Putnam Ridge Adult Day Care Center Archives - Putnam Ridge https://putnamridge.com Thu, 19 Mar 2020 18:22:29 +0000 en-US hourly 1 https://wordpress.org/?v=5.9.2 https://putnamridge.com/wp-content/uploads/2017/03/cropped-logo-32x32.jpg Putnam Ridge Adult Day Care Center Archives - Putnam Ridge https://putnamridge.com 32 32 Social Distancing Against The Coronavirus, Can It Really Work? https://putnamridge.com/social-distancing-against-coronavirus-does-it-work/ https://putnamridge.com/social-distancing-against-coronavirus-does-it-work/#respond Thu, 19 Mar 2020 18:22:29 +0000 https://putnamridge.com/?p=12053 Social distancing is being recommended by the Center for Disease Control (CDC) and NIH Infectious Diseases, as an efficient way to minimize exposure to the coronavirus. This proclamation is the most striking example to date of state and local governments acting to halt the spread of the coronavirus (Covid-19).   For example, six counties in the San Francisco metro area made headlines when they announced earlier this week that they ordered all their residents to “shelter in place” in response to the coronavirus.   Stricter lockdowns could follow, as well, in other states and localities.The Trump administration on Monday urged all Americans not to travel and to limit gatherings to fewer than 10 people.   Mayor DeBlasio of New York has said that he is considering a curfew that will keep citizens off the streets and thereby minimize contact.   Social Distancing: Minimizing Contact Reduces The Risk Lock downs China and Italy, have been more severe than San Francisco’s. The coronavirus has taken a huge toll on their populations. But, in San Francisco,are still able to travel, buy food, and see a doctor. Residents can even take part in outdoor activities, like walking or hiking, as long as they keep at least 6 feet of distance between themselves and others. In fact, the term “social distancing”, is a gentler way of saying quarantine. The definition of this word is very specific: It’s the seclusion of a person potentially exposed to a disease for a period of time to see if they become infected. A quarantined person stays in one place to avoid nearly all contact with the outside world.  Breaking a federal quarantine is punishable by a fine or imprisonment. Furthermore, anyone violating a federal quarantine order could face a fine of up to $100,000, a year in jail, or both. Many states also have their own punishments for violating quarantine, though they vary widely.   Current Status: In the current coronavirus situation, the social distancing or quarantine forces people to stay in their homes and avoid contact. By minimizing contact, you minimize and contain the spread of infectious disease. We’ll soon see if this really does work.

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Social distancing is being recommended by the Center for Disease Control (CDC) and NIH Infectious Diseases, as an efficient way to minimize exposure to the coronavirus.

This proclamation is the most striking example to date of state and local governments acting to halt the spread of the coronavirus (Covid-19).

 

For example, six counties in the San Francisco metro area made headlines when they announced earlier this week that they ordered all their residents to “shelter in place” in response to the coronavirus.

 

Stricter lockdowns could follow, as well, in other states and localities.The Trump administration on Monday urged all Americans not to travel and to limit gatherings to fewer than 10 people.

 

Mayor DeBlasio of New York has said that he is considering a curfew that will keep citizens off the streets and thereby minimize contact.

 

Social Distancing: Minimizing Contact Reduces The Risk

Lock downs China and Italy, have been more severe than San Francisco’s. The coronavirus has taken a huge toll on their populations.

But, in San Francisco,are still able to travel, buy food, and see a doctor. Residents can even take part in outdoor activities, like walking or hiking, as long as they keep at least 6 feet of distance between themselves and others.

In fact, the term “social distancing”, is a gentler way of saying quarantine. The definition of this word is very specific: It’s the seclusion of a person potentially exposed to a disease for a period of time to see if they become infected.

A quarantined person stays in one place to avoid nearly all contact with the outside world.  Breaking a federal quarantine is punishable by a fine or imprisonment.

Furthermore, anyone violating a federal quarantine order could face a fine of up to $100,000, a year in jail, or both.

Many states also have their own punishments for violating quarantine, though they vary widely.

 

Current Status:
In the current coronavirus situation, the social distancing or quarantine forces people to stay in their homes and avoid contact. By minimizing contact, you minimize and contain the spread of infectious disease. We’ll soon see if this really does work.

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Noninvasive Stress Detector Measures Stress Without Causing It https://putnamridge.com/noninvasive-stress-detector-measures-stress-without-causing-it/ https://putnamridge.com/noninvasive-stress-detector-measures-stress-without-causing-it/#respond Fri, 28 Feb 2020 20:10:17 +0000 https://putnamridge.com/?p=12016 A noninvasive stress detector can now measure stress levels without actually causing the patient any nervousness.   It’s now possible to get clean readings without worrying the measurement itself is causing the patient worry or discomfort. This is a great advancement as stress related to our mental well-being, including that associated with depression and anxiety —  is difficult to measure in practice. Levels of cortisol, a steroid hormone, is a marker doctors use to measure changes in a person’s mental state. Standard blood tests measure the cortisol levels. The problem till now has been that the actual stress test measurement increase stress levels in most people.   If someone asked you right now how stressed you are, what would you say? A little? A lot? You do not know? These responses, are not useful to researchers and medical professionals because they are subjective. Nonetheless, in lieu of a better method of measuring stress, the common method for years has consisted of a stress questionnaire. The main alternative is a blood test — but requires a trained professional to draw the blood Drawing blood itself is stressful and skews the results.   Noninvasive Stress Detector: How It Works Researchers at Caltech have introduced the first noninvasive, wearable sensor that can detect changes in cortisol levels directly from sweat in the skin.   The sensor is made of one layer of carbon, formed into a 3D structure that has tiny holes throughout. These pores contain cortisol antibodies and, when sweat reaches them, they bind to the cortisol, something that can be detected electronically by the sensor.   The sensor works in real time and provides instant and accurate stress measurements. During their study, two experiments were carried out. First, a participant was tracked for one week and cortisol measurements were measured throughout the 24 hour cycles. In the second experiment, volunteers performed aerobic exercise routines to change their cortisol levels and then had them tip their hands in ice water. In this way the sensor was able to constantly measure  cortisol fluctuations.      

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A noninvasive stress detector can now measure stress levels without actually causing the patient any nervousness.

 

It’s now possible to get clean readings without worrying the measurement itself is causing the patient worry or discomfort.

This is a great advancement as stress related to our mental well-being, including that associated with depression and anxiety —  is difficult to measure in practice. Levels of cortisol, a steroid hormone, is a marker doctors use to measure changes in a person’s mental state. Standard blood tests measure the cortisol levels. The problem till now has been that the actual stress test measurement increase stress levels in most people.

 

If someone asked you right now how stressed you are, what would you say? A little? A lot? You do not know?

These responses, are not useful to researchers and medical professionals because they are subjective. Nonetheless, in lieu of a better method of measuring stress, the common method for years has consisted of a stress questionnaire. The main alternative is a blood test — but requires a trained professional to draw the blood Drawing blood itself is stressful and skews the results.

 

Noninvasive Stress Detector: How It Works

Researchers at Caltech have introduced the first noninvasive, wearable sensor that can detect changes in cortisol levels directly from sweat in the skin.

 

The sensor is made of one layer of carbon, formed into a 3D structure that has tiny holes throughout. These pores contain cortisol antibodies and, when sweat reaches them, they bind to the cortisol, something that can be detected electronically by the sensor.

 

The sensor works in real time and provides instant and accurate stress measurements. During their study, two experiments were carried out.

First, a participant was tracked for one week and cortisol measurements were measured throughout the 24 hour cycles.

In the second experiment, volunteers performed aerobic exercise routines to change their cortisol levels and then had them tip their hands in ice water. In this way the sensor was able to constantly measure  cortisol fluctuations.

 

skin sensor

 

 

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Alzheimer’s Disease Distinguished by Two Distinct Brain Hallmarks https://putnamridge.com/alzheimers-disease-two-distinct-brain-hallmarks/ https://putnamridge.com/alzheimers-disease-two-distinct-brain-hallmarks/#respond Wed, 26 Feb 2020 21:18:28 +0000 https://putnamridge.com/?p=12000 Alzheimer’s disease is distinguished by two distinct brain hallmarks. They are called amyloid plaques and tau tangles. The amyloid plaques are abnormal clumps of cells that slow down and prevent transmission of information between cells. Tau tangles are fibers that become enmeshed with each other and also prevent cells from transmitting information and instructions to each other. These changes disrupt nerve cells and eventually cause them to die. The loss of brain tissue destroys memory and thinking skills and, eventually, the ability to carry out tasks of daily living.   Studies estimate that more than 5 million people in the United States are living with Alzheimer’s disease. Ninety percent of this number are senior citizens, aged 62 and older. The National Institute on Aging (NIA) estimates that this number will double by the year 2060.  This is a terminal disease, and at this time, there is no cure.   Alzheimer’s Disease: Making Patient’s Life More Comfortable Scientists are looking for ways to better understand whether tau tangles and amyloid plaques can predict the development of Alzheimer’s. To this end, researchers need to be able to track tau and amyloid in the brain as the disease develops. Early prediction can help develop strategies to slow the progression of this disease and thereby improve the quality of life.   Recently, scientists at the University of California, San Francisco developed molecules that allow them to use PET scans to measure the levels of amyloid plaques and tau tangles in living brain tissue.   These molecules called tracers tracked amyloid plaques and tau tangles and measured their rates of increase.   Alzheimer’s Disease: Study Results: The study included 32 people with early-stage Alzheimer’s disease. All participants underwent PET scans to assess the levels and locations of amyloid and tau. They also had MRI scans of the brain to calculate brain volume. Fifteen months later, they underwent a second MRI scan to measure loss of brain tissue.   The results were surprising. People with higher levels of tau tangles measured at the first PET scan had a greater loss of brain matter by the second MRI scan. In contrast, levels of amyloid plaques measured at the start of the study were about at the same level at the second PET scan. The researchers estimated that the tau tangles could explain about 40% of the difference in future brain degeneration, compared to only 3% for the amyloid plaques.   Of note, participants in the study were relatively young for people with Alzheimer’s disease. Sixty three percent were under the age of 65 when they enrolled. The younger patients had higher levels of tau in the brain overall and experienced more rapid loss of brain tissue.   Conclusions Tau PET scan imaging predicted not only how much brain atrophy would occur, but also where it would happen. These predictions were much more powerful than other imaging tools and add to evidence that tau tangles are a major driver of this disease.   PET imaging of tau may be helpful for future clinical trials of drugs targeting the tangles. Such imaging could potentially help detect early response — […]

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Alzheimer’s disease is distinguished by two distinct brain hallmarks. They are called amyloid plaques and tau tangles. The amyloid plaques are abnormal clumps of cells that slow down and prevent transmission of information between cells. Tau tangles are fibers that become enmeshed with each other and also prevent cells from transmitting information and instructions to each other.

These changes disrupt nerve cells and eventually cause them to die. The loss of brain tissue destroys memory and thinking skills and, eventually, the ability to carry out tasks of daily living.

 

Studies estimate that more than 5 million people in the United States are living with Alzheimer’s disease. Ninety percent of this number are senior citizens, aged 62 and older. The National Institute on Aging (NIA) estimates that this number will double by the year 2060.  This is a terminal disease, and at this time, there is no cure.

 

Alzheimer’s Disease: Making Patient’s Life More Comfortable

Scientists are looking for ways to better understand whether tau tangles and amyloid plaques can predict the development of Alzheimer’s. To this end, researchers need to be able to track tau and amyloid in the brain as the disease develops. Early prediction can help develop strategies to slow the progression of this disease and thereby improve the quality of life.

 

Recently, scientists at the University of California, San Francisco developed molecules that allow them to use PET scans to measure the levels of amyloid plaques and tau tangles in living brain tissue.

 

These molecules called tracers tracked amyloid plaques and tau tangles and measured their rates of increase.

 

Alzheimer’s Disease: Study Results:

The study included 32 people with early-stage Alzheimer’s disease. All participants underwent PET scans to assess the levels and locations of amyloid and tau. They also had MRI scans of the brain to calculate brain volume. Fifteen months later, they underwent a second MRI scan to measure loss of brain tissue.

 

The results were surprising. People with higher levels of tau tangles measured at the first PET scan had a greater loss of brain matter by the second MRI scan. In contrast, levels of amyloid plaques measured at the start of the study were about at the same level at the second PET scan. The researchers estimated that the tau tangles could explain about 40% of the difference in future brain degeneration, compared to only 3% for the amyloid plaques.

 

Of note, participants in the study were relatively young for people with Alzheimer’s disease. Sixty three percent were under the age of 65 when they enrolled. The younger patients had higher levels of tau in the brain overall and experienced more rapid loss of brain tissue.

 

Conclusions

Tau PET scan imaging predicted not only how much brain atrophy would occur, but also where it would happen. These predictions were much more powerful than other imaging tools and add to evidence that tau tangles are a major driver of this disease.

 

PET imaging of tau may be helpful for future clinical trials of drugs targeting the tangles. Such imaging could potentially help detect early response — or lack of response — to new treatments. More work is needed to understand other factors that can help predict loss of brain tissue in Alzheimer’s disease.

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Controlling Your Blood Pressure Could Save Your Life https://putnamridge.com/controlling-your-blood-pressure-could-save-your-life/ https://putnamridge.com/controlling-your-blood-pressure-could-save-your-life/#respond Tue, 11 Feb 2020 20:28:56 +0000 https://putnamridge.com/?p=11955 Controlling your blood pressure could save your life. This isn’t an exaggeration, it’s very serious. Right now high blood pressure is at epidemic proportions in the United States. The statistics are staggering — more than 100 million U.S. adults, according to the American Heart Association (AHA). In addition, deaths from hypertension increased by 38 percent from 2005 to 2015. In fact, high blood pressure, hypertension is referred to as the ‘silent killer’. That’s because many people aren’t aware that they have it, and even those that are aware, their condition isn’t well controlled. Controlling Your Blood Pressure: Defining It Today, the definition of high blood pressure is 130/80. The top number is your systolic pressure — the bottom number is the diastolic measurement. Systolic pressure is the pressure when the heart beats – while the heart muscle is contracting (squeezing) and pumping oxygen-rich blood into the blood vessels. Diastolic pressure is the pressure on the blood vessels when the heart muscle relaxes. The diastolic pressure is always lower than the systolic pressure.   Controlling Your Blood Pressure: What You Can Do Lifestyle changes is the best way to start and they can make a huge positive difference. Start with making simple changes to your diet: Switch to a low-salt diet and add fruits, vegetables and whole grains Also include low-fat dairy, fish, poultry, beans, seeds and nuts. All of these items make for a well-balanced diet and provides you with all of the nutrients and fiber that you need.   The AHA also recommends people with hypertension keep their sodium intake below 1,500 mg a day. Keep in mind that 75 percent of the sodium people consume is hidden in processed foods. Stop smoking and cut down on your alcohol intake. Both can raise your blood pressure. Limit yourself to one drink a day (the equivalent of four ounces of wine) if you’re a woman, and two drinks if you’re a man.   Exercise: Moderation Does Wonders You also don’t need to do much exercise to see results: Just 30 minutes of moderate morning exercise like walking on a treadmill lowers blood pressure for the rest of the day. Moderate exercise is great for seniors — both men and women. Make these lifestyle changes today and stay healthy and productive.

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Controlling your blood pressure could save your life. This isn’t an exaggeration, it’s very serious. Right now high blood pressure is at epidemic proportions in the United States. The statistics are staggering — more than 100 million U.S. adults, according to the American Heart Association (AHA). In addition, deaths from hypertension increased by 38 percent from 2005 to 2015.

In fact, high blood pressure, hypertension is referred to as the ‘silent killer’. That’s because many people aren’t aware that they have it, and even those that are aware, their condition isn’t well controlled.

Controlling Your Blood Pressure: Defining It

Today, the definition of high blood pressure is 130/80. The top number is your systolic pressure — the bottom number is the diastolic measurement.

  • Systolic pressure is the pressure when the heart beats – while the heart muscle is contracting (squeezing) and pumping oxygen-rich blood into the blood vessels.
  • Diastolic pressure is the pressure on the blood vessels when the heart muscle relaxes. The diastolic pressure is always lower than the systolic pressure.

 

Controlling Your Blood Pressure: What You Can Do

Lifestyle changes is the best way to start and they can make a huge positive difference. Start with making simple changes to your diet:

Switch to a low-salt diet and add fruits, vegetables and whole grains Also include low-fat dairy, fish, poultry, beans, seeds and nuts. All of these items make for a well-balanced diet and provides you with all of the nutrients and fiber that you need.

 

The AHA also recommends people with hypertension keep their sodium intake below 1,500 mg a day. Keep in mind that 75 percent of the sodium people consume is hidden in processed foods.

Stop smoking and cut down on your alcohol intake. Both can raise your blood pressure. Limit yourself to one drink a day (the equivalent of four ounces of wine) if you’re a woman, and two drinks if you’re a man.

 

Exercise: Moderation Does Wonders

You also don’t need to do much exercise to see results: Just 30 minutes of moderate morning exercise like walking on a treadmill lowers blood pressure for the rest of the day.

Moderate exercise is great for seniors — both men and women.

Make these lifestyle changes today and stay healthy and productive.

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SECURE Act Could Now Change Seniors Retirement Options https://putnamridge.com/secure-act-makes-changes-seniors-retirement-plans/ https://putnamridge.com/secure-act-makes-changes-seniors-retirement-plans/#respond Mon, 23 Dec 2019 23:23:53 +0000 https://putnamridge.com/?p=11862 The SECURE Act passed by Congress last week and signed by President Trump is likely to change the retirement savings options for senior citizens.     SECURE Act: What It Is, What It Does The SECURE Act allows senior citizens to contribute to their retirement plans over a longer period of time. The reason? People are living and working longer, therefore the bill allows people older than 701/2 to contribute to IRAs. The bill also pushes back the age at which seniors must take distributions to 72. This change gives employers the ability to offer annuities in their retirement plans, which means guaranteed monthly payments for you and your spouse. If you change jobs, you can transfer the annuity to the new employer’s plan without incurring paying fees and charges.   Effects On Seniors With this new law, small businesses that don’t offer retirement plans, can now join other businesses to create multiple employer plans, or MEPs. These plans will be cheaper for small companies, because they can share administrative costs. The bill also will give a new tax credit of up to $500 per year to employers to defray startup costs for new 401(k) plans and SIMPLE IRA plans that include automatic enrollment.   Moreover, part time workers can now get their own retirement plan. Currently, you must be a full-time employee with 1,000 hours of work per year to join an employer retirement plan. The new bill now gives this perk to employees who have worked 500 hours per year for three consecutive years to join. This provision begins on Jan. 1, 2020.   On the other hand, there is a negative. Currently, if you children are beneficiaries, they can spread out payments from the plan over their lifetime. The bill, however, puts a 10-year limit during which the beneficiary must take withdrawals from an inherited IRA. Failure to withdraw funds within the 10-year window incurs a 50 percent tax penalty on assets remaining in the account.

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The SECURE Act passed by Congress last week and signed by President Trump is likely to change the retirement savings options for senior citizens.

 

secure act

 

SECURE Act: What It Is, What It Does

The SECURE Act allows senior citizens to contribute to their retirement plans over a longer period of time. The reason? People are living and working longer, therefore the bill allows people older than 701/2 to contribute to IRAs. The bill also pushes back the age at which seniors must take distributions to 72.

This change gives employers the ability to offer annuities in their retirement plans, which means guaranteed monthly payments for you and your spouse. If you change jobs, you can transfer the annuity to the new employer’s plan without incurring paying fees and charges.

 

Effects On Seniors

With this new law, small businesses that don’t offer retirement plans, can now join other businesses to create multiple employer plans, or MEPs. These plans will be cheaper for small companies, because they can share administrative costs. The bill also will give a new tax credit of up to $500 per year to employers to defray startup costs for new 401(k) plans and SIMPLE IRA plans that include automatic enrollment.

 

Moreover, part time workers can now get their own retirement plan. Currently, you must be a full-time employee with 1,000 hours of work per year to join an employer retirement plan. The new bill now gives this perk to employees who have worked 500 hours per year for three consecutive years to join. This provision begins on Jan. 1, 2020.

 

On the other hand, there is a negativeCurrently, if you children are beneficiaries, they can spread out payments from the plan over their lifetime. The bill, however, puts a 10-year limit during which the beneficiary must take withdrawals from an inherited IRA. Failure to withdraw funds within the 10-year window incurs a 50 percent tax penalty on assets remaining in the account.

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Health Care Deductions For Chronic Illness Could End January 1st https://putnamridge.com/health-care-deductions-could-end-january-first/ https://putnamridge.com/health-care-deductions-could-end-january-first/#respond Wed, 11 Dec 2019 19:19:34 +0000 https://putnamridge.com/?p=11823 Health care deductions for millions of Americans with high medical costs will end on January 1st if Congress fails to act. Congress must extend the current law that allows  patients to deduct out-of-pocket health spending, once they’ve spent 7.5 percent of their income on such expenses. If Congress does not act, Americans with high out-of-pocket medical costs will pay a large tax increase on their 2019 taxes     Health Care Deductions: What The Current Law Says This 2017 Federal tax law maintained the 7.5 percent income threshold — but just for two years. As of Jan. 1, 2019, the income threshold was raised to 10 percent of income. For the millions of Americans who suffer from chronic illness and have high medical costs, this tax relief helps offset the high health costs. It provides important tax relief which helps offset the costs of their acute and chronic medical conditions.   Right now, there are bipartisan bills in the House and Senate that would make permanent the 7.5 percent threshold. If Congress does not pass this legislation by the end of this month, Americans with high cost chronic illness will get huge tax increases for 2019.  At the very least, the current law should be extended, and taken up again after the Holiday recess.   Seniors Most Vulnerable If the current law is not passed, or at least extended, seniors would be the hardest hit. Right now, about 40 percent of those that claim the 7.5 percent deduction are over age 65.   While Medicare covers a large part of health care costs for seniors, their average out of pocket cost is $5,680.  And Medicare does not cover health insurance premiums, premiums for long-term care insurance, or copays for prescription drugs. Medicare also does not cover dental, vision and hearing services.   In fact, 70 percent of taxpayers who claim the health care deductions have incomes between $23,100 and $113,000 per year. If the income threshold is restored to 7.5 percent, the average annual benefit for seniors will be $480. This $480 would cover Medicare enrollees’ Part D prescription drug premiums or the Part D annual deductible.

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Health care deductions for millions of Americans with high medical costs will end on January 1st if Congress fails to act. Congress must extend the current law that allows  patients to deduct out-of-pocket health spending, once they’ve spent 7.5 percent of their income on such expenses. If Congress does not act, Americans with high out-of-pocket medical costs will pay a large tax increase on their 2019 taxes

 

health care deductions

 

Health Care Deductions: What The Current Law Says

This 2017 Federal tax law maintained the 7.5 percent income threshold — but just for two years. As of Jan. 1, 2019, the income threshold was raised to 10 percent of income. For the millions of Americans who suffer from chronic illness and have high medical costs, this tax relief helps offset the high health costs. It provides important tax relief which helps offset the costs of their acute and chronic medical conditions.

 

Right now, there are bipartisan bills in the House and Senate that would make permanent the 7.5 percent threshold.

If Congress does not pass this legislation by the end of this month, Americans with high cost chronic illness will get huge tax increases for 2019.  At the very least, the current law should be extended, and taken up again after the Holiday recess.

 

Seniors Most Vulnerable

If the current law is not passed, or at least extended, seniors would be the hardest hit. Right now, about 40 percent of those that claim the 7.5 percent deduction are over age 65.

 

While Medicare covers a large part of health care costs for seniors, their average out of pocket cost is $5,680.  And Medicare does not cover health insurance premiums, premiums for long-term care insurance, or copays for prescription drugs. Medicare also does not cover dental, vision and hearing services.

 

In fact, 70 percent of taxpayers who claim the health care deductions have incomes between $23,100 and $113,000 per year. If the income threshold is restored to 7.5 percent, the average annual benefit for seniors will be $480. This $480 would cover Medicare enrollees’ Part D prescription drug premiums or the Part D annual deductible.

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Diabetes Patients Can Now Get Medicare Nutrition Benefit https://putnamridge.com/diabetes-patients-medicare-nutrition-benefit/ https://putnamridge.com/diabetes-patients-medicare-nutrition-benefit/#respond Tue, 03 Sep 2019 13:35:36 +0000 https://putnamridge.com/?p=11136 Diabetes and kidney patients can now get a valuable Medicare nutrition benefit as part of their Medicare coverage.   The estimated 15 million Medicare enrollees with diabetes or chronic kidney disease are eligible for the benefit. But Medicare for seniors aged 65 and older, only paid for 100,000 recipients to get this counseling in 2017, the latest year data is available. The data does not include the seniors enrolled in private Medicare Advantage plans.   The program pays for three hours of dietary counseling during the first year the benefit is used and two hours in subsequent years. A doctor can appeal for additional nutritional therapy if the physician believes it is medically necessary.       Diabetes Patients: Congress Approves Benefit 2002 Congress approved the benefit in 2002, after studies found such counseling leads to improved health and fewer complications for senior citizen patients. Under the Affordable Care Act (ACA), this counseling was made available without out-of-pocket costs to Medicare beneficiaries since 2011.   Nutritional counseling, especially for senior citizens, can improve health and save Medicare money by preventing costly complications from the diseases.   This is supported by statistics. Right now, 25 percent of seniors, aged 65 and older suffer from diabetes. And, 33 percent of seniors have kidney disease. Further, may cases of kidney disease are, in fact, a complication of diabetes.   In addition, fewer than 5 percent of Medicare beneficiaries use their benefit of 10 to 12 hours of diabetes self-management training. This training covers individual and group sessions — and gives tips for eating healthily, being active, monitoring blood sugar, taking drugs and reducing risks.   It’s puzzling as to why so few Medicare enrollees know this valuable benefit exists. There are certainly more than enough dietitians. Currently, there are 100,000 registered dietitians in the United States.   Getting The Word Out  Why do so few diabetes and kidney patients know that this nutrition counseling exists? Possible reasons could be that few doctors know about it — or they do, but don’t refer their patient to a  dietitian. Referrals are mandatory.   Right now in the United States, cases of diabetes and obesity are at epidemic rates, according to the Centers For Disease Control. Treating these patients with surgeries, dialysis and amputations, is exorbitantly expensive . Therefore, using the nutritional counseling benefit provided by Medicare, will go a long way to reduce these costs and improve health.   This is particularly true in the case of senior citizens. Changing their behavior is difficult, especially when it comes to nutrition. The current three hours is insufficient and some dietitians believe it should be tripled, at least.   According to the Center for Medicaid Services, the agency is advising health providers about this nutrition benefit. They promote it to their members on their website and highlight it in their annual handbook sent to beneficiaries.   One problem, is that currently Medicare only covers two diseases for nutrition counseling,  diabetes and kidney disease. If more chronic diseases were covered, such as cardiovascular, there would be greater publicity.

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Diabetes and kidney patients can now get a valuable Medicare nutrition benefit as part of their Medicare coverage.

 

The estimated 15 million Medicare enrollees with diabetes or chronic kidney disease are eligible for the benefit. But Medicare for seniors aged 65 and older, only paid for 100,000 recipients to get this counseling in 2017, the latest year data is available. The data does not include the seniors enrolled in private Medicare Advantage plans.

 

The program pays for three hours of dietary counseling during the first year the benefit is used and two hours in subsequent years. A doctor can appeal for additional nutritional therapy if the physician believes it is medically necessary.

 

 

diabetes patients

 

Diabetes Patients: Congress Approves Benefit 2002

Congress approved the benefit in 2002, after studies found such counseling leads to improved health and fewer complications for senior citizen patients. Under the Affordable Care Act (ACA), this counseling was made available without out-of-pocket costs to Medicare beneficiaries since 2011.

 

Nutritional counseling, especially for senior citizens, can improve health and save Medicare money by preventing costly complications from the diseases.

 

This is supported by statistics. Right now, 25 percent of seniors, aged 65 and older suffer from diabetes. And, 33 percent of seniors have kidney disease. Further, may cases of kidney disease are, in fact, a complication of diabetes.

 

In addition, fewer than 5 percent of Medicare beneficiaries use their benefit of 10 to 12 hours of diabetes self-management training. This training covers individual and group sessions — and gives tips for eating healthily, being active, monitoring blood sugar, taking drugs and reducing risks.

 

It’s puzzling as to why so few Medicare enrollees know this valuable benefit exists. There are certainly more than enough dietitians. Currently, there are 100,000 registered dietitians in the United States.

 

Getting The Word Out 

Why do so few diabetes and kidney patients know that this nutrition counseling exists? Possible reasons could be that few doctors know about it — or they do, but don’t refer their patient to a  dietitian. Referrals are mandatory.

 

Right now in the United States, cases of diabetes and obesity are at epidemic rates, according to the Centers For Disease Control. Treating these patients with surgeries, dialysis and amputations, is exorbitantly expensive . Therefore, using the nutritional counseling benefit provided by Medicare, will go a long way to reduce these costs and improve health.

 

This is particularly true in the case of senior citizens. Changing their behavior is difficult, especially when it comes to nutrition. The current three hours is insufficient and some dietitians believe it should be tripled, at least.

 

According to the Center for Medicaid Services, the agency is advising health providers about this nutrition benefit. They promote it to their members on their website and highlight it in their annual handbook sent to beneficiaries.

 

One problem, is that currently Medicare only covers two diseases for nutrition counseling,  diabetes and kidney disease. If more chronic diseases were covered, such as cardiovascular, there would be greater publicity.

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Functionally Impaired Adults At Higher Risk For Nursing Homes In Old Age https://putnamridge.com/functionally-impaired-adults-higher-risk-nursing-home-aging/ https://putnamridge.com/functionally-impaired-adults-higher-risk-nursing-home-aging/#respond Tue, 30 Jul 2019 21:23:44 +0000 https://putnamridge.com/?p=11081 Functionally impaired middle-age adults who can’t perform activities of daily living, show higher risk for winding up in nursing homes in their old age. This data comes from a recent National Institute of Aging (NIA) study. The question is, how can these mid-aged adults be helped so as to either prevent or delay these outcomes? Are there any therapies or strategies, clinicians can use to keep these mid-age adults out of the hospital?   Currently, nearly 15 percent of adults age 55 to 64 are functionally impaired, meaning they have difficulty performing one or more of six basic Activities of Daily Living, (ADL’s). These are bathing, dressing, transferring items, toileting, eating, and walking across a room.       Functionally Impaired Adults: Study Results Researchers at the University of Pennsylvania and UC, San Francisco, analyzed health data for 5,540 adults age 50 to 56 from the Health and Retirement Study (HRS). None was functionally impaired when they entered the HRS in 1992, 1998, or 2004. Subsequently, about 1100 of them (19.8 percent) reported developing an impairment in at least one ADL by age 64.   Examining data reported every 2 years through 2014, showed that functionally impaired participants had a higher risk of hospitalization and nursing home admission.   These results also appeared in adults involved in higher level tasks such as managing money, managing medications, shopping for groceries, preparing meals, and making telephone calls.   Statistics for this group were similar to the first group. For example, 857 HRS participants (15.5 percent)  developed trouble performing at least one of these important daily activities.     Functionally Impaired Adults: Impairments Are Reversible The authors noted that not all functional impairments are permanent; sometimes they are temporary or disappear, and then recur. They also had poorer health status and were more likely to smoke, exercise infrequently, and lack health insurance.   As in older adults, functional impairment in middle-aged adults can affect health and quality of life. the authors concluded. The risk factors are chronic disease, depression, and obesity. Getting these mid-aged adults to address their depression will help to improve their daily quality of life.

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Functionally impaired middle-age adults who can’t perform activities of daily living, show higher risk for winding up in nursing homes in their old age. This data comes from a recent National Institute of Aging (NIA) study. The question is, how can these mid-aged adults be helped so as to either prevent or delay these outcomes? Are there any therapies or strategies, clinicians can use to keep these mid-age adults out of the hospital?

 

Currently, nearly 15 percent of adults age 55 to 64 are functionally impaired, meaning they have difficulty performing one or more of six basic Activities of Daily Living, (ADL’s). These are bathing, dressing, transferring items, toileting, eating, and walking across a room.

 

 

functionally impaired adults

 

Functionally Impaired Adults: Study Results

Researchers at the University of Pennsylvania and UC, San Francisco, analyzed health data for 5,540 adults age 50 to 56 from the Health and Retirement Study (HRS). None was functionally impaired when they entered the HRS in 1992, 1998, or 2004. Subsequently, about 1100 of them (19.8 percent) reported developing an impairment in at least one ADL by age 64.

 

Examining data reported every 2 years through 2014, showed that functionally impaired participants had a higher risk of hospitalization and nursing home admission.

 

These results also appeared in adults involved in higher level tasks such as managing money, managing medications, shopping for groceries, preparing meals, and making telephone calls.

 

Statistics for this group were similar to the first group. For example, 857 HRS participants (15.5 percent)  developed trouble performing at least one of these important daily activities.

 

 

Functionally Impaired Adults: Impairments Are Reversible

The authors noted that not all functional impairments are permanent; sometimes they are temporary or disappear, and then recur. They also had poorer health status and were more likely to smoke, exercise infrequently, and lack health insurance.

 

As in older adults, functional impairment in middle-aged adults can affect health and quality of life. the authors concluded. The risk factors are chronic disease, depression, and obesity. Getting these mid-aged adults to address their depression will help to improve their daily quality of life.

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Can Vitamins Prevent You From Getting Dementia, Alzheimer’s? https://putnamridge.com/vitamins-dementia-preventable/ https://putnamridge.com/vitamins-dementia-preventable/#respond Tue, 11 Jun 2019 19:44:26 +0000 https://putnamridge.com/?p=10984 Vitamins have long been promoted as an excellent way to prevent seniors from getting dementia and alzheimer’s disease. Consequently, billions of dollars are spent each year on vitamin supplements to ward off these fatal diseases. The question, however, is, do these supplements actually work?   The answer is an emphatic no as reported by the Global Council on Brain Health (GCBH). This group is composed of neurologists, nutritionists, and researchers. They report that these supplements are a waste of money — they do not boost memory and fail to prevent the onset of dementia or Alzheimer’s.           Vitamins: Seniors Spend Huge Amounts Seniors spend huge amounts of money on these supplements, hoping to ward off dementia. For example, just six different supplements marketed for brain health can cost seniors more than $93 million a month. This breaks down to between $20 and $60 a month. These supplements, unlike prescription drugs, are not regulated by the U.S. Food and Drug Administration (FDA) for effectiveness.   Therefore, without FDA oversight, manufacturers do not have to spend money on scientific studies to back their claims. In addition, without FDA oversight, these supplements may contain product impurities and display inaccurate ingredient labels.   Vitamins: Some Can Even Make Your Health Worse Not only do these vitamin supplements not help improve your memory and cognition, they may actually make your health worse. As many seniors suffer from other health conditions, these supplements may make those conditions worse.   For example, these would be people on blood thinners, heart medications, steroids or drugs that affect the immune system. A supplement that increases your Vitamin K levels can decrease the effectiveness of the blood thinner Coumadin.   Or how about people about to have eye surgery? Herbal medications such as echinacea, garlic, ginkgo, ginseng, kava, saw palmetto, St. John’s wort and valerian can increase your risks during surgery.   For seniors receiving chemotherapy for cancer, antioxidant vitamins such as vitamins E and C can reduce the effectiveness of chemotherapy.   Finally, the supplement melatonin which is recommended to seniors to help them sleep — can actually harm them. Several studies show that melatonin increases the risk of falls. For seniors, a fall can lead to serious physical injury, and in some cases, even death.

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Vitamins have long been promoted as an excellent way to prevent seniors from getting dementia and alzheimer’s disease. Consequently, billions of dollars are spent each year on vitamin supplements to ward off these fatal diseases. The question, however, is, do these supplements actually work?

 

The answer is an emphatic no as reported by the Global Council on Brain Health (GCBH). This group is composed of neurologists, nutritionists, and researchers. They report that these supplements are a waste of money — they do not boost memory and fail to prevent the onset of dementia or Alzheimer’s.

 

 

vitamins

 

 

 

Vitamins: Seniors Spend Huge Amounts

Seniors spend huge amounts of money on these supplements, hoping to ward off dementia. For example, just six different supplements marketed for brain health can cost seniors more than $93 million a month. This breaks down to between $20 and $60 a month. These supplements, unlike prescription drugs, are not regulated by the U.S. Food and Drug Administration (FDA) for effectiveness.

 

Therefore, without FDA oversight, manufacturers do not have to spend money on scientific studies to back their claims. In addition, without FDA oversight, these supplements may contain product impurities and display inaccurate ingredient labels.

 

Vitamins: Some Can Even Make Your Health Worse

Not only do these vitamin supplements not help improve your memory and cognition, they may actually make your health worse.

As many seniors suffer from other health conditions, these supplements may make those conditions worse.

 

For example, these would be people on blood thinners, heart medications, steroids or drugs that affect the immune system. A supplement that increases your Vitamin K levels can decrease the effectiveness of the blood thinner Coumadin.

 

Or how about people about to have eye surgery? Herbal medications such as echinacea, garlic, ginkgo, ginseng, kava, saw palmetto, St. John’s wort and valerian can increase your risks during surgery.

 

For seniors receiving chemotherapy for cancer, antioxidant vitamins such as vitamins E and C can reduce the effectiveness of chemotherapy.

 

Finally, the supplement melatonin which is recommended to seniors to help them sleep — can actually harm them. Several studies show that melatonin increases the risk of falls. For seniors, a fall can lead to serious physical injury, and in some cases, even death.

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Poll Shows 50% Of Seniors Fear Getting Dementia, Memory Loss https://putnamridge.com/poll-seniors-afraid-getting-dementia/ https://putnamridge.com/poll-seniors-afraid-getting-dementia/#respond Thu, 30 May 2019 20:50:59 +0000 https://putnamridge.com/?p=10964 A recent poll reports that almost half of people ages 50 to 64 are concerned about developing memory loss and dementia.   Researchers also found that while 75 percent of those surveyed were taking supplements or solving puzzles to maintain brain health, most others have done nothing to prevent their cognitive decline.       Poll: How Seniors View Dementia and Memory Loss The poll asked 1,028 adults ages 50 to 64 a range of brain health questions. Thirty three percent of those polled had a history of dementia in their families or had been a caregiver to a loved one with this disease. This experience made them worry about their own brain health. Likewise, for those with a family history of dementia, 73 percent thought they were likely to also develop it. Moreover, only 32 percent of people with no such family history considered themselves a candidate to come down with this disease.     Poll: How Good is Your Memory? Many seniors reported a memory decline: 59 percent said it was slightly worse, and 7 percent that it was worse. Most noteworthy, fewer than 20 percent of people are likely to get dementia in their lifetime. An individual’s risk depends on several factors, such as genetics and lifestyle choices. Even so, the level of concern of getting dementia comes from the severity of this illness and that it’s terminal. There is no drug cure at this time.   Nevertheless, seniors can take several actions to improve their brain function. For example, this includes eating a healthy diet, getting adequate sleep, exercising every day, and socializing with friends and family. It is also important to manage your blood pressure and blood sugar, quit smoking. In addition, keep your cholesterol in check and drink moderately. Drink not more than 1-2 alcoholic beverages a day.

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A recent poll reports that almost half of people ages 50 to 64 are concerned about developing memory loss and dementia.

 

Researchers also found that while 75 percent of those surveyed were taking supplements or solving puzzles to maintain brain health, most others have done nothing to prevent their cognitive decline.

 

 

poll

 

Poll: How Seniors View Dementia and Memory Loss

The poll asked 1,028 adults ages 50 to 64 a range of brain health questions.

Thirty three percent of those polled had a history of dementia in their families or had been a caregiver to a loved one with this disease. This experience made them worry about their own brain health. Likewise, for those with a family history of dementia, 73 percent thought they were likely to also develop it. Moreover, only 32 percent of people with no such family history considered themselves a candidate to come down with this disease.

 

 

Poll: How Good is Your Memory?

Many seniors reported a memory decline: 59 percent said it was slightly worse, and 7 percent that it was worse.

Most noteworthy, fewer than 20 percent of people are likely to get dementia in their lifetime. An individual’s risk depends on several factors, such as genetics and lifestyle choices.

Even so, the level of concern of getting dementia comes from the severity of this illness and that it’s terminal. There is no drug cure at this time.

 

Nevertheless, seniors can take several actions to improve their brain function. For example, this includes eating a healthy diet, getting adequate sleep, exercising every day, and socializing with friends and family. It is also important to manage your blood pressure and blood sugar, quit smoking. In addition, keep your cholesterol in check and drink moderately. Drink not more than 1-2 alcoholic beverages a day.

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