, MSW RSW

www.AngelaGGentile.com

Malnutrition: A Hidden Epidemic in Older Adults

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Over the years, many older adults have let me into their homes because they have been referred to one of the health programs I work for. Part of my job as a geriatric clinician requires me to assess the person and to ask them information about their private lives, including their appetite. I then ask for their height and weight and if they have gained or lost any weight over the last few months. I am even required to ask if it is okay to open their fridges to see what kind of food they consume (I also check expiry dates to be sure no one is neglecting to dispose of rotten food).

Sometimes I come across older adults who have lost a lot of weight. Most of them live on their own. Many of these people have other conditions such as memory loss, decreased mobility, and serious medical problems such as diabetes or heart disease.

Some of the most remarkable weight loss situations in my experience has been found in people with Alzheimer’s or a related dementia. Someone with dementia may forget to eat, forget how to prepare a meal, or have a decreased appetite. They may simply forget how to get food (arrange transportation, grocery shop, order groceries) or have an inability to problem solve their situation.

Proper nutrition and hydration are very important to help keep a person’s body (and mind) strong and running optimally. Here’s a great video from Alliance for Aging Research that explains the hidden epidemic of malnutrition in older people.

If the video doesn’t work for you, try this YouTube link: https://youtu.be/iPNZKyXqN1U

Check out the YouTube channel for Alliance for Aging Research for more great videos like this.

 

Angela G. Gentile, MSW, RSW

www.AngelaGGentile.com

 

 

You’re Getting Old!

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Time is ticking…

Useless trivia time! I came across this website that has some mildly interesting and unique facts that are based on a birth date. It’s called “You’re Getting Old!” You can enter your own birth date or that of someone else and come up with a whole bunch of useless information. Ha!

You can find out how many days old you are, or how many candles you’ve “lit” in your lifetime. You can find out when you will hit special milestones. For example, do you know what day you turn 20,000 days old? I do. And if I live to be 40,000 days old I’ll be almost 110. That will be on the 24th of September, in 2075!

There is so much I have learned, including:

  • The number of people on earth has more than doubled since I was born.
  • I have taken over 404 million breaths. (The number rolls over every breath I take, just like the odometer on the car.)

You can find out what special events occurred in history during your lifetime and how old you were. How old were you when the World Wide Web was announced to the public by Tim Berners-Lee? Were you even alive yet?

Check out this fun website for some useless trivia because, You’re Getting Old!

http://you.regettingold.com/

 

Angela G. Gentile, MSW, RSW

 

An Empowering Read for Women, Business Owners and Marketers

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GeroFuturist Karen Sands’ book, “Gray is the New Green: Rock Your Revenues in the Longevity Economy” (2016) is THE book you need to read if you are a middle-aged career women, business owner or marketer and are looking for lucrative opportunities. This small but mighty book covers topics such as ageism in society, business trends, marketing, careers and entrepreneurial opportunities in the field of aging, unretirement, reinvention, and visionaries. Sands intersperses loads of great data and statistics and references other thought leaders throughout the book, providing convincing evidence and support to her thoughts and ideas on “gray is the new green.” She encourages a narrative “re-storying” approach to positively changing the way we think about aging, careers and business.

She uses some familiar and unfamiliar terms such as:

– Longevity Economy
– Ageless Women
– Ageless Technology
– Conscious Aging
– Positive Aging
– Educational Gerontologist
– Age-Friendly Workplace
– Boomerpreneurs
– Solopreneurs
– Grannypreneurs

Hopefully these terms will be defined in Sands’ online glossary (not available at time of printing).

The book is sectioned into three chapters. The last chapter repeats most of what was in the first two. There were many topics that stood out for me as a 50-year-old woman. Sands talks about “The Change” (menopause) and embracing our “Inner Crone.” She empowers the reader when she tells us we can “radically reframe the stories we tell ourselves about aging.” It jolted me a bit when she proclaims 50 is universally “Over the Hill” according to Human Resource (HR) directors.

Sands challenges marketers to get beyond the rampant “malevolent ageism” in corporate marketing. She gives a few examples of how advertisers are inadvertently turning off women aged 50 and up who are the “highest increasing-spenders” in the fashion and beauty industries by creating offensive ads that portray older women in a negative way.

For businesses to succeed in this “Gray Tsunami” era, Sands recommends that diversity, gender equality and work-life balance initiatives must be welcomed and incorporated. She warns businesses that don’t adopt and welcome these changes will be left behind.

For those interested in working with or for the aging population, she states the “field of aging is evolving at warp speed.” She gives a listing of up-and-coming careers and opportunities in the aging field such as “cutting-edge age-friendly technology and devices, home design…and adult education.”

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Karen Sands, GeroFuturist

Sands sheds some light on the notion of retirement and how our extended middle-age is changing the way we view working in our later years. She says, “Aging does not mean retiring.” She discusses how people are reinventing themselves, or they are “unretiring.” Others are choosing not to retire. She predicts employees and leaders alike will be working until they die.

For those Boomer Women who want to reinvent themselves by starting up a new business, she provides lots of great advice and questions to think about in Chapter 2. She offers a great tip for a business idea, which is to offer a product or service that can help people save time. She tells women to “awaken their visionary voice” and states “it is never too late to be a visionary.” In Chapter 3 she states although some women may not be ready for this change yet, she encourages them to do the “prep work” now so that they can “leap with confidence” when they are ready.

Although there is not much new in Chapter 3, I love the advice she gives regarding aging. Sands writes, “Marketing, and society as a whole, need to understand that we no longer wish to be told that aging is something we need to be against. Agelessness is about embracing and enhancing who we are, not blindly following an outdated standard of who we should be.”

“Gray is the New Green” is an empowering book for women. It is a goldmine for those in business. It is a lifesaver for marketers and organizations.

The book is available at Amazon.com in paperback and Kindle versions.

Note: I was given a copy of this book in exchange for an honest review.

Angela G. Gentile, MSW, RSW
http://www.AngelaGGentile.com

Caring for a Loved One with Dementia? You Are Not Alone

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Our society is greying. For the first time in Canada, we now have more older people (65+) than younger people (under 16). Although there are many benefits and advantages to getting older, the unfortunate facts are that as we age we become more susceptible to age-related diseases.

Alzheimer’s disease and other related dementias (also known as neurocognitive disorders) affect one in 11 Canadians aged 65 or older. For those 80 years of age and over, one in three have some form of dementia. Dementia is a syndrome that is usually of a chronic and progressive nature.The symptoms of dementia may include a loss or impairment of brain functions such as:

  • problems with short-term memory
  • confusion or impaired thinking 
  • disorientation to place or time
  • poor comprehension
  • trouble with calculation
  • decreased or loss of learning capacity
  • problems with language
  • poor reasoning
  • decreased judgement

Dementia can cause problems in everyday functioning and activities. People with dementia may not be able to drive safely, or they may get lost while driving to a doctor’s appointment. It may be more difficult for them to remember to take medications on a regular basis. They may get into more arguments with others.

Dementia can sneak up gradually (as in Alzheimer’s disease) or it can come on suddenly (as in a stroke that affects cognition). It can fluctuate day-to- day. Loved ones often have difficulty spotting the signs, and often mistakenly attribute the changes to aging, or a “stubborn” personality. Personality changes in the person with dementia can cause stress for loved ones.

At times it is difficult for family members to recognize the signs of dementia and to act upon them. Sometimes they are in denial, sometimes they hope the situation will improve. Others may not know what to do or who to talk to.

If a person with dementia requires more help, the main helper becomes the “caregiver.” Often a spouse or adult child (usually a daughter) takes over the primary role. The process of changing or incorporating this new caregiving role into the relationship can cause a variety of challenges. Although the person with dementia may not be aware (or be unable to recognize) he/she requires help, the caregiver can learn how to provide the assistance needed with practice, education and support.

In the early stage of Alzheimer’s disease or vascular dementia, the affected person may be aware of his/her memory problems. He/she may notice changes in frustration levels. He/she may be more open to the idea of accepting help. He/she may look to family members for help answering questions or “filling in the blanks.”

Caregiving for a loved one with dementia can be stressful due to increased demands, roles and responsibilities. A caregiver may worry about Dad’s safety with cooking or worry that Mom may wander off. There is also the issue of grieving. A wife may grieve the “loss” of the husband who no longer remembers who she is. A husband may grieve the loss of the future travel plans he had for himself and his wife.

With education, support, self-compassion and self-care practices, the caregiver can have a positive experience of caring for a loved one amidst all of the strain. Seeking out support and knowledge and knowing he/she is not alone are some of the most beneficial things a caregiver can do.

If you have concerns and think someone you know and care about has memory problems and/or dementia, encourage a thorough medical assessment for diagnosis, support and treatment options.

 

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Angela G. Gentile, M.S.W., R.S.W. is a clinical social worker and author of the book, “Caring for a Husband with Dementia: The Ultimate Survival Guide” and the “Dementia Caregiver Solutions” app for iPhone and iPad. She lives in Winnipeg, Manitoba with her husband and two adult children. For more information, visit: www.AngelaGGentile.com

Purple Was the Colour to Wear!

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I am so glad I wore my purple suit to the Forget-Me-Not Fair at River Ridge Retirement Residence! When I arrived, there was purple everywhere! It was a very enjoyable event and was a successful fundraiser for the Alzheimer Society of Manitoba. My table was set up at River Ridge Retirement Residence near the “Post Office” and I had many people come by to ask questions about my book, other products and services.

There were about 7-8 other vendors onsite as well. I added their information to my website, “The Grey Pages – Winnipeg.” The other vendors I saw there were Wright 1 Care Inc., Friendly Caregiver Seniors Care, S.M.I.L.E. Fitness, Silvert’s Adaptive Clothing and Footwear, and Comfort Keepers. There were a couple of others I didn’t get around to connecting with.

The fundraiser included selling a potted pansy which got the purchaser’s name into a raffle.IMG_4538

When it came to my turn, I spoke to about 60 people. It was a full house. Some even watched from the upper balcony! My topic was Dementia Caregiving and I used a power point presentation format. I referred to my book, “Caring for a Husband with Dementia: The Ultimate Survival Guide.” and educated the audience on dementia, caregiving, signs and symptoms of dementia, and what you can do. I also referred to my mobile app for iPhone and iPad called, “Dementia Caregiver Solutions” as well as my other services such as counselling and consulting. The audience was very attentive and some questions were asked about Lewy Body dementia and Frontotemporal dementia. A few were concerned about their own memory problems. Some current and former caregivers were there as well.

After I went back to my table, I answered many questions about memory concerns, family issues and how to get a diagnosis. My candies were a hit and all the jellies went very quickly (note to self-bring more jellies next time!).  I sold four copies of my book after the presentation.
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The other speaker was Elizabeth Murray, another Winnipeg author, who wrote a book called, “Holding on to Mamie. My Mother, Dementia and Me.” We swapped books. I am looking forward to reading her book as well.

I am very grateful to Leslie Fiorino, Director of Health and Wellness for inviting me to speak at the River Ridge Forget-Me-Not Fair. I am also grateful for all the new connections I have made. I look forward to more speaking engagements and providing education and support on all things related to aging and growing older.

Thanks for reading!

For more information on me, my products and services, please go to www.AngelaGGentile.com.

Have a great day!

Angela G. Gentile, MSW, RSW

 

Forget-Me-Not Fair

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Photo credit: iamnee

Invitation here: Forget-me-Not Fair invitation

Interested in learning more about Alzheimer’s and dementia? Come to the “Forget-Me-Not Fair” where I am one of the presenters.

Forget-Me-Not Fair
Sunday, May 15, 2016
1:00 – 3:30pm
River Ridge 1 Retirement Residence
50 Ridgecrest Avenue, Winnipeg, Manitoba
Phone: (204) 589-CARE (2273)

EVENTS:
1:00pm — Memory Beats Class
1:00-3:30pm — VENDORS onsite
1:30pm — First Guest Presentation: Elizabeth Murray
2:15-2:30pm — Alzheimer Society presentation
2:30pm — Second Guest Presentation: Angela Gentile, MSW, RSW
3:00pm — Theatre screening movie – “Still Alice”
3:00pm — LIVE Raffle

Coffee and refreshments served.

 

Hope to see you there!

Angela G. Gentile, MSW, RSW