Sea Crest Health Care Center

Stress is a part and parcel of our frenetic lives, but chronic stress is not what the doctor ordered. Too much stress hikes up your blood pressure, causes body inflammation and can result in heart problems.

So what do we do to slow down? Here are some ways to manage your stress.

• Be realistic about your goals and keep things simple. If you offer to host the annual family Holiday party, don’t go over the top and self cater the entire thing. Take-out side dishes and salads are great fill-ins.

• Express your thoughts in writing. Keeping a journal, blog or diary can be very therapeutic. And if you are not keen of the pen, try recording yourself via a digital voice or video recorder.

• Incorporate some form of exercise into your day and be consistent about it. You don’t have to run the marathon; take a walk with a friend, join the pool at the local Y or shoot some hoops with your kids.

• Massages are the ultimate relaxant. If you don’t believe me, try one for yourself. An aside, did you know that despite the gloomy economy – massage therapy has remained quite popular according to a recent survey from the American Massage Therapy Association?

• Find out if your workplace has any stress-fighting resources in place. Many Employee-Assistance Programs (EAP), wellness programs or health plans provide confidential personal stress-relief plans.

With the number of U.S. seniors with Alzheimer’s skyrocketing, much research is underway to determine how to stave off this mental deterioration, keeping people physically and mentally sound as they age.

A recent report in the December Journals of Gerontology: Medical Sciences found that older women who volunteered for Experience Corps – tutoring elementary school children, had increased brain activity  in regions important to cognitive function after a period of six months.

What was exciting about these results, is that it shows a direct correlation between community-based programs and improved cognitive functions. Until now, much study has been done on the brain-boosting power of cognitive, physical and social leisure activities, but little was known about the effectiveness of community-based service.

“This finding is best captured by a personal observation from one of the volunteers, who stated that ‘it [Experience Corps] removed the cobwebs from my brain.” wrote Michelle C. Carlson, of Johns Hopkins Bloomberg School of Public Health.

The seventeen women enrolled in this study were low-income African-Americans with little education, aged 65 and older, and deemed high-risk for cognitive declines, based on a mental state evaluation. Eight of the women actually participated in the tutoring program in Baltimore elementary schools, while the other nine served as the control.

Via functional magnetic resonance imaging, researchers assessed neural activity in the brain prior to the volunteering experience, and again after six months. Based on the fMRI assessment, the women who actively participated in Experience Corps saw improvements in mental function compared with those in the control group.

There you have it, doing your civic duty and assisting others is highly rewarding to all participants. These meaningful activities seem to be more enriching than highly stimulating activities performed alone

There is a definite association between “covert coping” in the face of unfair treatment in the workplace. Men who tend to walk away from conflict at work could be setting themselves up for a myocardial infarction and cardiac death.

In a prospective study of Swedish workers, those who used “covert coping” techniques when they felt they had been unfairly treated were more likely to have an MI or die of ischemic heart disease. Constanze Leineweber, PhD, of Stockholm University in Sweden, and colleagues  in the Journal of Epidemiology and Community Health, expanded on research indicating  that covert coping – or  walking away from a conflict and dealing with the anger “indirectly and introvertly” – increases cardiovascular risk factors. They cautioned that the study didn’t pin down a causal relationship between covert coping and cardiovascular disease. Instead, they said, it raises “an interesting hypothesis, which needs to be confirmed or refuted by future studies.” The researchers analyzed data from a long-running prospective cohort study in Stockholm, the Work, Lipids, and Fibrinogen study, dubbed WOLF for short.

Covert coping was measured by questionnaire, in which the participant was asked about how he or she dealt with unfair treatment from either a boss or a fellow worker. The questionnaire did not measure whether or not the participant experienced unfair treatment at work nor how often covert coping mechanisms were used.

The participants were asked whether they sometimes, often, seldom, or never:

Let things pass without saying anything
Walk away
Feel bad — developing a headache, for instance
Get into a bad temper at home

The results yielded a covert coping score that could range from 8 to 32; the researchers stratified covert coping as low if the score was 8 through 14, medium if it was 15 through 18, and high if it was 19 or more.

They also categorized immediate responses – to the first two options – as low, medium, or high.

Compared with those who had low covert coping scores, the researchers found:

When the unfair treatment came from a boss, those who sometimes or often walked away were three times as likely to have an MI or ischemic death. (The hazard ratio was 3.05, with a 95% confidence interval from 1.23 to 7.58.).

Letting things pass showed a nonsignificant trend to more cardiovascular outcomes for those who did so more often. When the unfair treatment came from a co-worker, the pattern was similar, except that those who said they seldom walked away also had a significant risk for cardiovascular outcomes. The hazard ratio for those who seldom walked away was 4.08, compared with 4.45 for those who said they did so sometimes or often. Both ratios were statistically significant. Neither of the delayed reactions had any association with cardiovascular outcomes – feeling bad or becoming ill-tempered at home – either for unfair treatment from a boss or a co-worker.

Future research, Leineweber and colleagues said, should look at “whether interventions designed to reduce covert coping would alter risk of myocardial infarction and cardiac death.”

The current recession is taking a toll on the mental health of the ranks of unemployed and underemployed. The risk of severe depression is four times greater for those without a job than those who are working – according to a recent national survey conducted by Mental Health America, the National Alliance on Mental Illness and the Depression Is Real Coalition. And those people still lucky enough to be employed, but who were coerced into reduced hours or pay cuts, were twice as likely to have symptoms.

The findings were released during Mental Illness Awareness Week that recently took place on Oct. 4-10.

According to Michael J. Fitzpatrick, Executive Director of the National Alliance on Mental Illness, “Unemployment today stands at almost 10 percent. Nationwide, we face a mental health crisis as well as an economic crisis.”

Approximately 15 million U.S. adults (5 percent to 8 percent of the adult population) are affected by major depression each year, and only 50% seek treatment, regardless of their economic or employment situation the survey found.

Yup, there’s actually such a title. A recent Wall Street Journal article highlighted the growth of a new genre – upscale, more palatable cuisine now offered in healthcare facilities.

The typical hospital fare such as jello, soggy sandwiches and tasteless chow that we’re all familiar with, seems to be a thing of the past.  Think Machaca Steak with Sauce and Curried Banana Pierogi. Hospitals are now competing with the likes of five-star hotels and restaurants by installing sushi stations, organic salad bars and pizza ovens.

The National Society for Healthcare Foodservice Management recently launched an annual cooking competition. “We want to show the world that health-care food is so much different. It can be creative. It can dazzle,” said Betty Perez, a society board member and a hospital food administrator in New Jersey. “We have chefs that can compete with the best of them.”

However, hospital chefs must play by different rules than their glitzy restaurant counterparts. Their creative offerings must be in tune with doctors orders, as well as nutritionists and cost-sensitive food administrators.

600 calories, 20 grams of fat, and 1,000 milligrams of sodium were the max for each contest dish and the production cost per dish could not exceed $5.

So pass the Green Apple-Jicama Slaw and enjoy your stay.

Aside from therapy and medication – crucial elements in one’s battle against serious doldrums, there are some natural lifestyle changes that can be quite effective.

“Having a routine gives you a sense of control over the day,” says Ian A. Cook, MD, director of the Depression Research Program at UCLA. “We know that helps, and we know that not having a sense of control makes people feel worse.”

– Exercise is proven to be a great mood-booster.

– A basic healthy eating plan will do wonders.

– Get a good night’s sleep.

–  Set realistic goals daily and try to meet them.

–  Incorporate some downtime for fun or relaxation into your schedule.

– Have a support network of family and friends and don’t distance yourself from them.

–  Make sure you have some responsibilities that give you a sense of accomplishment and keep you active.

– Try a natural supplement such as fish oil, but only after checking with your doctor.

– Stay away from substance abuse.

– When you’re in a rut, go out of your way to try something new and different. Push yourself to go to a museum . . .Volunteer at a soup kitchen . . . Take a language class. . .

Here are some cognitive ways to fight automatic negative thinking:

– Use logic when you have exaggerated terrible thoughts about yourself.
“Try to impose some reason,” says Cook. “Inject some reality.” Is it really true that no one likes you? Is there real evidence for that?  Sure, you might feel like the most stupid and hateful person on the planet, but really, what are the odds?”

– Clear your head of negativity by taking a break. Breathing exercises or a simple walk around the room can help.

Just remember not to ignore serious signs of depression. If you’re not functioning make sure to get professional help.

Everyone knows that breakfast’s good for you. How good just became a little clearer. A team of British Researchers have pinpointed scientifically how your brain craves high calorie food when you skip your morning meal.

Utilizing MRI’s of the brain, they studied 20 healthy, thin people who went without breakfast that day.?When those people were exposed to an array of food photos, both high and low fat, their brains become more active at the sight of the high-calorie options than when they saw low calorie foods. When this test was repeated on another day 90 minutes after they ate breakfast, there was no significant difference in their brain’s reaction to different caloric foods

Corresponding to the MRI findings, were ratings of appealing food pictures. After skipping breakfast, participants found calorie laden food choices to be much more tempting.  After eating, however, the group did not show a strong preference for the high-calorie foods.

According to Tony Goldstone, MD, PhD, a consultant endocrinologist with the MRC Clinical Sciences Centre at Imperial College London, “Our results support the advice for eating a healthy breakfast as part of the dietary prevention and treatment of obesity, When people skip meals, especially breakfast, changes in brain activity in response to food may hinder weight loss and even promote weight gain.”

It starts with neglecting one’s hygiene, nutrition and medications, and can lead to death within the year. According to data compiled by the Chicago Health and Aging Project (CHAP), an older person’s risk of dying within the year increases six-fold when he or she starts to ignore his or her physical and medical needs.

The CHAP?study took place from 1993-2005 in three Chicago neighborhoods and the 9,318 participants were ages 65 or older. Among that population there were 1,544 reported cases of self-neglect (mean age of 73.2 years old) and in the average follow-up within almost a year, there were 927 deaths (47.8%) in that group.

Elder abuse of any kind also generated a greater mortality rate, with a 61.6% death rate within an average of 2.7 years.

By the self neglect cases,  the increased mortality rate wasn’t affected by whether or not the senior’s cognitive or physical functions were impaired. However by confirmed abuse cases there was a significant difference – increased mortality was not associated with elder abuse of high functioning seniors, demonstrating that this group was more likely to recognize abuse and seek help.

As the Baby Boomer generation ages, there is a swelling populaton of people suffering from osteoarthritis. Arthritis pain seems to go hand in hand with insomnia, with joint pain keeping awake 60% of those with osteoarthritis

A new study, reported in the Aug. 15 issue of Journal of Clinical Sleep Medicine, finds that cognitive therapy has a beneficial effect on osteoarthritis patients and insomniacs – assisting them in their quest for a good night’s sleep.

Cognitive behavior therapy for insomnia or CBT-I,was given by an experienced clinical psychologist who taught participants cognitive restructuring techniques that helped change unrealistic beliefs and irrational fears regarding sleep or lack of it.

Handwritten sleep logs kept by participants documented their sleep patterns, and pain level was graded by the Short-Form McGill Pain Questionnaire (MPQ) and the Body Pain Subscale (SF-PAIN) question from the Medical Outcomes Study Short Form-36 Pain.

Results showed that after CBT-I treatement, patients were falling asleep faster than before, and remained sleeping approximately 37 minutes longer. CBT-I seems to be an effective tool for treatment of osteoarthritis in conjunction with other pain management techniques, and may also work well with other chronic pain conditions.

Brace yourself – that’s the number of flu shots that may be necessary to protect oneself from the upcoming flu season. Two vaccines will be required for the H1N1 strain (swine flu) and one for seasonal flu.

As of yet, only 45 million swine flue vaccines will be ready by Oct. 15, a far cry from the 120 million doses originally anticipated. Pregnant women, public health workers and small children will be the first to be immunized and this priority group numbers approximately 160 million individuals, according to the U.S. Centers for Disease Control and Prevention.

After those considered high-risk are inoculated, U.S. health officials will recommend that people ages 25 through 64 receive H1N1 shots. It is interesting to note that those 65 and older are actually at lower risk of contracting swine flu, since the flu strains they encountered as children provides some protection.  As soon as the seasonal flu shot is available it is highly recommended that all seniors get them. Once all those under 65 receive the  swine flu vaccine, inoculations will be recommended for seniors.

The vaccine production is moving slower than expected due to the slow growth of the vaccine substance, as well as a shortage of manufacturers available to actually package the vaccine.

“The amount vaccine manufacturers are getting out of millions of eggs is less than expected, and it’s taking longer to make,” explained Dr. John Treanor, professor of medicine and of microbiology and immunology at the University of Rochester Medical Center in New York.

The second delay factor is being addressed by the government who has increased efforts to recruit more companies for packaging.