LIVING WITH COGNITIVE DECLINE

At JSL, there is a concerted effort in focusing on healthy aging activities.  Resident Service Coordinators on each campus strive to work closely with residents and their families helping them combat signs of dementia which require a holistic approach including lifestyle adjustments, cognitive activities, and sometimes medical intervention. The Alzheimer’s Association alz.org and The National Institutes of Health nih.gov provide helpful information on their websites.

Yesterday I attended part one of a free educational series ‘Living with Alzheimer’s Caregiver Education.” The important and informative presentation at Meer Apartments by an Alzheimer’s Association volunteer, Jim, a 16-year caregiver for his wife shared his experience, learning objectives in early stages of the disease, symptoms, understanding dementia and Alzheimer’s, FDA approved treatments through the years and new treatments out now.

There is so much to know about brain decline. From first steps to future plans, taking your role one day at a time, is essential. Learning how to speak with someone with cognitive issues, involving friends and family in the diagnoses, knowing you’re not alone and that the health care community, along with family, friends and resources offer everything needed to assist you in your path. From record keeping to appointments, a caregiver has multiple roles as an encourager, companion, supporter, planner, money manager and advocate. Often, it’s important to laugh.

Learning how to help your loved one stay independent by staying organized and using notes and calendars. Staying active and maintaining closeness and intimacy helps keep you close. Honest conversations, shared experiences and taking care of yourself by getting support is imperative. There are resources for the entire family at every age on the websites above.  Consider respite care on our JSL campus in West Bloomfield or in Southfield https://www.brownadultday.org/ for more information.

• Improve cognitive stimulation by engaging in mental exercises like puzzles, reading, learning new skills, or playing memory-based games which can help strengthen cognitive function.
• It’s important to stay socially active which can help maintain cognitive health. Group activities, social clubs, and regular interactions with friends or family are beneficial.
• Daily exercise including aerobics, walking, swimming, or dancing, improves blood flow to the brain, which may reduce the risk of dementia. Strength training can help maintain overall brain and body health.
• Eat from the Mediterranean Diet. This includes food rich in fruits, vegetables, whole grains, and healthy fats like omega-3 fatty acids (from fish and nuts) that are associated with a lower risk of dementia. Consistent water hydration is essential for cognitive function. Consider a Kosher diet which may be another way to incorporate balanced meals rich in vegetables, lean proteins, and fish, all of which support brain health.
• A consistent sleep schedule is linked to better health and fights cognitive decline. Aim for 7-8 hours of quality sleep each night to support brain health. Address conditions such as sleep apnea that may interfere with rest. Stress management through mindfulness practices utilizing techniques like meditation, yoga, and deep breathing can reduce stress, which may protect the brain from cognitive decline.
• Therapy can help alleviate chronic stress, which negatively impacts the brain. Seek professional help. Early diagnosis through regular medical check-ups are essential for catching early signs of dementia. Early diagnosis allows for better management. If prescribed, there are a few new medications to help manage symptoms or slow progression. Work with a neurologist.
• Manage chronic diseases like diabetes, hypertension, and cardiovascular diseases which increase the risk of dementia. Proper management through medication, diet, and lifestyle adjustments is crucial.
• Limit alcohol, sugar and smoking to lower the risk of cognitive decline.
• Stay engaged in hobbies that require concentration and skill, such as card games, gardening, painting, music and puzzles. These activities help maintain brain function.
• Volunteer or take classes because learning new things and helping others can keep the mind sharp and socially connected. Isolating yourself is unhealthy.

Each of these strategies work best when incorporated into a long-term lifestyle plan aimed at preserving cognitive function as we age. Take deep breaths, sing a few songs and seek help from your circle of family and friends. You are not alone.

Shabbat Shalom.