THE GOLD STANDARD FOR AGED CARE HOMES?

Coming up the driveway to Little Sisters of the Poor / St Francis Xavier Home for the Elderly in Cheras, KL

It was back in the 1970s that I first heard of Little Sisters of the Poor (LSP). I had imagined it to be a place where the elderly poor would spend their final years looked after by caring nuns who had dedicated their lives to God and to charity work. Being much younger then, I had little interest and absolutely no reason at all to visit the place.

Near impossible to find an aged care facility in the city centre with so much greenery and open spaces.

Decades later and now the founder of a seniors community, I had good reasons to pay a visit. Over the years LSP has gained a solid reputation as the 'gold standard' for aged care facilities. It has become the yardstick to measure other similar facilities.

So when the opportunity came last August to visit LSP with a group of academicians from UPM, I grabbed it. The visit was certainly an eye-opener. To say I was impressed by what I saw is putting it mildly. I was awestruck!

Let me take you on a virtual tour of LSP.

The dining hall. Great idea to use protection for the legs of the chairs to prevent scratching the floor and also to reduce noise.

The reading room.

The hair salon. Notice the gleaming floors at LSP. Unbelievable!

The physiotherapy room.

The sewing room. Note also the natural lighting in all the rooms.

The shop where items made by the residents and volunteers are sold.

Lounges are everywhere for residents and visitors to rest their tired feet or simply to sit down for a chat and relax.

The tea room.

The kitchen - spick and span and spotlessly clean.

The laundry room. Adjacent to it is where clothes are sorted and folded.

There are hand rails all along the corridors, and in the lifts. Note too the wall phones on every level.

A peek into one of the rooms with attached bathroom and toilet.

Benches on every level. Facilities at LSP are without doubt elderly-centred.

At the cafeteria listening to Sister share about LSP.

The main hall where the residents were enjoying some performances when we dropped in.

Colourful drawings by the residents.

Fun activities to keep the residents happily occupied.

Daily programme of activities for the month.

Group photo in the garden at the end of our visit.

It would be a challenge for most existing aged care centres to come close to LSP in terms of size, facilities and dedicated staff. Work becomes a devotion when one is serving God. Throw in cleanliness, efficiency and integrity, and you can understand why there is a long waiting list for admission to LSP.

Little Sisters of the Poor celebrated its golden anniversary last December 2015. What a remarkable achievement! Pope Francis sent a special apostolic blessing to mark the auspicious occasion. I was gifted a copy of the commemorative book.

With the proposed Aged Healthcare Act to be introduced next year, the elderly in old folks home, aged care centres and nursing homes in Malaysia can look forward to better care and better facilities. Aged care centres that fail to meet the stipulated standards will face stiff penalties. They will also have to be licensed and registered.

It's been a long time coming. 

(An update: The above article was written in 2016 and reposted here. Since 2016, there has been a mushrooming of aged care centres all over the country, particularly in the Klang Valley. This is due in part to our growing ageing population as well as other socio-economic changes. The newer care homes are a huge improvement over the early ones which I visited between 2011-2016. Those were run mainly by people who had a heart to do good but had little experience or resources on how to manage an aged care facility. Today many of these centres are well-managed, have trained staff and volunteers and age-friendly facilities. They are a far cry from the old folks homes of past years. There is still room for further improvement. A challenge indeed as these homes depend largely on charity, public support and dedicated volunteers, and as everyone knows, these are always in short supply.) 

Footnote: Aged care centres are different from nursing homes. The former are open to mobile, independent senior citizens who require no or minimal assistance in activities of daily living (ADL). 

POP MUSIC RULED MY GROWING UP YEARS

The early 1960s were my coming of age years. I was in high school then till 1964 when I completed my Form 5. I was a typical teenager, enamoured of all things British or American, especially the pop music scene of those days. I learned to dance the twist, the locomotion and the limbo. My grades took a dip when I discovered Billboard Top Hits, UK's Top of the Pops and our own Top 10. I followed all the song request programmes on radio, and was familiar with the names of the popular DJs of the time, names like Vicky Skelchy, Alan Zachariah and Constance Haslam. They played chart-topping songs broadcasted over RTM and Rediffusion. I had my own collection of LPs and EPs, those black vinyl records that I would play over and over again on the turn-table. We had no TV or CD players then.

If I had some money saved, I would buy Tigerbeat. It was the #1 teen magazine then. I would cut out pictures of my favourite teen idols like Ricky Nelson, Cliff Richard and Dusty Springfield, and paste them into my voluminous song-book containing hundreds of lyrics all hand-written. We had no computers then.

Just the other day I was browsing Youtube when I came across these vintage songs from the 1960s. In those days, songs were sung with emotion and lyrics held meaning. A far cry from the majority of today's top hits. 

My taste in music is eclectic. I enjoy folk, country, blues, rock, and even gospel but pop was where I started. Here's a very small selection of songs from some of my teenage idols for your listening pleasure. I hope they trigger some happy memories of the good old days when the world was our oyster to explore and discover. 

 

 

 

Then came 1969, and Woodstock. My taste in music changed, but that's another story for another day.....

(Updated from an earlier article posted in 2012.)

HOW TO STRETCH OUR RETIREMENT SAVINGS

It's been 16+ long months since the MCO lockdown on 18 March 2020. The 'New Normal' is no longer the buzz word. It's the 'New Poor' these days. More folks from the M40 (middle income group) are joining the ranks of the B40 (lower income group). With massive lay-offs, retrenchments and businesses shutting down, many Malaysians are facing an uncertain future, except maybe for civil servants who continue to enjoy job security. 

The pandemic has affected everyone, directly or indirectly. Its ripple effects reach near and far. For many retirees who are dependent on their adult children to support them, their children's financial situation affects them too. The reverse is also true. Parents may have to step in and dip into their savings to help their children if the latter have lost their jobs or are going through difficult times. When money is scarce and savings are depleting fast, it's time to tighten our belts several notches. 

Here are my 10 suggestions, in no particular order:

1. Give luxuries and branded items a miss at least for now
What can we give up without feeling too much pain? Definitely luxuries and branded items. These are wants, not needs, not neccessities. Do we really need that RM1000 bag? Won't a RM150 bag do just fine? This isn't the time to get that RM5,000 diamond-studded watch. Our current watch still does a decent job of telling time. Wait till our bank balance improves. 

2. Are all those expensive health supplements really necessary?
Let's take a good look at our health supplements. Do we really need that many? Seniors spend hundreds of ringgit a month on multi-vitamins, probiotics and tonics. We should consider alternatives for maintaining good health, like exercise, proper eating habits, adequate sleep and a positive mental attitude, all of which are free. Keep supplements to a minimum, and only those that work for us.

3. Downsize, downsize, downsize
Not an easy decision to make, but it may be necessary. With the children all grown and living on their own, our home has become an empty nest. It's time to seriously consider selling the family-size house and moving to a smaller one. Less time and energy spent on maintaining the place. Consider renting a smaller place if we want to keep the house. Look for a tenant to rent it. As for the family car, the sooner we sell off the fuel-guzzling monster for a compact, fuel-saving and reliable Perodua, for example, the better off we will be in terms of savings.

4. No shame in hand-me downs
This applies more to electronic devices like computers, smart phones, and TVs. Our adult children upgrade their mobile phones whenever there is a new model on the market. Let them know we'll be happy to be the new owner of their discards. We know of retirees whose homes are equipped with second-hand items like TVs, karaoke systems, refrigerators and washing machines all handed down from their children, and all still in good working condition.

5. Consider cheaper options
Eat at home, or at food courts when out in the city. With the Covid-19 SOP still in place, we can order meals online. They don't come cheap, so consider it a weekly treat. Take public transport and leave the car for places not served by trains or buses, or for when we need to get somewhere in a hurry. You will be surprised how much we can save on fuel. Planning a vacation when travel restrictions are lifted? Book with budget airlines, and stay at no-frills budget hotels or go for home-stay. The difference between a 3-star hotel and a 4-star one is just one star, but it could mean saving a few thousand ringgit for an extended stay. Frankly, as long as the room is clean, there is hot water and the toilet flushes, we should be satisfied. After all, we are only in the room to bathe and sleep. Most of the time we'll be out sight-seeing. 

6. Ask for senior discounts

Nothing to be ashamed of in asking about senior discounts. Many restaurants and retail outlets do offer special rates for seniors aged 60 and above. Apply for a warga emas RapidKL card to get 50% off on train and bus services. Better still, make use of the free Go-KL buses and city shuttle bus services. If you shop regularly at certain establishments, get a member's privilege card to enjoy discounts or special rates.

7. Less is more

So true when it comes to food, clothes, credit cards, indeed, almost everything. Over-eating can lead to obesity and ill health, over-buying can lead to clutter and hoarding, and over-possession of credit cards can lead to debt and financial ruin. Two credit cards should suffice to cover our purchases. The same goes for holiday trips. Set a ceiling that is within our means. A local weekend staycation with the family is just as enjoyable. It's the company that counts. By the way, ladies, less is also more when it comes to wearing make-up, perfume or jewellery. One plus point about this stay-home-stay-safe period is that we can look our simple natural self. No need to shop for new clothes, do our hair or go for a manicure as there are hardly any social functions to attend with social distancing still being enforced! To look good and feel good, all we need is a smile and a positive attitude. And they cost nothing!

8. Look out for sales and bargains
Patience is a money-saver when it comes to shopping. Spend some time comparing prices online. Unless it's an item we need urgently, wait for festive or annual sales. These are getting more frequent as many stores are having a tough time disposing of their stock. They are offering massive discounts on books, clothes, electronics, furniture - practically anything and everything including online courses. Shop at discount stores like Mr DIY or convenience stores like 99-Speedmart where prices are kept low and affordable. 

9. Don't try and keep up with the Datuks and Tan Sris
If we don't have a healthy bank balance, we should refrain from living an ostentatious lifestyle just to keep up appearances, like letting our friends and neighbours think everything is hunky dory when in reality, we are falling behind in servicing our loans, and in paying off our debts. We don't have to celebrate our birthday in grand style if we can't afford it. If our adult children want to throw a big party for us, insist that they save their money till times are better. And we don't need to have a lavish wedding for our daughter or son if it puts us in the red.

10. Let our savings grow in EPF

The safest way to grow our savings, in my opinion, is to leave it in EPF to accummulate compound interest. Many newly retired seniors withdraw their entire savings to start their own business, invest or splurge on whatever they fancy only to see all that money go 'POOF' - all gone. According to EPF, 70% of members who withdraw their funds at age 55 use up their savings less than a decade after retiring. Often this is due to poor money management and a lack of investment literacy. Also, avoid 'Buy now, Pay later' schemes. That is one sure way of getting into debt if we can't resist the temptation to buy, buy and buy. 

Some advice

Beware of Scams and Get-Rich Schemes

There are numerous cases of seniors falling prey to scams and various get-rich schemes. They end up losing a huge chunk of their retirement savings. Yet there are people who don't seem to learn. We want to stretch our savings, not shrink them. If we want to invest, get advice from trusted financial planners or established investment companies. And do some research /due diligence ourselves. If we are thinking of shares and other investments e.g. cryptocurrency, as a quick way to make money. Please think twice, indeed, think many times. If we don't have a clue about the stock market, bonds, forex, etc STAY AWAY. Don't confuse herd mentality with herd immunity. Just because there is a rush to buy gold as a solid investment, it doesn't mean we should withdraw from our retirement savings to do so. 

Keep track of our daily expenses. 

Make sure it's within our budget. We won't go wrong if we adopt a practical and sensible approach towards managing our finances. Spend only when necessary, and do the math before we part with our money. Go for value. Ask ourselves if we can afford it, if we really need it, and if there's a cheaper option that's almost as good as the one we have in mind.

Better to be called a cheapskate than to be declared a bankrupt. Better to sleep soundly with peace of mind, than to be hounded by creditors and re-possessors, or worse by Ah Longs. Remember, any debts we incur will fall on our children eventually. Surely we don't want to leave them with this burden of an inheritance. The best and safest way to ensure our savings will see us through our retirement years is to LIVE A SIMPLE LIFE.

Warren Buffet, one of the wealthiest men in the world, has the last word on why we must learn to spend wisely:

SENIORS DISCOVER HIDDEN TALENTS THROUGH ONLINE CLASSES

Chan (left) with her brush painting. Next to her is U3A vice-president Lily Fu. (Photo: Julia Chan)

Retiree Rahmah Abdul Aziz, 79, says that joining the University of the Third Age (U3A) – a programme under the Lifelong Learning for Older Malaysians project by Universiti Putra Malaysia’s Institute of Gerontology – has given her a new lease on life.

“I was moping around the house, didn’t go out much, and had lost interest in life after retiring and illness prevented me from doing volunteer social work for certain associations I was a member of,” says the former English teacher who joined U3A in 2010.

“So I decided to give U3A a try after a friend told me about it, and it changed me,” she says, adding with a laugh that all her aches and pains and penyakit orang tua (old people’s sickness) went away.

“You know... when elderly people don’t do anything – they don’t move around or mix with people – they get into a rut, and the mind and the body deteriorates. So being active again and learning something new, ensures you don’t become nyanyuk (senile),” she adds.

Rahmah has taken many classes at U3A including art (acrylic, watercolour and batik), language (Mandarin, French and Japanese), choir singing, and photography. She also takes some of the classes together with her husband, such as Agama Islam, car maintenance, air-con repair and plumbing.

“Initially, I took about nine subjects (most students take a maximum of three at any one time) each semester for the first six years. It was crazy but it gave me a new lease on life and made me active again because I had to wake up early just to go out for classes,” she adds.

Rahmah reveals that even though she uses a walking stick, she made the effort to go all the way to the campus (in Serdang) to attend her classes before the pandemic. There are also some wheelchair-bound seniors who attend the classes, as most of the facilities are disabled-friendly, she says, adding that although she isn’t the oldest student at U3A, she is eldest in most of her classes.

Part of a Lifelong Learning for Older Malaysians project by Universiti Putra Malaysia’s Institute of Gerontology, (now renamed Malaysian Research Institute on Ageing or MyAgeing) U3A enables senior citizens to go back to university without worrying about taking exams or tests.

The emphasis is on “learning for leisure”, to provide opportunities for retired and semi-retired people to get together to continue their educational, social and creative interests in a friendly and informal environment.

Siti Safura Mohamad Sarif, 53, from Seremban, Negri Sembilan, started taking classes at U3A in 2019. Some of the classes that she has taken are baking, traditional dance, art (watercolour) and floral arrangement.

“I’m happy because at my age, I can still discover my hidden talents in painting and flower arrangement. And, I’m happy with the results,” says Siti Safura who lives in Kajang, Selangor.

“We get to mix around with people from different backgrounds and make new friends. It makes me recall my school days too,” she says.

“It’s important for people to continue learning even as they grow older. Learning never stops no matter how old one is. It’s good to increase our knowledge and it’s good for health too, ” she adds.

During the pandemic, Siti Safura has taken several classes online, namely art (watercolours) and floral arrangement.

U3A vice president Lily Fu says: “After a year-long hiatus for many of U3A’s classes since the first movement control order in 2020, we decided to conduct last year’s classes virtually during the first six months of 2021.”

“Furthermore, Zoom allows us to go nationwide so it’s just not limited to the Klang Valley, ” she says.

“It was tough getting seniors to accept online classes initially but they eventually did. We held Zoom workshops and shared YouTube tutorials to assist them,” says Fu.

Blooming success

One of their success stories in online classes was Floral Arrangement.

“We thought it would be challenging for both the instructor and her students. But it turned out to be a wonderful showcase of how a practical hands-on course can be taught 100% online, ” says Fu.

Julia Chan from Petaling Jaya, joined U3A in 2019 and has taken several classes including Chinese brush painting, gamelan, traditional (Malay) dance, choir singing and ukulele.

“I believe in life-long learning and now – during senior years – is the best time to master and experience what I’ve always wanted to,” says Chan who is in her 60s. “U3A has given us a chance to graduate from these courses stress-free, at our own pace.”

Learning new things helps us to grow old gracefully, keeps us alert and updated on the latest technologies, says Chan who completed her ukulele classes virtually.

New intake for 2021

Registration for the new semester starts from July1, 2021 onwards and there will be over 50 short courses offered.

“I’m sure seniors will welcome this online learning and making of new friends during the extended stay-home period,” says Fu.

“It's been more than a year now since the MCO started. Seniors have repeatedly been told they’re in the vulnerable group and should stay home as far as possible. But then, seniors thrive on going out for morning walks, kopitiam chats and visiting friends.

So, it's really a challenge to remain at home most of the time,” she says.

“U3A offers 53 (mostly online) courses in total, covering categories from music and art, to languages and living skills, to keep them happily occupied from July to December,” she adds.

There are 10 brand new courses this new semester, including DIY Repair, Declutter with Joy, Grooming and Etiquette, Charcoal Sketching and Traditional Chinese Medicine (TCM).

“Based on the philosophy of “learning for leisure”, there aren’t any exams but many courses do have assignments to complete. No academic degrees are conferred, but the members are very serious about the learning that takes place, ” says Fu.

At the end of each year, there is a graduation ceremony where certificates of completion are awarded. There is also a concert where the seniors perform and an exhibition where they can display their finished projects.

U3A is open to all Malaysians aged 50 and above. Seniors have to register to become a member before signing up for classes. There are three categories of membership: associate members (50-54 years old), ordinary members (55 and above), and life members (those who have been an ordinary member for two years or more may upgrade to LM.).

More about U3A at our facebook page: https://www.facebook.com/U3AMalaysia/ 

Our website is at https://u3aklsel.wixsite.com/malaysia

(The above was originally published online in The Star 28 June 2021 at this link. However, as many seniors do not have access to the online article, we are sharing it here for their benefit and information. Our aim is to encourage our warga emas to enrol for the courses as they will enjoy the benefits of lifelong learning. Not only will they remain mentally and physically active during the extended months of stay-home, but also make new social connections through learning together with their peers in a safe and friendly environment.)

If you are a first-timer, you must sign up for membership first and pay the fees. Annual membership is Rm25 plus a registration fee of Rm15. Associate members (age 50-54) and ordinary members (55 and above) must renew their annual membership. If you have been an OM for two years, you have the option to opt for life membership at Rm150. The registration link can be accessed at 

https://forms.gle/Z3Y3VKtFNBZ23B1D9

(The above article was published in The Star on 28 June, 2021 at this link: https://www.thestar.com.my/lifestyle/family/2021/06/28/seniors-discover-their-hidden-talents-through-online-classes.)

MY MOM HAS ALZHEIMER'S - WILL I GET IT TOO?

My mother first showed signs of Alzheimer's Disease probably as early as 2008. She was 82 then. She couldn't remember dates, places and names of family members. She couldn't tell one day from another, and forgot what she just had for dinner or where she had left her purse.

That was 11 years ago. I had not heard of Alzheimer's Disease (AD) then. Like most people with elderly parents at home, I took these signs as part of the normal ageing process. It was commonly accepted that people turned senile (nyanyok) in their old age, so I wasn't too concerned about it. It was only later that I discovered having AD is NOT part of ageing. It does not happen to every elderly person.

My mom would repeatedly ask the same questions even though I had just given the answers. It was almost impossible to hold a simple conversation with her. Her attention would drift off to some distant places in her memory. It was as if a mist had clouded the clarity of the moment. She was there with me but yet not there. I didn't know then how to handle such a situation.

It took a fall at home and subsequent hip surgery for my mom in March 2011 before I learned about Alzheimer's. During the ten days my mom was in hospital, her doctor noticed signs of the disease in her behaviour. He suggested I take her to see a geriatrician for a proper examination. A visit to see Dr Philip Poi at UMMC Specialist Hospital and some tests later confirmed my mom had AD.

Learning more about dementia at Hogeweyk, Amsterdam, and pursuing an MSc degree in Applied Gerontology so I could better understand the ageing process.

Thus began my interest in reading up as much as I could about AD. In December 2013, I signed up for an online course on Living with Dementia: Impact on Individuals, Caregivers, Communities and Societies offered by Johns Hopkins University. In 2015, my passion to learn more about AD took me to Hogeweyk, the world's first dementia village in Amsterdam. In 2017, I enrolled for MSc in Applied Gerontology at NTU, Singapore. At 70, I was the oldest graduand in the pioneer batch. I attended numerous conferences to learn about the latest developments in AD research and treatment. As my mom's primary caregiver, I wanted to know how to provide better care for her. At the same time I could learn how to avoid ending up with AD myself. And as a blogger and founder of a seniors' community, I could share what I have learned with others.

The statistics for Alzheimer's are alarming. According to the World Health Organisation Report (WHO) 2019, there are currently 50 million persons with dementia (PWDs). This number is expected to increase to over 150 million in 2050. The World Health Organisation (WHO) 2014 report put the number of people in Malaysia with dementia in 2015 at 123,000. This number was projected to be 261,000 by 2030 and would continue to increase to 590,000 people in 2050. Alarming statistics!

What's the difference between dementia and Alzheimer's Disease?

I have frequently been asked this question. Put simply, dementia is an umbrella term for a host of diseases that affect the normal functioning of the brain. Depending on which part of the brain is affected, diseases associated with dementia include Alzheimer's Disease, vascular dementia, Lewy bodies (DLB) and frontotemporal dementia. The most common of these is Alzheimer's Disease which affects mostly the elderly. However, early onset dementia affecting adults in their 40s and 50s is on the rise.

Is Alzheimer's Disease hereditary?

This is the golden question for me. Aside from my mom, my great grandmother probably had it too. When I was growing up in the 1950s I recall seeing her playing with a baby doll, and treating it as if it were her own child. Another time I saw her packing a few personal belongings in a sarong, and telling the family she was going to take a trishaw 'home', meaning China. These incidents are etched in my memory. I have at least four members in my extended family who were diagnosed with dementia (AD) in their final years. 

Like my mom, one of my aunts also showed signs of behavioural changes in her old age. She would accuse everyone of conspiracy, of hiding her passport and stealing her money. All not true, of course. But when she told me so-and-so had stolen her valuables, I believed her. It was only later when she was diagnosed with AD that everything she said and did began to make sense.

Does that put me at risk? Yes, but at risk does not mean 100% or even 30% certainty. I may or may not develop AD. There are preventive measures I can take to reduce the risks, such as exercises and activities that promote brain health and cognitive functioning.

Read about the APOE gene that determines whether you may be at risk of developing AD.

I am very forgetful. Is this a sign of early Alzheimer's Disease?

All of us are forgetful, some more than others. How often have we forgotten where we parked our car, the name of someone we have just been introduced to, or the lyrics of songs we used to sing? We refer to these lapses of memory as 'senior moments'. Red flags of AD include repeatedly forgetting recent events and confusion in retrieving them. This Mild Cognitive Impairment (MCI) or lapses in short-term memory may signal early Alzheimer's. Over time as the disease progresses, these memory lapses can potentially have serious consequences. My mom would forget to turn off the gas completely after cooking, forget to lock the front door when she left the house, or forget whether she had taken her medication. The latter could have resulted in a drug overdose. My mom also had mood swings, an obsession with collecting tissue paper and was prone to wandering around the house at wee hours of the morning.

My mom enjoyed browsing through newspapers and magazines. I bought this book for her in the hope the images would trigger recall from the deep recesses of her memory.

We often read in the papers of a missing elderly who later turned out to have forgotten how to get home. There are no statistics on the number of such cases in Malaysia. The Japan Times (June 2019) reported that a record 16,927 dementia patients in Japan went missing in 2018. Alarming indeed. Do not leave an elderly unaccompanied especially in an unfamiliar place e.g. a busy hospital or a noisy mall. My mom had on several occasions stopped midway to our neighbourhood supermarket, unsure whether she was heading in the right direction despite having walked there countless times before. Confusion with directions is common in PWDs.

Can Alzheimer's be prevented?

Thanks to Google and the efforts of the Alzheimer's Disease Foundation of Malaysia (ADFM) over the years to educate the public, we now know more about AD. Not everyone develops the disease in their old age. There are people in their 80s and 90s whose minds continue to remain sharp. 

At present there is no cure for AD despite what we read in the media, from coconut oil to ayuvedic treatment. Prescribed medicines for AD can only slow down the progress of the disease at best. Most of the drugs, e.g. memantine, have side effects. AD is a degenerative disease that can span many years, ultimately ending in death. I have watched my mom slowly change from a lively chatty woman to a shadow of her former self. After suffering a mini-stroke in February 2019, she lost her ability to speak, and her memory completely left her. She did not know who I was nor did she even ask. She would sit in total silence, in a world of her own where visitors were barred from entering.

When my mom was discharged from hospital after her second surgery, she was prescribed expensive drugs by one doctor after another. After several years of seeing little improvement in my mom, and on the advice of a doctor friend, I decided to stop all the medication. My mom remained mostly drug-free till the last couple of years after her stroke when she had to take prescription drugs as and when needed. In general she maintained a hearty appetite and slept well  That was good enough for me.

Here's what I would like to share from what I have learned and practised. Preventive steps for dementia do not cost much money. Follow a regular exercise regime and adopt a healthy diet. Monitor your sugar level, blood pressure and weight. Keep your brain actively engaged with mental stimulation such as learning a new language or a new skill. Travelling broadens the mind, so go on trips whenever you can. Finally, build a network of close friends and avoid social isolation.

What preventive measures do I take?

As I am at higher risk than others of getting Alzheimer's, I make sure I stay active physically and mentally. I have always been active, interested in and curious about a lot of things. I read a lot, especially on ageing-related issues. I write a lot too. Curating for news and events to share on Facebook keeps me mentally busy daily. These activities stimulate the brain. That is why I enrolled for my second masters degree at a late age. I also took up singing, line dancing and learned to play the ukulele. Memorizing lyrics, dance steps and ukulele chords helps to stimulate my brain cells. I have been attending courses offered by the University of the Third Age (U3A) since 2011. Lifelong learning keeps the brain well-oiled and the social connections I make will hopefully keep AD at bay. 'Never too old to learn new things' has become my mantra for living life with a positive mindset.

The Mini Mental State Exam (MMSE) is widely used to test for cognitive function. My mom refused to draw the clock when the doctor told her to. She probably could not remember the order of the numbers.

If you are curious to know whether you or a family member has early AD, you could try taking the Mini-Mental State Examnation (MMSE). It is a popular test for cognitive functioning, and includes tests on memory recall, language and focus. There is even a Malay version. The scores will provide an indication of whether the person has any cognitive impairment. As it is only a simple diagnostic test, it should be followed up with a visit to the geriatrician for a full examination. 

When the pandemic SOP allows it, drop by at ADFM community corner at Wisma Atria, PJ, to find out more about AD. There are weekly group activities there for PWDs (persons with dementia) and their caregivers.

(The above article was first posted in Nov 2019. It has been updated after my mom passed away in February 2021. Her journey with Alzheimer's lasted eleven years from her diagnosis. I am glad most of those years were relatively happy ones for her.)