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Behavioral Variant Frontotemporal Dementia (bvFTD) is a type of Dementia that is caused by damage to the frontal and temporal lobes of the brain. This damage can lead to a variety of changes in personality, behavior, and cognition. The early signs of bvFTD can be subtle and may be mistaken for other conditions, such as depression or anxiety. However, early diagnosis is important for people with bvFTD because it can allow for timely interventions and treatments that may slow the progression of the disease. In this blog post, we will discuss the early signs of bvFTD, the importance of early diagnosis, and how to support a loved one with bvFTD. Understanding Frontotemporal Dementia Frontotemporal Dementia (FTD) is a group of brain disorders that affect the frontal and temporal lobes of the brain. These lobes are responsible for a variety of functions, including personality, behavior, language, and executive function. FTD is the second most common type of Dementia after Alzheimer's disease . It is most common in people between the ages of 45 and 65, but it can occur at any age. There are three main subtypes of FTD: Behavioral Variant FTD (bvFTD): This is the most common subtype of FTD. It is characterized by changes in personality, behavior, and cognition. Semantic Dementia: This subtype of FTD is characterized by progressive difficulty understanding language. Progressive Non-Fluent Aphasia: This subtype of FTD is characterized by progressive difficulty speaking and understanding language. Early Signs of BvFTD The early signs of bvFTD can be subtle and may be mistaken for other conditions, such as depression or anxiety. However, it is important to be aware of the early signs of bvFTD so that you can seek diagnosis and treatment as early as possible. Some of the early signs of bvFTD can include: Changes In Personality: People with bvFTD may become more impulsive, socially inappropriate, or apathetic. They may also neglect their personal hygiene or have changes in food preferences. Emotional Symptoms: People with bvFTD may experience apathy, depression, or mood swings. They may also have difficulty expressing or understanding emotions. Cognitive Impairments: People with bvFTD may have difficulty planning and organizing tasks, focusing on tasks, or making decisions. They may also have difficulty with executive function, which is the ability to plan, organize, and execute tasks. Language Difficulties: People with bvFTD may have difficulty understanding or producing speech. They may also have difficulty with word finding or grammar. It is important to note that not everyone with bvFTD will experience all of these symptoms. The symptoms may also vary in severity from person to person. If you are concerned that you or someone you know may have bvFTD, it is important to see a doctor for evaluation. A doctor will be able to rule out other conditions and make an accurate diagnosis. Early diagnosis of bvFTD is important because it can allow for timely interventions and treatments that may slow the progression of the disease. It can also help patients and families to plan for the future and to make informed decisions about care. Importance of Early Recognition Early diagnosis of bvFTD is important because it can allow for: Timely Interventions and Treatments: There are a few medications that can help to improve symptoms of bvFTD, such as apathy, impulsiveness, and social inappropriateness. Behavioral therapy can also help people with bvFTD to learn coping skills and strategies for managing their symptoms. Potential To Slow Progression: Some research suggests that early intervention may help to slow the progression of bvFTD. Better Planning and Preparation for Patients And Families: Early diagnosis can help patients and families to plan for the future and to make informed decisions about care. This may include making arrangements for long-term care or setting up a power of attorney. It is important to note that there is no cure for bvFTD, but early diagnosis and treatment can help to improve quality of life for patients and their families. If you are concerned that you or someone you know may have bvFTD, it is important to see a doctor for evaluation. A doctor will be able to rule out other conditions and make an accurate diagnosis. Differential Diagnosis It is important to see a doctor for a thorough evaluation if you are concerned about early signs of bvFTD. There are other conditions that can mimic the symptoms of bvFTD, such as depression, anxiety, and Alzheimer's disease. A doctor will be able to rule out other conditions and make an accurate diagnosis. Here are some of the tests that may be performed to diagnose bvFTD: Physical Exam: A physical exam will be conducted to rule out other medical conditions that may be causing the symptoms. Neuropsychological Evaluation: A neuropsychological evaluation will assess cognitive function, including memory, language, and executive function. Imaging Tests: Imaging tests, such as a CT scan or an MRI, may be performed to look for signs of damage to the brain. If you are diagnosed with bvFTD, it is important to see a specialist for ongoing care. A specialist can help you manage your symptoms and plan for the future. Ways To Support a Loved One With bvFTD If you are caring for a loved one with bvFTD, there are a number of things you can do to support them: Adapt the Home Environment for Safety and Comfort: This may include removing clutter, installing grab bars, and making sure that the environment is well-lit. Join Support Groups and Counseling: There are a number of support groups and counseling services available for people with bvFTD and their caregivers. These groups can provide emotional support and practical advice. Encourage Therapeutic Activities: Therapeutic activities such as art, music, and movement therapy can help to improve quality of life for people with bvFTD. Conclusion Early recognition of bvFTD is essential for managing the disease and improving quality of life. If you are concerned that you or someone you know may have bvFTD, it is important to see a doctor for evaluation. There is no cure for bvFTD, but there are treatments that can help to manage the symptoms and improve quality of life. The Dementia Society of America is a great resource for people with bvFTD and their families. We offer a variety of resources, including support groups, educational materials, and advocacy services.

Memory loss is a common symptom of Dementia , and it can have a significant impact on individuals and their loved ones. Lewy Body Dementia (LBD) is a type of Dementia that is characterized by memory loss, as well as other symptoms such as movement disorders, visual hallucinations, and cognitive fluctuations. In this blog post, we will discuss the challenges posed by memory loss in LBD, and we will provide strategies for preserving memories and enhancing quality of life. We will also introduce you to the Dementia Society of America, an organization that provides support to individuals and families affected by Dementia, including LBD. Understanding Lewy Body Dementia Lewy Body Dementia (LBD) is a type of Dementia that is caused by the buildup of abnormal protein deposits called Lewy bodies in the brain. Lewy bodies can damage nerve cells and impair cognitive function. LBD is the second most common type of Dementia after Alzheimer's disease. It is estimated that there are over 1 million people living with LBD in the United States. The symptoms of LBD can vary from person to person, but they typically include: Memory loss: People with LBD often experience memory loss, especially for recent events. Visual Hallucinations: People with LBD often experience visual hallucinations, such as seeing people or animals that are not there. Cognitive Fluctuations: People with LBD may experience periods of clear thinking, followed by periods of confusion and forgetfulness. Movement Disorders: People with LBD often experience movement disorders, such as tremors, rigidity, and slowness of movement. Sleep Problems: People with LBD often experience sleep problems, such as insomnia and restless leg syndrome. How Does LBD Differ From Other Types of Dementia? LBD differs from other types of Dementia in a number of ways. One of the key differences is that LBD often causes visual hallucinations. Other types of Dementia, such as Alzheimer's disease, typically do not cause visual hallucinations. LBD also often causes movement disorders, such as tremors, rigidity, and slowness of movement. Other types of Dementia, such as Alzheimer's disease, typically do not cause movement disorders. The Importance of Early Diagnosis Early diagnosis of LBD is important because it can help to improve quality of life for individuals and their caregivers. Early diagnosis can also help to ensure that individuals receive the appropriate treatment and support. However, early diagnosis of LBD can be challenging. The symptoms of LBD can overlap with the symptoms of other conditions, such as Alzheimer's disease and Parkinson's disease. This can make it difficult for doctors to diagnose LBD early on. What Can You Do If You Think You or Someone You Know May Have LBD? If you think you or someone you know may have LBD, it is important to see a doctor right away. A doctor can perform a physical exam and order tests to rule out other conditions. If the doctor suspects that LBD may be the cause of the symptoms, they may refer the individual to a specialist for further testing and diagnosis. There is no cure for LBD, but there are treatments that can help to manage the symptoms and improve quality of life. Early diagnosis and treatment are important for improving quality of life for individuals with LBD and their caregivers. Memory Loss In Lewy Body Dementia Memory loss is a common symptom of LBD, and it can be one of the first symptoms to appear. Memory loss in LBD can be progressive, meaning that it will get worse over time. The memory loss in LBD is often different from the memory loss in Alzheimer's disease. In LBD, the memory loss is typically more pronounced for recent events, while memories of the distant past may be relatively intact. In addition, people with LBD may experience fluctuations in their cognitive abilities, including their memory. This means that they may have periods of clear thinking, followed by periods of confusion and forgetfulness. Challenges Faced By Individuals and Caregivers The memory loss in LBD can pose significant challenges for individuals and their caregivers. Individuals with LBD may find it difficult to remember things like names, dates, and events. They may also have difficulty following directions and making decisions. The memory loss can also lead to social isolation, as individuals with LBD may be reluctant to participate in activities that they are no longer able to remember. Caregivers of individuals with LBD may also face challenges. They may need to take on additional responsibilities, such as managing finances and providing transportation. They may also need to provide emotional support to their loved one, as the memory loss can be a frustrating and isolating experience. Preserving Memories and Enhancing Quality of Life There are a number of strategies that individuals with LBD and their caregivers can use to preserve memories and enhance quality of life. These strategies include: Creating a supportive environment: It is important to create a supportive environment for individuals with LBD. This means providing them with a safe and comfortable place to live, as well as providing them with emotional support. Encouraging engagement in meaningful activities: It is important to encourage individuals with LBD to engage in meaningful activities. This can help to keep their minds active and can also help to preserve memories. Using memory aids: There are a number of memory aids that can be helpful for individuals with LBD. These aids can help them to remember things like names, dates, and events. Seeking professional help: If the memory loss is severe, it may be helpful to seek professional help. A therapist can provide strategies for coping with memory loss and can also provide emotional support. The Role of The Dementia Society of America The Dementia Society of America can be a valuable resource for individuals with LBD and their caregivers. The organization can provide information and support, and can also connect individuals and families with other resources in their community. Conclusion Memory loss is a challenging symptom of LBD, but there are a number of strategies that individuals with LBD and their caregivers can use to preserve memories and enhance quality of life. If you or someone you know is struggling with memory loss due to LBD, please reach out to the Dementia Society of America for assistance.

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.

Vascular Dementia (VaD) is a type of Dementia caused by reduced blood flow to the brain, leading to cognitive decline and impairment. Understanding the unique challenges that arise in caring for individuals with Vascular Dementia is crucial for providing practical support and improving their quality of life. This blog aims to explore the specific challenges caregivers and healthcare professionals face in managing Vascular Dementia and provide valuable insights and strategies to overcome these challenges. From navigating cognitive changes and addressing behavioral symptoms to optimizing lifestyle interventions and accessing appropriate resources, this blog is a comprehensive resource for anyone caring for individuals with VaD. What is Vascular Dementia? Vascular Dementia is a type of Dementia characterized by cognitive impairment and memory loss that occurs due to reduced blood flow to the brain. It is typically caused by damage to the blood vessels supplying oxygen and nutrients to the brain, leading to the death of brain cells. The most common cause of Vascular Dementia is a series of small strokes known as Multi-Infarct Dementia. Other causes include large strokes, small vessel disease, and conditions that affect the blood vessels, such as high blood pressure and diabetes. What sets Vascular Dementia apart from other forms of Dementia What sets Vascular Dementia apart from other forms of Dementia, such as Alzheimer's disease, is its underlying cause. While Alzheimer's disease is characterized by the presence of abnormal protein deposits in the brain, Vascular Dementia arises from problems with blood flow and vascular damage. This critical distinction is vital in diagnosing and managing the condition effectively. Symptoms of Vascular Dementia Symptoms of Vascular Dementia can vary depending on the extent and location of the brain damage. Common signs include difficulties with memory, problem-solving, and concentration, as well as mood swings, confusion, and impaired judgment. The progression of Vascular Dementia can occur stepwise, with noticeable declines following each stroke or vascular event. It is essential to differentiate Vascular Dementia from other forms of Dementia to provide appropriate treatment and support. Proper diagnosis involves comprehensive medical evaluations, including medical history, cognitive assessments, brain imaging, and examination of blood vessels. By understanding the distinct characteristics and causes of Vascular Dementia, healthcare professionals can tailor care plans and interventions to address the specific challenges associated with this form of Dementia. Unique Challenges in Vascular Dementia Care Caring for individuals with Vascular Dementia poses several unique challenges due to the nature of the condition. Recognizing and addressing these challenges is crucial for providing effective care and support. Here are some of the key challenges commonly encountered in Vascular Dementia care: Rapid onset and progression of symptoms : Unlike some other forms of Dementia, Vascular Dementia can have a sudden onset and progress rapidly, primarily if caused by a stroke or multiple small strokes. This rapid decline in cognitive abilities can be challenging to manage and may require prompt adjustments in care plans. Fluctuating cognitive abilities : Vascular Dementia is often characterized by cognitive fluctuations, where individuals experience periods of relative clarity interspersed with periods of confusion or cognitive decline. These fluctuations can be challenging to predict and manage, requiring flexibility and adaptability in care approaches. Physical health issues and comorbidities : Vascular Dementia commonly coexists with other health conditions, such as high blood pressure, diabetes, or cardiovascular disease. Managing these comorbidities and addressing physical health issues is integral to vascular Dementia care, as they can significantly impact overall well-being and cognitive function. Emotional and behavioral changes : Vascular Dementia can lead to emotional and behavioral changes, including depression, anxiety, agitation, irritability, and impulsivity. These changes can be distressing for both individuals with Dementia and their caregivers, requiring strategies to manage and support emotional well-being. Impact on caregivers and family members : Caring for someone with Vascular Dementia can be emotionally and physically demanding for family members and caregivers. They may face challenges in navigating the complexities of the condition, dealing with cognitive fluctuations, managing behavioral changes, and balancing caregiving responsibilities with their own well-being. Overcoming the Challenges: Practical Strategies While caring for individuals with Vascular Dementia comes with unique challenges, there are practical strategies that can help overcome these hurdles and provide effective care and support. Here are some key strategies to consider: Early diagnosis and intervention: Early detection of Vascular Dementia is crucial for implementing appropriate interventions and treatments. Timely diagnosis allows for managing underlying medical conditions, such as high blood pressure or diabetes, which can help slow the progression of Vascular Dementia and optimize cognitive function. Creating a supportive and safe environment : Modifying the living environment to promote safety and independence is essential. Remove hazards, ensure adequate lighting, and consider assistive devices to support mobility. Simplify daily routines and provide visual cues to assist with memory and orientation. Managing medications and medical conditions: Proper medication management is vital in Vascular Dementia care. Ensure medications are taken as prescribed and monitor for potential interactions or side effects. Managing other medical conditions, such as hypertension or diabetes, through regular check-ups and adherence to treatment plans can also support overall well-being. Promoting cognitive stimulation and engagement : Engaging individuals with Vascular Dementia in cognitive activities can help maintain cognitive function and enhance overall well-being. Encourage participation in hobbies, puzzles, memory games, or activities that tap into their interests. Regular mental stimulation can slow cognitive decline and improve quality of life. Emotional support for the individual and caregivers : Emotional support is essential for both individuals with Vascular Dementia and their caregivers. Encourage open communication, provide reassurance, and offer opportunities for emotional expression. Support groups or counseling services can be valuable resources for caregivers, providing a platform for sharing experiences and coping strategies. Utilizing community resources and support networks : Tap into community resources and support networks to access additional assistance. Dementia support organizations, respite care services, and adult day programs can provide relief for caregivers while offering social engagement and support for individuals living with Vascular Dementia. Communication and Connection Effective communication is vital when caring for individuals with Vascular Dementia as it helps maintain connection, understanding, and overall well-being. Here's why communication is important and some tips for improving communication and fostering a connection with individuals with Vascular Dementia: Tips for improving communication and maintaining connection: a. Use clear and simple language : Use short, simple sentences and speak slowly, allowing time for processing and comprehension. Avoid complex or abstract concepts. b. Non-verbal cues: Pay attention to non-verbal cues such as facial expressions, gestures, and body language. Maintain eye contact and use touch, when appropriate, to convey warmth and reassurance. c. Active listening : Be present and attentive when the person with Vascular Dementia communicates. Give them ample time to express themselves and avoid interrupting. Show empathy, understanding, and patience. d. Be mindful of your tone and demeanor : Maintain a calm and positive tone of voice, as individuals with Dementia can pick up on the emotions and attitudes of others. Show respect and avoid being condescending or dismissive. e. Use visual aids and cues : Visual aids, such as pictures, written notes, or memory aids, can assist in conveying information and promoting understanding. Pointing to objects or using gestures can help with comprehension. f. Engage in meaningful activities : Plan and engage in activities that the person living with Vascular Dementia enjoys and can participate in comfortably. This could include listening to music, looking at photo albums, doing simple crafts, or taking gentle walks. Self-Care for Caregivers Recognizing the importance of self-care is essential for caregivers of individuals with Vascular Dementia. Caregiving can be demanding and emotionally challenging, and neglecting one's own well-being can lead to burnout and decreased effectiveness in providing care. Here are some practical self-care strategies for caregivers: Prioritize self-care: Make self-care a priority and acknowledge that taking care of yourself is crucial for your own well-being and the quality of care you provide. Recognize that it is not selfish to take time for yourself. Set boundaries and ask for help : Establish clear boundaries to protect your own physical and mental health. Recognize your limitations and ask for assistance when needed. Seek support from family members, friends, or support groups to share the caregiving responsibilities. Take breaks and practice relaxation techniques : Schedule regular daily intervals to recharge and relax. Engage in activities that bring you joy, such as hobbies, exercise, reading, or spending time in nature. Maintain social connections: Stay connected with your support network and maintain social connections. Reach out to friends, attend social events, or find others to share experiences, receive emotional support, and gain valuable insights from others who are going through similar experiences. Seek professional support : Don't hesitate to seek professional support when needed. Therapists, counselors, or support services specialized in caregiver support can provide guidance, coping strategies, and a safe space to express your feelings and concerns. Conclusion For further information and resources on Vascular Dementia and caregiving, we recommend contacting the Dementia Society or other Dementia-focused organizations. These organizations offer valuable support, educational materials, and guidance to caregivers and individuals affected by Vascular Dementia. Remember, you are not alone on this journey. By staying informed, seeking support, and practicing self-care, you can make a positive difference in the lives of those living with Vascular Dementia while maintaining your own well-being. Together, we can navigate the challenges of Vascular Dementia care and provide the best possible care for our loved ones. 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

Russell Conwell, the founder of Temple University, delivered an inspirational lecture entitled “Acres of Diamonds” across the country in the early 20th century, later published as a book. The principles in this lecture still hold true today. Acres of Diamonds “Acres of Diamonds” focuses on finding success and wealth in life by recognizing and cultivating the opportunities available to us. This theme is developed by an introductory anecdote, credited by Conwell to an Arab guide, about a man who wanted to find diamonds so badly that he sold his property and went out in a futile search. The new owner of his home discovered that a rich diamond mine was located right there on the property. Conwell encourages readers to "dig in your own backyard!" Hidden Treasure to Consider for Care How many hidden treasures do we all have that we don’t realize? The Antiques Road Show demonstrates this tenet often with example after example of people who had an artifact or painting in their attic that has been sitting there unnoticed for decades, and it turns out to be worth a lot of money…for something that people thought was worthless. Who would have thought that an original Apple 1 computer would be worth $500,000? This is not to say that everyone has a Picasso in their attic, but this does beg the question: What do we have around us that is hidden but may be more valuable than we think? Need to Pay for Long-Term Care? Something to Consider One of these “hidden treasures” may surprise you - your life insurance policy (yes, even a term policy). If you want and need your policy, you should keep it. But, so many people feel that they no longer need their policies, or the policies become too expensive to maintain. Importantly, families often contact the Dementia Society of America® to ask how they can best pay for long-term care when or if it becomes necessary. For that reason alone, it’s important to understand the tools available to you and consult your financial and/or legal professional before making any important decisions about whether you can and should sell a policy. Still interested in knowing more? Here are some facts: in recent years, about 3,000 individuals sell their policies annually. Whereas 2.5 million older adults simply let lapse or surrender their policies yearly. According to the Life Insurance Settlements Association, more than $100 billion of face-value policies are lapsed by adults over the age of 65 every year. This begs the question – why? Many folks simply do not know that their life insurance policy is an asset that they own and that there is another option to sell their life insurance policy and receive cash for it. The process of selling a life insurance policy is called, for short, a life settlement. The life settlements market has been a legal way to benefit from selling a policy for over 100 years and is highly regulated by Departments of Insurance nationwide. Obviously, there are a million reasons why people may wish to get rid of their policies, but ultimately, the policies are unwanted, unneeded, or unaffordable. Over time, life changes, and the reason someone purchased a life insurance policy may no longer be a concern. Perhaps a spouse has passed away, the kids have moved out of the house, the house is paid off, etc. A term policy may end, or it may no longer fit into their budget. People may feel as if they have no other option but to lapse or surrender. They are unaware that an alternative may be available, including the sale of the policy. Here's an Example Consider this example: a 72-year-old individual with a $1,000,000 universal life policy. There is $6,000 in cash left in it. The premium to continue the policy is $2,500 per month. He did not want to afford those premiums. The options? Lowering the death benefit of the policy did not make sense to him. Surrendering the policy would bring in $6,000. Instead, his financial advisor advised considering a life insurance settlement. The result? For illustrative purposes, the person might receive as much as $150,000. Of course, each situation is different, and you should know the facts about the value of your policies before deciding to sell. As with any asset, the funds received from selling a policy are unrestricted. Use the money for anything – save for retirement, pay for medical needs, long-term Dementia care, support your favorite non-profit organization, take a “bucket list” trip, etc. Policies do not need to be million-dollar policies either. Face values, also known as the death benefit, of policies of around $100,000 are eligible. This “hidden asset” is already in many people’s possession, and many options are available, so speaking with your financial or insurance professional is important. As said previously, if a person wants to keep their policy, they should. A Financial Asset That May Be Found Money However, if someone has decided that lapsing or surrendering the policy makes the most sense for them, they may want to consider one more option – selling it. 90% of older adults surveyed said that had they known about a life insurance settlement option, they would have considered it “found money.” Your policy may be your “Acres of Diamonds,” a financial treasure hiding in plain sight. Contributing authors' opinions are not necessarily those 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 Contributing Author: Lisa Rehburg For more than 30 years, Lisa Rehburg has been working with insurance brokers, financial advisors, and clients in the health and life insurance industries. She has held executive roles at carriers, general agencies, and third-party administrators (TPAs). More information about Lisa and life settlements can be found here https://www.rehburglifesettlements.com/

Obviously a play on words that we coined, to help folks quickly understand that there's more to know about Dementia than most people think they know. It's like anything else, if you scratch just below the surface of any subject, you begin to understand that there's a whole world of knowledge just waiting to wade through. This blog (short for weblog; see, you learned something already) will be attended to like a year-round garden: figure out what veggies you want and when you want them; create some space for planting, a great deal of ongoing nourishment; a basket full of tender love and care; and behold, after a while, there are fruits to thy labors. We will attempt to share some of our knowledge and experiences in life caring for, and about, those with Dementia. As comedian George Carlin said, "brain droppings." Plus there'll be some bits and pieces of wisdom we've harvested from all of those that have gone before us down this rocky, but awesomely challenging path. #dementia #alzheimers #caregiving #dementiasociety Welcome... Kevin President & Founder Chairman of the Board Dementia Society of America

To The One I Love, I Will Not Miss You When you walk in the door, I will not know who you are. The familiar features of your face, I will not know. Your gentle hand upon my brow will be awkward. Your voice will be strange, but only to my ears. Please try and console my fears. As soon as your gentle touch reaches my heart, my heart will know who you are. Because only my thoughts are confused, my heart is and always will be true to you. Dementia is only in my thoughts, it cannot touch the memories in my heart. Please show me the pictures of our life together. Help control the fears that are only in my thoughts. My thoughts will not miss you, my heart will cry in pain. Help me now with love, pictures, and recordings of us. For soon Dementia will be my only master. And I will not miss you. 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, or other forms of the content contained within blog posts- that have been provided to us with permission, or otherwise. Dementia Society does not provide medical advice, please consult your doctor. www.DementiaSociety.org

Eliminating technology from the bedroom is a very important topic we can talk about at great length about. Suffice it to say, all of our gadgets and technology addictions are posing a significant threat to our brain and body health. The biggest reason we know of relates to the effects of artificial lights on our brains. This is particularly true for laptops, tablets, and handheld devices. Research has found that LED lighting is suggestive to the brain. The blue light emitted by these types of devices simulates the light outdoors. This means you could be on your tablet, in bed, at ten o’clock at night and the blue light is telling your brain that it’s light outside. The human sleep-wake cycle is based on our relationship to the natural light in our environment. When we are artificially inducing daylight through the use of these devices, particularly at night, the brain gets very confused. Hormones such as cortisol are produced and start to circulate through the bloodstream causing a more alert state. This also causes the body to lack certain hormones (i.e. melatonin) that are naturally supposed to be present before sleeping. Of course, this isn’t just about smartphones and tablets. This also extends to other electronic devices like televisions and stimulation from radios. All devices should be taken into consideration as it’s not just that blue light tricking the brain into thinking it’s light outside. Other types of stimulation disrupt sleep/wake cycles. Simple things like anticipating a text message, email, or phone calls create a sense of anticipation that stimulates the brain, making it hard to fall asleep or stay asleep. At the same time, there is also a concern that EMF, or electromagnetic field, waves can have a negative impact on the brain. Timeout in the Bedroom! All of these electronic devices need to be turned off and left in places outside of the bedroom; in the kitchen or wherever they will be used first thing the next morning. This is critically important training for children as all they know is technology and boundaries are becoming less clearly defined as time progresses. The bottom line is that it’s just not good to sleep hygiene to have these electronic devices in your bedroom. Contributor Author: Dr. Michael Trayford is a Board Certified Chiropractic Neurologist and Founder of APEX Brain Centers in Asheville, NC. For additional information, and to learn more, please visit our Author's page. 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, or other forms of the content contained within blog posts- that have been provided to us with permission, or otherwise. Dementia Society does not provide medical advice, please consult your doctor. www.DementiaSociety.org

Organization is important for several different reasons. When you stop to think about it, the opposite of organization is chaos and chaos is synonymous with stress. When we look at the pillars of effective brain training, cognitive, physical, metabolic, and lifestyle factors, we see how stress relates directly to lifestyle factors. Many of these come with at least some level of personal control. Organization is an important factor for managing stress and making sure your brain experiences as little unnecessary distraction as possible. If you’re living by the seat of your pants and organizing your day with countless post-it notes or digital notes, it can bog you down. Also, when you’re not accomplishing things it gives you a sense of fear and worry, because you’re not completely doing the things you feel you are supposed to be doing. A lack of organization can be a significant challenge in your life. Simply crossing things off of your to-do list doesn’t mean that you are organized. To a certain degree, it might make more sense to sit down and write a 'to-not-do list'. Sometimes you can look at your current to-do list and find things that have been on there for months, if not years. If you’re not doing those things, then it probably means they are not all that important. Getting control of your thoughts and energies by having a to-not-do list can actually be quite liberating. It can even start to eliminate some of the fear and worry that comes from not getting everything done. There is a great deal of research that shows us how fear and worry are the two most damaging emotions to the human brain. They contribute to the production of significant amounts of stress hormones. These hormones circulate through the body and can actually cause damage to certain parts of the brain that allow us to learn. They can even damage connections that have been made in the brain. The more we do to eliminate those two emotions, the better off our brains will be. Some people might find that taking 10 or 15 minutes on Sunday evenings, to organize their week, can be incredibly powerful. You don’t have to go into minute detail. Simply prioritizing and putting your top tasks for the week in order can take a great deal of stress out of the week ahead. It can also help you think better, sleep better and interact more efficiently with friends, family, and coworkers. Contributor Author: Dr. Michael Trayford is a Board Certified Chiropractic Neurologist and Founder of APEX Brain Centers in Asheville, NC. For additional information, and to learn more, please visit our Author's page. 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, or other forms of the content contained within blog posts- that have been provided to us with permission, or otherwise. Dementia Society does not provide medical advice, please consult your doctor. www.DementiaSociety.org

There are virtually hundreds of different breathing exercises with different purposes and outcomes. However, there is a simple, foundational breathing exercise that you can do each day to help your brain work better. This is particularly helpful for people that are not getting enough oxygen to their brains. Decreased oxygen levels have a serious impact on the brain. When we breathe normally, we typically inhale and exhale at a 1 to 1 ratio; meaning, for every second we breathe in, we breathe out for a count of 1 (e.g. 5 seconds in, 5 seconds out). When this happens we’re not really holding the air in our lungs for a significant length of time. This means there isn’t sufficient transfer of air to oxygen in the lungs, which limits the amount of oxygen in our bloodstream available to the brain. During this breathing exercise, you breathe in through the nose and out through the mouth. When doing this make sure you’re sitting comfortably, or you could even be lying on your back. Don’t slouch, as you won’t be able to take in the maximum volume of air. You want to be able to feel your abdomen rise and fall. The rate of breathing for this exercise happens at a 1 to 2 ratio. When you inhale, that breath going in should take around 4 to 5 seconds. Don’t hold your breath. Tighten your lips a little bit as you breathe out, which will slow it down to take about twice as long, or 8 to 10 seconds. You could time this with a stopwatch or do it roughly by keeping track in your own mind. The key is to make sure that you’re breathing out longer than you’re breathing in. This exercise can increase oxygen levels in the bloodstream within 30 seconds to a minute after beginning. You can do this exercise throughout the course of the day. Each time try to do ten breaths. As you do this you will start to effectively train the brain to take in that breath, and retain it a little longer as you breathe out. This improves oxygen levels far better than just breathing to breathe. Breathing is something we need to do, so it’s something that we should do well. This is particularly important at certain times of the day when the brain might be lacking from an energy standpoint. This exercise can help raise your energy levels without having to resort to sugar, caffeine, or some other type of stimulant. It’s important to reinforce that in this particular exercise you don’t actually hold your breath! In fact, there might be some instances where someone has a medical problem where holding their breath could cause them to pass out. This exercise is about breathing in and immediately out. As your breathing becomes more efficient you can begin to explore more advanced breathing techniques. Remember: oxygen is the secret! Contributor Author: Dr. Michael Trayford is a Board Certified Chiropractic Neurologist and Founder of APEX Brain Centers in Asheville, NC. For additional information, and to learn more, please visit our Author's page. 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, or other forms of the content contained within blog posts- that have been provided to us with permission, or otherwise. Dementia Society does not provide medical advice, please consult your doctor. www.DementiaSociety.org

I cannot remember names or where I left the keys, people say I repeat myself and often seem confused. I must have dementia. It’s easy to leap to conclusions but considerably more difficult to speak to your doctor about your concerns. You fear that stepping into your doctor’s office all but guarantees a diagnosis of dementia. However, a thorough medical exam may uncover other reasons, such as a bladder infection or medications that can explain why you are sometimes forgetful or confused. Again, don’t jump to conclusions if your doctor suggests that you undergo further tests. Pause, take a deep breath and tell yourself that ruling out dementia is not as easy as you may have assumed. At this point, your doctor may suggest that you get a second opinion from another physician or other kinds of healthcare professionals who specialize in diagnosing and treating memory disorders. And remember, you don’t need your doctor’s permission to seek advice from other clinicians. A good doctor will welcome your efforts. Without question, what you are doing for yourself is scary. No, it’s worse than scary. It’s deep-down frightening. Take a deep breath. You don’t have to do this alone. A family member or a good friend can give the emotional support you need and, with your permission, can accompany you to your doctor appointments. In addition to the comfort of his or her presence, your family member or friend can be another set of ears (or your note taker) as you, in all probability, will be overwhelmed by a deluge of information. Sometimes the news isn’t good. But before you occupy a permanent seat on the couch and wait for the inevitable, take a moment and take a deep breath. There are medications, as well as participation in activities such as dancing, yoga, and tai chi, that can slow the progression of dementia. Keep in mind, there is a lot of good living ahead of you. Indulge, be active, do what gives you pleasure, and have good times with family and friends. Cherish the little things that enrich your life as well as the lives of others. This is a time to create memories. 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. 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, or other forms of the content contained within blog posts- that have been provided to us with permission, or otherwise. Dementia Society does not provide medical advice, please consult your doctor. www.DementiaSociety.org

To some people, the phrase “knowledge is power” means learning the facts and talking to experts. Other people may feel the phrase describes mindfulness and self-determination. For the individuals and families for whom dementia has entered their life, both interpretations are important. Learning about such things as the different types of dementia, ways to slow progression and to overcome challenges, as well as navigating the spectrum of legal issues and quality-of-life wishes creates a sense of empowerment. This approach enables good decision-making as well as makes it easier to converse with physicians and other healthcare professionals. Internet research is a good place to start. Be sure to use keywords that give you a manageable number of hits. For example, the word “dementia” alone reveals 4.9 million results. Using a string of words such as “Lewy body, behavior, and medication” will improve the usefulness of your internet fact-finding efforts. Determining the reliability of internet information is another issue. Government resources, such as the National Institute of Neurological Disorders and Stroke (https://www.ninds.nih.gov/Disorders/All-Disorders/Dementia-Information-Page ) are the location of the high-quality patient and family-centered information. University medical centers, such as the University of California, San Francisco, Memory, and Aging Center are another source of dependable information. ( http://memory.ucsf.edu ) Medline Plus, (National Library of Medicine) can direct you to add high-quality sites. ( https://www.nlm.nih.gov/medlineplus/evaluatinghealthinformation.html ) Internet searches, though certainly an important aspect of your fact-gathering journey, cannot replace conversation. So, be sure to include a telephone in your arsenal of fact-finding tools. The local Agency on Aging, the Dementia Society of America, as well as nearby hospitals, university medical schools, and Veterans Health Administration hospitals, are examples of organizations where you will find experts. Use their webpage to find the contact information of the people best able to help you. Mindfulness and self-determination is another way to interpret “knowledge is power.” Here, rather than facts, the emphasis is on self-reflection. Self-reflection can be something as simple as setting aside a few quiet and quieting moments each day for contemplation. Acknowledge feelings such as anger, sadness, abandonment, and fear. Use your feelings both as an entryway to mindfulness as well as an incentive to discovering solutions to the challenges you face. Consider having a psychologist or a medical social worker guide you through this difficult period. Keeping a hand-written or word-processed diary is another tool. At the end of the day, perhaps just before going to bed, set aside a few moments to write. Don’t worry about grammar, spelling, or creating the perfect sentence. Just write. Pour your heart out. Document the events that made your day especially good or unbelievably horrible. Be sure to review your diary writings from time to time. Doing so will help you see past mistakes, appreciate progress, or give important insight into the best next steps. 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. 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, or otherwise. Dementia Society does not provide medical advice, please consult your doctor. www.DementiaSociety.org