How To Find Body Peace After 40

May 7, 2023

How To Find Body Peace After 40

Body peace, is especially difficult for women over 40 because our bodies are changing, and there are two times in a woman’s life that are most susceptible to disordered eating. One is coming into fertility, the other is leaving fertility. Perimenopause, menopause, post menopause, that’s a time where our bodies are again changing, hormones are shifting. And again, what comes up is women become very vulnerable to disordered eating because we’re like, oh, my gosh, my body’s changing.

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Bio

Nina Manolson is a Body-Peace® coach. She helps people end the war with food and body and finally feel truly at home in their body—as it is. She is known for her deeply feminist, anti-diet, body-peace approach. She brings her 30 years’ experience as a therapist, Nationally Board-Certified Health & Wellness Coach, Body-Trust® Guide and Psychology of Eating Teacher to helping women create a respectful and trusting relationship with their food and body.

Nina’s Body-Peace work is all in service of helping people get off the diet roller-coaster, and into a compassionate and powerful way of eating & living which creates a positive long-lasting change in and with their bodies. Her courses, coaching and poetry positively change the conversation that women are having with their body. She also writes Body-Poems as a way to encourage a shift in the way we talk to, and about our body.

Myrna: How did you become a, body peace, coach?

Nina: My first diet was when I was nine years old. And then ensued decades of diets on and off, that diet roller coaster of like, oh yes, this is the new latest, greatest thing. This is it. This is how I’m gonna get that perfect body that you know all the magazines and all the blogs are talking about. And then of course that doesn’t happen, because 95% of people who go on diets gain their weight back, in two to five years. So that diet roller coaster was the story of my life to the point where I was like, this has got to change. This is frankly boring.

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Nina’s journey to becoming a body peace coach

And I have more important things to do in this life than to be obsessed about what I just ate or what the number on the scale is. And so, I started digging deep in my own life, which was a personal journey, but also became a professional journey. I became a therapist. I started as a body worker doing massages and helping women really feel comfortable in their own body. I started hearing women’s body stories and the trauma that we carry and all the shame that we carry about our bodies. Oh, my belly is too big. Oh, my underarms are still flapping when I wave. Oh, my butt is too you know, depending on the era too big too small to whatever, all that stuff that I was hearing.

And so then I got into also health coaching I was like, I’m gonna figure out how to eat right. Well, that’s not it either. Right? That’s not the whole answer. Of course, it matters, how we nourish ourselves, but that doesn’t actually impact how we feel about our body. So, I started to weave all of those together.

How are we in relationship to our body?
How are we in the relationship with our food? And that brought me to the work that I’ve been doing and really cultivating this work of, body peace, out of my own experience out of a lot of training.

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A poem about body peace: Please don’t weigh me

Here is a, body piece, poem that I wrote. I write poems about our relationship with our body. I want to open the conversation about the scale with a poem, because this conversation about the scale is so important, because so many women are like, yes, that number, but that number.

Please don’t weigh me.

She asked me to hop on the scale.

I said, No, thank you. She said we’d like to get a baseline for your health since you’re a new patient.

I said, I don’t subscribe to the belief that weight determines health. There are more powerful metrics that paint a picture of my vitality.

Another day, she asked me to hop on the scale. I said no, thank you.

She said we’re a surgical practice and we may need your weight to determine anesthesia dosages.

I said of course, if I need to have the surgery, I will get on the scale. But right now, we’re just having a conversation about the possibility of surgery, not actually prepping for another day.

She asked my daughter to hop on the scale. I said, No, thank you.

We don’t weigh ourselves.

I know that your mission is to support healing, but your scale and you’re telling my daughter is not healing. It’s harmful.

The bathroom scale does not determine our self worth

The, bathroom scale, buys into the diet cultures message that thin is better, that there’s a specific number that we’re aiming for your scale interrupts my daughter’s ability to trust her body. Your measurements have her measuring her self-worth against a number.

I am fighting for my ability to listen to my own body cues.

I am desperately trying to defend my daughter from the impact of a culture that values a particular size over substance.

I am advocating for women to have a relationship with their body that is based on internal cues, not external numbers.

Given my history of dieting and, scale addiction, if you weigh me now, you will be doing harm to my mental health instead of supporting my overall health. So please do not weigh me.

Myrna: That is an awesome poem. I am going to put away my scale! Tell us about your, body peace, message.

How do we find body peace with body imperfections

Nina: Okay, let’s say that you are a woman that has a scar, a C section scar, and maybe you’re single and you’re going into new relationship. You are ashamed to take off your clothes in front of a new man because you’re ashamed of that body. It could even be your own husband of 30 years and you are still ashamed for him to see you naked. You have, body shame. I teach my clients how to make the switch from, body shame, to, body peace.

We all know that feeling of being self-conscious in our body and getting naked. So, how do you make the switch? It’s not like a light switch. It’s not a light bulb that just goes on and off. We have had 10, 20, 30, 40, 50 years of hating our body of feeling shame. So, we’re just can’t flip a switch and we’re gonna love your body. And no, that’s not how it works. That’s actually not sustainable. That’s what our $72 billion diet industry teaches us here. Here’s a new diet and you will change forever. And we all know that doesn’t happen.

What happens is we need to develop a practice. Body peace, isn’t a destination. It’s why my work isn’t called, body love. As much as I love the idea of, body love. Body love, is too aspirational for many women. It’s like what? I’m supposed to look in the mirror and love everything I see? And as an aging woman, my body changes all the time. I’m like, oh, there’s a new wrinkle I love it. Oh, there’s some new body fat, I love it. That’s just not realistic. It’s not real life.

Let’s get into a sustainable way of being with our body and finding, body peace.

Switching from body shame to body peace

Myrna: Excellent, what is the language? How do we talk to ourselves to find, body peace?

Nina: Okay, so, couple of things. One of the things that we’re cultivating is compassion for our body. So, we’re developing a conversation of compassion with ourselves, because we’ve learned the language of criticism, we’ve learned the conversation of hate with ourselves. And what does hate and, body shame, and criticism do? It makes us very stressed. What does stress do? It lifts our cortisol; it lifts up our stress hormones. What does that do? It reduces our metabolism, reduces our calorie burning. It reduces even our immunity.

So what do we want to do? We want to give our body compassion. We want to be kind. We want to have caring kind statements. For example, a woman has a new relationship and she is supposed to get naked and she doesn’t feel good about her body, she has, body shame. And the first thing I teach her is to have compassion and acknowledge, this is hard.

That’s the compassionate language. Not you should get over it, no this is vulnerable. This is hard. How do I create more safety for myself?

Another way might be to let her partner in on that and say, you know, this is vulnerable for me. I’m concerned that you might judge me. Because I have such a judging voice. I am concerned that you have that same judging voice. Now, frankly, if you are going to bed and having sex with somebody who’s judging, I would skip that one altogether.

Myrna: The thing is the man is not judging us. They don’t care about your scar.

Nina: They don’t absolutely don’t.

A good partner sees who we are. They see intimacy as a way to create more connection. They are not in it for the perfect body. And frankly, they don’t have a perfect body either. And we are not judging them. So, softening the conversation with ourselves is so important. And it’s also important in this process, to unpack a little. Where did that judgment come from? Because you didn’t pack that bag of judgment by yourself. We got it from your gym teacher. We got it from a parent. We got it from maybe a father who would criticize the people who had imperfect bodies on the street. We got it from the mean girls in high school, we got it from whoever we got it for from.

Lizzo body shame or body peace

So, we want to look at our, body shame, story. We get most of it from the images that we see in magazines and on the big screen. But even the women in the magazines don’t look like that. The images are photoshopped.

Poem about Lizzo and her body peace

This poem is called, I wish I felt like Lizzo.

We watched Lizzo belting it out shaking her stuff, being an icon of power and my soulful, beautiful beings have a friend looked at me and said, It’s okay for Lizzo but not for me.

I looked at her with one eyebrow raised and say I’m not understanding because I’ve heard it so many times.

The celebration of body liberation is for all women. Except for you. You’re all for fat positivity for owning being all sizes for owning our curves, our belly.

You admire that woman who lives in a large body when she walks into the room with competence and you say oh, yes, I love how she loves her body. I want every woman to love their body like that. But that’s not for me.

Somehow you believe the rules are different for you. You’re not allowed to feel good in your skin until you lose 15 pounds, until you have a flatter belly, until your arms don’t wave in the wind, until you fit into your skinny jeans, until you’re sure no one will judge your size, until, until, until.

It’s pretty new, you’re allowed to feel your power, your beauty, yourself. Lizzo’s body is not shrouded in shame. Her fatness is not covered in apologies. She’s not promising to be smaller, and you with the wondrous body that you live in right now. You deserve that too.

The scale addiction

Nina: The, scale addiction, is having to weigh yourself. Needing to know what the scale has to say about your life. My clients are like, but I have to weigh myself otherwise I won’t know. And then I must be in control and the scale starts to be this like push pull, push pull. I’m low on the scale. Yay. Thumbs up. I’m high on the scale, boo I’m abandoned and the number starts to be a moral judgment on our actual being as a human. So, here is the experiment. You take your scale and you put it in a plastic bag.

If you can’t toss it, which I know many people can’t. So, you take the scale you put it in a plastic bag and you tie a double knot around it and you take that bag, you put it in another bag with the scale facing down. You tie another knot. So now you have got this scale, two bags to double knots. Then you take that whole bag and you either put it in your garage or your attic or your basement somewhere you don’t often get naked, because I know the people who are hooked on the scale are taking up every little tidbit of clothing before, they step on the scale.

So, it goes out of the bathroom or the basement or garage or wherever somewhere you don’t get naked.

Myrna: You hit the nail on the head. I have scale addition myself. I wonder if I’ve lost weight. I feel a little lighter or I feel a little heavier. Maybe I should check.

Nina: You can start to think what am I asking the scale to tell me?

That I’m a valuable person,
that I am good,
that I can trust my actual internal experience of myself,
that if I feel vital, that I actually am because the numbers down or if I’m feeling a little sluggish that maybe I haven’t been eating in the way that I really would like to support myself?
Do I need a little piece of metal to tell me how I actually feel on the inside?

Larger body does not mean unhealthy

And I’m gonna say just straight up you don’t need the scale. It’s trusting your own knowing of your body. We do not need a piece of equipment to tell us how we are doing. We’re women we know what makes us feel good. I know what would make me feel mobile, agile, vibrant, alive. Sexy, sensual, all the good things and love it.

You can be in a larger body and be somebody who walks and who eats well, and who’s healthy. Health is not defined by the number on the scale, but rather some more important metrics. How’s your heart doing? How’s your cholesterol doing? How’s your blood sugar doing? Right? Those are important metrics.

To clarify that, I’m not promoting that you eat what the heck you want, whenever you want right with people because part of this work is giving yourself permission to eat and not being so tight and restricted.

Finding body peace after 40

Myrna: How do we have, body peace, after the age of 40.

Nina: Body peace, is especially difficult for women over 40 because our bodies are changing, and there are two times in a woman’s life that are most susceptible to disordered eating. One is coming into fertility. That is why you see eating disorders in teenagers, because their bodies are changing. This is normal, right? Getting a period and developing breasts. There’s normal waking, but our culture says oh, no, you should still look like you’re 12 and then the diets start.

The other time is when we are leaving fertility, pre perimenopause, menopause, post menopause, that’s a time where our bodies are again changing, hormones are shifting. And again, what comes up is women become very vulnerable to disordered eating because we’re like, oh, my gosh, my body’s changing. That can’t happen. Oh my gosh, I’m gonna pass that number on the scale, right? My belly is getting bigger, I’m gonna do something and we get into what I call body management. And that can move easily into eating disorders, obsession, and not actually enjoying our life.

Myrna: tell us about your, body peace, coaching programs and how our listeners can connect with you, your social media handles, your website, etc.

Nina: My website is www.NinaManolson.com. You can also just search bodypeacewithnina.com. And there’s a couple of things on that website that you’ll find that super helpful to start your journey into your own, body peace, journey and they’re all free. One is a, body peace, masterclass, that really goes into the different kinds of relationships that women have with their bodies. And the other is a journal that’s practicing, body peace. It’s a free journal, you can download it, and in there are some of my, body peace, poems.

But even more importantly, there’s 20 questions that if you were sitting with me, I would ask you about how is your relationship with your body? How did it come to be that way? How do you feel right to start you really asking yourself these important questions so that you can start to create a relationship with your body and we feel that feels good and solid? And the one last thing that I want to share that is brand new is I have an app, on body piece.

You can find more information about that, at body peace app. I’m super excited about the, body peace, app because it has tons of resources. It has the, body peace, seekers program. It has a, body peace, starter kit program. It has free meditations, body peace poems, the masterclasses there, it’s got a lot of resources to support you in your journey to finding, body peace. connect with Nina https://www.instagram.com/ninamanolson/

Additional Resources

How to Love Yourself and Heal The Body

June 1, 2021June 1, 2021

How to use Food for Beauty and Your Natural Facelift

Food, plays a major role in, beauty, not only because it helps us reduce, stress, but it feeds us vitamins and minerals that can stimulate our, collagen. My whole approach to, skin care, is how do we purge the mind, the body and the skin from, stress and have a natural, facelift?

Gregory Landsman is one of the most noted global, beauty, and wellness experts in the world. He is the best-selling author of nine books, and a TV host who specializes in using food as a natural, facelift. Often referred to as ‘The Beauty Advisor’, Gregory’s books and global TV program “Face Lifting Food” show viewers how to create quick skin-boosting meals and powerful skin treatments using everyday foods to achieve younger, healthier looking skin at any age. Having worked in the, beauty, industry for 30+ years Gregory believes that looking youthful goes well beyond waging war on wrinkles: and that how we age is 100% controllable. His natural, face lifting, methods are used globally by models, shown in universities, and recommended by doctors. Gregory is a strong voice for inclusion. From Apartheid South Africa to working at the height of the fashion industry, and his fundamental discovery that regardless of what we do, how we look cannot be separated from how we feel.

Listen to the full interview here:

Introduction to Becoming a Beauty Expert

Myrna – Tell us your journey to becoming a, beauty, and wellness expert as well as authoring nine books.

Gregory – I think our life journey takes us where we need to go regardless of where we start. My journey to understanding the concept of, beauty, started from a young age. I was born in South Africa at the height of the apartheid system. Many people say that the country you are born in shapes the quality of the human being and your character.

In my case I have strong views on skin, because from an early age I knew that the color of my skin, the texture of my hair and the width of my nose would determine my level of freedom. My quality of life and before I even got to school, I could read park bench signs – whites only or the public toilets or having to listen to my mum saying could you please hold going to the bathroom until we got home because you can’t use that toilet.

We’ve got to stop with the judgments, we’ve got to stop with the labels. I was a child that was beaten and spat on daily by the time I got to school for my differences. I had lost all belief in who I was as a child, but I was able to put myself back together. We shifted to Australia and my mum became a model and I followed in her footsteps and that’s how I entered into the, beauty, Industry.

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Beauty comes from the inside

Myrna – Your story is really interesting. When you were growing up you probably had a negative opinion of yourself and then you became a model and a, beauty expert. Did that shift the way you viewed yourself?

Gregory – I still walked around with insecurities and fears and I still felt like that broken kid. That’s why I firmly believe that what is on the inside shows up on the outside. My grandma said something that goes to the heart of, beauty.

She said you know boy, God gives us all five minutes of grace and we can wow people with our fancy smiles and our cute little nose; but after your five minutes, the truth of who you are emerges and nothing can hide that.

The definition of Beauty

I utilize the acronym of, beauty:

B – is for balance. It is the balance of inner virtues that radiates outwardly. It’s what ultimately shapes our, beauty, and our lives.

E – the ease for enthusiasm, to show enthusiasm for who we are and all aspects of who we are.

A – is for acceptance, accepting ourselves as a whole without isolating or fragmenting, beauty, to certain physical characteristics.

U – is for understanding that when we are born, we are born whole and beautiful and along the way we have been educated to doubt what we were given. If we have the ability to create insecurity, we have the ability to eliminate it.

T – is for trust, learning to trust in who we are and what we represent in this world, and the wisdom that you possess.

Y- You possess, beauty, if you can see it in a much more expansive way, other than just physical, beauty. It is not about masculinity, it’s not about femininity, it’s about humanity and celebrating the divine differences we all bring to this world.

That is the foundation that my work is based on, because I believe that is where it starts. It starts on the inside and then we can take care of the skin that houses the spirit, we take care of our, beauty.

It is not a line that ages a woman, it is her energy. Her energy gives her a natural, facelift.

Beauty and Aging

When a woman begins to lose her self-belief and her strong sense of what she represents in this world, she begins to age. I know women who are 85 years old, I call them ageless, because it’s not about their age, it’s about their energy and they’re beautiful.

How to Get a Natural Facelift — The Beauty of a Natural Facelift

Gregory – Myrna you’re ageless, you’ve got vitality and beauty, it’s your beautiful energy. It is infectious and give you a natural, facelift.

Myrna – Thank you, I do have a lot of good energy and I feel good about myself and I laugh a lot. I am thinking this is because I have good genes and because I followed a, skin care, regiment since the age of 18 years old. When I was 18 years old, I became a model and learnt, skin care. I have kept that, skin care routine, of cleanse, tone and moisturize for over 3 decades. I have also done facials over the years to give my face a, facelift.

Gregory – When we’re speaking about cleanse, tone and moisturize, that is all the stuff of forgive, learn, laugh that’s how we’re constantly cleansing internally and that is a natural, facelift. We are letting stuff go and the more we let go, the younger we look.

Aging of the Skin is a natural process

I never look at, skin, in isolation or a wrinkle, it’s much more on a holistic level. Aging is a natural process of life, and it is something that I welcome; but, premature skin aging, we can seriously do something about that.

The skin, it never lies.

It will tell you the food you’re eating or not eating,
You skin will tell you your breathing patterns,
Highlights the lack of water, or lack of sleep.
All of these things play a major role in our skin and, beauty.

Food, plays a major role in, healthy skin, not only because it helps us reduce, stress, but it feeds us vitamins and minerals that can stimulate our, collagen and give us a, facelift. My whole my whole approach to, skin care, is how do we purge the mind, the body and the skin from, stress?

We do that with, food, we purge with good breathing, we do it with, face exercises, and a little, face massage. We have to purge the body from, stress, because, stress, is what ages the skin. When we are stressed, we make less, collagen, and as we age it also decreases. Constant, stress, accelerates this whole process.

Transform Your Mind Podcast Player FM

Aging Skin and Stress

If the, stress hormone, cortisol, is raging, you are aging prematurely. We want to get, cortisol, under control and we can do it with, food, and breath. Cortisol, is responsible when if you can’t sleep, that means you have too much of it in your body.

Stress, and, cortisol, impacts the production of our, collagen, and it creates chaos with our skin. It also creates chaos in our lives, when we don’t feel good, we don’t look good either.

Myrna – You mentioned that, sleep, is really important when it comes to your, skin care routine, people often refer to it as, beauty sleep.

What people don’t know is that when we, sleep, we activate the, human growth hormone, which strengthens the skin. It creates a thicker skin. It’s also in the state of, rest and digest, where we repair our skin and more, collagen, is produced.

The greatest, anti-aging, secrets can be found in our everyday, foods. With the right, foods, wrinkles begin to fade and skin regains elasticity, that’s the power of, food to give us a natural, facelift.

Can we get collagen from beauty creams?

When you buy facial products or creams with, collagen, it is a waste of money. Collagen, is the protein in connective tissue that keeps the, skin, elastic. That molecule can’t push through the, skin, when applied with creams. The best way to stimulate, collagen, is through, food, and, sleep.

The fibers in our, collagen, become weak through the free radicals. The best way to strengthen is to eat, foods, and topically apply skin regenerating vitamins and minerals that naturally stimulate and protect our, collagen.

Collagen stimulating foods:

• Vitamin C – Vitamin C is key to, collagen, production and since it can’t be stored in the body, it’s really important to top it up all the time. So we have to eat, face-lifting foods, like –

sweet red peppers,
brussels sprouts,
broccoli and
tomato.

If you love tomato, while it’s fantastic uncooked, when you cook it with a little bit of olive oil, you access lycopene, a powerful antioxidant.

A fresh tomato is something you can put in a little strainer and you take the juice of it and apply that on your skin. It’s a wonderful tonic for the skin and a natural, facelift.

• Vitamin E – that’s a powerful antioxidant that protects and reduces damage caused to, skin cells; but it’s also anti-inflammatory and that keeps the, skin, smooth, and it reduces wrinkles.
• You can find antioxidant with spinach, almonds, sunflower oil and mangoes. It’s not one specific, face lifting food, it is a variety.

• Vitamin B – is incredible for, skin, and you can get a complex variety from beets, eggs, turkey, whole wheat breads. If you are a lover of spinach and kale, pour a little bit of olive oil over the greens. It helps the body absorb the nutrients effectively.

Transform your Mind Spotify Podcast — Download on Spotify

Face lifting Foods

If you eat garlic and onion, they contain sulfur, a wonderful, beauty, mineral, but with garlic, one thing you’ve got to remember is while it’s got incredible health benefits you must crush it and then leave it for at least five minutes. It activates and releases the enzyme allicin, an organic compound and a really powerful antioxidant and, facelift.

Glutathione, is often referred to as the mother of all antioxidants, you find it in the tip of asparagus, and avocados. It’s a wonderful way to support your, glutathione, levels.

If you’ve heard of, hyaluronic acid, people have it injected in their faces. These are injectables, but if you look, hyaluronic acid, is present when a baby’s born. Babies they always say as smooth as a baby’s bottom. Babies are pumped full of, hyaluronic acid, but as we age we lose it, but something as simple as consuming Vitamin B in our diet activates and helps increase our, hyaluronic acid, levels for a natural, facelift.

Include omega-3 fatty acids in your diet, it is a wonderful moisturizer, you access omega-3 fatty acids through fish, and it moisturizes the skin from the inside out giving you a, facelift.

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Supplements help to get nutrients into your Skin

You use, supplements, if you’re not getting these nutrients in natural, food.

Water we all have access to it and our body it’s 70 to 80% of our brain tissue is water, so if you’re dehydrated your body and your mind are stressed. If you’re feeling thirsty, you’re already a little bit dehydrated.

I can change someone’s, skin, the quality and texture of with water and showing them how to breathe correctly.

Myrna – We can’t have this conversation without talking about what Hollywood and most people are doing with the cosmetic, plastic surgery. Plumping up the, skin, with Botox.

Using Natural Food as a facelift instead of Plastic Surgery

I think our world as it stands today, there’s some things going wrong especially in the, beauty, world. The, beauty, industry, anti-aging, it’s a multi-billion dollar industry that often drives fear and, stress, around the aging process.

There’s a fine line between self-improvement and self-destruction and with many of the procedures that I see, I believe that we’ve crossed the line to self-destruction. I can’t see the, beauty, in a face that doesn’t move or paralyzing a muscle.

You wrote the books “Face Value” “Face Fitness” and “Face Food” tells us about your books.

Face Value, is a incredible book that shows you really how to utilize all the ingredients in your kitchen to take years off your face naturally and for a natural, facelift. It will show you things like how to use the avocado, what grape seed oil can to support stronger skin. This
is based on rock solid science, everything that I do is based on science.

That’s why I work in the wellness centers with people undergoing chemotherapy. I show them how to change their, skin, because chemotherapy does horrible stuff to, skin.

I wrote “Face Food” and Face Food shows you how to stimulate the, collagen, from the inside with foods that you’re eating and where to find all of these, anti-aging, ingredients.

Face massages and Face Fitness

We haven’t touched on, face fitness, is how do you keep the muscles on the face strong because it’s not a line that ages a face, but a sagging muscle. We’ve got over 50 of these muscles on the face, we only use not even half of them, so when we know these are the muscles need to be strengthened.

We give ourselves a, natural facelift. When I get a, facial they always end it with a, face massage.
I also do a, face massage, every night when I apply my night cream.

Additional Resources

https://www.buzzsprout.com/1761155

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How to Find Beauty in Your Now!

March 1, 2021March 1, 2021

Why Homecare is Absolutely the Best Option For Dementia Patients

If you have, dementia, then there are certain, nursing care, needs when, dementia, presents itself because it goes until death. Let’s say that my mom or someone I’m responsible for starts exhibiting symptoms of, dementia. How do I decide on whether to put them in a, nursing home, or to get, home care?

Listen to the full podcast interview here:

My guest today is MERRILY ORSINI, Pres/CEO of Corecubed, is considered a thought leader in the healthcare at home industry and is involved in numerous organizations, providing insight and advice. Merrily is a leader in the Help Choose Home initiative, podcast creator and host. She focuses on educating how and when to choose healthcare at home. Orsini won a Lifetime Achievement in Business Award at the 2017 Stevie Awards for Women in Business. Orsini’s business ownership began with a geriatric care managed in-home care agency, a venture that garnered her the prestigious Ernst & Young Entrepreneur of the Year Award in 1996

Myrna – Tell us your journey into your first geriatric care managed in home care agency. Was it because you had a, dementia, parent who needed help?

Introduction to Home Care

Merrily – I sort of fell into it. I have a master’s in social work and an interest in helping people. I was in a personal situation where I needed to make more money. So, I decided to become an entrepreneur and start my own Business. Soon after I opened the doors of that business, I got a request from a friend of mine to provide what at that time we called a babysitting service for one of her clients whose wife had senile, dementia.

That began was a lifelong commitment for me to provide care for anyone who is suffering from, Alzheimer’s. We progressed with my first patient from her early stages of, Alzheimer’s dementia, through end stage.

We ended up caring for lots of other people with lots of other issues but the issue of, dementia, is probably the most frightening and the hardest care. I stayed in the, home care, space directly providing, nursing care, services from 1981 to 1998.

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Myrna – I don’t have any personal experience with this, in my family but there’s a lot of movies out there that address the subject of, Alzheimer’s disease. The most famous is the movie the Notebook.

When I started, menopause, I personally started forgetting things and I was very afraid of that it was the start of, Alzheimer’s disease. But I was reassured by my doctor that if there is no history of, dementia, in my family then there is a good chance that I would not get, Alzheimer’s disease.

What kinds of services do you provide in the home healthcare space for dementia patients?

Merrily – my business provides support to the industry. I’m not in the direct provision of, home care, anymore. The thing about, dementia, is that it’s not a one-size-fits-all disease. It also manifests itself differently in different people. Some people become very calm, quiet and reserved and other people become aggressive.

The disease progresses at different times, it is a debilitating disease if you have an, Alzheimer’s, type, dementia, or some of the other kinds of, dementia, it’s debilitating and it gets worse.

For instance you mentioned, menopause, there are several things that do cause something that looks like, dementia. For instance, medication mismanagement. I had a client one time who was severely malnourished, and that malnourishment actually translated itself into, dementia.

The question of, home care, it is again it’s not a one-size-fits-all because someone who has a, dementia, needs a totally different kind of care than someone who has a frailty or a disease. It’s two totally different kinds of care and it’s also takes different kinds of caregivers.

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Why Home Care is the best option for Dementia Patients.

There’s different ways that you actually can talk to someone or be around someone with, Alzheimer’s, and there’s a handful of generic kinds of rules for, nursing care; but the biggest one is this. It is hard for families is when someone starts forgetting and they actually have, dementia.

That’s irreversible and it’s going to get worse. the worst thing you can do is try to orient them to right now, because they’re not there. They’re not mentally in the present and it’s very scary for someone with the, dementia, to think that they’re somewhere else and then have someone try to orient them today.

It’s like waking up in a dream and you know you you’re dreaming you’re someplace and if someone said you’re not there it would be scary. The, dementia, patient turns against them, because they quit trusting them.

They quit trusting them because the person is trying to orient them back to reality.

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Dementia Test

The mini mental status test is about five questions:

It starts off with “what day is today”
Who’s the president of the United States
Ask them to make you a cup of tea because that requires is sequential steps.
Can they still dress themselves or take care of themselves. Oftentimes not because they don’t remember. Sometimes people with, dementia, take all their clothes off and run out into the yard.

So many of the normal activities of daily living processes that you that you would not lose unless you had, dementia.

Ways to prevent Alzheimer’s type dementia

If you have a healthy lifestyle and by that I mean eating well, exercising and getting plenty of sleep. All of those things can help you prevent that onset of, dementia, but if you actually have an, Alzheimer’s, type, dementia, no matter what you do it is going to eventually come.

Keeping your mind active is the other way to prevent the onset of, dementia. We’re creatures of habit so if you brush your teeth with your right hand, try brushing your teeth with your left hand. Simple things like that.

Learning a foreign language that’s one of the most amazing things you can do because it uses parts of your brain that you don’t normally use.

So if you’ve done crossword puzzles your whole life and you think by continuing to do crossword puzzles you’re going to somehow keep dementia at bay, that’s not true. You need to do something different like learn how to dance. Do something that involves your body and your mind, that is different than anything that you’ve ever done before.

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Is Alzheimer’s dementia different from just dementia?

You characterize, Alzheimer’s dementia, from just, dementia, can you give us what the difference is?

Merrily – There are all different kinds of, dementia. Alzheimer’s, is what we most hear about; but it is a specific disease that has some specific characteristics.

There are other types of, dementia.

Lewy Body dementia which is what Robin Williams had
There’s frontal-temporal dementia.
Alcohol related dementia that comes from overusing alcohol
Vascular Dementia
Mixed dementia and that is a combination of Alzheimer’s dementia and Vascular dementia.

Home Care for Dementia patients

If you have, dementia, then there are certain, nursing care, needs when, dementia, presents itself because it goes until death.

Let’s say that my mom or someone I’m responsible for starts exhibiting symptoms of, dementia. How do I decide on whether to put them in a nursing home or to get, home care?

There is no universal long-term care program for people in America, we have an overly complicated, home care, system. Some of it funded by the government and some of it paid for privately, so it really depends on what your financial resources are and what your support system is.

Right now very few people want to go into a congregant, nursing home, setting because of the exposure. You look at the deaths in America where 40 percent or more happen in congregate, nursing home, care settings from COVID 19.

So, if you have a loved one with, dementia, the first thing to do is go somewhere where you can get a real good screening. I would recommend a geriatric evaluation and treatment program through a teaching university.

The next step after they say you do have a progressive disease, is to really look at time frame, because a lot of people can stay at home with just a little bit of care as long as there, dementia, is not progressed to the point where they are endangering themselves.

Staying at home is probably the best place because people who have, dementia, like familiar surroundings and they also like a routine.

But the question between, home care, or, nursing home, really comes down to cost and support.

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Tell us about your podcast Help Choose Home.

The reason I started the Help Choose home podcast, is that what I have found is people don’t actually look for any of these answers or even information until they have a need. Someone has a care need for a family member and then they start researching. So the Help Choose home podcast, is really just about educating people about how to choose, nursing homes, or, home care.

How can those listening and watching on YouTube connect with you?

The national association for home care and hospice which is one of the sponsors of my podcast has very good resources and you mentioned AARP. AARP has excellent resources as well The home care association of America and the National Palliative Hospice and Palliative care organization.

My own website is www.merrilyorsini.com My business is corecubed.com

I’m inviting you to join my Facebook group called life coach and please subscribe to the podcast on our YouTube channel and where ever you get your podcasts.

Category: Aging