Message From Anthony S. Falco President SRC
The Number Of American Alzheimer’s Patients Will More Than Double By 2060
By 2060, about 15 million American citizens will have Alzheimer’s dementia or mild cognitive impairment, according to a new study. The current number of Americans who suffer from these conditions is 6.08 million.
The study was conducted by researchers at the UCLA Fielding School of Public Health, and was published in Alzheimer's and Dementia: The Journal of the Alzheimer's Association on Thursday. It is said to be the first to find the number of United States citizens who have mild cognitive impairment or preclinical Alzheimer’s diseases.
As part of the study, the researchers looked at the biggest studies that were conducted about rates of progression of Alzheimer’s disease. Then, using the information from these studies, they created a computer model. One of the key parameters that defined the computer model was the aging of the American population.
Using the computer model, the researchers found that by the year 2060, 9.3 million Americans will have dementia due to Alzheimer’s, while about 5.7 million will be suffering from mild cognitive impairment. Among the ones who will have dementia, 4 million will be in need of intensive care akin to what’s provided in nursing homes.
Mild cognitive dementia refers to an intermediate clinical state. In other words, it’s not yet full-fledged dementia. According to the estimate of the study’s lead author, about 2.4 million U.S. citizens presently live with mild cognitive impairment due to Alzheimer’s disease.
Ron Brookmeyer, the lead author of the study and a professor of biostatistics at the UCLA Fielding School of Public Health, said the study’s findings point to the need to create methods that could help slow the progression of the disease in those with indications of neuropathological changes. Such progression, if left unchecked, could lead to Alzheimer’s dementia.
"There are about 47 million people in the U.S. today who have some evidence of preclinical Alzheimer's, which means they have either a build-up of protein fragments called beta-amyloid or neurodegeneration of the brain but don't yet have symptoms," said Brookmeyer. "Many of them will not progress to Alzheimer's dementia in their lifetimes. We need to have improved methods to identify which persons will progress to clinical symptoms, and develop interventions for them that could slow the progression of the disease, if not stop it all together."
This is a significant need that Brookmeyer pointed out, given how America has a large ageing population, meaning more number of people with risk of Alzheimer’s disease.
"Estimates by disease state and severity are important because the resources needed to care for patients vary so much over the course of the illness," said Brookmeyer.
Certain aspects remain uncertain following the study though. For instance, the participants in the studies that the researchers examined don’t necessarily represent all the demographics in America. Another problem is that other kinds of dementia — like vascular dementia — weren’t examined by the researchers. These other dementia types could also affect an ageing population.
A chronic neurodegenerative disease that usually begins slowly and progresses over time, stripping its sufferers of their memories and disables them from even taking care of themselves, Alzheimer’s is one of the most feared medical conditions. The fact that it doesn’t have any cure at present makes it even worse. In the U.S., the Alzheimer’s Association estimates the number of people with Alzheimer’s dementia is 5.5 million.
SRC's Commitment To Nutrition, Health And Wellness
Pursuing Your Passion Can Improve Your Health
Many aging baby boomers in North America are in pursuit of the fountain of youth. We are constantly searching for the next big thing to help us stay healthy, vibrant and young and we jump from fad to fad to remain in good health and ward off the merciless hands of time.Pursuing Your Passion Can Improve Your Health
In fact, there is an 84 billion dollar industry (exceeding that spent on education) dedicated to personal health and beauty in North America, which encompasses cosmetic surgery, diet pills, fragrances, hair and skin care and health clubs. The Economist reports that beauty companies have gone a step further and are now developing products that blur the lines between cosmetics and non-prescription drugs — called “cosmeceuticals.”
An Easier Way to Improve Your Health
Studies repeatedly show that pursuing your passion can not only improve your psychological well-being, it can also improve your physical health.
An abstract published by Springer Open defines ‘passion’ as “a strong inclination toward a self-defining activity that people like (or even love), find important, and in which they invest time and energy on a regular basis.”
A personal passion can be anything that you enjoy doing, including:
Baking and cooking
Being active – sports, yoga, etc.
Collecting – antiques, stamps, etc.
Crafting and creating
Spending time outdoors – fishing, hiking etc.
Spending time with family
Improved Mental Wellness
Robert J. Valler and author of The Role of Passion in Sustainable Psychological Well-Being, defines ‘psychological well-being’ as “happiness, life satisfaction and self-growth” and theorizes that having a passion for an activity leads to “sustainable positive effects on psychological well-being” – or, a balanced, happy life.
Many people find that having a passion provides them with a drive for self-improvement and a purpose, and that they experience increased feelings of happiness and positivity while performing the activity they are passionate about – feelings that stay with them long after they are finished with the activity.
Feelings of happiness can also have an even greater impact on our overall health: an article published by Thrive Global reports that many scientific studies have found a connection between happiness and good health; as well in his abstract, Vallerand reported that “much research reveals that happy people experience a number of benefits ranging from physical health to better relationships to high-level performance.”
Improved Physical Health
Some of the many physical benefits of pursuing your passion:
Improved brain health, including memory and mental agility
Improved sleep quality
Lower blood pressure
Lower risk of heart disease
Lower risk of stress, anxiety and depression (and the physical symptoms that go along with them)
How to Discover Your Passion
There is no denying that pursuing your passion can improve your overall health, however, how do you go about discovering what it is that ignites a fire inside of you?
Psychology Today suggests following these five steps:
Inventory your talents.
Notice when you lose track of time, or what you hate to stop doing.
Pay attention to what makes you jealous.
See your passion hunt as a fun, joyful adventure.
Think of what you loved to do as a child.
SRC's Recipe Of The Month
Easy, fun, tasty, nutrituous Super Bowl snacks
Here are a few recipes that you and your family and friends can enjoy during the “Superbowl” that not only are delicious but good for you as well. These easy to prepare recipes incorporate the healthy fats and ingredients necessary for healthy brain and cognitive function. Also good for leveling off blood sugar and keeping you satiated. Preventative measures are important and diet is on the top of the list, for sure.
Cauliflower and Turkey Bacon Crusted Quiche Bites (Keto approved)* RECIPE ADAPTED FROM BULLETPROOF MAKES 6 QUICHES, Crust
• 2 cups riced cauliflower
• 1 piece of Turkey bacon
• 1/2 teaspoon of garlic powder
• 1/2 teaspoon Himalayan pink salt
• 1/2 teaspoon of MCT oil
• 6 eggs
• 1 serrano pepper, deseeded and diced (or sweet peppers if you do not enjoy spicey)
• 1/2 cup chopped spinach
1. Preheat the oven to 375 degrees.
2. Saute bacon on low heat until no longer transparent, then move to a cutting board and chop into small pieces.
3. Add riced cauliflower to the food processor, run for a few seconds and squeeze excess water out with cheesecloth or a dish towel.
4. Thoroughly mix cauliflower, bacon, garlic powder, salt and oil in a bowl.
5. Coat muffin tins with avocado oil, and press crust mix into the bottom and sides of the muffin tins of six muffin openings.
6. Bake at 375 degrees fahrenheit for 15 minutes or until a slight crisp has formed.
7 .Crack one egg into each muffin tin, top with chopped spinach and serranos.
8. Reduce oven temperature to 325 degrees and cook for 10-15 minutes; 10 mins will give you a runny yolk.
Suzie's Grain Free Turkey Meatballs
• 1 pound ground turkey
• 1 large egg
• 1 shallot, minced
• 2 tablespoons tomato paste
• 1 tablespoon Dijon mustard
• 1 tablespoon olive oil
• 1 tablespoon coconut flour
• ½ teaspoon sea salt
• ½ teaspoon pepper
• ¼ teaspoon baking soda
• 2 tablespoons grated Romano cheese
• ½ teaspoon dried basil
• ½ teaspoon dried oregano
• 1 minced garlic clove
*The baking soda makes these meatballs lighter in texture! A secret ingredient along with the mustard.
Combine all ingredients and mix well. Form into balls, Bake at 375 on parchment paper that has been greased with a bit of olive oil for about 20 minutes. Serve with a dipping sauce if desired!
Suzie's Healthy Nachos
• 4 tomatoes, chopped or a container of grape tomatoes, chopped
• 2 scallions chopped
• 2 cloves garlic minced
• 1/2 cup cilantro chopped
• 1 Tblsp apple cider vinegar (I like Braggs)
• 1 Tbs extra virgin olive oil
• 1 Tbs lime juice or lemon juice
• 1 tsp cumin
• 1 tsp sea salt
Jalapeño to taste.
Place the lime juice, jalapeno, cilantro, parsley, garlic, cider vinegar, olive oil, cumin and sea salt in a food processor and blend until well ground.
Add in the scallion and tomatoes. Pulse chop until everything is diced and blended.
Taste and add add more jalapeno or sea salt as needed
For quick guacamole, I pulse chop some red onions, tomatoes, lemon or lime juice and a dash of cumin in a food processor. Then I add sliced avocado and sea salt and blend!
Sweet Potato Chips
Simply slice well scrubbed sweet potatoes as thinly as you can and place on olive or coconut oiled cookie sheet. Brush with some more olive oil, and sprinkle with sea salt, pepper, and some chili powder. Bake at 350 for about 25 minutes until sizzling and a bit crispy on the edges.
Instead of sour cream, use full fat Greek yogurt. No one will know the difference and you're getting some nice protein as well.
Toppings: Shredded raw cheddar cheese, chopped scallions, turkey bacon pieces......all make good and healthy toppings.
Veggie Spring Rolls
• 6 sheets rice paper (Round rice papers sold in Asian section of supermarkets)
• 1 carrot
• 1 avocado
• 1 small cucumber
• 1 small red bell pepper
• Handful fresh basil
• 1 small mango
• Small handful fresh cilantro
• 5 lettuce leaves
• Rice noodles (the thin kind sold in the Asian section )
• Chopped scallions
• 1/3 cup natural unsweetened peanut butter (Or Sunbutter if allergic to peanuts!)
• 1-2 garlic cloves (depending on how much you like garlic!)
• 2 teaspoons minced fresh ginger
• 1 tablespoon raw honey
• 1 tablespoon miso
Juice of 1 lime
• 1/8 cup tamari or soy sauce (Lower sodium best)
•Some water to help with consistency (up to 1/3 cup or so)
• Dash of Siracha sauce if desired! Or hot sauce
Directions: Cut the carrots, avocado, cucumber, mango, bell pepper and lettuce into thin strips. Cook the rice noodles according to package directions and cool completely. Place in bowl. Dip the rice paper into warm water so that they soften, one at a time so they don’t stick together. One at a time, lay out each rice paper on a moist towel. Arrange a few leaves of basil and cilantro in the center. Add a few slices each of the carrot, avocado, mango, cucumber, bell pepper and lettuce. Position them horizontally. Add some noodles. Top with scallions. Fold over the top edge of the paper over the filling. Pull in the sides and then fold the bottom layer over the fillings as well. Slice each roll in half. For the sauce, just whisk until smooth or put in food processor. Serve aside the rolls. Dip and enjoy!!!
Tips to Avoid Outliving Your Retirement Income
You’ve worked hard your entire life to get ready for retirement and the last thing you want to do is outlive your retirement income.Tips to Avoid Outliving Your Retirement Income
Don’t want to run out of money later in life? Consider the following tips.
1. Save as much as you can for as long as you can.
Start with your employer-sponsored retirement plans at work and make sure you’re making the maximum contributions to the plans. If you’re under age 50, your current-year yearly maximum is $18k; if you’re over age 50, you get to contribute an additional $6k in catch-up contributions for a total of $24k, yearly.
If you have money left over after you make the maximum contributions to your employer-sponsored plan, you should add to your emergency savings account, then a Roth IRA (if you qualify) or a Traditional IRA (if you don’t qualify for a Roth) and then a taxable brokerage account.
2. Build a budget. Then break it and start over to build another budget.
Your biggest expenses in retirement are likely going to be fixed costs – things like your housing and transportation. You need to get an idea about what you need to do now, to prepare for all these costs.
Write everything down – entertainment, medical expenses, mortgage or rent, travel and utilities – whatever you’re spending money on, on a regular basis. Live on that budget for a while, then go back to your spreadsheets, figure out where you made mistakes and rebuild the budget. If your budget isn’t working now, you have a chance to fix some things while you still have regular income hitting your account.
3. Set goals.
Goals are not “beating the S&P 500” or “doing better than your know-it-all brother-in-law.” Real goals are things like how you want to live throughout your retirement or when and where you want to retire.
Write down your and your spouse’s goals, then talk about them and figure out what your needs, wants and wishes are for later in life. It’s important you classify your ideas and your goals like this because later – when you’re building your long-term plan – you’re going to need to know the difference between the “gotta-haves” and the “nice-to-haves.”
4. Know your risk tolerance.
If you don’t want to outlive your income, you’re going to need to try to protect your investments from inflation. One of the better ways to do that is by holding stocks in your investment accounts and that means becoming a bit more comfortable with the ups and downs of the market. Problem is, many people just don’t know how much stock to hold – or, more specifically, they don’t know how aggressive they need to be in the market over the long term.
My job as an advisor is to find the least amount of risk necessary for my clients to be able to reach their goals. There are a number of online tools that you can use to start to understand your risk tolerance. Don’t be afraid to use a couple of these tools, then compare/contrast the results.
5. Build a plan.
Used to be, “building a plan” meant figuring out how to buy and hold some mutual funds then withdrawing 4% per year to fund your retirement. Those days are long gone. Unfortunately, a number of Americans don’t have a long-term plan of any kind: past or present.
“Building a plan” now means bringing together your estate, long and short-term health care, strategies for investing, pensions (if you’re eligible), Social Security, taxes, etc. It also means reviewing and updating that plan on a regular basis – the long-term plans I build for clients aren’t plans they place on a bookshelf and forget about for the next few years: these are plans that we change, discuss, re-evaluate and update each time we meet.
6. Pick the right investments, not the “best” investments.
The world is filled with investment firms and media wanting you to believe that they have a line on the next hot investment that you must have. All they often push is performance. Don’t fall for it: what’s hot and a must-have right now may not be what’s hot in a week, month or year.
What are the investment qualities you want? Lower costs; solid long-term performance and risk histories; liquid and tradeable (funds and ETFs, yes; non-traded REITs and complicated annuity products, no).
Plus, remember that what makes sense for you to hold right now may not be what’s best for you to hold down the road – don’t be afraid to change the investments and the allocation to keep pace with the changing market environment and your goals.
7. Optimize your Social Security strategy.
Social Security may be one of the more complicated systems out there. It has thousands of rules governing benefits and in some cases, there are hundreds of claiming strategy options for a married couple aged 62 or older.
- You can claim as early as age 62, but you’ll receive reduced benefits for life
- You can claim at your Full Retirement Age and see no reduction in benefits
- You can wait to claim until age 70 and receive 8% more benefits per year than you would have received at your Full Retirement Age.
You need to make sure you claim benefits via a strategy that makes sense for you (and your spouse) and not just claim benefits based on what your parents may have done or based on what someone from work is saying you should do.
Not doing this means you could be leaving thousands of dollars in Social Security benefits on the table.
8. Be able to answer, “Monthly payments or lump-sum buyout?” if you have a pension.
Actually, make that 5 questions:
How’s my health and what’s my family medical history? If you’re in good health and your family members tend to live into their 90s, taking monthly payments may be the way to go.
Is my company’s plan well-funded? Take a look at your employer’s annual report to see what the pension funding ratio is. If it’s 80% or higher, the plan is in good shape – but if it’s lower, the plan may be in trouble.
What’s my break-even point? Figure out how long you can expect your money to last if you take the lump-sum buyout (and be sure to consider potential money earned from investments in this calculation). Then, consider whether you think you’ll live beyond this date. If so, monthly payments may be a better option for you.
How important is it to me to have control over my money? If you’re interested in making investments or leaving money from your pension for others when you’re gone, taking the lump-sum buyout could be the more attractive choice for you.
9. Build health care costs into your long-term plan.
People are living longer, meaning higher healthcare costs and more time in retirement. The sooner you begin to plan for your healthcare costs in retirement, the better chance you have of not derailing your financial plan. Unplanned healthcare costs in retirement can be a primary reason many people fail to meet their retirement goals and objectives. Healthcare costs now represent the second-largest retiree expense (behind housing) and are the number-one cause of bankruptcy in retirement.
A 65-year-old healthy couple retiring this year, and covered by Medicare Parts B, D, and a supplemental insurance policy, will average lifetime retirement healthcare premium costs of $266,598. If you were to include their total health care (co-pays, dental, vision and all out-of-pockets), their costs would be $394,954. The problem is that most people believe that healthcare costs through retirement will only total somewhere between $50k and $200k.
Build these costs into your long-term plan – either as a separate cost goal or as an inflation-adjusted monthly expense – and make sure you update these costs with each revision of that plan.
10. Work with a fiduciary advisor.
It can help to work with an advisor. Just make sure that advisor is a fiduciary.
A fiduciary is someone who is legally-obligated to act in your best interests. When it comes to your investments, money and your retirement, you deserve to work with someone who is going to look out for you and your family at all times throughout the relationship.
- Want to know if your advisor is a fiduciary? Just ask, “Are you a fiduciary?” You want to hear one word – “Yes.”
- Then ask, “Do you receive any type of compensation in addition to what I’m paying you?” You want to hear one word – “No.”
- Finally, “Have you ever been cited by a professional or regulatory organization for disciplinary reasons?” You’d like to hear one word – “No.” However, if there are issues, look up the advisor’s records on FINRA’s BrokerCheck to find out if they have any complaints – and keep a close eye out for complaints related to providing financial and advisory services.
Planning for retirement is difficult enough – living in retirement turns out to be the real challenge for many Americans.
Consider the 10 items above and be sure to ask a professional for help when you need it to not outlive your retirement income.
13 New Year's Resolutions for Caregivers
It’s human to want a fresh start. Even though I know that December 31 of one year is rarely that different from January 1 of the next, I greet each New Year’s Day as a new beginning. I can’t explain it, but the first day of January always gives me a psychological boost, be it ever so brief.
Like most caregivers, I always strove for perfection and I always wound up feeling like I fell short. There is no way that I know of to be a perfect caregiver. The needs of any care receiver can change in an instant. We can miss subtle signals. We are often so tired and stressed that we may absentmindedly forget to pick up a prescription, check an adult brief or do the laundry. All of these things can bring on a huge case of unearned caregiver guilt.
Let’s make a list of New Year’s resolutions and pretend we’ll keep them all. Even if you only stick to one of them, remember that progress is good, no matter how small.
New Year’s Resolutions to Consider
I give myself permission to not keep the following resolutions or to keep them only partway.
When I feel I am imperfect, I will remember that guilt is not an option as long as I know I did the best I could, given the circumstances.
I will find time alone for myself, even though that seems impossible. That may mean asking for help from people and sources I’ve never considered before.
Regardless of how deserving the source, I will say no to requests for my time when I know I can’t add any more to my plate.
I will remember that family members and friends who are not care receivers deserve some of my time. This may mean a little less of my attention will go to my care receiver, and that is okay.
I will follow through with my own health care appointments and screenings, including dental cleanings and eye exams.
I will find a way to monitor my own energy levels so I can recharge my batteries before I hit the point of exhaustion and burnout.
I will remember that seeking advice from professionals, organizations and fellow caregivers is a sign of strength, not weakness.
I will remember that my care receiver didn’t choose the illness or disability that he or she is living with. I will remember that I didn’t choose this life for my care receiver either, so I won’t be a martyr to their illness. I will remember that taking care of my own needs isn’t selfish. Taking care of myself benefits everyone I love. I will get appropriate help for myself if depression, anxiety or other mental health issues become apparent to me, my friends or my family.
I will be open to alternative ways of caring for myself. This can include massage, aroma therapy, some form of meditation, exercise, attending a support group, seeking out respite care, or meeting with a therapist.
This list is merely a starting point. What resolutions would you add for yourself? Which would you delete? If you print out this list and hang it in a prominent place, you can work toward these goals a little bit every day. Even looking at it once a month will help you view your situation with a fresh perspective.
Remember, happiness isn’t about perfection—it’s about having realistic expectations. We all have room to adjust our expectations to more closely match reality, and that change alone can help us have a happier and more productive year.
By: Carol Bursack, agingcare.com