Los Angeles Jewish Home

Few things convey as much freedom and self-sufficiency as being able to drive a car. And especially in Southern California, driving can be more of a necessity than a luxury.

As we age, however, our driving abilities may change. To minimize safety risks to ourselves and others, it’s wise to understand how aging affects our driving and learn strategies that can help us continue driving well into our senior years.

Physical Factors
According to the Automobile Association of America (AAA), seniors are safe drivers compared to other age groups because they wear seatbelts, observe speed limits, and tend to avoid drinking and driving.

On the other hand, seniors face physical challenges that can impair driving. “Older drivers may have eyesight or hearing issues that affect their driving,” says John Beringer, Sr., California State Coordinator for the AARP Driver Safety Program. “Also, reflexes and responses are slower – it takes longer to transmit information from the eyes to the brain and from the brain to the muscles.”

Mobility may also be affected. For example, neck pain or stiffness can impair being able to look over your shoulder. Leg pain might make it difficult to move your foot from the gas pedal to the brake pedal.

Medication can also impact driving performance. More than 75% of people over age 65 take at least one medication.

Taking the following steps can help minimize potential physical problems associated with driving:

• Get your vision and hearing checked annually
• Have regular check-ups and talk to your doctor about how your physical condition and medications might affect your driving ability
• Choose a car with automatic transmission, power steering and power brakes
• Do exercises to improve your flexibility

Rules of the Road
AAA and AARP both offer driving classes for older adults. “A lot of what we cover involves reviewing and reminding drivers what they knew 30 years ago,” says Beringer. “Also, many older folks learned to drive from their parents, not from a driving instructor. So they may have learned some bad habits.”

Here are some safe driving strategies, many of which apply regardless of age:

• Leave enough space between your car and the car in front of you.
• Scan far down the road continuously so you can anticipate future problems.
• Minimize distractions inside your car, such as music volume.
• Plan your route before you get in the car.
• Minimize left turns. Drivers age 65 and older are disproportionately involved in crashes involving left-hand turns. Use designated left-hand turn lanes, or make three right turns to avoid making the left.
• Try to avoid busy highways and congested traffic.
• Consider getting a car with reverse monitoring and back-up cameras, blind-spot warning systems and other crash-avoidance technologies.

Relinquishing the Reins
There may come a time when it’s no longer safe to remain behind the wheel.

“Indications that it’s time to stop driving include getting lost on roads you should know, being told repeatedly by passengers that you missed a stop sign or finding scrapes on your car that you weren’t aware of getting,” says AARP’s Beringer.

He stresses that the age to stop driving can vary greatly. “I had an 89 year-old woman in my class with all of her faculties, and a 57-year-old that I wouldn’t want to be on the road with,” says Beringer. “We don’t age at the same rate.”

If you are concerned about someone else’s driving ability -- for example a parent’s -- join your parent as a passenger for several trips and at different times in order to get a good sense of his or her driving performance.

Encourage your parent to check his or her skills by taking a self-rating program (such as this one from the Automobile Association’s Foundation for Traffic Safety) or getting assessed by a professional such as a doctor, rehab clinic or geriatric care service.

Get a sense of your parent’s transportation needs and come up with options such as:

• Using local public and private transportation options. Try out these services with your parent in order to determine which are convenient and easy to use. 
• Offering to do the driving yourself.
• Hiring a trusted friend or neighbor who needs a little extra cash.

When possible, broach the subject before the need arises. Try to come up with a “game plan” you and your parent can agree on ahead of time.

And be empathetic: You wouldn’t want to lose your ability to drive, and neither does your parent. Keep the focus on your parent remaining safe while still getting where he or she needs to go.

Labels: AAA, Aging, Automobiles, Driving, For the Body, Nancy Sokoler Steiner, Seniors

By Ellis Simon, 88
Jewish Home Resident

I don't know why, but I am sitting here thinking how lucky I am. I have a family that loves me, I have reached the age of 87 years old. Sure I have my aches and pains now and then, and sure I worry once and a while, but G-d has been good to me. I have many friends, I keep very active, I am very upbeat, and I love life.

I get up every morning and look forward to another day. I know I am going to eat three meals each day, and I know I have a place to lay my head every night. There are people here that are paid just to figure out how to keep me healthy and happy. There are people here that are paid just to figure out how to keep me active. There are people here that are paid just to see that I get three meals a day. There are people here that are paid just to listen to my concerns, and to help me get rid of those concerns. There are people here that are paid just to keep me healthy, and there are people here that are paid just to take care of any problems with maintenance and housekeeping of my living quarters. Also there are people here that are paid, and even some who volunteer, to provide transportation just so that I may shop, go to my doctor's office, or go out for some enjoyment.

So next time someone accidentally bumps you with their walker, or blocks your way, or disagrees with something you said, take it with a grain of salt. Just smile and remember how lucky you really are.

Labels: Aging, For the Spirit, Luck, Lucky, Positive Outlook, Senior Living, Simon

By Alice Kulick, 88
Jewish Home resident

As I was watching Good Morning America, an author of the book “Time Keeper” came on. His concept on how we use time got me thinking about time and how we use it all our lives. We used our time as children at play, school and growing up to high school, proms and then onto college. When we married and had children, our time went very fast. Raising our children was a full-time job. Our home and family was so busy, we just didn’t know how much time had passed.

The years and our time also passed swiftly. Our ages also passed with time. Before we knew wit, we were senior citizens. Now we had lots of time. But how were we using it? We now enjoy our lives in the beautiful Jewish Home. But do we spend our days in our rooms watching TV or do we volunteer in the mail room, conduct tours, help our in the volunteer office? There are many jobs to volunteer for and committees to be a part of. We are all time keepers. Everyone has time but how we choose to use it can make our lives more valuable.

Labels: Aging, For the Spirit, Kulick, Life Cycle, Time, Time Keeper

Tell Dr. Doron Melamed that aging is inevitable, and he is among the first to agree. The critical question, he points out, is not whether the process can be avoided – it’s whether, at certain levels, it can actually be reversed. His breakthrough research has proven exactly that.

Based at Haifa’s Technion, one of Israel’s most prestigious universities, Melamed leads a team of researchers that has accomplished something extraordinary: showing that it is possible to turn back the clock on the aging of the body’s immune system. The idea, he says, is not necessarily to extend survival, but rather to help people live healthier. “Older people suffer more from infectious disease and cancer,” he notes. “If we are able to improve their immune systems, they will age healthier and enjoy an increased quality of life.” His finding matches up exactly with the Jewish Home’s commitment to healthy aging, which includes a focus on helping seniors live high quality, productive and independent lives.

Melamed is an immunologist – someone who studies the development of immune cells. As the body ages, those cells see a marked decrease in development, ultimately leading to an immune system comprised of old cells that have a limited capacity to respond to infection. In the scientific community, conventional wisdom has long held that this age-dependent change in immune cell development is part of a progressive and irreversible process. Working in collaboration with colleagues, Melamed has turned that conventional wisdom on its head. “We conducted a ‘proof of principle’ experiment in which we took an old mouse whose lymphocytes [a type of white blood cell] were poorly generated and transformed it so that it was just like a young mouse in terms of generating cells,” he explains.

The potential implications of his work are remarkable and far-reaching. Restored to full health and functionality, immune systems would be better equipped to fight disease, enabling seniors to maximize enjoyment of their golden years instead of “going every week or two to a physician, having to take multiple pills each day and facing repeated hospitalization,” Melamed says.

In partnership with researchers at Haifa’s Rambam Hospital, Melamed is conducting a clinical trial in humans to determine whether his discovery holds true across species. “I think it will take another two or three years until we start getting data from the clinical trial about whether or not this will work,” he forecasts. Once the efficacy of his treatment is determined, Melamed predicts it will be another several years before physicians and scientists begin identifying the full range of opportunities for human use.

Funded in part by coveted grants from the Israel Science Foundation, Melamed’s research continues to distinguish him as one of the country’s most promising young scientists – someone capable of seeing things with new eyes. It’s a metaphor he finds appropriate. “Aging was always considered to be progressive and irreversible,” he says. “Suddenly, someone comes along and wonders whether that’s just the way we see it, and that maybe, if we adjust our vision, we would come up with a different result. And that’s exactly what happened.”

Labels: Age Reversal, Aging, For the Body, Healthy Aging, Immune System, Immunology, Israel, Israel Science Foundation, Melamed, Technion

Taking the steps necessary to prevent falls are among the most important things to do for seniors. Unfortunately, nearly a third of all seniors will experience a fall. In the majority of those cases, if a senior fractures a bone from a serious fall, it is either fatal or significantly shortens his or her life (page 6). The good news, thankfully, is the vast majority of falls are completely preventable!

National Fall Prevention Day happens tomorrow, September 22nd—appropriately during the Fall. Organizations from coast to coast are reaching out with helpful information for seniors and their families to help stave off slips and tumbles.

Many of the most common causes of falls are well known, and the Jewish Home has been sharing the recommended ways to stay upright for a number of years. (The hyperlinked story is from December 2010.) From fall-proofing a senior's home to simply wearing sturdier shoes, the ways to prevent these catastrophic spills are relatively easy to do. Also important is physical fitness. Taking the time to keep leg, core, and balance muscles stimulated and healthy will go a long way to keeping seniors on their feet.

Recently, McKnight's, a leading long-term care and senior living magazine, published an interesting article about a new study on fall prevention. Researchers from UCLA found that among "Medicare beneficiaries [i.e., seniors] who had their cataracts removed, 16% fewer had hip fractures within the first year of surgery than those who did not."

And that percentage climbs the older the sample group gets. "Study participants between the ages of 80 and 84 experienced the biggest benefit of the surgery, with a 28% reduced risk of fractures."

So take a moment tomorrow to assess your surroundings and the living situations of the seniors you care about. A couple of simple changes could save lives.

Labels: Aging, Balance, Cataracts, Fall Prevention, Falling, Healthy Aging, Home Safety, McKnight's, National Fall Prevention Day, Safety, Seniors, September 22, UCLA

By Nancy Sokoler Steiner

"Music gives a soul to the universe, wings to the mind, flight to the imagination and life to everything." — Plato

Sometimes, the things we like aren’t so good for us. Fortunately, that isn’t the case with music. It doesn’t have any calories, can often be obtained for free, and doesn’t require any special skills or abilities to be enjoyed.

In fact, music has shown a host of benefits, both physical and emotional. That’s one of the reasons it plays such a large role at the Los Angeles Jewish Home.

In terms of physiological changes, a Cochrane Review study (a study which looks at many studies) found that music reduces pain, sometimes enough to decrease required dosages of pain medication. Studies with cancer patients have shown that music therapy decreases heart rate, respiratory rate and blood pressure. And researchers in Europe have found that exposure to music can both raise the levels of antibodies and lower the amount of stress hormone levels.

Studies on the emotional impact of music show similar benefits. One study done with college students, for example, found that listening to music conferred more positive emotions. Not only that, but the music intensified already positive emotions.

“We humans know instinctively that music has primal power,” says Elena Mannes in her book The Power of Music: Pioneering Discoveries in the New Science of Song (Walker & Company, 2011). “Historians and anthropologists have yet to discover a culture without music.”

Los Angeles Jewish Home Resident Tess Friedman, 87, describes music this way: “It elates me.”

Friedman joined the Home’s choir when she came here four years ago. “It’s a way to not let yourself be old and to forget about aging,” she says about singing. “You can change your whole attitude and behavior for the day.”

Caryl Geiger, Activities Director for Residential Care, sees this effect among many residents. Professionally trained in piano and voice, Geiger directs the Home’s choir. “Everybody leaves [practice] happier than when they came in,” she says.

Lee Zuckerman, 89, was delighted to rediscover the joy of song when he joined the choir six months ago. He’s always enjoyed music – his son even became a composer – but hadn’t sung since he was in his high school choir. “I love music. I feel joy when I sing.”

But you don’t have to sing in order to experience music at the Home. In addition to enjoying the choir’s performances, residents can take advantage of a variety of musical offerings. Concerts are offered almost every Sunday afternoon, and there are also programs on Jewish music and regular sing-alongs. In addition, violist and music historian Joel Lish presents weekly music appreciation classes.

“All levels of residents respond to the music,” says Lish, founder and director of the Palisades Symphony. “Some sing along, clap to the rhythm or even play along on an imaginary instrument.”

Music will always be an integral component at the Jewish Home. As author and researcher Elena Mannes says, “Anyone who has been transported by Bach or Mozart, moved to weep by a national anthem or hymn, stirred to dance by a rock rhythm, or transported in time by the notes of a pop tune from the past knows the power of music.”

Labels: Aging, Feature Articles, For the Spirit, Healthy Aging, Music, Nancy Sokoler Steiner, Seniors

By Nancy Sokoler Steiner

You don’t remember bumping into anything, but there it is: A big, angry-looking purple bruise on your forearm. How did it get there, and why do bruises like that seem to be popping up on your arms and legs more frequently as you age?

“These kinds of bruises, referred to as solar purpura, may start occurring in your 50’s, and become more common as time passes,” says David E. Sawcer, MD, PhD, Assistant Professor of Clinical Dermatology in the Keck School of Medicine at USC. “They happen closer to the surface of the skin than other bruises, and are not usually caused by trauma.”

Bruises come from injury to the small blood vessels (capillaries) near the skin’s surface. Blood leaks from the capillaries and remains trapped under the skin. Normal bruises are usually tender, change colors, and go away after a week or two. Solar purpura, on the other hand, don’t hurt, and often get darker, progressing from red to deep purple before they fade. They can take several weeks to disappear.

Why it Happens

As our skin ages, its structure begins to weaken. The outer skin layers grow thinner and the capillary walls become more fragile. At the same time, the layer of fat under the skin thins, providing less padding and insulation.

“Day-to-day activity is enough to cause solar purpura,” says Dr. Sawcer. “The capillaries in the skin are more easily damaged because they become thinner and less protected.”

Although bruising can’t be avoided, sun exposure worsens it by weakening the skin. Also, blood-thinning medications, such as Coumadin and aspirin, contribute to bruising by slowing the blood’s ability to clot. Corticosteroids, prescribed for a variety of conditions including rheumatoid arthritis and asthma, cause thinning of the skin, which also promotes bruising.

On rare occasions, bruising may indicate medical conditions such as clotting or coagulation disorders. If your bruises are painful, you experience abnormal bleeding in other areas, or you start bruising when you’re ill, be sure to see your physician. If you see bruising on a loved one and worry about physical abuse, you should know that bruising caused by abuse tends to appear on different parts of the body -- such as the face, neck, back and chest – rather than on the hands, arms and legs. Still, it’s a good idea to talk to your loved one if you have any concerns.

What Can You Do

Sun exposure makes the skin weaken more quickly, so protecting yourself from the sun can help delay this process. Keeping skin well moisturized can also lessen bruising. Do both at one time by using a moisturizer with sunscreen.

The most effective treatment for bruises is time. Eventually, the body reabsorbs the blood, and the bruise disappears. Cosmetics may help hide bruises in the meantime.

“People tend to be concerned about bruises because they’re deeply colored and look serious,” says Dr. Sawcer. “But despite their appearance, they’re generally not something to worry about.”

Labels: Aging, Bruise, Bruising, Feature Articles, For the Body, Healthy Aging, Nancy Sokoler Steiner, Skin, Solar Purpura

In some of my classes I have been discussing the subject of courage, following the recent Torah readings about the exodus from Egypt and the crossing of the Red Sea. Throughout that period the faith of the Israelites, that they can and will escape their Egyptian slave-masters and become a free people, swings wildly between moments of trust and confidence – Yes, God is on our side! – and times when they want only to remain slaves, for freedom is just too risky.

When the Israelites complain to Moses – Why don’t you leave us alone, to remain in Egypt as slaves? – they want to stay in the world they know, rather than take all the risks of freedom. Freedom carries the dignity of making choices, and the possibility of good and new things in our lives, but also it means we live without knowing what tomorrow brings. Willingness to face the uncertainties and the difficulties of life, as well as its possibilities, is what courage is all about. The alternative, in the words of one resident, is: Just give up, stay in bed, and pull the blankets over your head.

Does growing older call on us to have courage? A resident answered: Yes we need courage, because we never know what’s going to happen. Perhaps she was thinking about the sudden change in health she had recently gone through – without a negative word! Another resident told us her first words on waking each morning: No surprises today please!

It is not just the unknown. Some residents live in almost constant pain or discomfort; others get on as best they can despite physical difficulties. Most know the loneliness of life following the death of their long-time husband or wife. As I see how the majority of residents make the best of life without complaint, it strikes me that courage is indeed an important factor in making senior years a positive time of life. Here at the Home, the staff does a wonderful job in making the life of residents as comfortable, dignified and enjoyable as possible. What is sometimes overlooked is that the residents do a wonderful job too. For me, to see such courage is both humbling and inspiring.

The Torah expresses courage as faith in God. For instance, when the Israelites are facing the Red Sea, with the Egyptian army coming up behind them, they initially complain to Moses who tells them: Have no fear, stand by and watch how God will save you! While many people have courage which is not based on faith is God, there are others for whom faith can be a source of courage. Psalm 23 puts it: Though I walk in the valley of the shadow of death, I will fear no evil, for You are with me. A sense that one is not alone can give great strength.

I have very great respect for those who came through years in the Nazi death camps or work camps. I know from my reading that not everyone kept their determination to survive; some just gave up. I am not surprised, so I asked the Holocaust survivors in my groups what gave them the courage to keep going. All without exception told me their faith was very important to them. One said his recitation of psalms sustained him. Another said she felt God by her side as she volunteered for work – which turned out to be her route to survival. Another said her religion was important to her, but she also believed a person’s childhood upbringing made a big difference. She herself had had a very poor childhood, and that difficult time gave her the strength she needed to face the enormous challenge of life in the camps. I understand that; although we all want an easy life, it is very often difficult experiences that strengthen us to face even greater challenges in the future.

We talked a little about the courage to face death. One resident was sad about the relative shortness of the time still left for her, wishing she had achieved more. But not one person expressed fear about the future.

Perhaps that is why I love being a rabbi at the Jewish Home: while I am no longer young myself, I work amongst my seniors and my teachers, who help me to think that maybe I too will be able to face all the uncertainties and hardships that lie ahead. For that I am grateful.

Labels: Aging, Bible, Courage, Death, Elman, For the Spirit, Holocaust survivors, Inspiring, Israelites, Jewish, Judaism, Letter from the Rabbi, Moses, Rabbi

A Poem by Ellis Simon, 87
Jewish Home Resident

To all the ladies at the JHA
The time has come for you to say
Come on guys, get off your duff
Then take our hand, as you huff and puff

When you take our hand, don't squeeze too much
The arthritis we have responds to touch
The tenderness you show, helps ease the pain
As we walk down the hall, you, me, and my cane

We get to the library, and sit side by side
As the real good feelings a try to hide
You whisper in my ear, but your words seem to fade
The battery went out in my hearing aid

You ask me to dance, I'm happy as can be
When you take me in your arms, it's heaven for me
You start to cough, and stick out your tongue
I guess it's too much for your one lung

We both get up, and go back to my room
You give me a peck, and my heart goes boom
You walk down the hall, I watch as you go
You say, "I'm a very happy lady, I now have a beau!"

Though i joke around, this is my wish for all
Then we would all be happy, and have a ball
Then our troubles would disappear
And everyone would be happy, I say hear, hear.

Labels: Aging, For the Spirit, Original, Poems, Residents, Seniors, Simon, Sweethearts Day, Valentine's Day

One of the Torah readings this month includes two stories that look like they are heading for a disastrous conclusion. The stories concern the fate of one or other of Abraham’s sons, Ishmael and Isaac.

At the urging of his wife Sarah, Abraham sends away his concubine Hagar and her child Ishmael (Abraham’s elder son). Mother and child set off into the desert carrying food and water, but before very long, the water bottle is empty. Hagar cannot bear to see her son die, so she puts him under a bush, goes to sit some distance away, and weeps bitterly. As for us, at this point in the story we have feelings of distress, of doom. There is no future.

Let’s leave that story for a moment and look at the other – the horrific tale we call the Akeda, the binding of Isaac. We are told that God tests Abraham, instructing him to take his beloved son Isaac and sacrifice him as a burnt offering. We watch with horror as Abraham prepares for the journey, without a word of protest. He and Isaac arrive at the designated place. Abraham builds the altar, binds up Isaac and lays him on the altar; he takes the knife and makes ready to slay his son.

Again, as in the story of Hagar and her son Ishmael, we feel so helpless, as it seems the story must take its inevitable, painful, course. It’s partly that in each case, the adult sees no alternative. Each is blinded to other alternatives. Hagar is wailing as her son faces certain death. Abraham is determinedly doing what he believes is the will of God, seemingly unable to shift course and put life before death.

I believe we have all had moments when we feel there is no way forward. A sense that life – real living – has come to a stop. But in these stories new inspiration and new life intervene.

God interrupts Hagar’s wailing and tells her to go back to her son, promising that the boy’s descendants will become a great nation. Well, God speaking is all very well, but let’s not forget Hagar has run out of water. So although she must be heartened by God’s words, she still cannot see a way out of the deathly present, into a life-full future. Isn’t it true for us too? When we’re stuck, we just can’t see a way forward.

So God intervenes in a different way. He “opens Hagar’s eyes”. To her (and our) surprise, where Hagar has seen only desert, she now sees, just a short distance away, a spring of fresh water. She fills the water bottle, goes to her son, and gives him to drink.

Let’s return quickly to that other story. We left Abraham, knife in hand, about to slay his son Isaac, bound on the altar in front of him. Here again, it is God’s voice that interrupts Abraham’s set path, calling to him not to kill his son, not to harm him in any way. God says that, as Abraham has shown his willingness to listen to God’s word, Isaac (like Ishmael in the other story) will be the father of a great nation.

I picture Abraham as still paralyzed, unable to take a step away from the brink, unable to make the move towards life. He still needs to see a way forward. We read then that Abraham lifts up his eyes and sees a ram caught in a thicket by its horns. That’s when he is able to change course: he sacrifices the ram instead of his son Isaac.

So each of these stories has a surprise twist that enables the person to “see” what couldn’t be seen before – a spring of water, or a ram caught in the thicket. Suddenly there are possibilities.

I know that sometimes, for instance after the tragic loss of a loved one, or when one is struck by major illness or disability, there may seem no more possibility of rich and valuable life. But I have seen so many residents find new meaning in their lives, new possibilities of richness and joy. Here is a challenge to us all, to be willing to be surprised – to discover that the course of our own story may have a twist we didn’t expect, one that we couldn’t have dreamt of, one that opens a new path to a life of meaning and richness. Let’s just open our eyes!

Rabbi Anthony Elman

Rabbi Anthony Elman is the Skirball Director of Spiritual Life at the Jewish Home and also serves as Rabbi of the Home's Grancell Village campus. His professional background is multifaceted, encompassing the fields of law, social work, and psychotherapy. Rabbi Elman has been with the Home since his ordination and graduation from the Academy for Jewish Religion-California in May 2007

Labels: Abraham, Aging, Akeda, Elman, Getting Older, God, Hagar, Isaac, Ishmael, Letter from the Rabbi, Life, New Meaning, No Alternative, Open Your Eyes, Sarah, Torah

Far too often, seniors in need of care confine themselves to their homes—too frail to venture out, and too proud to ask for assistance. Often, finding reliable resources on services for seniors can be difficult. And, while senior care communities have become vibrant places of health and activity, decades-old images of what senior homes used to be make some seniors and their adult children reticent to seek the help they need. Luckily, newspapers are beginning to communicate that, when it comes to senior care, there are a variety of choices. And each option balances the individual’s level of independence and medical needs.

On Monday, the Los Angeles Times’ Bob Young published a story detailing care options for seniors, featuring expert advice and insight from the Jewish Home’s very own Molly Forrest.

From better healthcare access to increased activity and social interaction, seniors who take advantage of the care options best suited to their needs tend to live longer, happier, healthier lives. And, with variety of services ranging from in-home assistance to skilled nursing (and everything in between), seniors often attain an increased level of independence and higher quality of life.

Read the full LA Times article here. And if you know a senior who could benefit from senior care services, check out our community education resources.

Labels: Adult Children, Aging, Bob Young, Cross Post, Healthy Aging, Los Angeles Times, Molly Forrest, Resources, Senior Care, Senior Resources, Seniors, Staff

Throughout the entire lifespan, most people crave human contact — whether it’s comforting hugs from a close relative, or private intimate moments with a spouse or significant other. It’s a need that never diminishes or goes away, regardless of our age.

Sometimes, though, we make the mistake of ignoring those desires in our elder community. The fact is, though, seniors make up one of the most social, active, and — if they’re healthy enough — sexually active age groups.

This is where Katherine Forsythe comes into the picture. Holding an MSW from the University of Cincinnati, she is one of the foremost authorities on sexuality and aging. Forsythe works with individuals and senior care communities across the country, educating people of all ages on issues revolving around intimacy and relationships.

Katherine’s unique area of expertise makes her a go-to person for health media. She has been quoted in WebMD, 50Fabulous, Active Over 50, and other publications. And her websites, www.getasecondwind.com and www.katherineforsythe.com, attract wide audiences.

On Wednesday, October 26th, 2011, the Jewish Home will be welcoming Katherine Forsythe to our 14th annual Sarnat Symposium. Her presentation, Honoring the Whole Person Throughout the Lifetime: Senior Sexuality Sensitivity Training for Professionals, promises to be enlightening and informative. If you’re interested in hearing Forsythe in person, visit our Sarnat Symposium webpage and register for the event today!

Labels: Aging, Get A Second Wind, GetASecondWind.com, Intimacy, Katherine Forsythe, MSW, Relationships, Sarnat Symposium, Seniors, Sexuality, Staff

The other day, some of the nursing staff at our Eisenberg Village campus planned something really fun for our residents: they organized a luau!


The residents who participated live either at the Goldenberg•Ziman Special Care Center, which cares for seniors with Alzheimer's disease or age-related dementia, or the Max Factor Family Foundation Nursing Building, which provides skilled nursing to seniors who need extra assistance.

When the residents saw their nurses — who are normally in scrubs — enter in hula skirts, their eyes lit up! The entire room was laughing, clapping, and singing along.

In addition to being a fun, entertaining afternoon, events like these serve a profound therapeutic purpose. Happiness is known to have incredible life-lengthening health benefits; and the positive atmosphere, the music, and the dancing promotes both physical and cognitive strength.

Labels: Aging, Alzheimer's, Around the Home, Dementia, Eisenberg Village, Elderly, Factor, Goldenberg-Ziman, Healthy Aging, Hula, Luau, Nursing, Seniors, Skilled Nursing, Staff, Video, YouTube

It’s 2:15 a.m. Out of a deep sleep, you awaken to clanging noises in your kitchen. Not long ago, you would have thought someone was attempting to get into the house. But with everything that’s gone on lately, you realize it is actually someone trying to get out. It’s your mom. She’s ‘wandering’ again.

Recently, you’ve noticed she is having memory problems. It’s been harder for her to recall what was just said. Now she’s forgetting the day, the date and other little features of daily life. Learning new things seems especially challenging for her, and she is starting to make up details to fill in the parts of stories she’s forgotten.

At first, it was possible to chalk it all up to getting older. After all, there are many challenges to deal with as the years advance. But things have really begun to change for the worse.

Mom can’t sleep through the night. She wakes up disoriented and confused. During the day, she believes she has appointments that have never been made. She talks about going to see friends or family who have long ago passed away or moved. She gets mad and lashes out when she is prevented from doing things you know she can no longer do.

Sometimes Mom seems depressed. It is harder and harder to take care of her personal needs, and she doesn’t seem to understand why you want her to take a shower. Sometimes she even forgets who you are.

It seems that her symptoms are coming on faster and faster, and, since she took that fall last week, things have gotten so much worse. Her doctor prescribed some medication, but it really isn’t helping.

You get out of bed and go downstairs to try to help Mom back to bed. She isn’t settled until 4 a.m. You don’t know what you’re going to do. One of these days you might not be able to get to her in time.

Mom has dementia, and now you’re worried about her safety. You need someone to help you figure out what to do next.

The preceding scenario is a composite of several we’ve heard from families caring for loved ones with various forms of age-related dementia.

At the Jewish Home’s acclaimed Auerbach Geriatric Psychiatry Unit (AGPU), we counsel families on mental health services for their senior loved ones, and provide short-term (acute) intensive treatment for seniors experiencing stressful mental or emotional challenges.

More than 50% of patients treated are suffering from acute dementia. The goal of our small, specialized hospital unit is to help restore seniors to an optimal level of functioning so they may safely return to their home or residential setting.

While most people do not need to be admitted, the staff at the Auerbach Geriatric Psychiatry Unit can help you sort through your options, gain new insights on dealing with dementia, and where to go for additional help.

If you have a loved one who is experiencing acute mental health challenges, please call the Jewish Home’s Auerbach Geriatric Psychiatry Unit at (818) 758-5042. A helpful staff member will either talk with you immediately or get back to you promptly.

Labels: Aging, Alzheimer's, Auerbach Geriatric Psychiatry Unit, Dementia, Feature Articles, For the Mind, Luke Jackson, Memory, Parents, Wandering

For a senior, a hip fracture can be as life-threatening as heart disease or cancer. Sadly, nearly one in four older women who fracture a hip will die within a year. For men, the odds are even worse. A year after a hip fracture, one-third will not survive. Of those who do, many will not be able to walk without a cane or walker.

The reasons for such poor outcomes after hip fractures are not clear, however loss of mobility and independence play an important role. Immobility also leads to depression, a loss of motivation, and, in many cases, even the will to thrive and live.

Since we don’t want one, let’s look at ways to prevent these potentially devastating accidents.

Fall Proofing Your Home

Most falls occur in the homes, that were built without the needs of senior residents in mind. Many contain slippery floors and poorly-lit hallways, and stairs.

To fall-proof your home, start with your kitchen and your bathroom, the two most common sites for falls. Grab rails are a must in the shower and next to the shower, bathtub and sink. They don’t have to look industrial. There are nice designer shapes and colors from which to choose.

If you use throw rugs in the bathroom or kitchen, make sure they are fixed to the floor. Re-organize your kitchen to ensure that commonly-used items can be easily reached. And don’t store anything so high that you need to stand on a chair or stool to reach it.

Be sure hallways and staircases are well-lit and clutter-free. For more information on how to make your home safer, visit www.homemods.org.

Change Those Shoes

High heels and smooth-soled shoes must go. Personally, I prefer the security of shoes with non-skid bottoms. If you encounter a wet or slippery surface, your shoes can make the difference.

While you’re at it, retire those running shoes with lots of elevation. They simply put too much space between the soles of your feet and the surface on which you’re walking.

Improve Your Balance

There are several ways to improve your balance and thereby prevent falls. Perhaps the best method was devised by the Chinese, and is called T’ai Chi. The gentle motions of T’ai Chi have been shown in clinical trials to reduce falls and their resultant hip fractures in seniors.

If T’ai Chi is not for you, there are other balance exercises that a physical therapist can show you. Your physical therapist or physician can also coach you on how to avoid landing on your hip if you do take a fall.

Strengthen Your Bones

We all lose bone mass after the age of 40 or so. For women, this process accelerates after menopause due to a loss of estrogen. What can we do to slow down and even reverse this process so that we’re not at risk for fractures?

Surprisingly, the best way to strengthen bone is through exercise, both the aerobic and strength-training types. Just 30 minutes of walking at two to three miles per hour will build bone mass. Light weight training will strengthen your bones as well as improve your balance.

Get Sufficient Vitamin D

Another way to prevent fractures is by getting enough vitamin D, which has been shown to prevent falls. Your skin manufactures vitamin D after exposure to the UV rays in sunlight.

Unless you get out in the sun for a considerable amount of time each day, it is unlikely that you are getting enough vitamin D, and you will need to take a supplement of 1,000 IU a day.

Have a Bone Scan

If you are over age 50, you should have a DEXA scan. This x-ray of your hip and spine will determine if you have osteoporosis (severe loss of bone matrix) or osteopenia (moderate loss of bone matrix). If you do have these conditions, you are at greater risk for hip fracture.

There are several options for treating osteopenia and osteoporosis. Consult with your physician to see if estrogen, etidrionates such as Fosamax, SERMs such as Rolaxifene, calcitonin, or parathyroid hormone, are right for you.

Reducing the risk of a hip fracture and its consequences is something you can start working on today. By taking the steps outlined above, you should be able to protect yourself from this potentially devastating injury.

Labels: Aging, Bones, Falling, Feature Articles, For the Body, Hip Fracture, Schneider

Last month, Jeanna Bryner, Managing Editor of LiveScience, published a list of 5 reasons why aging is awesome. It was so good we wanted to share it with you.

Intro
The saggy, wrinkly view of aging may have a much more positive, and real, conterpart: Getting older has its perks, lots of them, from needing less sleep to having better sex. Here's a look at why the crowded candles on your birthday cake, as you enter middle age and beyond, are just plain awesome. (photo credit: stock.xchng)


More Awake Time
That's right, more time to enjoy life. Seniors need about 1.5 hours less sleep on average than their younger counterparts, according to one study.

In another study of 110 healthy adults who were allowed eight hours of bed time, the oldest group (ages 66 to 83) snoozed about 20 minutes less than the middle-agers (ages 40-55), who in turn slept about 23 minutes less than the youngest group (ages 20 to 30). The simplest explanation for the fewer shut-eye minutes: Older adults need less sleep.

Another explanation, and one supported by research: Older adults just can't get the sleep they need, taking longer to nod off, spending less time in deep sleep, and having more trouble staying asleep. In fact, more than half of men and women over the age of 65 say they suffer from at least one sleep problem, with many experiencing insomnia, according to WebMD. (photo credit: © Rozenn Leard | Dreamstime.com)


Wearing Rose-Colored Glasses
Being happy may come down to attitude, studies have shown. That's great news for older adults, whose brains seem to be wired to remember the good times. A brain-scanning study published in 2010 in the journal Cortex revealed that older adults' rose-colored glasses may be linked to the way the brain processes emotional contents.

The researchers scanned the brains of participants — young adults (ages 19-31) and older adults (ages 61-80) — as they viewed a series of photographs with positive and negative connections between the brain regions that process emotions and those known to be important to the successful formation of memories, particularly when processing positive information. The same strong connections weren't found for the younger participants.

Aging adults don't just recall blissful moments of the past in vivid colors. It's also becoming apparent to researchers that being old could lend itself to optimism. In one recent study, both old and young participants where shown virtual faces portraying sadness, anger, fear and happiness. Eye-tracking technology revealed the older participants, ages 18 to 21, focused on fearful faces, while those ages 57 to 84 zeroed in on the happy faces, avoiding the angry ones. The researchers, who detailed their study in 2006 in the journal Psychology and Aging, think that as a person's life expectancy decreases, they might focus on what makes them feel good now rather than focusing on the negative. (photo credit: Dreamstime)


Being Grandparents
No diapers. No temper tantrums. No fevers and ear infections. Aging means you get to enjoy grandkids, as if they were your own, but without any of the frustrations. Pop-pop and G'ma can do no wrong in the eyes of grandkids. Research has suggested grandparents can increase the chances of a child surviving during the high-risk period of infancy and childhood in traditional societies. The same link may hold true in Western societies, according to David A. Coall of Edith Cowan University. "We felt if such an association existed in Western societies, where the fertility and childhood mortality rates are much lower, grandparents could make a substantial public health contribution to our society," Coall said in a statement.

And you're good at it, too. A study published in the November 2008 issue of the journal Pediatrics, by scientists at the Johns Hopkins Bloomberg School of Public Health, showed that kids cared for by a grandmother were 50-percent less likely to get injured than children cared for by daycare workers, other relatives, or even the child's own mother. (photo credit: © Monkey Business Images | Dreamstime.com)


More Wisdom
Like a fine wine, older adults have been aged to perfection it seems, at least when it comes to wisdom. As you age, you may have a tougher time tuning out irrelevant information, but this lack of focus can actually boost memory, according to research published in 2010 in the journal Psychological Science. More specifically, seniors have the unique ability to "hyper-bind" the irrelevant information, essentially tying it to other information that is appearing at the same time. This type of memory could help older adults with decision-making and problem-solving, the researchers suspect. For instance, if a manager wants to promote an employee, it might be helpful to recall not just that employee's work performance, but also his interaction with other employees. (photo credit: © Denis Raev | Dreamstime.com)


Rewarding Sex Life
Sex drive seems to stay strong as you age. One 2007 study published in the New England Journal of Medicine surveyed adults ages 57 to 85, finding more than half of 75- to 85-year-olds reported a roll in the hay at least two to three times a month, and 23 percent reported having sex at least once a week. oral sex appeared to be less "ageless." nearly 60 percent of the participants under 65 years old said they had engaged in oral sex in the previous 12 months, compared with 31 percent for the over-75s. (photo credit: © Alexander Raths | Dreamstime.com)

What else do you think makes aging awesome? Leave a comment!

Labels: Aging, Cross Post, Elderly, For the Body, For the Mind, For the Spirit, Grandma, Grandpa, Grandparents, Healthy Aging, Jeanna Bryner, LiveScience, Optimism, Seniors, Sexuality, Sleep, Staff, Wisdom

One of my classes is called “Conversation with the Rabbi”, and the conversation last week was real and fascinating. Everyone knows the disadvantages of aging: the loss of mobility and other restrictions, the aches and pains, the fact that one is no longer looking forward to a long life of dreams and possibilities, and, in many cases, the lingering loneliness after the death of a husband or wife. But I wanted to know the other side of the coin. I asked each resident present to tell me if there were any advantages to old age. (It’s natural I should want to know, as that stage of my life gets ever closer!)

I expected to get laughed at. But instead, almost every resident in the class was able to talk about some of the blessings of being older. Some talked of being wiser. Others spoke of the joy of watching their families – their children, grandchildren and great-grandchildren – and that this time of life was filled with the love they could give to their families, and the love they received from them. With less responsibility now, there was greater time and freedom just for the good things. Another theme emerged, too. There was time and opportunity to reach out and help others here at the Home. Many talked of living in the Jewish Home as a blessing: they received so much, and could also give so much.

None of these residents was being starry-eyed. None pretended that old age was just paradise, without real disadvantages. One woman said: there are good things about being older, but there are more bad things. But even she was happy to tell me about the blessings in her life.

Let me tell you about one of the Torah stories we read this month. The Israelites, on their journey towards the Promised Land, passed through a country whose king was so frightened of them that he called on Balaam, a foreign prophet, to come and curse them. But God made sure that all the words that came out of Balaam’s mouth were not words of curse, but instead words of blessing, telling of the Israelites’ future success.

Just as God turned curse into blessing, we too have the ability – if only we are willing – to turn curse into blessing. I often talk of recognizing God’s blessing in the events of our life – even seemingly negative events. This is not something magical, like kidding ourselves that dark is really light. But we do have greater power over our lives than we often think. Many years ago I was asked, how does one become blessed? I answered that if we feel blessed, then we are blessed. Changing our attitude towards life can actually change the way we experience life. That is the way we turn curse into blessing.

A resident who has recently changed location within the Home has been finding it so painful leaving behind familiar people – both residents and staff – that she can’t enjoy life where she is now. I know this can be painful, but I have also been suggesting to her that each day she try to find one good thing about her new surroundings, one little blessing. She tells me she is still finding it difficult, but I believe she is beginning to experience good, to find blessing in her new life.

Labels: Aging, Around the Home, Blessings, Blog, Conversation with the Rabbi, Elman, Family, For the Spirit, Israelites, Judaism, Letter from the Rabbi, Seniors, Transition

By Nettie Freeman, 87
Los Angeles Jewish Home resident

Since becoming a resident of the Los Angeles Jewish Home in September 2009, I cannot innumerate the countless benefits of living in this fabulous facility. However, I must admit there is one phase of my past that I miss tremendously.

I was an excellent driver for over 55 years, with a commendable record. In fact, in most recent years when many of my friends had to give up driving, I was the “designated driver.” Driving on the freeway, driving at night, escorting my friends to countless doctor appointments, shopping trips—they were no challenge for me.

And then, lo and behold, my own driving abilities began to falter. Before I knew it I had to forsake my driver’s license and, alas, my life changed. The freedom of hopping in the car and running my errands at will was indeed a privilege. One doesn’t realize the extent of that freedom until you can no longer exercise it.

I promised myself that when that day came, I would be noble and accept it valiantly. But that is easier said than done. Often times I find myself in the “oh dear” mood, but fortunately I’ve overcome it quickly. I realize there are far worse compromises in life than not driving.

Talking to other residents here at the Jewish Home, we all have the same lament: “Oh, how I miss my driving!”

But we have all adjusted and take advantage of our volunteer drivers, city-ride, Access, taxis—yes, life goes on, even without a driver’s license.

Labels: Aging, Car, Driver, Driver's License, Driving, Freedom, Health, Independence, Los Angeles Jewish Home, Nettie Freeman, Residents, Seniors, Staff

We just came across an interesting blog.


Coincidentally, the Jewish Home is reaching out and offering our expertise in senior care to the broader community. Perhaps you read our eNews update introducing our four-event Community Education Series.

Just like Heritage Pointe in New Jersey, we recognized that many in Los Angeles want information regarding the best options available for aging loved ones. To better serve that need, the Jewish Home is hosting seminars on the various aspects and options surrounding aging and eldercare.

They are all free of charge.

The second event in our series is coming up the Tuesday after Memorial Day. It will cover common physical and cognitive issues associated with aging, how to recognize when help is needed, and the community resources available to you. The event features two experts in geriatric medicine, Dr. Edward Schneider and Dr. Esiquio Casillas. If you or a loved one are interested in issues regarding aging and care options, this is an hour you won't want to miss.

For more information on the Jewish Home's Community Education Series, click here or on the picture of the event postcard.

Labels: Aging, Assisted Living, Baby Boomers, Blog, Community, Cross Post, Education, Long Term Living, Sandwich Generation, Seniors, Series, Staff

Living life to the fullest — that is what we all strive to do every day. Our golden years present a better opportunity to live life, learn new talents, revisit old hobbies, or seek out new adventures than at any other time in our lives.

Often, seniors must look to the care of others so they can continue to add life to their years. Whether dealing with the normal signs of aging or abrupt emergencies, it pays to be prepared. With a little education and some planning ahead, the transition into the different levels of care can be seamless and nearly stress free.

Starting this month, the Los Angeles Jewish Home's expert staff is organizing four short seminars to help with that education and planning process. From choosing the best in-home caregiver, to in-residence options, advanced directives, and hospice care, we want to help the greater Los Angeles community care better for their aging loved ones.

Our first seminar will be held on Tuesday, May 17th at 6:30pm. Entitled How to Find, Hire, and Manage the Right Caregiver, the Jewish Home's vice president of human resources, Shelly Ryan, and the CEO/administrator of our skilled nursing hospital, Ilana Grossman, will explain what to look for if you or someone you love needs a little extra daily assistance.

Oh, one more thing — all four events are free! But space is limited and reservations are required.

For more information, click on the picture to see the official event postcard. Or, you can visit here to see the web version.

Labels: Aging, Caregiver, Caregiving, Community, Education, Free Seminar, Healthy Aging, Jewish Home Event, Planning, Senior Care, Staff