ComForCare Home Care Serving Somerset & Northern Middlesex Countries

Archive for March, 2021

Understanding the Three Ds: Dementia, Delirium, and Depression

Monday , March 22 , 2021

Understanding the Three Ds: Dementia, Delirium, and Depression

Older adults are at high risk for depression and cognitive disorders such as dementia and delirium. Clarifying the diagnosis is the first step to effective treatment – but it’s not always easy. 

Delirium and depression can cause cognitive changes that may be mistaken for dementia, such as poor memory. And people who have dementia often develop signs of depression, like poor appetite and low self-esteem. 

There is also the genuine possibility that an older adult may have a combination of all three issues concurrently. 

So, how can you tell the difference between dementia, delirium, and depression in older people, to ensure they receive the proper care? Keep reading to learn more about the signs and symptoms of each condition. And make sure to sign up for our “Understanding the 3 Ds” webinar at the bottom! 

Delirium

Delirium is a neuropsychiatric syndrome that causes sudden changes to a person’s thinking and attention, causing them to become confused. Episodes of delirium are common among older adults, especially those who are ill, in the hospital, or recovering from surgery. The condition develops acutely and is temporary and reversible. 

The most common symptom is inattention, though a person experiencing delirium may also suffer from difficulty with orientation, memory, or language and thought. Hallucinations or illusions may also be present. 

Depression

Depression is a common mood disorder. In fact, according to the World Health Organization, over more than 264 million people suffer from the illness, and it’s the leading cause of disability worldwide. 

The diagnosis of depression depends on the presence of two main symptoms: persistent and pervasive low mood and loss of interest or pleasure in usual activities. Other signs include: 

  • Increased fatigue and sleep problems
  • Anxiety
  • Irritability (primarily in men)
  • Changes in appetite or weight
  • Uncontrolled emotions

Symptoms are of clinical significance when they interfere with everyday activities and last for at least two weeks. 

Along with apathy, depression is one of the most common symptoms in Alzheimer’s Disease – especially those with Lewy bodies. 

Dementia

Dementia is not a single disease but an umbrella term covering a wide range of medical conditions, including Alzheimer’s. According to the National Institute on Aging, “Dementia is the loss of cognitive functioning—thinking, remembering, and reasoning—and behavioral abilities to such an extent that it interferes with a person’s daily life and activities.”

Signs of dementia can vary greatly, but some common examples include: 

  • Problems with short-term memory
  • Increased confusion
  • Reduced concentration
  • Personality or behavior changes
  • Depression or apathy

Complications in Diagnosis

Symptoms of delirium, depression, and dementia can be pretty similar. For instance, delirium and depression may present with apathy and withdrawal, while delirium and dementia are characterized by confusion and disorientation. 

To further complicate matters, delirium and depression often occur in a person with dementia, so it is common to have all three issues at once. 

Differentiating delirium from depression and dementia requires knowing the characteristic features of each condition and knowing the patient’s history (either personally or from a family member or friend). 

The Victoria State Government has a helpful chart with a side-by-side analysis of all three conditions and their key features. 

Attend a FREE ComForCare Workshop

ComForCare is offering a free virtual workshop on Wednesday, March 31st, from 1:00 pm – 2:30 pm. 

The workshop entitled “Understanding the 3 Ds: Dementia, Delirium, and Depression” will count as one continuing education credit for social workers and case managers and 1.5 contact hours for RNs/LPNs.

By the end of the program, participants will be able to: 

  • Distinguish between dementia, delirium, and depression and the causes and prevalence of each
  • Recognize the signs and symptoms that overlap across all three conditions, as well as the differences that set them apart
  • Identify common scenarios in which combinations of conditions may occur
  • Explain why people need a thorough evaluation of any changes in mental status, including those already diagnosed with dementia
  • Take the appropriate actions to connect families and individuals to evaluations and resources if dementia, delirium, or depression are suspected

Go to bit.ly/delirium2021 to sign up today! 

Posted in: Aging

Leave a Comment (0) →
How Can I Eat Healthy as I Age?

Tuesday , March 16 , 2021

How Can I Eat Healthy as I Age?

In March, people across the country focus on healthy eating in celebration of National Nutrition Month. This year’s theme, Personalize Your Plate, centers on creating nutritious meals based on individual needs and preferences – because no two people are the same.

At ComForCare, we know that no two seniors are the same! We all age differently, and that often means different nutritional goals and needs.

Keep reading to learn more about the history of National Nutrition Month and how you can continue to eat healthfully as you age.

National Nutrition Month

National Nutrition Month is an annual campaign created by the Academy of Nutrition and Dietetics. It began in 1973 as National Nutrition Week and became a month-long observance in 1980. Each year centers around a different topic focused on nutrition education and information.

This year’s theme, Personalize Your Plate, promotes creating nutritious meals to meet individuals’ cultural and personal food preferences.

According to Su-Nui Escobar, a national spokesperson for the Academy of Nutrition and Dietetics in Miami, Florida, “America is a cultural melting pot, so you can’t expect everyone’s food choices to look the same. Eating is meant to be a joyful experience. As supermarkets increasingly diversify their shelves to meet the needs of their customers, it’s becoming easier to create nutritious meals that align with a variety of cultural preferences.”

Unique Challenges for Older Adults

Developing a healthful eating pattern is not a one-size-fits-all endeavor. The key is tailoring your favorite foods to meet your individual nutrient needs – including carbohydrates, fats, proteins, and minerals. Meeting these nutrition goals is essential at any age, but especially as we grow older.

As our bodies age, they change. For example, you may have noticed that the nightly bowl of ice cream you used to enjoy now gives you indigestion or that having a glass of wine before bed now keeps you up all night. Some of these changes are easy to deal with, but others make it harder for seniors to eat healthy.

Here are just a few of the issues that can make it difficult for an older adult to maintain a balanced diet:

  • Changes to home life, such as suddenly living alone
  • Health issues which can make it harder to chew and swallow food
  • New medications which can change how food tastes, make your mouth dry or take away your appetite
  • Decreased income and less money for groceries
  • Altered sense of smell and taste

Healthy Eating as You Age

These tips from MedlinePlus can help maintain a healthy diet, despite challenges:

  • Eat nutrient-dense foods, such as fruits and vegetables, whole grains, low-fat dairy, and lean proteins
  • Avoid empty calories, like soda or alcohol, candy, and baked goods
  • Choose foods that are low in cholesterol and fat
  • Stay hydrated by drinking plenty of water and other clear fluids, eating soups, or snacking on fruits such as watermelon
  • Keep physically active to help stimulate your appetite

Tips for a Custom Eating Plan

Our partner in caregiving, Stein Hospice, is offering a wonderfully informative Zoom seminar on Thursday, March 25th, entitled “Personalize Your Plate: Nutritional Considerations for Older Adults Living with Chronic Illnesses.” The presentation will offer expert tips to customize a healthy eating plan for yourself or your loved one by creating a balanced diet, increasing fluid and protein intake, and incorporating immune-boosting foods into your life. A Q&A will follow.

Register here, or for more information, call 732.649.3502, ext. 104

Posted in: Health

Leave a Comment (0) →
National Napping Day: The Perfect Way to Recover from Daylight Savings Fatigue

Tuesday , March 9 , 2021

National Napping Day: The Perfect Way to Recover from Daylight Savings Fatigue

This weekend, people across the country will “spring ahead” and set their clocks forward an hour in observance of daylight savings. What’s that mean? As DST starts, the sun will rise and set later than it did the day before. While the change, in theory, helps us make better use of daylight, it also leaves many people feeling drowsy.

Luckily, the following day has officially been designated “National Napping Day,” and it’s the perfect time to catch some much-needed Zs.

Types of Naps

You may have thought that a nap is simply a quick afternoon sleep session, but as it turns out, naps can be categorized depending on the function they serve. According to the Sleep Foundation, there are five main types:

  •  Recovery Nap: Sleep deprivation can leave you feeling tired the following day. If you are up late or have interrupted sleep one night, you might take a recovery nap the next day to compensate for sleep loss.
  • Prophylactic Nap: This type of nap is taken in preparation for sleep loss. For example, night shift workers may schedule naps before and during their shifts in order to prevent sleepiness and to stay alert while working.
  • Appetitive Nap: Appetitive naps are taken for the enjoyment of napping. Napping can be relaxing and can improve your mood and energy level upon waking.
  • Fulfillment Nap: Children have a greater need for sleep than adults. Fulfillment naps are often scheduled into the days of infants and toddlers and can occur spontaneously in children of all ages.
  • Essential Nap: When you are sick, you have a greater need for sleep. This is because your immune system mounts a response to fight infection or promote healing, and that requires extra energy. Naps taken during illness are considered essential.

How to Take the Best Nap 

If you want to get the most out of your nap, there are some Do’s and Don’ts. Napping at the wrong time of day or for too long can leave you unable to sleep later at night. Here’s what you need to know:

  • Keep naps short. Aim to nap for only 10 to 20 minutes. The longer you sleep, the more likely you are to feel groggy after you wake up.
  • Nap in the early afternoon. Napping after 3 pm can interfere with sleep later at night.
  • Create a restful environment. A dark, quiet room at a comfortable temperature is best. Blackout curtains can help eliminate unwanted light, while a white noise machine can drown out any household commotion.

Benefits of Napping

There’s no need to feel lazy for indulging in daytime sleep. As it turns out, a nap can have dozens of health benefits including improved memory, better job performance, and increased alertness. Here are a few more:

  • It may lift your mood. Experts say that napping, or simply laying down for an hour, can help improve your outlook on life, whether or not you actually fall asleep.
  • It can ease stress. Just 30 minutes of sleep can help decrease anxiety and improve your immune health.
  • Sleep is good for your heart. One study found that people who napped for 45 to 60 minutes had lower blood pressure after going through mental stress.
  • Naps can help you sleep better at night. Although it seems counterintuitive, sleeping during the day, combined with light to moderate exercise, can improve nighttime rest.

Posted in: Health

Leave a Comment (0) →
Page 1 of 2 12