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Dementia impacts the caregiver as well as the patient, social workers say. Here's what's being done to help both.

Dementia impacts the caregiver as well as the patient, social workers say. Here's what's being done to help both.

CBS News17-02-2025
According to the Alzheimer's Association, nearly 7 million Americans age 65 and older are already living with Alzheimer's and dementia.
In this part of CBS News New York's Cost of Caregiving series, reporter Jennifer Bisram takes a look at what's being done to help New Yorkers living with the disease, and those who are caring for them.
Symptoms of dementia
Victoria Henriquez, who is 65, showers her 93-year old mother, Vivianna, with kisses every day in their Bronx home, moments her mom says give her joy. Henriquez has been caring for her mother, who has dementia, for more than a decade.
"She asked me the same thing every five minutes. The worst part of this is the repetition," Henriquez said.
Doctors say dementia affects your thinking, memory, reasoning, mood and personality. Alzheimer's disease is just one type of the illness.
Social workers say there are warning signs.
"The hallmark one is forgetting things," said Edward Cisek, the chief research grants and evaluation officer for Caring Kind. "It's putting something in the refrigerator that doesn't belong there."
Helping loved ones navigate the stress of caregiving
Caring Kind helps New Yorkers living with dementia and guides their caregivers through the challenging journey -- for free.
"We have a new Connect to Living program, which helps keep people living with dementia engaged in their communities after their diagnosis," Cisek said.
Dante Tipiani is a navigator and community builder with the organization. He also understands the pain, struggles and frustration. His father died from dementia last year.
"That was tough, very tough, especially juggling professional work, personal work, and trying to get help for him and trying to live my life as well," Tipiani said.
He been helping Henriquez and her mother maximize their time with one another.
"She is able to look at the challenges that her mother throws and says, OK, this is how I'm going to react to that. I think she's more prepared," Tipiani said.
"What's the scariest part about dementia?" Bisram asked.
"Memory. Dementia robs you of memory," Tipiani said.
Henriquez, who's also dealing with her own health challenges, says dementia doesn't just affect her mom; it impacts the whole family. She says the coaching and services are helping.
"I will never let her go to a home," Henriquez said. "She took care of me when I was a child."
Therapies that help those with the disease
Tipiani says cognitive stimulation therapy, a healthy diet, socializing with friends and family, and managing your stress can help decrease chances of dementia, and added being patient is key when caring for someone with the disease, especially if they've wandered off before.
"Reassure. I'm reassuring you it's okay, you are not home. There's also something called a therapeutic lie. 'We're going to go home in five minutes. We'll go home later.' Maybe it's as simple as having a conversation," Tipiani said.
According to the state's Office for the Aging, more than 426,000 New Yorkers 65 and older have Alzheimer's or another form of dementia, and New York has the second highest projected prevalence of the disease in the country -- with the Bronx the highest in our area.
That's why Caring Kind has a specific program in the borough to help improve eating habits and brain health.
"We're asking people in the Bronx to follow this program for 30 days to help give them nudges for a healthier lifestyle," Cisek said.
Experts say keeping the brain active and healthy will also decrease risks for dementia and help stimulate what's left.
"The conversations you have with people, even learning new instruments, singing, dancing," Cisek said.
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The Anti-Inflammatory Benefits of Spinach Rich in Powerful Antioxidants Antioxidants are some of the most important nutrients for lowering inflammation, and spinach is full of them. 'This simple green helps reduce inflammation due to its strong antioxidant content, including vitamin C, lutein and zeaxanthin,' says Lisa Andrews, RD, LD. But that's not all. 'Spinach is also a great source of vitamin E, which can help reduce inflammation,' says Lindsay Livingston, RD. These antioxidants work by neutralizing harmful molecules called free radicals that can damage your cells, leading to issues like inflammation and chronic antioxidants—vitamins C and E and the carotenoids lutein and zeaxanthin—are key to eye health. They help prevent macular degeneration—a common cause of vision loss in older adults. It's primarily caused by oxidative stress and inflammation, so eating a diet rich in these antioxidants like can help combat this condition. 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Some studies suggest that consuming more nitrate-rich foods like spinach and beets may reduce markers of inflammation in the body; however, more research is necessary to further explore this potential benefit. Research also shows that nitric oxide can help relax your blood vessels to lower blood pressure. Another Benefit: Convenient and Versatile The best part about spinach may be how convenient it is to add to pasta dishes. It's widely available, versatile and not overpowering. Plus, it cooks quickly and easily, so it won't add much time or effort to your meal prep. 'Adding spinach to pasta is a great option because it has a mild flavor and it wilts down when heated, so you can add a large amount without it being overwhelming,' says Livingston. You can add it to red pasta sauce to disguise it, or use an olive oil-and-garlic sauce to let the spinach shine through. 'I keep a bag of leaves in my fridge and rip up a handful for pasta as well as leftovers,' says Andrews. You can also keep a bag of frozen spinach in the freezer to always have on hand, without having to worry about it going bad. Other Anti-Inflammatory Ingredients to Add to Your Pasta Mushrooms. 'Mushrooms contain the naturally occurring antioxidant ergothioneine that may protect cells from damage,' says Patricia Kolesa, M.S., RDN. Studies show that higher intakes of this antioxidant (which is also found in some fermented foods) are linked with lower rates of chronic inflammatory diseases like heart disease. Garlic. Whether it's in red sauce or mixed with olive oil, garlic is another worthwhile pasta addition. Not only does it add tons of flavor, 'Garlic contains sulfur compounds like allicin, which have been shown to have powerful anti-inflammatory and immune-supporting properties,' says Ifeoma Charlley, RD, LD. Lentils. 'Lentils are a nourishing plant protein that can boost the antioxidants and fiber in your pasta. Studies show lentils are rich in polyphenols, which are antioxidants that fight inflammation, and support diabetes management and heart health,' says Sheri Gaw, RDN, CDCES. You can mix lentils into red sauce for a vegetarian take on pasta Bolognese or buy pasta made of lentils. Olive oil. Olive oil is full of heart-healthy fats and antioxidants that can help lower inflammation. Research shows that a diet rich in olive oil can lower levels of inflammatory markers in the body. You can use it in place of red sauce to coat your pasta. Throw in a little garlic for added flavor and anti-inflammatory benefits! Salmon. For satiating protein, pair your pasta with salmon. Not only will you get high-quality protein, you'll also get a healthy dose of omega-3 fatty acids to help lower inflammation. Our Expert Take To turn a plain pasta dinner into an inflammation-fighting meal, add spinach! This leafy green is full of antioxidants, fiber and nitrates that can help keep inflammation at bay. Plus, it cooks quickly and isn't overpowering, making it easy to add to most pasta dishes. For even more benefits, add ingredients like olive oil, garlic, mushrooms, lentils and salmon to your pasta. You'll get a plethora of unique antioxidants and plant compounds that help prevent cell damage and resulting inflammation. Read the original article on EATINGWELL

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