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Alzheimer’s Disease – How to Spot the Signs
Alzheimer’s disease is not normal forgetfulness as we age. Instead, it is a specific form of mental decline. And according to the Alzheimer’s Association it accounts for nearly 80 percent all dementia cases. Natasa Dragicevic, MD, PhD., behavioral neurologist and Alzheimer’s disease specialist with Renown Institute for Neurosciences, weighs in on diagnosing it and the importance of early medical action. How to Diagnose Alzheimer’s Disease In general, the signs of Alzheimer’s disease occur slowly, getting worse over time. For example, forgetfulness is a daily search – for shoes, keys and other misplaced items. Not only is memory affected, but also speech patterns and behavior. There is no single test for Alzheimer’s disease. “Specifically, a neurologist should be the one to diagnose Alzheimer’s disease given differences in presentation,” clarifies Dr. Dragicevic. “And ideally a behavioral neurologist (Alzheimer’s sub-specialist) will be managing the treatment,” she adds. Brain Imaging Diagnosing Alzheimer’s disease involves multiple approaches and medical providers. In short, medical history is reviewed along with a physical exam, lab tests and other diagnostic testing. “A medical workup includes a variety of tests. These include MRI and other brain imaging, as well as neurological and psychological testing. Furthermore, a lumbar puncture is performed to look for markers of the disease,” she states. What Causes Alzheimer’s disease? Although no one knows the cause, researchers think many factors play a role. Uncontrollable risk factors include your genetics and having a family member with the disease. However, the controllable risk factors include: reducing the risk of head injury and keeping your heart healthy. It’s important to realize that high blood pressure, high cholesterol, stroke and diabetes play a role in brain health. Blood loss to the brain causes vascular dementia, leading to long-term blood vessel damage. Symptoms of Alzheimer’s disease Generally speaking, the signs of this disease differ in each person. Yet noticeable behaviors include: • Losing the way to familiar places • Forgetting to pay bills • Trouble finding the right words when talking • Repeating questions • General confusion • Social withdrawal Alzheimer’s Disease – Benefits of Early Diagnosis Equally important, spotting Alzheimer’s disease early allows more time to benefit from medications and possible clinical trials. Likewise, nutrition and exercise changes can be made, increasing blood flow to the body, and perhaps delaying symptoms. Early diagnosis also allows for personal health decisions and quality-of-life conversations to take place. According to the Alzheimer’s Association, these benefits include: 1. Medical advantage 2. Emotional and social comfort 3. Time to plan ahead 4. Cost savings A Brain Supporting Lifestyle “At the present time, treatment is limited,” explains Dr. Dragicevic. “Usually Alzheimer’s is a progressive ongoing disease – any management at this time is purely symptomatic.” However, she states the following lifestyle changes can help support brain health: • New hobbies such as painting, pottery, music classes or learning a new language • Crosswords, puzzles and playing games, such as Scrabble • Brain challenging mobile apps, such as Luminosity • 30-45 minutes of mild to moderate physical activity per day, such as walking • Eating a Mediterranean diet (primarily plant based foods)
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Senior Care Plus to Provide Affordable, High-Quality Healthcare
New collaboration in Clark County grants aging adults access to a premier health plan with a nationally-recognized care model. Senior Care Plus, the Medicare Advantage plan from Hometown Health, and nationally-recognized CareMore Health, have joined forces to serve Clark County seniors with two exclusive Medicare Advantage plans, designed to improve health outcomes for aging adults and those with complex health needs. As more than half a million Medicare recipients in Nevada make decisions about their healthcare during the annual Medicare open enrollment period beginning Thursday, Oct. 15, Clark County residents will have the option to receive personalized care to address their unique health needs through two new Senior Care Plus health plans, with access to CareMore Health providers and services. Competitive plan benefits include $0 premiums, preventive and comprehensive dental coverage, no to low co-pays for commonly used services, low out-of-pocket maximums, and targeted programs and benefits to help every member optimize their health. “CareMore’s mission and its successful value-based model aligns perfectly with our commitment to offer those with Medicare insurance, the highest-quality care,” said David Hansen, CEO of Hometown Health, the non-profit health plan offered through Renown Health, the state’s most trusted health care system. “We’re proud to announce our new partnership and exclusive Medicare Advantage plans available to Clark County residents to improve their health and healthcare experience.” For over 25 years, CareMore’s patient-centered model has delivered highly-coordinated, integrated care to help every member achieve optimal health outcomes, including those with chronic conditions like chronic obstructive pulmonary disease (COPD), diabetes and congestive heart failure (CHF). The model continues to evolve, adding new programs to address important issues like food inequity, mental health and senior isolation. CareMore’s care delivery system has served the Clark County community for 10 years. The CareMore model includes an integrated team of healthcare professionals, including doctors, nurses, pharmacists, behavioral health and other specialists who work collaboratively to address patients’ medical, physical, and overall health and help address barriers to accessing needed care. As part of the Senior Care Plus and CareMore Health collaboration, patients will receive care where and when they need it, including care delivered in their home, virtually, in CareMore’s three Care Centers, and if needed, in the hospital. In response to COVID-19, the care delivery system has ramped up its telehealth capabilities, in addition to safety measures put in place, to ensure everyone’s safety. “This new partnership will deliver a premier healthcare solution and proven care delivery model for Medicare recipients in Clark County, said Peter Emigh, General Manager of CareMore Health, Nevada. “The CareMore delivery system has served the Clark County community for 10 years, and we look forward to working with Hometown Health to help area residents reach their health goals, thereby improving the health and welfare of the community.” Senior Care Plus has proudly served residents of Clark County since 2019, offering competitive benefit options, exceptional customer service and experienced care management. The partnership with CareMore Health is the latest example of Senior Care Plus’ commitment to Nevada’s Medicare beneficiaries. Medicare’s annual open enrollment period runs between Oct. 15 and Dec. 7, 2020. Virtual enrollment meetings, as well as online and phone enrollment options are now available. Visit SeniorCarePlus.com for more information about Senior Care Plus coverage options. About Senior Care Plus & Hometown Health Senior Care Plus is the largest Medicare Advantage plan in northern Nevada serving more than 17,000 members. Senior Care Plus is offered by Reno-based Hometown Health, Nevada’s largest not-for-profit health insurance company and the insurance arm of Renown Health. Originally named Hospital Health Plan, Hometown Health was founded in 1988 and has grown to more than 160,000 members. The Hometown Health name reflects the organization’s commitment to the communities in which it operates and its involvement in what matters most, the people it serves. To learn more about Senior Care Plus visit SeniorCarePlus.com and to learn more about Hometown Health, please visit HometownHealth.com. About CareMore Health CareMore Health is a physician-founded, physician-led integrated care delivery system that harnesses the power of teamwork to treat the whole person. Through a focus on prevention and highly coordinated care, its clinical model and designed-for-purpose approach to managing chronic disease proactively addresses the medical, social and personal health needs of its patients, resulting in clinical outcomes above the national average and ultimately, healthier people and communities. Over the past nine years, CareMore has expanded from one state to ten. And today, the CareMore delivery system provides care for enrollees in Medicare Advantage and Medicaid health plans in Arizona, California, Connecticut, Georgia, Iowa, Nevada, Tennessee, Texas, Virginia, and Washington, DC. CareMore also is participating in a dual demonstration project in parts of Los Angeles County in conjunction with state and federal regulators to coordinate care for people eligible for both Medicare and Medicaid. To learn more about CareMore, go to www.caremore.com and follow us on Twitter and Facebook @caremorehealth. CareMore Health Media Contact: Charla Hawkins M: 562-480-2130 E: charla.hawkins@caremore.com
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Alzheimer's Safety Tips for Caregivers to Know
November is National Alzheimer’s Disease Awareness Month. At Renown Health, we know that Alzheimer's safety for your loved one is a priority, as the symptoms can sometimes lead to unsafe situations. We asked Dr. Jonathan Artz – a neurology physician with Renown Health and an assistant professor of clinical neurology at the University of Nevada, Reno School of Medicine – for tips on keeping loved ones safe and secure. According to the Alzheimer’s Association, Alzheimer’s disease affects safety in various ways, specifically due to body and brain adjustments. These changes can include: Judgment, including forgetfulness Sense of place – getting lost on the way home Behavior – being suspicious or fearful Body difficulty – losing balance Sensing ability – noticeable sensitivity in hearing, seeing or temperature Dr. Artz gives us four major tips to ensure your loved one’s safety as you both navigate this disease together. Watch for Wandering Those experiencing Alzheimer’s disease tend to wander and get lost. Try the following tips to reduce the risk of wandering: Get your loved one an ID bracelet and have them wear it at all times. You can also enroll your loved one in “Wandering Support.” Install door chimes so you know when exterior doors are open. Ask neighbors to call you if they see your loved one out alone. Go with your loved one when they insist on leaving the house. Don’t argue or yell. Instead, use distraction or gentle hints to get them to return home. Discourage Driving Driving can be unsafe for someone with this disease. With this in mind, ask a doctor whether it’s safe for your loved one to drive. For example, on a case-by-case basis, there are certain situations where doctors are required to report individuals with particular cognitive impairments, wherein a form of a driving assessment will be recommended. Limit access to the car. Keep the keys with you or lock them away. Ask an authority figure, such as an insurance agent or a doctor, to tell them not to drive. Adult-Proof Your Abode A simple living space is a safe living space. This means reducing clutter and removing any issues that may pose a safety concern. You may also want to get advice from an occupational therapist (home safety expert). Keep in mind that some changes may not be needed right away. Focus on major safety concerns first. Try the following tips: Add lighting (or glow-in-the-dark tape) to brighten dark areas, including stairways and halls. Use color contrast or texture indicators for dials, knobs and appliance controls. Remind your loved one not to carry items while walking to avoid a fall. Remove sharp objects from drawers and countertops. Avoid using small throw rugs or doormats, as they are easy to trip on. Move frequently used items so that they are easy to reach. Lock away alcohol and tobacco products, as they are not recommended for dementia patients. Install handrails in the shower, tub and near the toilet. Bathroom falls are especially common. Adjust the setting on your hot water heater so water does not scald. Those with Alzheimer’s can lose their sensitivity to temperature. Move and lock up hazardous chemicals and cleaning supplies, such as bleach and insecticides. Disable and remove guns or any weapons. Supervise any medication taken by your loved one. Promote a Positive & Healthy Lifestyle Continually emphasize the strengths of your loved one by promoting participation in meaningful activities, wellness visits and healthy habits to help them improve their well-being. Here are some ways to keep them physically and mentally active: Maintain regular vision and hearing screenings and make necessary adaptations. Establish a routine for daily activities. Encourage participation in self-care and leisure activities. Work with your loved one’s doctor to establish a healthy diet. Ensure proper hydration. It may help to set reminders for your loved one to drink fluids. Encourage regular exercise. Exercise delivers oxygen to the brain, improving brain health. Promote good sleep habits. Good quality sleep can increase overall brain health and has been associated with improving memory, attention and concentration. Resources and support are available with the Renown Memory Disorders Program. Providers within this program are specifically dedicated to treating several different memory-related disorders. Memory Disorders Resources & Support.
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Free Webinar Explains the Basics of Medicare
Senior Care Plus set to host a free webinar designed to help participants approaching age 65 make informed decisions about their health coverage. Navigating the Medicare alphabet can sometimes be confusing and overwhelming, which is why the experts of locally-owned Senior Care Plus, a Medicare Advantage Plan, are hosting a free webinar on the ABCs of Medicare. There are four basic parts of Medicare: A, B, C and D. Each part helps patients pay for important healthcare services such as hospital visits, doctor visits and prescription drug coverage. Set for Wednesday, August 5 and Wednesday, August 19 at 6 p.m., the free webinar will cover the basics of Medicare and answer frequently asked questions to help attendees get the most out of their health coverage. Both webinars will cover the same topics, however, two dates are offered as an added convenience to attendees. Visit SeniorCarePlus.com or call 775-982-3191 to register. “With unfamiliar words and ideas you’ve likely never come across before, learning about Medicare may feel like learning a new language at first,” said David Hansen, CEO of Hometown Health. “As you begin the process of becoming a Medicare recipient, Senior Care Plus is committed to helping you become fluent in Medicare and help you understand the basics so you can make the best decisions for your unique healthcare needs.” From the convenience of a computer or mobile device, participants will learn about: The parts of Medicare - A, B, C and D; Eligibility and enrollment options; How to personalize their Medicare options based on their healthcare needs Serving as a partner in health to both northern and southern Nevadans, Senior Care Plus is the statewide leader in helping people take advantage of Medicare Advantage. Plus, with membership perks like virtual education events and exclusive discounts to state-of-the-art health and wellness resources, Senior Care Plus is determined to help its members stay healthy and active. For more details about Senior Care Plus and your Medicare options, to attend an informational meeting, or to schedule a personal one-on-one consultation, visit seniorcareplus.com or call 775-982-3158. About Hometown Health Established in 1988, Hometown Health is the insurance division of Renown Health and is Northern Nevada’s largest locally-owned, not-for-profit health insurance company. Providing wide-ranging medical coverage and great service to members, Hometown Health represents a philosophy of health care that emphasizes active partnerships between members and physicians. For more information, call 775-982-3000 or visit hometownhealth.com. About Renown Health Renown Health is the region’s largest, locally owned and governed, not-for-profit integrated healthcare network serving Nevada, Lake Tahoe and northeast California. With a diverse workforce of more than 7,000 employees, Renown has fostered a longstanding culture of excellence, determination and innovation. The organization comprises a trauma center, two acute care hospitals, a children’s hospital, a rehabilitation hospital, a medical group and urgent care network, and the region’s largest, locally owned not-for-profit insurance company, Hometown Health. Renown’s institute model addresses social determinants of health and includes: Child Health, Behavioral Health & Addiction, Healthy Aging and Health Innovation. Clinical institutes include: Cancer, Heart and Vascular Heath, Neurosciences and Robotic Surgery. Renown is currently enrolling participants in the world’s largest community-based genetic population health study, the Healthy Nevada Project®. For more information, visit renown.org.
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Sterling Silver Club Hosts Virtual Stretching Lecture for 55+
Renown Health Physical Therapist Dr. Kelly Winkel leads virtual event to connect adults through basic stretching exercises and helpful movement strategies to aid in healthy aging. To help our 55+ community experience the many benefits of stretching, Renown’s Sterling Silver Club is hosting a free, virtual Rise & Shine Stretches lecture on Wednesday, July 15 from 10-11 a.m. During the live event, Kelly Winkel, doctor of physical therapy for Renown Physical Therapy, will teach attendees the basic principles of exercising as we age and provide a demonstration of gentle stretching and stabilizing exercises to help start the day. She will also share her expertise on some of the common ailments we develop as we age and offer tips for overcoming those ailments. This virtual event will be hosted via Microsoft Teams. Those interested in attending are asked to RSVP online or call 775-982-7787. A dial-in option is available for individuals who don’t have access to a computer. “A good morning stretching routine puts the body in motion and has the power to set the tone of your entire day,” said Dr. Winkel. “Plus, stretching becomes even more important as we age and our range of movement lessens and we wake up with more aches and pains. Improved flexibility, balance, muscle control and a reduced risk of injury are just a few of the wellness benefits of routine stretching, all contributing to a healthier lifestyle. There is no better way to start your day than with a few tried-and-true stretches.” Attendees are encouraged to wear comfortable workout attire and sturdy shoes so they can try the exercises out with the group. They are also invited to ask for clarification or a modification if needed. Anyone over the age of 55 is invited to join Renown’s free Sterling Silver Club, created to help people live healthy, happy lives every day. The Club is a program of the Renown Institute for Healthy Aging. Members enjoy exclusive benefits all designed with their interests in mind. From social events and lectures to entertainment, special discounts, and health insights and tips, this club is a place for community members to shine and embrace the joys of healthy aging. While the Sterling Silver Club is not currently hosting in-person events during this time, it is hosting educational talks like this one to help aging adults stay healthy through its online channels. “The last few months have been difficult for many older adults as they stay indoors with little to no in-person contact with their loved ones,” said Tori DellaRocca, who oversees Renown’s Sterling Silver Club loyalty program. “The need to stay connected is more important now than ever. It has been a joy giving our members something to look forward to- a chance to learn, ask questions and share their stories. Seeing everyone tune in from their homes has been a powerful reminder that we truly are all in this together.” For more information on upcoming virtual events from Renown’s Sterling Silver Club and to sign up, please visit www.renown.org/SterlingSilver. About Renown Health Renown Health is the region’s largest, locally owned and governed, not-for-profit integrated healthcare network serving Nevada, Lake Tahoe and northeast California. With a diverse workforce of more than 7,000 employees, Renown has fostered a longstanding culture of excellence, determination and innovation. The organization comprises a trauma center, two acute care hospitals, a children’s hospital, a rehabilitation hospital, a medical group and urgent care network, and the region’s largest, locally owned not-for-profit insurance company, Hometown Health. Renown’s institute model addresses social determinants of health and includes: Child Health, Behavioral Health & Addiction, Healthy Aging and Health Innovation. Clinical institutes include: Cancer, Heart and Vascular Heath, Neurosciences and Robotic Surgery. Renown is currently enrolling participants in the world’s largest community-based genetic population health study, the Healthy Nevada Project®. For more information, visit renown.org.
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