Senior Care Live 10.07.17.mp3

Senior Care Live
Saturday, October 7th

Transcript - Not for consumer use. Robot overlords only. Will not be accurate.

Are you caring for an aging parents or are you searching for answers. Yeah senior care line of program dedicated. Providing information education and resource. Become the best caregiver you can beat. I'm your host Steve peca. Hello and welcome to senior care live I'm Steve Keith Kerr president of senior care consulting. Thanks so much for tuning in today I really appreciate it. The mission here on the program is to provide information education and resource is. For seniors and their caregivers. We discuss important subjects such as how remain independent in your own home. When you consider moving from your home to a senior care community if you do need to do that how do you find the right senior care community for your exact needs. Then there's a whole discussion over he made in financial matters how to pay eight. For the high cost to senior care we also review legal issues involving elder law in the state planning. And we discuss how to care for the caregiver. So if you're listening to the radio streaming guests online or listening to a podcast after the fact. Again thanks so much for being here today you are appreciated. You need help with placement services for my firm's senior care consulting. If you are learn more about the service is provided by one of our very knowledgeable guess you can reach us on our toll free number at any time that's 1800. 3316445. Again 1800. 3316445. Also don't forget to visit online never really a web site it's called senior care lie Ava. L I VE senior care lie in the dot com and on today's program would like to introduce my first guest today. Doctor Valerie Smith with crossroads hospice and palliative care doctor welcome back senior care life it's great it vaccines. All right so October is Breast Cancer Awareness Month. Now we're not wearing her pink ribbons and our our socks and a sorting but we're on the radio Sweden can get away with that today. Exactly what. So whack so breast cancer and in not risk prevention and I know that you have a wealth of information. And this year in all this is senior care live it's obviously. This impacts. If females you know that in all of the older ages but a younger younger women can. Are at risk for breast cancer as well so so let's get into this and I just talk about you know some of their best of the great information you can breast cancer be prevented. Well Steve there's no sure way to prevent breast cancer but there are things that we can do. To lower our risks assets changing risk factors that are under our control mean. And those risk factors are. Well you are risk factor Imus something that. Affects our chancellor of the disease. And obtaining a disease and some things we can have an effect over and some things we cannot have. Affects over mounds some things that we cannot change for example are being a woman I can't change that you're born that way I cannot change that by simply being a woman. The main risk of inaction main risk for a obtaining or getting breast cancers just being female Chu min can get breast feed him well. And I was an asset I know that's probably pretty rare media is it possible for a Romanian Tia breast cancer it feels like the answer is yes it is but it's a hundred times more likely to be a female juror had absolutely have slid another another factor that we cannot changes is getting older. As we age our risk for getting breast cancer increases. I'm most breast cancers are found in women aged 55 and older okay another factor that we can't change are there certain inherited genes. If you have a strong family history of breast cancer. That's something you can't change it passed down through the generations. From having a family history of breast cancer having your personal history of breast cancer actually puts at risk of developing. Another type of breast cancer even if that first one is treated. Really so if it if so breast cancer is found. Once then you're at higher risk for have been having this again. And come up again and maybe even a different type of breast cancer exactly different like cellular structural type correct OK Brett I. I'm also another factor that we cannot take into. Turning into our own hands and change our our our race and our ethnicity overall white women are slightly more likely to develop breast cancer than African American women. But women under age 45 breast cancer is more common in African American women. African American women are also more likely to die from breast cancer at any age. Asian Hispanic and native American women have a lower risk of developing and dying from breast cancer. Does anyone know the reasons for that all of those. The facts instead I know that they have actually know exactly I'm sure that there are some theories behind that guy and I. It could just be access to health care okay. All right. All right Dana that since the same. And yet and so some of these things you can't change I mean you can't change. If if you're female you can't change your glad your ear growing older. Right now I mean we all want to be or been around as long as we can't sell. As some of those you cannot change are there any other risk factors you wanted to cover that you can't change. Well happy having a certain type of breast tissue having dense breast tissue that's just something that's part of your that you'll any as that you inherit at that point and that's something that you cannot affect by. Your diet or just you know I am evading you can do it just is is gonna happen now so so dense breast tissue is it higher risk or high incidence and Jackson could that that you can have a higher and higher risk with that part of that is because it's harder to see. Hey abnormalities rhymes yeah okay another era. Risk factor that you can't change is I mean if Europe had radiation to your chest for any other reasons was to say you've had lymphoma. And you've had radiation and that actually puts you at a higher risk that when a developing breast cancer is because of that radiation exposure. Yes such as yet hodgkin's disease not Todd non hodgkin's lymphoma just because that radiation the terrorist yet. So the exposure of the radiation and then marry your risk factors just increased and you and you again he can't help that either I mean if you have one of those. Diseases you're gonna probably be treated with sub your radio radiological. I treatment and then they're they're goes increase in breast cancer or earn the potential. But after that's been a you might wanna make sure at that point that you are having a regular mammograms. Absolutely. I'm some lifestyle related. Breast cancer risk factors these are things that we can change my mom. Drinking alcohol drinking alcohol. I'm has been clearly linked to an increased risk of breast cancer you're kidding yes hi I have no idea. It's it's it's not increased if you just limited to about wondering today at any more than mats your risk definitely goes up Howell that it. That is neck up. Blows my mine I've never heard that before in that is. That's very interest to you always hear about a little bit like like a glass of wine yachts in your blood is it fear card and in always sort of things itself sounds like just. It min mum alcohol consumption is not an issue bit more than that and and that starts to become an issue. That is correct excessive alcohol consumption is also an increased risk of other cancers to my American Cancer Society is recommends that women who drink have no more than one drink it okay. Also another factor that we can have some control over is being overweight or obese. Being overweight or obese after menopause. Increases breast cancer risk. Really. So bad is another factor that we need to take into consideration as we are aging. So after menopause so that that's why were beginning to end that you know aged fifty to 55 plus sin and that the. You risk factors in that the percentage serves to increase and as we'll talk about it a little bit later is at age 55 that's why we start doing mammograms every year. Right instead of every other year right okay all right. Another risk factor that we can't have some control over is not being physically active the opposite of that is getting physically active churn out. That's something that is some that is in our control evidence is growing that regular physical activity reduces breast cancer risk especially women past menopause again. You start to see see some is some things can come together here chat live with all this information and yes yes yes that keep your weight down. Keep active I don't don't drink excessive alcohol. All these things are starting their rings loud loud bells here illegally and I'm sorry. Another risk factor that we can change possibly. According to American Cancer Society is not having children so women who have. Not have children or who had their first child after age thirty have a slightly higher breast cancer risk overall current. So again when you have your children somebody to have an earlier that actually puts you at a lower risk factor for developing breast cancer later on okay. And another risk factor that we can't change is not breastfeeding so some study suggests that breast state. Breastfeeding is slightly lower breast cancer risk especially if it's continued one and a half two years. Okay I'm birth control is another. Factor that we can change some birth control methods used hormones which might increase breast cancer. And so women we ask you when you're thinking about hormonal birth control women should discuss there. Discuss that with the other health care factors that they have that might increase the risk. And also hormone therapy after menopause is something that led increase our risk of breast cancer and so we might wanna think of options of the map. I I've heard I heard a lot about that we are huge huge risk factors for Rahm. Taking no idea hormone replacement therapy after after menopause. Some of those things that have not been through an idea there still researches waiting on those would be tobacco smoke chemicals in the environment. A night shift work and our our diet inning vitamins he takes so those are still up in the air research is still pending. So how can we lower risk for breast cancer well for all of us get to and stay at a healthy weights. Each physically active and limit or avoid alcohol. OK and you know so. So you hear all the time deal especially from premiere your health care provider and and you hear it's in the media here if from your mom got a bright you need to stay active you need to exercise you need to walk more you need to have your. You know your your. Your heart rate up four you know at least twenty minutes and they always sings a year about I don't drink too much eat the right to. All those things they sound cliche but they're they're actually true there are major major health benefits because of that including reducing your risk of breast cancer. We're talking to doctor Valerie Smith with crossroads. Hospice and palliative care you can reach out to ten doctor Smith in the great team crossroads hospice. At 816. 333. 9200. But does slot let's not forget the SE your care live question of the week at what age should women begin starting mammograms. Eight. Aged thirty to 35. B aged forty to 44. CH fifty to 55 in deep age sixty. To 65 we'll have the answer right after the break. You're listening to senior care lives on the senior care broadcasting network. For more information call now toll free 1803316445. Operators are standing by 1803316445. I'll be right back. Welcome back. You're listening to senior care lions on the senior care broadcasting network for more information about the services. Offered on this program. And how we can help you in your family collar toll free number at any time 1803316445. Operators. Are always standing by a real personal answer the phone no voice mails here senior care lives who we are old school right here on the program. I I hate leaving a message John voicemail I wanna talk to real person so that's how we operate this is well you can again Rita said toll free number that's 180331. 6445. And don't forget you constrain the program to any electronic device. Very simple to do go to senior care live dot com. Click on the listen live button or the giant microphone right there on the home page and a few seconds to connect in new RB and then streamed to your phone your tablet. Your computer whatever you have and it really is that simple. Lots and lots of people do that every week so help yourself. Back to the senior care life. Question of the week at what age should women begin starting mammograms. Eight aged thirty to 35 beat. Age forty to 44. Seen aged fifty to 55 or. 65. In the answer this. He. Dancer is beat you should begin starting mammograms at age forty. To 44 and we're gonna have more detailed information. But on Napa back to my special guest today doctor Valerie Smith with crossroads hospice and palliative care. And if you want to reach out to crossroads hospice. A phenomenal. Hospice provider just incredible. We talked about all the great things at crossroads. Does here on the program we reach out to them at 8163339200. 8163339200. And doctor Smith even though that's may 16 number I that will take care of an inquiry for the entire KC metro area is that correct yes we can. Yet those who would be interested on the Kansas side with our can't seem. Yup OK so 8163339200. Serving all three areas of the KC metro area noise no assistance threes so. Kansas Missouri and north of the river that's kind of that our our third lol our region here in our town so. I.s so let's get back to mid October is Breast Cancer Awareness Month and in this second segment where I talked about early detection and diagnosis for the average. Risk here. Yes we're gonna talk about I'm breast cancer and can that be found early look at an absolutely breast cancer her. Count early. And and being treated with state of the art treatments is the most important strategy to prevent deaths from breast cancer. Breast cancer found early when it's small and has not spread is easier to treat and a successful app my most times. This cycle the other cancers and if you can find it early there's a good chance you you can be it is absolutely. And regular screening tests is the most reliable way to find breast cancer early. The American Cancer Society has screening guidelines for women that averages at skinny at average risk of breast cancer and for those. And I higher than average risk for breast cancer were discussing average risk today. Okay the screen test the screening test for breast cancer is to find it before causes symptoms like a lump that can be felt we want to find it before it actually can make a lot in the past. We used to have women do monthly breast exams to add and what studies have shown is that really is not catching it early enough so women should be. To catch a little too far after the fact at that point absolutely it has grown to the point he can feel it. That's really too far that's too fired since we have. We have screening that we can use confine it before it even be felt sure. Screamed at first it tests exams used to find the disease in people who don't have any symptoms and that's when we want to use it early detection means binding in diagnosing. A disease earlier than if he'd waited for the symptoms to starts. Guidelines or on talk about right now we got into I'm talking about a for the average risk for breast cancer or woman at average risk doesn't have a personal history of breast cancer. They don't have a strong family history of breast cancer and they don't have a genetic mutation known to increase their risk for breast cancer like that that the brackets easily call that went. And they have not had chest radiation before the age of thirty which we discussed earlier though as you said with your question. Women between forty and 44 years have the option to start screening with a mammogram every year Pat White and my wife started at age forty and that's your doctor's recommendation might want an and a different societies will have different recommendations but the American Cancer Society this is their recommended yup yup okay. Women 45 to 54 she get mammograms every year it's an OK so you've put an off from forty to 44 you definitely have 45 need to start your mammograms every year. Women 55 and older can switch to a mammogram every other year or they can choose to continue yearly mammograms that's up to them. Screening should continue as long as the woman is in good health and is expected to live ten years or longer. We can all women should understand what to expect when giving the mammograms for breast cancer screening what the cat what the test can and cannot do. In mammogram. As I'm sure you've heard stories about your oh I know when she's had a mammogram not happy now. And I now. Thus I'm comfortable and now most of us can understand why you're talking about there. Graham is just it is an X ray of breast tissues wanna yeah. But the way that has to get back is and I have to move things around in space and make it as flat as possible year up yup that has to be very uncomfortable but the is feed the benefits of that though are worth the just a little bit of discomfort for a few minutes no doubt a regular mammogram can help find breast cancer at an early stage when treatment is most successful. Absolutely so. No matter how. How uncomfortable it is I mean aegis you have to do this because if if you wait till you find a lump you're you're really had very potentially too late. Have successful treatment and outcome. Right I mean it's definitely getting more successful we can catch it before young concealer Haslem was I'm so women with breast implants what do you think. Well I don't know I mean. Had really thought about a bit I mean can you still identify AA lump absolutely okay women with breast implants only to have regular mammograms. They they it's might have to have a few more pictures taken yeah more X rays taken but definitely they still can have mammograms and they need to have mammograms all Sutton. There is that would have that big a few more shots is because when I be able to look behind the implant church not missing any of that tissue okay. No rights and then what the doctors look for on on the mammogram I mean is there any. I I know is that like a little I don't know I this. You talk into a completely person is there like a little spot on the X ray film or what they look for know what determine if you've heard before that come might make some concern when the doctor says. We saw some of these in your mammogram. Yeah well so my my own mother had a Kelso education. An area went just a small area and it showed up on this unknown mammogram and they were concerned that the and they found out this is just an area counts vacation has nothing to worry about. That's exactly what. The the radiologist the doctors are looking for are things like this house indications are looking for different types of breast tissue such a small white spots called house of occasions. Lumps for tumors called masses and other suspicious areas that can be signs of cancer. Okay. All right and then so. In case you can't Kinney have a mammogram that. On they can be there are things that can be met at times and I've heard all kinds of stories from the female friends of mine. Where they had to you go in and do you a needle biopsy. I didn't you look at for cellular. Information at that point and then they found out it was a system they are so relieved. That it wasn't a malignant tumor it was a benign system that wasn't a problem for them enjoy the majority of items that are found on a mammogram that require a biopsy the majority of them. Are not cancer. See and that's the good news so so October is Breast Cancer Awareness Month. Be aware. They do the self check that understand that the goal is to try to find this before you can actually feel the lump. In speaking with special guest doctor Valerie Smith. With crossroads hospice and. Kind of care doctor Smith Cink thanks so much for being here today I really appreciate. Senior. You met. You're listening to senior care life on the senior care broadcasting network. For more information call now toll free 1803316445. Operators are standing by 1803316445. I'll be right back. You're listening to senior care lions on the senior care broadcasting network. For more information go to services offered on this program. And how we can help you in your family. Color toll free number at any time 1803316445. Again 180331. 6445. And you know like. If you have something in Connecticut he in the middle and Dieter and on weekender whenever it is. We answer this phone line 24. Hours a day so feel free to call. Literally any time and don't forget if you miss an episode of senior care lives or maybe you wanna share the program with someone else may be just wanna listen to it again. No worries at all just go to senior care live dot com click on the podcast tab and right there you'll find. All of the previously aired episodes they did send a year to Monday or Tuesday. To get today's podcast upload upload it and and on the web site and feel free help yourself without him again. Hundreds and hundreds and hundreds of people every single month. Listen to this podcast and I need to do in my math and might be in the thousands now so anyway the point is. Feel free to help yourself and listen to in either previously aired episodes. M a special thanks again thanks to doctor Valerie Smith with crossroads hospice and palliative care. If October is Breast Cancer Awareness Month we talked about breast cancer risk prevention as well as early detection and diagnosis and if so the whole point you know it's so important to do self exams and I think it's an excellent point. Their earlier you catch breast cancer indicate any cancer actually may you know who specifically breast cancer. They did the higher. The the rates of of success. Actually beating him in getting rid of this cancer cell so see you can win that more frequently with early detection. You get debt through a mammogram I can't tell you how many. Ladies I've talked to a message you know and I'll never complained. About them the discomfort of a mammogram again to save my life. And so this is really really serious stuff so please don't put down off. It and and and engage your mammogram every single year by the guidelines. And so in hopefully they'll never they'll never rock find anything anything with you and if they do again that earlier it's detected the more easily it is treated. And the longer the lifespan and hey that's what it's all about. Again if you don't reach the crossroads hospice our friends across what's hospice they won 63339200. A phenomenal. Hospice provider. It just doesn't get any better than crossroads Oakley death. All right also wanna say thanks again nets in my special guests from last week mr. Tom got shocked kid he's a special investigator with the Johns county district attorney's office. We discussed in depth for the entire program we talked about that elder abuse and and he broken down into three areas physical abuse neglect. Mintz financial exploitation he discussed an interesting concept. These fraud triangle. I decide it was some phenomenal information. And I have just I've read about or I have been nights I've seen and I've heard about all these different examples. Is so you know it edit particular. Senior care if facility there's a video recording. Of of an elderly person in in compromise position actually is staffs. I carried their their cellphone and end and made a recording of an elderly person in the compromised position. By using the restroom. Boy they got they got lit up on Melanie got in huge huge trouble. You hear all sorts of things and again it just makes my blood boil but I'll tell you right there is prosecution and there are laws against. All these things and and if you CA you have to report it. I CEO Tim lazier leaving their parent loan knowing their high risk of having an accident. That falls into that area of neglect and which Tom outlined very very clearly. I see people who are around looking for Medicaid. That's to pay for expenses senior care than they forget to mention. A large trust her large sum of money that they're trying to hide this is they're just very clearly wanted to have preserve their inheritance a handsome people. Look at me and they say this of course this is Steve what if this money just and they do this quote goes away your disappears. And I've heard that's so many times and I look at them and I and I said can I ask you just one question yeah sure Steve. How do you look and an orange jumpsuits. Ends. They look at me and and they're they're not sure to think about it and then and I'm like I'm serious how do you look in an orange jumpsuits. Because that's a federal offense that's a crime. You cannot do that you must he handle all of the finances. Properly if there's any question or fear and sit in an asset protection strategy. To preserve assets for the community spouse who can still live independently for all of that I've discussed from now an end and forever. Contact. And knowledgeable. Qualified and experienced elder law attorney to do this properly you want to do it right. You do not want to pull any funny stuff there that would give you a huge huge trouble. I see people out with power of attorney taken appearance money and not using it properly. I just not being a good stewards. Of of the money and guess what dad dad could be considered. A form of financial exploitation. Let's see what's another one here. People are received a call from authorities at her her grandmother can no longer. I care for her grandpa he'd be placed in nursing home as soon as possible because he was not. Receiving care so that was an area neglect. Their I've I've heard several stories of someone working. Nor any senior care communities and fortunately they were caught on video. Taking powerful pain relief medication like hydra co down and end as some of the oxy. I category but they're taking those and replacing them. Like with Tylenol and with just very just other basic over the counter payments and then of course they pocket them. Probably sell them use them a combination of all the above but but but the point is it that you yet you can't do that either so many examples of this so here's here's the point just to put kind of they pay an explanation exclamation point. On the elder financial abuse that we discussed last week. If you see or suspect any. Form of elder abuse physical abuse neglect or financial exploitation. I'm gonna read those two phone numbers to you again. This is the first step in reporting this is how you can reported its hotline there's a separate number for Kansas and Missouri so give me Kansas first. 1809225330. 1809225330. So that is the number of the hotline in the seed Kansas in Missouri 180392. 0210. Again in Missouri 1800. 392021. Zero and I am absolutely I am just dead serious if you see. Any type. Of elder abuse we have to look out. For our elders. Call it call this phone numbers. You can reported you can many times you can reported anonymously. If you're a mandatory reporter. I you are protected to your absolutely protected. By the immunity aspects of the mandatory reporting. Sick and we talked about all that last week if you missed it. Again go to senior Carolina dot com podcast tab and you can hear. The entire episode from last week. All right so let's shift gears and for the rest of the program talk about memory care memory care that you would find. In one of the senior care communities. And because I think it's really misunderstood. And it's just kind of thrown around in generic size. I wanted to spend just a few minutes here that we have left the remainder of the program and define it just give you some aspects of memory care. So it memory cares a special type of care for those residents with alzheimer's or dementia. OK you can find memory care in this is what is starts getting this really really. Kind of kind of crazy and complex memory care can be found that several are multiple different levels of care so we can be found. At the residential care level of cure. You can find memory care at the home plus. Level of care he can find memory care at the assisted living level of care and also find. Memory care offered at the nursing homer in the long term care. Level of care so so what does that mean. Well aspects of memory care include in this is kind of won that one of the real big ones that's common. With throughout all of those different levels of care we have locked exit doors are secured. Usually are generally secure with the code number like a four digit. Code number necco member. But changes in you know usually every month it could change every day. Usually the ones that I CEO most frequently are changed every month just change that up. So why do you need it locked exit doors that are secured it with a code number well. A big part of the decline in alzheimer's in various forms of dementia would include wandering or exit seeking this is very very common. And at some point to with memory care residents. They can leave the area. But but but they have to be accompanied because if if they're not accompanied they can just walk away. A lot of times you you kind of curious your beer watching granular thing while we know what's going on out here young trying to cause any trouble. Make you eat you open the door you walk outside the next thing you know you might be standing in the middle of the busy street. I you may wander away from the building when it's zero degrees outside or a hundred degrees outside. It just it just may put yourself in harm's way and so to leave the area. If it's not a prison. That you can leave that area you just need to be accompanied. For your own safety day it's just as simple as that and then also. A higher level of what the industry calls in the low mid risk meaning that you'll try to leave that area is an exit seeking. And so that's not where you get to the point where you may become agitated or confuse you like you know what this is in my house and one home. Where's that where's the door. I hit the first door the first window I am out of here and there are literally actively exits seeking. Now that's a whole different level and you have to really watch they have to make sure. That memory care residents. Are very safe insecure in their home and one of these senior care communities. After the break I'm gonna go into all of the other aspects of memory care. Don't go away it's really really introducing very informative and I'll be right back in doubt. Three minutes you're listening to senior care lives on the senior care broadcasting network. For more information call now pull free 1803316445. Operators are standing by 1803316445. I'll be right back. Welcome back you're listening to senior care live on the senior care broadcasting network. For more information about the services offered on this program and how we can help you in your family call our toll free number at any time 1800. 3316445. Begin their toll free number 18033164. 45. Let me just continue with an overview of aspects of memory care we so we initially talked about the different levels of care that you could find memory care so I call those the levels of care and in memory care is the type of cure that you would receive its special type of care they were talking about today. For those residents are with cognitive impairment that would include new primarily. Alzheimer's disease or one of the many forms of dementia. So we talked about locked exit doors that are secured with generally a four digit code number another aspect. Eat the memory care areas disconnect you get some people called a memory care units that sounds a little institutional. So some some place is called in memory care neighborhood. We're just memory care special care area. These sort of things that they're talking about that memory kit so generally speaking these areas are small. Now it's not because we're trying to be stingy they're small on purpose. It's a smaller area to area is just generally small so that the resident does not become over stimulated so the whole goal here is to keep all. Memory care residents calm and relaxed. Calm and cool all in just enjoying themselves were trying to maximize quality of life here if you had a larger area that could lead to an increased noise level. You know more lights more bells. More people walking around. More move minutes more everything more stimulation. So it there in generally speaking there intentionally. A smaller. Area and that is 100% on purpose it is by design. OK and then we have activities. So due to the shorter attention span of summoned with cognitive impairment. The activities are generally shorter in length so your. Yeah you know I can't bingo for an hour. You may have an activity and then there's not just being really a lot of different activities. It may be musical programmer crafts or an exercise or they could be a lot of different things but. At innocent and activity lasting an hour. Memory care residents you know they may have a twenty minute long activities fifteen minute long thirty minute long activity. So you'll see more activities in memory care in Indonesia shorter time frame so so hopefully I make sense. And again you know someone with a shorter times attention span and you're you're gonna be you're gonna have a shorter period of time to have fun with that activity and then there and lose interest he gonna have to move on to a different. Activity and that's that's part. A memory care program. And then another issue. Is with an issue behavior called sundown so. The staff in the memory care unit are specially trained to expect some of these things they expect. Sundown excel. They expect many residents without alzheimer's disease to experiencing send any syndrome and this is. When the resident becomes more agitated or frustrated. Generally speaking not always been generally speaking during the late afternoon. Hours or maybe into the early evening hours generally just seems to correlate to that end of the work day. And and in you know generally speaking you know the sun starting to set it up points I think that's. Those those things are kind of correlated so I had someone recently some of my clients for senior care consulting. Say you can set I always ask so be sure your mom your dad your spouse your loved one are they sundown you have India those certain types of behaviors. I had a couple of daughters recently say. Dad gets wound up you can literally set your clock it's guaranteed every afternoon at 330. It is like someone flips a switch and boom you can literally. See him become more confused more build durable. More agitated. Little more anxious. And and they and he has to be dealt with to try to undo that every single day. One place has a gentleman's. But he was a postal worker for decades. In so to help him kind of burn off his energy he would get pretty wound up. Pretty anxious pace seeing. And he just had a lot of energy and and every single afternoon so they were very very Smart they collected a lot of cut to junk mail. And magazine C a different postal. A different zip codes as senator etc. And they asked him every afternoon when he did that they said can you help us sort out the mailing goes oh yeah I've I've got that. So he would go in this table and he would sort the heck out of that may help you know for about 3045 minutes. And and it just really an and he did this pretty assertive late. Pretty aggressively and he was strong male around a stacking moving things around and and in in looking at zip codes and putting. In magazines are magazines did you do all this stuff. And is actually the beautiful a way for him in nick and constructive way. Two two to burn off some some of that negative energy that anxiety. And then when he was done with that uses pretty calm and cool and relaxed after that does really creative. One place discuss the behavior with the family and they discovered that my dad was a principal of the school and every visit this long quite along time ago. But every day he would go out at the end of the day and he would walk around the building. And he wanted to make sure that everyone got out all the doors were locked every one. No one was stuck in the parking lot and and everyone had left for the day. And this is Connie his routine habit for decades. They wanted to know why is it that every single afternoon 4:35 o'clock. You know your dad's trying to bust out of the George sear well they said well we wonder if it had if it's related to what he did every day of work. So understanding that every day. They would give him dressed up about properly for the for the temperature. And they would go out and they would walk trailed the entire building and they would check out the cars in the parking lot and he was satisfied when he returned to the building. Back into the building he was satisfied that he did his job in the end. He relaxed he wasn't so wound up and and an anxious ends. And and agitated and irritable etc. So just just some creative ways here and then again not also on downing happens late afternoon or he early evening. It can happen anytime of the day but generally speaking it's pretty common late afternoon early evening. And then you have staff training and what's called re direction. This is helping a resident changed their focus from one thing. To another self someone. It is is it. Grab the door handle and just trying to shake it may just getting really upset that they can't go outside. You distract them with a question and get them going off into another direction. So really quick I had the opportunity to use real direction. With a friend's parent who has alzheimer's she's literally walked away from the house from the birthday party. And she was quite a ways down the road walking towards highway and I'm not making this up. I know Ryan out there. And and and I and I tell us your shoulders she turnaround and she was just talking about I don't know what she's talking about she was totally wound up. It in this was late afternoon by the way. Okay and I said. That's it. Hey guess what the boys got a new fire truck they wanna show yet come and she goes all right so I distract her with something that I knew she'd be interested in seeing the boys toys. And I've put my arm out she grabbed my arm and we walked quickly. Only a quarter mile back to the house but I was able to use the technique of distraction. It in read direction too to get to to positively distract her from what she had. Your mindset on. Infrastructure and get her to cooperatively very very nicely. Walked back to the house with me so the staff in memory care units in neighborhoods are are trained to understand this. We have this nozzle in the room I don't have time to go into that today we have lots and lots of aspects of memory care. In the if you need help with this you can always call my firm's senior care consulting we can certainly help you find the right. Sinister level of foot and at the memory care level if that is needed for you. So hopefully that's helped you understand some of the various aspects of memory care. To everyone listening today I'm so honored to be spent part of your day tuning into the program thank you very much. I'm your host Steve teacher and I wish you grace and peace may god bless you and your family on this day and always I'll see you next week right here. On senior care lie.