Eye Scan for Alzheimer’s

Scanning the eyes is a new way to detect Alzheimer’s disease.

Researchers at Cedars-Sinai Medical Center in California say Alzheimer’s affects the retina, in the back of the eye, in a similar way to how it affects the brain. A high-definition eye scan can show the buildup of toxic proteins that indicate Alzheimer’s.

The plaque showing in the retina matches the plaque in a corresponding part of the brain. Through repeated scans of the retina over time, doctors will be able monitor the progression of the disease.

At one time, the only way to diagnose Alzheimer’s was by examining the brain after a person died. Now doctors can use brain scans to diagnose the disease in living patients, but these scans are expensive and invasive. The non-invasive eye scans will help doctors to detect the disease earlier, making it possible to intervene with medications and lifestyle changes before more symptoms appear.

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If you do not plan for your long term care who will? See the Guide To Long Term Care for more information on Alzheimer’s and how to prepare for long term care needs.

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Nine lifestyle changes can reduce dementia risk

Nine factors that contribute to the risk of dementia

  • Mid-life hearing loss – responsible for 9% of the risk
  • Failing to complete secondary education – 8%
  • Smoking – 5%
  • Failing to seek early treatment for depression – 4%
  • Physical inactivity – 3%
  • Social isolation – 2%
  • High blood pressure – 2%
  • Obesity – 1%
  • Type 2 diabetes – 1%

These risk factors – which are described as potentially modifiable – add up to 35%. The other 65% of dementia risk is thought to be potentially non-modifiable.
READ  ARTICLE HERE

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Note: Insure before the diagnosis. Once diagnosed insurance is no longer available.

 

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Dying at Home

Most people (70%) want to die at home, in a familiar place surrounded by loved ones. However, only about 25% do. Nearly 50% of Americans die in a hospital, and another 20% die in a nursing home or long-term care facility.

The trend is for more people to die at home, with a 29.5 percent increase from 2000 to 2014, according to the Centers for Disease Control and Prevention. During the same time period, the percentage of deaths in hospitals, nursing homes and long-term care facilities has dropped.

Seven out of ten Americans die from chronic disease, and more than 90 million Americans are living with at least one chronic disease. The Centers for Disease Control (2007) listed the ten leading causes of death in America (in order):
1.
heart disease
2.
cancer
3.
stroke
4.
chronic lower respiratory disease
5.
accidents
6.
Alzheimer’s
7. diabetes
8.
influenza
9.
pneumonia
10.
kidney disease and sepsis.

Almost a third of Americans see ten or more physicians in the last six months of their life. And almost 30% of Medicare’s budget each year is spent on patients who are in the last 12 months of their lives.

According to LongTermCare.gov about 70% of Americans over age 65 will require long-term care. If a person has an extended illness requiring long-term care, long-term care insurance will help cover those expenses whether in a hospital or at home. Studies show that those with long-term care insurance stay at home longer because the insurance provides more money for care. This includes extra money for home modifications like a wheel-chair ramp, a medical alert system and a stair lift.

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It is often the lack of money that prevents people from staying at home when they need care. Who pays for long-term care? In some cases they will spend all their savings and now are forced to rely on Medicaid (welfare health care). With a Partnership asset-protection insurance policy you will be exempt from the Medicaid spend-down requirement, the exemption is based on the total benefits your policy has paid out for care.

More than 80% of patients with chronic diseases say they want to avoid being in a hospital or intensive care unit when they are dying. While dying at home is usually preferred by the patient, it can be difficult for the caregiver. Hospice services can help.

Hospice care is for those in the last six months of their lives. More than 88% of hospice patients are Medicare beneficiaries.

Traditionally, for a patient to qualify for Medicare-supported hospice, a doctor must certify that the patient has: a home, a diagnosis of six months or less to live, a full-time caregiver, and a willingness to give up curative care and receive only palliative care.

In 2016 the Medicare Care Choices Model began offering some patients “concurrent care”: the choice of continuing curative care while starting palliative care and hospice care. An evaluation of concurrent hospice in non-elderly patients showed this plan improves quality of life and reduces costs.

The Medicare hospice benefit emphasizes home care, with almost 60% of patients receiving their care at home as of 2014. Medicare coverage is limited, additional care would be paid for out-of-pocket. Do you really want to spend-down your hard-earned savings and investments leaving open the option that Medicaid will require your estate to repay Medicaid for your care costs? There are 30 states with a filial responsibility law that could require your family to reimburse Medicaid.

Home care is much less expensive. Inpatient hospice services are used when the patient’s pain and symptoms must be closely monitored in order to be controlled, when medical intervention is required to control pain or symptoms, or when the family needs a rest from the stress of care giving.

A hospice team arranges for doctors, nursing care, medical equipment like wheelchairs and walkers, medical supplies, prescription drugs, hospice aide and homemaker services, physical and occupational therapy, speech-language pathology services, social workers, dietary counseling, grief and loss counseling for the patient and family, short-term inpatient care, and short-term respite care.

After evaluation by a doctor, a patient can enroll in hospice care for two 90-day benefit periods, followed by an unlimited number of 60-day benefit extensions. A patient can decide to stop hospice care at any time.

A recently proposed bill, The Patient Choice and Quality Care Act of 2017 (H.R. 2797), aims to give patients and families living with advanced and life-limiting illnesses the information and services they need.

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Listening to their favorite music may help people with dementia

Nursing home residents with dementia had fewer behavior problems and were able to cut back on antipsychotic and antianxiety drugs when they listened often to their favorite music, according to a recent study.

Researchers at Brown University in Providence, RI studied over 25,000 residents in 196 nursing homes around the country. They used a program called Music & Memory which provides Alzheimer’s and dementia patients with individualized music playlists.

In a national campaign led by Medicare, gerontology experts and patient advocates are seeking non-pharmacologic interventions to reduce the use of antipsychotic and anti-anxiety medications.

In nursing homes that used the program, residents with dementia were more likely to discontinue antipsychotic and anti-anxiety medications, and engaged in fewer disruptive behaviors, than in homes where the music was not used. However, the study did not show a significant improvement in mood.06_ALIVE-INSIDE_Photo-Courtesy-of-BOND360

Caregivers and family members in a documentary called “Alive Inside,” say that personalized music helps even patients with highly advanced dementia. They observe that patients look more at ease after listening to their favorite music.

The researchers studied residents who had dementia and cognitive impairment, but were not in hospice care or comatose.

The rate of discontinuation of antipsychotics rose to 20.1 percent in 2013 compared to 17.6 percent in a similar period before. The discontinuation rate of anti-anxiety meds rose to 24.4 percent compared to 23.5 percent before. In the studied nursing homes that did not use the music program, the rates did not improve.

Behavioral improvement increased to 56.5 percent in program homes from 50.9 percent before the program. Improvement in the behavior of residents helps the treated patients, but also enhances the quality of life for residents around them. Also, improvement in patients’ behavior raises the morale of nursing home staff, and may reduce staff turnover.

The study was published in the American Journal of Geriatric Psychiatry. To improve their evaluation, Baier, Thomas and their colleagues plan to conduct a second study. 

Nursing home or memory care can be costly. Long term care insurance provides not only money for care but a support system for both those needing care and their families. For more about long term care and insurance visit GuideToLongTermCare

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U.S. Congress increases money for Alzheimer’s research

Congress just increased the budget for Alzheimer’s research by $400 million for fiscal year 2017. In 2016 the budget for Alzheimer’s at the National Institutes of Health was about $910 million.

The number of people living with Alzheimer’s disease is expected to reach 14 million by 2050. It is estimated that for every $100 that goes into research, around $16,000 is spent in caring for people with the disease.

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Money for research has greatly improved the outlook for heart disease and cancer patients. In 2017, health and long term care costs for Alzheimer’s came to around $259 billion in the United States. That number is expected to rise to $511 billion by 2020. Since not finding a cure is expensive, more funding for Alzheimer’s research is obviously needed.

For more information on Alzheimer’s and long term care, see the Guide To Long Term Care.

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Dementia isn’t just one thing.

Dementia isn’t just one thing. “People sometimes use dementia and Alzheimer’s disease interchangeably. But that isn’t correct,” says John Haaga, director of Behavioral and Social Research at the US National Institute on Aging.dementiaDownload 2016 Alzheimer’s Disease Facts and Figures.pdf – a statistical resource for U.S. data related to Alzheimer’s disease, the most common cause of dementia, as well as other dementias.

You can donate to help the Alzheimer’s Association.

If you are at risk consider insuring before the diagnosis.

About Alzhiemer’s, The Leading Cause of LTC Insurance Claims

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Using technology to keep track of Alzheimer’s patients

The city of Iruma in Japan has a new plan to keep track of people with Alzheimer’s and dementia.

Each patient will have a little square QR code that is attached to a fingernail or toenail. The code carries personal information including a unique identification number, an address, and a telephone number. The information will help families find loved ones who have wandered away. The adhesive chips remain attached to the nail for about two weeks, even if they get wet.

alzWandering is a common problem with Alzheimer’s and dementia patients. Sometimes confusion and memory problems cause them to get lost even in familiar surroundings. Various technologies are available for keeping track of elderly loved ones. Some methods resemble technology used for tracking packages, children, or pets.

A variety of GPS tracking devices can help a user find the location of a lost person. Some enable the user to set up a safe zone, with notification when the patient goes outside a designated area. Some trackers can keep track of several people at the same time.

An SOS button is another common feature, so the person wearing it can call for help. Some devices facilitate audio conversation between the patient and caregiver.

Many of these devices are battery operated, but the batteries are rechargeable and may keep a charge for as long as three years. Some are connected with services that operate by monthly subscription.

GPS trackers can be worn around the ankle or wrist, or as a pendant. They can be locked on. One model looks like a wristwatch. A small personal transmitter emits an individualized tracking signal. GPS Smart Sole wearable technology puts satellite monitoring in a shoe insert to allow real time tracking of the wearer in areas with T-Mobile coverage.

Some GPS tracking watches provide international monitoring. An alarm will sound if the watch and GPS receiver get separated.

MedicAlert ID bracelets carry important medical information, and provide emergency hotline and family notification.

Cellular tracking uses cellular towers to determine the person’s location. The device used is the size of a credit card, and the user can follow its location with a mobile application.

The caregiver will usually carry a small tracking device, smart phone, tablet or web browser to monitor the patient. Some apps provide updates through email and text.

Hospitals can use special technology to monitor entry and exit doors. A door can be programmed to lock down when a tagged patient approaches. In a home setting, door alarms and locks, motion detectors, and intercoms can be helpful in monitoring a patient.
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By 2050, the number of people with Alzheimer’s disease worldwide could triple, from 5.1 million to 13.8 million. About six in ten will wander. Traditional search and rescue operations can cost thousands of dollars an hour, and take days. New technology makes it possible to find a person much faster and with fewer people needed in the search. The tracking technology saves a lot of money and helps rescue people sooner, before they may get hurt.

For information on insuring for Alzheimer’s and dementia care, see the Guide To Long Term Care


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