THE VIRGINIAN-PILOT | A SPECIAL ADVERTISING SUPPLEMENT

THE VIRGINIAN-PILOT | A SPECIAL ADVERTISING SUPPLEMENT | WEDNESDAY | 06.22.16
PHOTO BY
HYUNSOO LEO KIM
THE VIRGINIAN-PILOT
WEDNESDAY, 06.22.16 | SPECIAL ADVERTISING SUPPLEMENT TO THE VIRGINIAN-PILOT
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WEDNESDAY, 06.22.16 | SPECIAL ADVERTISING SUPPLEMENT TO THE VIRGINIAN-PILOT
index
Getting older
is an ‘Us’ thing
Page 6
For the aging, no
place like home
Page 8
Will I run out of
money?
Page 12
The Sinister Seven
Page 14
Depression is
common among
seniors
Page 18
staff
Editor
Clay Barbour
clay.barbour@
pilotonline.com
Advertising
(757)222-5538,
PilotMedia
Solutions.com
Designer
Brianna Schroer
brianna.schroer@
pilotonline.com
HYUNSOO LEO KIM | THE VIRGINIAN-PILOT
Ruby Johnson, left, keeps her silence about her political stance as her companion, Joyce Sanders, right, expresses her opinion. Johnson is a 92-year-old
woman who still lives in her home in Chesapeake thanks to the Senior Companion Program (run by the Senior Services of Southeastern Va.). A volunteer,
Sanders comes out twice a week to spend a couple of hours with her.
Reporters
Cherise Newsome,
Alison Johnson,
Cindy Butler
Focke
ging is the one thing we all face and yet so many of us seem
unprepared for it. This has always been true. The difference is
today we live longer, which means we have a higher chance of
dealing with chronic illnesses and money problems, and a world that
still seems to cater to the young. This year’s Caring for the Aging looks
at this issue from many angles, including the changing demographic
nature of our country, common health problems and the importance of
living independently. We hope you find it helpful.
Thank you for reading.
– Clay Barbour
A
WEDNESDAY, 06.22.16 | SPECIAL ADVERTISING SUPPLEMENT TO THE VIRGINIAN-PILOT
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WEDNESDAY, 06.22.16 | SPECIAL ADVERTISING SUPPLEMENT TO THE VIRGINIAN-PILOT
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GREENFIELD
SENIOR LIVING
AGING AND SAVING
Getting older
is an ‘Us’ thing
By Cherise Newsome
Ornita Bouie thinks about growing old.
The 23-year-old senior at Norfolk State University knows
that as she ages, she will need to save up for retirement,
sign up for the right health insurance and stay connected
Providing award-winning memory care
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to relatives who can help care for her as the years pass.
Bouie stands out from
peers, aging experts say,
because she is considering these things now. Most
young people don’t. But they
should.
Every day, 10,000 Baby
Boomers turn 65. Seniors
made up 10 percent of the
population in 1970 and grew
to 13 percent by 2010. But
by 2030, about a quarter of
Americans will be that age
or older, according to the
U.S. Census Bureau.
By 2050, there will be
close to 84 million senior
citizens, almost double
the number in 2012. And
as more people grow older,
the cost of caring for them
will, too.
We live in a youth-obsessed culture, but the truth
is, given the aging bubble
that experts predict, America would do better to embrace its golden years. Communities, legislators and
businesses need to adjust
for the graying population.
For example, urban planners should make communities more walkable and
develop building codes that
take an aging population into
account. A city’s tax base is
likely to change as the senior
population grows and stops
senior population
13%
Seniors made up 10 percent
of the population in 1970 and
grew to 13 percent by 2010.
But by 2030, about a quarter
of Americans will be that age
or older, according to the U.S.
Census Bureau.
job market now need to advocate for better healthcare
and institutionalized care for
seniors because one day they
may need them.
Hampton Roads does a better job than some other areas
in taking care of seniors, according to John Skirven, the
CEO of SSSEVA. A network
of governmental, nonprofit and for-profit programs
and businesses help care for
the region’s aging population, particularly veterans.
About one in five seniors in
the area is a veteran, Skirven said.
He pointed to the veteran’s hospital in Hampton
and nearby clinics and a
new long-term care facility in the works in Virginia
Beach. Locally, cities also
develop senior plans, such
as Chesapeake’s “55 & Better” program of activities
and resources for seniors.
Along with resources, the
community should understand that growing old isn’t
an imminent death sentence
and that seniors contribute
to the community’s well-being, Skirven said.
“We squander seniors as
a resource in this society.
working, so officials would
be wise to develop strategies to grow the economy
and workforce in that environment.
And maybe most importantly, the country as a whole
needs to change the way it
thinks about getting older.
“It’s unfortunate that a lot
of people don’t understand,”
said Bouie, an intern with
Senior Services of Southeastern Virginia (SSSEVA).
“They’re not paying attention to what we’re surrounded by on a regular basis.”
The change is not just
about developing empathy
for your elders. For young
people it is about self-preservation. Those entering the See next page
WEDNESDAY, 06.22.16 | SPECIAL ADVERTISING SUPPLEMENT TO THE VIRGINIAN-PILOT
7
‘‘
We need to learn from what our parents go through, from
what our grandparents go through.” Vanessa Sink, public affairs for NCOA
Continued from Page 6
Because of ageism, people
thinking they’re all old and
they’re over the hill, that
they’ve got Alzheimer’s. It’s
quite the contrary,” he said.
“What older people have is
time, which is a tremendous
gift. So we should be concerned and we should be appreciating the opportunities
that aging brings.”
People are reluctant to
talk about aging because it
involves facing tough issues
such as money and death,
said Vanessa Sink, the public affairs manager for the
National Council on Aging
(NCOA).
“Aging is not a ‘them’
thing, it’s an ‘us’ thing,” she
said. “Everybody gets older.
What should people in their
20s, 30s and 40s be doing?
First and foremost they need
to be thinking about their
economic future.”
Seniors often hit an income wall, because many
live on retired payments or
specific government benefits. That income stream
generally doesn’t grow, yet
the cost of living – including medical care – goes up.
Along with saving and investing, young people should
pay attention to the needs of
seniors, especially if they
are caregivers.
“We need to learn from
what our parents go through,
from what our grandparents
go through,” Sink said. Often
caregivers don’t calculate
the financial and emotional
toll of caring for a loved one
until it’s too late. Organizations such as the NCOA educate and inform people about
programs that can offset
costs in caring for eligible
seniors. For example, some
states and cities offer programs to subsidize heating
and air conditioning costs,
food expenses and others,
Sink said.
“We all want mom or dad
or grandma or grandpa to
be able to take care of themselves, but realistically that’s
not going to be how it is for
many of us,” Sink said. “It
takes a community.”
While The Talbot handles the meals, housework, transportation and
shopping, residents are free to enjoy their retirement dreams to the
fullest. Experience the best life has to offer and enjoy carefree living.
THE PILOT
READERS’ CHOICE AWARDS
OF 2016
GOLD
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WEDNESDAY, 06.22.16 | SPECIAL ADVERTISING SUPPLEMENT TO THE VIRGINIAN-PILOT
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AGING AT HOME
For the aging, no
place like home
By Alison Johnson
Ruby Johnson is a fiery woman, who enjoys dressing up and having
her hair and makeup done. She hates the thought of anyone fussing
over her. So when doctors took away the 92-year-old’s driving
privileges a little more than a year ago, Johnson struggled with
depression. This is why her family worries about the day she has to
give up living at home independently.
A PLACE THAT FEELS LIKE HOME
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6403 Granby Street
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757-451-2400
One Bon Secours Way
Portsmouth, VA 23703
757-686-9100
bonsecoursal.com
“That’s all she has left. I
know that’s how she sees it,”
says Heather Gerst, Johnson’s granddaughter. “It’s
huge for her to be able to stay
there. I believe she would go
downhill very quickly if she
had to go into a care facility.”
With support from Senior
Services of Southeastern
Virginia (SSSEVA), Johnson’s family has been able
to keep her at home. A volunteer from the organization’s
senior companion program
visits twice a week, taking
Johnson shopping and helping her cook.
“My grandma still has a
sense of freedom that keeps
her going,” Gerst says.
Nearly 90 percent of seniors want to grow old at
home, according to the 2007
report “Aging in Place in
America.”
The study, which surveyed
800 seniors and their children, found that seniors
feared loss of independence
or moving into a nursing
home more than they did
death. The children worried
their parents would be sad,
or mistreated.
Aging at home is not always the best answer; some-
times it’s not even possible.
Certain health, family, or financial circumstances make
assisted living or nursing
home care safer and even
happier for seniors, whether they are at high risk of an
accident at home or are socially isolated.
But if a family can line up
the right support, staying at
home brings obvious benefits. A house provides familiarity, comforting furnishings and mementos. It
also typically offers more
privacy, less noise and fewer germs. A senior may be
able to stay with a spouse –
or feel a connection to a lost
mate – keep a beloved pet or
maintain ties with favorite
neighbors and shops.
“It’s where they feel comfortable,” says Katie McDonough, a licensed clinical
social worker and director of
programs and public policy
for the Alzheimer’s Association, Southeastern Virginia
Chapter. “If it’s a safe place,
they do tend to thrive around
the people and personal belongings they know.”
A move can be challenging, depending on the stage
of illness and the particular
facility, McDonough says.
“Anxiety and stress can result in depression, or cause
some people to stop eating
or lash out in anger.”
But aging in place also
brings challenges. Families often feel alone as
they struggle to make sure
a home remains safe and
clean, especially if they don’t
live locally, says Christa Edwards, a SSSEVA resource
specialist. As one of Virginia’s 25 area agencies on
aging, SSSEVA is a central
point for helping families
line up a wide range of services, including meal deliveries, transportation, housekeeping and companionship.
“A lot of people who call
us are overwhelmed,” Edwards says. “My job is to
calm them down and give
them peace of mind. We’re
here to guide them.”
Some services are free,
covered by Medicare or
Medicaid. or some qualify for tax breaks. Families
should consult a financial
planner or elder law attorney.
For Tricia Tabb of NorthSee aging at home, Page 10
WEDNESDAY, 06.22.16 | SPECIAL ADVERTISING SUPPLEMENT TO THE VIRGINIAN-PILOT
9
Ruby Johnson, right,
and her companion,
Joyce Sanders, left,
chat on the backyard
swing. Ruby Johnson,
92, still lives in her
home in Chesapeake
thanks to the
Senior Companion
Program (run by the
Senior Services of
Southeastern Va.).
A volunteer, Joyce
C. Sanders comes
out twice a week
to spend a couple
of hours with her;
she does some
cooking and takes
Ruby on outings
– mall, farmers
market, etc. Ruby’s
granddaughter,
Heather Gersh, says
it has been huge in
preventing loneliness
and keeping her
grandmother healthy.
HYUNSOO LEO KIM | THE VIRGINIAN-PILOT
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AGING AT HOME
Continued from Page 8
ern Virginia, the monthly
expense of hiring 24-hour
private caregivers for her
mother, Nena, and Nena’s
longtime partner, Jack, in
their Williamsburg home
is about the same as what
it would cost to have both
91-year-olds in assisted living.
Tabb is convinced that a
move would trigger a rapid
health decline for her mother, who has advancing dementia. “The emotional turmoil of getting rid of so many
things is beyond her,” Tabb
says. “I missed the window
for considering assisted living. At home, she knows
where her oatmeal is, where
her bowl is – little things like
that. To have to re-learn all
of that at her age would be
really sad.”
Caregivers live in a guest
room three weeks a month
and handle cooking, laundry,
housekeeping and overall
oversight, including potential scam phone calls. Tabb
and her husband, Michael,
stay the fourth week to refill medications, pay bills and
manage home repairs; Jack’s
son and his wife also visit
from Chicago every couple
of months to help. Nena and
Jack, meanwhile, spend their
days reading in their favorite chairs, napping, watching movies and anticipating
home-cooked meals at 8 a.m.,
noon and 5 p.m. sharp. “They
enjoy having that routine,”
Tabb says.
Giving seniors a sense
of purpose is crucial, says
Becky Grim, a certified senior advisor and geriatric
care manager for Home
Care Assistance of Hampton Roads, which offers many
non-medical support services and works with the Tabb
family. And staying at home
can be a real motivator, Grim
Johnson walks around the
working table where she
converted her garage into
crafts studio.
HYUNSOO LEO KIM | THE VIRGINIAN-PILOT
says.
“You don’t want people
to get caught in a perpetual
‘sick day,’ where they’re becoming depressed and less
active,” she says. “Some have
been in their homes for decades. It means a lot to be
able to see the things you
love, eat the food you want to
eat and hopefully do things
you want to do.”
As a whole, the country still isn’t as equipped
to care for the elderly in
communities versus facilities, but that is changing, McDonough says. For
some families, even a small
amount of support can make
the difference. Gerst has
seen a drastic change in her
grandmother, a widow since
1988, with her Senior Companion volunteer: “She feels
better emotionally. She’s less
lonely. She walks better. It
gives her someone to talk
to, not about medical issues
but just as a friend.”
Gerst’s next step is to consult SSSEVA about options
for transportation to doctors’ appointments or perhaps a local senior citizen
center that offers art classes.
“I want my grandma to keep
going strong,” she says. “She
amazes me every day.”
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Johnson explains different flowers and plants that decorate her backyard garden.
RESOURCES
Senior Services of
Southeastern Virginia: ssseva.
org or call (757) 461-9481
to speak with a resource
specialist
Alzheimer’s Association,
Southeastern Virginia Chapter:
alz.org/seva/ or call (800) 2723900
Sentara PACE, a Program of AllInclusive Care for the Elderly:
sentara.com (search for PACE)
or call (757) 736-4677 to learn
about support services for frail
seniors who wish to remain at
home
Catholic Charities of Eastern
Virginia: cceva.org or call (757)
456-2366 to discuss options
for in-home respite care,
transportation and/or help with
small errands and yard work.
AARP: states.aarp.org/region/
virginia/ or call toll-free 1-888687-2277; the organization
offers Home Fit workshops
with a guide on making houses
safer for seniors.
advice on finding services.
Virginia Division for the Aging:
vda.virginia.gov or call toll-free
1-800-552-3402; publications
include a Home Care Resource
Guide.
Home Care Association of
America: hcaoa.org; (202) 5083870
National Aging in Place Council:
ageinplace.org; (202) 939-1770
National Association for Home
SeniorNavigator:
virginianavigator.org or call toll- Care & Hospice: nahc.org; (202)
547-7424
free (866) 393-0957; resources
include caregiver tips and
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MANAGING FINANCES
Will I run out of
money?
By Cindy Butler Focke
ASSISTED LIVING • MEMORY CARE • NURSING CARE
The ability to maintain financial stability well into old age is
growing in importance as more people live past age 65.
Many worry about running out of money, but that doesn’t have to
be the case if you do some homework and prepare for the future.
“We’re here for the community—for everybody—
no matter what their faith background has been.
They don’t have to be alone anymore. I am able to
say to the seniors I meet, ‘I know two great places
you can go: Marian Manor, and when the time
comes, Our Lady of Perpetual Help.’”
Keith Willyard, Pastoral Counselor
Our Lady of Perpetual Help
We are dedicated to providing quality senior living.
Explore your options with our friendly,
professional team. Call today to schedule
your complimentary lunch and tour.
MARIAN
MANOR
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Memory Care, Assisted Living, Nursing Care
4HYPHU 3HUL
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*VVYKPUH[LK :LY]PJLZ 4HUHNLTLU[ 0UJ 7YVMLZZPVUHS 4HUHNLTLU[ VM 9L[PYLTLU[ *VTT\UP[PLZ ZPUJL According to the U.S.
Dept. of Labor, fewer than
half of all Americans have
calculated how much money
is needed for retirement. So,
what should you do to ensure
a solid financial foundation?
For one thing, make sure
you take advantage of employer-offered savings plans.
The Labor Department estimates that in 2014 about
30 percent of people with
access to defined savings
plans (like 401Ks) did not
participate.
Andrew L. Bolling, Towne
Investment Group vice-president and financial advisor
for Raymond James Financial Services, says many
companies offer matching
contributions up to a certain
percentage. “Talk to human
resources, sign up, and participate,” he says. “That’s
free money.”
Those under age 50 may
contribute up to a maximum of $18,000 a year. And
once you reach age 50 the
amount goes up to $24,000.
Automatic deductions from
paychecks make it easy.
Most retirement plans are
for about 20 years, Bolling
says. But with the advancement in medicine, people are
living longer. So here’s how
he helps clients determine
their financially health in
retirement.
Visualize the future
T h i s c o me s d ow n to
“needs” versus “wants.”
Needs are essential expenses, such as housing, transportation, food and healthcare. Wants have to be
prioritized. Envision your
retirement lifestyle. Do you
want to travel the world, buy
a second home, or help out a
grandchild with his or her
education? And don’t forget
the importance of entertainment and social activities,
essential for emotional and
physical well-being.
Resources
Create a financial inventory. Make a list of income and
assets to determine how close
you are to reaching retirement goals. That includes Social Security, bank accounts,
investment and retirement
accounts, real estate, etc.
On average Social Security benefits equal to about 40
percent of what you earned
before retirement. But remember that taking Social Security before age 70 means a
reduction in benefits. Check
out the estimator on the Social
Security website, www.ssa.
gov, or call 1-800-772-1213.
Debt elimination is a big
part of the plan, too. Have
as little debt as possible. Pay
down those credit cards,
starting with those with the
highest interest rates.
Investments
Talk to a financial advisor. The risks you’re willing
to take and tolerance for loss
will help determine where to
best invest. When anticipating a rate of return on investments, know that 3 to 4 percent is a realistic number. For
example $1 millon in investments, would be $30,000 to
$40,000 a year for the investor. The IRS requires that you
withdraw at least a minimum
amount, known as a required
minimum distribution, from
your retirement accounts
each year, beginning in the
year you turn 70.5.
Time to Panic?
So, what do you do if you’re
in your 50s and haven’t saved
a penny? There’s no need to
panic. Just realize you may
need to delay retirement,
and even consider getting
an extra part-time job. The
AARP website notes that
“many hobbies and skills can
be turned into real income
in your retirement years.”
Trading antiques, or offering piano lessons, for example. Work to reduce debt, and
See finance, Page 13
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social security
Continued from Page 12
40%
On average Social Security
benefits equal to about
40 percent of what you
earned before retirement.
But remember that taking
Social Security before age
70 means a reduction in
benefits.
seek ways to lower bills. Do
you truly use those 100 channels you’re paying for on that
cable bill? Build your nest egg
as efficiently as possible, and
open up a savings plan.
Not the easiest of conversations
Ensuring a financial future
is important, but what happens to your assets and wealth
once you die? Wills and trusts
are essential in making sure
your wishes are carried out
in the most cost-effective way
possible, says Andy Hook of
Hook Law Center. “You can
determine the plan,” says
Hook, a lawyer and certified
financial planner.
Without a will, the state determines how assets are distributed.
Trusts are an important
way to protect those assets,
Hook says. For example, a
parent leaves a substantial
amount of wealth to a minor,
who when comes of age inherits the money. In more than 70
percent of cases, the sudden
wealth disappears within five
years, Hook says. A trust can
ensure the inheritance is protected, such as putting conditions on how and when the assets are distributed after you
die. Trusts also reduce cost,
delay, and allow the heirs to
avoid probate in court.
Also, health issues increase
with age, so seniors should
plan for appropriate medical
and long-term care options as
part of good post-retirement
financial planning. Many older adults lean on family members for care, but services can
be expensive. Home care averages about $19 per hour,
adult day care centers about
$60 per day, with assisted living facilities more than $3,000
monthly. Insurances and community resources are ways to
assist with costs.
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COMMON HEALTH PROBLEMS
The Sinister Seven
By Cindy Butler Focke
Common health problems and what can be done about them.
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10 MIL
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Each year, 2.5 million older
people are treated in emergency
departments for fall injuries
according to the CDC.
More than 5 million Americans have
Alzheimer’s disease, about twothirds of them women.
About 10 million people in the U.S. suffer
from osteoporosis, an asymptomatic
bone disease characterized by
decreased bone mass.
More than 30 percent of adults 60 and older
– about 13 million – are considered obese,
according to the CDC.
FALLS
ALZHEIMER’S
OSTEOPOROSIS
OBESITY
Of all the problems the aging
face, one of the most serious
is falls. In fact, one in five
falls causes a serious injury in
adults 65 and older, according
to the Centers for Disease
Control and Prevention (CDC).
Falls prevention is crucial
in older adults. A hip fracture
can be life-changing. Beware
that some over-the-counter
and prescription medications
cause drowsiness and shouldn’t
be taken during the day. Also,
the aging should continue to
exercise to keep their bodies
strong and improve balance.
Ask your doctor if you need
vitamin D supplements
with calcium. Having your
eyes checked once a year is
important, too. Make sure
your home is rid of items you
could trip over and has plenty
of good lighting. Also consider
putting up grab bars inside and
outside the tub or shower, and
next to the toilet.
Seniors who live alone should
have a plan to call for help in
the event of a fall. Medical
alert devices can serve as
life-saving devices should
emergency situations arise.
More than 5 million
Americans have Alzheimer’s
disease, about two-thirds of
them women. About one in
nine people 65 years and older
will be affected. The risk
of Alzheimer’s after age 65
doubles every five years.
There are no preventative
measures or cure for
Alzheimer’s. A risk factor is
family history. Research is
underway, but more federal
funding is needed. Certain
lifestyle habits can keep the
body and brain healthy, and
potentially reduce the risk
of cognitive decline. Good
nutrition, vigorous exercise
and an active social life all
help.
Call the Alzheimer’s
Association 24-hour helpline at
1-800-272-3900 or visit www.
alz.org/seva. Information
is available on educational
opportunities, support groups,
and more.
About 10 million people in the
U.S. suffer from osteoporosis,
an asymptomatic bone disease
characterized by decreased bone
mass. It is more common in older
non-Hispanic Caucasian and Asian
women.
Avoid smoking and alcohol abuse,
plus check calcium and vitamin
D levels. Some medications may
also add to the risk. A bone density
scan, similar to an X-ray, is a
quick and painless test. A general
screening is recommended every
two to three years for most postmenopausal women age 65 and
older.
There are medicines and
therapies available to slow or
even stop the bones from getting
weaker.
More than 30 percent of adults 60 and
older – about 13 million – are considered
obese, according to the CDC. Obesity is
not necessarily caused by overeating or
improper diet, but can be related to certain
medical conditions. Being overweight
can lead to other conditions, including
high blood pressure, heart disease,
gastrointestinal cancers and Type 2
diabetes.
So stay active and maintain a healthy
diet. Mental state affects eating habits,
too. Socialization is important. The enemy
of the senior is a sedentary lifestyle and
isolation.
If you’re having trouble losing weight on
your own through exercise and diet, don’t
be afraid to seek help through gyms that
offer personal weight loss programs. The
local YMCA has a phenomenal six-week
behavior modification plan to address the
needs of aging adults. The course, part of
the Y-Change program, not only addresses
weight concerns, but other issues that may
affect seniors’ health, such as sleep, stress,
and loneliness.
Also, if your BMI (body mass index)
is 30 or more, there’s a new Medicare
benefit offering face-to-face free weight
loss counseling. Check out www.aarp.org
to calculate your index, which is based
on weight, and height. Under the new
Affordable Care Act, patients enrolled in
Medicare Part B can receive free obesity
counseling, which includes advice on
diet and exercise, plus the monitoring
of progress, from their primary care
physician.
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More than 15.5 million children and adults with a
history of cancer were alive on January 1, 2016, in
the United States according to cancer.org.
More than 50 million adults have doctor-diagnosed
arthritis in the United States, including osteoarthritis
according to the CDC.
64.7 million people in the United States who are 30 years and older
have some form of periodontal disease
according to the CDC.
CANCER
ARTHRITIS
ORAL HEALTH
More than 900,000 people 65 and older will
be diagnosed with the colorectal, lung, breast,
and prostate cancer this year, according the
American Cancer Society (ACS).
Breast cancer in women, and prostate cancer
in men are biggies, making up a quarter of
those cases.
The ACS recommends self breast exams,
plus yearly mammograms for women between
the ages of 45 and 54. That doesn’t include those
with a family history, a genetic mutation known
to increase risk, or women who had radiation
therapy to the chest before age 30. There is
good news; the mortality rate for breast cancer
has dropped since the 1980s, likely due to better
screening and therapy.
Prostate cancer occurs more often in
African-American males. More than 2.9 million
men in the U.S. diagnosed with the disease
are alive today. A rectal exam, plus a prostate
specific antigen (PSA) test for a protein made
by the prostate gland, could indicate trouble.
Your physician may then recommend a biopsy.
Learn as much as you can about the disease,
and talk openly with your cancer care team and
ask questions. You’ll want to know the specific
type of cancer, treatment options, risks, side
effects, and more in order to make an informed
decision on treatment options. Resources are
available at www.cancer.org or 1-800-2272345.
The most common form of arthritis is
osteoarthritis, or joint disease. Problems with
weight, or prior injuries, can increase your risks. So
a good way to decrease chances of getting the disease
is through regular exercise and stretching. There’s no
drug prevention, but anti-inflammatory medications
may be recommended by a physician to help alleviate
symptoms.
The severity of gum disease increases with age, and oral
and pharyngeal cancers affect about 31,000 elderly Americans
each year. Plus, smoking can be a big contributor. Senior citizens
run into problems sometimes because they take medicines that
reduce saliva, which plays a big role in preventing tooth decay.
As older gums recede, brushing in between the teeth is
crucial. Those who have lost their teeth should continue to
seek dental care to ensure healthy gums. Dentists can
diagnose oral cancers, too.
Sources: American Cancer Society, Centers for Disease Control and Prevention, Academy of Orthopedic Surgeons; Dr.
Aaron Bleznak, Dr. Dan Dickinson, Dr. Masoumeh Kiamanesh
(all of Sentara Medical Group); Dr. Michael Cannon (Arthritis Consultants of Tidewater), Lynn Skeele-Flynn (YMCA),
Dr. David Sarrett, (Virginia Commonwealth University dental school), Gino Colombara (Alzheimer’s Association).
16
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18
DEPRESSION
Dr. Masoumeh Kiamanesh.
Depression is common
among seniors
Depression is common among seniors, many of whom grapple with medical problems and other
factors affecting quality of life. Dr. Masoumeh Kiamanesh, who practices family and geriatric
medicine, along with Dr. Leslie Kryzanowski, a psychiatrist, both of Sentara Medical Group, offer
their insights on the problem.
Dr. Leslie Kryzanowski
Why is depression
common among
seniors?
Do you think this issue
gets enough attention
from the community?
Several factors contribute.
They’re losing friends
and relatives. They’re
approaching the end
of life. “That can be
depressing to people,
that can be scary,”
Kryzanowski says. New
health diagnoses or
chronic conditions can be
hard on seniors. They may
face financial problems
and lack a strong support
system. They may
struggle with a lack of
mobility and a loss of
independence.
Kryzanowski says it’s
starting to. The medical
community has changed
the language it uses to refer
to conditions affecting
seniors to help reduce
the stigma. Instead of the
saying “dementia,” they
refer to “neuro cognitive
disorders.” Instead of
saying “psychiatrist,” they
say “cognitive behavioral
health therapist.” “Elderly
people now came from
that period where being
mentally ill was menacing,”
she says.
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What health factors
contribute to
depression in
seniors?
“Depression after a
stroke is very common
and unfortunately
sometimes is difficult
to diagnose because
some parts may just be
related to the stroke,”
Kiamanesh says.
Seniors who experience
a stroke may not be
as physically active
but that could also be
a sign of depression.
Depression can also be
a side-effect of certain
medications, she says.
What are some symptoms?
Sleep disturbance, Kryzanowski says. Others signs
include decreasing appetite, decreasing energy, lack
of motivation, lack of enjoyment, crying spells, and
memory and concentration problems. Kiamanesh
says the symptoms sometimes seem vague and
seniors may not even feel depressed – or acknowledge
it. Healthcare providers and caregivers should pay
attention to behavior and body language. Another
sign is self-neglect. Seniors who stop bathing or
cleaning or going out may be dealing with depression.
Kryzanowski says one thing that helps in treating
seniors is an integrated healthcare system. A
computer system that stores and connects all of a
patient’s medical records and doctor’s notes can help
improve consistency in care and better treatment
she says. That’s especially important for seniors, who
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19
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Can you prevent depression?
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What medical treatment
is available?
Yes, Kryzanowski says. Early on, develop
strategies on how to have a happy and
healthier life when you get older, she
says. Other efforts include meditation,
yoga, and exercise. If one sport becomes
too difficult physically, try something
else, she says. “Read every day,” she says.
“Try to be involved in world affairs and
news.”
She encouraged seniors to get out of the
house at least three times a week and to
be involved in community or spiritual
activities.
Antidepressants, cognitive and
behavioral therapy, and referrals to
counselors, Kryzanowski says. Seniors
who are on medicine for depression
should not stop it without discussing it
with their doctors. Discontinuing use of
an antidepressant can cause the disease
to come back and also for the person to
experience harsh withdrawal symptoms.
Is there anything else you think is
important to know about this issue?
“It needs to be tackled early. The worse
thing that families can do is wait until
they’re so bad off,” Kryzanowski says. “It
will be better if we can prevent getting to
that point.”
– Conversation condensed and edited by
Cherise Newsome
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