A stroke happens when something changes how blood flows through the brain. Blood brings oxygen and nutrients to brain cells. If blood can’t flow to a part of the brain, cells that do not receive enough oxygen suffer and eventually die. If brain cells are without oxygen for only a short time, they can sometimes get better. But brain cells that have died can’t be brought back to life. So, someone who has had a stroke may have trouble speaking, thinking, or walking.

There are two major types of stroke. The most common kind, ischemic, is caused by a blood clot or the narrowing of a blood vessel (an artery) leading to the brain. This keeps blood from flowing into other parts of the brain and keeps needed oxygen and nutrients from reaching brain cells. Blockages that cause ischemic strokes stem from three conditions:

Formation of a clot within a blood vessel of the brain or neck, called thrombosis

Movement of a clot from another part of the body, such as from the heart to the neck or brain, called an embolism

Severe narrowing of an artery (stenosis) in or leading to the brain, due to fatty deposits lining the blood vessel walls

In the second major kind of stroke, hemorrhagic, a broken blood vessel causes bleeding in the brain. This break in the vessel also stops oxygen and nutrients from reaching brain cells.

Some risk factors for stroke, like age, race, and family history, can’t be controlled. But you can make changes to lower your risk of stroke. Talk to your doctor about what you can do. Even if you’re in perfect health, follow these suggestions:

With stroke, treatment depends on the stage of the disease. There are three treatment stages for stroke: prevention, therapy immediately after stroke, and rehabilitation after stroke. Stroke therapies include medications, surgery, and rehabilitation.

Medication or drug therapy is the most common treatment for stroke. The most popular kinds of drugs to prevent or treat stroke are antithrombotics–which include antiplatelet agents and anticoagulants–and thrombolytics. Thrombolytic drugs, like t-PA, halt the stroke by dissolving the blood clot that is blocking blood flow to the brain. Antithrombotics prevent the formation of blood clots that can become stuck in an artery of the brain and cause strokes.

Surgery and vascular procedures can be used to prevent stroke, treat stroke, or repair damage to the blood vessels or malformations in and around the brain. These include angioplasty, stenting, and carotid endarterectomy.

Someone who has had a stroke might be paralyzed or have weakness, usually on one side of the body. He or she might have trouble speaking or using words. There could be swallowing problems. There might be pain or numbness.

Stroke may cause problems with thinking, awareness, attention, learning, judgment, and memory. Someone who has had a stroke might feel depressed or find it hard to control emotions. Post-stroke depression may be more than general sadness resulting from the stroke incident. It is a serious behavioral problem that can hamper recovery and rehabilitation and may even lead to suicide.

There are many different ways to help people get better after a stroke. Many treatments start in the hospital and continue at home. Drugs and physical therapy can help improve balance, coordination, and problems such as trouble speaking and using words. Occupational therapy can make it easier to do things like taking a bath or cooking.

Some people make a full recovery soon after a stroke. Others take months or even years. But, sometimes the damage is so serious that therapy cannot really help.

For More Information on Stroke

National Institute of Neurological Disorders and Stroke
800-352-9424 (toll-free)
[email protected]
www.ninds.nih.gov

A year ago, Mother’s Day looked much different than it did this year – Zoom celebrations or phone calls took the place of hugs, flowers, brunch, and more for most. But now, with the majority of older adults having received their COVID-19 vaccinations, Mother’s Day 2021 marked the first major holiday with some semblance of normalcy for area seniors.

At Aegis Living Ventura, a local assisted living and memory care community, residents came together for a day-long Mother’s Day celebration and afternoon high tea event for all to enjoy.
“After witnessing the resilience of my residents during this past year, it warms my heart to honor them today and experience the pure joy in their faces as we celebrate Mother’s Day,” said general manager Sam EL-Rabaa on Sunday.

The morning kicked off with salon appointments for all. Residents enjoyed hair styling, manicures, and makeup so they would look their best for the afternoon tea. Each resident attending high tea received a rose and a beautiful hat adorned with flowers when they arrived. The Aegis team served tea and sparkling wine along with light bites such as scones, pastries, sweet treats, and tea sandwiches. A local pianist played lovely tunes to top off the event.

Resident Donna Hassel commented that the day gave a “sense for what it was like a year ago to be with friends once again.” Another resident, Marilyn Wilson, noted, “I’ve been here 10 years and this, by far, is the best Mother’s Day event I’ve attended.”

This event was just the beginning of what Aegis Living hopes will be a lovely spring and summer, as well as an overall step back to normal this year. The community is enjoying daily group activities, residents are welcoming visitors once again, area outings are being planned, and much more. Nearly 100% of Aegis Living Ventura residents and 90% of staff are vaccinated.

“We’ve been waiting for this special day, and many more to come,” said EL-Rabaa. “We are even more grateful for the small things we are able to enjoy again – from dining together to visiting with family and talking with friends. Having a community-wide celebration was such a gift for residents and staff alike.”

by National Council on Aging

As a woman, you may have many responsibilities on your plate, but your health should be a top priority.

Women are often the first line of defense when protecting their family’s health, but in doing so tend to put their concerns on the back burner.

These quick tips can help keep you happy and healthy as you juggle your everyday responsibilities.

1. Get breast cancer screenings every 1 – 2 years

One in eight women in the United States will be diagnosed with breast cancer, making it the most commonly diagnosed cancer in women and this risk increases with age. Mammograms are the best way to screen for breast cancer, especially during the early stages. The good news is that breast cancer can usually be treated successfully when found early. Medicare covers a free yearly mammogram screening. Learn more about how to prepare and what to expect during the exam.

2. Routine pap exams are the best way to detect cervical cancer

Known as the “silent killer,” cervical cancer is one of the most common types of cancer for American women, but thanks to widespread use of the Pap test, early detection has significantly improved and boosted U.S. survival rates. Cervical cancer may not have any signs or symptoms, so it’s recommended women ages 21 to 65 get routine test about every three years. Medicare covers cervical and vaginal cancer screenings once every 24 months or every 12 months if you are at high risk.

3. Exercise will improve your overall health

Roughly 150 minutes (2.5 hours) of moderate exercise a week could improve not only your physical but also mental health. Being active helps improve moods and reduce feelings of depression. It can also help manage diabetes, heart disease, and osteoporosis.

4. Focus on your mental health

Approximately 15% of adults aged 60 and over suffer from a mental illness, depression being one of the most common. There’s often confusion around what exactly depression is, especially since many older adults experience major changes in their life like the death of loved ones or medical problems that could cause sadness. The difference is that the feeling is only temporary. If your feelings of sadness begin to interfere with daily life and normal functioning, you may be experiencing depression. Start by speaking with your doctor and determine if a Medicare depression screening is right for you.

5. Healthy eating can prevent serious health conditions

Proper nutrition is essential for the body. As you get older you lose muscle mass, bone density, and burn fewer calories. It takes extra effort to make up for the natural changes of your body which is why eating high nutrient foods make a big difference. Decreased bone density can result in one of the major health concerns affecting about 8 million women, osteoporosis, due to calcium deficiencies in diet.

As a woman, you may have many responsibilities on your plate, but your health should be a top priority.

People with dementia experience a range of symptoms related to changes in thinking, remembering, reasoning, and behavior. Living with dementia presents unique challenges, but there are steps you can take to help now and in the future.

Alzheimer’s disease and related dementias get worse over time. Even simple everyday activities can become difficult to complete. To help cope with changes in memory and thinking, consider strategies that can make daily tasks easier. Try to adopt them early on so you will have more time to adjust. You can:

• Write down to-do lists, appointments, and events in a notebook or calendar.
• Set up automated bill payments and consider asking someone you trust to help manage your finances.
• Have your groceries delivered.
• Manage your medications with a weekly pillbox, a pillbox with reminders (like an alarm), or a medication dispenser.
• Ask your doctor to provide a care plan and write down care directions (or have a family member or friend take notes during the visit).

Sleep Tips for People Living With Dementia

Dementia often changes a person’s sleeping habits. You may sleep a lot, or not enough, and wake up many times during the night. Poor sleep quality can make dementia symptoms worse.

Follow a regular schedule by going to sleep and getting up at the same time each day, even on weekends or when traveling.

Develop a relaxing bedtime routine with lowered lights, cool temperature, and no electronic screens.

Avoid caffeine and naps late in the day.

Have a lamp that’s easy to reach and turn on, a nightlight in the hallway or bathroom, and a flashlight nearby.

Keep a telephone with emergency numbers by your bed.

Talk to your doctor if you have problems sleeping.

Healthy and Active Lifestyle Tips for People Living With Dementia

Participating in activities you enjoy and getting exercise may help you feel better, stay social, maintain a healthy weight, and have regular sleep habits.

Try to be physically active for at least 30 minutes on most or all days of the week. But be realistic about how much activity you can do at one time. Several short “mini-workouts” may be best.

Aim for a mix of exercise types — endurance, strength, balance, and flexibility. For example, you could do a mix of walking or dancing, lifting weights, standing on one foot, and stretching. Even everyday activities like household chores and gardening help you stay active.

Your diet may need to change as dementia progresses to maintain a healthy weight. Talk with your doctor about the best diet for you, and choose nutritious foods such as fruits and vegetables, whole grains, and lean sources of protein and dairy products. Avoid added sugars, saturated fats, and sodium.

Stay social by talking on the phone with family and friends, joining an online support group, or going for a walk in your neighborhood.

Finding Care and Support: Tips for People Living With Dementia

Many people may be able to help in different ways. These people might include family members, friends, professional caregivers, community organizations, and others with dementia. For example, you can:

Ask friends or family to help with needs like cooking, paying bills, transportation, or shopping.

If you live alone, find people you trust who can visit often.

Consider letting trusted neighbors know of your diagnosis so they can help if needed.

Use social service agencies, local nonprofits, and Area Agencies on Aging to connect with in-home help, transportation, meals, and other services.

A new study published in the Journal of the American Geriatrics Society has found that listening to music can help older adults sleep better.

Researchers from the National Cheng Kung University Hospital in Taiwan combined the results of past studies to understand the effect that listening to music can have on the quality of older adults’ sleep. Their work suggests that:

Older adults (ages 60 and up) living at home sleep better when they listen to music for 30 minutes to one hour at bedtime.

Calm music improves older adults’ sleep quality better than rhythmic music does.

Older adults should listen to music for more than four weeks to see the most benefit from listening to music.

As we age, our sleep cycles change and make a good night’s sleep harder to achieve. What does it really mean to get a good night’s sleep? If you wake up rested and ready to start your day, you probably slept deeply the night before. But if you’re tired during the day, need coffee to keep you going, or wake up several times during the night, you may not be getting the deep sleep you need. According to the National Institute on Aging, older adults need seven to nine hours of sleep each night.

But studies have shown that 40 to 70 percent of older adults have sleep problems and over 40 percent have insomnia, meaning they wake up often during the night or too early in the morning. Sleep problems can make you feel irritable and depressed, can cause memory problems, and can even lead to falls or accidents.

For their study, the researchers searched for past studies that tested the effect of listening to music on older adults with sleep problems who live at home. They looked at five studies with 288 participants. Half of these people listened to music; the other half got the usual or no treatment for their sleep problems. People who were treated with music listened to either calming or rhythmic music for 30 minutes to one hour, over a period ranging from two days to three months. (Calming music has slow tempo of 60 to 80 beats per minute and a smooth melody, while rhythmic music is faster and louder.) All participants answered questions about how well they thought they were sleeping. Each participant ended up with a score between 0 and 21 for the quality of their sleep.

The researchers looked at the difference in average scores for:

People who listened to music compared to people who did not listen to music;

People who listened to calm music compared to people who listened to rhythmic music;

People who listened to music for less than four weeks compared to people who listened to music for more than four weeks.

Listening to calming music at bedtime improved sleep quality in older adults, and calming music was much better at improving sleep quality than rhythmic music. The researchers said that calming music may improve sleep by slowing your heart rate and breathing, and lowering your blood pressure.This, in turn helps lower your levels of stress and anxiety.

Researchers only looked at studies published in English and Chinese, meaning they may have missed studies in other languages on the effect of listening to music on sleep in older adults.

Results may not apply to older adults with Alzheimer’s disease or Parkinson’s disease.

In the studies researchers used, people who listened to music received more attention from researchers than did people who got standard or no treatment for their sleep problems. This means that sleep improvements in the music therapy group could be due to that extra attention.

Since the different studies used different kinds of music, researchers could not single out which type of calming music improved sleep the most.

All of the people in the study had similar kinds of sleep problems. This means listening to music may not help people with other kinds of sleep problems.

If you’re having trouble sleeping, listening to music can be a safe, effective, and easy way to help you fall and stay asleep. It may also reduce your need for medication to help you sleep.

The Ventura County Area Agency on Aging (VCAAA) continues to seek letters of support and encouragement as part of the Letters of Support Campaign, which was launched in September in partnership with Meals on Wheels America. This campaign is designed to provide older adults and people with disabilities living in Ventura County with letters or cards and a message of encouragement and support.

More than 30,000 older adults in Ventura County are living alone, and the isolation, loneliness, and depression many of them are experiencing through the COVID-19 crisis has become as much of a threat to their overall health as the virus itself. The VCAAA recognizes that this is a critical time to extend not only our services to these populations, but also our care and support.

Since September, the VCAAA has received more than 9,000 letters from the community, including holiday greetings. The response has been inspiring, and the VCAAA asks that the community continue to come together to send letters to the VCAAA. Letters may be mailed to 646 County Square Drive, Suite 100, Ventura, Ca. 93003. Please notate Letters of Support Campaign on the envelope. All letters will be reviewed and then delivered with food boxes from the VCAAA’s COVID-19 pantry.

The VCAAA continues to encourage family members and neighbors to safely connect with loved ones who may benefit from similar letters of encouragement, 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.

For more information, visit www.vcaaa.org or call (805) 477-7300.

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.

The VCAAA ElderHelp Transportation program, is able to provide transportation tickets to seniors (60+) and people with disabilities free of cost. The program provides Dial-A-Ride Tickets (i.e. paratransit) and/or Fixed Route Bus Tickets for non-emergency medical appointments, shopping, visiting family, etc. Limited, free transportation to medical appointments for low income and frail seniors, and/or disabled adults unable to use the bus (for example clients requiring gurney transportation) are also available. Additionally, the VCAAA provides Medi-Rides to older adults residing in assisted living facilities.

The objective of providing transit options is to help the populations we serve remain independent in their communities and sustain their mobility through changing circumstances. Using public transit or paratransit is a resourceful and environmentally conscious way to get around your city and throughout Ventura County.

COVID-19 Service Updates:

VCTC bus ticket provisions have been suspended as transportation providers have temporarily eliminated fares.

The VCAAA is currently offering transportation options to COVID-19 testing and vaccine appointments. These rides are available to those who are eligible for standard Medi-Rides.

For more information, or to request tickets, call the VCAAA at 805-477-7300

As far back as nine years old, Kathy Sullivan remembers admiring the older generation and feeling as though they were responsible for teaching her to become the best person she could be. She found herself baking cookies and taking them to lonely neighbors, and listening while they shared their life stories. Today, she continues to impact the lives of seniors in tangible ways.

Sullivan is a front desk concierge at Cypress Place Senior Living in Ventura, a senior living community catering to independent living, assisted living, and memory care residents. She has been with the community for 15 years.

On a recent Friday afternoon, the residents and staff and Cypress Place celebrated Sullivan’s 15 years of service to the community with a surprise anniversary celebration. She stood speechless as she walked into the community’s fireside lounge where she was greeted with applause by both residents and staff members alike.

“Everyone here has benefited from her amazing kindness,” said Marion Doane, one of the residents who helped coordinate the surprise along with the Cypress Place management team. “No matter how long you have lived here, whether it be one day, or ten years, you will have been touched by her infectious smile, her kind heart, and her giving spirit.”

The touching celebration brought tears to Sullivan’s eyes as she recounted how at one point during her employment, a car accident kept her away from the community for about three months.

“When I was recuperating in my home after my car accident, the residents had a lot to do with me getting better,” recounted Sullivan. “I would receive cards and notes all throughout my recovery from the residents. I will always be so grateful for those notes because I knew I needed to get back to the residents. They played a huge part in my recovery.”

Sullivan says she loves meeting and greeting the residents and their families daily. Being attentive to their needs, helping each resident feel accomplished, smiling, and always being kind, are her daily mottos, because the residents deserve it according to Sullivan.

“You are beloved by all the residents, as well as all your co-workers,” said Gina Salman, executive director at Cypress Place. “You are the foundation for the experience we strive to provide our residents here at Cypress Place.”

Colleen Webb, Cypress Place Senior Living associate executive director, was equally as effusive. “Thank you, Kathy, for your loving heart these past 15 years. We look forward to many more years together.”

Cypress Place Senior Living is a premiere independent living, assisted living, and memory care community in the city of Ventura. For more information about Cypress Place Senior Living located at 1200/1220 Cypress Point Ln Ventura, visit www.cypressplaceseniorlivig.com or call 805-650-8000.

Treating people in early adulthood for cardiovascular risk could preserve their ability to think clearly, learn, and remember as they age, a new study pooling large sets of population data suggests. The findings showed that risk factors such as elevated body mass index, fasting glucose, and systolic blood pressure were associated with worse cognitive health later in life. Funded in part by NIA, the research was published in the March 17 online issue of Neurology, the medical journal of the American Academy of Neurology.

Researcher measuring breathing, heart rate, and blood pressure of participant while walking on a treadmill, results appear on a computer screen. Existing evidence suggests that maintaining heart health, in particular blood pressure control, may slow cognitive decline. Yet research to date on delaying cognitive decline has focused on reducing cardiovascular risk during midlife. To address this gap, researchers compiled data from different groups and measured the association of early adult, midlife, and late-life cardiovascular risk with late-life cognitive decline.

The research team found that across the adult life course, elevated cardiovascular risk factors, including elevated body mass index, fasting glucose, and systolic blood pressure, but not total cholesterol, were associated with greater cognitive decline in late life. Lead author Kristine Yaffe, MD, from the University of California San Francisco, noted that the findings are particularly noteworthy because they show cardiovascular risk exposures in early life in particular are associated with late-life cognitive change, even after accounting for risk exposures in mid- and late-life.

To get a full adult life-course perspective on cardiovascular risk factors and cognitive decline, the research team combined data from four NIH-funded studies: Coronary Artery Risk Development in Young Adults (CARDIA), Multi Ethnic Study of Atherosclerosis (MESA), Cardiovascular Health Study (CHS), and Health, Aging and Body Composition (Health ABC). CARDIA included data of young to middle-aged adults, MESA of middle-aged to older adults, and the CHS and Health ABC studies of older adults. This pooled cohort included Black and white adult participants ages 18 to 95 years old at enrollment. The researchers assigned values over time for body mass index, fasting glucose, systolic blood pressure, and total cholesterol for 15,001 adults.

Yaffe, who recently described the importance of this kind of population-based evidence in an NIH lecture, “Epidemiology of Cognitive Aging: Why Observational Studies Still Matter,” noted a strength of this study is its large sample size and ability to study exposures over the adult life course. Limitations described include that the missing measures of early- and mid-life cardiovascular risk were imputed and these values tended toward average levels, thereby lessening the strength of the associations with cognitive decline. However, the analysis suggests that absence of cardiovascular risk factors in early adulthood is associated with better cognitive health in old age, even when midlife and late life cardiovascular factors are taken into account. Next steps in this area of research would be to determine if treating early-life cardiovascular risk factors has an effect on cognition in late-life.

This research was supported by NIA grants 1RF1AG054443 and K01AG047273.