AZINE
Healthy Living September 2014
BODY, MIND & SPIRIT 10 Warning signs of Alzheimer始s disease
Finding the perfect home for an elderly loved one
Eating Healthy on a Budget Published by The Hartwell Sun
Heart Healthy Recipes
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AZINE Healthy Living
Contents
September 2014
4..... Finding the perfect home for an elderly loved one 8..... Heart Healthy Recipes 10..... Eating Healthy on a Budget 14..... How to sneak fruits and vegetables into any recipe 16..... 10 Warning signs of Alzheimer’s disease 18..... Power of a positive attitude 20..... How to make flossing easier for kids
SEPTEMBER 2014
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AZINE Important Questions Questions to director: Meals: • How flexible is the menu? Can residents make choices? • What do you do to ensure residents are eating, especially those who have lost interest in food? • Can residents eat meals whenever they want, or are meals only at scheduled times? Are healthy snacks available? How do you ensure that meals meet high nutritional standards? Safety: • How often do residents fall? What do you do to prevent falls? • Do you have an emergency evacuation plan? Do you hold regular fire drills? • Who helps residents with bathing? • Do you do nightly bed checks? • How often does the staff check on residents during the day? Health inspections: • Please show the facility’s last three survey inspection reports. • How has your home corrected any problems that were identified? How quickly were the problems addressed? Medical Care: • How often is a doctor on site? • Are dental services available? • How do you keep track of residents’ medical records? If you have computerized health records, have you ever had any problems with the system? • Do residents receive preventive care such as annual flu and pneumonia shots? • Does your home arrange for regular hearing or vision screening? • If a patient has a medical need, who contacts the doctor? Who arranges for transportation to the doctor? • What hospital arrangements do you have for emergencies? Overall direction: • What improvements have been put in place in the past year? What other improvements are planned? • Do you often have to put residents on a waiting list? • Where would we direct our quesContinued to page 5 4
HEALTHY LIVING
SEPTEMBER 2014
Hart Care Center residents, (clockwise): Mildred Wood, Louise Linder, Mary Buffington, and Betty McKern. Photo by Lauren Peeples.
Finding the
perfect home for an elderly loved one
By Lauren Peeples Staff writer
It may be one of the most important decisions a person makes in caring for an elderly loved one. Statistics show that one in five Americans will live in a nursing home and those numbers are expected to increase in the coming years with the overwhelming number of baby boomers. Therefore, it makes sense to thoroughly research every aspect before selecting an assisted living facility or nursing home for an aging relative. As with any service-oriented business, the quality of care will vary and price does not necessarily guarantee excellent care. With elder abuse on the increase, it is vital to take proper precautions when selecting a long-term residential facility. The first step is to research each facility. Visit websites and search reviews of the facility. Ask a doc-
tor or someone who has lived in the community for awhile for referrals and to learn about the facility’s reputation. Multiple on-site visits are important. Visit during meal time, but also drop by unannounced at odd hours to observe the interactions between staff and patients as you walk around. Hart Care Center, Inc. administrator Kathryn McCurley suggests visiting at times when you can observe a meal or planned activity, usually late morning, mid-afternoon or evening. Observe the cleanliness and smell of the building. If the staff takes care of the property, there is an increased chance they will also take care of their patients. Always trust your instincts. If you do not get a good feeling when visiting, then keep looking until you do. Ask a lot of questions. If you don’t ask, then you won’t know. Questions that McCurley suggest asking include: Is there is adequate
AZINE staff to assist with eating, grooming, bathing and all activities of daily living? Does the facility encourage socialization and activities? How often will a physician be available; and can therapy be provided if needed? Other factors to pay attention to include whether the staff interacts with residents and families; if the residents are wellgroomed and encouraged to participate in socialization or rather appear isolated. A significant part of selecting a facility in an area close to other family members is to make visitation convenient. Life and hectic schedules have a way of keeping us from the best intentions, but make a firm visitation plan that includes a minimum of two visits per
week and stick with it. You will never regret taking the time to make sure your loved one still feels like part of the family. In addition to keeping your loved one’s spirits up, regular visits also serve as a safeguard against abuse or neglect. When family members are in and out of a facility regularly, it is better for all concerned. Take children to visit. Both the children and the elders will cherish the relationships that forms. McCurley suggest steps that families can take to help transition their family members and ensure they are satisfied with the facility. “Assure your loved one that they are not being abandoned. Visit often to assure your continued Continued to page 7
Senior Living facilities offer all services needed for daily living. Theresa Ables styles Hart Care Center resident, Francer Acker’s hair. Photo by Lauren Peeples.
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AZINE Continued from page 4 tions and concerns if we were to enroll a family member here? Staffing: • What is annual rate of your nurse and nurse aide turnover? • How often do nurses update doctors on residents’ health status? • What kinds of background checks do you perform prior to hiring? • Do you have volunteer programs? Questions for nurses: Workload: • How many residents do you care for? Is that too many or about right? • About how much time do you try to spend with each resident? Experience: • Do you like working with older people? • Is this a good place to
work? • Do you get training and continuing education?
staff manages your loved one’s prescriptions? Have there been medication-related problems?
Questions for other families:
Quality of life: • Does your loved one participate in activities? • Are there options beyond bingo and movies? Are there activities suited for different levels of cognitivity? • Is your loved one dressed in their own clothes when you visit, or are they wearing a hospital gown? • Was your loved one able to bring personal belongings, such as pictures or furniture, with them when they entered the home? • Is there enough storage space, such as closets?
Nursing staff: • What are your loved one’s medical concerns? Do they get enough of the right kind of care? Falls: • Has she ever had a fall here? (If so:) What happened and were you satisfied with how it was handled? • How confident are you that it won’t happen again? Nutrition: • Does your loved one need assistance eating? • Do they get help? Do they have a good appetite? If not, does the nursing home do anything to help stimulate their interest in food? Medications: • How well do you think the
Questions for residents: Quality of life: • Do you have friends here? • Are you as busy as you want to be? • Can friends and family visit whenever they want?
Nursing staff: • Do you like the nurses and aides? Do you have the same ones most of the time or do they change a lot? • Do they help you to the bathroom, and if you need help, do you get it in time? Nourishment: • Do you ever need help eating? If so, do you get help without waiting too long? • Do you have a special diet? (If yes:) Do you like the diet choices? Questions you can answer on your own: • Is the parking lot full? • Are there lots of activities available? • Do children or young adults from classrooms or youth groups come to do crafts, perform, or participate in other activities with residents? • Is there a beauty salon or barbershop?
Can you cover the cost of long term care? Executive Director Kathy O’Brien Asst. Executive Director Mollie O’Brien Maintenance Director Gary Hill
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AZINE explained by a representative of the facility,” explains McCurley. Ask if a facility accepts all payor sources. In today’s time, some Medicare replacement insurance do not cover nursing home stays and may often require a large co-payment which is a burden on the family or resident. If possible, check before a need arises for nursing home placement to ensure the stay will be covered. “Nursing homes are not the nursing homes of the past. Facilities are anxious to provide rehabilitation and return your loved one home if possible,” said McCurley. “If the plan is for a long term stay, then nursing homes are geared to provide as much activity as your loved one wishes to participate in along with
an environment to encourage their well-being.” For more information on senior living, facilities, staffing, survey results and questions to ask, visit the Georgia Health Care Association at http:// ghca.info/or the Centers for Medicare/Medicaid at http://www.medicare. gov/nursinghomecompare.
Hart Care Center resident, Bessie Cook and nurse, Elaine Jones. Photo by Lauren Peeples.
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Continued from page 5 involvement especially during the first weeks if possible. If not, call as often as you can,” advises McCurley. “Bring articles from home for a homelike environment. You and your loved one should talk with staff in order to understand what to expect.” A significant obstacle that many families experience when selecting a senior living facility is cost. According to McCurley, the average cost for senior living in Georgia varies between rural and urban areas. In urban areas, the average cost ranges between $168 to $188 per day. Rural areas range between $151 to $158 per day. “A lot of different factors go into the variances which can be further
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AZINE Heart Healthy Recipes With risk factors for heart disease on the rise, it has never been more important to incorporate heart-healthy meals into your family’s diet. According to recent statistics, heart disease is the leading cause of death among women in the U.S. With this in mind, Campbell Soup Company is on a mission to help women care for their hearts. With a diverse portfolio of foods that balance great taste and nutritional value, Campbell offers nearly 100 options that meet the criteria for the American Heart Association’s® Heart-Check mark. Caring for your heart starts in the kitchen. Creating balanced
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Sante Fe Chicken Saute Total time: 35 minutes Servings: 6
2 teaspoons chili powder 1 teaspoon ground cumin 1 tablespoon vegetable oil 1 3/4 pounds skinless, boneless chicken breast halves 1 teaspoon minced garlic 1/2 cup green onions, minced(4) 1 can (10 3/4 ounces) Campbell’s® Healthy Request®
Condensed Healthy Request® Tomato Soup 1/2 cup Pace® Picante Sauce 1/2 cup water 1 can (about 15 ounces) black beans, rinsed and drained 1 cup whole kernel corn 2 tablespoons chopped fresh cilantro leaves Stir chili powder and cumin in small bowl. Season chicken with chili powder mixture. Heat oil in 12-inch skillet over medium-high heat. Add chicken and cook for 6 minutes or until browned on both sides. Add garlic and onions and cook; stir for 1 minute. Stir in soup, picante sauce and water and heat to a boil. Reduce heat to medium-low. Add beans and corn. Cover and cook for 15 minutes or until chicken is cooked through. Sprinkle with cilantro.
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AZINE Loosely cover and microwave on HIGH for 2 minutes or until mixture is hot. Spread potato mixture over chicken mixture. Sprinkle with cheese. Bake for 40 minutes or until chicken mixture is hot and bubbling.
Have You Heard the DARK and DIRTY Secret...
Easy Chicken Shepard’s Pie
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1 can (10 3/4 ounces) Campbell’s® Healthy Request® Condensed Healthy Request® Cream of Mushroom Soup 1 1/4 cups water 1 1/4 pounds skinless, boneless chicken breast halves, cut into 1-inch pieces 3/4 teaspoon ground black pepper 1/2 teaspoon onion powder 1/2 teaspoon poultry seasoning, crushed 1 tablespoon vegetable oil 1 package (16 ounces) frozen mixed vegetables, thawed 1 cup instant mashed potato flakes 1 cup fat free evaporated milk 1/4 cup shredded 2% milk Cheddar cheese Heat oven to 350ºF. Stir soup and 1/4 cup water in large bowl. Season chicken with 1/2 teaspoon black pepper, onion powder and poultry seasoning. Heat oil in 12-inch skillet over medium-high heat. Add chicken and cook until well browned, stirring occasionally. Add chicken and vegetables to soup mixture and stir to coat. Spoon chicken mixture into 2-quart round casserole. Microwave remaining water in microwavable bowl on HIGH for 1 to 2 minutes or until hot. Add potato flakes and stir until water is absorbed. Stir in milk and remaining black pepper.
Hearty Chicken & Vegetable Chowder Total time: 1 hour Servings: 6
1 tablespoon canola oil 1 large onion, minced (about 1 cup) 1 clove garlic, minced 1 can (10 3/4 ounces) Campbell’s® Healthy Request® Condensed Healthy Request® Cream of Celery Soup 1 cup nonfat milk 1 cup water 2 medium red potatoes, diced (about 2 cups) 1 large zucchini, diced (about 1 1/2 cups) 1 cup whole kernel corn 2 cups diced cooked chicken 2 tablespoons chopped fresh parsley Heat oil in 4-quart saucepan over medium-high heat. Add onion and garlic and cook for 2 minutes, stirring occasionally. Stir in soup, milk and water and heat to a boil. Stir in potatoes, zucchini and corn. Reduce heat to medium-low. Cook for 35 minutes or until potatoes are tender, stirring occasionally. Stir in chicken and parsley and cook until mixture is hot and bubbling.
For more easy-to-prepare and heart-healthy recipes and for nutrition information, visit www.campbellskitchen.com.
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Total time: 1 hour 10 minutes Servings: 4
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AZINE
Eating
Healthy on a Budget
By Mark Hynds Editor The U.S. Department of Agriculture predicts overall food prices will increase 2.5 percent to 3.5 percent this year after rising just 1.4 percent in 2013, as measured by the Labor Department’s consumer-price index. In the grocery Carolina Cawthon store, shoppers are seeing higher prices, especially along the store’s perimeter, produce section and meat department. The challenge then becomes still eating healthy, but doing it on a budget. According to Carolina Cawthon, a senior dietetics major at the University of Georgia, the supermarket is the best place to find your meals without trashing your wallet. “From a budget standpoint, you will come out better at the grocery store than you will eating out or picking up snacks at the convenience store,” said Cawthon. Shopping the perimeter of the store is often where the healthiest items are found. Cawthon said its typically where you will find the foods that have been minimally processed and its the foods you will easily recognize even without a label. They include produce, dairy products, and fresh meats. “It’s a great place to shop, but it can be very scary for people on a limited budget,” she said. She gives the example of not knowing how to pick a good watermelon, so instead of paying several dollars for one that might be bad 10
HEALTHY LIVING
SEPTEMBER 2014
when you get it home, you just avoid it. Waste is another concern for buying fresh foods such as fruits and vegetables. If you buy too much, you either have to eat it every day or throw out the unused portions. “You have to think about how much your family can realistically
eat before these fresh foods go bad,” said Cawthon. An alternative, especially with vegetables, is to buy frozen. Cawthon says you can get a single serving out of the bag, cook it, and refreeze the rest. While Cawthon says that might not be a cheaper alternative in every instance, you save because you are not throwing them away. “You get to use all that you paid for,” she said. Cawthon suggests when shopping in the grocery store you first look for sales. You can also look for fruits and vegetables that are in season in your region. “They will be affordable and fresh because they did not have to transported a lot, and they will be in abundance,” said Cawthon. An example is buying tomatoes in Georgia in the summer vs. buying them in January. Cawthon also recommends looking at substitutions. “For instance, a lot of people routinely by chicken breasts,” said Cawthon. “Chicken thighs are traditionally very similar and typically 50 cents per pound cheaper.” One of the most affordable and often overlooked items in the store is dried beans, according to Cawthon. “They are loaded with fiber and they don’t require any expert cook-
AZINE ing technique,” she said. “You soak them and then you simmer them. Then add the seasoning of your choice.” In addition, Cawthon said you can cook a pot of beans, take out the serving, then freeze the rest for later use. They are also a great source of protein. Since meat prices continue to rise, Cawthon suggests other sources of protein such as chicken, fish, eggs, and dairy products. In a comparison of more name brands items vs. less expensive store brands, Cawthon says the biggest difference is taste. “Generally, nutritionally, these foods are identical,” she said. “There is usually not a nutritional reason to buy a name brand item over a store
brand.” What you find might find, she said, is a small variation in the product itself. For example, in a national brand of frozen chopped broccoli, you may find a few more florets and fewer stems where you might find the opposite in a store brand. “But it’s hard to find a difference in quality,” she said. Cawthon suggests having items in your pantry, that are not only cheaper but can give you more flexibility and options in your meal planning. One of those is canned salmon. “Number one, it’s really nutritious,” she said. “Number two, you can make a salmon salad or you can go all out and make salmon croquettes.” She cautions not to over fry the croquettes and
Salmon Salad 3 5oz pouches of cooked salmon 3 Tbsp. mayonnaise OR 3 Tbsp. Italian salad dressing OR 3 Tbsp. Asian sesame salad dressing Optional, add any or all that you enjoy: 2-3 Tbsp. sweet pickle relish 2-3 Tbsp. chopped onion 2-3 Tbsp. chopped celery 2-3 Tbsp. chopped cucumber Combine all ingredients. Refrigerate for 1 to 24 hours to allow flavors to combine. Serve over greens, on sandwiches, or as a topping for crackers. May substitute tuna for salmon in this recipe, but be sure to follow EPA guidelines for mercury exposure and choose LIGHT tuna, which is low in mercury.
just add enough stuff to hold them together, which should keep them on the healthy side. It also keeps in the pantry so you can buy it when it’s on sale for future
use. And, besides being a fatty fish which is recommended in a weekly diet, there is another benefit to canned salmon. “It sounds gross, but a Continued to page 12
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AZINE
Continued from page 11 lot of times it will have little tiny bones in it,” she said. “If you eat them you’ll get a good dose of calcium.” Cawthon adds the bones are soft so they
are safe to eat. Organic foods are much more readily available now, although Cawthon cautions they will be more expensive because there is so much more involved
in the process. “Your focus should be on the things you consume the most of,” said Cawthon. She suggests buying organic just on those items and not the
items you rarely eat. Finally, Cawthon says to plan carefully when you go the store. Know how much you need. Make a list and stick to it. But, if you planned on getting eggs and they are double the price that week, be prepared to substitute. “The best thing you can remember is to not waste food and prepare as much of it at home as you can.”
Give your family the gift of clean comfort this season!
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How to sneak fruits and vegetables into any recipe Fruits and vegetables are the building blocks of a healthy diet. But many people do not eat the recommended number of servings of produce. Thatâ&#x20AC;&#x2122;s especially true among growing children, who can benefit greatly from the vitamins and nutrients fruits and veg-
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mended levels of fruits and vegetables. Anyone who eats roughly 2,000 calories per day should strive to consume between two to three cups of vegetables and two cups of fruit per day. Produce helps to fight disease because it contains healthy antioxidants, fiber, minerals and vitamins. Eating four cups per day may seem difficult, but
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AZINE • Divide your dinner plate into quadrants, filling half of the plate with vegetables, one quarter with meat and the remainder with a whole grain. • Replace lettuce on a sandwich or burger with a fresh leaf of spinach. While you’re dressing your sandwich, add a slice of tomato, too. • Substitute fresh vegetables and fruit slices for chips when serving dips and salsas. Kale chips are growing in popularity. • Give children a cup of sliced grapes with their lunches as a refreshing and healthy snack. • Shred vegetables into a hearty “slaw” and top it with a vinaigrette or a typical mayonnaise-based dressing. • Blend other vegetables into your pasta
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honey to create a healthy alternative to chocolate pudding. • Use pureed vegetables to thicken cheese sauce for macaroni and cheese recipes. * • Shred vegetables and add them to beaten eggs for omelets or scrambles.
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sauce. • Use vegetables instead of pasta in traditional dishes. Layer eggplant slices to make a lasagna. Or use a spiral slicer to slice zucchini or carrots when making homemade noodles. • Fruit salad is often a refreshing snack or dessert. Having fruit already diced in a large bowl makes it more convenient to eat and possibly more enticing to children. • Make a vegetable roll-up, filling pizza dough with broccoli or spinach and shredded cheese. • Mix together an avocado, 1/4 cup of cocoa powder and 1/4 cup
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This will ensure the baked goods are moist but with a lot less fat. • Add fresh berries or raisins to breakfast cereals and oatmeal. • Add cauliflower or squash to boiled potatoes before mashing them to increase the nutritional punch and flavor of mashed potatoes. • Blend fruits and vegetables to create smoothies for breakfast or lunch on the go. • Bake hearty muffins or breads with sweet potato or carrots in the batter. • Mix stewed tomatoes in with your broth soup base to make a vegetable or chicken soup even more nutritious. • Opt for vegetables piled high atop a slice of pizza in lieu of meats or extra cheese.
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AZINE
10 Warning signs of Alzheimer’s disease following a plan or working with numbers, be it following a recipe or paying the monthly bills. Concentration is often difficult for those exhibiting symptoms of Alzheimer’s.
3
Difficulty completing familiar tasks. Daily tasks such as driving to work or remembering the rules of a familiar game will prove difficult for people with Alzheimer’s.
Fearfulness or feelings of anxiety are changes in mood and personality that could indicate Alzheimer’s disease. tia could strike so early or to someone who seemed as healthy as Summitt, who vowed to continue coaching despite the diagnosis. Because it can strike men and women even if they aren’t elderly, it’s important to know these 10 warning signs of Alzheimer’s, courtesy of the Alzheimer’s Association and the Alzheimer Society of Canada.
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Memory loss that disrupts daily life. Memory loss is one of the most common signs of Alzheimer’s. This is
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especially so if men and women forget things that happened very recently, which can negatively impact their daily lives. Additional signs include forgetting important dates and events; asking for the same information over and over again; or relying on memory aides such as reminder notes or even family members for things individuals could once remember on their own.
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Difficulty planning. Some people might start to exhibit difficulty
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Trouble understanding images and spatial relationships. Some people with Alzheimer’s have difficulty reading, judging distance or determining color or
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Disorientation with regards to time and/ or place. Nearly everyone has had momentary lapses where they forget what time it is or what day it is. But such lapses are not momentary for people with Alzheimer’s, who might even get lost on their own street and not remember how to get home.
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Few families are fortunate enough to say they have not been impacted by Alzheimer’s disease. A progressive, degenerative disease of the brain, Alzheimer’s impairs thinking and memory, accounting for 50 to 80 percent of dementia cases according to the Alzheimer’s Association. Though many people’s experiences with Alzheimer’s disease involves an elderly relative, the disease is not exclusive to the elderly. Up to 5 percent of people with the disease have earlyonset Alzheimer’s, which most often appears when someone is in their 40s and 50s. In 2011, 59-year-old Pat Summitt, the alltime winningest coach in NCAA basketball history and a beloved figure on the campus of the University of Tennessee, revealed that she had been diagnosed with early-onset dementia, Alzheimer’s type. That announcement opened the eyes of men and women across the country, who might otherwise never have known that demen-
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AZINE contrast. For example, a person with Alzheimer’s might walk past a mirror and not realize he or she is the person in the mirror.
those items. This tends to occur more frequently over time, and they often accuse others of stealing items they simply can’t find.
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Misplacing things. People with Alzheimer’s might put things in unusual places and then experience difficulty retracing their steps to find
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Decreased or poor judgement. Poor judgement, such as not visiting the doctor or mishandling finances, is another warning sign for Alzheimer’s. These poor decisions can extend to personal grooming, which men and women with Alzheimer’s might neglect.
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Withdrawal from society. Men and women with Alzheimer’s might start to withdraw from society, removing themselves from social activities, projects at work or hobbies. Avid sports fans might no lon-
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More information about Alzheimer’s disease is available at www.alz.org and www.alzheimer.ca.
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might experience mood swings for no apparent reason and can become anxious, confused, depressed, fearful, or suspicious. Acting out of character might also be indicative of Alzheimer’s.
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New problems with words in speaking or writing. People with Alzheimer’s might experience trouble holding or joining a conversation. An example is stopping in the middle of a conversation and having no idea how to continue. They might also struggle with vocabulary, often having trouble finding the right word to express what they’re thinking.
ger be able to follow their favorite team, while social butterflies might grow reclusive.
17
AZINE Power of a positive
Attitude
Laughter and positive thinking can be good for your health.
A balanced diet, exercise, genetics, and even certain medications can work in concert to make a person healthy. But a person’s demeanor also can factor into personal health. The Mayo Clinic says that whether or not a person is an optimist or a pessimist can affect many areas of his or her health and well-being, and those who see the glass as halffull may ultimately be healthier than those who see it as half-empty. Positive thinking can make it easier to manage
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stress. The body responds differently based on an individual’s mood, and it may produce stress hormones if a person’s outlook is negative. Such stress hormones can compromise the immune system, increase blood pressure and even reduce the body’s ability to burn fat effectively. Thinking negatively and being on edge also can increase a person’s risk for developing cardiovascular disease and aging prematurely. Conversely, maintaining a positive attitude can be good for your health. Studies have shown that thinking positively can lower rates of depression and anxiety, increase life expectancy and provide greater resistance to certain illnesses, such as the common cold. A 2012 preliminary study from researchers at Stanford University found that daughters of mothers suffering from depression were able to witness their own stress levels go down on a real-time brain scan as they switched from negative thoughts to happy ones. Researchers are unsure why positive thinking has such profound effects. But in addition to limiting stress-releasing hormones, positive thinking may inspire people to live healthier lifestyles that make them more likely to get routine physical activity and eat a healthy diet.
Happy people also may be less likely to use tobacco products or alcohol as a coping mechanism when dealing with elevated stress levels, and such people will not have to deal with the side effects that can come with these unhealthy behaviors. Becoming a more positive thinker can take a little effort for those without a natural inclination for optimism. But because positive thinking boasts such significant health benefits, men and women might want to try the following methods to embrace their optimistic side. • Exercise. Start an exercise regimen, as physical activity naturally reduces stress and can improve mood. • Embrace humor. Surround yourself with others who bring a smile to your face. Look for ways to laugh as much as possible. Rather than go out to dinner or a bar with friends, head to a comedy club. Choose comedies at the movie theater and find humor in everyday happenings. • Identify areas that need change. Think about moments in life that may bring you down or inspire negative reactions. If work is problematic, figure out ways to make it better and work toward improving the situation. • Be supportive of yourself. Consider what you would say to others and
AZINE “Dance as though no one is watching you, love as though you have never been hurt before, sing as though no one can hear you, live as though heaven is on earth.” ~ Souza then treat yourself the same way. Would you be overly negative or derogatory toward a complete stranger? Probably not, and there is no reason to be harsh with yourself, either. Push negative thoughts away. • Volunteer. One way to see the world in a more positive light is to help others who may be less fortunate than you. Volunteering not only
Laughter is good medicine
helps others, but it also can help you put your own problems in perspective. Volunteering also helps you feel good about your efforts, which can translate into positive thinking. • Think like a child. Take a cue from youngsters and find joy in the little things. Let children be the leaders in activities
and mimic what they do. You just may find yourself laughing more and enjoying yourself. Being silly for a little while is one way to recapture the feelings of youth. Positive thinking is more than the subject matter of self-help books. It’s a viable way to improve personal health and live longer.
Laughter combined with positive thinking is a prescription for good health. Research shows laughter relaxes the entire body, relieving physical tension and stress for up to 45 minutes. Laughter decreases stress hormones and increases infectionfighting antibodies. Endorphins that promote an overall sense of wellbeing and relieve pain can be released from a hearty bout of laughter. Furthermore, laughter can increase blood flow throughout the body, which protects against hypertension and heart attack.
Welcome to Hartwell Family Practice! Hartwell Family Practice is a four physician private practice, where all physicians are Board Certified in Family Medicine. We have been serving Northeast Georgia for over 35 years. Our physicians, nurses and staff are committed to providing each patient with an exceptional level of care and attention. At Hartwell Family Practice, we are proud to be physician owned and operated. Our dedicated staff works together as a team. Our team provides high-quality comprehensive care. Our compassionate and understanding doctors take pride in paying close attention to each patient’s needs. Hartwell Family Practice is conveniently located in downtown Hartwell, Georgia. Hartwell Family Practice accepts most major insurance plans.
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Edward Wysong, M.D. • E. Wade Walker, M.D. • JoDon Garringer, M.D. • B. Jamison White, D.O.
229 Athens Street • Hartwell, GA 30643 • 706-376-3957 www.hartwellfamilypractice.com Monday through Friday 8 am - 5 pm • Saturday Walk-In Clinic 9 am - 12 noon SEPTEMBER 2014
HEALTHY LIVING
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AZINE How to make flossing easier for kids
It is well known that a combination of brushing, flossing and periodic dental checkups are essential to oral health. Some parents teach their children to brush thoroughly early
on, even taking them for dental visits at young ages so youngsters can become acclimated to the dentist’s office. But flossing is one component of oral hygiene that may be overlooked because many kids simply don’t enjoy it. Flossing is one of those tasks that people understand they must do regularly, but many still do not. According to Humana Dental, flossing cleans bacteria and trapped food from between the teeth. Brushing only reaches the surface of the teeth, but floss is required to get into the small crevices to prevent bacteria from turning into plaque
buildup. The American Dental Association recommends flossing at least once per day. It is far better to floss once a day and do a thorough job rather than several times a day and miss areas of the mouth by doing it quickly. Children should be urged to floss regularly in addition to brushing. However, flossing can be cumbersome for youngsters who have yet to develop the dexterity needed to manipulate dental floss. There are many products available and techniques that can be used to assist children with cleaning between their teeth.
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The following are some flossing tips for kids. • Begin the introduction to floss early. The younger children are introduced to floss, the more likely they are to embrace flossing as part of their oral hygiene routine. • Show visual proof of the benefits of flossing. Oftentimes, children are more likely to respond to something they can see.
AZINE
Show pictures of dental decay and what occurs when proper oral hygiene is not followed. This may help make the concept of flossing more attractive. • Get the proper tools. Kids cannot floss unless they have floss products on hand. There are various age-appropriate flossers and types of dental floss available. Children may not be able to use dental floss properly because of a lack of dexterity. However, floss picks are much easier to hold and work between the teeth, particularly for kids with small hands. Floss should always be on
hand, whether at home or when you go on vacation. • Let kids choose. Take kids down the dental aisle at the store and let them pick and choose which products they want to use. They may be more excited to brush and floss if they’re using something they picked out themselves. • Lead by example. Children will be more likely to floss if they see their parents flossing. That means adults should floss regularly and let their children watch and learn. Benefits of flossing Removing bacteria and trapped food from teeth has a number of benefits. Bacteria can cause bad breath, but flossing and brushing helps to keep
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breath smelling fresh. Dirty teeth can lead to dental carries. Children may be more inclined to floss if they know they’ll be preventing cavities and avoiding potentially painful trips to the dentist. Plaque trapped between the teeth and along the gum line that leads to periodontal disease puts a person at a greater risk
for heart disease. There are some studies that show bacteria from the mouth can end up in the bloodstream. Flossing is a necessary component of good oral hygiene. Everyone should floss, no matter their age, and children should begin flossing as soon as their mouth starts to fill out with pearly whites.
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AZINE Healthy Living
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September 2014
BODY, MIND & SPIRIT 10 Warning signs of Alzheimerʼs disease
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