Thank you for considering Brookside Landing!

Brookside Landing along beautiful Orofino Creek

Brookside Landing along beautiful Orofino Creek

Your security deposit will hold an apartment for up to 14 days!  If you have found an apartment you like, we strongly advise you hold it to guarantee it will be available to you when you are ready for it.

If you utilize Medicaid assistance, Brookside Landing requires you to have a roommate.  Medicaid rooms are limited and choice of roommate is not always available.

Temporary stays are possible!  Please ask our administrator for more details.

We are fortunate to have many outside services regularly on site at Brookside Landing.  These include:

  • physical therapy
  • physician visits
  • chiropractic visits
  • laboratory aides
  • a hearing aide specialist
  • spiritual leaders
  • a beautician
  • foot care

Please call 476-2000 to set up a tour of your future home!

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By: Kathy

Dementia ~ Delaying is onset slowing its progression.

You’ve watched a few family members – including your mother – struggle with Alzheimer’s disease.  And because you’ve read that genetic factors put you at increased risk, you want to do everything possible to decrease your chances of developing it.

Studies have identified many factors that may slow or prevent the development of Alzheimer’s disease and other forms of dementia.  Managing other health conditions and staying mentally and socially active may play major roles in delaying the onset.  Some drugs are also being explored as a means of slowing the progression of mental decline.

Dementia defined.

Dementia is the loss of intellectual and social abilities that’s severe enough to interfere with daily functioning.  Dementia affects the ability to think, speak, reason, remember and move.  The most common cause of dementia is Alzheimer’s disease.  With this condition, healthy brain tissue degenerates, causing a steady decline in memory and mental abilities.

Besides Alzheimer’s, many ohter types of dementia exist.  As these conditions progress, they often become debilitating.  Fortunately, treatments have been developed in recent years to slow mental decline.

While these disorders often are increasingly common with age, they aren’t inevitable.  In recent years, researchers have identified some steps you can take that may help keep dementia at bay.  At the same time, many other potential delaying factors are being studied.

Manage related conditions.

Researchers have found increasing evidence that the major risk factors for heart disease and stroke may also predispose people to dementia.  Controlling these risk factors – namely diabetes, high blood pressure, high cholesterol levels and obesity – is a significant step you can take that may delay Alzheimer’s disease.  Cholesterol-lowering medications known a statins haven’t been shown to prevent Alzheimer’s. but they’re being tested to see if they might slow or delay the disease.

Vascular dementia, another common form of dementia, results from damage related to small and large blood vessel disease.  By controlling cardiovascular risk factors, you may prevent the blockages and damage to the blood vessels to your brain that can lead to this condition.

Managing depression can also play a role in the effects of dementia.  Like dementia, depression can cause difficulty in remembering, thinking clearly and concentrating.  Sometimes, depression occurs in conjunction with dementia.  In those cases, emotional and intellectual deterioration can be especially severe.  If this is the case, treating the depression can reduce mental impairment.  While it may not stop dementia from progressing, it could minimize its impact.

Use your mind.

Studies have found an association between frequent participation in intellectually stimulating activities and reduced risk of Alzheimer’s.  Some researchers believe that lifelong mental exercise and learning may promote the growth of additional synapses in your brain, therefore delaying dementia.

A number of activities can help keep your mind sharp.  Try reading, writing stories or playing games such as cards, checkers or crossword puzzles.  You might also find challenge in trying a new hobby such as photography or woodworking or in learning to use a computer.

Socialization plays a similar role.  Spending time with friends and family, taking community education classes, volunteering or joining an organization are just a few ways to do so.  You might also consider group activities such as bowling, golfing or a walking group. These activities help stimulate your memory, concentration and mental processing, keeping those areas of your brain more active.


Other studies have looked at medications that might delay the onset of Alzheimer’s disease.  Recently, researchers identified a drug that may buy valuable time for people with the memory related variety of mild cognitive impairment, a transition stage between the forgetfulness of narmal aging and the more serious problems associated with Alzheimer’s disease.  The study found that the drug donepezil (Aricept) helped reduce the risk of progression of MCI to Alzheimer’s for up to 18 months.

Other studies are testing the Alzheimers’ drugs galantamine (Reminyl) and rivastigmine (Exelon) to see if they may work in a similar way.  However, results of these studies aren’t yet available.

You may have read or heard about numerous other ways to delay dementia.  Possibilities under investigation include physical activity and using vitamins to reduce homocysteine levels.

However, most of the data is still inconclusive.  Further trials are needed to explore the various options that may delay dementia.

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Depression Treatment and Arthritis

Depression treatment may improve symptoms of arthritis

Several studies have shown that treatment for depression may improve symptoms of arthritis.  However, a recent study found that if care for depression is enhanced and more personalized, the impact on arthritis may even be greater.

The study, published in the November 12, 2003, issue of The Journal of the American Medical Association, followed more than 1,000 men and women over the age of 60.  Participants had been diagnosed with both depression and arthritis.  More than 90 percent of the participants had osteoarthritis.

Half of the participants were assigned to enhanced care for depression – a personalized progam including education and treatment options such as antidepressant medications and psychotherapy sessions.  This program was provided by a professional depression care manager in collaboration with a psychiatrist and each participant’s primary care doctor.  The other study of participants were assigned to routine care.  They received referrals to specialty mental health services and antidepressant medication only as  deemed necessary by the doctor or patient.

Participants receiving enhanced depression care had more favorable outcomes than did those who received routine depression care.  They were almost twice as likely to experience a 50 percent reduction in symptoms of depression.  They also reported less interference in daily activies due to arthritis, a significant decrease in pain intensity, and increased quality of life.  Because changes in arthritis management weren’t monitored, it’s unknown whether differences in arthritis treatment may have affected the results.

Depression adversely influences the perception of pain and its lever of intensity.  Treating depression may help the pain of arthritis become less bothersome and be more manageable.

Mayo Clinic doctors say that treatment options for arthritis related pain and disability are currenlty limited, and this study suggests another helpful approach to arthritis management, especially if people with arthritis are found to have depression as well.  Depression needs to be adequately treated in all cases, particularly when accompanied by pain from an additoinal medical condition.

Depression is one of the most comon medical problems in the United States and around the world.  It’s estimated that at some piont in life, about one in four Americans will experience at least one episode of depression.

The good new is that depression can be successfully treated.  Thanks to improved medications and the availability of other medical and psychological therapies, you can overcome depression, not just endure it.  With proper treatment, most people with depression improve – typically within weeks – and are able to return to their usual activities.

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10 Truths About Aging You May Not Know

By: Alvaro Fernandez


With no exception, all of us age. Now, why is “aging” such a bad word? What about growing? and lifelong development? If you are a caregiver, you know this process is not always easy, but the good news from neuroscience these days is that there is much each of us can do.
  1. Change: We should talk more about change than about decline, as we discussed recently with Dr. Elkhonon Goldberg, who wrote his great book The Wisdom Paradox precisely on this point.
  2. Improvement: Some skills improve as we age-In our brain fitness classes, we typically explain how some areas typically improve as we age, such as self-regulation, emotional functioning and Wisdom (which means moving from Problem solving to Pattern recognition). For example, as a lawyer accumulates more cases under his/ her belt, he or she develops an automatic “intuition” for solutions and strategies. As long as the environment doesn’t change too rapidly, this growing wisdom is very valuable.
  3. Decline: …whereas, yes, others typically decline: effortful problem-solving for novel situations, processing speed, working memory, attention and mental imagery. In other words, the capacity to learn and adapt to new environments.
  4. Let’s worry less: Now, there is a key difference between not remembering where I put my car keys today…which happens to all when we are too absorbed in something else and is not by itself a big deal…and not remembering why I need keys to open my car. Sometimes we tend to worry too much.
  5. Lifestyle: Studies have shown a tremendous variability in how well people age and how, to a large extent, our actions influence the rate of improvement and/ or decline. Our awareness that “it’s not all doom and gloom” and that there’s much we can do is very important.
  6. Brain Reserve: If we want to maximize our chances of healthy aging, we should focus on 4 main “brain health” pillars: brain exercise, physical exercise, stress management and a balanced diet. And the earlier the better to build a Brain Reserve that may delay Alzheimer’s related symptoms-studies have shown a risk reduction of up to 38% thanks to these lifestyle habits!.
  7. 7- Brain Exercise: In terms of brain exercise, we must ensure we engage with activities that provide us novelty, variety and constant challenge to exercise and cross-train our “mental muscles” (cognitive and emotional skills). This is our best “brain food”.
  8. Computer-based programs: Computer-based brain exercise programs are great vehicles or tools to help us with our stress management and mental stimulation needs, as compliments to other activities in our daily lives. This is why you are reading more about the Brain Fitness movement these days, grounded on the research behind adult neuroplasticity (how the brain can rewire itself).
  9. Retirement?: baby boomers (and many healthy adults over 62!) want to remain active and mentally stimulated beyond arbitrary retirement ages. Why accept arbitrary age limits?
  10. Attitude: no matter where we are or what we do, how we react to it makes a big difference. Let’s focus on today and tomorrow, not yesterday. Let’s focus on what we can do to improve. Let’s continually exercise our brains.

About the Author

Alvaro Fernandez is the CEO and Co-Founder of SharpBrains, which provides the latest science-based information for Brain Training and Brain Health, and has been recognized by Scientific American Mind, CBS, Forbes, and more. Alvaro holds MA in Education and MBA from Stanford University, and teaches The Science of Brain Health at UC-Berkeley Lifelong Learning Institute.
Copyright (c) 2007 SharpBrains

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By: Kathy

There is no ‘ideal’ blood pressure reading. However, there is a range of ‘normal’ blood pressure reading. Generally, a reading that is less than 140 over 90 indicates that you don’t need to worry. If either, or both, numbers are equal to or greater than 140 over 90 for an extended period of time, you have high blood pressure, or hypertension.

Hypertension is dangerous because it causes the heart to work extra hard. This strain contributes to heart attacks and stroke. When the heart is forced to work extra hard for an extended period of time it tends to enlarge. A slightly enlarged heart can function well, but a significantly enlarged heart cannot. High blood pressure also causes damage to the arteries, causing arterial disease.

Hypertension can be treated. Mild cases of hypertension can be treated through behavior modification like changing diet and exercise. More severe cases of hypertension require medications like diuretics and beta blockers. Diuretics rid the body of excess fluids and salt. Beta blockers reduce the heart rate and the heart’s output of blood.

Understanding Hypertension

Nearly one in four Americans has hypertension. Hypertension is a dangerous condition that may lead to heart attack, stroke or kidney failure. To help you control blood pressure, it is important to understand what blood pressure is, what causes it to rise, what the risk factors are, and how you can prevent it.

Hypertension occurs when arterioles, small blood vessels that branch off from the arteries, become constricted making it difficult for blood to pass through them. As a result, blood pressure rises causing your heart to work harder. If your blood pressure at rest stays at 140/90 or more, you may have hypertension.

If you have hypertension, a physician can help you manage the condition effectively. Unfortunately, hypertension usually presents no clear symptoms. Some people may experience headaches or dizziness in the morning, but, for most, there are no symptoms at all. The easiest and most reliable way to find out if you have hypertension is to have your blood pressure checked regularly.

Risk Factors

You may be at greater risk for high blood pressure if you:

  • Have a history of hypertension in your family
  • Have a pre-existing condition such as diabetes or kidney disease
  • Are a male
  • Are of African-American descent
  • Are over 35 years of age
  • Smoke
  • Are obese
  • Are taking oral contraceptives
  • Frequently consume alcoholic beverages
  • Lead a sedentary lifestyle

Tips For Lowering Your Blood Pressure

Most people can adopt simple lifestyle changes to prevent hypertension. We recommend the following:

  • Have your blood pressure checked regularly
  • Eat nutritious foods including whole grains and fresh fruits and vegetables
  • If your doctor has prescribed medication to help lower your blood pressure, take it as directed.
  • Maintain your ideal body weight.
  • Exercise regularly.
  • Stop smoking.
  • Manage stress through relaxation techniques, exercise and development of positive attitude.
  • Cut down on added salt and avoid high sodium foods such as chips, processed meats, fast food, cured or smoked products and prepared foods.
  • Limit your daily cholesterol intake to no more than 100 mg per 1000 calories of food.
  • Restrict saturated fat to no more than 10 percent of daily calories.
  • If you dine out frequently think carefully about your food choices.
  • French and Mexican food tends to be high in fat. Chinese food often is high in sodium. Always look for fresh ingredients cooked lightly with little sauce.
  • When reading food labels, beware of the following ingredients which are other terms for sodium: sodium chloride, salt, MSG, some antacids, soy sauce, baking soda, monosodium, teriyaki sauce, baking powder, Na (Chemical symbol).

The Best Heart Test

A simple blood test can reveal your risk of heart attack and stroke, as well as other ills, says Mark A. Hyman, M.d., coauthor ofUltraprevention: The 6-Week Plan That Will Make You Healthy for Life. Ask your doctor to measure your level of homocysteine, an amino acid. A normal reading is between 6 and 8; anything higher means you are at increased risk, Dr. Hyman says. But you can lower it, he adds, by taking daily B-complex vitamin with 800 mcg. of folic acid, 25 mg. of B6 and 500 mcg of B12.

This article is for informational purposes only. Consult your physician for proper medical care.

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Hip Replacement

By: Kathy

Less invasive procedures

You’ve battled hip joint pain for years, but it just keeps getting worse.  Your doctor says it’s time to consider hip joint replacement.  Trading in the pain for a new hip joint sounds appealing.  But the prospect of a long recovery – one that could take several months and may include a couple of weeks in a nursing care facility – isn’t appealing at all.

Hip replacement is one of the most common orthopedic procedures done.  And, historically, it requires a lengthy recovery.  But newer, minimally invasive hip replacement techniques are changing that.  People are returning home within a few days of surgery, and they generally have much less pain.  In addition, they’re usually able to get on with their regular daily activities much sooner than if they’d had a more traditional hip replacement.

Although the new procedures still aren’t widely available and aren’t for everyone, they do appear to offer promising results.

Inside your hip joint

When the cartilage in your hip is damaged or affected by disease – typically osteoarthritis – movement of the hip joint can be painful.  Most hip replacements are done because the joint was damaged by osteoarthritis.  Other reasons include hip fracture, rheumatoid arthritis, loss of bone from insufficient blood supply, resulting in avascular necrosis and bone tumor.

The traditional surgery for total hip replacement is done under general or regional anesthesia.  Typically, an 8 inch to 10 inch incision is required over the side of the hip.  Muscles, ligaments and tendons are separated to get at the joint.  The surgeon can then remove diseased or damaged bone and tissue from the joint before putting an artificial socket in place.  The top end of the femur is hollowed out so that a metal stem with an attached ball can be inserted in the bone.

Generally, you can expect to spend three to five days in the hospital after a traditional total hip procedure. Hip pain usually subsides within the first couple of weeks, but it can take up to three months to regain full strength and stamina.

Outcomes for traditional total hip replacement are excellent.  Well over 95 percent of procedures result in marked improvement in pain and hip joint function.

New techniques

In recent years, orthopedic surgeons at Mayo Clinic and various medical centers around the country have been developing less invasive and minimally invasive techniques to replace hip joints.  Some surgeons are doing “mini-hips” through one relatively small incision – about 3 1/2 inches.  Others use two incision techniques with even shorter incisions.  Recovery times are reduced and there’s typically an earlier retrun of muscle strength and stamina.

Accessing the hip joint through two smaller incisions allows surgical and post surgical care are being made to support these newer hip replacement procedures:

Modified anesthesia ~ Pain management can be done using sedation and by blocking sensation in a particular region (regional block), thus limiting the use of narcotic medications that can lead to confusion, drowsiness and nausea, which can interfere with the start of physical therapy.

Stepped up physical therapy ~ The use of narcotic painkillers is minimized.  These changes and the newer hip replacement techniques usually reduce hospital stays to one to three days.  Surgeons doing more traditional hip replacements have found that hospital stays also can be reduced with modifications in anesthesia techniques, pain management and physical therapy.

Not for everyone

Because these less invasive hip replacement procedures are relatively new, there are no studies demonstrating long term outcomes.  For now, these newer, less invasive procedures aren’t widely available.  Your surgeon is in the best position to determine if you’re a candidate for one of these procedures.  Less invasive approaches to hip replacement may be ruled out if you have:  marked hipbone deformity, a completely dislocated hip, marked obesity or had previous hip replacemnt.

From a surgeon’s standpoint, the “mini-hips” and two incision procedures are much more technically demanding than are the more traditional total hip replacement procedures.

Smaller incisions can make it more difficult to see the actual joint area.  There also are possible complications involved with less invasive procedures, such as dislocated hips, bone fractures, and nerve and blood vessel injuries.

When to consider hip replacement

If you frequently experience any of the following related to a hip joint, talk with your doctor about the possibility of hip joint replacement:  Pain that keeps you awake at night, difficulty using stairs, difficulty standing from a seated position, little or no relief from pain relievers or pain that keeps you from activities that you enjoy.

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