The brain as an organ in the body weighs about 3 pounds. It has roughly 1 trillion (1000 billion) nerve cells, called neurons. EACH of these cells has connections to 10,000 other neurons in the brain.
There are undeniable changes in brain structure and how the brain operates over time. Mental decline, however, is not a given. Processing speed slows down for sure. It takes more time to learn new things than when we were younger. We may be more easily distracted as we get older. And multi-tasking may not be an effective strategy.
Still able to grow and change
That said, the brain is remarkably versatile. Unless there is a brain disease, it has the ability to regenerate itself, even in old age. We never stop building new neurons. If we stimulate the brain to learn new things, it is remarkably compliant. We may not be as speedy, but age in and of itself does not make us any less smart or creative than we were in our younger years.
There are many components to mental activities. Below are a few that are especially important in aging.
There are over 70 conditions that contribute to memory problems. And age is certainly a “risk factor” for Alzheimer’s, stroke and other brain illnesses.
Alzheimer’s is the second most dreaded disease, second only to cancer.
But sometimes the worry about dementia can create its own problems. Mental health issues are very stigmatized in our society. They bring with them feelings of shame, not only for the patient, but sometimes even for family members.
Anxiety and shame about potential dementia can lead to depression, which in turn leads to isolation and low self-esteem.
Depression itself is one of those conditions that exhibits symptoms of fuzzy thinking and memory loss. Ironically, the fear of dementia can trigger dementia-like symptoms.
Forgetting serves a purpose It’s important to keep memory in perspective. This is not to deny the impact of a brain disease. But a little forgetting is not a terrible thing. It’s actually quite healthy in a normal brain.
Not all memories are worth saving, or retrieving!
Our brains continue to take in new data all the time.
There simply isn’t room to store all the details of all the things we have ever experienced over all the years.
It’s quite adaptive of the brain to jettison some facts or events in favor of keeping others that are much more critical to our survival.
The normal forgetfulness of aging
Forgetfulness is the inability to retrieve information we think we have committed to memory. Normal forgetfulness falls in two basic categories:
Can’t retrieve it quickly. It’s not that the fact or the recollection of an event is gone altogether. With the normal forgetfulness of aging, that stored item just isn’t as easy to find it as it used to be. The older brain quite simply has more to sort through than a younger brain. And the speed of the sorting is slower. Often a person will remember the “lost” word later in the conversation, or the next day, when the pressure is off.
Had it, but it wasn’t important enough to stick around. This is what is called short term or working memory. And it definitely gets shorter and less reliable as we age. It’s what causes us to forget what we went into the bedroom to retrieve. Or why we have to write down a phone number, or look twice as we key it in. Our personal RAM simply isn’t what it used to be. Inconvenient, yes. Frustrating, sometimes. A sign of a larger problem. No.
What memories stay the same or improve? There are many different types of memory. While short term memory declines with age, other types of memory stay the same. Barring a brain disease, these types of memory tend to be pretty stable over the years:
Memories of major emotional events. Those turning points in life where we suddenly realized things were quite different than we had thought. These can be happy strokes of joy or insight, like the day we get married, or the birth of a child. Or they can be sad or upsetting events (9/11, or the day President Kennedy was shot).
Skills that become second nature. Taking a shower, tying a shoe or riding a bike. We don’t even have to engage our conscious mind to do them much. We have a body memory of how to do them.
Accuracy improves. While memory recall is slower for older adults than for those who are younger, speed is not everything. It turns out that older adults are more cautious and focus on accuracy. As a rule, older adults remember facts more accurately than people of younger generations.
When memory loss is a problem There is no denying that brain conditions that impact memory are more common in our older years. They are not a “normal” part of aging. They are a sign of a brain disease.
But how to know when memory issues are simply normal aging vs. when to get checked?
Oddly, people who do have some form of dementia often don’t realize it. It’s their families who notice, especially at the middle stage.
Conversely, people who are worried about their memory stumbles often have no disease at all.
Signs that something more serious may be going on include
difficulty with a common task, for example cooking a meal.
trouble balancing the checkbook when it used to be easy.
not recognizing people you see regularly.
problems judging distance, even with glasses.
putting things away in odd places.
fairly sudden mood swings or personality changes.
changes in personal hygiene.
Of the 70 dementing conditions, some are treatable—depression for example—and some are not.
Alzheimer’s Disease is the most common;
Next is vascular dementia (from strokes);
and then Parkinson’s.
If you are concerned, get a full neurological workup. We can help you find the appropriate doctors and be sure you get all the tests needed to paint an accurate picture of your brain’s state of health. Give us a call at 928-300-0172.
What is intelligence? It’s not just book-learning or the ability to take tests. (Although, ironically, books and tests do tend to be the way we measure intelligence!)
A definition At its simplest, intelligence is the ability to perceive what is around us and process many different types of input. Based on what we notice, we then make decisions about what we want to do to achieve a desired goal.
Types of intelligence Intelligence can involve logic and language. Planning and problem-solving are also part of the intelligence equation. Then there are sensitivities like emotional awareness of others, the ability to recognize patterns. Even self-awareness is a part of intelligence. Howard Gardner, a professor of Education at Harvard, found IQ tests too limiting in what they measured. He proposed multiple types of intelligence:
Changes in mental processing As mentioned in the context of memory, the speed of our brains definitely slows down with age. It takes longer to learn new things.
In a normal, aging brain, reasoning and solving problems—especially if they require new skills or new information—take a hit on laboratory tests. So do hand-eye coordination and reaction time.
Attention span gets shorter as we age.
Concentration can become more difficult. It’s easier to get distracted and move our focus to something new. This may be part of the problem with short term memory. We drop what we were working on and replace it with a new item of interest.
Mental abilities that defy dementia With so much fear about Alzheimer’s and memory loss, people “forget” that there are different aspects to our mental capabilities. These mental skills remain, and sometimes get keener, even in the face of dementia:
Music and singing!
In this case, even people with advanced dementia, who are unable to talk much, can still sing along with a favorite song. And someone who was musically inclined in youth will retain that gift unless other non-mental diseases get in the way. (Arthritis, for instance)
Intuition or emotional perception.
If you have ever spent time with an older relative who has moderate dementia, you will recognize that they become very perceptive emotionally. While they may not follow words as much, they definitely track tone of voice. Adult children who adopt the view that they are “parenting their parent” quickly get called up short on that one. A parent will always be a parent. And people with dementia, unless it is quite advanced, know what disrespect sounds like. That skill does not go away.
What stays the same or improves?
Our vocabulary and general knowledge stays the same, or even expands as we get older. The physical skills we have learned and use regularly tend to stay the same. Absent a brain disease, it’s generally problems of arthritis that get in the way of performing well-practiced activities.
Comparing and contrasting stays the same. In fact, as we age, we have so much more to draw upon that we often rise to the overview. We notice similarities and draw associations more effectively than younger adults.
The joy of learning remains. Unless there is a brain disease, most people continue to enjoy learning. As long as the environment is safe and there’s no pressure, we get the same delight in a new perspective or hearing a new story that we experienced as younger adults. Plus, we even enjoy revisiting old stories. Our thinking deepens and we see the value in reflection, even on the familiar.
The pros and cons of habits
Habits are handy.
They allow us to do things by rote. We don’t have to take up precious energy focusing on the mundane. Over time, we have learned what we like. And we know the easiest way to achieve it. We are not challenged much and we don’t feel stupid if we do the same things the same way. Very efficient!
Change is stressful.
It takes us out of our comfort zone. Change may actually signal a threat. And at the least it can threaten our confidence in our abilities. We know we can cope with the tried and true. We may or may not have the resources or confidence to effectively address a new situation.
But challenge is how the mind grows and renews itself.
If we force it down new pathways, it expands. Many people find travel stimulating for this very reason. It brings in new sites, sounds tastes and smells. Travel also forces us to do our normal routines in different ways.
We don’t have to travel to break up our routines, however. Walk or drive on a different route now and then. Prepare a new meal. Mix up your daily grooming pattern.
Remember, intelligence is the ability to take in information and process it to reach a desired end. Things are always changing as we age, so staying nimble in the face of change—thinking creatively—is to your benefit. Challenging your brain to look at the same activities in new ways is a great technique for keeping your mind sharp. And creative thinking does not decline with age.
There are many definitions of creativity. Loosely it can be defined as the ability to solve a problem by taking insights from one situation and applying it to another. Artists may do this with a design or aesthetic problem.
Frank Lloyd Wright, for instance, had the problem of how to provide lots of wall space for hanging and viewing art in the Guggenheim Museum. He did not want a building made up of small rectangular rooms. As an answer to that challenge, he designed the now famous spiral building in New York City. He was 80 when he designed this masterpiece.
Creativity does not expire Creative thinking is a component of intelligence that does not diminish in the aging brain! There is no expiration date on creativity.
In fact, older adults have so many more experiences to draw from, they have an advantage. With such a superb inventory, they can bring thinking or strategies from one context and apply it to another.
Famous older artists
Verdi was 72 when he composed Otello and 76 when he wrote Falstaff.
Picasso painted up until he died at 92.
Bach, Stravinsky, Beethoven and Monteverdi also composed with innovation, right up to the year of their passing.
And physical handicaps do not need to get in the way.
The Spanish painter, Goya, was very productive in his 60’s and 70’s, despite deafness and needing two pairs of glasses to see.
Georgia O’Keefe did not let failing eyesight get in her way either. She painted well into her late 90’s.
Creativity is not just for artists We don’t have to be artists or musicians to exhibit creativity. Our everyday lives provide numerous opportunities for creatively addressing problems.
Creative thinking in daily life
Dr. Mark Williams, author of The Art and Science of Aging Well, tells the story of an older couple in New York. They took the subway late one winter afternoon to get to their son’s apartment for dinner. As they emerged from underground, they realized that the snow was coming down too hard. They would not be able to walk to their son’s apartment. No one was home just yet. And all the taxis were full already with commuters. The gentleman in the couple spied a pizza parlor that advertised “home delivery.” They went to the restaurant and ordered a pizza to go. When the cashier asked for the address to deliver the pizza, the man asked to ride with the delivery person to their son’s house. They arrived warmly and safely and with dinner in tow. That is creative thinking!
My sisters and I were struggling with living in different states than our parents, and wanting our parents to continue living in the home that they built together. Our father is experiencing dementia and our mother is his caretaker, but is also declining in health. Bonnie and her team have been instrumental in allowing them to continue to stay at home by coordinating care for our mother. They attend appointments, assist with transportation, and communication for us. Bonnie is a fabulous resource for knowing providers, home care agencies, and other resources in the community. During Covid she was instrumental in getting our mother treatment in the hospital and being her advocate we none of our family was able to be with her. Bonnie has gone above and beyond several times. I truly don't know what we would do without Bonnie and her team. I don't think mom and dad would be able to be in their home. I could not recommend Arizona Care Management Solutions more.
When it became clear my mom was rapidly declining due to alzheimer's, and in an unsafe living situation, finding Bonnie from AZ Care Management Solutions was a literal God-send to our family. For months, we were beating our heads against a wall, as we had no idea how to proceed, searching for answers, as we were battling a very controlling/abusive husband as well. When we finally found Bonnie, she took a personal interest in my mom. She listened to our issues. She gave us direction, advice and calmed our hearts with her care and expertise. The very next day she was at my mom's home assessing the situation. She then took the time to work with us on a rapid plan of escape for mom. Bonnie then coordinated, and was on scene with us with APS and PD during the rescue. After getting mom to safety, Bonnie directed us to excellent legal counsel for mom's finances, getting her the best care possible, and ensuring all was legal from her escape to conservator/guardianship. Bonnie's knowledge, experience in this arena and love for others made her and AZ Care Management Solutions a literal life saver for my mom.Since my mom needed 24 hour care, we put her in a very nice care home, and hired Gina from AZ Care Mgmt Solutions as an advocate, who also has a heart for others, and has been seeing my mom twice a week to check on her status, entertain, play games, paint fingernails, coordinate outings, etc. This take tremendous pressure off of us, who can't get there as often. Gina also has natural ability and experience to relate and connect with alzheimer's patients that we don't. My mom loves Gina, and would not have adjusted nearly as well to the change without Gina's help.Thank you and God Bless all of you at AZ Care Management Solutions.
AZ Care Management Solutions sponsored a caregiver day of renewal on 5/6/23. A vendor fair, chair massages, and presentations along with a light breakfast, lunch and giveaways were included. Thank you!
After my mom fell and broke her hip, I was alone in trying to figure out how to best care for her in this maze of what is the senior health care industry.I had been trying to pull together what felt like 1000 pieces of disparate information......places to see, insurance companies, doctors to call, forms to be filled out, questions to answer. I was completely overwhelmed and under much stress.I am so incredibly thankful that I finally called Bonnie and scheduled a consultation. She was clear, knowledgable and so understanding. She immediately started making phone calls to find out the answers to some of my questions, and knew the answers to the other ones.I ended up asking her for further help and I will be forever grateful I did.She helped me move through a very difficult time with her knowledge, presence and help. She was there when I needed her and she knew exactly what to do. And she is fair, compassionate and has great integrity.My mom is now in a perfect place for her, and it all happened with as much ease as was possible.Thank you Bonnie, and everyone else we interacted with at AZ CareManagement.I don't know how I would have managed this journey without you.
Bonnie and Bob at Arizona Care Management went way above and beyond in helping me place my sister in a care facility to live out her last few months. Bonnie set up a medical transport from Newport Oregon to Arizona so that my sister could spend her final days looking at the beautiful scenery she cherished so much as a park ranger. The home in Cottonwood was well staffed and professionally managed and Bonnie and Bob made sure everything ran smoothly as I am on the east coast and care coordination was difficult to manage for me. Thank you both again for all you have done for my sister and our family during this difficult time.
I own two assisted living homes in the area and have worked with Bonnie, Bob and their staff several times. They always have the best interest of their client in mind when finding a long term solution for the family. It has always been my pleasure to accept one of their clients into my home. They continue to stay in touch with the family and assist them with any need they might have.If you are in need of an Elder Care advisor, I wholeheartedly recommend Arizona Care Management Solutions! If you live out of our area, you can count on them to fill in when you can't be here in person!
I live in Massachusetts and my 92 year old dad lived in Sedona. I was called in to take over his care because he could no longer live independently. I literally did not know where to turn. A social worker recommended Bonnie and her team to me. What a relief. They helped me get the necessary paperwork to handle his affairs while also finding him a safe and loving environment where he got the care he needed. He thrived there for nearly 6 months. During that time, I was kept abreast of his health and care by Holly. He enjoyed his visits with her and the treats she brought with her! I highly recommend Arizona Care Management to anyone needing help with their loved ones. They are excellent and I’m so glad they were recommended to me.
As the owners of GENERATIONS SENIOR LIVING LLC, we have the opportunity to work with Bonnie, Bob and the rest of the team at AZ Care Management Solutions with some frequency. Bonnie is absolutely the hardest working person we know! She has the knowledge base and the support team behind her to truly advocate for your loved one and they do a very good job! From assisting with POA paperwork, in-home care, assisting with MD appointments, or actual placement of your family member into a facility...... these guys can get it done!!! We highly recommend them.... Josh and Jamie Elliott
Most of us do not have any experience or training on how to make decisions or select assisted living accommodations. This group was a life saver in selecting a care giver, legal restructuring and finding a home. This was my first time dealing with dementia and I was guided down the path with their professional staff.
When I was having a hard time getting my dad's assisted living place to respond to his needs Gina stepped in with a firm hand and made things happen on Dad's behalf. She is kind, dedicated, tenacious, and extremely experienced and knowledgeable in this field. Bonnie has helped facilitate communication between me and a family member from whom I am estranged to make sure that all family members have access to the information about Dad that they want to have. AZ Care Management has been absolutely VITAL to me in helping me get difficult things done for Dad. I can't imagine navigating these challenging waters without them.
When our daughter was moved to Cottonwood for more extensive care, my husband and I were not able to travel for frequent dr. visits. We were not able, because we are both in our 80s, to visit as frequently as we wanted. AZ Cares takes her to appointments. They also provide very personable and capable assistants who take her on outings to provide social and emotional support for her in our absence. I cannot praise them enough for the support and help they have given our daughter and us. They are a blessing to us!
Arizona Care Management Solutions did a great job keeping my mom as safe as possible in her home for the last year. Once Gina came on board, she managed to do what I thought would be impossible - she convinced my mom to transition to living arrangements that would provide the care she really needed! Gina held her hand every step of the way, even through some VERY challenging situations. This lady has a heart of gold and can get things done!
As a Geriatrics/Internal Medicine specialist I relied on Bonnie and staffto find the best outpatient care for our patients. Her heart is passionate for the care of our seniors, and regards that as her mission in life. And I wasalways confident that Care Management Solutions would find the bestoptions for our families. God bless her! Dr. Paul C. Hanson of Cottonwood Internal Medicine
Bonnie, Bob and the team at AZ Care Management Solutions simply go above and beyond as advocates for seniors. Whether you may need assistance coordinating care, evaluating local facilities for placement, creating a plan for aging well or many other elder care services, you will find no organization more qualified or prepared to assist you than AZ Care Management Solutions. As a local Medicare insurance broker for several years, it is paramount that my clients have the right people in their corner. I have - and will continue to - recommend Bonnie and Bob and their team to any of my clients without hesitation.