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Press Release~There is Such a Thing as Being Too Thin…

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FOR IMMEDIATE RELEASE                                                                                                  Contact: Irina Strembitsky & Orchard Senior Living

                                                                                    Phone: (404) 775-0488

                                                                                    Email: marketing@orchardseniorliving.com

 

Press Release

        There is Such a Thing as Being Too Thin…

 

Improved nutrition outcomes are within reach for those living with dementia and other chronic illnesses.

 

Tucker, Georgia, April 2nd, 2018- After a year of research, testing and development, Orchard Senior Living is prepared to unveil our custom created Nutrition Therapy Program specifically designed for those with dementia, as well as other chronic illnesses that often lead to malnutrition or undernutrition. We developed this program because the current nutrition therapy options available have failed our residents as well as many others in the community.

A popular saying says, “We are what we eat.” A good diet is vital to everyone’s health, well-being, and quality of life.  A person needs carbohydrates, protein, fat, fiber, minerals, vitamins, electrolytes, and water to survive. Obtaining the correct balance and quantities of these nutrients is essential.  Insufficient nutrition and hydration can lead to deterioration of overall health, including mental health, as well as weight loss, dehydration, dizziness, increased risk of falls, prolonged recovery after surgery, change of mood, frequent colds, reduced strength, reduced mobility, reduced communication abilities, difficulty keeping warm, infections, as well as prolonged healing.  Cognitive deficits such as Dementia, have a direct effect on a person’s nutrition. Malnutrition or undernutrition may occur at any stage of dementia. It is important to detect it and try to remedy this as early as possible.

Did you know? Up to 45 per cent of people living with dementia experience clinically significant weight loss over one year, and up to half of people with moderate or severe dementia have an inadequate food and nutritional intake. Some experience very quick weight loss, dropping to a withering 70-90 lbs. in a span of several months.  As dementia advances, it’s difficult to ensure that those living with dementia are eating and drinking enough. These challenges increase the risk for malnutrition and can worsen other health conditions a person may already have. There are numerous reasons for poor appetite to develop, including depression, communication problems, sensory impairments, change in taste and smell, pain, tiredness, medication side effects, physical inactivity, and constipation.  Some people with dementia may lose their ability to concentrate, so they become distracted while eating and stop eating as a result. Other people may have trouble using utensils or raising a glass. It may also be challenging to bring the food from the plate to their mouth. Some people may need to be reminded to open their mouth to put food in it or even to chew. Another common problem in more severe dementia cases is dysphagia, which is difficulty swallowing. Dysphagia can lead to weight loss, malnutrition, or dehydration. Over time you may find that your loved one’s appetite declines or the taste of food doesn’t appeal to them. Sensory changes in sight and smell can impact their ability to enjoy food and mealtimes. Their likes and dislikes for food and drink may be quite dramatic and different from the ones they held for many years. They may also find it difficult to tell you what they want to eat.

Dementia and Alzheimer’s Disease are not the only chronic conditions that can cause malnutrition or undernutrition. Other chronic conditions can often impact a person’s nutrition. Many illnesses cause what is called disease-related malnutrition. Many people living with Parkinson’s disease, suffer from muscle weakness or tremors, which can make eating very challenging. Other diseases that often cause nutrition deficiencies are cancer, liver disease, COPD, and CHF to name a few.

In many of these cases, the malnutrition and undernutrition are severe and all conventional methods have failed. Orchard’s state of the art Nutrition Therapy Program offers hope for this group, a group that has not responded to traditional nutrition methods. Orchard has partnered with Gordon Foods and their team of experts and dieticians, as well as with dementia specialists to bring this revolutionary nutrition therapy to the community.

Join us on April 12th from 4 pm-6 pm as we unveil our Nutrition Therapy Program to area professionals who are interested in helping our community battle this difficult problem. Event attendees will be able to taste a variety of nutrition therapy options such as Cake a Boo, Sherberita, and Strawberry Smash. This event will be held at Orchard at Tucker, 2060 Idlewood Rd, Tucker GA 30084. For questions or to RSVP for the event please email marketing@orchardseniorliving.com.

 

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Creating an Enabling Environment is Key to Providing Dementia Care

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How does Dementia effect a person’s ability to enjoy their hobbies and participate in activities?

Dementia gets worse over time. Although symptoms vary, the first problem many people notice is forgetfulness severe enough to affect their ability to function on a daily basis and to enjoy hobbies. One example is playing cards. A person with dementia will likely begin to forget the rules of a card game they have played their whole life. They may mess up during the game, which will usually cause them to avoid a card game they have played their whole lives all together. Aside from general forgetfulness, people with dementia often find that they lack the motivation to do anything. This loss of motivation can be attributed to general apathy or that certain activities have no value if they cannot be carried out as before.  Repeated difficulty doing hobbies that used to be easy is also a painful reminder of the progression of the disease. Lastly but in my opinion most importantly, there is the issue of personal pride which causes masking, which is not wanting to show others that one cannot do something well or is forgetful. Even those who carry on with their usual activities sometimes lack the motivation or the incentive to get started due to the brain changes that come along with dementia. Family members often find it difficult to deal with apathy, particularly if the person with dementia has always been a fairly active person. In order to understand how Dementia and apathy are related, please visit my previous blog post http://stage-osl.daveminotti.com/apathy-is-a-main-the-road-block-of-dementia-care-at-home/
What does creating an enabling environment for a person with Dementia mean?
The first step is to know what type of activities or hobbies a person enjoyed prior to the dementia.  Activities that are related to or connected with past hobbies are often easily accomplished as they bring a sense of familiarity. The second step is to align the type of activity to the stage of dementia. Over simplifying activities for someone with more capabilities is just as detrimental as not simplifying them at all.
Real Life Example: Lets take a puzzle activity. You are working with Jane who has mild dementia, who loves puzzles, and has done them all of her life. You present Jane with a 25 piece puzzle. She finishes it quickly and wonders why you brought her such a “child like” puzzle. This further effects Jane’s self esteem and reminds her that the world notices her cognitive deficits and has started treating her as a child. On the other hand you are working with John, who has moderate dementia, who also loved puzzles. You bring John a 200 piece puzzle. He struggles and struggles with it and after 10 minutes give up in frustration. The solution would have been to give the Jane the 200 piece puzzle and to give John the 25 piece.
What if you are working with a new person and are not sure of their current abilities?
Lets take the above example of Jane and John and puzzles. If you are not sure of their abilities you bring several puzzles to both. In Jane’s case, if you see her quickly putting it together, you tell her that she is doing a great job, and that you knew that puzzle was too easy, and that you brought another one and put the 200 piece in front of her. In John’s case, as soon as you notice that he is struggling you tell him that it appears that there are pieces missing from that puzzle, and you have one for him that has all the pieces, at which point you take out the 25 piece puzzle. It is very important to say that there is something wrong with the puzzle so that John does not feel that you changed puzzles because he could not do the first one.
What is another example of creating an enabling environment?
Choosing a simplified version of an activity, or an easier game or version are also ways of creating an enabling environment. Simplifying an activity or a game by removing some of the steps.
Real life example: Jenn used to be a chef and has cooked her whole life. She has given up cooking on her own but loves to participate in cooking activities. Jenn is in the moderate state of dementia.  You have a cookie recipe that makes cookies from scratch by first making dough and then baking the dough. In order to enable the environment for Jane, you take that same recipe but you remove the more difficult steps such as those steps where the dough is made and you start with the dough being in front of Jenn.  You have now created a simplified version of a hobby that Jenn can do and she will get the same final cookie as she would have if the cookie was made from scratch.
Many do not realize that time awareness is part of an enabling environment but it is..
Many people with dementia loose track of time in general. They also have trouble remembering appointments as well as at what time activities take place. Because they start forgetting and missing activities and appointments, many times they stop attempting to go to any of these appointments or activities. To create an enabling environment, you must take the remembering out of their minds. Instead of telling them in advance, scheduling future events or appointments, you tell them in the moment right before the appointment or activity. You also reassure them, that you will get them for the each activity, not because they will forget, but because you want to. This will take the stress of remembering out of the equation and help foster more participation in hobbies and activities.
1503696303319The Take Away…
Creating an enabling environment takes on many forms. Some of these forms are tangible activities and some are communication styles. It is important to know that creating an enabling environment is not a skill that most people naturally have. It is not a skill that you make up as you go. It is imperative to surround a person with dementia with those who understand dementia, and have received specialized training and have experience with things such as creating an enabling environment and communicating with a person with dementia. Continuing dementia education is a great way to learn the skills to engage a person with dementia. Join us at the Orchard at Tucker, 2060 Idlewood Rd, Tucker GA 30084 on Thursday, January 4th at 6:00 pm for our monthly Live & Learn Dementia Education Forum. For more information call 404-775-0488 or download http://stage-osl.daveminotti.com/wp-content/uploads/2017/12/Live-Learn-Dementia-Educational-Forum.pdf

Anxiety is Another Road Block to Dementia Care at Home

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Common Psychological Conditions

Apathy, depression and anxiety are common conditions experienced by people with dementia. They are known as psychological conditions because they can affect a person’s emotional and mental health.

What is Anxiety?

Anxiety is a normal feeling that everyone experiences now and again. In
some people, however, these feelings can be very strong and persistent.
This can interfere with a person’s everyday life. Anxiety is the main symptom of several conditions, such as
anxiety disorder, panic disorder, phobias and obsessive
compulsive disorder.

Who gets Anxiety or One of the Related Disorders?

About one in 10 people will experience an anxiety disorder at some point in
their lives and many people will have more than one form. Anxiety is substantially more
common in people with dementia than those without.

Why do those with Dementia get Anxiety?

In the early stages of dementia, anxiety may be linked directly to a person’s
worries about their memory and about the future. Changes to the brain, caused by the
dementia, may also lead to anxiety. Anxiety in people living alone has been linked to unmet needs,
including a lack of daytime activities and a lack of company. As dementia
progresses, people become more disorientated and confused, more forgetful and worse
at thinking things through and planning. This constant struggle to make sense of the
world around them can therefore be an underlying cause of anxiety.

How to Manage Anxiety?

People with Dementia and Anxiety benefit from being listened to and reassured. Living in an environment where someone is always available if needed to reassure a person and to make them feel safe is crucial to minimizing feelings of anxiety. Other ways of helping include creating the right environment, so that their living environment is calmer and safer, and they have an improved structure to everyday life. Social Engagement is very important in soothing anxiety. Providing the right activities and encouragement for those with dementia and anxiety has been shown to be very effective. Productive activities include exercise and activities which have meaning for the person.

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