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CareNotes: The Home Care Newsletter Vol 3 Issue 2
 

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Home Care Assistance Updates!


Home Care Assistance is excited to announce our recent media tour for Happy to 102: The Best Kept Secrets to a Long and Happy Life. Lily Sarafan, co-author and COO of Home Care Assistance, has been recently featured on a variety of media outlets, including San Francisco's ABC7 "View from the Bay,” “The Kathryn Zox Show” out of  Washington, DC, the internationally syndicated “Age Wise Living”/VoiceAmerica, and most recently at the Villages San Jose, one of the largest senior living communities in California.

We have also sold thousands of copies of Happy to 102 in the last several months. We pride ourselves on providing the highest quality of senior care in the industry and are thankful for the opportunity to share wisdom and knowledge to adults and seniors alike. We look forward to releasing our second book, The Home Care Revolution, this summer!




Lily with one of the Villages residents

Why Any and All Activity Matters


The health benefits of exercise are extraordinarily well documented. Regular exercise lowers your risk of a stroke by 27%, reduces instances of both high blood pressure and Alzheimer's disease by 40%, cuts your chance of developing diabetes by 50%, and lowers your risk of developing colon cancer by a whopping 60%. As well, it obviously helps maintain a healthy weight. Plus, exercise has been shown to be just as effective at fighting depression as both antidepressants (such as Prozac) and therapy.

A recent study from the Appalachian State University's Human Performance Lab even showed that people who took a brisk walk five days a week had fewer and less severe colds and flu viruses than sedentary control subjects. So it's not just long-term chronic and fatal conditions that being fit staves off – regular exercise actually helps you battle the common cold, too.



Beyond full-on exercise, however, a recent study out of Australia also shows the health risk of being inactive. The study from the physical activity lab at the Baker IDI Heart and Diabetes Institute in Victoria, Australia found that the more television its subjects watched, the greater risk they had of dying at a younger age, particularly from heart disease.

Subjects in the study who watched four hours or more of television per day were 80% more likely to die from heart disease and 46% more likely to die from all causes, even when factors such as: education levels, overall health, age, past smoking, waist circumference, cholesterol levels, and blood pressure of the subjects was taken into account.



The study concluded that the real problem with television watching is that it is done while sitting, and sitting with extraordinarily little muscle movement. Such "extreme" inactivity affects metabolism overall, not just during the time spent inactive. A study from July 2008 showed that standing engages muscles and promotes the distribution of lipase, a fat-absorbing enzyme that triggers the body to process fat and cholesterol. Most important, the benefits of this regular, unremarkable movement are independent from the amount of time subjects spent exercising.

That same study found that the health consequences that develop from too much sitting are very different and independent from those that result from too little exercise. Along with the recent Australian study, it found that the negative health consequences of prolonged periods of sitting – larger waistlines, higher bad cholesterol levels, lower good cholesterol levels, heart disease risks – were not fully counteracted by regular exercise.

In other words, regular exercise – beneficial as it is – doesn't counteract the negative effects of long periods of inactivity.

Part of the issue is that television watching is fundamentally inactive. Harvard Health Publications estimates that, when it comes to calories burned, watching television (56 calories per hour) is closer to sleeping (46 calories per hour) than it is to sitting and reading (84 calories per hour), which itself is more akin to standing in line (94 calories per hour) than it is to watching television. (Note: calorie counts are for a 155-pound person.) In other words, watching television is as inactive as a person can get without sleeping.

Along with limiting television watching, these studies point to the importance of remaining active throughout the day. The good news is that it ends up that the simple physical movements of standing and moving between rooms has significant health benefits. When watching television, standing up during commercial breaks, going to get a glass of water, or even putting down the remote control and getting up to change channels and adjust volume the old-fashioned way can help people from staying in one extremely inactive position for extended periods of time.

Light household tasks and self-care – activities encouraged by the Balanced Care Method™ whenever clients are physically able – can help keep people moving. Not only does such daily activity help keep people physically active longer, we now know it also can directly help fight heart disease and other health risks.

10 Super Snacks


When it comes to healthy snacks, the age of the baby carrot is over. Sure, raw carrots are great for you, but so are plenty of other delicious foods. These ten delicious snacks are also "superfoods" – not only are they not bad for you, they have health-boosting properties to boot. Whether you crave something sweet, something salty, something crunchy, or something creamy, there is a superfoods snack for you. Note the serving sizes mentioned and enjoy all snacks in moderation for a healthy, varied diet.

1. Almonds have been shown to lower cholesterol and help maintain a healthy weight. About a ¼ cup of almonds is a beneficial serving. Enjoy them plain or roasted, whole or slivered. Almond butter – just a tablespoon or two – is a healthy treat, too. Try some on a whole grain cracker and a cup of green tea for a late afternoon energy boost.

2. Blueberries are as full of cancer- and disease-fighting antioxidants as any food around, so much so that they have been even shown to restore antioxidant levels. Also, like cranberries, they can help prevent urinary tract infections. Note that wild blueberries tend to have even more antioxidants than cultivated ones. Fresh berries are delicious all on their own or with a bit of Greek yogurt (see #5). Frozen berries can be used in smoothies or put on top of low-fat frozen yogurt. Use about ½ cup fresh or frozen berries as a serving.

3. Broccoli eaten either raw or lightly steamed contains tons of soluble fiber and antioxidants, as well as folic acid, calcium, ion, and potassium. Broccoli has even been shown to have the power to reduce diabetic damage. Don't throw away the stalk/stem! Cut off the thick, fibrous darker green peel to reveal the tender, pale green vegetable underneath – it has the crunch of celery and a mild broccoli flavor. Try broccoli florets or peeled stems with a little drizzle of soy sauce or a simple dip made from fat-free Greek yogurt (again see #5) – stir in minced garlic and herbs, lemon zest and minced rosemary, or a sprinkle of cumin and cayenne to taste. About ½ cup of florets or peeled stem is a serving.

4. Cherries, tart ones in particular, have similarly insanely high antioxidant levels as blueberries, putting them in the position to fight memory loss, heart disease, and diabetes. They've also been shown to help reduce inflammation, helping alleviate arthritic and gout pain. Fresh, frozen, or dried (unsweetened) tart cherries make a great snack on their own or combined with other nuts (almonds, walnuts, pumpkins seeds) and fruits (blueberries, raisins). Count ½ cup fresh cherries or ¼ cup dried cherries as a serving.

5. Greek yogurt is thick and creamy in a way regular yogurt can only dream of. It's high in calcium, of course, and contains good levels of probiotics, which aid healthy digestion. But did you know low-fat and fat-free versions contain twice as much protein as regular yogurt? The texture of Greek yogurt makes it a great snack – especially when topped with dried fruits like blueberries, tart cherries, or raisins – as well as a good substitute for fatty sour cream. Include in it your three servings (1/2 cup each) of low-fat dairy a day.


6. Pumpkin seeds give you protein, zinc, magnesium, and selenium, a potent combination that can fight heart disease and depression. Selenium, a trace mineral, is essential for proper thyroid function. Look for roasted pumpkin seeds, often sold as "pepitas," that are unsalted and flavor-free. As with all nuts and seeds, a serving is about ¼ cup.

7. Raisins, like all dried fruits, contain a lot of natural sugars, but the fiber and iron in raisins, along with high levels of vitamin C, put them squarely in the super snacks category. Plus, the phytochemicals in raisins have been shown to fight the bacteria that cause tooth decay and gum disease. Keep servings to about ¼ cup and buy only unsweetened raisins.

8. Soy beans (edamame) are a great source of protein as well as cancer-fighting flavonoids. Steamed or boiled fresh or frozen soy beans can be eaten like fresh sweet peas or in-shell peanuts – and, in fact, they taste a bit like a cross between the two –  where part of the fun is getting the nugget out of the shell. Enjoy ½ cup shelled soybeans or 1 cup in-the-pod soy beans as a tasty, healthful snack.

9. Walnuts bring protein, fiber, vitamins, minerals and precious omega-3s to the party. They've been shown to lower cholesterol, improve brain function, regulate sleep patterns, and fight cancer and heart disease. If you find walnuts a bit too bitter to enjoy them fully, use this trick: blanch walnut halves in boiling water for 30 seconds to remove some of the bitterness, drain them, and then toast them on a baking sheet in a 375-degree oven for 10 to 15 minutes to bring back their crunch. As with all nuts, limit your serving size to about ¼ cup.

10. Dark chocolate – saving the best for last. Dark chocolate has tons of antioxidants, magnesium, manganese, copper, zinc, and phosphorous. Look for chocolate that contains over 70% cocoa to get the full benefit of chocolate's antioxidant powers and limit your intake to about an ounce a day.



Caregiver of the Month: Kathy Davis




  Kathy Davis began working at Home Care Assistance in 2009. Prior to joining the HCA team, she graduated from the University of Alabama with a Masters in Education and worked as a Secondary School teacher in Alabama.
 
As a Live-In Caregiver, Kathy has done an exceptional job caring for the needs of her clients. She credits her grandmother’s "Southern Belle" influences, which stress kindness and compassion for people, in affecting her quality of care. Kathy has done exactly that while caring for Ms. Lee who she has come to love and adore over the past year.
 
Ms. Lee is a wonderful lady who has seen her memory start to slip away. Kathy started caring for Ms. Lee at a very critical time in Ms. Lee's life as she lost one of her sons to kidney failure. Ms. Lee was devastated by this and quickly regressed, losing weight and retreating into her grief. With Kathy's assistance, Ms. Lee's weight has stabilized to her normal parameters and she has started engaging socially again with her family and friends. Her family has been extremely thankful and happy for the blessings of Kathy and said if it weren't for her they may have put her in a home and more than likely would have lost her.






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