WEBVTT 1 00:00:05.630 --> 00:00:06.310 Victoria Musheff: That's go. 2 00:00:07.660 --> 00:00:11.239 Victoria Musheff: Can you hear me? 3 00:00:11.960 --> 00:00:25.890 Victoria Musheff: Good morning, and I'm so excited. This is, a part of our well-being program this, this morning, and we're going to talk a little bit about home health. Pruitt, is our 4 00:00:25.930 --> 00:00:38.209 Victoria Musheff: speaker this morning, and she's Professor Emeritus of Clemson University School of Nursing. During her tenure as school director and associate college dean, the School of Nursing received initial recognition as an 5 00:00:38.210 --> 00:00:46.260 Victoria Musheff: NLN, National Center of Excellence, and for those of you who are not familiar with that acronym, it's the National League of Nursing. 6 00:00:47.120 --> 00:00:56.170 Victoria Musheff: And, they received this award for their ability to help students with don't placement? 7 00:00:56.370 --> 00:01:01.570 Victoria Musheff: Licensure and certification rates, which all exceeded the national average. 8 00:01:01.750 --> 00:01:20.380 Victoria Musheff: Federal programs were launched, including the Interdisciplinary PhD in Healthcare Genetics and the Accelerated second degree program for non-nursing majors. She also led the development of the Family Nurse Practitioner Graduate Program, and much of her research is focused on the effectiveness of health promotion interventions 9 00:01:20.420 --> 00:01:39.289 Victoria Musheff: She currently serves on the Urnest College Advisory Board. She volunteers at the Anderson Food Play, her church, Rotary, and Anderson County Master Gardeners. She enjoys tennis, walking, and yoga. And if you were with us last year, you probably saw with him when she talked to us about 10 00:01:39.310 --> 00:01:54.719 Victoria Musheff: healthcare benefits and plans. And I thought that was a great program, and I learned a lot on that one. So I'm excited to learn more about brain health, and Rodent, we'll turn it over to you. Thank you. Good morning. You'll put the slides up. 11 00:01:54.920 --> 00:02:03.050 Victoria Musheff: Wanted to mention that one of the interests in this field, back in 2020, just prior to the pandemic, my mom 12 00:02:03.070 --> 00:02:26.770 Victoria Musheff: My dad had just passed away, my mom was in a nursing home, and watching her being isolated, and the depression and the dementia that came on from that was really very painful, because there was not a lot we could do. They told us if we took her out, we couldn't bring her back, and watching somebody who had been very socially active being isolated, and, you know. 13 00:02:26.850 --> 00:02:51.720 Victoria Musheff: stopping reading, stopping conversations even on the telephone was, and watching what happened over time was… was very difficult. What we'll be talking about today, there's a huge amount of research that's been going on. Nih, the National Institutes on Aging, Mayo Clinic, Alzheimer's Association, and other publications. These were some of my sources in terms of pulling 14 00:02:51.720 --> 00:03:01.509 Victoria Musheff: together. There's still a lot of ongoing research, but a lot of it has agreed a lot. We can do things to make a difference. So that's what we'll be talking about today. 15 00:03:01.510 --> 00:03:10.980 Victoria Musheff: Factors affecting memory, aging is really the number one. Dementia risk for the 65 to 69 year olds. 16 00:03:11.000 --> 00:03:22.130 Victoria Musheff: It's about 2 per 100, but when they get into that early 90s, it goes up to 33 per 100 in terms of dementia, so the tremendous increase. 17 00:03:22.130 --> 00:03:28.240 Victoria Musheff: Only 2-5% are due to an inheritance. So there's things we can do about it. 18 00:03:28.240 --> 00:03:42.990 Victoria Musheff: They, one of the things that researchers identified is 70 different genes that have some impact on Alzheimer's, so it's not just the one, but, and that's, like, say, a very small number. Chronic diseases and lifestyle patterns. 19 00:03:43.950 --> 00:03:53.870 Victoria Musheff: Many recent studies have found that lifestyle is modifiable to significantly impact memory. A positive impact was found even in those who carried that pain. 20 00:03:54.400 --> 00:04:04.110 Victoria Musheff: And as we go through, if you have any questions, Victoria, if you will check with any questions online, or additions, anything that you would like to add. 21 00:04:06.560 --> 00:04:08.130 Victoria Musheff: Okay, good. 22 00:04:08.510 --> 00:04:21.899 Victoria Musheff: There we go. Okay, so we're looking at the six pillars that, have come out of the research, being social, managing stress, exercise, restorative sleep, eating right, and engaging the brain. 23 00:04:23.260 --> 00:04:24.710 Victoria Musheff: Cooking social. 24 00:04:24.990 --> 00:04:35.960 Victoria Musheff: Love, both romantic and platonic, releases the dopamine, the feel-good hormone. Generosity positively impacts the brain. More attentive, energetic, and happy. 25 00:04:36.490 --> 00:04:54.550 Victoria Musheff: Social networks are essential for long-term mental and cognitive health, fewer feelings of isolation and loneliness. And then, pets, bringing pleasure and reducing stress, and those of you that have pets know that they can certainly, help in terms of that socialization. 26 00:04:56.460 --> 00:05:08.859 Victoria Musheff: With social engagement, social isolation is associated with mental decline and illness, so you want to look for ways that you can do what you enjoy with others. Just one suggestion, considering a book club. 27 00:05:08.860 --> 00:05:19.339 Victoria Musheff: promoting active engagement with the book's content and others. And this is something you can do online, as well as, you know, being in the same room or the same location. 28 00:05:20.070 --> 00:05:34.680 Victoria Musheff: Engagement. Needlework, quilting, if you do that, consider doing it with a friend or gigal. If cards, computer games are something you enjoy, consider a group or challenging others to play with you online. 29 00:05:35.580 --> 00:05:42.169 Victoria Musheff: Service, looking for organizations where you can volunteer. Do what brings you joy. That's an important part of that. 30 00:05:44.530 --> 00:05:46.150 Victoria Musheff: Managing stress. 31 00:05:46.900 --> 00:05:50.329 Victoria Musheff: Gratitude improves mental health and well-being. 32 00:05:50.670 --> 00:05:56.380 Victoria Musheff: Laughter can relieve pain and promote well-being. Okay, this is a very corny 33 00:05:56.410 --> 00:06:19.879 Victoria Musheff: joke here, but this is supposed to be a waiting brain. The brain wave. Give you a little laughter there. So, breathing and mindfulness to decrease stress and inflammation. One of the things that I kept finding in the literature was the box breathing, and I know, they mentioned it when we did the struggle well introduction, but if you don't do that, it's very easy, if we're going to take just a minute. 34 00:06:19.880 --> 00:06:26.319 Victoria Musheff: To do that. So thinking, they call it box breathing because you're repeating it twice, so you're inhaling. 35 00:06:26.320 --> 00:06:35.559 Victoria Musheff: County to 4 with the… all the way in terms of expanding your chest and your belly, and then exhaling. So let's take a moment to do that. So, inhale… 36 00:06:37.000 --> 00:06:39.330 Victoria Musheff: Up before, and then exhale. 37 00:06:40.700 --> 00:06:43.309 Victoria Musheff: Then inhale, counting to 4. 38 00:06:44.100 --> 00:06:54.460 Victoria Musheff: And then exhaling. But that's something, if you plan to do it, you can do it different times of the day, and certainly doing it every day, to help decrease stress and inflammation. 39 00:06:56.750 --> 00:07:04.699 Victoria Musheff: The recommendations related to alcohol is 1 to 2 drinks per day may have a protective impact. 40 00:07:05.790 --> 00:07:23.450 Victoria Musheff: 3 or more drinks per day increases the risk of dementia, and it's… they kept saying starting to drink is not a recommendation for dealing with that related to dementia. You know, the, no smoking cigarette smoking certainly is not recommended at all. 41 00:07:24.830 --> 00:07:40.790 Victoria Musheff: Ongoing exercise. Walking builds strength, decreases stress, anxiety, and depression, increases energy, sends endorphins to the brain to improve outlook and may boost creativity. There are lots of aerobic exercises that are healthy options. 42 00:07:40.790 --> 00:07:45.860 Victoria Musheff: Yoga, dancing… what about other suggestions? What are things that you all are, like, doing? 43 00:07:46.330 --> 00:07:48.269 Victoria Musheff: Did you buy a bicyclist? 44 00:07:50.580 --> 00:08:05.379 Victoria Musheff: Okay. Other exercises? Pilates, or… Gardening. Gardening. Gardening, certainly. Housework is exercise. Housework, yes. Turn on some music! 45 00:08:08.970 --> 00:08:21.599 Victoria Musheff: Research evidence encourages inactive adults to be active even to a small extent to improve cognition and memory later in life. So even… even people that are not very active, if they'll… if they'll increase their activity, that will help. 46 00:08:23.560 --> 00:08:25.360 Victoria Musheff: Restorated sleep. 47 00:08:25.560 --> 00:08:37.919 Victoria Musheff: Naps, even 6 minutes per day, are good for memory and cognitive function. Sleep allows the brain to flush toxins and make repairs. Deeper sleep enhances creative thinking. 48 00:08:39.720 --> 00:08:48.329 Victoria Musheff: The tips with the sleeping research to avoid the phone or the TV 30 minutes before sleep. The blue light stimulates the brain, which delays sleep. 49 00:08:48.540 --> 00:09:07.550 Victoria Musheff: The recommendation is 7 to 8 hours with a routine schedule. The sleep research is saying, you know, if you can stay as close to the same schedule, that your body will acclimate better to that, you know, in terms of the times that… and that's not always possible, but going to bed, getting up and going to bed about the same time. 50 00:09:08.840 --> 00:09:12.580 Victoria Musheff: 6 minutes of a nap is actually… 51 00:09:12.810 --> 00:09:17.190 Victoria Musheff: That's amazing. As little as 6 minutes. 52 00:09:20.580 --> 00:09:45.459 Victoria Musheff: Yeah, I'm not going to speak a lot on the nutrition part, but your handout has an extensive piece with the essential vitamins and also the brain superfoods with suggestions and alternatives with your handout, and Victoria is going to link that for those of you that are on Zoom. Next month, March Kondroski and her intern will be 53 00:09:46.050 --> 00:10:04.810 Victoria Musheff: focusing all on nutrition. So, like I say, we have it on handout, but I won't… you can see some of the foods that are recommended. One of the things that's in that nutrition research, though, is that they really recommend natural resources, you know, actual food, as opposed to supplements. 54 00:10:04.810 --> 00:10:11.330 Victoria Musheff: One of the things that was in there was that it's not clear if the brain benefits from those supplements. 55 00:10:11.330 --> 00:10:23.050 Victoria Musheff: So taking the vitamin supplements may or may not have a healthy impact on the brain, but if you're eating things that have those vitamins and minerals in them, then, you know, you will benefit from them, for sure. 56 00:10:23.890 --> 00:10:29.630 Victoria Musheff: And that's ongoing. Coffee came up in a lot of the recent research. 57 00:10:29.630 --> 00:10:45.030 Victoria Musheff: In terms of being beneficial, maximum is 2.5 cups at one sitting, or up to 5 cups per day for the benefits from that. Increases alertness, well-being, can help concentration, improves mood, and decreases depression. 58 00:10:45.210 --> 00:10:58.679 Victoria Musheff: And there are all kinds of things. It's considered an antioxidant, anti-cancer, chemoprotective, hepatoprotective, which is the liver, anti-inflammatory, and may lower dementia risk. 59 00:10:59.070 --> 00:11:06.790 Victoria Musheff: The brain imaging shows enhanced connectivity in memory and decision making with people that drink coffee. 60 00:11:07.090 --> 00:11:08.650 Victoria Musheff: the… 61 00:11:09.050 --> 00:11:24.480 Victoria Musheff: Warning is that it may disturb sleep or raise anxiety in some. It's contraindicated with people that have hyperthyroidism, glaucoma, and certain intestinal diseases. It may interfere with iron supplements and medications for osteochlorosis. 62 00:11:24.940 --> 00:11:36.789 Victoria Musheff: So not everybody needs to be drinking coffee if you have those other things, but there's certainly a lot of benefits. Is it the… is it the caffeine in the coffee, or is it the coffee bean itself, or what's the… 63 00:11:36.810 --> 00:11:45.970 Victoria Musheff: I mean, in other words, I drink tea, caffeinated tea, do I get the same benefit? The research focuses on coffee. I could not find tea. 64 00:11:46.000 --> 00:11:49.600 Victoria Musheff: In terms of… but… but I… I don't know who… 65 00:11:50.610 --> 00:12:14.559 Victoria Musheff: financed the initial research, if that's why they stayed with coffee, if it was one of the Maxwell House or something like that. I could not find it. I mean, there was… their names were not in there anywhere, but… but tea was never addressed, so I don't think it's just the caffeine. Okay, so it's something about coffee. Something about the coffee bean that, is giving those benefits. At least that's been the focus of this research. 66 00:12:14.900 --> 00:12:18.379 Victoria Musheff: So, and that may be, you know, later research in terms of, you know. 67 00:12:18.660 --> 00:12:29.999 Victoria Musheff: would, you know, certainly tea is healthy for you, as long as you don't load it down with a whole lot of sugar. But, you know, but, but the studies really focus on coffee. 68 00:12:32.480 --> 00:12:39.969 Victoria Musheff: Oops, okay. Engaging your brain. Learning keeps your mind active, increases brain cells. 69 00:12:42.740 --> 00:12:52.090 Victoria Musheff: This is not… Okay. Music increases creativity, decreases stress, and improves sleep. 70 00:12:55.030 --> 00:12:58.119 Victoria Musheff: It's… okay. Smells can strengthen memory. 71 00:12:58.780 --> 00:13:04.429 Victoria Musheff: And nature can increase creativity and decrease stress, so these are all things… ways to engage your brain. 72 00:13:04.970 --> 00:13:19.780 Victoria Musheff: So, Vince and Dave, and I know some of the other of our members, do music at, various, assisted living, nursing homes, etc, and they say that people will come in who, from the, dementia units. 73 00:13:19.950 --> 00:13:30.200 Victoria Musheff: And they'll… they'll come in, and once the music starts, they'll all sort of sing along. It picks back up their… those old memories that they have. 74 00:13:30.320 --> 00:13:34.360 Victoria Musheff: It's, like, different people. When the music ends, they go back to their, 75 00:13:34.750 --> 00:13:42.039 Victoria Musheff: And that's wonderful, and that's wonderful for those folks. My brother and niece 76 00:13:42.040 --> 00:14:05.459 Victoria Musheff: He's a guitarist, and she's a violinist, and they used to come when my mom was in the nursing home and go out in the courtyard, and it was kind of neat, because everybody would open their doors or their windows, or whatever, and I heard from so many people about how encouraging that that was with folks that were so isolated. So the fact that they're going to nursing homes and stuff, that's great. 77 00:14:05.460 --> 00:14:08.510 Victoria Musheff: In terms of that stimulation, that's wonderful. 78 00:14:12.770 --> 00:14:14.790 Victoria Musheff: Okay. 79 00:14:14.850 --> 00:14:33.019 Victoria Musheff: Cognitive reserve is one of the things that's one of the newer concepts. Learning something new builds new connections between nerve cells. Over time, experts believe that cognitive reserve is like a savings account. The greater your reserve, the more you can stand to lose without going into the red. 80 00:14:33.200 --> 00:14:35.599 Victoria Musheff: So everything that we're doing now 81 00:14:36.640 --> 00:14:42.700 Victoria Musheff: will help long-term in terms of decreasing our risk. So you want to keep your mind active. 82 00:14:42.990 --> 00:14:47.809 Victoria Musheff: So, a big push for all the things that we do with the Emeritus College. 83 00:14:50.550 --> 00:15:01.419 Victoria Musheff: What else to prevent or delay mental decline? You want to maintain control of the sugar level in your bloodstream, blood pressure, cholesterol, heart rhythm. 84 00:15:01.420 --> 00:15:19.240 Victoria Musheff: regular checkups, and avoid chronic use of sedating medication. One of those that's coming up is Benadryl. That used to be something that people took a long time, and now they're saying, no, don't take that over a long time, because there are things that can build up that can be harmful. 85 00:15:23.240 --> 00:15:36.440 Victoria Musheff: Okay, free brain games online, and that's at the AARP Staying Sharp, and there's… there are two references that are in your handout. You can do one a day, free. 86 00:15:36.840 --> 00:15:49.069 Victoria Musheff: They also have a service where you can pay by the day, by the week, by the month, by the year, and it's cheaper the longer that you link up with them, but you can do one every day. 87 00:15:49.120 --> 00:15:58.509 Victoria Musheff: Without having… and there are all kinds of different things that they do, with, you know, different… so it's something creative and novel. 88 00:15:58.620 --> 00:16:02.150 Victoria Musheff: On a regular basis, as far as the games that they have. 89 00:16:05.700 --> 00:16:06.570 Victoria Musheff: Okay. 90 00:16:06.740 --> 00:16:16.890 Victoria Musheff: Alzheimer's disease is a brain disorder leading to dementia caused partly by the buildup of beta amyloid plaques in the brain. 91 00:16:17.560 --> 00:16:23.840 Victoria Musheff: Death is caused by buildup of fats, cholesterol, and other substances in the blood vessels. 92 00:16:26.200 --> 00:16:32.830 Victoria Musheff: Microstrokes may starve the brain of oxygen and nutrition. Now, have a note there, they're… 93 00:16:33.410 --> 00:16:49.600 Victoria Musheff: Currently, there are 50 million people worldwide with dementia, and 6.9 million Americans with a diagnosis of Alzheimer's. So that, and then I got a news report that came out just recently saying that 94 00:16:49.940 --> 00:17:00.529 Victoria Musheff: are expected to double within the next 10 years or so. That because we're living longer and are not doing these things that will help decrease 95 00:17:00.600 --> 00:17:10.199 Victoria Musheff: our risk of dementia, that the numbers are going… are expanding greatly. I have a question online. Yes, yes. He wants to know, what does the research show about melatonin? 96 00:17:10.940 --> 00:17:29.459 Victoria Musheff: Do you know? Melatonin is a vitamin. I did not see anything negative. That would be an interesting thing to look. But, you know, that is a vitamin that promotes sleep, and I didn't see anything negative about it. So, but I didn't specifically research 97 00:17:29.690 --> 00:17:32.859 Victoria Musheff: That, you know, it by itself. Thanks. 98 00:17:36.300 --> 00:17:54.409 Victoria Musheff: Okay. Dementia risk, genetics, as I said, is only a very small percentage. Age increasing, with increasing age. Women are at higher risk than men. One of the things in one of the studies said, partly because women tend to live longer than men. 99 00:17:54.410 --> 00:18:16.019 Victoria Musheff: Ethnicity, African American and Latino are higher risk of dementia, and social economic status, was related to, you know, people that may have, poor diet quality or poor environment. The air pollution piece, particularly with admissions near busy roads. 100 00:18:16.020 --> 00:18:27.419 Victoria Musheff: was one of the risk factors that they were looking at. Modifiable, the physical inactivity, unhealthy diet, smoking, excessive alcohol, and poor sleep 101 00:18:27.420 --> 00:18:30.939 Victoria Musheff: And then with non… well, apps? 102 00:18:31.110 --> 00:18:53.829 Victoria Musheff: There we go. Medical conditions that contribute, high blood pressure, diabetes, high cholesterol, heart disease, stroke, and obesity, and part of the… and traumatic brain injury, which I think everybody would understand with that. One of the reasons obesity is on there, because it contributes to an increase in some of those other things that are on that medical conditions. 103 00:18:53.830 --> 00:18:57.239 Victoria Musheff: Hearing loss is associated with an increased risk 104 00:18:57.550 --> 00:19:06.900 Victoria Musheff: Part… possibly associated with the social isolation and the depression, that can occur with, you know, someone with hearing loss. 105 00:19:07.280 --> 00:19:25.670 Victoria Musheff: Yes. melatonin does have some problems with certain mixtures with drugs. Okay. So before you take melatonin, you probably want to check with your doctor about your medication. Okay. Some of them might be medication related for blood pressure. 106 00:19:25.670 --> 00:19:38.759 Victoria Musheff: And some of the anti-seizure medication, some… Okay, so, so maybe Dr. Jackson just looked up the melatonin, and one of the risks relates to its interaction with 107 00:19:38.760 --> 00:19:54.910 Victoria Musheff: Some of the anti-seizure medications, some of the other medications… Blood pressure. Or blood pressure. If you're taking something else for sleep… Or other sleep medications. So, that's something you want to check with your healthcare provider, or certainly check into that. 108 00:19:54.920 --> 00:19:57.520 Victoria Musheff: In terms of long-term use of that. 109 00:19:57.550 --> 00:20:05.910 Victoria Musheff: And you have to be careful, because if you just do an AI search, you'll see how wonderful it is for everything, but it depends on the actual drug. 110 00:20:05.940 --> 00:20:10.779 Victoria Musheff: Right. So, they may use melatonin for some seizure management. 111 00:20:10.780 --> 00:20:31.310 Victoria Musheff: But if you're on a particular medication, then they wouldn't use… Okay, so looking at melatonin without just doing the AI search is what she's recommending. Yeah, talk to your doctor. But now, and remember, too, it's a vitamin, so there's not a lot of, like, not a lot of research on there, because they're not… they're not companies that are helping to push that, as we talked about with the herbs. 112 00:20:31.310 --> 00:20:39.959 Victoria Musheff: That, because they're… they can't be patented, there's, you know, a lot of folks that would help to finance research 113 00:20:40.010 --> 00:20:46.139 Victoria Musheff: Even if it was scientifically worthy, are not doing it because they can't benefit from it long-term. 114 00:20:48.440 --> 00:21:05.129 Victoria Musheff: Okay, brain stimulators, novel experiences help to stimulate growth of new brain, connections, again, with that cognitive reserve. So, playing a new board or card game, learning a new language, musical instrument, or skill. 115 00:21:05.520 --> 00:21:15.949 Victoria Musheff: Knitting a complicated pattern, if knitting is your thing, or maybe crocheting, trying a new recipe, taking up a new art or craft, so new to you. 116 00:21:15.970 --> 00:21:27.709 Victoria Musheff: Visiting a new vacation spot, taking a class on a new-to-new topic, planning a dinner party, just something that you're engaging your brain in something different from what you usually do. 117 00:21:31.590 --> 00:21:54.639 Victoria Musheff: Just… there's a lot of research going on. I wanted just to highlight just a few. One that's being… has just been funded recently at Clemson is the PAC study, which is preventing Alzheimer's with cognitive training. So that's some of the things that we've talked about already. The SAY Exercise Study is a, National Institutes of Aging funded at the University of Illinois. 118 00:21:54.640 --> 00:22:05.260 Victoria Musheff: The say, the S-A-Y is stretching, Aerobic, and yoga, and what they're looking at is the added benefits of doing aerobic exercise as well as yoga. 119 00:22:05.260 --> 00:22:17.050 Victoria Musheff: And, their preliminary results should be out before too much longer. Their current studies focusing on advancing diagnostic tools, new drugs, anti-amyloid. 120 00:22:17.070 --> 00:22:22.830 Victoria Musheff: therapy, and immunotherapy. The anti-amyloid therapy is just like… 121 00:22:23.150 --> 00:22:42.110 Victoria Musheff: there are some drugs and some infusion therapy so that people that have that early diagnosis of Alzheimer's are being treated with an anti-infusion to try to clear some of those clogged vessels that are creating problems. The tricky thing with that is that a lot of people are at risk of brain bleeds. 122 00:22:42.110 --> 00:22:47.159 Victoria Musheff: With that therapy, and once you have a brain bleed, you're no longer eligible for that therapy. 123 00:22:48.820 --> 00:22:55.470 Victoria Musheff: ongoing research on nutrition and brain health, too. So there's a lot of… a lot of things out there, a lot of ongoing research. 124 00:22:57.160 --> 00:23:01.570 Victoria Musheff: I think that is… Questions, comments? 125 00:23:05.190 --> 00:23:14.440 Victoria Musheff: when I was growing up, and when I was… yeah, long time ago, we'd talk about people and say. 126 00:23:14.810 --> 00:23:16.449 Victoria Musheff: You're becoming senior. 127 00:23:16.670 --> 00:23:19.389 Victoria Musheff: It didn't seem to be that common. 128 00:23:21.110 --> 00:23:32.279 Victoria Musheff: These days, everybody has dementia and Alzheimer… I mean, I'm exaggerating. It seems like dementia and Alzheimer's has vastly increased as the condition 129 00:23:32.880 --> 00:23:38.980 Victoria Musheff: You mentioned that one reason is because people are living longer. Living longer, yes. 130 00:23:39.960 --> 00:23:42.179 Victoria Musheff: But I'm not convinced that's… 131 00:23:42.320 --> 00:23:50.870 Victoria Musheff: Well, but I think another piece of that is you think of an agrarian society that people that, 132 00:23:51.420 --> 00:23:56.439 Victoria Musheff: Grandma has, you know, Grandma can't remember where she put whatever, you know. 133 00:23:56.820 --> 00:24:00.950 Victoria Musheff: people beyond the family probably never heard about Grandma's issues. 134 00:24:02.320 --> 00:24:13.299 Victoria Musheff: So then I think that's one of the things that, you know, as a more mobile society, when we're out and about, I think we're more aware when people have issues. 135 00:24:13.590 --> 00:24:21.599 Victoria Musheff: Yeah, when people lose their driver's license because of issues, sometimes it's following a rep or something like that. I mean, I think we're more aware of 136 00:24:21.650 --> 00:24:40.100 Victoria Musheff: We're not… we're not out on the farm. We're just interacting with families. I, you know, that would be part of my thought, that, you know, we had it before, but… but we're much more aware. That makes sense. I mean, you know, when you look at… Something like that when I was young, was discussed in my family. Right. It was whispered about. Right, right. 137 00:24:40.100 --> 00:24:43.169 Victoria Musheff: Well, and then, you know, whispered about, you're right. 138 00:24:43.270 --> 00:24:46.850 Victoria Musheff: And then the other is, is how long people are living. 139 00:24:46.930 --> 00:25:05.020 Victoria Musheff: That, you didn't see a whole lot of it for somebody that passed away much earlier. Whereas when we have people that are in their 90s, centurion, you know, they're living beyond that 100 degree… 100-year mark, and many of them are very alert. 140 00:25:05.040 --> 00:25:14.030 Victoria Musheff: You know, and don't have issues with dementia. 33 out of 100 means that there's, you know, at least two-thirds of them don't have dementia, so… 141 00:25:14.160 --> 00:25:22.120 Victoria Musheff: Is there a number one, like, chronic illness that is most associated with that'll decline, right? 142 00:25:22.470 --> 00:25:23.320 Victoria Musheff: Come on. 143 00:25:23.690 --> 00:25:29.619 Victoria Musheff: Did not find… I did not… I did not find that. I think all of those contribute 144 00:25:29.960 --> 00:25:33.620 Victoria Musheff: The one thing, the number one was the age. 145 00:25:35.130 --> 00:25:40.939 Victoria Musheff: As far as us looking at that piece. And, and, and, alcohol consumption. 146 00:25:41.940 --> 00:25:46.940 Victoria Musheff: One of your slides mentioned, I think, APOE4 gene? Yes. 147 00:25:47.090 --> 00:25:51.629 Victoria Musheff: And only, you've mentioned it, only 2-3% of… 148 00:25:51.870 --> 00:26:00.550 Victoria Musheff: Alzheimer's, or related to that. According to the things that I read, yes, it's only a small percentage. I'd never heard of it before. 149 00:26:01.710 --> 00:26:16.250 Victoria Musheff: I imagine… I mean, since I've never heard it before, I imagine that's not something that's routinely tested for. No, it's not, but actually, in terms of… in preparation for today, I actually talked to someone who has that, whose… whose parents and grandparents 150 00:26:16.250 --> 00:26:24.700 Victoria Musheff: there's, you know, both generations had Alzheimer's in there, and her family insisted that she be tested. 151 00:26:24.860 --> 00:26:27.629 Victoria Musheff: And I was just amazed at… 152 00:26:27.760 --> 00:26:31.119 Victoria Musheff: The obstacles that she's dealing with. 153 00:26:31.460 --> 00:26:38.860 Victoria Musheff: You know, she can no longer be licensed as a professional, because it's now on her record. She cannot get any kind of insurance. 154 00:26:39.440 --> 00:26:48.939 Victoria Musheff: You know, there are all kinds of blocks that she's having to deal with, even though she's asymptomatic, the fact that she has that gene. 155 00:26:49.460 --> 00:26:54.610 Victoria Musheff: You know, and she's saying, I wish we'd never tested. 156 00:26:56.080 --> 00:27:08.240 Victoria Musheff: So, you know, she did do the infusion therapy just as a preventive, and then had the brain bleed, so she's not eligible for that, but the obstacles that she's dealing with. 157 00:27:09.140 --> 00:27:13.419 Victoria Musheff: I just… it had never occurred to me, you know, what problems that would be. 158 00:27:13.720 --> 00:27:24.480 Victoria Musheff: So, her recommendation was don't get tested. So, you know, do the things, the healthy things that you can do to decrease the dementia, but until you have symptoms. 159 00:27:24.870 --> 00:27:28.799 Victoria Musheff: That there's so many things that are coming down against you. 160 00:27:29.150 --> 00:27:39.320 Victoria Musheff: If there's any record of it. And like she said, she has to be really even careful driving her car, because if she was in an accident and it came out that she had that gene. 161 00:27:39.570 --> 00:27:45.139 Victoria Musheff: on insurance. I mean, think about the insurance companies coming after her. She was at fault. 162 00:27:47.230 --> 00:27:49.870 Victoria Musheff: Other questions, comments, anything online? 163 00:27:56.760 --> 00:28:00.090 Victoria Musheff: Any questions, comments, additions? 164 00:28:01.230 --> 00:28:05.489 Victoria Musheff: Thank you all so much! I think, Kathy, did you have something you wanted to say? 165 00:28:06.880 --> 00:28:08.230 Victoria Musheff: She's me. 166 00:28:08.230 --> 00:28:15.750 Kathy Headley ipad (2): Unmute, I've got to unmute. I did bring up the matcha, which I know is different from coffee, but it has… 167 00:28:15.910 --> 00:28:28.920 Kathy Headley ipad (2): It's like in South America, it's a popular drink, and it doesn't have the same level of caffeine that coffee does, but I don't think there's anything out there about that. But, Roseanne, this was a great presentation. 168 00:28:28.920 --> 00:28:36.660 Kathy Headley ipad (2): such really good information, so I can't wait to print off my copy of the handout so that 169 00:28:36.660 --> 00:28:40.600 Kathy Headley ipad (2): I can review it. This… excellent. Thank you so much. 170 00:28:40.880 --> 00:28:47.549 Victoria Musheff: Well, there are lots of positive things that we can do. It's not, you know… it doesn't need to be a depressing thing. 171 00:28:47.550 --> 00:28:49.710 Kathy Headley ipad (2): No, absolutely not. 172 00:28:49.710 --> 00:28:51.150 Victoria Musheff: Great. D? 173 00:28:51.630 --> 00:29:04.089 Dolores Stegelin: Yes, I really agree with Kathy, and I think your whole presentation, just affirms why retirement organizations like our Emeritus College are really valuable. 174 00:29:04.310 --> 00:29:17.310 Dolores Stegelin: And this information needs to be shared so that people realize that it's not just a social thing, that it really has health benefits, the level of engagement, anyway, that our group has. 175 00:29:17.660 --> 00:29:22.769 Victoria Musheff: Absolutely, and that was one of the things, when I was going through, I thought, yes, we do this with the Emeritus College, and we do this. 176 00:29:22.770 --> 00:29:23.280 Dolores Stegelin: No. 177 00:29:23.280 --> 00:29:25.050 Victoria Musheff: So, you know, you're right. 178 00:29:28.030 --> 00:29:35.890 Victoria Musheff: I remember thinking about when you were talking about the new things, trying to do something new, the new part stories with the writing. 179 00:29:35.890 --> 00:29:54.369 Victoria Musheff: The writing with the memorized group, yeah, that would be a novel experience, absolutely, that's a brain stimulator. Yeah, and all of us are so used to writing in our careers, but when you retire, that's the one thing that's the easiest to walk back from, because some of us don't journal. You know, I always think about Winky Gillis to break from her journal every day, but for me. 180 00:29:54.370 --> 00:30:02.030 Victoria Musheff: Then, for example, again, But having these groups that actually write and encourage them in their order. 181 00:30:02.070 --> 00:30:12.100 Victoria Musheff: Okay, and you all… could you all hear what she was saying in terms of the writing with the memoirs and the journaling and that kind of thing? It's another… in terms of the novel experiences with that, certainly a good… 182 00:30:12.290 --> 00:30:14.540 Victoria Musheff: Goodstanding Anderson. Great. 183 00:30:14.810 --> 00:30:21.549 Kathy Headley ipad (2): I would think, Roseanne, in those experiences, it's also about the new learnings that we're talking about, so… 184 00:30:21.970 --> 00:30:32.949 Kathy Headley ipad (2): I think about not only the riding groups that we have, but also just the new information that we're all being exposed to, and the new learning. I… all of that adds to our… 185 00:30:33.390 --> 00:30:36.070 Kathy Headley ipad (2): Just learning, is important. 186 00:30:36.650 --> 00:30:49.890 Victoria Musheff: Well, cognitive reserve was a new term for me, and I thought, that's what we need to be looking at, building that cognitive reserve. Like I said, that, you know, even if you're losing a few of those brain cells, if you've got it built up, you're not going into the red, so… 187 00:30:49.890 --> 00:30:51.829 Kathy Headley ipad (2): That's right, that's right. 188 00:30:53.860 --> 00:31:13.429 Victoria Musheff: So, the cognitive reserve, the best way to do that is to engage in some… something new, right? Novel experiences are the key thing. All these things that we talked about today would help with the cognitive reserve, but the novel experiences are the ones that create the new connections. 189 00:31:13.770 --> 00:31:21.849 Victoria Musheff: It seems to me that there's a relationship between Physical health and mental… 190 00:31:22.000 --> 00:31:31.389 Victoria Musheff: Absolutely. And so, as we age, if we lose some of our physical… capabilities, so… 191 00:31:31.550 --> 00:31:34.859 Victoria Musheff: We have more difficulty walking, or moving, or whatever. 192 00:31:35.390 --> 00:31:42.150 Victoria Musheff: Figuring out how we as America's College maybe helps people want to help people stay socially engaged. 193 00:31:42.340 --> 00:31:57.499 Victoria Musheff: might be very important, because they may not be able to physically get here anymore, but I think the Zoom helps, people stay engaged. But I'm thinking, are there other things that we ought to be doing, or how we might reach out otherwise? 194 00:31:57.650 --> 00:32:15.449 Victoria Musheff: Well, in terms of linking, linking groups, too, like the book clubs, even if it's an online book club where, you know, we would be meeting periodically to discuss a book, or something like that, but engaging people, especially with the folks that we have at a distance, would be a good, good idea with us. 195 00:32:15.600 --> 00:32:38.709 Victoria Musheff: I think we're done. Thank you so much for your attention. Victoria has one comment. Just a quick reminder, I wanted to say that, not to forget about our well-being tab on the Emeritus College website, and this video will be posted there. We're posting our series of well-being videos on that, so if you want to… I think there's one right now on audiology, and then this goes up, so… Right, and then the next month is the, 196 00:32:38.710 --> 00:32:54.910 Victoria Musheff: eating healthy, home and away, with Marge Krogoski, so… So, every month between now and May, we have a well-being session. Yes, great. Thank you. I can sign up for Struggle Well, which is also part of coming out of this particular group. 197 00:32:54.910 --> 00:33:02.460 Victoria Musheff: And that's a program that's actually being promoted by the university, and it fits one of the pillars for this, 198 00:33:02.650 --> 00:33:10.040 Victoria Musheff: Creative… Elevate Club. Elevate Club Size. Yes, yes. No, that's me. 199 00:33:11.020 --> 00:33:18.630 Victoria Musheff: But I think that we… if you haven't signed up for it, consider… I know it is an every Monday newsletter. 200 00:33:19.100 --> 00:33:25.370 Victoria Musheff: And I have a test that everybody in this group can practice, and that's called scrolling. 201 00:33:26.810 --> 00:33:28.089 Clementina Adams: Stand it. 202 00:33:28.090 --> 00:33:32.300 Victoria Musheff: Other than that, I do highly recommend. It's a two days well spent. Yeah, yeah. 203 00:33:32.300 --> 00:33:33.250 Clementina Adams: Bye. 204 00:33:33.980 --> 00:33:41.030 Victoria Musheff: has experience with that, and is going to assist, and Greg Mullen, who's actually going to be our trainer. 205 00:33:42.220 --> 00:33:43.609 Clementina Adams: I don't really need to think. 206 00:33:44.140 --> 00:33:45.359 Victoria Musheff: Thank you. Alright. 207 00:33:45.360 --> 00:33:46.870 Clementina Adams: Bye, thank you! 208 00:33:46.870 --> 00:33:47.310 Victoria Musheff: Ew. 209 00:33:50.230 --> 00:33:50.950 Clementina Adams: It's tough.