Spring 2011
Transcription
Spring 2011
The Hope Connection THE NEWSLETTER OF THE ALVIN A. DUBIN ALZHEIMER’S RESOURCE CENTER Where there’s hope... Spring 2011 Volume 16, Issue 2 First Biomarker for Creutzfeldt-Jakob Caregivers Face Major Financial Burdens, Increased Stress, and Work Struggles With the population of America continuing to age, and 2011 bringing the highest percentage ever of U.S. citizens above the age of 65, there is now a greater need for caregivers than ever before. A new survey from Caring.com has revealed that the majority of caregivers are deeply impacted by the financial and emotional costs of caring for their loved ones. Caring for a loved one takes a heavy toll on the caregivers' work life, as more than one-third of all survey respondents indicated that their work situation was impacted by either having to quit their job, retire early, reduce hours, or take a leave of absence. Combined with the 37 percent of respondents who aren't working, the survey shows that a startling 74 percent of caregivers have either had to change their job situation or are not working. These results, coupled with the findings that 42 percent are spending more than $5,000 a year on caring and over 60 percent are concerned about the impact that providing care is having on their savings, clearly demonstrate that the financial toll of caregiving is a major issue for the millions of Americans who care for their loved ones. Caregiving also results in measurable emotional costs. The survey indicates that caring for a loved one is the number-one source of stress among respondents (69 percent), ahead of the downturn in the economy and other family medical problems. In terms of family relationships, more than a quarter said their relationships had been negatively impacted by providing care. However, 75 percent say their caregiver role is a source of pride because they're making a difference for their loved one. "As Americans age and live longer, many continue to live at home or move in with relatives by choice or as a result of tough economic times requiring care from family members," said Andy Cohen, cofounder and CEO of Caring.com. "These survey results illustrate the significant impact that caring for an aging parent, spouse, or relative is having, as well as the opportunity to provide more support to this growing population now 43 million strong." Caregivers perform a variety of tasks for their loved ones, including shopping, talking with doctors, and obtaining and administering medications. Fifty-eight percent spend more than 10 hours per week providing caregiving service, while 22 percent spend more than 40 hours per week. Many respondents represent the "Sandwich Generation" including 27 percent who have children under age 25 living at home. Caregivers in the Sandwich Generation are more likely to experience stress from their jobs and relationships. Sixty percent of respondents live with the loved one for whom they provide care. Half of family caregivers surveyed have searched online for a senior living facility or in-home care. Among those surveyed were caregivers whose loved ones have Alzheimer’s disease or another form of dementia. In total, close to 1,000 family caregivers participated in the Caring.com Usage and Attitude Survey in November 2010. Taken from: Caring.com Featured in this issue.......... Financial Incapacity May Signal Worsening Dementia ................................................................. Caregivers’ Corner & Support Group Information.......….................................................................... Government Report Finds Elder Abuse on the Rise............................................................................ Researchers and Providers Urge US Senate to Safeguard Research Funding .................. Study Points to Liver Not Brain as Origin of AD Plaques................................................................... 4 5 7 10 11 US researchers have identified the first biomarker for the human form of mad cow disease, a rare and fatal brain condition that typically kills people within one year of onset. At present the only way to diagnose CreutzfeldtJakob disease is by studying brain tissue after a person dies. There is no cure. If the biomarker can be used to develop a common test for the disease, it could help prevent its spread among healthy people and reduce misdiagnosis of potentially treatable dementia cases, the researchers said. Scientists believe the disease can transfer from infected cattle to humans when people eat tainted meat. "Levels of the irontransport protein transferrin (Tf) are significantly decreased in the cerebrospinal fluid (CSF) of patients with sCJD well before the end stage of the disease, potentially allowing for earlier diagnosis," said the study in the online scientific journal PLoS ONE. The biomarker was 80 percent accurate at distinguishing between mad cow and dementia, said the study led by Neena Singh and colleagues at Case Western Reserve University School of Medicine in Cleveland, Ohio. Taken from:www.google.com The Hope Connection Board of Trustees Britton Swank, President Osterhout, McKinney & Prather Jamie Seneca, Vice President G.E. Medical Al O’Donnell, Treasurer O’Donnell Landscapes Carol Osterhout, Secretary BB&T Bank Peg Gray-Vickrey, Past President Florida Gulf Coast University Tim Ficker Cypress Cove Stan Grigiski Medical Claim Service Archie B. Hayward, Jr Lee County Court Judge Jill Jamieson Fallback Productions Keith Kyle Circuit Court Judge Jim Nolte Wells Fargo Advisors Pam Pence, Advisory Board Chair Community Volunteer Lou Pontius Community Volunteer Kathy Shimp Community Volunteer Doug Waldorf Henderson Franklin Craig Wolf Community Volunteer From the Director’s Desk … Dotty St. Amand, Executive Director It is our pleasure to take the opportunity each spring to acknowledge the dedication and hard work of our center’s volunteers. We join the many charitable organizations around the country who are celebrating National Volunteer Appreciation Week in April. While we recognize the value and importance of our volunteers on a daily basis, it is fitting to carve out a to each and every one of the talented people who serve on our Boards, volunteer in our office, help us with special events, and host our donor appreciation receptions. We are especially grateful to all of our volunteers who quietly go about their way bringing new people in need of our services to our door. This is the true mark of our success when a caregiver who has spent his journey with us becomes a volunteer to help us expand our outreach to others in need. We thank each of you for your dedication to our cause. A Light To Remember 2011 Advisory Board Scott Anstadt, PhD, DCSW, LCSW Florida Gulf Coast University Ronnie Goodwich, MD Radiology Regional Center Norma Hand Brill Elder Law Attorney Janette L’Heureux Leading Edge Financial Group Tracy Lima Trusted Financial Services Mabel Lopez, PhD Mind and Brain Care Jim McLaughlin WINK News Radio Dawn Moore Lee Memorial Health System Hudson Rogers, DBA, Vice Chair Florida Gulf Coast University Shirley Ruder, EdD MSN, MS, RN Florida Gulf Coast University Frederick Schaerf, MD, PhD Neuropsychiatric Research Center Michael Skaggs Heartland Health Care Center Halcyon St. Hill, EdD, MS, MT Florida Gulf Coast University special week to shine light on their efforts to help make our community a better place to live. The numerous hours that volunteers give to our center make a huge impact on our ability to carry out our mission to provide education, information, and support to people with dementia and their caregivers. It is through the many talents and treasures given by our volunteers that we are able to reach our goals and realize success in our efforts. Our sincere thanks goes out Sponsored by Fox Electronics Please visit our web site to view the list of individuals whose lives were celebrated at A Light to Remember www.alzheimersswfl.org Emeriti Board Bill Beckwith, PhD Memory Management John Belisle BB&T - Oswald Trippe and Company Bill Enslen Community Volunteer Patricia Hessel Retired Certified Public Accountant Douglas Newland, MD Neurologist Julie Osterhout Osterhout, McKinney & Prather Nancy Silvers, RN C Retired Registered Nurse Nancy Zant HealthPark Care Center Become a fan of the Alvin A. Dubin Alzheimer’s Resource Center on Facebook! The Alvin A. Dubin Alzheimer’s Resource Center, Inc. is a non-profit organization. The Hope Connection is a quarterly newsletter published by the Alvin A. Dubin Alzheimer’s Resource Center, Inc., 10051 McGregor Blvd. Ste. 101, Ft. Myers, FL 33919. Advertisements that appear in this newsletter are paid advertisements, not endorsements by the Dubin Alzheimer’s Resource Center. The New Medicare Annual Wellness Exam The Patient Protection and Affordable Care Act, also known as “Health Care Reform,” signed into law in 2010 made a few upgrades to Medicare with a focus on prevention and early detection. The Alzheimer’s Foundation of America (AFA) has published a userfriendly hand-out which outlines the inclusion of assessment of cognitive functioning as part of the annual wellness exam. AFA’s hand-out includes the following information: Facts about the Medicare exam: • Starting in January 2011, Medicare will now pay for a wellness exam once every 12 months. • There are no deductibles or copayments for this visit. • The exam includes the creation or update of a personalized prevention plan based on your current health and risk factors. • The exam also includes the detection of any cognitive impairment. • The visit may be performed by a doctor or any other healthcare provider recognized by Medicare. More details about cognitive impairment: • The detection of a cognitive impairment is not necessarily a diagnosis of Alzheimer’s disease. Some memory problems can be readily treated, such as those caused by vitamin deficiencies or thyroid problems. Other memory problems may result from causes that are not currently reversible, such as Alzheimer’s disease. If your practitioner suspects a problem, additional tests can be run to more accurately determine the cause. Note: Further tests or doctors’ visits not included in the annual wellness exam may require some out-of-pocket costs. Ask your doctor or Medicare if you have questions about coverage. • If you have questions or concerns about your memory, don’t hesitate to ask your doctor or other healthcare professional during this visit or at any other time. Qualifying for the visit: • You must have been receiving Medicare Part B benefits for at least 12 months. • If you have had your initial, one-time “Welcome to Medicare” physical exam within the last 12 months, you will be eligible for your first wellness exam one year from the date of that initial visit. For a copy of the complete hand-out, call 437-3007 or visit www.alzfdn.org. The Hope Connection Spring 2011 Dolores Bertolini presents a check from the Charles J. Bonaparte Lodge 2504 to Dotty St. Amand of the Dubin Alzheimer’s Resource Center to help support caregiver programs in our community. Success has nothing to do with what you gain in life or accomplish for yourself. It’s what you do for others. - Danny Thomas Page 3 The Hope Connection Spring 2011 Financial Incapacity May Signal Worsening Dementia Many Americans have the community with focal The authors suggest that AstraZeneca to pay struggled with the thorny memory or other cognitive timely identification and $68.5M settlement The pharmaceutical giant AstraZeneca, which has its U.S. headquarters in Delaware, has settled claims that it "promoted its blockbuster psychiatric drug, Seroquel, for insomnia, Alzheimer's, and other unapproved uses," the Philadelphia Inquirer reports in an Associated Press story. Thirty-six states and the District of Columbia will share in a $68.5 million settlement, with New Jersey, which led the case, getting $1.85 million and Delaware getting $1.4 million. Pennsylvania's share was not yet reported, the story said. The company resolved federal government claims regarding Seroquel's marketing last year for $520 million. "While we deny the allegations, AstraZeneca believes it is important to bring these matters to a close and move forward with our business of providing medicines to patients," a company spokesman said. Taken from: www.bizjournals.com issue of taking the car keys from an aging parent or grandparent. But how do you know when to take away the checkbook? Physicians need to help patients and families dealing with Alzheimer's disease and its pre-cursor, mild cognitive impairment (MCI), recognize when an older patient is losing the ability to manage their own financial affairs, say researchers at the University of Alabama at Birmingham and the University of California at San Francisco in commentary published in the Journal of the American Medical Association. "Financial capacity is essential for an individual to function independently in our society," says study co-author Daniel Marson, J.D., Ph.D., professor of neurology and director of the UAB Alzheimer's Disease Center. "Diagnosis of cognitive impairment generally, and MCI and Alzheimer's disease specifically, should signal likely financial impairment and prompt physicians to encourage patients and families to seek financial and legal advance planning." Patients with MCI typically still are functioning in impairments but are beginning to show initial signs of functional decline. Marson and his group have published a number of empirical studies detailing impairments of financial skills in patients with Alzheimer's disease. In 2009, Marson and his group published a major paper on declining financial capacity in MCI and progression to Alzheimer's, which involved a tool developed at UAB called the Financial Capacity Instrument. The FCI measures capacity across 20 tasks, including understanding a bank statement, balancing a checkbook, paying bills, preparing bills for mailing and counting coins and currency. "Declining financial capacity is a good barometer for progression of both MCI and Alzheimer's disease," said Marson, "Our previous research has shown that a decline in checkbookmanagement skills can be a harbinger of a patient's progression from MCI to early Alzheimer's dementia. Emerging impairments in financial skills and judgment often are the first functional changes demonstrated by patients with incipient dementia." informal assessment of financial impairment by clinicians often can lead to the establishment of effective financial protections for affected patients and limit the economic and legal hardships that often accompany financial incapacity. They offer guidance on recognizing possible impaired financial capacity and signs of financial abuse. Marson says it's important for families, caregivers and health-care professionals to be vigilant about changes in an older patient's financial abilities to avoid potential catastrophic financial losses due to poor decision-making, fraud and other forms of exploitation. Caregivers should oversee a patient's checking transactions, contact the bank to detect irregularities such as bills being paid twice or become co-signers on a checking account so that joint signatures are required for checks above a certain amount. Online banking and bill-payment services are also options for families. Source: University of Alabama at Birmingham Taken from: Medicalnewstoday.com Page 4 Caregivers’ Corner The Hope Connection Spring 2011 In the Resource Room The Alvin A. Dubin Alzheimer’s Resource Center invites you to join your fellow caregivers for a relaxing morning walk in the park with Laugh Yoga followed by lunch at Perkins April 11, 2011 9:15 a.m. - 12:15 p.m. Meet at Lakes Park 7330 Gladiolus Dr, Fort Myers Cost: Your lunch and parking at the park For more information, call (239) 437-3007 RSVP by April 7, 2011 Mama Moves In: 5 ½ Years of Eldercare in My Home by Thomas A. Dyke. This book is laid out to guide you through the author’s experience caregiving for his mother. He explains everything in great detail, but makes it very easy to read and to relate back to your own experiences. The book is very interactive. A compact disk is included with the book to supplement information provided. There is also a website that the author has put together with links to research databases pertinent to the topics covered in the book. The author discusses topics such as home safety, practical and emotional aspects of caregiving, rewards of eldercare, and resources for caregivers. Mama Moves In is a great read not only for adult children caring for parents, but also for spouses or others who are caregivers for a loved one. ALZHEIMER’S SUPPORT GROUPS OF LEE COUNTY BONITA SPRINGS Hope Lutheran Church CAPE CORAL Gulf Coast Village FORT MYERS Broadway Community Church Mt. Herman Baptist Church Westminster Presbyterian Congregational Church Pine Lakes Country Club PINE ISLAND Pine Island United Methodist LEHIGH United Way House SANIBEL Sanibel Congregational United Church of Christ LABELLE First Christian Church ADULT CHILDREN GROUP Dubin Alzheimer’s Resource Center LONG TERM CARE ISSUES Dubin Alzheimer’s Resource Center Monthly 10:30 AM - 4th Monday 2:00 PM - 1st & 3rd Thursdays 2:00 PM 2:30 PM 9:45 AM 10:00 AM 2:00 PM - 2nd Tuesday - 3rd Wednesday - 2nd & 4th Wednesdays - 3rd Wednesday - 4th Thursday 10:30 AM - 1st Thursday 2:00 PM - 3rd Monday 1:30 PM - 4th Wednesday Speakers: Addressing Challenging Behaviors Lois Coleman, MS, Health Educator Alvin A. Dubin Alzheimer’s Resource Center Cape Coral - April 21st 2:00 p.m. Westminster - April 27th 9:45 a.m. Transitioning Between Levels of Care Leigh Ann Hagedorn, MSW Intern Lisa Troulis, MSW, Social Worker Alvin A. Dubin Alzheimer’s Resource Center Cape Coral - May 19th 2:00 p.m. Westminster - May 25th 9:45 a.m. Protecting Yourself from Frauds and Scams 1:00 PM - 1st Wednesday Beth Schell, Community Outreach Lee County Sheriff’s Office 6:15 PM - 1st Tuesday Cape Coral - June 16th 2:00 p.m. Westminster - June 22nd 9:45 a.m. 10:00 AM - 3rd Tuesday FOR MORE INFORMATION CALL (239) 437-3007 New PATH - Early Stage Alzheimer’s Group A special program for individuals with early stage dementia. For information, please call (239) 437-3007. Page 5 The Hope Connection Gifts to the Dubin Alzheimer’s Resource Center Spring 2011 Our sincere thanks to the following individuals and businesses who gave a memorial, honorary or general gift during the months of October, November, and December. Gifts not listed will appear in the Summer issue. I n Memory Of Clients and clients' relatives of Osterhout, McKinney & Prather Dr. Anthony Billett Carole Billett Trixie M. Pottorf Goodwill Industries of SW FL Madeleine Plummer W.C. Cupe Family of Schools Joan Mason Stephans Oren Stephans Lillian Baste Marg and Don Keighley Joan and Carl Bice Barbara and Fred Pelletier Marie C. Loew Charles Pomerening Dena Glidden Marilyn and Lloyd Andrews Deborah Pavelka Edith and Lee Schick Sharon and Jerry Nelson Rosemarie Hammond Steven Whitley Roetzel & Andress Kristine Hawkins-Tye Judy Mass Stephanie Sitkins Karen Pati Mary Ellen Scherzer Marcia Siler Alice and Richard Pego Beverly and Armand Ball George Kratsios Regina Klein Ann Kratsios Estelle M. Feldman Mary Moorcroft John Lodwick The Regency Social Club, Friends and Neighbors Al Lowry Charlene Bretl John (Jack) E. Kiburz Charles Maloy Meredith and Glenn Higgins Sophia Humpidge Mary and Bill Cyzewski Ralph Hegsted Raymond "Raymo" Thompson Ina Hunsucker Frances Maiorca Pat Honess Joanna S. Bach Ronald Bach Margareta E. West Carolyn and Herbert Conant Francine T. Smith Deanne Butindaro John Butrick Janet Graverson, Jen and Loren Mildred Fahey Estella Holloway Ron and Deborah Woolever Carl Lorman Joan Lorman Charles Sandone Elizabeth Person Dr. Milton Richards Adele Richards Wright Merlie M. Hall Bob Hall Titania Tarwid Taicia Ryan Bruce A. Jamieson Jill Jamieson Donald Plumley Lowell DeVasure Dorothy DeVasure Mary J. Porter Beta Sigma Phi Laureate Delta Xi My Husband Jack E. Moore Virginia Moore Thomas H. Baker Donna Baker Charlotte L. Howley Edmund Howley Gus Marcantonio Nancy Marcantonio Marie Knouse Shirley Koplow Sara Davis Shackleford Rosalyn Davis and Family Gary Wells Sherri Coburn Grace Koch Carol Emrick Hank Young Henry Young John L. Driefer Jan Driefer Judith Singer Emanuel Singer Lloyd B. Hicks Florence Hicks Malcolm B. Henderson Pamela and Michael Lariviere Nancy Lottie James Warder Tom Shirkey Katie and Tom Bartholomew Winton Kloosterman Marilyn Kloosterman Velma Hanson Mary Giarratani I n Honor Of Betty Seidenwand Karen Shemansky Joseph Lane Karen Miller Mary Layne Jodie and Gary Layne Patricia Graddy Nicole and Albert Frierson Kathleen E. Singleton Walter Singleton Betty Williams Ed Williams Edith W. Lyon Nancy Van Buskirk James Wahlert Robert and Donna Wahlert Mr. Alfonso Palmietto Gloria Palmietto Genevieve Meyers Genevieve and Richard Meyers Dr. Gaitono Raineri Dorle Samuels Sheila Wilson Sheila and Andy Wilson Christie and Arthur Knudsen's 63rd Anniversary Mary and Jack Woods Cliff Herdman Doris Herdman Thelma Padawer Micha Klugman-Caspi Rosemary J. Hilton William Hilton Samuel Stratton Anna Kerstner Mary Elizabeth Woods' Birthday Christie and Art Knudsen Helen Hunt Donald Hunt Mary E. and Thomas J. Woods Mary Smith I ndividual Donations Edward Kurek Jennifer Felt Amy and Pete Gravina Ruth Morgan Jamie and Matt Seneca Deirdre Sullivan Mann Frances Resca Gary Booth Gayle and Chris Bundschu Mr. and Mrs. Allen Prather Timothy Ficker Brent Hall Doris Herdman Isabelle Schuessler Adrianne Gerard Danielle Mauder Marsha McDermott Roberta Shannon Karen Shemansky Dotty St. Amand Dolores Bertolini Tracy Lima Joyce Westmass Ellen De Tournillon Dorle Samuels Ann and Bob Leininger Jane Sweeney Mary Ann Ferrarese Arthur Hartman Charlene Miller Kenneth Walker Keith Kyle Richard Raney Joseph Kotler Donald Prohaska Lisa Cronin Miller Flo States T.W. Quinn Floyd Fought Joan and A.J. Richter Pat and Bob Brown Paul Dwyer Carl Queck Kathleen Webb Bev and Fred De Wolfe Steve and Kathy Shimp Carol and Kevin Conway Lynda Leonard-Boyce C ivic Gifts and Grants United Way of Lee, Hendry & Glades Lee Memorial Health System Sanibel Congregational United Church Zelda Dubin Memorial Philanthropic Fund of the Columbus Jewish Foundation C orporate Gifts Fox Electronics A Light To Remember Gulf Coast Village Brushstrokes From the Soul Fred's Award World USAdocufinish Schlager, Schlager & Levin Abby Services SeniorBridge Fort Myers Direct Access Home Health Law Office of Norma Hand Brill Senior Living Guide The Windsor Winkler Court Millennium House Mind and Brain Care Right At Home Skaggs LTC Nolte Wealth Management Accent Business Products Emeritus at the Lakes and Fort Myers Professional Nurses Registry Home Instead Bright Star Healthcare Page 6 Government Report Finds Elder Abuse on the Rise A rising number of elder abuse cases threatens to overwhelm inadequately staffed adult protective service agencies in many states, according to a report released by the federal Government Accountability Office. At a hearing of the Senate Special Committee on Aging, Kay Brown, director of education, work force and income security at the accountability office, testified that state agencies also were seeing increasingly complex cases involving multiple types of abuse. Yet funding for state-level adult protective services agencies which Kathleen Quinn, executive director of the National Adult Protective Services Association, described as the “boots on the ground in the fight against elder abuse” is not keeping pace. In the report’s survey, 25 of the 39 responding states reported that total funding for adult protective services over the past five years decreased or remained the same. As a result, staffing and training have suffered at state agencies handling elder abuse cases, she said. “If you want to work at Starbucks, you have to go through 40 hours of training before you make your first latte,” Ms. Quinn told members of the Senate Special Committee on Aging. “But we will send an A.P.S. person out in some jurisdictions because they have no money right out of college, and hope they learn on the job.” Ms. Quinn and other witnesses called for more federal leadership and coordinated efforts to help stem elder abuse. Also at the hearing, the actor Mickey Rooney testifies that he had experienced elder abuse. Mr. Rooney, 90, said that money had been stolen from him and that he had not been allowed to make important decisions. When he complained, he was told that he didn’t know what he was talking about. “I felt trapped, scared, used and frustrated,” Mr. Rooney said. Yet he was also afraid to tell anyone, he added. Federal agencies need a more centralized system for tracking elder abuse, said Dr. Mark Lachs, co-chief of geriatric medicine at Cornell University. “People move from system to system, from housing to law enforcement to any number of venues, and no one has ownership of the entire case,” said Dr. Lachs. “I think we need some über knowledge of how these individuals are traversing the system.” Indeed, in many states it’s not even clear what constitutes elder abuse. Citing officials at the federal Administration on Aging, the Government Accountability Office report said establishing a nationwide data collection system was difficult because there is no common state-level definition of elder abuse. The report’s recommendations call for the secretary of health and human services to develop a national resource center for elder abuse information for protective services agencies in the states. Further, the report said a federal body should help determine what state-level elder abuse data would be useful for all states and the federal government to collect. The chairman of the Special Committee on Aging, Senator Herb Kohl, (D)-WI, reintroduced the Elder Abuse Victims Act. The bill would establish an office of elder justice within the federal Justice Department charged with protecting the elderly by strengthening law enforcement responses to abuse. Taken from: newoldage.blogs.nytimes.com The Hope Connection Spring 2011 LEAPP Hosts Events in Lee County Lee Elder Abuse Prevention Partnership Shred-a-Thon will be held on Saturday, May 21, 2011 9:00 a.m. - 2:00 p.m. Locations in Lee County to be announced World Elder Abuse Awareness Day June 15, 2011 Watch for details about LEAPP’s event to mark World Elder Abuse Awareness Day Call (239) 437-3007 for details Page 7 The Hope Connection Spring 2011 Mark Your Calendar for these May Events Justin Schaeffer of Irresistible Confections was awarded the Favorite Chocolate Creator Award at the 2010 Sweet Memories gala event Annual Meeting of the Alvin A. Dubin Alzheimer’s Resource Center May 2011 - Date to be announced 5:30 p.m. - 7:30 p.m. Reception & Program Caregivers, donors, and all guests are welcome to join us as we celebrate another successful year Call 437-3007 for details. Page 8 CARING ACROSS GENERATIONS The Hope Connection Spring 2011 An Educational Series for Family Caregivers Offered by Dubin Alzheimer’s Resource Center in collaboration with LEAPP Caregiver Education funded by the Area Agency on Aging for Southwest Florida May 10, 2011 Being an Informed Caregiver Lois Coleman, Dubin Alzheimer’s Resource Center Lisa Troulis, Dubin Alzheimer’s Resource Center Linda Pankow, United Way 211 Eric Flusche, Senior Friendship Center May 17, 2011 Making Sense of Legal Matters Beth Prather, Elder Law Attorney Osterhout, McKinney, & Prather Learn about basic legal documents, how/when to prepare Learn about local programs and services available to caregivers legal documents, guardianship and other legal issues. as well as respite and long term care options. May 24, 2011 Making the Most of Your Money May 31, 2011 Considering Care Throughout the Illness Reina Schlager, CPA, RHU, CSA Schlager, Schlager, & Levin Dotty St. Amand, Executive Director Dubin Alzheimer’s Resource Center Learn about helping your loved one increase income, lower tax bill, and find funds you may not know are available. Learn about strategies to help ease stress related to the caregiving journey. Call (239) 437-3007 for more information or to register. Sessions will be offered from 5:30 p.m. - 7:30 p.m. at United Way of Lee, Hendry, and Glades County (7273 Concourse Drive, Fort Myers) for spouses, families or other primary caregivers. Light refreshments will be provided. Page 9 The Hope Connection Spring 2011 Nearly 400 Alzheimer’s researchers and service providers from across the country sent a letter in late February urging Senators to defend maintenance of FY2011 funding for the National Institutes of Health (NIH) at FY2010 funding levels or better. Pointing to the already massive costs of caring for individuals with Alzheimer’s disease, which will only continue to accelerate as baby boomers turn 65, the letter highlights the fiscal wisdom of NIH investments aimed at preventing or curing a disease that threatens to bankrupt our healthcare system. “Alzheimer’s is a cancersized problem requiring a cancer-sized response,” said Dr. Stanley Prusiner, Nobel Laureate, recent recipient of the National Medal of Science and director of the Institute for Neurodegenerative Diseases at the University of California, San Francisco. “Yet, to date, the Alzheimer’s field is grossly underfunded, at a level of Hundreds of Alzheimer’s Researchers and Providers Urge US Senate to Safeguard Federal Research Funding less than ten percent that of cancer and the level of meritorious peer-reviewed grants is at an all time low.” The letter signatories also emphasize that shrinking already minimal support for research on Alzheimer’s disease and other agingrelated disorders at a time when our population is aging will only increase ballooning Medicare and Medicaid costs. Currently, Medicare beneficiaries with multiple chronic conditions, including Alzheimer’s disease, cost three times as much as those without Alzheimer’s disease; and for Medicaid, the costs of an Alzheimer’s beneficiary are nine times that of a nonAlzheimer’s beneficiary. “If we do not invest today in biomedical innovation for major chronic diseases that affect older Americans, such as Alzheimer's disease, we will bankrupt Medicare and Medicaid in the years to come,” said George Vradenburg, chairman and co-founder of USAgainst Alzheimer’s. “This is a reality our nation simply cannot afford and cannot accept. Without striving for a cure for Alzheimer’s, we are accepting the fact that we will be a nation in the nursing home business - the iron-lung-and-leg-bracesbusiness of the 21st century.” Last year, Alzheimer’s disease costs were estimated at $172 billion, yet the federal investment at the NIH in Alzheimer’s disease research was less than one percent of that amount. With an estimated 5.1 million Americans diagnosed with Alzheimer’s disease, and the incidence expected to increase drastically over the coming decades, the burden of the costly disease will fall on the shoulders of American families. “Failing to support promising research for a cure to this devastating disease is morally indefensible, especially as millions of American families are already struggling to care for loved ones with Alzheimer’s disease,” said Eric J. Hall, president and chief executive officer of the Alzheimer’s Foundation of America. “The time for investment in NIH research is now.” Cuts to NIH funding are also putting at risk the global competitive advantage the United States has traditionally enjoyed in bio-medical research. “The best places to start new careers in Alzheimer’s research are no longer in the United States because the NIH is inadequately supported by the Federal budget," said Dr. Sam Gandy, director of the Mount Sinai Center for Cognitive Health in New York. "The Federal government must adequately invest in Alzheimer’s research or lose a global advantage it has enjoyed for fifty years. Promising leads for preventing Alzheimer's in the aging Boomer population are dying on the vine. Sadly, I see no prospects for improvement.” Full text of the letter is available at: http://3092662.r 62.cf0.rackcdn.com/EAD_Le tter_to_the_US_Senate.pdf Page 10 Scripps Research Study Points to Liver Not Brain as Origin of Alzheimer’s Plaques Unexpected results from a Scripps Research Institute and ModGene, LLC study could completely alter scientists' ideas about Alzheimer's disease pointing to the liver instead of the brain as the source of the "amyloid" that deposits as brain plaques associated with this devastating condition. The findings could offer a relatively simple approach for Alzheimer's prevention and treatment. The study was published online in The Journal of Neuroscience Research. In the study, the scientists used a mouse model for Alzheimer's disease to identify genes that influence the amount of amyloid that accumulates in the brain. They found three genes that protected mice from brain amyloid accumulation and deposition. For each gene, lower expression in the liver protected the mouse brain. One of the genes encodes presenilin a cell membrane protein believed to contribute to the development of human Alzheimer's. "This unexpected finding holds promise for the development of new therapies to fight Alzheimer's," said Scripps Research Professor Greg Sutcliffe, who led the study. "This could greatly simplify the challenge of developing therapies and prevention." In trying to help solve the Alzheimer's puzzle, in the past few years Sutcliffe and his collaborators have focused their research on naturally occurring, inherited differences in neurological disease susceptibility among different mouse strains, creating extensive databases cataloging gene activity in different tissues, as measured by mRNA accumulation. These data offer up maps of trait expression that can be superimposed on maps of disease modifier genes. As is the case with nearly all scientific discovery, Sutcliffe's research builds on previous findings. Several years ago, researchers at Case Western Reserve mapped three genes that modify the accumulation of pathological beta amyloid in the brains of a transgenic mouse model of Alzheimer's disease to large chromosomal regions, each containing hundreds of genes. The Case Western scientists used crosses between the B6 and D2 strains of mice, studying more than 500 progeny. Using the results from this study, Sutcliffe turned his databases of gene expression to the mouse model of Alzheimer's, looking for differences in gene expression that correlated with differences in disease susceptibility between the B6 and D2 strains. This intensive work involved writing computer programs that identified each genetic difference that distinguished the B6 and D2 genomes, then running mathematical correlation analysis (known as regression analysis) of each difference. Correlations were made between the genotype differences (B6 or D2) and the amount of mRNA product made from The Hope Connection Spring 2011 each of the more than 25,000 genes in a particular tissue in the 40 recombinant inbred mouse strains. These correlations were repeated 10 times to cover 10 tissues, the liver being one of them. "A key aspect of this work was learning how to ask questions of massive data sets to glean information about the identities of heritable modifier genes," Sutcliffe said. "This was novel and, in a sense, groundbreaking work: we were inventing a new way to identify modifier genes, putting all of these steps together and automating the process. We realized we could learn about how a transgene's pathogenic effect was being modified without studying the transgenic mice ourselves." Taken from: www.scripps.edu Friends of the Center Receptions The Dubin Alzheimer’s Resource Center invites you to join us at our next friends reception. Bring a friend and join us for refreshments followed by a brief presentation about the center’s programs and progress. Receptions are held on various dates. Call for details (239) 437-3007 Page 11 Alvin A. Dubin Alzheimer’s Resource Center 10051 McGregor Blvd. Ste. 101 Fort Myers, FL 33919 (239) 437-3007 www.alzheimersswfl.org ce sour DUBINCTR@aol.com al re c o l s ’ imer Yo u r lzhe for A NON-PROFIT ORG. U.S. POSTAGE PAID PERMIT #914 FORT MYERS, FL th y 14 a M n Gala o Club s e i r o t M e m & C o u n tr y e e w S ol f s fo r G U m l n i a o J ge P Herita Mailing Address Goes Here A COPY OF THE OFFICIAL REGISTRATION AND FINANCIAL INFORMATION MAY BE OBTAINED FROM THE DIVISION OF CONSUMER SERVICES BY CALLING TOLL-FREE WITHIN THE STATE. REGISTRATION DOES NOT IMPLY ENDORSEMENT, APPROVAL, OR RECOMMENDATION BY THE STATE. THE TOLL-FREE NUMBER IS: 1-800-435-7352. FL SOLICITATION OF CONTRIBUTIONS REGISTRATION #SC-06629. 100% OF EACH CONTRIBUTION IS RECEIVED BY THE ALVIN A. DUBIN ALZHEIMER’S RESOURCE CENTER, INC. Sweet Memories Glimmers of Gold May 14, 2011 at 6:00 p.m. Your Name: ___________________________________ Address: ___________________________________ YOUR GIFT MATTERS.............. The Alvin A. Dubin Alzheimer’s Resource Center is a United Way partner agency addressing the needs of people with memory impairment and their families through support, education, and advocacy. Please join us by completing and returning this form to: The Alvin A. Dubin Alzheimer's Resource Center 10051 McGregor Blvd. Ste. 101, Fort Myers, FL 33919. City/State/Zip: ___________________________________ Name: _________________________________ Phone: Address: _________________________________ City/State/Zip: _________________________________ ___________________________________ Names of Guests Attending: ________________________ _______________________________________________ _______________________________________________ Number of tickets _____ x $75.00 = $__________ (total enclosed) ___ I cannot attend - enclosed is my donation Please send reservation and check to: The Alvin A. Dubin Alzheimer's Resource Center 10051 McGregor Blvd. Ste. 101, Fort Myers, FL 33919 Phone: _________________________________________ MEMBERSHIP OPTIONS: Corporate Sponsor $5000 $1000 $500 Individual Sponsor $500 $250 Other $ _______ $100 $250 $50 $100 $10 In Memory of _________________________________ In Honor of __________________________________ Call (239) 437-3007 to make a donation via Visa, MasterCard or Discover! Make your check payable to: The Alvin A. Dubin Alzheimer’s Resource Center•10051 McGregor Blvd. Ste. 101•Ft. Myers, FL 33919