Is Your Parent Depressed in St. Louis, MO?

Depression affect’s many American’s including seniors.  I found this article on Prevention that explains how it is affecting our aging loved one’s.  Here is an excerpt below, to read the full article Click Here.

7 million Americans over age 65 suffer from the disease, and many are not getting the help they need. Here’s how to make sure your mom or dad isn’t one of them.

By Trisha Gura, PhD
Amy Caldwell first sensed that her mother was depressed during a phone call last September. "My life is miserable," said the 77-year-old widow, who lives in Tempe, AZ, and suffers from asthma. "I don’t want to live any longer."
Caldwell’s heart sank. Was this a genuine suicide threat? Caldwell, 43, who lives in Boston, decided not to take a chance and flew out to see her mom.
She set up appointments with a family physician and pulmonologist, who put her mother on a new regimen that eased her breathing problems for a couple of months. But then her mother suffered another attack and, during a dispiriting phone conversation with Caldwell’s brother, dropped another bomb: "I should just get a razor, slit my wrists, and get this over with already."
This time, Caldwell’s brother hopped on a plane, while Caldwell contemplated the inescapable truth: In addition to the physical ailments her mother suffered from, she was very likely depressed.
That put her mom in the company of 2 million other Americans over age 65 who suffer from depression, as well as another 5 million who struggle with some but not all symptoms of the crippling disease. Their plight is one of the great hushed-up scandals of American health care:
As many as 90% of people suffering from depression in late life are not getting the care they need. The suicide rate in adults age 75 and older is a shocking 1 1/2 times the average–higher than that of any other group, including teenagers.
Elderly people receiving home care are twice as likely to suffer major depression as those in nursing homes. A whopping 78% of them receive no treatment at all. Patients diagnosed with major depression spend almost twice as much money on their health care as patients who don’t have the disease.
Read more from Prevention.com by Clicking Here.

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Brain Injuries May Cause Conditions Mistaken for ALS in St. Louis, MO

I found this interesting article on how past head trauma’s can be mistaken for ALS.  Read the excerpt below from MedPage Today, to read the full article Click Here.

By: John Gever, Senior Editor, MedPage Today

For the first time, researchers have found pathological evidence that repetitive head trauma — such as that experienced by football players — may result in a motor neuron disease similar to amyotrophic lateral sclerosis (ALS), or "Lou Gehrig’s disease."
The evidence, a unique pattern of protein deposits, was found during autopsy studies of brains from 12 professional athletes who had played violent contact sports — including three athletes diagnosed with motor neuron diseases before their deaths — according to Ann C. McKee, MD, of Boston University, and colleagues.
While extensive brain deposits of a DNA-binding protein named TDP-43 as well as neurofibrillary tau protein were found in 10 of the cases, the tau proteins discovered in the three motor neuron disease cases wereclearly dissimilar from those seen in sporadic ALS patients, McKee and co-authors wrote online in the September issue of the Journal of Neuropathology and Experimental Neurology.
The deposits of the TDP-43 and tau proteins, found post-mortem in numerous regions of 10 of the pro athletes’ brains provided "the first pathological evidence that repetitive head trauma experienced in collision sports might be associated with the development of a motor neuron disease," the researchers commented.
Previous studies had been contradictory as to whether repeated head trauma may cause ALS, the most common and familiar form of motor neuron disease.
But the researchers suggested that many former athletes diagnosed with ALS after suffering repeated blows to the head may actually have a different type of motor neuron disease.
Their article did not mention baseball legend Lou Gehrig, the most famous ALS victim. But a New York Times reporter coaxed McKee into suggesting that Gehrig may have been among those misdiagnosed — even though, as a first baseman, he did not routinely experience violent collisions. (He was, however, beaned at least twice during his 14-year career with the New York Yankees.)
The 12 athletes in the post-mortem study included seven professional football players, four boxers, and one hockey player. Their ages at death ranged from 42 to 85.
McKee and colleagues found TDP-43 primarily in the frontal and temporal cortex, medial temporal lobe, basal ganglia, diencephalon, and brainstem in 10 of the brains. Inclusions and neurites containing the protein were also present in the spinal cord in the three individuals with motor neuron disease.
The latter group also showed motor neuron loss and degeneration of the corticospinal tract, and extensive distribution of abnormal tau protein, the researchers indicated.
Clinical histories of the three — two of whom were former pro football players, the other a boxer — included upwards of 10 concussions in one, three to four in another, and "many" in the third.
One had a sibling with "probable ALS" but otherwise the trio appeared to have no other risk factors for neurological disease other than their sports injuries.
The study also included analyses of brain sections from 12 neurologically normal individuals and 12 patients with sporadic ALS whose ages at death were similar to the athletes.’
Four of the normal controls showed a few tau-positive neurites in the ventral horn. No signs of TDP-43 or other pathology like that of the athletes were seen in any of the normal controls.

All the ALS patients, on the other hand, had TDP-43 in their brains. But unlike the athletes with motor neuron disease, only one of the sporadic ALS patients showed abnormal tau, and it was in the form of "rare" neurites, McKee and colleagues indicated.
Click HERE for the original article.
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Link Between Depression, Cholesterol May Differ by Gender in Webster Groves & Kirkwood, MO

Who knew that cholesterol could be linked with depression?  I found this article that explains that connection.  Here is an excerpt, to read the full article Click Here

MONDAY, July 26 (HealthDay News) — Gender-specific regulation of cholesterol levels may help prevent depression in the elderly, suggests a new study.

French researchers followed a large group of men and women aged 65 and older for seven years. They found that depression in women was associated with low levels of "good" high-density lipoprotein cholesterol (HDL-C), which puts them at higher risk for cardiovascular disease, including stroke.
 
Previous research has shown that certain types of stroke increase the risk of depression.
 
In contrast, depression in men was linked with low levels of "bad" low-density lipoprotein cholesterol (LDL-C). This association was strongest in men with a genetic vulnerability to depression related to a serotonin transporter gene.
 
The study appears in the July 15 issue of the journal Biological Psychiatry.
 
"Our results suggest that clinical management of abnormal lipid levels may reduce depression in the elderly, but different treatment will be required according to sex," corresponding author Dr. Marie-Laure Ancelin, of INSERM, Montpellier, France, said in a journal news release.
 
For the best in home care in the St. Louis, MO area visit our website at www.allmetrohealthcarestlouis.com

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Scaling Down (Almost) Painlessly in Webster Groves & Kirkwood, MO

Here is a good article that I found and wanted to pass along to you.  For mroe assistance with an aging loved one in the St. Louis, MO area visit our website at www.allmetrohealthcarestlouis.com

Moving to a smaller house or apartment in a retirement community almost always involves a certain degree of trauma, both for the elder who’s moving and for family members. However, by planning ahead you can reduce the discomfort involved and turn what might well become a nightmare into a pleasant event.
Begin by Planning for the Move
Where is the elder moving? Go to the actual house or apartment with tape measure, pad and pencil and write down measurements. Floor space is important, but don’t forget about ceilings. Many elders own large pieces of furniture that may not fit into rooms with low ceilings. Your work here will determine which pieces can move with your elder.
And while you’re at the actual location, talk to several other elders who already live there. What is their life style? Do they go outside the property on frequent trips? How do they dress? Casual lifestyles will require an entirely different style of dress than more formal ones.
Gather Supplies and Contact Helpers
Having all the supplies you will need in one place will speed your task. You’ll want a number of storage bins; five or six should be sufficient to hold sorted items. Plastic bags can be used for discarded belongings and as a container for articles to be donated to charities. Packing boxes and supplies such as padding materials and wide sealing tape are must-haves. Labels and dark marking pens are essential to ensure that boxes go to their intended location.
While you’re in the gathering stage, begin to contact helpers you’ll need. Among these may be:
estate sale professionals
certified appraisers
moving companies
house cleaners
repair specialists (electricians, plumbers, carpenters, painters)
Ask friends, relatives, and senior real estate specialists for recommendations. Also, check with the Better Business Bureau to ascertain whether problems have been reported about particular companies or individuals.
Approach Your Task One Room at a Time
Who should help? The elder and one family member should assume responsibility for sorting all items and some packing. Do not include everyone in the family if you want to make the job quick and easy because distractions increase in geometric proportion to the number of persons doing the sorting.
Sort all the items in one single room at once, beginning and ending in the kitchen. Why start there? Because kitchens in small houses and apartments typically are short on storage space, and the elder needs time and experience to determine which items are true necessities, and which may never be used. If you reduce kitchen items to a bare minimum at the beginning, your elder can determine what’s needed and what’s not by living with them ahead of time. After living with fewer items, your elder may find that items once thought essential may not be needed. Complete work in the kitchen at the very end of your tasks.
Even though you intend to stay in only one room, distractions will occur. Resist them by stacking items that belong in another room at the door. A bin or box placed just inside the door can contain all the items that have homes elsewhere.
Make your motto One Thing at a Time; One Time for each Thing. Once you’ve picked up an item, decide then and there what its fate should be. Place it in one of the bins you’ve labeled:
Discards
Donations
Distribution to Relatives
Keepers
Uncertainties
Large collections of books may require their own bins. You might have bins for Collectors’ editions, books to be stored, books to be sold to book dealers.
When you have finished categorizing all the items in the room, start the packing process. Items in the Uncertainties bin can be packed for storage.
If an unbreakable item is to be moved only a short distance, don’t waste time on elaborate packing and padding. Items like crystal and china, however, require excellent packing, regardless of the distance they will be moved. If you can’t do a great job, leave packing fragile items to professionals.
Mark boxes as you go.
Nothing is more frustrating than finding that you’ve shipped your elder’s bed linens to Aunt Minnie and kept a silver salver you meant to send your nephew.
Don’t try to do everything at once. Do only one room on any given day, and take the time to enjoy reminiscing as you sort items.
This is also the perfect time to have a certified appraiser come in to appraise items that may be of significant value. Very expensive items may be auctioned at an auction house such as Christy’s or Sotheby’s. Less expensive items can be sold to local antiques dealers. By having an idea of their value before going to dealers, you reduce the chance that dealers can scam you.
You could also consider selling items through an on-line auction. If you do so, remember that you will be responsible for shipping items and ensuring their condition to successful bidders.
Distribute Items to the Intended Recipients
Schedule a single day for distribution of items. In-town relatives can come to pick up items intended for them; they may also be helpful by taking bags to charities, books to resellers, boxes to storage, and trash to dumps.
Use this day for shipping as well. Small items can be shipped via UPS or FedEx; large pieces of furniture and antiques may require special handling by movers. Once you’ve finished distribution, you should have a considerably reduced pile of boxes and furniture. These boxes should contain only items to be moved to the elder’s new residence or to storage. Remaining items should be those to be sold in an estate sale.
For more ideas, continue reading HERE.

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‘Villages’ Let Elderly Grow Old at Home in Webster Groves & Kirkwood, MO

Here is an interesting article that I found and wanted to pass along to you.  For more assistance with an aging loved one in your life visit our website at www.allmetrohealthcarestlouis.com

The explosive growth of the USA’s older population is fueling a grass-roots "village" movement in neighborhoods across the country to help people age in their own homes.
 
More than 50 villages in a neighbor-helping-neighbor system have sprouted in the past decade from California and Colorado to Nebraska and Massachusetts. They are run largely by volunteers and funded by grants and membership fees to provide services from transportation and grocery delivery to home repairs and dog walking.
Most villages have opened in the past couple of years, an indication that the momentum is growing in the face of a demographic tsunami: The number of Americans 65 and older is expected to more than double to 89 million by 2050, according to the Census Bureau.
The oldest of 79 million Baby Boomers turn 65 next year, a turning point that will begin to put pressure on social services, retirement homes and assisted-living facilities.
The "village" concept is taking off in small and big cities and suburbs across the country as the percentage of elderly rises while the share of the working-age population that supports them declines. The percentage of people 65 and older is projected to climb from 13% today to 19% by 2050, while the share of adults age 20 to 64 is expected to drop from 60% to 55%, the Census Bureau says.
"We will hit a really pivotal point," says Julie Maggioncalda, a University of Pennsylvania geriatric social work student who is interning at the Capitol Hill Village in Washington, D.C. Nursing homes won’t be able to handle all the elderly, she says.
"We simply don’t have enough space, and if we don’t have a village, that burden will fall on families," Maggioncalda says.
AARP research shows that 90% of people want to grow old in their home and community.
"Villages are one way people can lead the life they want to live," says Mimi Castaldi, AARP vice president for volunteer engagement. "They’ve caught the imagination of people."
How villages operate:
•Residents pay a membership fee that varies from $25 to $600 or more a year, depending on the types of services members want. Some villages have paid staff members; others are run completely by volunteers.
•Most villages are opening in more upscale neighborhoods in cities and suburbs, but they all provide discount dues for lower-income elderly.
…continue reading by Clicking Here.

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