Staying Mentally Sharp While Aging

Age comes with wisdom. Unfortunately, it also comes with some forgetfulness. Fortunately, there are things you can do to keep the brain sharp, small daily habits which can reduce the risk of cognitive decline.

Exercise is one such daily habit. It increases blood flow, and thus oxygen to the brain; it also protects brain cells against destructive chemicals in the environment. Exercise also supports the production of new brain cells. Furthermore, research in the 2000s showed a relationship between cardiovascular risk factors and Alzheimer’s. Anything which can impair blood flow can cause strokes leading to cognitive decline, otherwise known as vascular dementia. The same activities that one would consider as beneficial to the heart, such as regular exercise, can therefore also be effective in protecting the brain. And, of course, there are other benefits to exercising regularly: it helps with energy levels, decreases anxiety and depression, and can help with sleep.

Sleep is another factor in maintaining a healthy mind. But as many as half of adults 60 and older are affected by insomnia, which can result in memory loss, depression, and other symptoms. It’s important, then, to pay attention to sleep hygiene and sleep schedules to ensure sufficient duration and quality. If it takes more than 45 minutes to fall asleep, or you have trouble staying asleep, it may be worth looking into treatment.

Eating well is another way to protect the mind. It’s important to ensure you’re getting enough vitamins A, B, C, D, E, folic acid and niacin. The USDA and the HHS describe two eating plans: the USDA food patterns or the DASH Eating Plan. Foods like nuts, fish, and wine have also been linked to a healthy brain.

Art, music, reading, writing, learning, and puzzles… these are also good for keeping the brain sharp. Art has been used as an Alzheimer’s treatment and to restore memory, and arts maintain and improve dexterity and fine motor skills! Adult coloring books have become popular in recent years and can be found in many stores and online; watercolors and pastels are also relaxing.  Meanwhile, music has been linked to improved memory and cognition, and can both elevate your mood and lower blood pressure. Learning and intellectual challenges like puzzles exercise the brain and improve its capacity. Mental exercise is thought to maintain and stimulate brain cells. This includes the pursuit of a hobby, learning new skills, using brain training apps, or taking on other new kinds of projects at work.

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If you have any questions or are looking to start your individual plan, we’d be happy to help. You can reach Goff & Goff Attorneys at our Ruston, Louisiana office by clicking here to send us a message or by dialing us at (318) 255-1760.

 

 

Does Your Power of Attorney Cover All Your Bases?

Powerful “power of attorney” (POA) documents are essential, if there ever comes a time when you or your elder become unable to manage your finances or make health-care decisions.

Beware if you rely only on POAs that hospitals provide, or that you have pulled off the Internet, or that you have got from other attorneys who do not focus their practice specifically on elder law. When an emergency arises, the bank or health-care provider may refuse to allow your agent to act – and then the only recourse is to go to court and get a guardianship.

This is definitely not what you want to hear in an emergency. Interdiction (guardianship) proceedings cost time and money, they expose your private affairs to the public, and you or your elder can lose control of your autonomy. In the worst case, unfriendly family-members can try to take advantage of a helpless elder, and it can cost tremendous anxiety and expense to defend against that threat.

This is why our POAs for financial and health-care matters total between thirty and fifty pages. We want to help to anticipate as many situations and nuances as possible, to ensure that when you need assistance, your documents will be there to avoid interdictions (guardianships) and to help you get the responsible financial coverage and health-care treatment you need.

A client came in recently with a  POA from the internet. She wanted to know whether it would do the job for her father. We said emphatically “no.” It would not.

  • It was not witnessed, so it could not be used for Louisiana real estate transactions;
  • It failed to provide the agent with specific powers for appropriate estate and long-term care planning; and
  • It failed to comply with Louisiana law regarding specific powers regarding nursing home placement and certain medical treatment;

Our POAs do much, much more than that. And our financial POAs are so meticulous that we’ll cite just one example: We provide over two pages of detail covering real-estate transactions alone.

Check your POAs to see whether they do all of the above – and if not, come see Goff & Goff Attorneys at our Ruston, Louisiana office. Get a message to us by clicking here, or call us by dialing (318) 255-1760.

 

 

Blood Test Finds Markers of Alzheimer’s

Alzheimer’s disease is becoming more prevalent among aging Americans, and there are more aging Americans than ever before. Alzheimer’s disease has three typical biomarkers: plaques of beta-amyloid protein, tangles of tau protein, and loss of connections in the synapses that communicate information between brain cells. Now a simple blood test may be able to detect early signs of Alzheimer’s years before any symptoms, like memory and thinking decline, become apparent. The test involves the identification of changes in levels of NfL a neurofilament light chain protein found in the brain. This protein is part of the internal skeleton and resides inside neurons and brain cells, but when damaged or dying NfL leaks into the cerebrospinal fluid (CSF), it becomes circulated into the bloodstream.  CSF provides essential mechanical and immunological protection to the brain inside of the skull.

Prior testing to determine elevated levels of NfL in the cerebrospinal fluid involved a lumbar puncture or a spinal tap which is a procedure many people are reluctant to undergo. Still, this raised level of NfL is a reliable indicator that brain damage has occurred and that the person is at an elevated risk of Alzheimer’s presymptomatic stages. Testing of NfL “…could be,” says co-first study author Stephanie A. Schultz, who is a graduate student at Washington University, “a good preclinical biomarker to identify those who will go on to develop clinical symptoms.”

Recent data from the National Institute on Aging Alzheimer’s disease fact sheet estimates Alzheimer’s may rank as the third leading cause of death for older people following heart disease and cancer. It is also the most common form of dementia among seniors aged 65 or more. A simple blood test can detect the future state of you and Alzheimer’s but do you want to know? Currently, there is no cure for the disease, and depending on the levels of optimism an individual displays, knowing their NfL status could be a blessing or a curse.

The blood test gives pre-diagnosis years ahead of the onset of symptoms. There is a percentage of seniors who would find this information disheartening and feel burdensome and full of worry for what is about to come. These individuals can receive protection from knowing at their request if the information would make them fearful and angst-ridden. Other seniors might want to have a pre-diagnosis to relish the time that they have left with full faculties. They may want to get their affairs in order, handling day to day living choices and extension of life choices when they are no longer mentally competent to do so. Many components divide the two camps of thought; wanting or not wanting to know. Family structure, faith, financial independence, education level, and general health and well being typically play a factor in the decision.

What of the family who may want or may need to know of the future advent of Alzheimer’s to plan for the care of their spouse or parent? As a spouse and as a child, it is crucial that medical directives be in place for when their loved one can no longer make a sound decision but can be comforted by the fact that they participated in the planning years before. A spouse must prepare when their loved one enters a full-time care facility they may no longer recall their marriage and their spouse and unknowingly, may strike up a “relationship” with another resident. Retired Supreme Court Justice Sandra Day O’Connor encountered this with her husband and famously became involved in raising awareness of Alzheimer’s disease. Subsequently, she was diagnosed with Alzheimer’s disease in 2018 and retired from public life.

Outside of the emotional realm of not having an Alzheimer’s stricken spouse or parent recognize who you are there is a substantial financial component to caring for individuals with Alzheimer’s. For practical and economic reasons, a family should be able to establish the biomarker for a loved one’s likelihood to develop the disease through this simple blood test. To that end, health information is private and protected by law. To ascertain your spouse or parents’ risk of Alzheimer’s requires conversation, acceptance of the blood test, and careful planning with elder counsel for proper legal documentation.

If you have any questions about these new findings or would like to start a conversation about estate planning for a loved one who has Alzheimer’s, please contact our office in Ruston, Louisana today and schedule an appointment to discuss how we can help you with your planning, or simply give us a call at (318) 255-1760.

 

 

Hearing Loss Linked to Depression

The findings from a ten-year study by the Journal of the America Medical Association (JAMA) reports of a link between hearing loss and health risks. The risks include a 50 percent greater risk of dementia, a 40 percent greater risk of developing depression and nearly a 30 percent higher risk for unintended falls.

Reuters Health cites data analyzed by researchers, combining the findings from 35 previous hearing studies with participants aged 60 or more, which establishes the connection between hearing loss and depression. The aggregate of the conclusions of these reports suggests that older adults who experience some form of hearing loss are 47 percent more likely to display symptoms of depression. The take away is that depression is often brought about by the isolation of an individual and hearing loss tends to create social isolation. Dr. Nicholas Reed of the Cochlear Center for Hearing and Public Health at Johns Hopkins University School of Medicine agrees with the findings published by Reuters. “First, hearing loss impairs communication and influences balance, which can lead to social isolation and decreased physical activity that, in turn, result in depression,” Reed said.

Beyond the problem of social isolation due to hearing loss is that the longer you wait to address the issue the greater the risk of associated cognition problems. An older adult may be able to hear words but not be able to understand their meaning cognitively. It is imperative to see an audiologist and test hearing capabilities to establish an informational baseline and make future adjustments accordingly. Overall, older adults who experience hearing loss tend to withdraw from society and are more likely to experience mild cognitive decline furthering levels of social and emotional loneliness.

It is estimated that 100 million people in the US are exposed to unhealthy levels of noise. Aircraft and automobile noise, leaf blowers and lawnmowers, car stereos and earbuds all contribute to the increase of hearing loss. Hearing loss lowers quality of life and can also have severe implications regarding personal safety. Potential danger warnings like smoke alarms, car horns, fire alarms, public safety announcements all require the ability to hear. Hearing loss limits everyday life experiences in our ability to socialize, work, and communicate. It also limits joyful experience like the sound of a child laughing, a bird singing, a loved song on the radio, or a gab session with a great friend.

Thus far there is no way to undo damaged hearing but other than cost; there is no downside to hearing aids anymore. Their look is discreet, they are easy to learn how to use, and professionally adjustable over time to compensate for increased hearing loss. Once you factor in the cost of a potential fall, increased risk of dementia, social isolation, and depression, the price of hearing aid(s) winds up being comparatively minimal. Although the study, as reported by Reuters, does not investigate whether treating hearing loss can prevent depression aging Americans should still seek medical attention when experiencing hearing problems.

Hearing is a complex biological phenomenon. First ears capture sound traveling through the air as a vibration in air pressure. The outer ear (pinna) catches the sound waves and indicates its direction, in front, behind, above or below you. The ear canal receives the sound wave and triggers vibrations to the eardrum which becomes amplified by tiny bones known as ossicles.

Then the amplified vibrations travel to the cochlea in the inner ear where the sound is translated into nerve impulses that your brain recognizes and processes as distinct sounds.

Hearing and its complexities and loss will continue to get a lot of attention moving forward. In a world full of headphones, earbuds, robust speakers, and unwanted environmental noise, all of us are at risk of having diminished hearing abilities. Turn down the sound whenever possible to improve your quality of life as you age. Hearing loss has a profound impact on your well being.

Be proactive in the monitoring of your hearing abilities and subsequent hearing loss as you age.  If we can be of assistance in any way, please don’t hesitate to reach out.

You can get in touch with Goff & Goff at our Ruston, Louisiana headquarters by clicking here, or calling us at (318) 255-1760.