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Luna the Amazon Bitch

Where Passion Meets Reality!

Where Passion Meets Reality!

What the Animals Tell Me with Flash Silvermoon Wednesdays 8:30-9:00 PM EST Live and  on Demand

What the Animals Tell Me with Flash Silvermoon Wednesdays 8:30-9:00 PM EST Live and on Demand To listen to the live broadcast  AUG.24, call: 1-6055623140~~Enter Access code: 244850# ***If you call in stay muted until the end .*** Or ARCHIVE https://passionateworldradionetwork.com/flash-silvermoon-2/ and listen anytime to this and past shows. Also Now you can call in after the show on your Cel phones directly to listen anytime to any show –
The number is: 540 402-0043 Pin 3692.

Nationally known Animal Communicator Flash Silvermoon will share this story called LUNA THE AMAZON BITCH which share the tale of her amazing German Shepherd Luna who found Flash in NYC when she was homeless and hungry and evolved into a most incredible friend and teacher.Luna became paraplegic for the last 2 years of her life and this story explains how one can take care of an animal who is failing with devotion and humor Reincarnation is part of the theme of this and many of the other stories from her forthcoming book Lifetime Companions Love Never Dies, which offers many tales about how she began working on her own animals and how that evolved into treating all kinds of other animals over the last 35 years. This book will be especially healing for those who have lost their special animal companions. They can see for themselves with their own lifetime companions that LOVE NEVER DIES! Sure to be an enlightening and elevating program. Hopefully this show will enable, inspire and educate you in ways to help yourselves and the animals that you love~~~~~~~~~~~~~~~~~~~~~
Flash offers her 35+ years of experience doing healing work with the animals to enlighten you about their psyches, and how to truly deepen your relationship with your animal companions and all animals Call Flash Silvermoon North Central Florida’s Favorite Pet Psychic, Psychic and Astrologer for an appointment today at: 352-475-2432

Flash states: The animals are my teachers and I have been blessed by many excellent teachers in my home and in my practice. I am sure that you will find that this information awakens your own skills as an Animal Communicator too. Reach Flash Silvermoon at http://www.flashsilvermoon.com.

~~ Flash always shares more about Holistic methods to heal your animal companions. Of course the first thing is Animal Communication which is the best aid in knowing and understanding what your animal companions want and need as well as how their past and even past lives can influence their healing. Flash also creates her own Gem Elixirs and uses Green Hope Farms Flower Essences as well as homeopathy, essential oils and healing touch to round out her practice. See her website for further info on ordering or having her work on your animals.

Flash presents this wonderful show devoted to bringing people and animals into greater harmony. She shares her amazing experiences as an Animal Communicator and offers everything that you might want to know about the world of animals from care, healing, feeding and most importantly understanding. She often shares the mic with special guests who are managers of sanctuaries, non traditional vets, and all manner of people who work on the front line loving and helping animals. FYI You can find Flash on FB under Deborah Kotler as FB decided to remove her real name Flash Silvermoon and now under FRIENDS WHO LIKE FLASH SILVERMOON

Please check out this message from our Station Manager //www.patreon.com/user?u=3817114 as PWRN would like to make $500 a month to make it possible to meet our monthly bills. Once we can accomplish a monthly income , we can expand our outreach with live streaming of video podcasts, podcasts, and programs on a daily basis.


The Truth about Early Onset Alzheimer’s

Where Passion Meets Reality!

Where Passion Meets Reality!

8.22.16  Mary Yamin-Garone

MYG Podcast 082216

Good afternoon. Welcome to Demystifying Alzheimer’s. I’m your hostess Mary Yamin-Garone.

Today’s topic is “The Truth about Early Onset Alzheimer’s.”

Early-onset Alzheimer’s is a rare form of AD that strikes individuals between the ages of 30 and 65. According to the Alzheimer’s Association, early-onset accounts for roughly 10 percent of all cases in the United States.

Who gets early-onset Alzheimer’s?

In the U.S., it’s estimated that roughly 200,000 people have early AD. Many of those diagnosed with early onset Alzheimer’s are in their 40s and 50s. They have families and careers. Some are even caregivers.

What causes it?

Doctors don’t understand why most cases of early onset Alzheimer’s appear at such a young age.The majority of those with early-onset have sporadic Alzheimer’s disease, which is the most common form and is not attributed to genetics. In a few hundred families worldwide, however, scientists have pinpointed several rare genes that directly cause the disease. People who inherit these rare genes tend to develop symptoms in their 30s, 40s and 50s. When Alzheimer’s disease is caused by deterministic genes, it’s called “familial Alzheimer’s disease.” Many family members in multiple generations are affected.

Early-onset Alzheimer’s that runs in families is linked to three genes that differ from the APOE gene that can increase your risk of AD in general. The genetic path of inheritance is much stronger in early-onset Alzheimer’s. If you have a genetic mutation in one of those genes—the APP, PSEN 1 or PSEN 2—you may develop the disease before you’re 65.

If early-onset Alzheimer’s runs in your family should you get tested for it?

Anyone who’s thinking about getting tested should consider genetic counseling to examine the pros and cons. It may be helpful to contemplate how a positive test may affect things, such as long-term care eligibility and disability and life insurance. Then again, if you know you carry a form of the early-onset genes, steps can be taken to make things easier for all involved to cope with the effects of the disease.

Does early-onset Alzheimer’s progress faster?

While it’s perceived to be, it’s not backed up by hard data. The answer depends on what endpoint is used when measuring. If the endpoint is going into sa nursing home, that may happen earlier for someone with early-onset. That’s only because their spouses or partners may have more to deal with than older spouses, such as children and jobs.

How important is it to get an accurate diagnosis?

An accurate diagnosis is critical. It’s fundamental in helping everyone involved respond with appropriate understanding and compassion. A complete evaluation also will rule out reversible forms of dementia that might improve with treatment. Since health care providers generally don’t look for Alzheimer’s disease in younger people, getting an accurate diagnosis of early onset AD can be a long and frustrating process. Symptoms may be incorrectly attributed to stress or there may be conflicting diagnoses from different health care professionals. People who have early onset Alzheimer’s may be in any stage of dementia–early, middle or late. The disease affects everyone differently and symptoms will vary.

If you or your loved one are experiencing memory problems, you should:

  • Have a comprehensive medical evaluation with a doctor who specializes in Alzheimer’s. Getting a diagnosis involves a medical exam and possibly cognitive tests, a neurological exam and/or brain imaging. Call your local chapter of the Alzheimer’s Association for a referral.
  • Write down symptoms of memory loss or other cognitive difficulties to share with your health care professional.

Are there financial issues to consider?

Those with early-onset Alzheimer’s often have to quit their jobs. This loss of income can be a serious concern. Finances get even tighter if spouses or partners also quit their jobs to take on the role of full-time caregiver.

Some medical benefits and many social-support programs won’t provide assistance unless the individual is over 65. Younger individuals may need special waivers to get into such programs.

So what can you do?

  • Have a financial planner and an attorney help you plan for your future financial needs
  • Find out if early retirement is an option
  • Check into what benefits may be available through Social Security, Medicare or Medicaid


how can couples cope with early-onset Alzheimer’s?

Spouse or partners face the possibility of spending many years without an active partner. Losing intimacy and becoming a caregiver tends to complicate the relationship. It’s important to try to:

  • Talk about the changes that are happening and how your needs have changed. Don’t be afraid to ask for help.
  • Find new actitivies you both can enjoy.
  • Seek out a counselor who works with couples facing challenging issues, such as sexuality and changing roles in the relationship.

How do you involve children?

A diagnosis of early-onset Alzheimer’s can be especially difficult for children. They may blame themselves and become angry and withdrawn. It’s important to:

  • Find activities you can do together
  • Be honest with them about what’s going on
  • Find a support group for children and/or families

If you or your loved one have early onset Alzheimer’s you’re not alone. There are many ways to stay active and involved.

  • Call the Alzheimer’s Association’s 24/7 helpline.
  • Join an Alzheimer’s Association support group. Some are specifically for those suffering from early-onset AD.
  • Be part of the Alzheimer’s Association’s message boards and online community.
  • Get their free online tool, Alzheimer’s Navigator, to receive a customized action plan and step-by-step help on a variety of topics.

That’s all for today. Thanks for listening. I hope this information was helpful.

Join me next time for more Demystifying Alzheimer’s.



Interpersonal Skills & the Olympian Atheletes


I usually keep my opinions to myself since I run an Internet talk radio station and don’t want to favor one side against the other. However, since the Swim Team decided to act like fools and idiots, my personal opinionated side won over my more discreet radio side.

It has happened once again. “The Arrogant America” got the better of four of our gold medal swimmers and they acted like spoiled, temperamental and arrogant Americans. We seem to thrive in a culture and environment of “We can do anything we want as long as we don’t get caught.”

I’m not surprised. Let’s review some of the well-known phrases that our kids are brought up with.


  1.  Win at any cost!
  2.  Do whatever it takes as long as you don’t get caught!
  3.  If you cheat, cover your tracks.
  4. Make sure you have a scapegoat so if things go wrong, you can blame them.


How to Handle Difficulties with Eating?

Where Passion Meets Reality!

Where Passion Meets Reality!

8.20.2016 Mary Yamin-Garone, DeMystifying Alzheimer’s

MYG Podcast 082016

Good afternoon. Welcome to Demystifying Alzheimer’s. I’m your hostess Mary Yamin-Garone.

Today’s topic is “How to Handle Difficulties with Eating.”

People with Alzheimer’s often lose interest in food. They miss meals, forget they’ve eaten or eat whatever’s on hand. Any or all of these behaviors can make mealtime difficult. Poor nutrition also can compromise your loved one’s health and well-being.

If you’re caring for someone with Alzheimer’s, it’s important to understand what causes eating problems and how you can encourage good nutrition.

  1. Doesn’t eat, won’t eat

Possible causes
Your loved one may forget mealtimes altogether because of memory loss.

They may not eat much during meals because of:

  • A short attention span
  • Distraction
  • Confusion about how to use utensils or eat the particular food served
  • Something problematic about the food like temperature, flavor or lack of familiarity
  • A physical impairment, such as a sore mouth, upset stomach, reaction to a new medication or poor fitting dentures

What to do

  • Be sure you’re dealing with a true lack of sufficient calories and nutrition, not merely a finicky eater or a small appetite.
  • Rule out physical problems by checking in with their doctor, especially if the change is sudden or they’re losing weight.
  • Avoid coaxing and cajoling. It can set up a power struggle. It’s better to focus on more subtle strategies.
  • Serve meals and snacks at the same time every day to establish a routine.
  • Allow plenty of time for meals so your loved one doesn’t feel rushed. Serve them at their own pace.
  • Help them focus on the meal. Eliminate background noise and remove clutter from the table.
  • Highlight their plate and cup by putting them on a contrasting solid placemat. A study in Clinical Nutrition found someone with Alzheimer’s eats and drinks more when using high-contrast tableware.
  • Avoid patterned dishes or table coverings.
  • Offer matter-of-fact, gentle prompts during the meal, such as “Pick up your fork,” “Scoop up the potatoes” or “Take a bite.”
  • Serve foods with protein and calcium at each meal.
  • High-caloric, nutrition-dense foods, like dishes made with cheese, butter, nut butters or whole milk, are good for bird-like eaters. Casseroles are also a good choice.
  • Don’t serve foods that are too hot.
  • If big meals aren’t consumed, break them up into snacks and then serve at intervals. For example, eggs at breakfast, toast an hour or two later and a smoothie later still.
  • Look into Meals on Wheels or other programs to deliver a hot meal each day, especially if an elderly spouse is the primary caregiver.
  1. Eats too much

Possible causes

Your loved one:

  • Forgets they’ve eaten
  • Loses the ability to register the sensation of fullness

What to do

  • Serve food restaurant-style (brought to the table all on one plate) rather than family style (with serving dishes on the table), which invites second and third helpings.
  • If your loved one is an all-day snacker, make snacks low-calorie and filling, like popcorn, apple slices and raw vegetables with yogurt dip. Make sure choking isn’t a hazard.
  • Provide plenty of activities to engage in to distract them between meals.
  • Keep snacks out of sight and out of reach so your loved one has to ask for them rather than help themselves.
  • Don’t deny them food that you’re eating. Limit portions instead.
  1. Doesn’t drink enough liquid

Possible causes

Your loved one:

  • Doesn’t know they’re thirsty
  • Forgets to drink during the day or with meals
  • Purposely doesn’t drink because using the bathroom afterward is a physical challenge or it’s something they don’t want to do in public.

What to do

  • Offer liquids throughout the day. Don’t wait for your loved one to ask.
  • Don’t just hand them a glass. Be sure they sip the drink.
  • Vary the types of beverages offered, such as water, juice, milk, hot chocolate or cider. Even coffee, tea, and soda are okay in moderation (about one cup) if that’s what they prefer. A cup or two a day doesn’t pose a diuretic effect that would lead to dehydration.
  • Curb caffeinated beverages if fear of getting to the bathroom on time is a problem.
  • Issue mild reminders during the meal like “Have a sip of water” or “Try the iced tea.”
  • Leave water bottles around the house or carry them with you during the day.
  • Serve fruit, which contains a lot of water, especially watermelon, melon and citrus.
  • Know the symptoms of dehydration, including, increased confusion or lethargy, complaining of headache, dry skin or mouth and feeling warm to the touch. If you can’t rehydrate your loved one by getting them to take liquids, and you don’t see a change in symptoms, call the doctor, especially if you suspect dehydration.
  1. Messy eating

Possible causes

Your loved one may have:

  • Lack of fine motor control
  • Lack of attentiveness
  • Decreased interest in self-care and hygiene
  • Any combination of the above

What to do

  • Lower expectations and look the other way as much as you can. Spilled food can always be cleaned up.
  • Use a vinyl tablecloth or paper placemats.
  • Place a napkin in your loved one’s lap before serving food.
  • Cut up foods before serving.
  • Serve fewer “risky” foods, like sauces and condiments (mustard, ketchup, mayo). Season food before bringing it to the table.
  • If manipulating utensils is difficult, switch to a “spork,” a combination spoon-fork often sold in camping stores. Spoons with thick handles are also easier to hold.
  • Serve finger foods, such as fried chicken, chicken strips, pizza cut into bite-sized pieces, fish sticks or sandwiches, to eliminate the need for utensils. Cook eggs omelet-style and cut them into strips or squares.
  • Serve soup in a mug, not a bowl. Be sure to let it cool first.
  • Use unbreakable dishes or heavy ironstone that’s less likely to slide.
  • Use plastic cups.
  • Serve only one or two foods at a time.
  • Serve liquids in a cup with a spout (available in some hospital-supply stores), or pour only a small amount at a time into a small cup.
  • If you have to point out a mistake (mustard smeared on the cheek), sound casual and surprised (“Oh, that mustard is so messy. Let me help you get it off your cheek”) rather than shaming or blaming.
  1. Goes on food jags

Possible cause

Your loved one may:

  • Find that familiar favorites are comfort foods. Anxiety may make these seem preferable.

What to do

  • Indulge food preferences as much as possible, provided their overall diet is reasonably balanced. It’s okay to serve the same entrée day after day.
  • Serve the same food more than once in a day if your loved one requests it.
  • Ask your doctor about adding vitamins if their diet seems unbalanced.
  • Consider preparing the food in different formats. For example, a hot chicken breast might be refused, while chicken soup or chicken salad might be eaten without complaint.
  • Try to serve old favorites from your loved one’s childhood. They are often remembered and preferred.
  1. Doesn’t swallow or chokes

Possible causes

Your loved one:

  • Finds it physically difficult to swallow
  • Forgets to chew
  • Consumes food too rapidly

What to do

  • Avoid hard foods, such as popcorn, nuts, hard candy, raw vegetables (such as carrots), hot dogs (unless finely diced), grapes and apples.
  • Avoid foods that require a lot of chewing, like celery, steak and chips.
  • Avoid sticky foods like peanut butter.
  • Mash up foods or puree them in a blender or baby-food grinder. Finely dice meat and cheese.
  • Choose non-solids, such as puddings, gelatins, applesauce and small-curd cottage cheese.
  • Try nutritional supplement drinks like Ensure.
  • Be sure liquids aren’t too thin. They may be drunk too quickly, causing a choking hazard.
  • Choose thicker soups, purees and smoothies. They’re easier for seniors with chewing and swallowing problems.
  1. Self-feeding has become impossible

In addition to the suggestions above:

  • Be sure your loved one is sitting upright.
  • Alternate solids with sips of liquids.
  • Make foods more liquid as you feed. For example, add extra milk to mashed potatoes.
  • Gently coach the person through feedings. “Okay, open your mouth…now close…now chew…swallow.”
  • Try rubbing your loved one’s chin or cheek as a gentle way to stimulate chewing

That’s all for today. Thanks for listening. I hope this information was helpful.

Join me next time for more Demystifying Alzheimer’s.


Distinguish Yourself From the Ordinary!

Where Passion Meets Reality!

Where Passion Meets Reality!

How does one do that? Distinguish oneself from the ordinary?

Special Brew?


Is there something special that one needs to do in order to distinguish themselves?

Like in battle and you become a hero?

Like in a fight and you negotiate a peace settlement?

Like in the Olympics and win a gold, silver or bronze metal?

Is it hard? Harder than remembering to brush your teeth or mind your little sibling when out and about with your parents?

What is that one particular something that can distinguish you from remaining or being ordinary?

What is it?


Is there such a word? If not, there should be. Being distinguished. Becoming Distinguished. In my mind’s eye, it’s all the same. Being distinguished does not mean wearing a scarf around your neck and being upper British with an accent. To become distinguish is to prove yourself. To go beyond the norm and do something that sets you apart from what everyone else is doing.

To become distinguished to to ‘take a leap of faith’ that you’re doing something that will help your fellow man or woman. It means that you’re willing to take a ‘risk’ when playing it safe is no longer your norm. It means that you’re willing to stand out from the crowd and say, “Here I am. Come and get me.”

It means all that stuff.

How does one do it?

To become distinguished is to place yourself in the ‘paths of giants.’ People who can help you further along the road. To lift you up. To mentor you. To further educate yourself. To learn new ideas – progress along a new road that no one else has taken. When I first started to distinguish myself from the ordinary, it was scary. No one did that type of stuff back in the early 2006. Let me reframe that. No woman started a radio station. It just wasn’t done. Woman were hosts or weather woman, but not an entrepreneur who did technie things.

We’ve come a long ways baby, and still got many a mile to cover in today’s world especially where there are certain men who are all too eager to put us back in our places. Maybe, they should stay home and tend the children while we go out and conquer the world.

However, the point is, that in lots of industries today there are still male-dominated areas where women are very few and far between working in them. That was the situation back in the early 2000, very few and far between women. In fact, only 33 percent of women work as managers in the radio business. Something I wanted to change. So I distinguished myself and did something about it.

I didn’t plan on it. I didn’t say, today I’m going to distinguish myself from the ordinary. Nope, I just went out and did it and thought nothing about it. And, that’s what you do when you want to distinguish yourself from the ordinary.

To raise yourself above the commons below you. You perform a certain act and see where it leads you. One step at a time. One foot in front of the other. All of these known words and phrases add up one at a time.

You do the same thing with distinction. It creeps up on you until you are shining example to all the other ladies or men below you.

So, the next time something out of the ordinary happens to you, remember you’re setting the stage for ‘distinguishing yourself from the ordinary!’


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Where Passion Meets Reality!

Where Passion Meets Reality!

8.15.2016  Mary Yamin-Garon: Choosing the

Right Type of Senior Living for Your Loved One

Good afternoon. Welcome to Demystifying Alzheimer’s. I’m your hostess Mary Yamin-Garone.

Today’s topic is “Choosing the Right Type of Senior Living for Your Loved One.”

Slowing down physically and mentally are a normal part of the aging process. Some changes, however, may indicate something more serious. As a caregiver, it’s important that you pay close attention to any outward signs of decline in your loved one.

You can start by taking a look at how they manage the activities of daily living (ADL). The following information can be used as a reference.

Basic activities, such as:

  • Feed themselves
  • Use the bathroom appropriately
  • Maintain good personal hygiene, including oral care
  • Dress appropriately for the weather
  • Maintain continence
  • Walk and transfer (from bed to wheelchair or wheelchair to walker)
  • Climb stairs

Complex activities include:

  • Cooking
  • Shopping
  • Communicating effectively
  • Following directions
  • Taking medications correctly
  • Managing money/finances
  • Using the telephone and other communication devices
  • Doing housework and basic home maintenance
  • Handling transportation, whether it be driving or navigating public transportation)
  • Doing laundry

Having trouble with one or more of these activities is a sign of functional decline. While it could be the result of an illness, injury or medication, it also may be due to cognitive deficits. Here are more detailed examples of functional decline. See how many symptoms apply to your family member.

Function                                                                                Symptoms

Misusing medications                                                          Taking the wrong dosage

Mixing medications

Expired medications

Deviating from schedule

Poor hygiene                                                                        Wearing stained/dirty clothing or the same clothes every day

Inappropriate clothing choice or wearing nightclothes during the day

Body odor or other signs that they’re not showering/bathing

No longer combing their hair or brushing their teeth

Weight loss

Dietary changes                                                                   Lack of fresh food in refrigerator

Foul odors coming from the refrigerator/cupboards

Financial difficulties                                                             Unpaid bills

Changes in spending habits

Unusual donations

Problems communicating                                                   Forgets your name/who you are

Repeating questions

Verbal confusion or stammering

Inappropriate comments to family/friends

Difficulty functioning                                                           Forgetting how to use simple items

Getting lost while driving/walking

Spoiled or poorly cooked foods

Mail is accumulating

House is cluttered

Sensory changes                                                                  Loss of vision or diminished hearing that affects their ability to drive, read medication labels, see traffic signs or hear the phone or smoke/fire alarm

Frequent falling                                                                    Unexplained cuts/bruises

Reluctant to leave the house

Hesitant or unsteady gait

Have a Family Meeting

When an elderly parent falls ill, has an accident or is diagnosed with Alzheimer’s or another form of dementia, the family needs to discuss pressing issues and make decisions.

Invite each family member to a meeting to talk about your loved one’s situation. Discuss the pros and cons of relocating them to a senior living community.

Topics to address include:

  • What does your loved one need and want?
  • What is the best senior living option for their situation?
  • How much will their care cost and how will it be paid for?
  • How will decisions be made? By consensus or by a designated family member?

Make sure everyone has an opportunity to voice their opinion. All feelings are appropriate and need to be expressed.

Senior Care Options

Each family’s senior living decision is unique. Determining which type of help your loved one needs is vital when it comes to finding the right community. When evaluating senior living for your family member, there are many options to consider. Each one has its own merits. Before making your decision, evaluate your loved one’s capabilities and needs to determine which facility would be best for them.

Independent Living

Independent living housing comes in many forms ranging from 55+ apartment communities to villa homes on the campus of a retirement village or continuing care community. This senior living option is for those who are able to perform their own basic ADLs and need little or no medical assistance.

This option is designed to help seniors maintain their independence while recognizing that they are aging. The focus for those interested in independent living is often on lifestyle, security and peace of mind. Typically, they are looking for social, educational and recreational opportunities to enrich their lives.

Living in a congregate senior community offers not only a physically safer environment, such as handrails in the bathroom and 24-hour emergency response system but emotional security, too. Accommodations are smaller, easier to maintain and often resemble apartments. This allows active seniors to spend less time on chores and more time pursuing recreational, social and other activities.

Service options available include:

  • Low-maintenance homes with little or no yard work required.
  • Social activities and
  • Meals

Assisted Living

Assisted living is often viewed as the best of both worlds. Residents have as much independence as they want while knowing that personal care and support services are available if they need them. These senior living communities are designed to assist residents with basic ADLs. Some states also allow assisted living to offer medication assistance and/or reminders.

Assisted living communities range from a stand-alone residence to being one level of care in a continuing care retirement community. The physical environment of these facilities is often more appealing to potential residents and their families. They offer a more home-like atmosphere with apartment styles that typically include studio and one bedroom models. Kitchenettes usually feature a small refrigerator and microwave.

These communities help seniors maintain an independent lifestyle. At the same time, they provide a place where residents can enjoy a full social life, lots of brain and body activities and companionship. Depending on the community, residents may have access to a fitness center, swimming pool, beauty salon and post office. Communities also will plan events, activities and trips that residents can participate in that range from happy hour to concerts.

Most assisted living facilities create a service plan for each resident when they move in. This plan details the personalized services the resident requires and are guaranteed by the facility. Plans are updated regularly to assure that your loved one receives the best and most appropriate care as their condition changes.

Service options available include:

  • Minor medical care
  • Transportation
  • Personal care assistance and
  • Light housekeeping and laundry

Skilled nursing/nursing home

Nursing homes, or skilled nursing facilities, are medical facilities dedicated to caring for those with severe or debilitating physical or mental illnesses who are unable to care for themselves. Unlike assisted living communities, nursing homes provide intensive, long-term medical care to seniors with serious health conditions in a fully staffed and monitored environment.

Most nursing homes have medical professionals, such as doctors, nurses, certified nursing assistants and healthcare aides, on staff. They provide residents with quality medical care, including physical or speech therapy, pain management and hospice care. Staff are trained to assess health emergencies and will readily refer residents to a nearby hospital to deal with more complex or acute conditions when necessary.

Many nursing homes have medical equipment traditionally found in hospitals, such as X-ray machines, pharmacies and electronic beds. Some also have special units designated for those suffering from Alzheimer’s or other dementias. In addition, these facilities offer rehabilitation services where a senior can stay before returning home after a medical operation or procedure.

Service options available include:

  • Personal care assistance
  • Social activities
  • 24-hour supervision and
  • Transportation

Memory Care

Depending on their level of impairment, living alone may not be safe for your loved one but they aren’t ready for a nursing home either. Memory care communities let them maintain some level of independence while being safe. These facilities are built solely to care for those with Alzheimer’s. The environment is secure and the hallways are color-coded to help residents navigate.

Residents are engaged in meaningful activities to better maintain their functional abilities. These activities are delivered by staff specifically trained to care for those whose memory is impaired. It also has been reported that memory care facilities improve a senior’s safety and quality of life. This includes reduced medication and its side effects and fewer falls, injuries and hospital visits. Many even improved or could maintain mental functioning.

Service options available include:

  • Daily meals, housekeeping and laundry service, medication management, exercise and physical therapy programs, social programs and activities and 24-hour staffing and personal assistance
  • Specialized care and nursing services that assisted living facilities don’t have and
  • Information and practical tips for the families to help them care for someone suffering from memory loss.

Home Care

Also called “companion care,” home care consists of non-medical services that allow your loved one to receive assistance with ADLs and Instrumental Activities of Daily Living (IADLs). The frequency of home care services provided varies depending on several factors. The primary factor is the level of independence a senior can maintain while ensuring their basic care needs are met. For example, if your family member is still independent in all ADLs, they may only need assistance with things like house cleaning, laundry and transportation to shopping once a week. In other situations, they may need daily supervision of particular activities to ensure their physical safety and well-being.

Service options available include:

  • Short-term basis, such as after a medical crisis has occurred like a stroke or fall. Temporary assistance may be needed while regaining strength and/or
  • Long-term basis so a senior can receive care while their caregiver is working.

That’s all for today. Thanks for listening. I hope you found this information helpful.

Join me next time for more about choosing the right senior living option for your loved one.


Speak Well versus Speak Effectively

Where Passion Meets Reality!

Where Passion Meets Reality!

Is there a difference between Speaking Well versus Speaking Effectively?


What’s the Difference?

Speaking Well means everyone can appreciate what you have to say. That they heard what you wanted to share with them and they understood each and every word.

However, Speaking Effectively means something entirely different. It means that your message reached its audience.

Have you ever listened to candidates speaking before a huge crowd and notice the reactions among the crowd? Not all of the audience heard the same message although the same words were aimed at them. Not all of the audience received the same set of instructions that the rest of the crowd heard. Why is that?

Remember a few nights back when Presidential hopeful Trump spoke about the now infamous 2nd Amendment and Ms. Clinton? Did you watch the news coverage explanations of what Mr. Trump meant as opposed to really meant?

In this speech Mr. Trump spoke well, but he didn’t speak effectively. Or did he speak effectively, but not well? Mr. Trump spoke effectively, but not well.

Not well because the message he sent was received wrongly by a small percentage of people. Many thought he advocated or advised people who supported the 2nd amendment to go out and put Ms. Clinton out of her misery. Or worse, elect Mr. Trump president so Ms. Clinton wouldn’t be put out of her misery.

Was it a bluff? Was it treason? What was it?

The problem is when a person speaks they need to be mindful of their words and their impact. paat part of Mr. Trump’s charm and strategy is to speak from the hip. That’s fine as long as everyone else, including his opponents understand his strategy. However, it doersn’t give Mr. Trump license to steal, cheat or inspire or motivate people to take law into their own hands. The same piece of parchment paper that Mr. Trump uses is also the same piece of parchment paper that Ms. Clinton has the right to use as well. And, when anyone crosses the line, they are held responsible for their words.

Which leads us to another unspoken law. When words are mis-used or used incorrectly, does the audience or the people being spoken to, don’t they have a responsibility to own up to the improper use of words and ask these words not be repeated.

Now, I know my history. Nazi Germany and Italy did not take responsibility for their words and the results were rather dismal for those people whom the words were spoken out against.

Will history repeat itself or will our citizens speak out and against those who use words to further their own ends? Only time will tell.

The next time you want to get your point across, your message across, your feelings, emotions, hatred, sympathy whatever the occasion demands, first remember this. Do you want to be remembered for speaking well or do you want to be remembered for speaking effectively?

Only you can decide to use one of them or — both!


Part II – Language, Speech and Alzheimer’s

Where Passion Meets Reality!

Where Passion Meets Reality!

8.08.2016  Mary Yamin-Garone, Podcast on Language, Speech and Alzhimer’s, Part II

Good afternoon. Welcome to Demystifying Alzheimer’s. I’m your hostess Mary Yamin-Garone.

Saturday’s podcast was on language, speech and Alzheimer’s. I’ll focus more on that today.

Communication between the caregiver and the individual with Alzheimer’s is an extremely important—and often difficult—part of the caregiving process. Oftentimes, those in the moderate stage of the disease become angry or agitated because they don’t understand what’s expected of them. They could be frustrated by their inability to make themselves understood.

Be aware that in this stage, your loved one may repeat the same sounds or statements; use familiar words repeatedly, easily lose their train of thought; have difficulty organizing words logically; speak less often; or revert to their original language when trying to communicate.

Some individuals might insert the wrong word into a sentence. For example, your loved one might say, “I want to eat my hair” instead of “I want to comb my hair.” Show that you understand and don’t make a big deal about correcting them.

How you communicate with your loved one with Alzheimer’s will be different than it used to be. Here are some ways you can make it easier for everyone.

  • Let them tell stories even if they repeat the same one over and over.
  • Avoid expressions that can be taken too literally, such as “shake a leg” or “jump into bed.”
  • Never argue with someone with Alzheimer’s. They’ll only become angry, more confused and frustrated. Think about the point you’re arguing about. Is it life threatening? Is it about going into a busy street during rush hour? If it is, then you have to keep safety in mind. However, if it’s over whether your father is wearing brown or black pants then don’t waste your time or energy.
  • Listen sensitively to laments, such as “It’s so difficult” or “I don’t know what to do” and commiserate with the confusion your loved one is experiencing. If possible, laugh together about how ridiculous life can be.
  • Try to be at eye level when you speak with someone with Alzheimer’s.
  • Use short, simple sentences that express one main idea.
  • Avoid complex language that people with AD may have trouble understanding. Pause between sentences and allow plenty of time for them to understand and process the information.
  • Always approach your loved one slowly and face them when speaking. Be aware of your facial expressions. They may interpret your mood from your expression, especially if you’re frustrated with their behavior.
  • Try to eliminate background noise and have conversations in quiet settings to prevent them from being distracted and receiving confusing or conflicting messages.
  • Take whatever time is needed to respond to what your loved one is attempting to articulate, ask or share with you. It can turn into a frustrating guessing game until the information is fully understood. Despite the difficulty, it’s important to maintain communication.
  • Use a nondemanding approach. Humor or a gentle tease often helps caregivers through difficult situations. Convincing someone to get out of bed or to the bathroom is usually easier if you make a game or joke out of it.
  • Win your loved one’s trust. This can make a task simpler, especially if you spend time talking before beginning the task at hand. Talk about the weather, family members or some other reassuring topic to help them get in a relaxed frame of mind.
  • As your loved one becomes more impaired, they’ll lose their ability to understand words. You may need to say, “Here’s your dinner at this table” instead of “It’s time for dinner.” They may also revert to words from their childhood or earlier in life so that “Do you need to go to the bathroom” may not be as easily understood as “Do you have to pee?”
  • Talk in a warm, easy-going, pleasant manner. Use a tone of voice you’d like people to use with you.
  • Keep the pitch of your voice low. When a person doesn’t immediately understand, there’s a tendency to shout. This will upset the individual with Alzheimer’s and make commnication even more difficult.
  • Redirect your loved one if they become agitated by moving on to another activity or topic of conversation.
  • Keep your hands away from your face when you’re talking.
  • Avoid mumbling or talking with your mouth full.

Communication becomes even more difficult in the late or severe stage of Alzheimer’s, making it harder to determine how much the individual comprehends. Don’t assume they don’t understand your words of comfort and assurance, even if they don’t respond. They may recognize statements or movements.

As a caregiver, you should always look for new ways to communicate with your loved one using all of the senses.

  • Accept and expect communication to consist of single words or gestures.
  • Be attuned to nonverbal communication, like closing the lips tightly to refuse food or pulling on their clothing, indicating pain or anxiety.
  • Be open to all types of communication.

Remember, non-verbal communication is just as important for someone with Alzheimer’s. Your presence, touch, gestures and attention can remind them of your acceptance, reassurance and love.

That’s all for today. Thanks for listening. I hope you found this information helpful.

Join me next time for more Demystifying Alzheimer’s.