Brain Health As You Age with Dr. Simmons & Jodi Lyons

a live and interactive discussion which is part of the Part of the Living Your Best Life Series presented by CarePatrol with the co-authors of BRAIN HEALTH AS YOU AGE – A PRACTICAL GUIDE TO MAINTENANACE AND PREVENTION  

Jodi Lyons Chief Care Officer, CareBrains  and CEO, Senior-Sherpa

• www.CareBrains.com
• www.senior-sherpa.com
• 703-568-6341

Steven Simmons Internist MedStar Health currently practicing at Brook Grove Retirement Village https://www.bgf.org/

Listen on your favorite podcast platform

Questions Asked

• What happened to the brain health program?
• Good morning. In some of your previous Community education meetings, is there or was there a special advance estate planning health care proxy or living will if in future there are signs of brain health decline, memory loss or need for conservatorship or guardianship? Thank you
• I have a good friend, in her 50's, who recently had a severe stroke and has not recovered much movement at all. What is the best current resource you are aware of for stroke recovery?
• how can one treat delirium as a caregiver?
• "Can you talk about brain health and hydration, dehydration, intravenous use of providing nutrients, hydration and vitamins? Our Family Friend's 96 year old mother says she does not like and refuses to drink water. So the family feeds her lots of watermelon, fruits and vegetables like peaches and cucumbers, strawberries.  Should determination need to made about hydration and dehydration and how her general well being and health and brain health are affected or may be affected because sometimes elderly refuse to drink water?"
• "How do you get right team around you? Life changes so quickly and unexpectedly"
• What is SSRI?
• """Squeezing all the HOPE out of the equation""
• What steps (ie...medicines, activities, therapies) to take addresses losses for a mid 50's person with MS who is having challenges with short time memory?  A psychological evaluation noted challenges with short term memory.  Is there any tests to determine specific brain issues?
• When I turned 65, 20 years ago, I asked my Kaiser Permanente (an excellent health insurance) Primary Care physician to recommend a geriatrician.His response was most of my patients are over 65. I searched the web site and determined that KP did not have any geriatricains.  I think that is still true today.  At age 85 my need for a geriatician is greateer.  Please comment.  What do you sugggest?
• What are the MAIN things older adults can do to FACILITATE good brain health as they age?
• My mom (age 85) and her sister (75) both have increasing anxiety as they age.  Neither want to take a prescription for it, but it is affecting the quality of their lives.  My aunt is asking why is this happening to her?  What is changing in her brain?
• My father is a Dementia patient after multiple stroke. He has been my science teacher all my students life. Looking after and caregiving seems to be applying lesson learnt. Thanks for making it better for all of us. It's time for all of us to give it back with caregiving to seniors!
• I am 85.  My health in general is excellent.  I need help with balance and walking.  I have not had any relevant medical events.   I have tried several balance exerices whithou any improvement. What do you suggest?
• Amen!
• I just completed a MOLST with my dr. in May of this yeart
• Make sure the documents are "durable"
• The docs in hospital's ER first inclination is to save the person in front of them.  I had a doctor say the Advanced Medical Directive was unclear (when I don't believe it was).  Puts a lot of pressure on the person making the decision.  Is there something to do to better help the docs not necessarily try to save the person, but truly follow the Advanced Directive?
• "Steve, did someone say there is a DNT or Do Not Transport Order,
• this is such important. stuff and I can't write fast enough to get it all! is it all in the book? where can I get the book?!
• AARP has free zoom classes. Many have balance exercise classes.
• "Is Dr Simmons accepting patients? If yes, where is Dr Simmons located?
• I'm 83 and my Kaiser dr. treats me well and has for the past 20 years.
• Steve, I have attended several of your discussions. This is the very best.  Please repeat soon so more questions can be answered.  I am going to read the book immediately.  But,  I have many unanswered questions.
• "WOW, Taping MOLST form to persons chest medical staff will not read advance directive they will read MOLST form
• 20 years ago my estate attorney said no MOLST. Now she says do a MOLST!
• I was the person who mentioned DNT or Do Not Transport.  My Mom had dementia and was in a Memory Care Unit.  I had not heard of a MOLST until today.  We had an advanced directive and a DNR.  But then set up a DNT not to have her transported to a hospital.  I learned a lot today, that an advanced directive is not what I thought it was.  The MOLST is.  Still not positive as to the difference between a MOLST and POLST.  Can they explain?

Chat Transcript

12:11:37     From  Steve Gurney - ProAging Community : Jodi Lyons is a senior care expert, author, and industry expert for care management and brain health. Ting Shih is an award-winning entrepreneur specialized in health technologies to improve healthcare worldwide. https://www.carebrains.com/

12:13:29     From  Steve Gurney - ProAging Community : Brooke Grove Retirement Village in Sandy Spring, Maryland, is well-known for its unique setting of rural woodland beauty in the heart of a popular metropolitan area … an innovative LIFE® principles philosophy that enriches your total well-being … a commitment to meeting the evolving preferences of today’s seniors … and an exceptional continuum of care resulting from nearly seven decades of experience. https://www.bgf.org/

12:14:54     From  Steve Gurney - ProAging Community : Lizabelly IV Hydration & Medspa, LLC

6250 Columbia Crossing Circle

Columbia, MD, 21045. Ste B.

(240) 391-3590

lizabellymedspa@gmail.com

www.lizabellymedspa.com

12:15:24     From  Anne Cooke : Starr Sowers was a huge help to me getting a good friend situated in an Assisted Living home. Thank you, Care Patrol.

12:20:25     From  Suman Nayyar   to   Hosts and panelists : Amazing Jodi

12:26:17     From  Steve Gurney - ProAging Community : he Stroke Comeback Center is a community of survivors of stroke and other brain trauma committed to living successful and productive lives. We are a non-profit organization that offers support along the slow road to better. Our members, our professionals, our volunteers, our coaches, and our families know that recovery continues forever. We are the only center of this kind in the Washington, DC area. https://strokecomebackcenter.org/

12:30:42     From  Steve Gurney - ProAging Community : Selective serotonin reuptake inhibitors (SSRIs) Selective serotonin reuptake inhibitors (SSRIs) are a widely used type of antidepressant medication.

They're mainly prescribed to treat depression, particularly persistent or severe cases, and are often used in combination with a talking therapy such as cognitive behavioural therapy (CBT)

12:31:57     From  Jenny Alexander : You were talking about how, back in the day, strokes were permanently damaging...which squeezed all the hope out of the equation.

12:32:12     From  Jenny Alexander : Meaning that's what you were TAUGHT

12:35:08     From  Steve Gurney - ProAging Community : Delirium is a serious change in mental abilities. It results in confused thinking and a lack of awareness of someone's surroundings. https://www.mayoclinic.org/diseases-conditions/delirium/symptoms-causes/syc-20371386#:~:text=Delirium is a serious change,to one or more factors.

12:36:39     From  Steve Gurney - ProAging Community : You can meet Dr. Mansbach on this upcoming discussion Evidence-Based Guided Meditation for Persons with Cognitive Impairment https://www.retirementlivingsourcebook.com/events/evidence-based-guided-meditation-for-persons-with-cognitive-impairment

12:39:14     From  Steve Gurney - ProAging Community : National POLST Form: Portable Medical Order https://polst.org/national-form/

12:39:57     From  Steve Gurney - ProAging Community : The MOLST form is a set of medical orders for patients with advanced illness who might die within 1-2 years; require long-term care services; or wish to avoid and/or receive specific life-sustaining treatments now. https://molst.org/how-to-complete-a-molst/molst-form/

12:41:03     From  Karen Dotson : Virginia - https://virginiapolst.org/

12:41:17     From  Steve Gurney - ProAging Community : Here are our discussions on estate planning and elder law https://www.retirementlivingsourcebook.com/videos?q=Elder Law

12:41:38     From  Judy Wagner : There is also a DNT (Do Not Transport) "to hospital" if your loved one is in a memory care unit.  The unit my Mom was in was going to take her to the hospital because she regurgitated.

12:43:35     From  Angela Baker   to   Hosts and panelists : My apologies! I was treating the Q & A space like the Chat room...

12:44:39     From  Alice Abrash : what is the form that has all of those questions about what I want?

12:46:08     From  Steve Gurney - ProAging Community : The BCAT® Approach provides a go-to resource for Healthcare Providers, Individuals concerned about memory loss, and Families and Caregivers. https://www.thebcat.com/

12:48:28     From  Steve Gurney - ProAging Community : ENRICH®

https://www.thebcat.com/enrich-brain-health

12:48:52     From  Monique Harkless : If you subscribe to b cat, you will be sent various activities via e-mail that work on memory and other cognitive skills. It's pretty cool.

12:50:20     From  Pam Phillips : Thanks Monique!

12:50:25     From  Karen Isailovic : Need to jump off, fantastic guests, Steve! Thank you to the speakers for sharing your expertise, and resources!

12:52:26     From  Steve Gurney - ProAging Community : Brain Health as You Age: A Practical Guide to Maintenance and Prevention https://a.co/d/hqV8Kmm

12:52:48     From  Steve Gurney - ProAging Community : Anonymous Attendee 12:33 PM 

My father is a Dementia patient after multiple stroke. He has been my science teacher all my students life. Looking after and caregiving seems to be applying lesson learnt. Thanks for making it better for all of us. It's time for all of us to give it back with caregiving to seniors!

12:53:20     From  Jim Bland : Check out www.seniorshomeservices.com/zing for the question regarding the 85 year old with balance problems

12:55:27     From  Jose Ramos : Good luck with finding a Geriatrician. Only 9000 in the country.

12:55:38     From  Pam Phillips : Free webinars that our Caregivers use with their Clients on the Inova Movement Disorders site, including the boxing classes!

12:55:41     From  Steve Gurney - ProAging Community : American Geriatrics Society https://www.americangeriatrics.org/

12:55:48     From  Pam Phillips : https://www.inova.org/our-services/inova-parkinsons-and-movement-disorders-center

12:55:53     From  Jose Ramos : Young doctors are not entering the specialty.

12:56:32     From  Steve Gurney - ProAging Community : Arlene Polangin 12:53 PM 

AARP has free zoom classes. Many have balance exercise classes.

12:57:13     From  Pam Phillips : You-Tube has some great classes as well

12:57:57     From  Steve Gurney - ProAging Community : MedStar Health: Center for Successful Aging in Olney https://www.medstarhealth.org/locations/center-for-successful-aging-olney

12:58:00     From  Suman Nayyar   to   Hosts and panelists : Tai chi good for balance. It’s a slow paced very effective excercise. U can checkout you tube for Tai chi…

13:00:47     From  Dennaia Carter : Great, great discussion! I will be purchasing the book :)

13:00:50     From  Elaine Honig : Does the MOLST override the Advanced Directive - sounds like it.

13:01:51     From  Karen Dotson : National POLST (and Virginia POLST) advocate that the medical order is only for people in their last 1-2 years of life due to serious illness and/or frailty.  Healthy individuals should not have one completed.

13:02:08     From  Steve Gurney - ProAging Community : Brooke Grove Retirement Village in Sandy Spring, Maryland, is well-known for its unique setting of rural woodland beauty in the heart of a popular metropolitan area … an innovative LIFE® principles philosophy that enriches your total well-being … a commitment to meeting the evolving preferences of today’s seniors … and an exceptional continuum of care resulting from nearly seven decades of experience. https://www.bgf.org/

13:03:00     From  Steve Gurney - ProAging Community : Margi Helsel Arnold 01:02 PM 

Refer to Aging Life Care Association for a consultatiaon https://www.aginglifecare.org/

13:04:00     From  Steve Gurney - ProAging Community : 

Jodi Lyons Chief Care Officer, CareBrains  and CEO, Senior-Sherpa

www.CareBrains.com

www.senior-sherpa.com

703-568-6341

13:07:24     From  Rhonda Myles   to   Hosts and panelists : Great topic and questions. CarePatrol thanks Dr. Simmons & Jodi for sharing their knowledge. Great Collaboration!

13:09:49     From  Rhonda Myles   to   Hosts and panelists : Steve can yiu unmute me

13:10:59     From  Kathy Beck   to   Hosts and panelists : Thanks for a GREAt webinar!!!

13:11:06     From  Judy Wagner : THANKS

13:11:09     From  Margie McWilliams : Thank you for the important resources and information!

13:11:18     From  Pam Phillips : FABULOUS EVERYONE... THANKS A MIL

13:11:19     From  RAFI LEVIN : Great