Falling asleep and staying asleep are incredibly important for brain health and cognitive function. Sleep may be affected by specific causes of Dementia, but in addition, some studies show that poor sleep might actually contribute to the development of a Dementia. Many people struggle with getting adequate sleep due to various factors, including stress, activity level, and poor sleep hygiene. Electronics have found their way into many aspects of modern life. Adults and children have more access to LED screens and electronic entertainment today than at any other time in history. While many of these tablets, smartphones, and TV screens can improve the quality of communication, they can also negatively impact your brain health. The Nielsen organization reports that, on average, adults watch 33 hours per week, while children average 24 hours. Most of this viewing time occurs in the evening hours, shortly before bed, or while lying in bed before trying to go to sleep. When you’re watching a television program, it engages the brain. You can often find yourself reacting to the program, formulating questions about what will happen next, or even emotionally reacting to what’s on the screen. When this happens, it often results in the brain releasing stress hormones like adrenaline and cortisol, which stimulate the body and continue to keep the brain engaged. You start to set up a cycle in your brain that encourages it to stay awake and alert at precisely the same time that it’s supposed to be calming down to prepare for sleep. Ditch the Bedroom TV! Your bedroom should be set up as an environment that is conducive to getting a good night’s sleep. Removing the TV from your bedroom removes unneeded stimulus. Going to sleep each night in a positive sleep environment trains your brain to recognize the timing and routine of the sleep-wake pattern. This allows you to fall asleep more quickly and stay asleep throughout the night. This can also be a significant factor in reducing your dependency issues regarding sleep aids and medications. Contributor: Dr. Michael Trayford is a Board-Certified Chiropractic Neurologist and Founder of APEX Brain Centers in Asheville, NC. For more information, please visit https://apexbraincenters.com/cognitive-decline-asheville-nc/ . Disclaimer: Dementia Society of America (DSA) provides educational content only and does not offer medical advice. Always consult a qualified healthcare professional before making changes to your medical care. DSA content is created by both human and computer-generated means and is reviewed for accuracy; however, errors may occur. Views expressed by third-party contributors do not necessarily reflect those of DSA. Unless expressly stated, DSA does not endorse or guarantee any third-party products, services, organizations, or external content. All DSA content is copyrighted and/or trademarked and may not be used without written permission.

This brain health tip is as much about quality communication as it is about stress management. On the surface, taking time to reply to emails or other communications is about giving yourself time to formulate your thoughts so you can speak intelligently and get your point across. Take Time to Reply This can be a challenge in some situations, mainly if there’s an emotional charge to the topic or another factor that might tempt you to overreact. You need time, or a refractory period, to allow your brain to sort things out, create a reasonable understanding, and, hopefully, reply with an unbiased, non-confrontational opinion. If the topic is complex or emotionally charged, you might want to ask a neutral party you trust to help you formulate your response. This sounding board helps you ensure you’re clear and respond appropriately. While this tip primarily applies to email correspondence, there are a lot of other communication methods and social media outlets where it is also applicable. Texting can be particularly prone to miscommunication glitches as you’re forced to respond often in short detail so that it conforms with the speed with which we tend to fire off texts. This easily allows things to be misconstrued or misunderstood, or it could cause the other person to respond in an inflammatory manner. This is particularly important in the Dementia and cognitive realm decline as social cues are often necessary to put the communication into proper context so it is not misunderstood. Most people can get their point across with adequate clarity regarding business communications or communicating information in a dry or technical manner. As a general rule of thumb, if something is emotionally charged or controversial, it’s a good idea to take the time to sit back, relax, and think about it. There may be a big difference in how you feel if you sleep on it. People don’t always need answers right away. I think you will find that, in many cases, you will serve yourself and the person you’re communicating with at a much higher level if you allow yourself the time to reflect on what you will write. Sometimes, you might not even need to reply at all! Contributor: Dr. Michael Trayford is a Board-Certified Chiropractic Neurologist and Founder of APEX Brain Centers in Asheville, NC. For more information, please visit https://apexbraincenters.com/cognitive-decline-asheville-nc/ . Disclaimer: Dementia Society of America (DSA) provides educational content only and does not offer medical advice. Always consult a qualified healthcare professional before making changes to your medical care. DSA content is created by both human and computer-generated means and is reviewed for accuracy; however, errors may occur. Views expressed by third-party contributors do not necessarily reflect those of DSA. Unless expressly stated, DSA does not endorse or guarantee any third-party products, services, organizations, or external content. All DSA content is copyrighted and/or trademarked and may not be used without written permission.

POA and Legal Matters There are many legal matters you must attend to before you or another person can be an effective caregiver/care partner. Two of the most important ones are becoming your loved one’s Power of Attorney (POA) and, when warranted, his or her guardian and conservator. In addition, your loved one should have already composed and signed his or her advance directive, do not resuscitate (DNR) instructions, and his or her will. Competency is one of those hard-to-define words. Most people realize that competency has something to do with understanding information and performing tasks to an acceptable level. But what about competency as it applies to people who have Dementia? To evaluate competency, healthcare professionals and lawyers consider the specific skills or tasks the patient needs to perform. A power of attorney is a legal document that states your loved one voluntarily gives you the right to act on his or her behalf. Since only competent individuals can grant power of attorney, it is vital to have a POA in place well before the need arises. People with early-stage Dementia often do have the capacity to make decisions and, therefore, can sign the power of attorney papers. If you are the designated POA, you can converse with your loved one’s doctor and other healthcare providers. Without POA papers, you cannot pay your loved one’s bills, make banking transactions, sign income tax returns, or speak with credit card, insurance, and cellphone representatives. Guardian and conservatorship are necessary when your loved one has neither been assigned as his or her POA nor is competent to do so. Guardians are responsible for their loved one’s safety, food, clothing, and shelter. Conservators are responsible for paying bills and managing and protecting property and financial assets. Most often, the person who is the guardian is also the conservator. The guardian and conservatorship process is expensive, lengthy, and emotionally draining. Becoming your loved one’s guardian or conservator requires the services of several lawyers, a court petition, and a court hearing. An advance directive or living will, is a document that outlines your loved one’s end-of-life wishes in the event he or she becomes mentally or physically incapacitated. The advance directive states the conditions where he or she may or may not want tube feeding, cardiopulmonary resuscitation (CPR), or other artificial life-sustaining measures. Your loved one can appoint you or another person, to make these end-of-life decisions. In case of a heart attack, stroke, pneumonia, or another life-threatening condition, resuscitation instructions are another aspect of the advance directive. A DNR is the abbreviation many people use instead of stating “do not resuscitate.” Often, doctors, hospitals, and long-term care facilities will not admit or treat patients who do not have a living will on file. Then, you, as his or her POA or guardian, must make those difficult decisions. Writing and modifying the will is another topic that involves competency. Suspicions of coercion can pit family members against one another. As with all essential documents – keep records, make copies to use when an original is unnecessary, AND inform need-to-know individuals where and how to access these critical papers. To find an attorney specializing in elder law, consider this organization, the National Academy of Elder Law Attorneys and their "Find a Lawyer" directory or our Dementia Answers Directory . Contributor: Janet Yagoda Shagam, PhD, is a freelance medical and science writer and the author of “ An Unintended Journey: A Caregiver's Guide to Dementia.” Available through Amazon . Disclaimer: Dementia Society of America (DSA) provides educational content only and does not offer medical advice. Always consult a qualified healthcare professional before making changes to your medical care. DSA content is created by both human and computer-generated means and is reviewed for accuracy; however, errors may occur. Views expressed by third-party contributors do not necessarily reflect those of DSA. Unless expressly stated, DSA does not endorse or guarantee any third-party products, services, organizations, or external content. All DSA content is copyrighted and/or trademarked and may not be used without written permission.

Exercise is critically important for brain health and vitality. One of the keys to establishing a consistent exercise routine is to develop a mindset of making the time rather than trying to find the time. Of course, there are a lot of facets involved in exercise selection and location. Plus, you must check with your doctor before beginning a physical activity outside your daily routine. For many, when they think about exercise, they think about going to go to the gym. It is estimated that over 60% of people with a gym membership either fail to use it at all or use it so infrequently that it imparts no long-term health benefits. While some people enjoy going to the gym, and gyms serve a great purpose, most people see it as something they have to do instead of something they want to do. That’s not necessarily a good place to be because pulling yourself away from doing other things you like (e.g., hiking, canoeing, birdwatching, etc.) can create stress in your life. So, in a particular light, you could view this as a stress management tool. Do Something You Enjoy Instead Choosing exercises and activities that you like to do increases the odds that you will stay dedicated to keeping exercise as a planned part of your daily routine. The way to succeed is by doing something you love to do. For some people, this might mean exercising in nature, even gardening ; for others, it might be something simple like taking the family out for a long walk through the neighborhood. There are added benefits to these types of activities in the different ways they stimulate the brain. Bending, stretching, as able, and moving plants around seems low-impact, but if you've not done it for a while, start slowing. Exercising in nature, however, promotes your awareness and sense of place. Walking through the neighborhood creates opportunities for social interaction when you catch up with neighbors and friends you meet along the way. Doing something you want to do is critically important because it provides more than just the exercise. It offers a host of tools that will also help to train your brain positively. Motivation enhances learning. This makes it much easier to develop a habit when it’s something that you love to do. Contributor: Dr. Michael Trayford is a Board-Certified Chiropractic Neurologist and Founder of APEX Brain Centers in Asheville, NC. For more information, please visit https://apexbraincenters.com/cognitive-decline-asheville-nc/ . Disclaimer: Dementia Society of America (DSA) provides educational content only and does not offer medical advice. Always consult a qualified healthcare professional before making changes to your medical care. DSA content is created by both human and computer-generated means and is reviewed for accuracy; however, errors may occur. Views expressed by third-party contributors do not necessarily reflect those of DSA. Unless expressly stated, DSA does not endorse or guarantee any third-party products, services, organizations, or external content. All DSA content is copyrighted and/or trademarked and may not be used without written permission.

When 77-year-old Anne (pseudonym) was diagnosed with Dementia, her family wanted to keep her engaged in art. After all, she was a successful abstract artist for decades, so why stop now? Her family expected her to use the art studio in her condo–which was full of all sorts of supplies–like she previously did, but that didn’t happen. “ The family didn’t understand how they needed to help with cueing and getting [Anne] engaged,” says Jeannine Forrest, Dem entia care coach and advisory council member for Dementia Society of America ® . “We coached the family about how to bring out just a few art supplies at a time,” among other tips. Anne’s husband, who is also her caregiver, turned on her favorite opera music in the background and created art with her. Once a solo activity, it soon became something they enjoyed together. “What was wonderful was that they both had meaningful and positive [experiences] within this environment,” says Forrest. “Her husband’s face just lit up being able to bring out that light in her that used to make her shine.” A positive atmosphere is essential for everyone, especially individuals living with Dementia. It’s a space where people “feel empowered, respected, and as if they have choice and purpose,” explains Forrest. Here are 4 ways to create a positive space for those living with Dementia: 1. Think beyond the physical space. When Forrest thinks of the environment, she considers two areas: inner and outer rings. The inner ring, which is the people, is just as important as the outer ring, the physical space. The people include whoever is caring for and/or interacting with a person living with Dementia. Those individuals should be well informed that the person’s brain is changing, says Forrest. It’s more than memory loss. Some of the 22 common signs and symptoms include poor judgment, difficulty with senses, heightened anxiety, and more. With that information in mind, individuals should have a willingness to learn how to adapt to those changes and communicate in different ways. For example, a person should always aim to use language that is empowering and uplifting, not stigmatizing. 2. Create safe, organized rooms. Regardless of where a person living with Dementia is living–at home, a care facility, or elsewhere–it’s important to prioritize safety and organization. Ensuring safety for everyone is paramount. This involves removing potential fall risks, such as throw rugs or cords. Organization is key too. Avoid cluttering the space with piles of books and other objects. When the space is too busy, it can be overstimulating and distracting, especially for someone whose brain is changing. 3. Add wayfinding signs. One easy way to give choice and dignity to people living with Dementia is through wayfinding signs. It’s common for individuals with Dementia to get lost in familiar places. Or perhaps they’re in a new place, and all the doors look the same. That’s when physical signs can be incredibly helpful. Wayfinding signs have “not only the word but a picture of the toilet and the washroom [for example], so that the person who is living has Dementia can walk by and identify where they are,” says Forrest. 4. Incorporate homelike objects. The main spaces where a person living with Dementia spends most of their time should be cozy and homelike. While this comes more naturally in a person’s home, it’s certainly possible to achieve in a care community. Forrest suggests adding familiar objects, such as photos and other mementos, that bring the person joy and comfort. While this is important, Forrest emphasizes that a beautiful, high-end environment will not make up for a poor inner ring. “It’s more than the physical space. That’s part of it, but that’s not what makes the difference in terms of quality time and quality of life,” says Forrest. “It is the people who interact in that space, that inner ring, that makes all the difference in the world.” Disclaimer: Dementia Society of America (DSA) provides educational content only and does not offer medical advice. Always consult a qualified healthcare professional before making changes to your medical care. DSA content is created by both human and computer-generated means and is reviewed for accuracy; however, errors may occur. Views expressed by third-party contributors do not necessarily reflect those of DSA. Unless expressly stated, DSA does not endorse or guarantee any third-party products, services, organizations, or external content. All DSA content is copyrighted and/or trademarked and may not be used without written permission.

Awareness and education are the first steps to understanding Dementia. Dementia is a complex syndrome that affects millions of individuals worldwide, as well as their families and caregivers. In the United States, the Dementia Society of America (DSA) has emerged as a prominent organization that raises awareness and supports those affected by Dementia. With its unwavering commitment to education, awareness, and community engagement, DSA is vital in empowering individuals living with Dementia and fostering a more inclusive society. This article will explore five aspects of the Dementia Society's mission, initiatives, and impact. Understanding DSA and Its Mission : The Dementia Society of America is a national nonprofit 501(c)(3) organization celebrating 10 years of improving the lives of individuals living with Dementia, their caregivers, and their families. Its mission is to enhance the quality of life for those affected by Dementia, support research efforts, and advocate for the needs of this vulnerable population. Education and Awareness Programs : Education is vital to the DSA's work. The organization offers a wide range of educational programs and resources designed to increase awareness and understanding of Dementia. Through workshops, conferences, webinars, and community outreach, DSA equips healthcare professionals, caregivers, and the general public with the knowledge and tools necessary to provide practical support and care for individuals living with Dementia. DSA's educational outreach promotes Dementia awareness among students and fosters a compassionate and inclusive society. By educating future generations about Dementia, DSA aims to reduce stigma and create an environment that embraces and supports individuals affected by the condition. Support and Services : Recognizing the challenges faced by individuals living with Dementia and their caregivers, the Dementia Society of America provides various support programs. These include their 1-800-DEMENTIA® information helpline, supportive online programs, a comprehensive online website with helpful information and guidance, local resources directory , and an extensive definitions section to understand the different types of Dementia better. The organization also recognizes the importance of respite care programs that give caregivers much-needed relief, allowing them to recharge and continue providing optimal care for their loved ones. Through their Dementia Aware America™ initiative, DSA promotes Dementia education, accessibility, and grassroots changes to ensure that communities can support and accommodate individuals living with Dementia and their families. Additionally, DSA prioritizes the creation of Dementia-aware communities. By collaborating with local businesses, organizations, and concerned citizens, they work to develop environments that are accessible, safe, and inclusive for individuals living with Dementia. Research and Innovation : DSA recognizes the importance of research in advancing our understanding of Dementia and improving care practices. With cures being elusive over the past 100 years, the organization actively supports research projects and partnerships to find better treatments, interventions, and meaningful therapies for the various types and causes of Dementia. Through collaborations and partnerships, DSA believes in driving innovation within the Dementia community. Advocacy : DSA recognizes community advocacy efforts at the local and national levels to create lasting change. DSA advocates for increased funding for Dementia research, improved access to quality care and support services, and integration of "Dementia-friendly" practices in various public and private sectors. DSA joins with others to influence opinions and perspectives promoting the rights and well-being of individuals with Dementia. The Dementia Society of America is a beacon of hope for those affected by Dementia. Through its comprehensive educational programs, support services, research initiatives, and Ginny Gives Grants, the organization has made significant strides in transforming communities and improving the lives of individuals living with Dementia. By fostering awareness, understanding, and inclusivity, DSA stands at the forefront of the fight against Dementia, empowering individuals and families with hope and healing through knowledge. In recognition of the Dementia Society's National Dementia Awareness Month this May, please consider supporting the Dementia Society of America through its annual Ride Against Dementia™ Challenge on Facebook, or make a direction donation here anytime . Disclaimer: Dementia Society of America (DSA) provides educational content only and does not offer medical advice. Always consult a qualified healthcare professional before making changes to your medical care. DSA content is created by both human and computer-generated means and is reviewed for accuracy; however, errors may occur. Views expressed by third-party contributors do not necessarily reflect those of DSA. Unless expressly stated, DSA does not endorse or guarantee any third-party products, services, organizations, or external content. All DSA content is copyrighted and/or trademarked and may not be used without written permission.

A Dementia diagnosis can be confusing and challenging, but individuals and families can feel empowered using Dementia planning strategies as they navigate their next steps. Board-certified chiropractic neurologist Dr. Michael S. Trayford and neuropsychologist Dr. Karen Sullivan give their insights into memory and cognitive care strategies for people living with Dementia, as well as their families. Strategy 1: Assemble a Care Team Once you’ve been given a proper diagnosis and a second opinion, an organized treatment plan should be on the agenda. Planning will most likely include a team of various medical specialists, your primary care physician, and your loved ones. Sullivan believes that individuals need to partner with their brain health provider so that that person can keep them up to date on clinical trials and programming that could be helpful. She believes that an extension of that plan should be a neuropsychologist. However, she’s aware that there are many more patients than neuropsychologists in the U.S. today. Nonetheless, here’s a resource to start the search . According to Sullivan, “Your neuropsychologist is your best partner for figuring out a whole-person strategy. We spend so much time getting the right diagnosis, but we must remember that this is just one part of the person's identity.” She explains that it’s important to “zoom out” and help the person living with Dementia process their diagnosis and any changes they are going through. Sullivan says that the individual themselves need to be a part of the planning, and early measures should include a living will so that loved ones won’t need to scramble or argue about the next stages. “I think patients should start documenting their preferences for future care. Dementia is a cognitive disorder, and while discussing living wills is tough, it’s important for individuals to be able to advocate for themselves while they are still able.” Strategy 2: Take Advantage of Early Interventions Trayford is the founder of APEX Brain Centers, Asheville, NC. He suggests that individuals could start a regiment of brain-healthy lifestyle changes to help slow cognitive decline. “You may not reverse a progressive pathology in the brain, but you might increase your chances of doing more for longer, whatever ‘more’ means to you and your quality of life.” Trayford continues, “The more confident we are on two feet, the more confident we are in our psychological, cognitive, and emotional processes.” Lifestyle changes should also be incorporated. He says, “These lifestyle changes could include anti-inflammatory diets, higher fat diets, or lower sugar diets for better brain function. Keeping your blood sugar in check if you have diabetes.” He also recommends that individuals keep moving - whether that means taking a walk, finding a program like Silver Sneakers® , or participating in a virtual chair yoga session. “It’s all about the important brain-body connection, and we deal with balance and cognition. Getting in tune with your physical body and if you can handle it, cardiovascular exercise needs to be a regular part of the regiment.” Sullivan says, “We're really moving towards an early and more accurate diagnosis of Dementia.” She recommends that her patients enroll in research studies early on, which might make a difference, but more importantly, doing so can help her patients feel like they are part of future treatment. There are many trials nationwide, and a great way to start looking is to use the Society's Dementia Answers® directory. Strategy 3: Live Your Life Sullivan says that when teams launch into a treatment plan, it’s easy to forget the patient’s humanness. “I have learned the importance of just being quiet for a little bit and letting the diagnosis sit there for a few minutes and giving people time and space to hear it and to process it,” she explains. She also expresses that patients don’t want to feel forgotten, “That ‘D word’ comes with stereotypes. Instead of letting the diagnosis color everything, remember that Dementia doesn’t define you.” “I really like that the Dementia Society of America® is working to represent all types of Dementia,” says Sullivan. When the stress of the initial diagnosis lessens, Sullivan says that gratitude tends to kick in. “Right now, you’re grateful to be alive and healthy, right? So I encourage people to pursue new passions, whether painting, playing music, or bird watching.” Tonya Russell is a South Jersey-based writer who specializes in health and wellness. Her words can be found in the New York Times, Washington Post, Forbes, and Prevention. Disclaimer: Dementia Society of America (DSA) provides educational content only and does not offer medical advice. Always consult a qualified healthcare professional before making changes to your medical care. DSA content is created by both human and computer-generated means and is reviewed for accuracy; however, errors may occur. Views expressed by third-party contributors do not necessarily reflect those of DSA. Unless expressly stated, DSA does not endorse or guarantee any third-party products, services, organizations, or external content. All DSA content is copyrighted and/or trademarked and may not be used without written permission.

#Livestrong #DespiteDementia #DementiaSociety My older friend often says, “No matter the weather, the sky is always blue.” This does not mean he is an overly optimistic person. Instead, despite his many infirmities, he lives daily as though it is a gift. He takes pleasure in his garden, family, and friends, as well as in the slow but steady progress he makes in his sculpture studio. His response to the annoyances we all experience and the things one cannot change is a hearty Brooklyn-ese, “What evah.” The diagnosis of Dementia, though not what we wish for, is an invitation to indulge yourself in all the things that give you pleasure or might like to do. Some people call these indulgences their “bucket list.” Enjoy Your Life! Many people have spent a considerable portion of their adult lives avoiding certain types of food. Although eating a healthful diet is still essential – indulge! It’s okay to eat a decadent dessert, an entire bag of chips, or any of the other foods you crave. Travel the world with your fork, knife, and spoon. Try a new cuisine. Explore the worlds of wine, cheese, and artisan beer. Since it’s always nice to travel in the company of others – extend an invitation to a themed potluck dinner or lunch at an ethnic restaurant. Don’t limit yourself to adventurous eating. This is an excellent time to become an adventurous tourist. Go to those “I’ve always wanted to visit “places. And it doesn’t have to be anything fancy such as a trip to Iceland to see the Northern Lights. Explore your nearby surroundings with the eyes of a tourist. Living life to its fullest includes giving family and friends the gift of your time with them. And you might be surprised to discover that grocery shopping and housework affirm your independence and abilities. To paraphrase my friend’s words, “Living a full life makes every day a blue-sky day.” Enjoy life! Disclaimer: Dementia Society of America (DSA) provides educational content only and does not offer medical advice. Always consult a qualified healthcare professional before making changes to your medical care. DSA content is created by both human and computer-generated means and is reviewed for accuracy; however, errors may occur. Views expressed by third-party contributors do not necessarily reflect those of DSA. Unless expressly stated, DSA does not endorse or guarantee any third-party products, services, organizations, or external content. All DSA content is copyrighted and/or trademarked and may not be used without written permission.

#TBI #Sports #Dementia #BrainHealth At first, glance, wearing your helmet might seem like pure common sense. Unfortunately, we still see many people these days that aren’t wearing helmets when they are riding a bike, rollerblading, or involved in other outdoor activities. In my clinical work, I see many people that have suffered a mild traumatic brain injury due to not wearing a helmet in a situation where it was called for. We’re seeing everything from mild traumatic brain injury and concussion to people who have had open head injuries and lost parts of their brain because of trauma. Wear Your Helmet to Protect Your Brain Wearing your helmet is one of the simple things you can do to actively prevent or decrease the risk of suffering a significant injury to the brain. This applies to any type of wheeled sport, whether it’s a motorcycle, bicycle, scooter, or rollerblade. When you fall during one of these activities, and your legs come out from underneath you, the first thing to hit the pavement is often your head. Many agencies and organizations have collected research and statistics. This includes the insurance industry, highway, and safety divisions. The website helmets.org helps to provide a clear picture of a profile for the most likely candidates getting hurt on bicycles due to not wearing helmets. The composite profile for bicycle fatality is a sober male over 16 who is not wearing a helmet while riding on a major road as he crossed an intersection in an urban area on a summer evening when he was hit by a car. A statistic from a major U.S. city within the past decade is that 74% of fatal bike crashes involved a head injury. Of that 74 percent, a staggering 97 percent were not wearing a helmet. This is irrefutable evidence that if you want to stay alive during a bicycle crash and avoid significant head injury, you must wear a helmet. The numbers paint a very clear picture that helmets save lives. Of equal importance is that they preserve health and reduce the risk of compromised brain function. This is not to say that if you’re wearing a helmet, you won’t have some kind of brain injury. However, you are significantly reducing your odds of suffering a severe brain injury that could affect you throughout your life. It’s also worth noting that the price point for a good, solid, approved helmet only ranges between $15 to $30. Of course, the value of wearing a helmet doesn’t just extend to riding a bike or rollerblading. You should see it as mandatory for you and your family to wear them in all activities other than walking (e.g., skiing, white water sports, etc.). Protect your noggin! Check out our booklet, The Big Umbrella ™, for The Cognitive Action Plan ™. In it, you’ll find recommendations that include and go beyond protecting your head from concussions and Traumatic Brain Injury (TBI) . Disclaimer: Dementia Society of America (DSA) provides educational content only and does not offer medical advice. Always consult a qualified healthcare professional before making changes to your medical care. DSA content is created by both human and computer-generated means and is reviewed for accuracy; however, errors may occur. Views expressed by third-party contributors do not necessarily reflect those of DSA. Unless expressly stated, DSA does not endorse or guarantee any third-party products, services, organizations, or external content. All DSA content is copyrighted and/or trademarked and may not be used without written permission.

The phrase "food for thought" refers to an idea or piece of information worth thinking about. But there is some truth to this phrase when speaking about nutrition and Dementia. Can the food we eat help reduce the risk of developing Dementia and help slow down the progression? Understanding the link between both has been the topic of many studies. Recent research has indicated that dietary factors influence and maintain mental function. Dr. Walter Willett, a professor in the cause of disease and nutrition at the Harvard T.H. Chan School of Public Health, states, "Pretty much anything that will help keep arteries healthy will reduce the risk of Dementia." Certain medical conditions such as high blood pressure, high cholesterol, diabetes, and obesity can increase our risk of Dementia. In addition, the brain requires a regular supply of nutrients in our diet to function and remain healthy. Choose Your Food Wisely Eating a nutrient-rich diet with lots of fruits and vegetables, omega-3 oils, low amounts of salt and saturated fats, and eliminating refined sugars will help to maintain the health of both our hearts and brain. Dr. Mitchel Kling, the director of the memory assessment program at the New Jersey Institute for Successful Aging, states, "the more colorful the produce on your plate, the better the food usually is for your brain." Many types of seafood, such as fatty fish, can help reduce the risk of age-related Dementia or cognitive decline. They can be a great source of omega-3 fatty acids leading to better brain health. "Fish is brain food," says Dr. Kling. Healthy Food Choices Some research suggests that following a Mediterranean Diet can reduce the risks of developing memory and thinking difficulties, with slower decline rates. In addition, the Mediterranean Diet promotes cardiovascular health and prevents many chronic diseases, which is why a large portion of the population follows this diet. It is simple to follow and includes foods such as: Fresh fruits and vegetables Legumes (lentils and beans) Extra virgin olive oil Nuts Whole grains Dairy Eggs Poultry (white meat) Fish There is no guarantee in the prevention of Dementia. Still, the good news is we can take early action toward a healthy brain by learning the benefits of good nutrition. A healthy diet is the foundation of a healthy brain. The opinions of contributing authors are not necessarily the opinions of the Dementia Society, Inc. We do not endorse nor guarantee products, comments, suggestions, links, or other forms of the content contained within blog posts that have been provided to us with permission, paid or otherwise. Dementia Society does not provide medical advice. Please consult your doctor. www.DementiaSociety.org Notes: https://www.nytimes.com/2022/04/21/well/mind/dementia-prevention-food-diet.html (accessed October 30, 2022) https://www.health.harvard.edu/blog/what-to-eat-to-reduce-your-risk-of-alzheimers-disease-2020050819774 (accessed October 30, 2022) https://www.scie.org.uk/dementia/living-with-dementia/eating-well/diet.asp (accessed November 1, 2022) https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2805706/ (accessed November 1, 2022) Disclaimer: Dementia Society of America (DSA) provides educational content only and does not offer medical advice. Always consult a qualified healthcare professional before making changes to your medical care. DSA content is created by both human and computer-generated means and is reviewed for accuracy; however, errors may occur. Views expressed by third-party contributors do not necessarily reflect those of DSA. Unless expressly stated, DSA does not endorse or guarantee any third-party products, services, organizations, or external content. All DSA content is copyrighted and/or trademarked and may not be used without written permission.

First, Dementia is not a disease. That’s news to many people. Instead, Dementia is a syndrome where one or more progressive diseases, conditions, or disorders affect the brain structure sufficiently enough to limit one’s ability to perform activities of daily living, along with a host of other cognitive changes. Yes, that’s a mouthful. And that may be why some medical professionals will initially use the linguistic shortcut to say that someone likely has “Dementia” without much more detail. They may not know at that moment what’s causing the cognitive impairments, so calling it Dementia is a way to name it in a general sense. But wait, let's back up. If Dementia is not a disease, how do I know what disease or disorder(s) I have and what I should do about it? The glib answer is: it depends. Depends on what? It depends on a bunch of different criteria, such as: What is your age? What are your mental state and physical ability to withstand the rigors of testing? What are your medical history and your family's medical history? What are your exact symptoms? Are you possibly depressed? Do you have memory loss alone, or do you have hallucinations, too? Are you wobbly on your feet, or do your feet kind of stick to the floor, etc.? These symptoms and many more are clues to building the case for a more definitive cause(s) of your cognitive issues. Also, have you been tested? Did the doctor do a mini-cognitive assessment or depression screening? How about an in-depth neuropsych exam, done a couple of times over a multi-month period? Did you have an MRI, CT scan, or PET scan? How about a blood test or spinal fluid test? Was there a plausible reason to do genetic testing? All these tests may add to the knowledge doctors can bring to bear on a more precise diagnosis. Suffice it to say, for this post, we're mainly concentrating on the clinical presentation, in essence, how you act, what the cognitive screening test indicated, what you think about the situation, how it's progressing if it is, and what your loved ones are observing. And for many, that's the first level of evaluation. Then, after you receive a diagnosis of "possible" or "likely" Dementia, from a clinical perspective, your doctor may want to do additional testing (which we hope they do) to dig a bit deeper. And until more is known, they are likely to focus on your neurological health, suggesting different treatments and therapies to help manage your symptoms in the short term. You may also be told to do advance care planning in anticipation of forthcoming changes. But there are brain-healthy activities that you can do that may benefit you now and in the future. These ideas are ways to cope with a new Dementia diagnosis, even if it's not a definitive one: Establish a daily routine Doing the same things every day may help you adopt a comforting rhythm. It may also keep you from losing things if you train yourself to put your glasses or keys in the same place. Be sure to include daily chores on your list of things to do. “We want them to do as much as they can without being overwhelmed,” says Rehan Aziz, MD, associate professor of psychiatry and neurology at the Rutgers Robert Wood Johnson Medical School in New Brunswick, New Jersey. “If they can still set the table and prepare simple meals... those are things we want to maintain. We don’t want [them] to lose those skills.” If you need prompting throughout the day to maintain your routine, keep an oversized calendar in the kitchen listing your schedule, from your morning walk to your family dinner. Get moving Grab your sneakers or your favorite bathing suit: Research has shown that physical activity can improve your mood, which may lift your spirits if you need a boost. Be cautious about exercising too vigorously if you’re at risk of falling; consider swimming or water aerobics instead of walking or hiking. Aim for half an hour of exercise daily for better mental and physical health. Manage your well-being If news about your health makes you depressed or anxious, find a therapist who treats older adults or people with Dementia. “If they’re having a difficult time with the diagnosis, which is not unreasonable, we can refer them to meet with individual therapists for supportive talk therapy,” Aziz says. “If they’re feeling particularly depressed, you might consider medications that might help.” Connect with loved ones Communicate with friends and relatives regularly. Staying close to the important people in your life may help you feel less isolated. Phone calls, video calls, and in-person visits are all good options to help you keep in touch and ways to cope with a new dementia diagnosis. The opinions expressed by contributing authors are not necessarily the opinions of the Dementia Society, Inc. We do not endorse nor guarantee products, comments, suggestions, links, or other forms of the content contained within blog posts that have been provided to us with permission, paid or otherwise. Dementia Society does not provide medical advice. Please consult your doctor. www.DementiaSociety.org Lisa Fields is a full-time freelance writer specializing in health, psychology, sleep, nutrition, and fitness. Her work has been published by Reader’s Digest, WebMD, Women’s Health, Good Housekeeping, Self, and many other publications. Learn more about Lisa at https://www.writtenbylisafields.com . Disclaimer: Dementia Society of America (DSA) provides educational content only and does not offer medical advice. Always consult a qualified healthcare professional before making changes to your medical care. DSA content is created by both human and computer-generated means and is reviewed for accuracy; however, errors may occur. Views expressed by third-party contributors do not necessarily reflect those of DSA. Unless expressly stated, DSA does not endorse or guarantee any third-party products, services, organizations, or external content. All DSA content is copyrighted and/or trademarked and may not be used without written permission.

Vascular Dementia is a type of Dementia that is caused by damage to blood vessels in the brain. This damage can lead to a reduction in blood flow to the brain, which can cause cognitive decline, mood changes, and behavioral disturbances. Vascular Dementia is the second most common type of Dementia after Alzheimer's disease . There is no cure for Vascular Dementia, but there are a number of treatment options that can help to improve quality of life. These treatment options include: Managing underlying conditions that contribute to Vascular Dementia Medications to manage symptoms Cognitive rehabilitation Support for caregivers Addressing Underlying Causes of Vascular Dementia It is important to manage and treat underlying conditions that contribute to Vascular Dementia, such as hypertension, diabetes, and heart disease. These conditions can damage blood vessels in the brain, leading to a reduction in blood flow and cognitive decline. Medication-Based Approaches There are a number of medications that can be used to manage Vascular Dementia symptoms, such as cognitive decline, mood changes, and behavioral disturbances. These medications include: Cholinesterase Inhibitors : Cholinesterase inhibitors are a class of medications that work by increasing the levels of acetylcholine, a neurotransmitter that is important for cognitive function. Memantine : Memantine is a different class of medication that works by blocking the effects of glutamate, a neurotransmitter that can damage brain cells. Memantine has been shown to improve cognitive function in people with vascular Dementia, but it does not slow the progression of the disease. Other Medication s: There are a number of other medications that can be used to manage the symptoms of Vascular Dementia, such as antidepressants, anti-anxiety medications, and mood stabilizers. These medications can help to improve mood, behavior, and sleep in people with Vascular Dementia. It is important to note that there is no one-size-fits-all approach to medication treatment for Vascular Dementia. The best medication for an individual will depend on their specific symptoms and needs. Managing Cognitive Symptoms Cognitive rehabilitation is a type of therapy that can help individuals with Vascular Dementia regain and maintain cognitive abilities. This type of therapy can include activities such as: Memory training Problem-solving exercises Computer-based training programs In addition to cognitive rehabilitation, there are a number of other things that can be done to manage cognitive symptoms in Vascular Dementia. These include: Cognitive Stimulation : Cognitive stimulation activities can help to keep the mind active and engaged. These activities can include things like reading, playing games, and socializing. Memory Aids : Memory aids can help individuals with Vascular Dementia to remember things. These aids can include things like calendars, to-do lists, and electronic reminders. Adaptive Strategies For Daily Living : Adaptive strategies can help individuals with Vascular Dementia to manage their daily activities. These strategies can include things like using assistive devices, simplifying tasks, and asking for help. Behavioral and Psychological Symptoms: In addition to cognitive decline, Vascular Dementia can also cause a range of behavioral and psychological symptoms. These symptoms can include: Agitation : Agitation is a state of restlessness and irritability. Depression: Depression is a common symptom of vascular Dementia. Individuals with depression may feel sad, hopeless, and unmotivated. Anxiety : Individuals with vascular Dementia may experience anxiety about their health, their future, or their ability to cope with the disease. Wandering : Individuals with vascular Dementia may wander due to confusion, boredom, or anxiety. Sundowning : Sundowning is a phenomenon that occurs in the evening or at night when individuals with Dementia experience increased confusion, agitation, and anxiety. These behavioral and psychological symptoms can be challenging for individuals with Vascular Dementia and their caregivers. There are a number of treatment options available for these symptoms, including: Non-pharmacological interventions : Non-pharmacological interventions are treatments that do not involve medication. These interventions can include: Psychotherapy : Psychotherapy can help individuals with Vascular Dementia to manage their emotions and behavior. Behavior management strategies : Behavior management strategies can help caregivers to manage challenging behaviors in individuals with Vascular Dementia. Social engagement : Social engagement can help individuals with vascular Dementia to feel connected and supported. Medication : Medication may be prescribed to treat some of the behavioral and psychological symptoms of Vascular Dementia. However, medication is not always effective and can have side effects. If you or someone you know is experiencing behavioral and psychological symptoms of Vascular Dementia, it is important to talk to your doctor about treatment options. Your doctor can help you to develop a treatment plan that is right for you. Support For Caregivers The role of caregivers is critical in the treatment of individuals with Vascular Dementia. There are a number of resources available to support caregivers of individuals with Vascular Dementia. These resources include: Support Groups : Support groups can provide caregivers with a forum to share experiences and connect with others who understand what they are going through. Respite Care : Respite care provides caregivers with temporary relief from their caregiving duties. This can give caregivers a break to recharge and focus on their own needs. Counseling Services : Counseling services can help caregivers to cope with the stress of caregiving. If you are a caregiver of an individual with Vascular Dementia, it is important to seek support for yourself. There are a number of resources available to help you, and you do not have to go through this journey alone. Holistic Approaches To Treatment It is important to take a holistic approach to the treatment of Vascular Dementia. This means considering the physical, emotional, and social well-being of the individual. A holistic approach may include: Physical Health : Maintaining good physical health can help to slow the progression of Vascular Dementia. This includes eating a healthy diet, exercising regularly, and managing chronic health conditions. Emotional Well-Being : Managing stress and anxiety can help to improve quality of life for individuals with Vascular Dementia. This may involve relaxation techniques, such as yoga or meditation, or counseling services. Social Well-Being : Social engagement can help to reduce isolation and improve mood. This may involve joining a support group, volunteering, or spending time with family and friends. The Dementia Society of America is a great resource for information and support. The organization offers a number of resources, including educational materials, support groups, and advocacy efforts. Disclaimer: Dementia Society of America (DSA) provides educational content only and does not offer medical advice. Always consult a qualified healthcare professional before making changes to your medical care. DSA content is created by both human and computer-generated means and is reviewed for accuracy; however, errors may occur. Views expressed by third-party contributors do not necessarily reflect those of DSA. Unless expressly stated, DSA does not endorse or guarantee any third-party products, services, organizations, or external content. All DSA content is copyrighted and/or trademarked and may not be used without written permission.