Posts Tagged ‘assisted living downers grove’

No matter what, skin ages because of too much cold weather, too much sun, and too many years. Most people make a point of taking care of their skin, using moisturizers and creams to keep inevitable damage at bay as long as possible. But as aging takes place, skin dilemmas happen to nearly everyone.

According to the Mayo Clinic wrinkles happen due to many years of ultraviolet rays and gravity. The skin becomes less elastic and subsequently sags and wrinkles. Habits like frowning and smoking can cause wrinkles around the mouth.

Seniors are prone to dry skin which is rough and scaly skin that appears on the lower legs, elbows, and lower arms. A few causes of dry skin include:

• Dehydration due to not drinking enough fluids
• Staying in the sun for long periods of time
• Being in very dry air
• Smoking
• Experiencing stress
• Losing sweat and oil glands which happens naturally with age
• Some health problems like diabetes or kidney disease
• Using excessive amounts of soap, antiperspirant, or perfume
• Taking hot baths

Dry skin can lead to itching, bleeding, and infection. It can also contribute to sleep problems. Such problems can be treated by medication, so it is encouraged that one seek medical attention before itchy skin leads to more serious conditions. Men and women can also use lotions and ointments, take fewer baths, use milder soap, use cooler water when bathing, or use a humidifier in order to treat dry and irritable skin.

Age spots, which are sometimes referred to as liver spots, are brown spots that can appear on the hands and body. They are harmless signs of years of sun exposure.

Skin tags are flesh-colored growths of skin that can grow anywhere, but the neck is a likely spot.

Although these age spots and skin tags are harmless and are simply due to aging, it is important to alert the doctor as it may be difficult for those without medical training to discern between these and irregular growths. A dermatologist can remove both of these types of growths if they are bothersome.

With age, men and women can bruise more easily and take longer to recover from bruising. Seniors with excessive bruising should see a doctor.

Psoriasis. This skin condition is marked by a rapid buildup of rough, dry, dead skin cells that form thick scales.

Thyroid disorders. Hypothyroidism, a condition that occurs when the thyroid produces too little thyroid hormones, reduces the activity of sweat and oil glands, leading to rough, dry skin.

Skin cancer is the most common cancer in the United States and is mainly caused by exposure to the sun, sunlamps, or UV light in tanning booths. People with fair skin are more at risk for developing skin cancer. If diagnosed early, skin cancer can be cured.

According to SeniorAdvice.com , some ways to prevent skin conditions are as follows:

• Sun exposure, especially between 10 a.m. and 4 p.m. when the sun’s rays are the brightest, should be limited. Cloudy skies or staying in water does not mean you are not being exposed. UV rays travel through these translucent surfaces to reach the skin.
• SPF15 sunscreen and higher should be reapplied at least every two hours with long periods of sun exposure.
• Hats and sunglasses can help protect the face and eyes from harmful UV rays.
• Purposefully exposing the skin to direct UV rays without protection is discouraged.

It’s sneaky and it’s subtle. It’s referred to as “…the silent thief of sight.” “It” is glaucoma. Most types of glaucoma cause no pain and produce no symptoms. What glaucoma does do, however, is cause damage to the optic nerve. The main function of the optic nerve is sending electrical transmissions to the brain. Damage to it can lead to serious problems with vision that eventually lead to blindness.

Glaucoma is caused by increased pressure in the eye. This pressure is from a buildup of fluid, called aqueous humor, in the front of the eye. The elevated pressure is often extremely subtle with no symptoms until the disease has already caused significant damage.

In the U.S., approximately 2.2 million people age 40 and older have glaucoma, and of these, as many as 120,000 are blind, according to the American Health Assistance Foundation. An estimated 3.3 million of Americans could have glaucoma by the year 2020.

Glaucoma is a leading cause of blindness among African Americans and Hispanics in the U.S. Three times as many African Americans have glaucoma than Caucasians, and four times as many are blind. Between the ages of 45 and 64, glaucoma is fifteen times more likely to cause blindness in African Americans than in Caucasians.

Because people may not know they have glaucoma, a simple and painless glaucoma test, performed by an ophthalmologist, is vital. These tests allow the doctor to measure pressure in the eye, examine the optic nerve, check the visual field and determine the fluid drainage angle in the eye.

According to seniormag.com, there are actually two major types of glaucoma – open angle and closed angle. Typically open angle glaucoma has no symptoms in its early stages and vision remains normal. As the optic nerve becomes more damaged, blank spots begin to appear in one’s vision, but such spots can be unnoticeable at first. If the optic nerve is significantly damaged, these spots become large. If all the optic nerve fibers die, blindness results.

Some eyes are formed with the iris too close to the drainage angle. In these eyes, which are often small and farsighted, the iris can be sucked into the drainage angle and block it completely. This is called closed-angle glaucoma. Since the fluid cannot exit the eye, pressure inside the eye builds rapidly and causes an acute closed-angle attack. Symptoms that occur suddenly can include blurry vision, halos around lights, eye pain, nausea and vomiting. Medical attention should be immediate.

Early detection is key

Early detection through eye exams, visual field tests and optic nerve imaging, and management through medications and laser treatments (to relieve eye pressure) are keys to preventing optic nerve damage and blindness from glaucoma.

Be aware

• Everyone older than age 60 is at increased risk.
• For certain population groups such as African-Americans, the risk is much higher, and they should have eye pressure monitored before age 30. Hispanic, Asian and Japanese Americans also face an increased risk. The reasons for these differences aren’t clear.
• If there’s a family history of glaucoma, there is a much greater risk of developing it. A form of juvenile open-angle glaucoma has been clearly linked to genetic abnormalities.
• Diabetes increases the risk of developing glaucoma. A history of high blood pressure, heart disease, or hypothyroidism can increase risk as well.
• Severe eye injuries can result in increased eye pressure. Injury can also dislocate the lens, closing the drainage angle. Other risk factors include retinal detachment, eye tumors or eye inflammations.
• Being nearsighted, which generally means that objects in the distance look fuzzy without glasses or contacts, increases the risk of developing glaucoma.
• Using corticosteroids for prolonged periods of time appears to increase the risk of getting secondary glaucoma. This is especially true if someone uses corticosteroid eye drops.

Heat and humidity are a given in mid-summer, but if you’re a senior citizen, hot weather can be much more than just a nuisance. The body’s natural defenses against heat can break down with age, putting seniors at risk for heat stroke, heat exhaustion, and other serious disorders.

According to ahealthyme.com, several factors make senior citizens especially vulnerable to hot weather, according to. Older bodies can be slow to sense and respond to changes in heat, so seniors often don’t start sweating until their temperature has already soared. Even when the body’s cooling devices kick in, they probably don’t work as well as they used to. Sweat glands can grow less efficient with age, and other normal changes in the skin slow down the release of heat.

In addition, many common conditions can hamper an older person’s ability to regulate temperature, including diseases of the heart, lung, and kidneys; high blood pressure; diabetes; and other conditions that cause poor circulation. Finally, several medications commonly prescribed to seniors can affect the body’s ability to cool down. These include antidepressants, motion sickness drugs, and blood pressure medications.

For all of these reasons, it’s essential for seniors and their loved ones to understand the signs of dehydration, heat stroke and heat exhaustion, the most common forms of heat-related problems.

Dehydration occurs when a person loses more fluid than he or she takes in, and the body doesn’t have enough water and other fluids to carry out its normal functions. There are serious consequences if the lost fluids are not replaced.

Common causes of dehydration include diarrhea, vomiting, fever or excessive sweating. Inadequate intake of water during hot weather also may cause dehydration. Anyone can become dehydrated, but young children, older adults and people with chronic illnesses are most at risk.

A person can usually reverse mild to moderate dehydration by increasing the intake of fluids, but severe dehydration needs immediate medical treatment. Of course, the safest approach is prevention. Monitor fluid loss during hot weather, illness or exercise, and drink enough liquids to replace what’s lost.

Heat exhaustion is a condition with symptoms that may include heavy sweating and a rapid pulse, a result of the body overheating. A cause of heat exhaustion includes exposure to high temperatures, particularly when combined with high humidity. Without prompt treatment, heat exhaustion can progress to heatstroke.

Heatstroke is a life-threatening condition that occurs when a person’s body temperature reaches 104 F (40 C) or higher. Heatstroke can be brought on by high environmental temperatures, by strenuous physical activity or by other conditions that raise the body temperature. Whatever the cause, immediate medical attention is required in order to prevent brain damage, organ failure or death.

Heatstroke is the escalation of two other heat-related health problems: heat cramps and heat exhaustion. In these conditions, a person develops signs and symptoms that are milder than those of heatstroke. Heatstroke can be prevented with medical attention or by taking self-care steps as soon as problems are noticed.

Heat waves are often deadly for seniors. Older people living in homes without air conditioning need to be checked at least twice a day when the temperature reaches 90 and above, according to ahealthyme.com.

The best way to stay cool during a heat wave is to stay indoors with the air conditioner on high. If there is no air conditioner, consider taking a trip to a cooling center, an indoor mall, library, or movies. A fan can help, but it can’t take the place of an air conditioner. If the temperature reaches the 90s, even the best fan may not protect a person from heat exhaustion or heat stroke.

Seniors, when you do go outside on a hot day, use common sense. Drink more than you need to quench your thirst, and if you’re sweating heavily, choose fruit drinks or sports beverages to replace lost minerals.

Like the song from Kiss Me Kate says, “It’s Too Darn Hot.”

Living in a retirement or assisted living community provides precious time to pursue hobbies. But you know what? Sometimes finding a hobby isn’t so easy. Hobbies for seniors need to fit certain guidelines. They need to be entertaining, but they also need to be inexpensive. They need to be exciting enough to be enjoyable but not too strenuous.

The good news is there are hundreds of hobbies out there just waiting for seniors to participate. For example, how about walking? No equipment necessary, no new wardrobe to buy. Walking can be enjoyed anywhere, especially with a walking buddy. You can take a shortie or a long walk. You can walk the halls of the retirement community or you can go around the block. You can go five steps, because chances are in a few days, you’ll be able to go six steps.

According to FutureYears.com, Phyllis McGinley said, “A hobby a day keeps the doldrums away.” Research shows that seniors who participate in group activities are less prone to depression and health problems. They also live longer than people who are not associated with like-minded friends and acquaintances.

In a nutshell, staying socially active in some kind of group activity helps seniors stay happy, make new friends, and also helps utilize one’s time in a productive and satisfying manner. Besides, it’s just plain fun.

Not that there’s anything wrong with solo hobbies such as reading, watching TV, meditating, or gardening. Each of these hobbies is therapeutic in its own way. After a while, however, boredom can set in. You could always expand a reading hobby and join a book club or a library, exchange books with other book lovers and have interesting informal discussions. In fact there are many reading groups on the internet.

In addition, it has been proved that hobbies are good for the brain. Now who needs any more convincing than that …?

Retirement-Online.com provides some A to Z ideas:

• Antiques
• Art
• Auctions online
• Beer collections
• Bird watching
• Blog writing
• Bridge
• Card games
• Chess
• China collectibles
• Coin collections
• Computers
• Cooking
• Crafts
• Crochet
• Crossword puzzles
• Dancing
• Doll houses
• Exercise
• Family scrapbooks
• Geneology
• Ham radio
• Journaling
• Knitting
• Longaberger baskets
• Money
• Music
• Paper arts
• Pen pals
• Photography
• Poetry
• Quilts
• Radio
• Scrabble
• Sewing
• Solitaire
• Stamp collecting
• Theatre
• Travel
• Volunteering
• Walking
• Wood working
• Writing
• Zoo visits

Health care can be a maze of doctor’s appointments, prescriptions, tests, safety measures, etc. As seniors age, the maze becomes even more complicated. What the doctor said is unclear, driving becomes a challenge, and a myriad of additional issues add to the confusion.

Ten areas of concern are outlined below. Some of these concerns are moot when a move to an assisted living community occurs. In a community, systems exist to manage medications, safety measures have been carefully considered and built-in, more help is available, and many seniors give up the car when they move to a community.

According to the Institute for Healthcare Advancement it’s true that many seniors are living longer, but it’s also true that many could improve the way they deal with health problems. To help seniors stay healthier longer, the IHA has identified the 10 most common mistakes older adults make in caring for their health:

1. Driving when it’s no longer safe
   Seniors often associate mobility in a car with their independence, but knowing when it is time to stop driving is important for the safety of everyone on the road.
2. Fighting the aging process and its appearance
   Refusing to wear a hearing aid, eyeglasses or dentures, and reluctance to ask for help or to use walking aids are all examples of this type of denial.
3. Reluctance to discuss intimate health problems with the doctor or health care provider
   Older Americans may not want to bring up sexual or urinary difficulties. Sometimes problems that the individual thinks are trivial, such as stomach upsets, constipation, or jaw pain, may require further evaluation.
4. Not understanding what the doctor told them about their health problem or medical treatment plan
   Not understanding the doctor or not remembering what he said are typical complaints. Reluctance to ask the doctor to repeat information or to admit that they do not understand what is being said can result in serious health consequences.
5. Disregarding the serious potential for a fall
   To help guard against falling, seniors should remove scatter rugs from the home and have adequate lighting throughout. They should wear sturdy and well-fitting shoes, and watch for slopes and cracks in sidewalks. Participating in exercise programs to improve muscle tone and strength is also helpful.
6. Failure to have a system or a plan for managing medicines
   By using daily schedules, pill box reminders or check-off records, seniors can avoid missing medication doses.
7. Not having a single primary care physician who looks at the overall medical plan of treatment
   Health problems may be overlooked when a senior goes to several different doctors or treatment programs, and multiple treatment regimens may cause adverse responses.
8. Not seeking medical attention when early possible warning signs occur
   Reasons for such inaction and denial may include lack of money or reduced self worth due to age. Of course, such treatment delays can result in a poorer prognosis.
9. Failure to participate in prevention programs
   Flu and pneumonia shots, routine breast and prostate exams are examples of readily available preventive health measures that seniors should utilize.
10. Not asking loved ones for help
    Many older Americans are reluctant to ask for help whether due to a need for independence or because of early signs of dementia. It’s important that elderly people alert family members or other loved ones to any signs of ill health or unusual feelings so that they can be assessed before the problem advances.

Oh my aching knees. According to senior-fitness.com, in a typical year more than 6 million seniors, age 62 and older, will visit a doctor because of knee pain.

A healthy knee easily can withstand loads equal to more than four times the body weight. Pretty amazing, don’t you agree?

A knee is a joint, and a joint occurs wherever two bones come together. But that definition doesn’t begin to convey the intricacy of joints which provide the body with flexibility, support and a wide range of motion.

The body has four types of joints: fixed, pivot, ball-and-socket, and hinge.  Knees are hinge joints which work much like the hinge of a door, allowing the joint to move backward and forward. Knees are the largest and heaviest hinge joints in the body. They’re also the most complex. In addition to bending and straightening, they twist and rotate like a gyroscope. This makes knees especially susceptible to damage which is why they sustain more injuries on average than do other joints.

The knee joint is four bones held together by ligaments. The thighbone (femur) makes up the top part of the joint, and two lower leg bones, the tibia and the fibula, are the lower part. The fourth bone, the patella, slides in a groove on the end of the femur. Ligaments are large bands of tissue that connect bones to one another. In the knee joint, four main ligaments link the femur to the tibia and help stabilize the knee as it moves through its arc of motion.

Over the course of a lifetime, natural lubricants dry-up, and the cartilage wears away. This can lead to arthritis. Then is knee pain inevitable? Many experts think that the human knee can last a long lifetime, provided it’s not abused and receives some basic preventive maintenance. The right lifestyle and activity choices can help make knees stronger, healthier, and more pliant. Most important is to keep moving.

Tips & Warnings from ehow.com:

• First and foremost, ask your doctor whether knee exercises are safe for you.
• Walk around for a few minutes before doing knee exercises to give muscles a chance to warm and stretch.
• Repeat any knee exercise only two or three times in the beginning.
• Wear comfortable, sturdy shoes to enhance balance and avoid jerky movements when doing knee exercises.
• Do not hold your breath when doing muscle-tightening exercises.
• Do not kneel directly on your knees when gardening or doing chores around the house. Seniors should use a low stool or padded kneepads.
• Do not exercise to the point that you start to feel pain
• Knee exercises must be done very slowly and gradually increased to avoid putting too much stress on muscles, tendons and ligaments.

The following exercises are recommended for seniors by ehow.com:

To strengthen the quadriceps (front of the thigh):

• Sit in a chair with your back straight and the balls of your feet touching the floor. If your entire foot lies flat on the floor, sit on some cushions to lift yourself up so only the balls of your feet touch the floor. Your hands can be either resting on your thighs or holding the chair.
• Bring your right leg in front of you and lift it very slowly until your knee is straight without feeling painful.
• Point your toes back towards your head while in this position and hold for 3 seconds.
• Lower your leg back slowly to the starting position, resting the balls of your feet on the floor.
• Repeat the entire exercise with your left leg. You can repeat this exercise 5 to 10 times if comfortable.

To strengthen the hamstrings (back of the thigh):

• Sit up straight in a chair with arms that will not move as you do this exercise. Prop the chair against a wall if that will keep it stable. Place legs at a 45-degree angle with heels resting on the floor.
• Dig your heels into the floor as you hold onto the arms of the chair. Hold that position for 5 seconds. You will feel your hamstring muscles tighten as you do this.
• Relax for 10 seconds and then repeat 5 to 10 times.

Most seniors, as they age, they think about their Will. They see a lawyer and make decisions about the division of assets among children and/or grandchildren. There’s another kind of asset to leave family members that is historic and incalculably dear – the story of your life.

A granddaughter expressed regret that she never really knew her grandparents on her father’s side. They came through Ellis Island from Finland, and they both were gone by the time the granddaughter was 12. Decades later, as she faced her own mortality, her thoughts dwelled on the couple, and she wished she had asked her dad more details about what his parents were like. But he had died, too, and the unasked questions were haunting. Any stories about the courage it must have taken to come to America are impossible to know.

If only…if only they had written down a personal story or two.

The drama of coming through Ellis Island isn’t a necessity to tell a life story, however. All the remembrances and experiences of a long life are precious and priceless. Life story writing leaves a lasting legacy for future generations. And it can bring enjoyment, satisfaction and even closure in the last stage of life.

Of the many excellent books on autobiographical writing, perhaps the best for seniors is Lois Daniel’s How to Write Your Own Life Story. The author suggests writing in small sketches of a few sentences each. In addition to genealogical and family life stories – circumstances of birth, favorite toys, stories about siblings and grandparents, she suggests topics such as where were you on important days in history, accomplishments of which you are the most proud and inventions of the day.

According to CreativeQuotations.com, Grandma Moses, in her autobiography, wrote, “I have written my life in small sketches, a little today, a little yesterday, all the things from childhood on through the years, good ones and unpleasant ones, that is how they come out and that is how we have to take them.”

Life story writing in a group can be very enjoyable, and it’s an excellent way to build community with others. Sometimes a family member can serve as a scribe while the senior reminisces aloud. Often a grandchild or great-grandchild compiles the stories and self-publishes from his or her computer. With a little computer know-how, the document can have photos to go along with the stories.

Writing your life story: six suggestions for seniors from JournalTherapy.com

1. Write in small sketches of five or ten minutes on specific topics, such as a favorite holiday, the first job, a memorable world event.
2. Engage family members in the process. Invite correspondence, or ask nearby relatives to scribe “spoken poems” by writing down everything that is said, in your exact words.
3. Join a life story or memoir writing group. Ask at your senior center, library, or doctor’s office. If a writing group doesn’t exist, see if you can get one started.
4. Tell the stories of how you participated in world history. Where were you when you heard about the bombing of Pearl Harbor? How did you and your family spend the Great Depression years? Where were you when President Kennedy was assassinated? How did you and America react to 9/11?
5. Write your “ethical will.” What life lessons, personal philosophies, mottos, and core values do you want to leave as legacy to your descendants? How did you learn these lessons or acquire these philosophies?
6. Ask someone in your family with computer skills to compile your stories into a self-published memoir.

It’s never too late. Go for it. Give it your best shot. Are these words purely clichés? This blog post is devoted to a few stories of seniors who found their bliss, their muse, and/or their talent late in life. They are an inspiration to all of us. Perhaps the most famous is Grandma Moses.

In 1860, as the Civil War was about to start, Anna Mary Robertson was born in upstate New York, according to http://gardenofpraise.com. She was raised on a farm and only very briefly attended school. At age 12, she left home to be a hired hand at another farm. At age 27, Anna Mary married Thomas Moses, a fellow hired worker. The couple rented different farms and finally was able to buy a farm of their own. Anna Mary and Tom had ten children, five of whom survived.

Despite farm duties and a huge family, “Mother Moses” was a whiz at needlework. With thread she would make wonderful pictures on fabric until arthritis took away her ability to push a needle through material. So, at age 75 she took up painting mostly because it was easier on her hands. Her first work of art was created with house paint.

She continued to dabble, learning by trial and error. In 1938, a local drugstore displayed some of her paintings, and an art collector from New York happened by. Anna Mary’s daughter-in-law told the man that Grandma had ten paintings to sell. When she counted the paintings, there were only nine, so Grandma cut a large picture in half and reframed it as two pictures.

The man, Louis Caldor, introduced Grandma’s work to a New York art gallery owner who opened an exhibit titled, “What a Farm Wife Painted.” At age 78, Grandma had a following. She appeared on the Edward R. Murrow’s television show and demonstrated how to paint a picture. She said she painted from the sky down; sky first, then the mountains, then the land, then the people. Her people were shown doing anything she might have seen someone do in her long, active life and were rich in color.

According to http://www.essortment.com, between the start of her painting career at age 75 and her death in 1961 at age 101, Grandma Moses painted approximately 1,600 paintings. Some 250 of those were painted after her 100th birthday. Her family never took her work seriously, but the art world certainly did. Her paintings continue to be enjoyed by people of all ages.

Other amazing seniors from http://www.selfhelpzone.com:

• Two months after her 100th birthday, Estrid Geertsen, born in 1904 in Denmark, made a tandem parachute jump from an altitude of 13,000 feet.
• Charin Yuthasastrkosol began ballet lessons at the age of 47. In 2002 at age 71, she performed for Sakthip Krairikish, Thailand’s Ambassador to the USA, in  Albuquerque, New Mexico.
• Greek runner Dimitrion Yordanidis ran a 26-mile marathon. At age 98, he finished in 7 hours, 33 minutes.
• The oldest person – and the oldest male – to summit Mr. Everest is Katsusuke Yanagisawa, a former school teacher, on May 22, 2007. He was 71 years old.
• Ruth Hamilton was born in 1898. She died in 2008 at the age of 109. Toward the end of her life, she became an avid blogger. The woman who used to be a school teacher in Iowa was given a new lease in life through her video blog: http://growingbolder.com.

If only there was a recipe for aging well – a little of this and a little of that, and voila! Perfect old age.

Well, according to the National Institutes for Health’s magazine, “Medline Plus,” there are seven important “ingredients” to aging well. There are no concrete promises that it will turn out perfectly, of course, but these seven steps are everyone’s best shot.

First, quit smoking! It is never too late to quit, especially because smoking is a leading risk factor for lung cancer. Quitting smoking may be challenging, but there are resources to help. The National Cancer Institute (NCI) has guidelines for quitting in its Cancer Topics online. The American Lung Association’s “Freedom From Smoking Online” program describes smoking cessation program and offers support from many other smokers and former smokers.

Second, lose some weight! Studies show that being overweight increases the risk of many diseases in seniors including type 2 diabetes, high blood pressure, heart disease, stroke, some types of cancer, sleep apnea, osteoarthritis, and other health-related problems. Losing as little as 5 to 15 percent of body weight can significantly improve health. A safe, healthy rate of weight loss is half a pound to two pounds per week.

Third, get moving! It’s a fact that exercise burns calories. Generally, seniors have less muscle mass in the body, but strength exercises can help to restore strength and muscle mass, often fairly quickly. To get started on an exercise plan, talk to the doctor about what is right for you. Working up to exercising 4 to 6 days per week for 30 to 60 minutes will work wonders.

Fourth, control blood pressure. High blood pressure or hypertension can lead to stroke, heart disease, eye problems and kidney failure. High blood pressure is defined as a blood pressure of 140 over 90 or higher at two different checkups. What helps is a healthy weight, regular exercise, healthy diet, watch the salt, watch alcohol, and listen to the doctor!

Fifth, control cholesterol levels. The body needs some of this waxy substance, but an excess of it in the blood can clog arteries and lead to heart disease or stroke. To reduce levels of LDL and increase HDL, it’s vital to eat well and exercise. If medications are needed to control cholesterol, they will be used in combination with a good diet and exercise.

Sixth, don’t drink too much.  Drinking more than the recommended amount (two drinks per day for men and one drink per day for women) can increase the risk of certain cancers, cirrhosis of the liver, problems with the immune system, and brain damage. In other situations, irresponsible drinking can lead to car accidents. The best advice is, if you drink, drink responsibly.

Seventh, practice prevention. Stay with the same doctor if possible, that is if you like him or her. Keep up to date with flu shots, and use sunscreen. Take medicines on time, and stay informed. Trusted, up-to-date information can be found at www.medlineplus.gov and www.nihseniorhealth.gov.

Some of us remember when elder grandparents lived in the same household with their children and grandchildren. It’s a rarity these days. Today, many families are scattered and separated by distances both great and small. The website GrandParenting.org says that no matter how far grandparents and grandchildren live from one another, there are two things working in their favor that can help to keep their bond alive and well:

First, young children have the ability to expand time. Remember when you were younger how time moved more slowly, and your house seemed enormous? This means the time you spend alone with your grandchild can nourish your grandchild for quite a while.

Second, technology is a marvelous asset in helping to encourage emotional connections over distance. True, technology can’t go fishing with a grandchild or help out a harried parent, but it can be a godsend to foster ongoing communication

In fact, communication is the most indispensable factor in keeping grandparent and grandchild as close as possible no matter how far apart they live. Today, there are lots of ways to communicate.

About.com reminds us that the “old” ways are still extremely meaningful: letters to an individual grandchild, letters with sketches or drawings, photos of yourself, greeting cards, a note with a stick of chewing gum, packages with several small items, or send something hand-made like a birdhouse or quilt. Young kids like the thought more than the content. Just the fact they receive a letter is more important than what is in it.

Technology has given everyone even more options. Lots of kids are computer literate, and now’s the time to have someone show you the ropes of email. There’s also videoconferencing (you can talk with your grandchild real-time, face-to-face). E-Mail, computer games, and the ability to send notes back and forth (or recipes, jokes,) can keep your contact loving and lively. You can even establish your own home page on the world-wide-web.

Faxes can be fun. One grandmother gave all of her grandchildren fax machines so they could keep in touch on a daily basis. Children can fax jokes, report cards, drawings etc. to their grandparents and vice versa. This grandma faxes her grandchildren individual notes several mornings a week.

Telephone contact is important, too. It’s a live voice. But make sure that you call your grandchild alone. Your grandchild wants to feel special and individual. It’s best to call at a regular time when your grandchild is not rushed or a parent is not harried about getting a meal on the table.

Some suggestions from GrandParentsToday.com:

• Videotape yourself reading a grandchild’s favorite story. If possible, have someone else record you and your spouse, especially on birthdays or other special occasions.
• Bake and send favorite cookies. Include the recipe, and videotape yourself making the cookies for a personal cooking lesson.
• For a far-away grandchild’s birthday, buy party hats, favors, balloons, etc. and send them to the grandchild to use at their party.
• Create a video family history using old slides and pictures. Narrate it or just set it to music. Or create a scrapbook with copies made from the original pictures.
• Watch a television show or rented movie “together.” For instance, at Christmas, plan to watch It’s a Wonderful Life and share your thoughts via a phone call, letter or e-mail.
• Have a prearranged time on New Year’s Eve for you and your children and grandchildren to each light a candle and make a special wish for the coming year.
• Make up a quiz about you and your spouse. It can be a fun way for your grandchildren to get to know you better.

Most importantly, be there when your grandchild is born and be there for the important events; graduations, religious passages, recitals, holidays, whatever events your family values highly. With a little time and ingenuity, connections can be strong and loving in spite of the miles between you.