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www.kadlec.org/knrc

September 2014Mild Concussion Can Cause Thinking, Memory Problems

Living With Alzheimer's Event: Caring for Mid-Stage Dementia

Library Hours

Living With Alzheimer's Event: Caring for Late-Stage Dementia

Library Resources

A Healthy Lifestyle May Deflect Dementia

Food & the Brain

Neuro Connections

MTHFR

September 2014 Calendar

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Newsletter of Kadlec Neurological Resource Center

& the BrainSaturday, October 25, 2014

2September 2014 | www.kadlec.org/knrc

fact that there is actual structural damage, even a year after the injury."

The research was published online July 16 and in the Aug. 5 print issue of Neurology.

A concussion is a type of brain injury that occurs when the head hits an object, when a moving object strikes the head, or when the head experiences a sudden force without being hit directly. There are about 2 to 4 million concussion injuries from sports and recreation in the United States every year, according to the American Academy of Neurology. Most concussions result in full recovery.

Kids are particularly vulnerable to the impact of concussions because they are still developing, and they can easily accumulate multiple injuries over the years, said O'Brien. In addition, the pressure to perform on the field, and in the classroom, can slow recovery, he added.

The question of how brain injury affects thinking has been difficult for experts to answer because while CT and MRI scans can show injury to a particular area, it may not show signs of more diffuse damage. As a result, researchers have not been able to show clear connections between what they find on imaging studies and tests of thinking, Blamire said.

Complicating the problem is the fact that symptoms alone often do not tell the whole story. "The level of symptoms doesn't always

HealthDay News – A mild or moderate concussion may have longer-lasting consequences than previously realized, a new study suggests.

By comparing brain imaging studies and thinking tests between healthy people and those with relatively minor concussions, the researchers found that the recovery of thinking skills can take a long time. Minor concussions can be caused by events such as falling off a bike, being in a slow-speed car crash or being hit in a fist-fight.

Initially, those with concussions had thinking and memory test scores that were 25 percent lower than those in healthy people. One year after injury, however, while the scores for those with and without concussions were similar, those who had had brain injuries still had evidence of brain damage on imaging tests, with clear signs of continued disruption to key brain cells.

The findings are especially important because 90 percent of all traumatic brain injuries are mild to moderate, said Andrew Blamire, senior author of the study and professor of magnetic resonance physics at Newcastle University, in the United Kingdom.

And, Dr. Michael O'Brien, director of the sports concussion clinic at Boston Children's Hospital, pointed out that "it's really good for people to know – those who are suffering with school performance, physical performance and even social issues – the

Even Mild Concussion Can Cause Problems

Even Mild Concussion Can Cause Thinking, Memory Problems: StudyFinding suggests damage may be present even after obvious symptoms are gone

Monday, Sept. 15, 20149 a.m. to 4 p.m.

Bethel Church600 Shockley Road, Richland, WA

ALL-DAY DEMENTIA EDUCATION PRESENTED BY THE ALZHEIMER’S ASSOCIATION

living with alzheimer’s for middle-stage caregivers

caring for middle-stage dementia

Topics include:•Communication•PersonalCare•Behaviors•Wandering•CareOptions

Freeandopentothepublic;lunchwillbeprovided

For more information and to register, please call (509) 943-8455 or visit www.kadlec.org/knrc

THIS WORKSHOP IS CO-SPONSORED BY

Topics include:

•Communication

•Personal Care

•Behaviors

•Wandering

•Care Options










Monday Sept 15, 2014 | 9 am –4 pm

Free and open to the public; lunch will be provided.


BeThel ChurCh | 600 Shockley Road, Richland, Wa



















event co-sponsored by:

September 2014 | www.kadlec.org/knrc3

Mild Concussions (cont'd) & Library Hourscorrelate to the level of damage," said O'Brien. And, other issues, like depression or low thyroid levels can mimic concussion, he added.

For the study, 44 people with mild concussion and nine people with moderate concussion were compared to 33 participants with no brain injury. All of the participants took thinking and memory skills tests and had an MRI scan that was particularly sensitive to brain cell damage.

Those with concussions had scans an average of six days after their injury. A year later, 23 of those who had concussions had another MRI scan and re-took the thinking and memory skills test.

A year after the initial symptoms of a mild or moderate concussion had passed, some evidence of brain damage was still present, the researchers found.

What is especially challenging is the fact that every patient is different, said Blamire. "While injury severity does relate to outcome, it isn't straightforward to predict precisely," he noted.

O'Brien said that the standard of concussion care now is based on symptom reporting and using protocols that require people to commit an initial period of time to suspending physical and mental activity, followed by a very gradual increase in activity. But knowing when it's safe to return to high levels of physical and mental activity isn't easy, he explained.

"There are downsides to returning athletes to full activity too early: their likelihood of getting re-injured is higher, and recovery may be prolonged," O'Brien said.

L i braryhours

Monday-Thursday �� 9:00am-5:00pm

Friday �� 9:00am-4:00pm

See calendar for occasional KNRC & Library closures.

To register for this FREE presentation,call (509) 943-8455 or

visit www.kadlec.org/knrc


Food & the Brain

Monday, Oct. 6, 20141 to 4 p.m.


DEMENTIA EDUCATION PRESENTED BY THE ALZHEIMER’S ASSOCIATION

living with alzheimer’s for late-stage caregivers

caring for late-stage dementiaTopics include:•SymptomsofLateStage•ChangesinYourRole•CommunicationChanges•WorkingwithDoctors•MonitoringCare•End-of-LifeIssues

Free and open to the public Lightrefreshmentswillbeserved



Topics include:• Symptoms of

late Stage• Changes in Your role• Communication Changes• Working with Doctors• Monitoring Care• end-of-life Issues

Monday, Oct. 6, 20141 to 4 p.m.


DEMENTIA EDUCATION PRESENTED BY THE ALZHEIMER’S ASSOCIATION

living with alzheimer’s for late-stage caregivers

caring for late-stage dementiaTopics include:•SymptomsofLateStage•ChangesinYourRole•CommunicationChanges•WorkingwithDoctors•MonitoringCare•End-of-LifeIssues

Free and open to the public Lightrefreshmentswillbeserved



Monday oct 6, 2014 | 1 pm –4 pm

Free and open to the public; Light refreshments served.


BeThel ChurCh | 600 Shockley Road, Richland, Wa



















event co-sponsored by:


Living with Alzheimer's Event & Library Resources

Library addiTionS

add/adHdHealing ADD (Revised Edition): The Breakthrough Program that Allows You to See and Heal the 7 Types of ADD, Daniel G. Amen, md

Hope for the Violently Aggressive Child: New Diagnoses and Treatments that Work, Ralph Ankenman, md

Unleash the Power of the Female Brain: Supercharging Yours for Better Health, Energy, Mood, Focus, and Sex, Daniel G. Amen, md

auTiSMApps for Autism: An Essential Guide to Over 200 Effective Apps for Improving Communication, Behavior, Social Skills, and More! Lois Jean Brady, ma, ccc-slp

Autism Spectrum Disorder (revised): The Complete Guide to Understanding Autism , Chantal Sicile-Kira

Dear Diana: Diana's Guide to Independent Living For Adolescents and Young Adults with Different Learning Styles and Special Needs, Diana Bilezikian

The Reason I Jump: The Inner Voice of a Thirteen-Year-Old Boy with Autism, Naoki Higashida

CErEbaL PaLSyCerebral Palsy in Infancy: Targeted Activity to Optimize Early Growth and Development , Roberta B. Shepherd, ma, edd, facp

dEMEnTiaAnnie and the Old One, Miska Miles

Expand Your Mind Activity Cards, Marge Engelman, phd

Mental Fitness Cards, Marge Engelman, phd

Thinking Cards, Marge Engelman, phd

You Say Goodbye and We Say Hello: The Montessori Method for Positive Dementia Care, Tom and Karen Brenner

HEaLTHy brainThe Power of the Female Brain, Daniel G. Amen, md

ParkinSon’SGet a Leg Up on Balance Training, Fabio Comana

The Stability Mobility Relationship, Fabio Comana

SPEECHImproving Speech and Eating Skills in Children with Autism Spectrum Disorders - An Oral Motor Program for Home and School, Maureen A. Flanagan, ma, ccc-slp

My Toddler Talks: Strategies and Activities to Promote Your Child's Language Development, Kimberly Scanlon, ma, ccc-slp

The Teaching of Talking: Learn to Do Expert Speech Therapy at Home with Children and Adults, Mark Ittleman, ms, ccc-slp

The Stability Mobility Relationship, Fabio Comana

STrokEHow to Conquer Hobbies with One Hand, Paul Berger

Now One Foot, Now the Other, Tomie dePaola

Stroke: Mapping Out Early Stages of Recovery (Spanish Edition), Pritchett and Hull Associates


Healthy Lifestyle May Deflect Dementia

A Healthy Lifestyle May Deflect DementiaOlder folks who began eating right, exercising did better on memory and problem-solving tests in study

HealthDay News – Seniors at risk for dementia may help safeguard their memory and ability to think by adopting a healthier lifestyle, a new study from Finland suggests.

Older people who began eating right, exercising, playing "brain games" and socializing more often performed better on memory and problem-solving tests than people who maintained their habits, the researchers said.

Earlier studies have observed that each of these lifestyle changes might help fight dementia. But this is the first randomized clinical trial to put those findings to the test, said Keith Fargo, director of scientific programs and outreach for the Alzheimer's Association.

"This is the first study to definitively show that changing your lifestyle will reduce your risk for cognitive decline," Fargo said.

The study involved 1,260 people aged 60 to 77 at risk for dementia and Alzheimer's disease.

Half of the participants received nutritional guidance, physical exercise, brain training, social activities and management of heart health risk factors. The other half just received regular health advice.

After two years, the group that underwent lifestyle changes performed significantly better on memory tests, problem-solving exercises and quick-thinking quizzes.

Only about 11 percent of participants dropped out after two years, which researchers took as a sign that the lifestyle changes weren't too onerous.

The study findings were presented this week at the Alzheimer's Association International Conference in Copenhagen, Denmark.

The findings are in keeping with long-term studies in the United States that found that exercise, diet and social activity can help stave off dementia, said Dr. Gisele Wolf-Klein, director of geriatric education at the North Shore-LIJ Health System in New Hyde Park, N.Y.

"It does not come as a surprise to those of us who have been working for a very long time with patients who are at risk of developing dementia," Wolf-Klein said.

It seems that by giving your brain regular mental and social workouts, you can keep it limber. And diet and exercise can help manage health problems that could affect the brain, she said.

"There's a general feeling that if you eat the right thing and exercise, that's better for your overall health," Wolf-Klein said.

At the same time, healthy living isn't a guarantee against dementia.

"I don't think you can say the risk goes away altogether. As people age, they will have some decline in their cognitive abilities. That's just a part of aging," Fargo said. "But try to maintain healthy activities, a healthy lifestyle, in middle age and later, and that's going to help reduce your risk for cognitive decline."

The study authors plan an extended seven-year follow-up that will track the incidence of dementia and Alzheimer's, and will include brain imaging scans.

Dennis Thompson, HealthDay Reporter


September 2014sunday Monday Tuesday Wednesday Thursday Friday saTurday

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Ms2:00 pm

3PosT Polio

1:00 pm

TBi3:00 pm

4 5

MindFulness 2:30 pm

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7 8 9

CFids/FiBro2:00 pm

10

arT eXPressions10:00 am

11MThFr suPPorT

grouP1:30 pm

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MindFulness 2:30 pm

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14 15

ParKinson’s1:30 pm

16Caregivers

1:00 pm

sTroKe3:00 pm

17 18ParKinson’s suPPer CluB

4:30 pm

alZ/deM Caregivers

5:30 pm

19ChroniC Pain

1:00 pm

MindFulness 2:30 pm

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Caregivers (Men only)

12:30 pm

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alZ/deM Caregivers

5:30 pm

24sPinal

disorders5:00 pm

als6:00 pm

25 26

MindFulness 2:30 pm

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28 29 30

aMyoTroPHiC LaTEraL SCLEroSiS (aLS)

WED, SEP 24 @ 6:00 pm – Oak Room We will meet at 6 pm in the Oak Room.

arT EXPrESSionS

WED, SEP 10 @ 10 am – Oak Room Please RSVP by calling 943-8455 for this group as there is only space and supplies for eight attendees.

CarEGiVErS

TUE, SEP 16 @ 1:00 pm – Oak Room

Caregivers (for those caring for someone with Alzheimer’s/Dementia) THU, SEP 18 @ 5:30 pm at Callaway Gardens Caregivers (for men only) MON, SEP 22 @ 12:30 pm at Callaway Gardens Light meal served 5505 West Skagit Court, Kennewick RSVP is requested (509) 783-5433

CHroniC FaTiGuE iMMunE dEFiCiEnCy SyndroME/FibroMyaLGia (CFidS/Fibro)

TUE, SEP 9 @ 2:00 pm – Sycamore Room Please meet at the KNRC library to find the room we will be meeting in the day of the support group.

CHroniC Pain

FRI, SEP 19 @ 1:00 pm – Maple Room

MindFuLnESS

FRIDAYS @ 2:30 pm – Oak Room Please send an email to [email protected] or call (509) 943-8455 to let us know you would like to be informed of each week's mindfulness activities. In addition to our guided meditations in September, we will be listening to "Conscious Aging: On the Nature of Change and Facing Death" by Ram Dass.

MTHFr SuPPorT GrouP

THU, SEP 11 @ 1:30 pm – Sycamore Room Please join Heidi and come to the MTHFR support group where in true support group fashion, we will each take a turn asking questions and sharing wisdom about what we have learned in our quest for better health. We can learn from one another!

MuLTiPLE SCLEroSiS

TUE, SEP 2 @ 2:00 pm – Oak Room

ParkinSon’S

MON, SEP 15 @ 1:30 pm – Sycamore Room

SUPPER CLUB – THU, SEP 18 @ 4:30 pm Please call Wendy at (509) 619-0301 to RSVP.

PoST PoLio

WED, SEP 3 @ 1:00 pm – Sycamore Room This group now meets at the Kadlec Healthplex, normally in the Maple Room. For September, please note that we'll meet in the Sycamore Room. Thanks!

SPinaL diSordErS

WED, SEP 24 @ 5:00 pm – Sycamore Room For September, we will talk about the importance of being active. In October, we are going to have a Poker Party! If you would like to attend, and would need adaptive equipment, please call 943-8455 asap so that we can help facilitate this!

STrokE

TUE, SEP 16 @ 3:00 pm – Maple Room This month's guest speaker will talk to us about diet.

TrauMaTiC brain inJury

WED, SEP 3 @ 3:00 pm – Sycamore Room

ALL GROUPS MEET AT KADLEC HEALTHPLEx ––——— Except where noted otherwise. ––———

For more information, visit kadlec.org/knrc or call (509) 943-8455.

SPONSORED BY

This is a FREE event. Space is limited. Pre-registration is required.

If you also have diabetes, you may be experiencing symptoms of neuropathy. New research shows that restoring the metabolic processes that occur in diabetes, an improvement may be felt in one or more of the following areas: numbness in feet, burning pain in feet (especially at night), shooting pain, tingling feet and sleep.

40-70% of the population has the MTHFR genetic defect.

T H I S M O N T H ’ S F O C U S :

NeuropathyNeil W. Rawlins, MD

Katie Karlson, MD

Friday, September 26, 20143:00 – 4:30pm

RICHLAND RED LION 802 George Washington Way

Richland, WA

For more information, or to register for this event, visit kadlec.org/knrc or call (509) 943-8455.


1268 Lee BoulevardRichland, WA 99352(509) 943-8455www.kadlec.org/knrc

nEuro ConnECTionS

2014 BOARD OF DIRECTORSJodi Melland, Chair Brian Hultgrenn, Vice Chair Steve Arneson, Treasurer Pam Knutson, Secretary Bob De Lorenzo Terry Marie Fleischman Don Hart Debra Lang-Jones, RN Yosen Liu, PhD Chris Rawlins, RN Kirk Ruehl, MDiv Michael Turner, MD

KADLEC OFFICERS

Rand Wortman, CEO, Kadlec Regional Medical Center Glenn Welch, Vice President Resource Development

STAFFKaren Hayes, MA, Executive Director Heidi Hill, MHA, Office Coordinator Sue Linn, Program Assistant Sue Pinard, Resource Librarian Cathy Manderbach, Office Assistant

knrC board & STaFF

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N O N P R O F I T ORGANIZATIONU.S. POSTAGEP A I DPERMIT No. 178S a l e m , O R

MS LIFELINES EVENTThere will be an MS Lifelines event on September 23, 2014 at 6:00 pm. The guest speaker will be Dr. Steven Pugh, md of the Providence MS Center Spokane. A complimentary dinner is provided and there is no charge for the event. You must pre-register at 1-877-969-1722 or visit: www.mslifelines.com/liveevents

AqUA MOTION CLASS AT TRI-CITY COURT CLUBAn Aqua Motion class will be offered October 6-November 13 on Mondays and Wednesdays at 1:00 pm. This class is for anyone requiring a little extra help (MS, Parkinsons, Fibromyalgia, Stroke, etc). Please call (509) 783-5465 for more information or to register.

& the brain - kadlec · pdf filethe stability mobility relationship, fabio comana stroke...

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