Resident of Standish Village, a Senior Living Residences community in Dorchester, MA, celebrate St. Patrick's Day

Residents living in the Memory Support Neighborhood at Standish Village spent today celebrating St. Patrick’s Day. Standish Village, like many other assisted living communities, offered a performance from an Irish Step Dancer. Unlike other assisted living communities, residents spent the morning engaged in an innovative adult learning course, studying Ireland, its history, land and people.

Each week residents at Standish Village and other Senior Living Residences’ communities participate in the Reconnections Program. Reconnections is an experiential-based adult learning program designed specifically for individuals with memory loss and Alzheimer’s disease based on research that cognitive stimulation may slow the progression of the disease. The material-rich learning courses key in on residents’ past and present interests to elicit engaged responses.

As the residents celebrated today, they focused not only on watching a dance performance, but also learning about its origins, history, and relevance in their own lives.

Diabetes is a known risk factor for developing Alzheimer’s disease. Scientists believe this risk is due to blood vessel problems as well as tissue damage from fluctuating blood sugar levels and insulin resistance. Major depression has also been noted as a risk factor for developing Alzheimer’s disease and related disorders.

A recent study has found that major depression more than doubles the risk factor for dementia in adults living with diabetes. The study article in the Journal of General Internal Medicine noted that depression is common among people with diabetes and advised clinicians to add appropriate screening and treatment measures. Additionally, the study noted the need for exercise as well as weight and blood sugar control to protect people with diabetes from developing cognitive deficits.

It is not known how diabetes and depression interact to result in the increased risk for Alzheimer’s disease and related disorders.

Noting, the link between exercise, diet, and brain health, Senior Living Residences offers an exercise program in all of its communities as well as an innovative nutrition program.

A recent policy change to the Social Security Administration (SSA) will greatly benefit individuals living with early-onset Alzheimer’s disease, marked by symptoms and diagnosis of the disease before the age of sixty-five.
This month, SSA added the diagnosis of early-onset Alzheimer’s disease to its list of eligible diseases in its Compassionate Allowances Initiative. The addition of the early-onset Alzheimer’s diagnosis enables individuals with the disease to become eligible for SSDI, Social Security Disability Income and receive payments more quickly. Before the addition of the diagnosis, individuals were often denied benefits and endured a long appeal process.

Family members who are dealing with early-onset dementia often face major issues that are not associated with diagnosis at a later age, such as a loss of job due to declining cognitive abilities. For some individuals living with the early-onset type of this disease, SSDI is their main source of income. This change to the SSA will ease the application process for eligible individuals, diagnosed with the early onset form of Alzheimer’s disease and unable to continue with their work.

Science Daily, recently reported on new findings regarding neuroimaging and an increased ability to ‘see’ Alzheimer’s disease at its earliest stage. As you’ve read here before, earlier diagnosis will ultimately to improved treatment, possibly slowing the progression of the disease.

Researches at UCLA followed 169 study participants diagnosed with Mild Cognitive Impairment (MCI), the stage between the cognitive decline associated with normal aging and the more serious changes associated with Alzheimer’s disease. Over a three year period, they took pictures of the brains of the individuals in the study, using sophisticated imaging and noting subtle changes over time.

After three years, the researches observed that the individuals who converted from MCI to Alzheimer’s disease showed changes in the hippocampus of the brain, specifically a 10-30 percent atrophy. The early changes noted in the brain imaging appeared before participants reported any decrease in functional ability related to Alzheimer’s disease.

Lianna Apostolova, senior author, of the study’s related paper and a member of the UCLA Laboratory of Neuro Imaging stated, ““We feel this is an important finding because it is in living humans.” She went on to say, “Now we have a sensitive technique that shows the ‘invisible’ – this is, the progression of a disease before symptoms appear.”

The early symptoms of Alzheimer’s disease include decreased judgment, lack of initiative, challenges in solving problems, difficulty completing tasks, and withdrawal from social activities.

Residents at Senior Living Residences' Standish Village organized a fundraiser to benefit Haiti Relief.

I have a different picture of Alzheimer’s for you today, shared with me by Brooke Patterson, Memory Support Neighborhood (MSN) Program Director at Standish Village, a community owned and managed by Senior Living Residences.

Most days Brooke begins her day by encouraging the residents, living on the MSN, to come to her daily activity program. The day after the earthquake in Haiti, she came into the community and asked the residents to do just that. The residents all looked at her and asked, “What are we going to do?” She smiled and replied, “Something fun,” the response she offers on most days. The residents looked at her and said “Don’t you know what is going on in the world? We shouldn’t be having fun, we need to do something to help!”

More residents of Standish Village who are organizing a food and water drive to benefit haiti Relief efforts

Hearing about the tragic earthquake that occurred in Haiti, the residents were driven to action to offer compassionate assistance to those in need like many of us across the globe. Responding to the crisis, they have organized a community-wide food and water drive to donate to the Haitian Relief efforts.

The resident-directed drive was organized by individuals who are actively engaged, directed in their purpose, and proud of their compassionate efforts. Each one is living with Alzheimer’s disease.

A recent study from the University of Central Florida (UCF), provides new information about the earliest stages of Alzheimer’s disease, where preventative treatment is possible.

Among scientists and many lay people, it is well known that beta-amyloid is a destructive force to nerve cells in people suffering from Alzheimer’s disease. Beta-amyloid builds up in the brain, clumping in neurons and forming damaging deposits knows as plaque. This plaque is one of the hallmarks of Alzheimer’s disease.

In the disease process, the beta-amyloid damages and eventually kills neurons, brain cells. Many research studies have focused on the damaged nerve cells in trying to understand this process towards seeking a possible prevention and treatment.

In this new study, researchers from UCF looked at smaller amounts of beta-amyloid and its effect on healthy nerve cells. The scientists found that this more moderate exposure to the beta-amyloid has an effect on the cells, preventing the normal transfer of electronic signals in the brain.

The discovery is important in that it provides evidence that changes are occurring in the brain well before there are any noted changes to memory or behavior, that is, symptoms of the disease. This information may be valuable in the quest for a treatment that works in the earliest stages of the disease, suitable for an individual with the mild cognitive impairment.

More research is needed to fully understand the role of beta-amyloid in Alzheimer’s disease as well as potential treatments.

I have recently been inspired by a group of residents, living with Alzheimer’s disease, at Neville Place, a community managed by Senior Living Residences (www.SeniorLivingResidences.com). The residents have spent the last three months working on an exercise program with two students from Tufts University’s Occupational Therapy Department.

The student interns and the residents worked on building endurance and strength with exciting results. In the exercise group, the students asked the residents to do a little more each week, pushing them towards a new, but reachable goal. Over a period of ten weeks, the residents increased the amount of time they spent exercising, increased their repetitions in the movement group, and enjoyed the results.

Prior to the work with the student interns, the residents had participated in daily exercise, but they were all willing and able to do a little more. Research shows that exercise is an important part of maintaining cognitive health and may slow the progression of cognitive decline in people with Alzheimer’s disease.

Having enjoyed all of my holiday celebrations, I now begin to think about the new year. It certainly seems that exercise should be a priority.  And, do I have some motivation!

Close to 3000 researchers and scientists convened in Vienna, Austria for the International Conference on Alzheimer’s Disease (ICAD) this month. The meetings, workshops, and presentation highlighted the latest research results in the fight against Alzheimer’s disease and focused on new diagnostic tools, prevention methods and treatment options.

Sponsored by National Alzheimer’s Association, the conference brings together the best and brightest in the field. For a full listing of news releases and research findings announced this year, go to www.alz.org/icad.

Noting the expected increase in the number of people living with Alzheimer’s disease, the Alzheimer’s Association has recently increased the frequency of the meeting from every other year, to an annual meeting. Currently, over 5 million Americans are living with Alzheimer’s disease. If a preventative treatment or a cure is not found by 2050, that number is expected to exceed 15 million creating a massive public health crisis.

While people with Alzheimer’s disease, their family members, and friend wait for answers about this disease, the change to an annual meeting is timely giving researches and scientists more time for collaboration as they try to understand Alzheimer’s disease, its prevention, treatment and ultimate cure.

Today, there are many different resources for people with Alzheimer’s disease and their family members. Individuals who want to learn about Alzheimer’s disease can participate in community education programs, join a support group, choose from a variety of books, or join a social network of people in a similar situation.

Another excellent tool to use for research on Alzheimer’s disease is the internet. There is a broad amount of information available about living with Alzheimer’s, caregiving, the stages of the disease, the latest research towards treatment and more. There are a number of websites that I visit when looking for information about Alzheimer’s disease. They include:
• National Alzheimer’s Association, www.alz.org
• Alzheimer’s Disease Education and Referral Center: www.nia.nih.gov/alzheimers
• Clinical Trials, http://www.clinicaltrials.gov
• Massachusetts Assisted Living Facilities Association: www.massalfa.org

This Alzheimer’s blog is another resource for learning about Alzheimer’s disease, including the latest information on research, treatment and care. One of the most difficult aspects of caring for someone with Alzheimer’s disease is that just as you have learned about a specific part of the disease, something changes and the illness progresses. Knowing about and utilizing available resources is an important part of planning through the course of the disease. Please check back here, www.alzcareblog.com, often for more information.

Senior Living Residences is proud to partner with HBO’s Alzheimer’s Project Coalition in an ambitious grassroots public education campaign to shine a spotlight on Alzheimer’s disease. In an effort to inform the public, spur discussion, and excite individuals to participate in a search for the cure, many of our communities will be airing HBO’s groundbreaking four-part documentary series, The Alzheimer’s Project, for local audiences. Read more…