Category: Articles

  • Program Provides Free Delivery to Kūpuna

    Not all elderly in Hawai‘i have ‘ohana nearby to look out for them during the deadliest global pandemic  of the century. In response to COVID-19, Gabe Amey established Our Kūpuna in March to connect Hawai‘i’s seniors with community members who volunteer to provide free food, supply and medication pickup and deliver services on O‘ahu, Maui, Hawaii Island, Kaua‘i and Moloka‘i.

    How It Works: The sponsor checks in with the kūpuna once a week via phone and asks if they need any food, supplies or medication (no narcotics). The sponsor will then shop and deliver the items to the kūpuna The sponsor will provide a receipt to the kūpuna for the items purchased, and the kūpuna will reimburse the sponsor for the cost of the items via cash or check (no credit cards allowed).

    Screening Volunteers: The Our Kūpuna team screens volunteers to ensure they or any household member have had no COVID-19 symptoms within the last 30 days and have not traveled outside of Hawai‘i in the last 14 days. Anyone convicted of any crime will not be allowed to serve as a volunteer. Our Kūpuna also requires that applicants send a picture of their driver’s license and proof of auto insurance.

    Screening Kūpuna: Our Kūpuna calls kūpuna applicants via phone and verifies date of birth, address, essential items they typically need, any medical conditions volunteer sponsors need to be aware of, and the best time to contact them.

    Safety Procedures: Our Kūpuna takes the health of its clients and volunteer sponsors very seriously. The program strives to have little to no physical interaction between volunteer and kūpuna. Volunteers are required to follow a set of safety procedures recommended by Dr. Rupal Gohil in Kailua. If physical interaction is required, it is highly recommended that both parties maintain at least six feet of separation from each other. Safety procedures include but are not limited to: Pickup and delivery should be done solo. Sponsors are also not allowed to delegate this responsibility to another person. Volunteers must wash their hands or use alcohol-based hand sanitizer (at least 60 percent alcohol)  before and after making a delivery. Face masks and gloves (provided) are required. Volunteers will transfer items to bags and/or boxes outside of the kupuna’s door. A reimbursement plan must be arranged prior to delivery. Kūpuna should call their pharmacy to put their credit card in their system. Kūpuna must disinfect items upon receiving them.

    If you are over 65, go to www.OurKupuna.com to get connected with a sponsor who can help get these items for you.

    Volunteer as a Kūpuna Sponsor

    If you’re interested in helping in your area, visit www.ourkupuna.com/volunteer. Our Kūpuna supports our kūpuna through grants and donations. To donate: www.ourkupuna.com/donate. Donate via check: Hawaii VA Foundation, 111 Hekili Street, #102, Kailua, HI 96734.


    OUR KŪPUNA (501(c) 3 nonprofit under the Hawaii VA Foundation)
    808-400-4506 | aloha@ourkupuna.com
    www.ourkupuna.com

    Not all elderly in Hawai‘i have ‘ohana nearby to look out for them during the deadliest global pandemic  of the century. In response to COVID-19, Gabe Amey established Our Kūpuna in March to connect Hawai‘i’s seniors with community members who volunteer to provide free food, supply and medication pickup and deliver services on O‘ahu, Maui,…

  • I Ola Lāhui Helps Underserved Live & Thrive

    I Ola Lāhui (IOL) was developed over a decade ago in response to the urgent needs of Native Hawaiian and rural, underserved communities for behavioral health services. I ola lāhui means “So that the people will live and thrive.” The IOL mission is to provide culturally-minded,  evidence-based behavioral healthcare.

    The nonprofit provides effective psychology services for chronic diseases, such as diabetes, and more traditional mental health needs such as anxiety, depression and trauma.

    IOL has four branches of service

    1. Training: IOL prepares pre- and post-doctoral psychologists for future service in communities.
    2. Health Services: IOL offers behavioral health, chronic disease management, nutrition and weight management services.
    3. Research and Evaluation focuses on needs assessment, treatment effectiveness and outcome evaluation with our communities.
    4. Consulting and Advocacy: IOL seeks opportunities for partnership and collaboration that lead to policy and social change.

    IOL has built and maintained a training pipeline for psychologists to address the behavioral health shortage in rural and underserved communities in Hawai‘i. The effort has increased the number of trained psychologists working in areas such as Molokai, Hilo, Waimānalo, Leeward and North Shore districts on O‘ahu. Graduates currently serve on six islands, many in places that lacked stable behavioral health services before their arrival.

    IOL has partnered with organizations across the islands, closing the gap between the needs of communities and access to mental health services. Since IOL was founded in 2007, it has  demonstrated consistent success and growth by partnering with over 20 different community health clinics and eldercare service facilities, and by providing patient education, staff training, consultation and public outreach.

    IOL’s psychology trainees have served thousands of patients, meeting both the immediate need for services as well as the long-term need for more psychologists trained to work in rural and underserved areas.


    I OLA LĀHUI (501(c) 3 nonprofit)
    1441 Kapiolani Blvd., Ste. 1802, Honolulu, HI 96814
    Hrs: Monday to Friday, 7:30am–6pm
    808-525-6255 | info@iolalahui.org
    www.iolalahui.org

    I Ola Lāhui (IOL) was developed over a decade ago in response to the urgent needs of Native Hawaiian and rural, underserved communities for behavioral health services. I ola lāhui means “So that the people will live and thrive.” The IOL mission is to provide culturally-minded, evidence-based behavioral healthcare.

  • When Life Becomes Too Much to Handle

    COVID-19 has brought about many changes this year. These changes have affected everyone of all ages and has caused more stress than a person might normally be able to handle. Some older adults may feel extremely isolated since they cannot physically see family and friends.  Others may have lost their job or their hours were cut and the mortgage is due. Working from home may include the added pressures of home schooling grandchildren, pets running in and out, and a multitude of other issues that makes them feel as if they are losing control. Stress can have such a horrendous impact on all of us no matter what the cause or what age we are. If you or someone you know just can’t handle life anymore, the National Alliance on Mental Illness Hawaii (NAMI) asks you to consider the following when reaching out for help:

    ◆ If it’s an emergency in which you or someone you know is suicidal, immediately call the National Suicide Prevention Lifeline at 1-800-273-8255, call 911 or go to a hospital emergency room. DO NOT leave a suicidal person alone.
    ◆ If you can wait a few days, make an appointment with your primary healthcare provider or pediatrician if you think you or your loved one’s condition is mild to moderate.
    ◆ If the symptoms are more severe, make an appointment with a specialized doctor, such as a psychiatrist or therapist. You may need to contact your primary healthcare provider for a referral.
    ◆ Seek out support groups in your community and educate yourself about symptoms and diagnoses. Social support and knowledge can be valuable tools for coping. Contact NAMI Hawaii or go online for information.
    ◆ If you or your loved one is in school or college, contact the school and ask about its support services.
    ◆ Remember that you are a partner in your own or your loved one’s treatment. You can ask the healthcare provider questions and be a part of decisions about your treatment. If your family member or friend is an adult who doesn’t want treatment, it can be difficult to get them help. But you will still benefit from learning as much as you can and finding support groups for yourself. Your NAMI Hawaii and healthcare providers can advise you on how to offer encouragement and keep yourself and your loved one safe. NAMI Hawaii offers free support and educational services online.


    NAMI HAWAII (501(c) 3 nonprofit)
    5240, 770 Kapiolani Blvd. # 613, Honolulu, HI 96813
    808-591-1297 | info@namihawaii.org
    www.namihawaii.org
    NAMI Hawaii provides free support, education, information and resources for people who are struggling with or impacted by mental illness.

    Working from home may include the added pressures of home schooling grandchildren, pets running in and out, and a multitude of other issues that makes them feel as if they are losing control. Stress can have such a horrendous impact on all of us no matter what the cause or what age we are. If…

  • Ko‘olauloa Senior Mentors Needed

    Kahuku High School students deliver meals to kūpuna during the COVID-19 pandemic.
    Kahuku High School students deliver meals to kūpuna during the COVID-19 pandemic.

    To sustain a vibrant kūpuna community, younger generations must take action. Our state needs an adequately trained workforce to care for and support our older population. In response to the need to support kūpuna and family caregivers, and expand workforce opportunities for youth, an eldercare curriculum was developed and implemented at Kahuku High School’s Health Academy on O‘ahu. Eldercare lessons integrated within the larger class curriculum raise awareness about aging issues, foster empathy through immersive activities that mimic age-related conditions, and inspire students to create change through service projects and positive intergenerational experiences with kūpuna.

    Kūpuna mentors are needed in the Ko‘olauloa District to participate in intergenerational activities with high school students. If you are interested, please contact cnishita@hawaii.edu.


    KIND2KUPUNA
    Kind2Kupuna is Age-Friendly Honolulu’s umbrella initiative consisting of a Business Initiative, Youth Engagement Initiative and Dementia Friends.
    kind2kupuna@gmail.com
    www.agefriendlyhonolulu.com/kind2kupuna/

    To sustain a vibrant kūpuna community, younger generations must take action. Our state needs an adequately trained workforce to care for and support our older population. In response to the need to support kūpuna and family caregivers, and expand workforce opportunities for youth, an eldercare curriculum was developed and implemented at Kahuku High School’s Health…

  • Fresh Produce Delivery Service for Seniors

    The onset of COVID-19 in early March sparked a drastic need for meals across our islands. Seniors, in particular, continue to be the highest risk group and many are afraid to leave their homes, even for food items. Lanakila Pacific’s Meals on Wheels program was able to respond quickly due to its strong network of partnerships and community support. Since the beginning of the pandemic, Lanakila Meals on Wheels has provided more than 370,000 meals for O‘ahu seniors, including an additional 1,000 for kūpuna. The number continues to grow.

    Yet amidst feeding our kūpuna during this critical time, Lanakila Meals on Wheels strives to be innovative in its quest to not only be there for our community in times of need, but to also remain resilient by expanding its services.

    This summer, the nonprofit launched a new service that provides seniors with direct access to fresh produce from local farmers.

    Here is what you need to know:

    What is The Green Bag? The Green Bag is a monthly, paid subscription service. Each bag contains a selection of seasonal fresh fruits and vegetables, all locally sourced from farms in Hawai‘i.

    Why is Lanakila Meals on Wheels offering this service? The health and wellness of kūpuna is our priority. While we deliver healthy and nutritious complete meals, the purpose of The Green Bag is to offer our kūpuna a convenient way to add more variety to their diets and to supplement their meals. As a meal provider and a part of Hawai‘i’s food chain, we also want to support local farming and agricultural industries. Moreover, The Green Bag creates jobs for individuals with disabilities who pack the produce bags.

    Who is eligible to participate? The Green Bag program is available to the participants of Lanakila Meals on Wheels. As the program grows, it will be made available to more kūpuna.

    How much does it cost? Depending on the individual’s situation, The Green Bag may cost between $14 and $28 for four weeks. We can also help kūpuna apply for federal Supplemental Nutrition Assistance Program (SNAP) benefits that may help pay for the cost. So far, kūpuna and their caregivers value the service because it reduces the need to go to the store for fresh food.

    Are seniors able to choose the produce they receive each month? As we are only purchasing local produce, the variety will change with the seasons. Though we are unable to individually customize the assortment in each bag, feedback is welcome in order to let us know which fruits and vegetables are preferred.


    LANAKILA MEALS ON WHEELS (501(c) 3 nonprofit)
    1809 Bachelot St, Honolulu, HI 96817
    808-356-8519 | F 808-524-8657
    mow@lanakilapacific.org
    www.lanakilapacific.org

    The onset of COVID-19 in early March sparked a drastic need for meals across our islands. Seniors, in particular, continue to be the highest risk group and many are afraid to leave their homes, even for food items. Lanakila Pacific’s Meals on Wheels program was able to respond quickly due to its strong network of…

  • In-Home Physical Therapy Made Easy

    Nowadays, in-home physical therapy is more important than ever. Seniors must find creative ways in their own home area to continue exercising for mobility and strength.

    Walking is still a popular and convenient way to exercise. To add intensity, you can walk briskly for one minute followed by one minute at a  regular pace, then repeat for 10 minutes or more.

    Using a kitchen counter or back of a chair, you can do a number of standing leg exercises for 10 minutes each, repeated twice:

    • Squats. With your head forward, butt back and back straight, lower yourself until your thighs are horizontal to the floor; rise to a standing position.
    • Marching in place. Alternating legs, raise your knees to your waist, keeping your stomach tight.
    • Side kicks. Stomach tight and toes pointed, alternately lift one leg at a time to the side.
    • Heel-Toe Raises. With both feet together, raise them upward on your heel, then rock forward on the balls of your feet, raising your heels upward.

    For those who can’t walk or stand safely, chair exercises can be done by lifting your knees towards your chest; side kick with one leg extended horizontally and swung side to front; heel-toe raises by rocking your feet back and forth heel to toe.

    Don’t stop moving! Consult your physical therapist for specific exercises that fill your needs.

    Arm exercises will be the next topic.


    MAKAI MOBILE REHAB LLC
    808-783-9320 | jason@makaimobile.com
    www.makaimobile.com

    Nowadays, in-home physical therapy is more important than ever. Seniors must find creative ways in their own home area to continue exercising for mobility and strength. Walking is still a popular and convenient way to exercise. To add intensity, you can walk briskly for one minute followed by one minute at a  regular pace, then…

  • COVID-19 Testing & Virus Symptoms

    When should you get tested for COVID-19? Which of the three main types of tests for COVID-19 will you be given?

    Three main types of tests for the coronavirus

    1) Molecular Testing: This FDA-approved method tests for the virus’ DNA or genetic material. This type of testing is typically processed in a certified lab where it could take 24 to 48 hours or longer to get results. Although, none of the tests are 100 percent accurate, this one is preferred  or the best accuracy.
    2) Antigen Testing: This FDA-approved method is a rapid test that can produce results within 15 minutes. This test is very useful for screening due to its quick turnaround time. However, it is less accurate than molecular testing. A negative test result may need to be confirmed by a molecular test.
    3) Antibody Testing: This blood test result will reveal whether or not you have been infected by the coronavirus in the past. It may take weeks for antibodies to be detected in your blood after contracting the virus. This test is not used to diagnose coronavirus.

    When should you get a test?

    According to the Centers for Disease Control & Prevention (CDC), people with COVID-19 have exhibited a wide range of symptoms — ranging from mild to severe. Symptoms may appear two to 14 days after exposure to the virus. The following list includes some, but not all possible symptoms.

    • Fever or chills
    • Cough
    • Shortness of breath or difficulty breathing
    • Fatigue
    • Muscle or body aches
    • Headache
    • New loss of taste or smell
    • Sore throat
    • Congestion or runny nose
    • Nausea or vomiting
    • Diarrhea

    The CDC will continue to update this list of symptoms as it learns more about COVID-19.*

    Please be responsible; wear your mask and practice social distancing.


    OHANA PACIFIC MEDICAL
    Hawaii’s Premiere Telemedicine & Health Monitoring Program
    808-930-9858 | www.ohanapacificmedical.org
    Call to make an appointment or for more information about COVID-19 testing and receiving a test.
    * Source: Centers for Disease Control & Prevention (CDC)
    www.cdc.gov/coronavirus

    When should you get tested for COVID-19? Which of the three main types of tests for COVID-19 will you be given?

  • How to Avoid Age-Related Muscle Loss

    Sarcopenia is age-related loss in muscle mass. Although muscle mass declines 1 to 2 percent per year after age 50, exercise can reduce this loss. Resistance training using bodyweight, machines or weights is the most effective way of building muscle. {Play}

    Sarcopenia makes exercising more difficult, which unfortunately, makes you want to exercise less, contributing even less stimulation of your muscles, leading to more muscle loss. But you can slow down this vicious cycle.

    So now we know that strength training is important. If you have access to some weights or bands, use them. If you don’t have weights, get creative! Water bottles, filled gallon jugs and even bottles of wine will do.

    Be careful not to overexert yourself. Steady breathing and good form are important.
    Be careful not to overexert yourself. Steady breathing and good form are important.

    How Many Reps are Best?

    More repetitions at lower weights? Or lower repetitions at higher weights? If you are an active person, you’ll want to aim to use a weight/resistance band that really challenges you at a maximum of 15 reps. The lower the reps to get to the point of muscle exhaustion, the better. So if you are just  beginning to exercise, start with the higher reps and a lower weight.

    Good: maximum of 15 reps, 2 to 4 sets
    Better: 8 to 12 reps, 2 to 4 sets
    Best: 6 to 10 reps, 2 to 4 sets

    Be conscious of your limits. Pain in your joints means stop.
    Be conscious of your limits. Pain in your joints means stop.

    Focus on doing exercises using multiple joints and the big muscles of your body.
    • Squats or chair squats
    • Lunges or deep walks
    • Dead lifts
    • Bent-over rows or pull-ins using bands
    • Lat pulls or pullups (use assistance if needed)

    As a bonus, resistance training also helps build bone density. Aim for two to three sessions a week for 30 to 60 minutes a day for best results. Just remember, some activity is better than none! And be sure to take it slow. Awareness and self-focus is key to exercising safely.


    FRAN PATOSKIE
    CPT, GFI, Certified Fascianation Method Practitioner
    808-349-5598 | franpatoskie@gmail.com

    Sarcopenia is age-related loss in muscle mass. Although muscle mass declines 1 to 2 percent per year after age 50, exercise can reduce this loss. Resistance training using bodyweight, machines or weights is the most effective way of building muscle. Sarcopenia makes exercising more difficult, which unfortunately, makes you want to exercise less, contributing even…

  • Lewy Body Dementia & Parkinson’s Disease

    Lewy body disease includes two types of dementia — Lewy body dementia (LBD) and Parkinson’s disease dementia (PDD). Parkinson’s starts with an abnormal accumulation of alpha synuclein protein that is found mainly at the tips of neurons in specialized structures called “presynaptic terminals” in different parts of the brain. LBD precedes a Parkinson’s diagnosis, while PDD develops after the changes of Parkinson’s have occurred. Currently, 1.4 million people in the US
    are coping with LBD. It’s is the third most common type of dementia after Alzheimer’s and vascular dementia.

    Unusual Features

    LBD exhibits many unusual features, such as variable levels of awareness and consciousness. Those with LBD display rapid shifts between orientation and confusion, alertness and drowsiness, and being attentive or unfocused. Changes in the processing of visual information are prominent, with visuospatial changes such as struggling with depth perception, location and the interrelationships with objects. There can be mistakes in decoding positional information, such as above or below, inside or outside, and left or right.

    Psychiatric Symptoms

    Compared to other types of dementia, those with LBD display a range of psychiatric symptoms that include simple or complex visual hallucinations. A simple visual hallucination might be seeing a kitten in the room. A complex visual hallucination could involve people, actions and purpose. Sometimes hallucinations are pleasant, warm or reassuring, while others are confusing, frightening or even terrifying.

    People with LBD can develop delusions (fixed beliefs that do not reflect reality), such as jealousy delusions that a spouse is unfaithful, or persecutory  delusions of being threatened or maltreated. These delusions are very real to the person with LBD, and can trigger a huge outpouring of emotions and misunderstandings. Agitation and anxiety can be triggered in those living with LBD, as well as their families and caregivers.

    Motor Symptoms

    These changes can simultaneously occur with the motor symptoms of Parkinson’s, such as slowness, tremors, and difficulties with posture and balance. There are also many non-motor symptoms of Parkinson’s, such as dizziness, fainting and falling due to uncontrolled changes in blood  pressure. People with LBD can also have severe difficulties with constipation, excessive drooling and abnormal temperature regulation.

    Meds, Research & Clinical Trials

    Medications to treat the symptoms of LBD may be less effective than with other types of dementia. Sometimes the medications have a paradoxical effect. Instead of helping to reduce hallucinations, the medications actually make the hallucinations worse.

    It is important to work closely with your medical team to find the best treatments for you. Your team could include neurologists, geriatrics specialists, psychiatrists and physical therapy experts who will help protect your comfort and safety.

    The Clinical Research Center at Hawaii Pacific Neuroscience (HPN) is running new clinical trials for dementia caused by Alzheimer’s, Parkinson’s and traumatic brain injury. Refer to the contact information below for more information.


    HAWAII PACIFIC NEUROSCIENCE
    2230 Liliha St., #104, Honolulu, HI 96817
    For an appointment, call or text: 808-261-4476
    Dedicated Research Hotline: 808-564-6141
    info@hawaiineuroscience.com
    www.HawaiiNeuroscience.com

    Lewy body disease includes two types of dementia — Lewy body dementia (LBD) and Parkinson’s disease dementia (PDD). Parkinson’s starts with an abnormal accumulation of alpha synuclein protein that is found mainly at the tips of neurons in specialized structures called “presynaptic terminals” in different parts of the brain. LBD precedes a Parkinson’s diagnosis, while…

  • Nutrition Facts Food Labels Explained

    Making healthy dietary choices can help you feel your best and stay active. It can also help you lower your risk of developing some health conditions that are common among older adults.

    The US Food and Drug Administration (FDA) has a tool to help you make informed food choices that can have positive effects on your health and wellness. It is called the Nutrition Facts label and you can find it on packaged foods and beverages.

    Understanding the Nutrition Facts Label

    The following key terms are intended to make it easier for you to use the Nutrition Facts labels to make informed food choices.

    [1] Servings Per Container shows the total number of servings in the entire food package or container. One package of food may contain more than one serving. For example, if you eat or drink two servings, you are getting double the calories and double the nutrients that are listed on the label.

    [2] Serving Size is based on the amount of food that is usually eaten at one time. Serving size is not a recommendation of how much to eat. The nutrition information listed on the label is usually based on one serving of the food; however, some containers may also have nutrition information listed for the entire package.

    [3] Calories refers to the total number of calories in a serving of the food. To achieve or maintain a healthy body weight, balance the number of calories you eat and drink with the number of calories your body burns.

    The general guide for calorie consumption per day is 2,000. Your calorie needs may be higher or lower and vary depending on your age, sex, height, weight and physical activity level. Check your calorie needs at www.ChooseMyPlate.gov/MyPlatePlan.

    [4] %Daily Value (%DV) shows how much a nutrient in a serving of the food contributes to a total daily diet. The Daily Values are reference amounts (in grams, milligrams or micrograms) of nutrients to consume or not to exceed each day.

    Use the %DV to determine if a serving of the food is high or low in an individual nutrient. You can also use the %DV to compare food products (make sure the serving size is the same). For example, if you eat one serving of a food and it provides 10% DV of dietary fiber, then for that day, you have eaten 10% of your dietary fiber daily goal.

    As a general guide, 5% DV or less is considered low; 20% DV or more is considered high.

    Nutrients and Your Needs

    Nutrients are substances in your food that keep your body working well. Eating too much or too little of some nutrients may increase your risk of certain chronic conditions, such as heart disease and high blood pressure.

    Older adults have different nutritional needs than other age groups. The Nutrition Facts label can help you monitor some of the nutrients in your diet.

    Get More of These Nutrients: Dietary Fiber, Vitamin D, Calcium and Potassium

    Many older adults do not get the recommended amount of these nutrients. Compare and choose more foods in order to get more of these nutrients on most days.

    Dietary fiber is a type of carbohydrate that cannot be easily digested. It can speed up the movement of food and waste through the body, increasing the frequency of bowel movements. Diets higher in dietary fiber may reduce the risk of developing cardiovascular disease. The Daily Value for dietary fiber is 28 grams (g) per day.*

    Calcium is a mineral that is important for bone health. It also helps with muscle and nerve function, blood clotting and hormone secretion. Diets higher in calcium can reduce the risk of developing osteoporosis (weak and brittle bones). The Daily Value for calcium is 1,300 milligrams (mg) per day.*

    Vitamin D helps your body absorb calcium and is important for bone health. It also plays a role in blood pressure management, hormone production, and immune and nervous system function. Diets higher in vitamin D can reduce the risk of developing osteoporosis (weak and brittle bones). The Daily Value for vitamin D is 20 micrograms (mcg) per day.*

    Potassium is a mineral that helps with fluid balance and heart, muscle and nervous system function. The Daily Value for potassium is 4,700 mg per day.*

    Consume Less of These Nutrients: Saturated Fat, Sodium and Added Sugars

    Most older adults get too much of these nutrients. Compare and choose foods in order to consume less of these nutrients each day.

    Saturated fat is found in higher amounts in animal products. An exception is seafood, which is generally low in saturated fat. Unsaturated fats are found in higher amounts in plant-based oils (e.g., canola and olive oils), nuts, seeds and seafood. Diets in which unsaturated fats are eaten in place of saturated fats and within the recommended daily limits for calories are associated with a reduced risk of developing cardiovascular disease. The Daily Value for saturated fat is less than 20 g per day.*

    Sodium is a mineral commonly found in table salt and in many commercially processed, packaged and prepared foods. The body needs sodium in relatively small amounts. Sodium is important for fluid balance as well as muscle and nervous system function. Diets higher in sodium are associated with an increased risk of developing high blood pressure, which can raise the risk of heart attacks, heart failure, stroke, kidney disease and blindness. Since blood pressure often rises with age, limiting your sodium intake becomes even more important each year. The Daily Value for sodium is less than 2,300 mg per day.*

    Added sugars include sugars that are added during the processing of foods (such as sucrose or dextrose), foods packaged as sweeteners (such as table sugar), sugars from syrups and honey, and sugars from concentrated fruit or vegetable juices. Diets high in calories from added sugars can make it harder to meet nutrient needs while staying within calorie limits. The Daily Value for added sugars is less than 50 g per day.*

    Older adults should more often look for foods with a higher %DV of dietary fiber, vitamin D, calcium and potassium. Older adults should also look for foods with a lower %DV of saturated fat, sodium and added sugars more often. Talk to your healthcare provider about which nutrients you should track closely for your overall health.

    *Based on a 2,000-calorie daily diet.


    US FOOD AND DRUG ADMINISTRATION
    www.fda.gov/nutritioneducation
    1-800-SAFEFOOD (toll free):
    MTWF, 10a–4p, Th 12:30p–1:30p EST (- 6 hrs PST)
    Closed on federal holidays
    Visit www.ChooseMyPlate.gov for more information about making healthy food choices.

    Making healthy dietary choices can help you feel your best and stay active. It can also help you lower your risk of developing some health conditions that are common among older adults. The US Food and Drug Administration (FDA) has a tool to help you make informed food choices that can have positive effects on…

  • Caregiving Tips for the Holidays

    Holidays are a time of fellowship and unity with family and friends. Yet, the holidays can be difficult for families when a loved one is diagnosed with Alzheimer’s or dementia. Caregivers may feel  overwhelmed with balancing care and managing holiday traditions. A person living with Alzheimer’s or dementia may feel that something is missing but may not be able to express their feelings. In addition to the common stressors that arise during the holidays, the challenges of COVID-19 add layers of complexity. The pandemic has interrupted the overall connectedness of families and friends and has magnified the sense of overwhelm and isolation that many caregivers face, especially during the holidays.

    Keeping with physical distancing and public health recommendations, here are some tips to consider to minimize stress and maximize joyful time together:

     Make sure that everyone understands your caregiving situation and has realistic expectations about what you can and cannot do. Give yourself permission to do only what you can.
     Involve the person in safe, manageable holiday preparation activities. Ask him or her to help you prepare food, wrap packages or decorate or set the table. (Avoid using artificial fruits and vegetables as decorations because a person living with dementia might confuse them with real food. Blinking lights may also confuse the person.)
     Maintain the person’s normal routine as much as possible so that holiday preparations don’t become disruptive or confusing. Taking on too many tasks can wear on both of you.
     Build on traditions and memories. These may look and feel a little different this year, but you may also experiment with new traditions that might be less stressful or a better fit with your caregiving responsibilities.
     Provide people with suggestions for useful and enjoyable gifts for your loved one, such as an identification bracelet or membership in a wandering response service (contact the Alzheimer’s Association 24/7 Helpline at 800-272-3900 for more information). Or, suggest comfortable, easy-to-remove clothing; favorite music; photo albums of family and friends; or favorite treats.
     Advise people not to give dangerous tools or instruments, utensils, challenging board games, complicated electronic equipment or pets as gifts.
     Involve the person in gift-giving, depending on his or her abilities and preferences. For example, someone who enjoys baking can help make cookies and pack them in holiday tins. Or you may want to buy a gift the person can wrap.
     Suggest a gift certificate or something that will help make things easier, like housecleaning; lawn, handyman or laundry services; gift cards; or even respite services (when it is deemed safe).
     Prepare for post-holiday letdown. Arrange in-home care so you can rest, enjoy a movie or have lunch with a friend.
     Prepare for some downtime. A short nap or some quiet time in a room away from activity can provide a nice break for someone with Alzheimer’s. Often, a short nap is all that is needed to enable them to rejoin the festivities.
     Don’t forget to give yourself time to relax. If you are the primary caregiver, you need to take time to tend to your own emotional health so you can enjoy the holidays with your loved one. For more information and holiday tips, contact Tonya Tullis at 808-518-6651 or email her at tshammondtullis@alz.org.


    ALZHEIMER’S ASSOCIATION (501(c) 3 nonprofit)
    Online Community: www.alzconnected.org
    Online Education: www.training.alz.org
    Support Groups & Programs: www.alz.org/hawaii
    24/7 HELPLINE: 800-272-3900
    Hawai‘i Office: 808-591-2771

    Holidays are a time of fellowship and unity with family and friends. Yet, the holidays can be difficult for families when a loved one is diagnosed with Alzheimer’s or dementia. Caregivers may feel  overwhelmed with balancing care and managing holiday traditions.

  • One of the Best Decisions I Ever Made

    My wife, May, was diagnosed with breast cancer in 2005 at age 39. In 2015, after being diagnosed with pancreatic cancer, she underwent a Whipple procedure, whereby some of her pancreas, small intestine, stomach and other parts were removed.

    We moved to Hilo from Rhode Island, and designed and built our house, a project that began in 2014. After laying out the initial floor plan, May added a sunroom. That was her room — by hers, I mean that was the room she expected her hospital bed to be put into. She knew she was destined for an untimely — and probably unpleasant — death, and she wanted to be able to see the sun and feel the breeze while it happened. If she had to die, it was clear May desperately wanted to do it at home. We moved into our house on Thanksgiving week in 2017.

    For nearly two months, I helped her walk, eat, drink, medicate, bathe and desperately try to sleep. I wish I knew about hospice early in my wife’s disease progression. You always think — “I don’t need any help, I can handle this.” I didn’t want to admit it, but the fatigue and overwhelm swiftly brought me to my knees.

    I finally made the call. May began receiving weekly visits at our home from a hospice nurse. The night of Jan. 22, May woke more than 10 times. I finally admitted to myself that I could no longer go on. When May got up, I told her that I thought it was time to switch to hospice inpatient care. She  immediately agreed — I realized later that she had arrived at that conclusion independently, and she had been waiting for me to arrive at that decision, too. May was essentially free from pain and nausea, and she stayed that way for the next 13 days. I was able to be with her, but also, finally, mercifully, able to get some sleep, too.

    In October, for our 20th wedding anniversary, we had been snorkeling off Maui. Less than four months later, on Feb. 3, 2019 — a Sunday — May fell asleep for the last time. She finally left me just before 1am Wednesday while I slept on the sofa in her room.

    I have few regrets. However, I wish with all my heart that we had moved her into hospice’s inpatient care earlier than we did. Yes, I was capable of caring for her, but she needed the professional care, facilities and specialized medication only hospice could provide. The people and the facility were magnificent. Hospice care was created to eliminate “terminal suffering.” I wish I understood that sooner. The peaceful look on May’s face as she slipped away confirmed that hospice was indeed, the best decision I ever made.


    HAWAI‘I CARE CHOICES (formerly Hospice of Hilo)
    1011 Wai‘nuenue Ave., Hilo, HI 96720
    Lani Weigert, Community Relations Manager
    808-969-1733 | 808-283-3777
    www.hawaiicarechoices.org

    My wife, May, was diagnosed with breast cancer in 2005 at age 39. In 2015, after being diagnosed with pancreatic cancer, she underwent a Whipple procedure, whereby some of her pancreas, small intestine, stomach and other parts were removed.