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Aging Care Solutions
February 2019 Caregiver eLetter
      Vol. 22, No. 2
     The gauntlet was passed to us and we accepted it.
 Therefore we will cope, and in so doing, set an example 
 for our children, and the generations to follow.
Contact Kay at 972-839-0065 or
www.AgingCareSolutions.com or
kay@AgingCareSolutions.com or kay@kaypaggi.com
In this Issue:

A,B,C's and D of Medicare, Tomorrow, Friday, February 15 (See below in Calendar)

Jigsaw Puzzles for A.D.

Follow Kay's Blog  This is a link to Kay's blog. I usually write a new Blog on Fridays, so check the link often.
Surgical Information for Stroke & Back Fracture

      There are two major kinds of stroke, ischemic and hemorrhagic. In an ischemic stroke a blood vessel becomes blocked, usually by a blood clot, and a portion of the brain becomes deprived of oxygen and will stop functioning. Ischemic strokes account for more than 80% of all strokes.  A hemorrhagic stroke is caused when a weak blood vessel in the brain breaks and bleeds into the brain. The most common cause of hemorrhagic stroke is uncontrolled hypertension (high blood pressure).
    A TIA (transient ischemic attack) is caused by a small clot; the symptoms resolve within 24 hours.  A TIA is often a warning of a major stroke that will follow. An aneurysm is a weak spot in the artery wall that will cause a brain bleed if it bursts.
   Endovascular surgery is a treatment for an ischemic stroke that is done from outside body.  IV TPA (Tissue Plasminogen Activator) dissolves the clot that is causing the stroke and works well to prevent side effects of strokes. The problem with this technique is the narrow window of time following onset of symptoms that it can be effective,made smaller by the time it takes to recognize the stroke, the time to get to a treatment center, and the time to diagnosis the problem. IV TPA must be started within 3-4 hours of the onset of symptoms.  Only about 20% of stroke victims actually receive IV TPA.
    In the Dallas area there are only five comprehensive stroke centers, Medical City Plano, Medical City Dallas, Southwestern University, Presbyterian, and Baylor Dallas. IV TPA is only helpful in strokes that are Ischemic.
   An easy way to remember what symptoms of a stroke are is FAST. 
F - facial droop
A - arm weakening

S - Speech impairment
T -Time to call 911. It is better to call 911 than to drive yourself or have someone drive you. Treattment can be started while you are in the ambulance, an IV started, and the EMT's can call ahead to the hospital to let them know you are coming and your symptoms.
    A stroke is a fairly painless way to die. It may take from a few hours to a few days.A DNR is an excellent idea, so your family knows your wishes for end of life care.

  This information is from a presentation by Dr. Ben Crandall, an Endovascular surgeon at Presbyterian Hospital Dallas. Dr. Crandall also spoke briefly about Kyphoplasty, a treatment option for fracture in the back. Kyphoplasty is the surgical filling of an injured or collapsed vertebra. This procedure restores the original shape and configuration, and relieves pain from spinal compression. A balloon is inflated between the affected discs in the spine; as the balloon is inflated it elevates the fracture, returning the pieces to a more normal position. It also compacts the soft inner bone to create a cavity inside the vertebrae. The balloon is removed and the cavity is filled with a cement-like material which hardens quickly to stabilize the bone.

Kyphoplasty surgery to treat a fracture from osteoporosis is performed at a hospital under local or general anesthesia.
The young man who developed this product for set this up for his grandmother, who died with Alzheimer's Disease.  He did this work while he was in middle school.  She loved puzzles, and he helped the company redesign their products for special needs elders.  Profits go to a good place.  What about him?  He's in med school, and headed for Alzheimer's research.
To Buy:
In "degree of difficulty' drop down they have 36-piece puzzles.  That's their dementia-friendly product.  There's a Paris street scene, and a couple of others.  There's also a double-size one with 60 pieces of funny dogs that might work.

   Mental Aerobics is a program of cognitive exercises that I developed in 1994 for use in group settings. It has been studied on three occasions by researchers and found to increase cognition in the participants. These studies have been published in academic journals that are sited on my website. I have posted examples of exercises used in Mental Aerobics, along with the answers, on my website.  http://agingcaresolutions.com/Mental-Aerobics

   I am eager to do sessions of Mental Aerobics at more communities. Please contact me about doing a  free one-hour session in your favorite community, or meeting of older adults. It's fun! (Remember these puzzles are done in a group settings - many minds working to solve them makes them easier and quicker!)

1. What relationship did FDR and Teddy Roosevelt have to each other?
2. How many presidents died in office?

3. Which president flew 58 combat missions in World War II?
4. Which president's secret service code name was 'Rawhide?"
5. Which presidents gave the White House its name?
6. Who was the only presidents to late serve as chief justice?
7. During the Great Depression, which future first lady received a $2.50 wedding ring?
8. How many presidents have been named George?
9. Who was the oldest president to take office?
10. Who was the tallest president, standing at 6'4"?

(Answers below)      
February Calendar

Friday, February 15, 10:00-11:30, 'The ABCs & D of Medicare', presented by Terry Warner
•    An overview of Medicare, for those who are both new to Medicare and those who are already enrolled in Medicare.
•    Why Medicare supplement premiums increase and how to protect yourself long-term.
•    What is happening with Plan F starting in 2020?
You will have the opportunity to ask questions at the end of the presentation. Ask the expert. Terry's been doing this for over 30 years! 
6200 Windhaven Parkway, Plano, Texas 75093

Thursday, February 21, 2:30 - 4:00, DAGS (dags.org), "Frailty: Not Your Grandmother's Aging"
UTSW Hospital | Clements Hospital, 6201 Harry Hines Blvd | Dallas, TX 75390
http://www.utswmedicine.org/hospitals-clinics/clements    Valet or patient parking garage is $3.00
This will be worth your time and effort to hear - Mark it on your calendar!

Friday, March 1, 12:00 - 1:30 The final '1st Friday' meeting :) Merry Bailey will be the speaker and topic is Grief.  Lakeland Hills Senior Living, 3305 Dilido, Dallas Texas.Please RSVP to Merry on Facebook 
Coming UP:
Friday, April 12, 7:30 AM - 4:30 PM, Compassion Fatigue, an all day event with information, practical ideas for healing you (the caregiver), including breakfast and lunch. To be held at Lovers Lane United Methodist Church, 9200 Inwood Road. Register at www.educaredallas.com/cfs. $60

The local news station was interviewing an 80-year-old lady because she had just gotten married for the fourth time.

The interviewer asked her questions about her life, about what it felt like to be marrying again at 80, and then about her new husband's occupation.. "He's a funeral director," she answered. "Interesting," the newsman thought... He then asked her if she wouldn't mind telling him a little about her first three husbands and what they did for a living.

She paused for a few moments, needing time to reflect on all those years. After a short time, a smile came to her face and she answered proudly, explaining that she had first married a banker when she was in her 20's, then a circus ringmaster when in her 40's, and a preacher when in her 60's, and now - in her 80's - a funeral director.

The interviewer looked at her, quite astonished, and asked why she had married four men with such diverse careers.

(Wait for it...)

- She smiled and explained, "I married one for the money, two for the show, three to get ready, and four to go."

(Oh, just hush-up now and send this one on to somebody who needs a laugh.) ha!

Thanks to www.elderoptionsoftexas.com/jokes.htm 
Answers to Mental Aerobics
1. 5th cousins
2. 8
3. Bush
4. Reagan
5. Terry Roosevelt
6. Taft
7. Lady Bird
8. 3
9. Reagan
10. Lincoln

Caregiver eLetter is written by Kay Paggi, Care Manager Certified, National Certified Gerontological Counselor, Licensed Professional Counselor. Thank you for reading it. If you  need guidance assisting your older relatives, please contact me and let's find a way together to increase their quality of life while decreasing your frustration. 
Copyright © 2019 Aging Care Solutions, All rights reserved. 

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