by Richard Bitner

After a certain age, some level of decline should be expected year after year. In our forties and fifties, this decline is incremental. It happens slowly, and while it can affect our physical and mental performance, most of us are still able to live our lives comfortably. But in our sixties and beyond, decline begins to speed up. Eventually, seniors reach a point of functional decline. This is the point where elderly care is required for seniors to live comfortably and safely.

Unfortunately, it can be hard to spot functional decline. While decline accelerates in seniors, it still happens gradually enough that functional decline can go unnoticed. As a result, seniors who require elderly care in some form — either from family caregivers, in-home elderly care professionals, or facility living — end up without the support they need. How to Notice Signs of Functional Decline in Seniors

To determine whether or not your loved one may need elderly care or another senior service, you need to know the signs of functional decline. Keep in mind that functional decline relates to physical and cognitive function, so you need to be aware of the signs of decline for both.

People sometimes miss signs of decline because they don’t know what to look for. But more often, people miss them because they aren’t really looking. Decline happens gradually enough that family members fail to recognize the point where elderly care may be necessary. To help prevent this from happening, family members should be making a conscious effort to monitor their elderly loved ones and track changes in their functional abilities.

One strategy is to take stock of the things your loved one has difficulty with over the course of a typical week or month. You can do this mentally, or you might consider taking private notes. This will allow you to compare how your loved one is functioning now compared to the past. Gradual changes become much more stark if you can compare how well they’re doing now to six months or a year ago.

You may also wish to have conversations with family members. Sometimes, individual family members each notice different signs of decline, but nobody notices all of them. Conversations with your loved one will also give you a better sense of the areas where they feel they’re having the most trouble. These conversations can also give insight into signs of decline that occur in private.

Should you determine that your loved one is suffering from functional decline, you may wish to explore elderly care options. If you are considering in-home elderly care, we invite you to contact your local Visiting Angels. Th care coordinators at our local offices will be happy to provide guidance about coping with decline, speak with you about your care options, and schedule your loved one for a free, in-home elderly care assessment. How to Notice Signs of Functional Decline in Seniors

The Ventura County Area Agency on Aging (VCAAA) is extending a call to action to the community and local schools as we relaunch the Holiday Greetings Campaign, which aims to reach older adults and people with disabilities who are living in Ventura County. The VCAAA is seeking greeting cards that are handmade or premade with a short holiday greeting written inside. Cards will be distributed as part of the VCAAA’s meal service and care management programs. The first phase of the campaign will focus on Thanksgiving, while phase two will focus on the winter holiday season. 

Thirty percent of Ventura County’s older adults are living alone, and the isolation, loneliness, and depression many of them are experiencing worsened during the COVID-19 crisis. With the holiday season quickly approaching, the VCAAA recognizes that this is the most critical time to extend not only our services to these populations, but also our care and support. 

The VCAAA has received more than 15,000 letters and cards from the community since the Letters of Support and Holiday Greetings campaigns were initially launched in 2020. Those interested in participating should send completed greeting cards to the VCAAA through December 17^th. Greeting cards may be mailed to, or dropped off at, 646 County Square Drive, Suite 100, Ventura, Ca. 93003. Please notate VCAAA Holiday Greetings Campaign on the envelope. All cards will be reviewed and then delivered to older adults and people with disabilities throughout Ventura County. 

The VCAAA continues to encourage family members and neighbors to safely connect with loved ones who may benefit from similar holiday greetings, and from support with grocery shopping or other errands. It is extremely important to keep open lines of communication to help minimize the isolation so many Ventura County residents are experiencing.  

Community members interested in participating in this program may e-mail [email protected] for more information, or call (805) 477-7306. 

The Ventura County Area Agency on Aging, an agency of the County of Ventura, is the principal agency in Ventura County charged with the responsibility to promote the development and implementation of a comprehensive coordinated system of care that enables older individuals, caregivers, and individuals with disabilities to live in a community-based setting and to advocate for the needs of those 60 years of age and older in the county, providing leadership and promoting citizen involvement in the planning process as well as in the delivery of services.

Protect yourself from fraud and financial abuse! Be vigilant, be observant. Physical or financial abuse will continue so long as no one knows about it. Listed below are our Top 10 Safety Tips to always keep in mind.

1. Never give out financial information such as bank account, credit card, social security or Medicare numbers to someone you do not know.
   
2. Medicare and Social Security do not cold-call beneficiaries or make house calls. If someone calls you and says they are from Medicare or Social Security, hang up. Do not give them any information.
   
3. Don’t be pressured into buying anything immediately or because the offer will expire if you don’t act soon. Never be afraid to call someone for assistance. Remember, if it sounds too good to be true, it probably is!
4. Before making any important financial decisions, make sure you fully understand the purpose and effect of the product you intend to purchase. 
5. If you do make a purchase, make sure you get everything in writing and require copies of all documentation.
6. It is advisable not to wire money to anyone.
7. Do not share personal information like your address or phone number on social networking sites like Facebook.
   
8. Do not let strangers into your home without a trusted person, such as a family member or friend, present.
9. Delete e-mail messages that ask you to verify your account information. Banks, credit card companies and Paypal will not ask for this.
10. If you suspect anything is wrong, or that you or a loved one is being abused, do not hesitate to contact your local law enforcement agency to report your suspicions.

by National Institute on Aging

Alzheimer’s disease is complex, and it is therefore unlikely that any one drug or other intervention will ever successfully treat it in all people living with the disease. Still, in recent years, scientists have made tremendous progress in better understanding Alzheimer’s and in developing and testing new treatments, including several medications that are in late-stage clinical trials.

Several prescription drugs are already approved by the U.S. Food and Drug Administration (FDA) to help manage symptoms in people with Alzheimer’s disease. And, on June 7, 2021, FDA provided accelerated approval for the newest medication, aducanumab, which helps to reduce amyloid deposits in the brain and may help slow the progression of Alzheimer’s, although it has not yet been shown to affect clinical symptoms or outcomes, such as progression of cognitive decline or dementia.

Most medicines work best for people in the early or middle stages of Alzheimer’s. However, it is important to understand that none of the medications available at this time will cure Alzheimer’s.

Treatment for mild to moderate Alzheimer’s

Treating the symptoms of Alzheimer’s can provide people with comfort, dignity, and independence for a longer period of time and can encourage and assist their caregivers as well. Galantamine, rivastigmine, and donepezil are cholinesterase inhibitors that are prescribed for mild to moderate Alzheimer’s symptoms. These drugs may help reduce or control some cognitive and behavioral symptoms.

Scientists do not yet fully understand how cholinesterase inhibitors work to treat Alzheimer’s disease, but research indicates that they prevent the breakdown of acetylcholine, a brain chemical believed to be important for memory and thinking. As Alzheimer’s progresses, the brain produces less and less acetylcholine, so these medicines may eventually lose their effect. Because cholinesterase inhibitors work in a similar way, switching from one to another may not produce significantly different results, but a person living with Alzheimer’s may respond better to one drug versus another.

Medications that target the underlying causes of a disease are called disease-modifying drugs or therapies. Aducanumab is the only disease-modifying medication currently approved to treat Alzheimer’s. This medication is a human antibody, or immunotherapy, that targets the protein beta-amyloid and helps to reduce amyloid plaques, which are brain lesions associated with Alzheimer’s. Clinical studies to determine the effectiveness of aducanumab were conducted only in people with early-stage Alzheimer’s or mild cognitive impairment. Researchers are continuing to study whether this medication works to affect a person’s rate of cognitive decline over time.

Before prescribing aducanumab, doctors may require PET scans or an analysis of cerebrospinal fluid to evaluate whether amyloid deposits are present in the brain. This can help doctors make an accurate diagnosis of Alzheimer’s before prescribing the medication. Once a person is on aducanumab, their doctor or specialist may require routine MRIs to monitor for side effects such as brain swelling or bleeding in the brain.

At age 94, Rose Burgess had already lost two military veteran husbands, and was legally blind. Her daughter had just died unexpectedly, and she would soon have no place to live. Police Deputy Chris Dyer was on duty when Rose walked in with nowhere else to go. He knew homelessness was dangerous enough for the young, but it could be a death sentence within weeks for Rose. He also knew just where to turn for help, and immediately sent an e-mail to GCVF, Gold Coast Veterans Foundation… “All Hands On Deck!”

The charity in Camarillo, known for rescuing the most damaged homeless veterans, jumped into action. But they quickly found that virtually all public or private agencies providing housing assistance were prohibited from helping Rose. According to government rules, she was plenty rich enough to fend for herself.

The annual income needed for someone to afford a 1 Bedroom apartment in Oxnard is over $60,000 and Rose’s fixed income was $3300 a month. Even though that‘s twenty grand short of the real-world need, it was above the government ‘low-income” assistance threshold. But Rose had also leased a Subaru so her daughter could take her on errands. She had several storage units, and was paying storage for a vintage mid-century travel trailer. These expenses put her even further away from being able to pay rent.

“We’ve helped thousands of veterans and family members, and rescued 87 from homelessness,” says GCVF’s Director Bob Harris; “but this is the first time we had to rescue a 94-year-old blind widow because 12 social service agencies refused to help her… we never saw that one coming.” He adds; “Of course the system doesn’t want to cause harm to people like Rose, but that income threshold was going to put her out on the street regardless.”

St. Vincent de Paul of Ventura, and individual police officer donations covered an emergency motel room for Rose, keeping her safe until GCVF could find a long-term solution. GCVF began the enormous task of condensing her storage, finding a buyer for the trailer, finding an affordable ‘senior living’ apartment for Rose, and getting her moved in before the motel funding ran out. Case manager Donna Lockwood took Rose to Kirby Subaru in Ventura, who very graciously took the car back without any of the typical ‘early termination’ penalties or fees.

Rose was finally able to have a home. Rescue team leader Rafael Stoneman personally covered several urgent expenses, and United Way of Ventura provided funds for move-in costs; GCVF was then able move her into a senior living apartment with meals. After getting everything into one storage locker, they helped sell the trailer to a man who plans to restore it with his wife into a vacation home. In a rather poignant twist, the man’s father is a Vietnam combat veteran.

“We catch the veterans that fall through the cracks” is one of GCVF’s slogans; this time they caught an elderly veteran widow before she was homeless. “We make these miracles happen every day, but we can’t do it alone,” says Harris; “United Way and St. Vincent de Paul, Deputy Chris Dyer and his fellow officers, and the fantastic people at Kirby Subaru all pulled together to rescue Rose. We need the whole community’s support to make this same miracle happen tomorrow.”

Gold Coast Veterans Foundation is the region’s leading nonprofit for veterans, providing everything to reduce and eliminate suffering & homelessness for military veterans and family caregivers. Comprehensive, integrated services are provided free of charge at a walk-in / no-appointment service center. http://www.gcvf.org (805) 482-6550

Editor note: Because Rose is living at a government facility we were not able to get her photo.

VCAAA’s HICAP team tackles Medicare Open Enrollment questions and concerns 

The Ventura County Area Agency on Aging’s Health Insurance Counseling & Advocacy Program (HICAP) is tackling all questions and concerns related to Medicare Open Enrollment by hosting a variety of one-stops throughout Ventura County beginning October 15^th. Services will be offered virtually and in-person on a case-by-case basis through December 7^th. All services are free and open to the public. 

The transition to Medicare can be daunting and understanding plan options and the costs associated with each is often overwhelming. The VCAAA’s HICAP team is made up of highly trained counselors who provide free and unbiased assistance to Medicare recipients. Counseling services vary and are based on individual needs. Other services provided include a full assessment through the VCAAA’s Benefits Enrollment Center to determine eligibility for a variety of other benefits and services. 

Medicare Open Enrollment One-stops are currently by appointment only. Online and telephone options are available. No walk-ins will be accepted. All COVID-19 safety protocols will be in place.

Please visit www.vcaaa.org to complete the HICAP Part D/MA Comparison Form or call (805) 477-7300 ext. 5 for more information or 800-434-0222. For additional information or to make an appointment, e-mail [email protected].

This project was supported, in part by grant number 90SAPG0094-02*, from the U.S. Administration for Community Living (ACL), Department of Health and Human Services, Washington, D.C. 20201. Grantees undertaking projects under government sponsorship are encouraged to express freely their findings and conclusions. Points of view or opinions do not, therefore, necessarily represent official ACL policy.

A draft of the Ventura County Master Plan for Aging is now available for the public to review and the Ventura County Area Agency on Aging (VCAAA) is seeking feedback from the community. The draft of the Plan can be found at www.vcaaa.org.

Older adults now make up more than 23 percent of Ventura County’s population, with the number projected to increase to 30 percent over the next decade. In 2019, Governor Newsom issued an Executive Order (N-14-19) calling for the creation of a Master Plan for Aging, which is a blueprint for state government, local government, the private sector, and philanthropy to prepare the State for the coming demographic changes.

The County of Ventura convened a panel of stakeholders in October 2019 to start the process of talking about the reality and the challenges of growing older in Ventura County and what is needed to make the county more livable. The State issued their Master Plan for Aging in January 2021, and the County of Ventura has drafted a more localized Plan.

“The County of Ventura is committed to evolving to navigate the unique needs of older adults and people with disabilities in our community,” the Plan states. “While the focus is on aging, there is an equal focus on optimally aging across the lifespan because a Master Plan for Aging is for everyone in the community. Moreover, we also know that older adults and people with disabilities have common issues, though other challenges are unique.”

The Plan continues, “As the Master Plan for Aging was developed, there was also special focus on areas of import to Ventura County. Those focus areas are diversity, equity, and inclusion. The County has always been cognizant of the diversity in our County, racially, ethnically, culturally, and linguistically and has made continual refinements in how we provide services and connections to resources to ensure we operate through a lens of diversity, equity and inclusion.”

In doing so, the VCAAA is seeking feedback from the community and welcomes comments, feedback, and corrections during the month of October 2021.

“Responses from the community are critical to developing a successful Master Plan for Aging,” said Victoria Jump, Director of the VCAAA. “We want to hear directly from our County’s older adults, people living with disabilities, caregivers, and all those navigating services to optimize aging for themselves and for loved ones. We want this Plan to be reflective of the real-life experiences of those we are serving, and we want the community to have an active role in the final product.”

All public comments may be sent to [email protected]. For additional information please visit www.vcaaa.org.

The Ventura County Area Agency on Aging, an agency of the County of Ventura, is the principal agency in Ventura County charged with the responsibility to promote the development and implementation of a comprehensive coordinated system of care that enables older individuals, caregivers, and individuals with disabilities to live in a community-based setting and to advocate for the needs of those 60 years of age and older in the county, providing leadership and promoting citizen involvement in the planning process as well as in the delivery of services.