Late-stage Dementia can create an inability to retell specific personal and family histories. Dementia might make long-held treasured memories slow and difficult to retrieve or morph into something different from how you remember them. Research shows that people who have a terminal illness desire opportunities to give as well as to receive. Compiling a family's history through recordings and other activities is a gift the person with Dementia can provide to their family. Preserving Family History in the Context of Memory Loss Together, family members and their loved-one can explore the treasure trove of stored photographs and other memorabilia. With or without the assistance of a professional videographer, audio and video recordings give another perspective on the people and events that molded your loved one's life and perhaps influenced yours as well. Before getting started, it is essential to consider the permanence and availability of electronically stored photographs and audio and video recordings. Floppy discs and hard discs have been obsolete for many years. Compact discs (CDs) and hard drives are quickly becoming phased out - and there is no reason to assume that cloud computing will last forever. Probably the best solution, in addition to electronic storage, is to make hard (paper) copies of photographs, scanned memorabilia, and transcripts of audio recordings. With the help of online self-publishing services, you can design a beautiful book that contains selected images, transcripts, and commentary. Some ideas: 1. Video record your loved one as they tour their home or another meaningful location. Ask "tell me about questions" to get the stories associated with framed photographs, a chipped and repaired vase, or a lovely rose garden. Encourage further discussion by asking logical follow-up questions. And above all – listen!! 2. Record your loved one as they recall various events, such as a fascinating fishing trip, birth, or having fought in the Vietnam War. 3. Create a memory box containing small objects plus a few sentences describing each item's significance. Have your loved one write memory "tweets" on slips of paper. Memory Tweets might be like, "Make my steaks medium rare and my eggs over-easy, "or "I remember the day you were born. The sun was shining, and I was the happiest person alive." Implementing these tips can help preserve family history in the context of memory loss in Dementia. Notes: 1. KE Steinhauser, et al. "In Search of a Good Death: Observations of Patients, Families, and Providers," https://www.researchgate.net/publication/12497721_In_Search_of_a_Good_Death_Observations_of_Patients_Families_and_Providers (accessed May 2, 2016) Content Contributor: Janet Yagoda Shagam, Ph.D., 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.

For most of us, we are busy with our daily lives engulfed with family activities, work, education, and all the things that consume our time. We never give it a thought and often take for granted how our senses keep us connected with our world. As we age there are changes confronting us in the realm of our health and quality of life. These changes are age-related and present a disability to be addressed and remedied. Most of these are hearing, vision, speaking, various motor skills, and cognition. Hearing loss is estimated to affect some 39 to 50 million Americans. Research has indicated that almost three out of every four individuals age 80 and above will have at least one disability to deal with. Most often, hearing loss is most common. Dr. Frank R. Lin, MD of Johns Hopkins University has been one of the leading researchers over the past ten years to make the connection with untreated hearing loss being a provocateur in the area of Dementia. Our loved ones and senior friends impacted with hearing loss and some type of Dementia are especially at risk for decreased quality of life. Often these people require special care in a licensed facility with a professional medical staff 24/7. Testing Your Hearing Ideally, I recommend to every one of my patients to have a complete audiological evaluation on an annual basis. Following this guideline as an associated part of having an annual physical by their family physician, enables the audiologist to detect and monitor adverse changes in hearing acuity, abnormalities, and other medical issues to be addressed. This evaluation provides the baseline and documentation on future tests that help the patient later in life. The protocol includes, but is not limited to case history, otoscopic inspection, pure tone (air & bone) audiometry, speech audiometry, tone decay, tympanometry, acoustic stapedial reflexes, and distortion product otoacoustic emissions testing. One avenue where this documentation will be critical is in handling hearing health care for those requiring amplification and knowing what the previous status was for Dementia-affected patients. For the reader of this article, you would undoubtedly be able to participate in and complete an audiological evaluation administered by an audiologist. For a person with advancing Dementia, in a facility such as a nursing home or special care unit, it may be that up to 95% cannot complete or tolerate the standard evaluation. Even though Congress in 1987 mandated a Minimum Data Set for a required evaluation of incoming residents to a facility, it does not guarantee a successful finding, in hearing, comprehending speech, and producing language. For those people with mid to later stages of Dementia, alterations in testing protocol could be required. Behavioral tests are mostly eliminated from the battery. There are many considerations in handling hearing loss, amplification, and proper examination and assessment for the person with Dementia. Since much of the protocol below is rather scientific-sounding and not easily expressed in lay terms, please print out this blog post and/or bring the information to your doctor to get the process underway. A suggested hearing test protocol may include: Case history – Since the patient may not be able to provide complete and accurate information, a family member or friend should be queried. This step will require a review of previous audiologic studies. Otoscopic inspection – The audiologist will utilize an otoscope to examine the outer ear canals and visually assess for any apparent abnormalities. Audiometry for pure tone and speech stimuli – This component requires participation by the patient and tests reliability in subjective responses. There will be some that may not tolerate the headset or canal inserts nor provide reliable information. Research has shown that only 5% may be able to complete this step. Tympanometry and acoustic stapedial reflexes; impedance testing – This assessment will show whether a perforation, abnormal middle ear pressure or fluid is present and requiring otologic intervention. Distortion product otoacoustic emissions (DPOAE) testing – This is a truly objective test to determine the status of the outer hair cells of the cochlea. Normal responses are seen in threshold levels up to 35 dBHL. The frequency range of DPOAE is 1500 to 6000 Hz. Amplification check – The doctor of audiology will clean, check, repair as needed, readjust, and refit the patient’s amplification if they are a current wearer. If replacement is indicated, this will be noted. As for a new fitting to a patient who has not previously been fitted, it will not be advised due to issues involving the reliability of the assessment and tolerance of fitting. If you wish to explore this subject further, please contact a board-certified & licensed private practice doctor of audiology today. Hearing loss, once addressed, may result in a much richer and more meaningful quality of life for all those affected! Contributing Author: Dr. Patrick M. Murphy, Au.D., M.Ed., CCC-A, FAAA http://www.murphyhearingservices.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.

Alzheimer's Disease (AD) is thought to be the most common kind of Dementia. Researchers estimate that as many as 5.4 million people living in the United States have this type of Dementia.¹ Whereas, when you combine all forms of Dementia together, it is estimated to affect 9 million or more people in the U.S. According to the Centers for Disease Control and Prevention, Alzheimer's Disease is the fifth most frequent cause of death for adults aged 65 years and older.² Further, in high-economic countries³ like the U.S. and Canada, when considering the larger domain - that includes all types of Dementia - Dementia is thought to rank even higher as the third leading cause of death, behind heart disease as number 1 and stroke as number 2. While it is hard to say what actually causes Alzheimer's Disease, we do know the deposition and accumulation of fibrous proteins accompanies irreversible brain damage. It is thought that these insoluble proteins form β-amyloid plaques that disrupt brain architecture alter how brain cells use energy and promote cell death. The second hallmark of AD, also seen by Dr. Alois Alzheimer over 100 years ago under a microscope, is the neurofibrillary tangles of dead and dying neurons seemingly connected to Tau, another type of protein. That's why medical professionals will often speak of the "plaques and tangles" of AD. The result is a slow and progressive decline in memory, thinking, and reasoning skills. Eventually, people lose the ability to swallow and breathe in a coordinated fashion. Even in the absence of other catastrophic diseases such as kidney failure and cancer, Alzheimer's Disease is a terminal illness. Alzheimer's Disease comprises a spectrum rather than a defined set of signs and symptoms. Slow progression, rather than a sudden change, is often the key to differentiating Alzheimer's behaviors from those associated with other kinds of Dementia. Life expectancy after an Alzheimer's diagnosis can be anywhere from four to 20 years. People who have Dementia often die from other causes such as cancer, kidney failure, and cardiovascular disease. The Alzheimer's Association lists the 10 warning signs of Alzheimer's Disease – the first of which is memory loss. After reading the list you might think, How are these behaviors different from what everybody does at one time or another? The difference is the frequency and the ability to make self-corrections. Healthcare providers often use staging to describe the progression and severity of diseases such as cancer, kidney failure, and Dementia. The following staging criteria will help you understand your loved one’s condition and plan for future caregiving needs. Mild or Early-stage Alzheimer's Disease In this first stage, people experience memory loss, difficulty remembering newly learned information, and have trouble completing complex tasks such as planning a family event. Personality changes such as uncharacteristic anger and increasing difficulty in finding the right words, getting lost, or misplacing items are other common signs. With help, your parent, spouse, or sibling may still be capable of independent living. Moderate or Mid-stage Alzheimer's Disease During this phase, people may confuse family members with close friends, forget personal history details such as where they went to school or where they were born, and need help with dressing and personal hygiene. Some people may become restless, suspicious of others, and confrontational. At this stage, your relative will need close supervision and assistance during the day and perhaps a caregiver during the night. Severe or Late-stage Alzheimer's Disease In the course of this last stage, people who have Dementia lose the ability to speak coherently, need help with eating, dressing, using the bathroom, and walking. Eventually, Late-stage Alzheimer's patients lose the ability to swallow and control their bladder and bowels. During this final stage, your loved one will need 24-hour care, either at home or in a Dementia care facility. References: 1. 2017 Facts and Figures: Alzheimer’s Disease Facts and Figures, Download source here: 2017 Alzheimer’s Disease Facts and Figures. (accessed September 18, 2017). 2. ibid 3. 2017 World Health Organization Factsheet Download source here: 2017 World Health Organization Factsheet. Content Contributor: Janet Yagoda Shagam, Ph.D., is a freelance medical and science writer and the author of "An Unintended Journey: A Caregiver's Guide to Dementia.", available through Amazon. Please visit our Author's page to learn more and find this title. 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.

We don't know exactly. What actually causes Dementia is a difficult question. There is an infinite number of factors that singly or in combination may increase the risk for, or are associated with having Dementia. To add to the mind-boggling complexity, each of us is the outcome of a unique collection of genes, lifestyle behaviors, and environmental exposures. Similar to the word “cancer” the word “Dementia” is an umbrella term that includes many kinds of Dementia. And again, similar to cancer, the Dementias share certain characteristics such as memory loss, but also have ones specific to a particular type of Dementia. For example, Alzheimer's disease tends to have a slow progression and vascular Dementia tends to progress with bursts of increased disability. In the case of early-onset Alzheimer's disease, the answer might be less complicated than it is for other kinds of Dementia. Scientists have identified genes that appear to cause the kind of Dementia that strikes people younger than 65-years of age. People who have early-onset Dementia genes can pass the trait on to their children. However, even these findings open the door to more questions. Do the early-onset genes actually cause the disease or do they increase the risk to the extent that makes having early-onset Dementia a given? Perhaps the relationship between genetics and this form of Dementia involves other genes and factors, that in combination, cause early-onset Dementia. Genetics may or may not play a role in the onset of other kinds of Dementia. For example, approximately 15 to 40 percent of people who have frontotemporal lobe degeneration have a family history that includes at least one other relative who also has or had this kind of Dementia. However, only 10 percent of these individuals have a form of disease attributable to specific genes. This means that for 90 percent of cases, scientists have yet to discover genes that increase the risk of having Frontotemporal lobe Dementia. Although one cannot change their genetics, it is possible to reduce the risk for Dementia by modifying certain lifestyle behaviors. How Can I Reduce My Risk of Dementia? There are many lifestyle behaviors that appear to increase risk for Dementia. Some of these include obesity, high blood pressure, smoking, diabetes, and lack of regular exercise. Social isolation, not having meaningful friendships, also appears to increase the risk for Dementia. Another risk factor is not having the mental stimulation that comes with acquiring new skills and knowledge. The good news is one can choose to reduce the likelihood of Dementia by losing weight, eating a healthy diet, refraining from or stoping smoking, exercising, as well as by attending community center activities, or taking classes at a local college or university. Unlike behavioral changes, it’s difficult to impossible to avoid environmental risk factors. While one can make efforts to avoid environmental toxins such as second-hand smoke, it’s not possible to avoid the fumes that come from car exhaust or from certain kinds of building materials. Over the past 50 years, there has been a dramatic change in the 10 leading causes of death. Deaths caused by acute infectious diseases and accidents have given way to lingering diseases such as cancer and Dementia – both of which tend to occur later in life. Therefore, for many people, advanced age is their biggest risk factor for having Dementia. Content Contributor: Janet Yagoda Shagam, Ph.D., is a freelance medical and science writer and the author of " An Unintended Journey: A Caregiver's Guide to Dementia.", available through Amazon. Please visit our Author's page to learn more and find this title. 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.

For many families, finances and the cost of Dementia care can be one of their greatest worries. Families hope there are sufficient assets to meet the expenses for the next four to 10 years. According to a Care.com Usage and Attitude Family Caregiver survey, in 2014, over 50 percent of families spent more than $5,000 per year to cover out-of-pocket expenses. The same survey reveals that seven percent of survey respondents report having spent more than $50,000 per year to cover the costs of their loved one’s care. Talking about personal finances is often difficult. To make these initial family discussions go as smoothly as possible, invite an elder-care lawyer, a financial advisor, or a geriatric care manager to guide discussion and offer their expertise. The goals of this and ensuing conversations are to define needs and expenses, and based on this information, develop a realistic financial plan. Dementia care is more than house utilities and groceries. Home expenses also include rent or mortgage payments, house maintenance, home, and car insurance, as well as assorted federal, state, and local taxes. Dementia care also involves the out-of-pocket deductibles and co-pays associated with the diagnostic procedures and treatments for dementia and any other medical conditions your loved one may have. Do not overlook the expenses of such things like personal care supplies, equipment rental and purchases, adult daycare, and assisted living fees. Sadly, circumstances may be one where your loved one has neither sufficient savings nor income to pay for the services he or she needs. Finding the Money for Dementia Care What happens then? Sometimes families are able and willing to pay the difference--and sometimes not. Long-term care insurance is expensive, must be purchased well before need, and is not long-term in the sense of “forever care.” Often families must resort to state and federally-funded programs. Medicare, parts A, B, and D, and most private insurance policies pay only for expenses not related to having Dementia. However, your loved one may be eligible for Dementia coverage under one of several Medicare Special Needs Plans or “SNPs.” There are other avenues worth exploring – all of which have specific eligibility requirements. Some of these are Medicaid, a program that helps very low-income people get the healthcare they need, and the Program of All-Inclusive Care for the Elderly (PACE) that provides comprehensive medical services to Medicare and Medicaid enrollees. The United States Veterans Administration (VA) offers a broad range of services to help veterans who have Dementia. To take advantage of the various VA programs and services, the veteran must be enrolled in the VA healthcare system. While the veteran does not have to have a service-related injury to receive Dementia benefits, the veteran must have an honorable or a general discharge. Other strategies to supplement your loved one’s income include a Home Equity Conversion Mortgage (reverse mortgage), the conversion of certain kinds of life insurance into long-term care insurance, as well as borrowing against the value of a life insurance policy. Disability insurance is another resource when dementia makes employment no longer possible. Community not-for-profit organizations offer many helpful services that can range from household repairs and yard maintenance to elder daycare programs and caregiver respite grants. Sliding scale fees are another not-for-profits feature. Therefore, your loved one will have to meet eligibility criteria, to receive a reduced rate. In summary, money does indeed matter in the setting of Dementia, and advance planning is important to provide optimal care for those individuals with Dementia. Content Contributor: Janet Yagoda Shagam, Ph.D., is a freelance medical and science writer and the author of " An Unintended Journey: A Caregiver's Guide to Dementia.", available through Amazon. Please visit our Author's page to learn more and find this title. 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.

Did you know that moving your body in slow, thoughtful ways can make your brain healthier? It’s true! Activities like yoga, tai chi, and other meditative exercises help you stretch, relax, and boost your brainpower. Let’s examine how these special movements can help your mind feel calmer, sharper, and more focused. What Are Meditative Exercises? Meditative exercises are gentle activities that combine movement, breathing, and focus. You might have heard of some of them: Yoga is a mix of stretching, balance, and deep breathing. Tai Chi is a slow-moving martial art that looks like a dance. Qi Gong is another ancient practice that uses breathing, movement, and meditation. Mindfulness is sitting quietly and paying attention to your thoughts and breath. All of these activities help your body feel strong and relaxed. But even more, they help your brain work better, too. How Do These Activities Help Your Brain? Our brains are like muscles—they need exercise, rest, and good fuel. Yoga, tai chi, and similar exercises give your brain all three. Less Stress, More Calm When we feel worried or upset, our brain releases stress chemicals like cortisol. A little stress is okay, but too much can make it hard to think clearly. Meditative movement helps lower those stress chemicals. It also tells the brain to release “feel-good” chemicals like dopamine and serotonin. That’s why you feel more relaxed after yoga or tai chi. Better Focus and Memory When you practice slow, mindful movement, you train your brain to pay attention. You learn to focus on your breath, body, and feelings. Over time, this can help improve your memory and make it easier to concentrate, whether studying for a test or playing sports. Stronger Brain Connections Scientists have used brain scans to study people who do yoga and tai chi. They found that these people had stronger connections in brain parts that control memory, attention, and emotions. This finding means their brains were “talking” better between different areas, like having faster Wi-Fi in your head. Improved Sleep Getting enough sleep is super important for brain health. Yoga and mindfulness can help you fall asleep faster and sleep more deeply, giving your brain more time to rest and grow. What Does Science Say? Many scientists have studied how yoga, tai chi, and meditation affect the brain. Here are some cool facts: People who practice yoga regularly show more brain activity in areas related to attention and decision-making. A study found that older adults who did tai chi for 12 weeks had better memory and felt less tired. Kids who practiced mindfulness in school showed better focus, less stress, and even did better in their classes. Even a little practice—10 to 15 minutes daily—can make a big difference. Who Can Try These Exercises? The best part? Anyone can do them! You don’t need to be super flexible or have fancy clothes. These activities can be done by: Kids and teens Adults and older people People with disabilities or injuries There are even special classes made just for beginners. And many of them are free online. How to Get Started Ready to try it out? Here are some easy ways that the Dementia Society of America® suggests to begin: Look up a beginner yoga or tai chi video on YouTube. Try a guided meditation app like Calm or Headspace. Practice mindful breathing: Close your eyes, breathe in slowly, and count to four. Then, breathe out and count to four again. Ask your school or local community center if they offer yoga or meditation classes. You don’t have to do everything at once. Five minutes of quiet breathing or stretching can help your brain feel better. Final Thoughts: A Healthy Brain for Life Taking care of your brain isn’t just about doing puzzles or eating healthy food. Moving your body in mindful, gentle ways helps too. Yoga, tai chi, and meditation are fun and powerful tools that help your mind stay calm, focused, and happy. So the next time you feel stressed or tired, take a deep breath, stretch your arms, and move slowly. Your brain will thank you! Author: AI-Assisted Human-Edited Staff Writer Additional Reading: Streeter, C. C., et al. (2012). Meditative Movement Reduces Stress and Boosts Mood. Journal of Alternative and Complementary Medicine, 16(11), 1145–1152. Pascoe, M. C., Thompson, D. R., & Ski, C. F. (2017). Yoga, mindfulness-based stress reduction, and stress-related physiological measures: A meta-analysis. Psychoneuroendocrinology, 86, 152–168. Tang, Y. Y., Ma, Y., Wang, J., et al. (2007). Short-term meditation training improves attention and self-regulation. Proceedings of the National Academy of Sciences, 104(43), 17152–17156. Gothe, N. P., Pontifex, M. B., Hillman, C. H., & McAuley, E. (2013). The acute effects of yoga on executive function. Journal of Physical Activity and Health, 10(4), 488–495. Villemure, C., & Bushnell, M. C. (2012). Yoga-based interventions decrease pain and increase gray matter density in brain regions involved in pain modulation. The Journal of Neuroscience, 32(15), 5242–5248. Gard, T., Hölzel, B. K., & Lazar, S. W. (2014). The potential effects of meditation on age-related cognitive decline: A systematic review. Annals of the New York Academy of Sciences, 1307(1), 89–103. Wayne, P. M., Walsh, J. N., Taylor-Piliae, R. E., et al. (2014). Effect of tai chi on cognitive performance in older adults: Systematic review and meta-analysis. Journal of the American Geriatrics Society, 62(1), 25–39. Lam, L. C. W., Chau, R. C. M., Wong, B. M. L., et al. (2012). A 1-year randomized controlled trial comparing mind-body exercise (Tai Chi) with stretching and toning exercise on cognitive function in older Chinese adults at risk of cognitive decline. Journal of the American Medical Directors Association, 13(6), 568.e15–568.e20. Zenner, C., Herrnleben-Kurz, S., & Walach, H. (2014). Mindfulness-based interventions in schools—a systematic review and meta-analysis. Frontiers in Psychology, 5, 603. Flook, L., Smalley, S. L., Kitil, M. J., et al. (2010). Effects of mindful awareness practices on executive functions in elementary school children. Journal of Applied School Psychology, 26(1), 70–95. 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.

Most people know that it's essential to take care of their heart. But did you know that your heart and brain are closely connected? When your heart is strong and healthy, your brain works better too. Scientists are learning more and more about how caring for your heart helps your memory, focus, and mood. Let's explore the powerful connection between heart health and brain health! What Is Cardiovascular Health? Your cardiovascular system includes your heart, blood, and blood vessels. It moves oxygen and nutrients through your body and removes waste. Your heart pumps blood to every body part—including your brain! So, if your heart and blood vessels aren't working well, your brain might not get enough oxygen and nutrients to do its job. How a Healthy Heart Helps the Brain Your brain needs a steady supply of oxygen-rich blood to stay healthy. The heart makes this possible. If your heart pumps strongly, blood flows more easily to your brain. But when your heart or blood vessels are unhealthy, like when someone has high blood pressure or clogged arteries, it gets harder for blood to reach the brain. Over time, this can lead to problems like memory loss, confusion, or even diseases causing Dementia. What Can Hurt Your Heart (and Brain)? Certain habits and conditions make the heart work harder or wear it out. These include: High blood pressure High cholesterol Smoking Obesity Lack of exercise Eating lots of sugar, salt, and processed foods All of these can damage blood vessels and make it harder for blood to reach the brain, causing parts of the brain to slow down or shrink. What Can Help Both Your Heart and Brain? The good news is that many things that keep your heart healthy also help your brain stay sharp. The Dementia Society of America® recommends some easy ways to care for both: Eat Brain-Healthy Foods. Fruits, vegetables, nuts, whole grains, and fish are great for your heart and brain. Try to eat colorful foods and limit fast food, soda, and processed snacks. Move Your Body. Exercise strengthens the heart and increases blood flow to the brain. Walking, biking, dancing, and playing outside are all fun ways to get moving. Get Enough Sleep. Your brain uses sleep to rest and repair. Kids and teens need about 8–10 hours of sleep each night. Reduce Stress. Stress can raise blood pressure and hurt your heart. Try relaxing activities like deep breathing, drawing, or spending time with friends and family. Don't Smoke. Smoking hurts both your heart and brain. If you don't smoke, don't start. If you do, talk to someone about how to quit. What Does Science Say? Scientists have conducted many studies to explore the link between the heart and brain. They've learned that people who care for their hearts—by eating well, moving more, and not smoking—have better brain health as they age. One long-term study found that people with healthy hearts in their 20s had better memory and thinking skills in their 50s! That shows how important it is to start healthy habits early in life. Brain Diseases Linked to Poor Heart Health When the brain doesn't get enough blood, it can lead to serious problems. Some of these include: Stroke: Happens when blood flow to the brain is blocked. Vascular Dementia: Caused by damage to blood vessels in the brain. Alzheimer's disease: Linked to changes in blood flow and brain cells. Caring for your heart may help lower your risk of these brain diseases. Final Thoughts: One Body, One System Your heart and brain work as a team. What helps one usually helps the other. So, when you care for your heart, you also give your brain the best chance to stay strong for life. It's never too early to start! Small steps like choosing water instead of soda, walking instead of riding, and going to bed on time can make a big difference. Your heart—and your brain—will thank you! Author: AI-Assisted Human-Edited Staff Writer Additional Reading: Gorelick, P. B., et al. (2011). Vascular contributions to cognitive impairment and Dementia: A statement for healthcare professionals from the American Heart Association/American Stroke Association. Stroke, 42(9), 2672–2713. Lamar, M., & Resnick, S. M. (2004). Aging and vascular health: The impact on neurocognitive function. Geriatrics, 59(5), 19–24. Williamson, J. D., et al. (2019). Effect of intensive vs standard blood pressure control on probable Dementia: A randomized clinical trial. JAMA, 321(6), 553–561. Yaffe, K., et al. (2014).Cardiovascular risk factors and cognitive decline in elderly persons: A review of the literature. Journal of the American Geriatrics Society, 62(5), 945–952. Ngandu, T., et al. (2015). A 2-year multidomain intervention of diet, exercise, cognitive training, and vascular risk monitoring versus control to prevent cognitive decline in at-risk elderly people (FINGER): A randomized controlled trial. The Lancet, 385(9984), 2255–2263. 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.

As people age, staying socially connected becomes more critical than ever. Friendships and relationships help keep us happy and healthy and protect our brains from aging. But sometimes, life gets busy, and meeting new people or staying in touch with old friends can feel more challenging. Luckily, simple ways exist to make and keep strong relationships at any age. Why Are Social Connections Important? Having good relationships is more than just fun—it’s good for your health! Studies show that people who stay socially connected: Live longer – Friendships can reduce stress and boost happiness. Feel happier – Spending time with others helps fight loneliness and depression. Stay mentally sharp – Talking with friends and family can keep your brain active and lower the risk of memory problems. How to Make and Keep Strong Relationships Building friendships and staying socially active doesn’t have to be complicated. Here are some easy ways that the Dementia Society of America® recommends to stay connected: Keep in Touch with Old Friends Life gets busy, but staying connected with old friends is worth it. Make a habit of calling or texting friends – A quick “How are you?” can keep a friendship strong. Plan small get-togethers – A coffee date, lunch, or a simple walk together helps maintain bonds. Send a message or letter – A handwritten note can brighten someone’s day! Join a Club or Group One of the best ways to meet new people is by joining activities you enjoy. Try a book club – Talking about books is a great way to start conversations. Join a music or art class – Shared hobbies help build friendships. Be part of a sports team – Even casual games like pickleball or bowling can help you meet new friends. Volunteer in Your Community Helping others is a great way to meet kind, like-minded people. Help at a local shelter or food bank – Volunteering allows you to work with others. Read to kids at a library – Schools and libraries often need volunteers. Join an animal rescue group – If you love pets, this is a fun way to connect with others. Use Technology to Stay Connected Even if friends and family live far away, technology makes it easy to stay in touch. Use video calls – Apps like Zoom and FaceTime help you see loved ones even when you can’t be in person. Join social media groups – Facebook, WhatsApp, and online forums help people with similar interests connect. Try online games – Games like chess, trivia, or word puzzles can be played with friends online. Be Open to Meeting New People Making friends doesn’t have to be complicated. A simple smile or greeting can lead to new connections! Say hello to neighbors – Small chats can grow into strong friendships. Ask people about their interests – Most people enjoy discussing things they love. Be a good listener – Showing interest in others helps build strong relationships. Conclusion Staying socially connected is one of the best things you can do for your happiness and health. Small efforts can make a big difference, whether keeping in touch with old friends, meeting new people, or using technology to stay connected. Relationships take time and effort, but they are worth it because friends and connections make life more enjoyable at any age! Author: AI-Assisted Human-Edited Staff Writer Additional Reading: Holt-Lunstad, J., Smith, T. B., & Layton, J. B. (2010). Social Relationships and Mortality Risk: A Meta-Analytic Review. PLOS Medicine, 7(7), e1000316. DOI: 10.1371/journal.pmed.1000316 National Institute on Aging (NIA). Social Isolation, Loneliness, and Health in Older Adults. https://www.nia.nih.gov/ Harvard Study of Adult Development. The Secret to a Long and Happy Life: Strong Relationships. https://news.harvard.edu/gazette/ Centers for Disease Control and Prevention (CDC). Loneliness and Social Isolation Linked to Serious Health Conditions. https://www.cdc.gov/ Wilson, R. S., Boyle, P. A., James, B. D., et al. (2007). Social Interaction and Cognitive Decline in Old Age. Journal of the International Neuropsychological Society, 13(2), 195-202. DOI: 10.1017/S1355617707070223 American Psychological Association (APA). How to Stay Socially Connected and Why It Matters. https://www.apa.org/ World Health Organization (WHO). Healthy Aging and the Importance of Social Connection. https://www.who.int/ 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.

​ To create a fundraiser/join the Challenge, click here. What is the Operation KeepSafe® Challenge? The Operation KeepSafe (OKS) Challenge is a walking and running event that asks participants to walk/run 60 miles or more throughout October. The Challenge (#1) helps raise awareness for Dementia; (#2) enables those who wish to raise money to fund our research and life enrichment programs, particularly (#3) our KeepSafe ID® program, which seeks to promote a wearable ID for care partners. When you or someone you care for cannot speak for themselves due to a medical condition, accident, or cognitive impairment, having an easily accessible ID for first responders and Good Samaritans can make the difference in connecting them to loved ones and responsible parties in a time of need. ​ Tell me more about the Dementia Society of America®. We're a national, volunteer-driven 501(c)(3) nonprofit organization. Please visit the Dementia Society of America home page, learn about our mission, and explore our site. ​ Is this Challenge only on Facebook? Yes. Still, that doesn't mean you can't share your pictures and participation on Instagram, LinkedIn, Twitter, or other social media platforms. Registration, Messenger communications, and leaderboards are handled on Facebook. To create a fundraiser/join the Challenge, click here. To join the OKS Challenge Facebook Group, click here. ​ Are you looking to order OKS Challenge T-shirts? Please click here. ​ Someone wants to donate to an OKS fundraiser but isn't on Facebook? Send them to www.dementiasociety.org/donate and instruct them to enter your fundraiser's name, most likely your own + the word "Facebook," in the "In Honor of" field. What hashtag should I use? # OperationKeepSafeChallenge and/or #OKSChallenge ​ Must I donate to participate, or should I ask others to do so as well? We'd love it if you did, but no one is required to make a donation. ​ Must I pay a registration fee? There's no registration fee. ​ Must I only walk or run? You may also ride or drive practically anything else, e.g., a stationary bike, a rowing machine, etc. You can also jog, roll, and crawl (we don't recommend crawling), but you get the idea - if something other than walking/running makes more sense for you, do it. ​ When will miles start to be counted? Your OKS miles will start to be tabulated on October 1st. Once you're part of the group, follow the instructions to access the "Menu" through Messenger to log miles. ​ When can I start my fundraising? You can now start an OKS Challenge fundraiser and invite others to join you. Please follow the instructions on the Facebook page to "Get Started." ​ Why 60 miles? Some would say, "What?! OMG, 60 miles? That's a long way!" You can accomplish the goal over the course of an entire month. ​ Can I sync my miles with Strava, Garmin, Fitbit, or another wearable device? We're sorry, but we're unable to connect electronic devices. ​ Why only 60 miles? Can I set a higher goal? If 60 miles is your typical weekend walk ... sure! LEVEL UP! Want to modify, get a refund, or adjust recurring donations made through Facebook/PayPal Giving Fund payments? Please visit this link to find the PayPal Giving Fund Customer Service contact information for assistance. Unfortunately, the Dementia Society, like all nonprofits that use Facebook for challenge donations, cannot adjust any donations itself. 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.

Dementia Society Ad Running in Chicago Taxi Cab Meeting People Where They Are—One Ride at a Time At the Dementia Society of America®, our mission has always been rooted in connection—reaching individuals, families, and caregivers with trusted information and compassionate support. Today, that commitment is quite literally on the move. We’re proud to announce that our 60-second video (a version of which plays across the US as a public service announcement (PSA)) arrived in thousands of taxi cabs across major U.S. cities this year, bringing Dementia awareness directly to people in the moments of everyday life. Whether someone is commuting to work, heading to a medical appointment, or visiting loved ones, a taxi ride offers a rare pause—a chance to listen, reflect, and learn. By placing our message in this unique environment, we’re meeting people where they are and opening the door to understanding, hope, and action. Why Taxi Cabs Are a Powerful Platform for Dementia Awareness Taxi cabs reach millions of riders each year, cutting across age groups, professions, cultures, and communities. Inside these vehicles, passengers are attentive, seated, and receptive—making them an ideal space for a meaningful public health message. Our 60-second ad introduces the realities of Dementia in a clear, compassionate way, emphasizing that no one has to navigate this journey alone. It also highlights the importance of early awareness and reliable information—especially as Dementia continues to affect families in every corner of the country. By leveraging taxi media in major metropolitan areas, the Dementia Society of America is extending its reach beyond traditional healthcare settings and digital platforms, ensuring our message connects with people who may not yet be actively seeking dementia resources. “The Big Umbrella”: A Free Guide for Families and Caregivers At the heart of the ad is a simple invitation: request their free guide, The Big Umbrella®. This comprehensive, easy-to-understand resource was created to support individuals living with dementia, their families, and those who care for them. The Big Umbrella brings together practical information, emotional reassurance, and guidance for navigating the Dementia journey—from early signs and diagnosis to daily care and long-term planning. It reflects our belief that education empowers people to make informed decisions and feel less alone. By offering this guide at no cost, we remove barriers and ensure that anyone who needs support can access it—no matter where they are in their journey. A Moving Message With Lasting Impact This nationwide taxi cab campaign is more than an awareness effort—it’s a reflection of who we are as an organization. We listen. We show up. And we bring resources directly to the community. As our ad travels city streets and highways, it carries a message of inclusion, understanding, and hope. If you or someone you love is affected by dementia, we invite you to take the next step and request your free copy of The Big Umbrella. Click here. Together, under one big umbrella, we can navigate dementia with knowledge, compassion, and support. 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.

Have you ever tried to start a new habit, like eating better or exercising, but found it hard to keep going? You're not alone! Many people struggle to make healthy choices every day. The good news is that there are simple ways to build healthy habits that last. Here's how the Dementia Society of America® recommends that you can start and stick to them! Start Small and Make It Easy One of the biggest mistakes when starting a new habit is doing too much at once. Instead of making significant changes, start small. For example, if you want to drink more water, don't force yourself to drink a gallon a day right away. Instead, start with one extra glass of water at each meal. If you want to exercise, don't plan to run five miles on the first day. Instead, start with a 10-minute walk. Small steps make it easier to keep going and build confidence! Set a Specific Goal for Your Healthy Habit Sticking to a habit is hard if you're unclear about what you want to do. Instead of saying, "I want to eat healthier," try setting a goal like: "I will eat one fruit or vegetable with every meal," or "I will drink water instead of soda three times a week." Having a clear and straightforward goal helps you stay focused and motivated. Connect New Habits to Old Ones: Habit Stacking One of the easiest ways to start a new habit is to attach it to something you already do, a process called habit stacking. For example, if you want to form the habit of flossing your teeth, do it right after brushing. Or, if you want to do push-ups regularly, do them before watching TV. When you connect new habits to old ones, they become part of your routine without much effort. Make It Fun If something feels like a chore, you're less likely to do it. Find ways to make healthy habits enjoyable! Play music while you exercise. Try new healthy recipes to make eating well more exciting. Do activities with friends to stay motivated. When you enjoy the process, you're more likely to stick with it! Track Your Progress Keeping track of your success helps you stay motivated. You can: Use a calendar to check off the days you complete your habit. Use an app to track steps, water intake, or workouts. Write in a journal about how you feel after making healthy choices. Seeing progress, even in small amounts, can help you stay on track. Don't Give Up If You Miss a Day Nobody is perfect. If you forget to do your habit for a day or even a week, don't quit! Just start again the next day. Avoid the negative mindset: "I missed my workout, so I might as well stop." Instead, adopt a positive attitude: "I missed my workout, but I'll do it tomorrow!" Remember, healthy habits are built over time, not overnight. Get Support It's easier to stick with habits when you have support. Ask a friend or family member to join you! Find a walking buddy or join a sports team. Or, tell someone about your goals so they can encourage you. When others support you, it's easier to stay motivated. Conclusion Building healthy habits doesn't have to be complicated. Start small, make a plan, track your progress, and have fun! Even small changes can make a big difference in your health and happiness. The key is to keep going, even when it gets tricky. You got this! Author: AI-Assisted Human-Edited Staff Writer Additional Reading: Duhigg, C. (2012). The Power of Habit: Why We Do What We Do in Life and Business. Random House. Clear, J. (2018). Atomic Habits: An Easy & Proven Way to Build Good Habits & Break Bad Ones. Avery Publishing. Wood, W., Rünger, D. (2016). Psychology of Habit. Annual Review of Psychology, 67, 289-314. DOI: 10.1146/annurev-psych-122414-033417 Lally, P., van Jaarsveld, C. H. M., Potts, H. W. W., Wardle, J. (2010). How Are Habits Formed: Modelling Habit Formation in the Real World. European Journal of Social Psychology, 40(6), 998-1009. DOI: 10.1002/ejsp.674 Centers for Disease Control and Prevention (CDC). Healthy Living Habits and Strategies for Success. https://www.cdc.gov/healthy-weight-growth/about/tips-for-balancing-food-activity.html American Psychological Association (APA). The Role of Social Support in Healthy Habit Formation. https://www.apa.org/helpcenter/healthy-lifestyle 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.

Dr. Jeannine Forrest (3rd from left) with a Dementia Horizons Graduating Class Ready to take the Online Course? Click Here. What Is Dementia Horizons™? Dementia Horizons™, led by Program Director Jeannine Forrest, PhD, is a mission-driven educational program offered within Dementia Society's Care Partner Academy™. Designed to empower care partners, friends, community members, and professionals, Dementia Horizons addresses the practical skills needed to face the most common challenges of Dementia, while shining a light on ways to build brain health no matter life's circumstances or cognitive status. WATCH: Dementia Society interviews Dr. Jeannine Forrest, Program Director of our Care Partner Academy Ready to take the Online Course? Click Here. Unlike many programs that focus solely on Alzheimer’s disease, Dementia Horizons takes a comprehensive and supportive approach to Dementia, covering a broad spectrum of Dementia-related conditions—including Alzheimer's and its subtypes, Lewy Body Dementia, Frontotemporal Degeneration, Vascular Dementia, and many more. The goal is to move beyond awareness into actionable learning, helping participants develop practical strategies for connection, communication, and care in real-world settings. At its core, Dementia Horizons comprises 16 interactive workshops that can be delivered online or in person. These sessions are highly customizable: they can be taken individually or as a whole series. They can be organized as two eight-week programs or adapted to the needs of specific groups. Workshops are intentionally kept small, with a maximum of 16 participants in person or eight participants virtually, to encourage discussion, peer support, and engagement. Each workshop follows a structured format designed for adult learners. Sessions begin with a warm welcome and icebreaker to foster connection, followed by the reading of a positive credo that sets the tone. A short, topic-focused video provides context, after which participants engage in workbook-based activities, group discussions, and role-play exercises. Every session concludes with an action plan, ensuring that participants leave with practical steps they can apply immediately. To reinforce key lessons, fun quizzes are included, and in-person workshops close with social time and even a healthy snack—highlighting the importance of both learning and self-care. Ready to take the Online Course? Click Here. Participants who complete all 16 workshops can elect to earn a certificate of completion through the program’s online learning management system, providing both personal validation and a way to demonstrate commitment to Dementia education. The supportive workshops can be hosted in a variety of venues, including libraries, community centers, senior centers, houses of worship, civic organizations, and long-term care facilities, making them accessible to a broad audience. While virtual delivery allows for flexibility and a wider reach, in-person sessions offer unique benefits, including role-playing, deeper socialization, and the opportunity for caregivers to dedicate meaningful “me time” to their own growth. To expand access, the Care Partner Academy plans to train empathetic facilitators through the “Train the Trainer” program, offered in various formats, depending on facilitator experience. Ultimately, Dementia Horizons stands out as a practical, flexible, supportive, and inclusive educational program that equips caregivers with tools, knowledge, and confidence to better support individuals living with Dementia—while also fostering community, self-care, and HOPE! Ready to take the Online Course? Click Here. Contact the Dementia Society for more information here: www.dementiasociety.org/contact 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.