Category Archives: Awareness & Activism

How prepared are you for aging?

Courtesy of John Hancock’s Longevity Preparedness Index

As we enter the holiday season, where some will have more interaction with family members, it’s a good time to assess your family’s preparedness when it comes to aging well. Anthony Cirillo shared on The Aging Experience a “Longevity Preparedness Index” produced by John Hancock in collaboration with MIT’s AgeLab.

Courtesy of John Hancock

The Longevity Preparedness Index , surveyed over 1,300 Americans in 2025 to assess readiness across 8 top aging areas: social connection, finance, daily activities, care, home, community, health, and life transitions.

As Cirillo points out in his post, Americans didn’t fare well overall, scoring just 60 out of 100 for longevity preparedness. He offers actions people can take to increase their ability to age well, from growing social connections to having frank conversations about financial planning and life transitions.

The key theme is that the time to prepare is before one becomes older and before health issues need to be addressed. The one area in which Americans are least prepared is one of the most important when it comes to aging: care. Scoring just 42/100, the majority of those surveyed do not have a care plan and do not know who would take care of them if a health issue required assistance. Creating an advanced care directive is vital.

No one can predict the specific care needs you or your loved ones will require in the future, but considering these critical area of aging can help families be more prepared and make smart decisions that will offer them the best chance of aging well.

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Be mindful of fall risks this fall season

A few years ago around this time of the year, I fell hard at the park while walking my dog. It knocked the wind out of me, something I hadn’t experienced since I was a child. The shock of the fall caused me to drop the dog leash but fortunately my rescue dog didn’t take off. After catching my breath and assessing any injuries (fortunately nothing broken or sprained) I was able to slowly make it home. For the next week I was bruised and sore. I was fortunate this was a minor incident, but it was a reminder that falls can happen at any time and can cause more significant injuries.

I was reminded of how falls can be deadly this past week. Ace Frehley of the legendary rock band KISS died after suffering a fall in his home. He was only 74.

Falls can lead to all sorts of health issues from the obvious broken bones that may require surgical repair and a lengthy rehabilitation period to less obvious injuries like internal bleeding and concussions. My mother suffered a fractured shoulder after a fall in the home and it never did heal properly, limiting he ability to raise that arm. My father suffered multiple falls at the memory care center. Falls can be sneaky because internal injuries are not always immediately apparent. It’s important to monitor for any emerging symptoms and changes in mental health status in the days after a fall.

This time of year can be a wonderful time to walk and be out in nature. The temperatures are more moderate and the leaves are turning gorgeous colors. But once those leaves fall to the ground along with other tree debris (we get a lot of hard balls that litter the ground below the tree canopy in my neighborhood) it can create a risky walking surface. Depending upon what shoes I’m wearing I either stomp on these hard balls or try to scoot them out of the way to avoid walking over them. I’ve had a few close calls over the years when walking around the neighborhood during the fall season.

For caregivers of elders or anyone with mobility challenges, just be extra mindful during this time of year. I think it gets less attention that winter, where snowy and icy surfaces are well known for being dangerous conditions. Try to keep the outdoor paths around your home clear of leaves and other fallen debris. Make sure your loved one is wearing sturdy shoes. Guide them through leaf-covered walkways carefully. Remember that after a rain, slick leaves can present an extra slipping hazard.

With a little extra preparation, the autumn season can be enjoyed safely by the young and old alike.

Image generated by Google Gemini.

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‘Presence over perfection’ excellent advice from a dementia caregiver

A recent post on the Alzheimer’s Association website offers a message for those who may feel like they are struggling as a dementia caregiver.

Gemma O’Donnell, whose father has Alzheimer’s, is also a registered nurse, educator, researcher, and dementia care advocate. The disease has had an impact on her life both personally and professionally, O’Donnell said.

“The heart of caregiving is not perfection, but presence. What has stayed with me is how much the small moments matter—sharing a laugh, holding a hand, or simply sitting together when words are no longer possible.”

– Gemma O’Donnell, Desert Southwest Chapter volunteer

She shared another tip for a common issue that dementia caregivers experience, and one that my mother struggled with in caring for my father. “Over time, I learned that joining someone in their reality brings far more peace and connection,” O’Donnell said.

I also loved her quote encouraging caregivers to seek support: “Asking for help is an act of love, not failure.” I totally agree and that is why I created Respite Care Share. Don’t ignore the signs of caregiver burnout.

Image generated by Google Gemini.

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Uber adds ‘senior accounts’ to support rides for older people

I’ve written many times on this blog about the importance of helping older people maintain their independence as long as possible. Transportation is one of the most critical elements for independence. Uber is adding a service that will allow families to coordinate rideshare services with their older family members. Previously, Uber launched Uber Caregiver as part of its Uber Health initiatives.

My parents were fortunate that even though they lived in a small mountain town, there was a county shuttle service that served low-income and older people. It was door to door service, meaning my parents could get to doctor’s appointments and the grocery store as well as go to the movie theatre and dine at a restaurant. However, the shuttle service was always on the county government chopping block, because of the cost and lack of profitability along with ignorance of some of the county officials. “Why can’t we just buy them all a car,” one particularly dense councilmember said during a meeting.

There are many reasons why older people stop driving. In my mother’s case, she never learned to drive, which is not uncommon for older women. In my father’s case, his dementia made driving dangerous. Other common medical conditions like vision issues can also lead to a loss of driving ability.

One of the main issues when people no longer have access to reliable transportation is isolation. Older people may be cut off from opportunities to socialize on a regular basis. Their ability to access healthy food may be limited. And those with a lack of transportation options may delay doctor’s appointments.

The Uber senior accounts have the following features:

  • A simplified app interface.
  • Family members can track trips and call drivers, as well as ride safety features.
  • The ability to add Medicare Advantage cards to pay for eligible medical trips.

There are other community-based programs that offer similar transportation services, but Uber’s service area has a much wider reach, meaning those who are not served by those smaller companies may be able to take advantage of this new feature.

Image created by Google Gemini.

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Marking World Alzheimer’s Day

Today is World Alzheimer’s Day. This year will mark 14 years since my father’s death from complications of this terrible disease. There has been a great deal of promising research and the development of a few medications that may help slow the progress of the disease in some people, but pinpointing the exact cause of Alzheimer’s and a cure remain elusive.

While I appreciate all of the tireless work of researchers, scientists, and the Alzheimer’s advocacy organizations, I’m not that hopeful that a cure or even an effective treatment will be discovered in my lifetime. More likely, the treatments that are on the market now may be improved upon, delaying disease progression and preserving cognitive functioning for longer. Now that I’m in my 50s, with one copy of the APOE4 gene and the disease prolific on both sides of my family tree, I have to be realistic about my risk and do what I can to reduce that risk and plan financially and logistically for any future care needs.

I would love nothing more than to be proven wrong.

Here are resources from the Alzheimer’s Association to keep you up to date on the latest statistics on how Alzheimer’s impacts the US and recommendations on what we can do to protect brain health.

Image created by Google Gemini.

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When routine care becomes a challenge, dementia training can help

Haircuts are a routine personal care task that many of us take for granted. Some of us may even enjoy a visit to the hair salon. But for those with dementia, what was once part of the grooming care routine may become a challenge. In this blog post from When Dementia Knocks, Elaine M. Eshbaugh, PhD explains why a visit to the barber shop or salon can be uncomfortable for those with dementia.

She also offers tips for family caregivers on how to make a haircut a less stressful event for all involved.

I love the idea mentioned in the blog of offering dementia training to barber shops and salons. I hope such training expands because with just a bit of awareness, we can all better accommodate those with dementia in our daily routine.

Image created by Google Gemini.

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A busy summer for Alzheimer’s research insights

There has been a lot of research on Alzheimer’s and dementia that has been released over the summer. I wrote about the POINTER study, which found that lifestyle interventions can have a positive impact on cognitive health.

A team from the Alzheimer’s Prevention Registry attended the 2025 Alzheimer’s Association International Conference in Toronto in July, where the POINTER findings were discussed among other promising research. The team shared their top takeaways from the conference.

One development that I’m excited about is blood biomarkers, which may facilitate the Alzheimer’s diagnostic process. Blood tests that can be performed on existing medical equipment and reduce the need for expensive and time-consuming PET scans could catch the disease in earlier stages, when current treatments on the market work the best.

Speaking of treatments, some researchers are taking seriously the increased risk of brain bleeds in the latest crop of Alzheimer’s drugs. Scientists are focusing on new technology that could deliver lower doses of drugs that can safely cross the blood-brain barrier. I’ve written about Leqembi, which has seen slow uptake despite being fully approved by the FDA. One of the concerning factors about the drug is the increased risk of brain swelling and bleeding. While the Alzheimer’s community is desperate for new and effective treatments, serious side effects shouldn’t be overlooked.

There’s also new research looking at the role of the immune system and gut microbiome in regards to Alzheimer’s risk. I will definitely be following developments in this area, as I believe that Alzheimer’s and other dementias are not merely brain diseases and require a holistic treatment approach.

Illustration created by Google Gemini.

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You’re invited to the AlzAuthors Film Festival 2025

To celebrate their 10th anniversary, AlzAuthors is proud to announce the launch of their inaugural Film Festival. The best news is that it is virtual, meaning you can view the selected films from the comfort of your own home.

The AlzAuthors Film Festival will run from September to December. Each month, a new film will be showcased, and there will be a live Q&A with the filmmakers.

Register for the AlzAuthors Film Festival.

Here are the films that have been selected for the festival:

September

  • Planet A by Mary Crescenzo
  • No Country for Old People by Susie Singer Carter [I watched the entire documentary series and it was powerful and moving. Highly recommend.]

October

  • Lousy: Love in the Time of Dementia by Frank Silverstein

November

  • Wine, Women and Dementia by Kitty Norton [I loved this film and project, check out my review.]

December

  • The Present by C. Nathan Brown

Check out the blog post on AlzAuthors for the full details and registration form. Hope you will be able to attend, these are films that deserve to be seen by a wide audience.

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Self-care can make one a better caregiver

One of the main challenges I hear from family caregivers is the lack of time they have for themselves. When you are a dementia caregiver, you are always on duty, watching over your loved one to make sure they stay out of harm’s way. When your loved one is your priority, your own well-being is neglected.

This happened to my mother, who put her own health needs and screenings on hold while caring for my father, only to be diagnosed with stage III colon cancer six months after my father’s death.

This blog post about being a caregiver without losing yourself offers helpful and practical tips on organizing supportive resources so that you are not going through the family caregiving experience alone.

Check out my website, Respite Care Share, for more respite resources.

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Diving into the Caregiving in the US 2025 report

The National Alliance of Caregiving released a new report, Caregiving in the US, which offers insights on the latest trends in caregiving. This comprehensive 140-page report provides data on America’s family caregivers, including insights on who is providing care and what type of care, the financial impact and the ongoing challenges caregivers encounter when trying to access support and resources. In addition, the report takes a look at how caregiving affects a person’s emotional, physical, and mental health.

Key findings:

  • Approximately 1 in 4 American adults is a family caregiver.
  • The average age of a family caregiver is 51, which happens to be my current age. My parents were older when they had me, therefore I began the family caregiver journey sooner than some of my peers.
  • Women make up the majority (61 percent) of family caregivers.
  • Twenty percent of caregivers live in rural areas, which can complicate access to care resources and support.
  • 40 percent of caregivers live with their care recipient.
  • Family caregivers spend an average of 27 hours per week providing care; nearly a quarter provide 40 or more hours per week.
  • 7 in 10 caregivers also work, which can add to a caregiver’s daily stress of trying to juggle two demanding positions. For many caregivers, not working outside of caregiving is not an option, with almost half reporting at least one negative financial impact. Finding affordable care support services has also become more expensive.
  • It should come as no surprise that caregivers’ own health is negatively impacted. According to the report, 1 in 5 family caregivers rate their health as fair or poor and 64 percent experienced emotional strain.
  • Caregivers are performing a wide range of duties: two-thirds help with at least one activity of daily living (ADL) like bathing, dressing, toileting, feeding, and mobility assistance. 8 in 10 caregivers are handling multiple instrumental activities of daily living (IADLs)—such as shopping, managing finances, preparing meals, and arranging transportation.
  • An alarming statistic: more caregivers are performing complex medical or nursing tasks such as managing catheters, giving injections, or monitoring vital signs. While more than half (55 percent) perform complex tasks, only 22 percent received training. Learning medical tasks on the fly is common but definitely stressful. I wrote about this aspect of caregiving in The Reluctant Caregiver.

One statistic that stuck out to me due to my advocacy work in respite care is that few caregivers (just 13 percent) are utilizing respite resources, even though nearly 40 percent recognize that respite services would be helpful. This reluctance to use respite care and the barriers that prevent caregivers from seeking respite is one of the main reasons I started Respite Care Share. As the study points out, the low usage of respite care is not just due to lack of accessibility; for some caregivers, there are cultural connotations to accepting help that must be addressed in order to reduce the risk of caregiver burnout.

How caregivers want to be supported

According to the caregivers surveyed in the report, tax credits and direct payments were nearly equally cited as preferred sources of financial support. Paid leave also received support from a majority of caregivers.

In addition to financial support, caregivers requested services like respite care, emotional support, and health care training. As pointed out above, it’s not enough to just offer these services but find ways to break down barriers to make sure the services are truly accessible and designed to meet the diverse needs of communities throughout the country.

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