Detecting Parkinson’s Disease Earlier

Long before the classic symptoms of tremors and gait instability appear, Parkinson’s disease, which affects 1.5 million Americans, might be diagnosable allowing for the possibility for earlier intervention and amelioration of the disease.

Tablet with the diagnosis parkinson's disease on the display

The Lancet published a study in January 2015 that found that many of those diagnosed with Parkinson’s disease had experienced the following symptoms five years earlier:

  • Tremors
  • Balance problems
  • Constipation,
  • Low blood pressure,
  • Dizziness
  • Erectile and urinary dysfunction,
  • Fatigue
  • Depression
  • Anxiety

Additionally, the Parkinson’s Disease and Movement Disorders Institute at the Weill Cornell Medical Center found that REM sleep behavior disorder is one of the strongest indicators for the disease. This is when someone acts out their dreams while still asleep. A Parkinson’s pre-diagnostic symptom can also be the loss of the sense of smell and minor changes in cognitive ability.

Having a combination of these risk factors may prompt someone to see a neurologist specially trained in movement disorders. An early diagnosis may qualify someone for participation in clinical trials for new treatments. This could be critical since by the time the typical symptoms appear, the brain could have lost more than half of its dopamine producing cells.

The National Parkinson Foundation reported that neurologists are working on bio-markers in the blood, saliva, and spinal fluid as a way to identify those at risk for developing the disease. The Michael J. Fox Foundation is also actively involved in clinical trials for vaccines and drugs to combat this debilitating disease.

David York Agency (DYA) is skilled at recognizing the symptoms of various diseases endemic to the elderly and makes every effort to send caring and compassionate home health aides into the client’s home. DYA provides certified home health aide services for the elderly in their home and is abreast of all the latest guidelines and trends for seniors.  We would be happy to discuss your case with you.  Please call for a free consultation today at (718) 376-7755 or visit our website.  You can also follow us on FacebookTwitter, google+ and LinkedIn.


‘Liquid Candy’ Is NOT Nutrition

Say No to Standard Nutritional Shakes

The New York Times reported that the American Geriatrics Society has made a new warning in their Choosing Wisely recommendations against using products such as Boost and Ensure because they are little more than ‘liquid candy’, a label usually ascribed to soda. Like soda, the primary ingredients are water and sugar. Although they are enriched with synthetic vitamins, these drinks are empty calories.

Why Are They Recommended?

Geriatricians often recommend these supplements out of fear of weight loss and malnutrition. Ironically, sugar cereals like Fruit Loops, so decried by nutritionists, have far fewer grams of sugar per serving. These so-called nutritional supplements supply even more sugar than these “kid cereals”. It would be more beneficial to address the underlying reason for the lack of appetite and weight loss than recommending these energy drinks. There could be a medical reason for a loss of appetite or it could be something more logistical in nature.

What Can Be Done?

If a lack of ability to prepare nutritious meals is a problem, there are home health aides that could be hired on an hourly basis to relieve the burden of that task. These caregivers could work within the dietary restrictions of the elderly patient to prepare meals that are healthful and tasty. The home health aide could feed the senior citizen as well as supervise and monitor the food intake. They can keep relatives and health professionals well informed regarding the food intake of the patient. These aides could be obtained through home care agencies in your area. Home healthcare agencies such as David York Agency in the New York area make sure their home health aides are fully acquainted with all the specific requirements of each and every elderly client they service.

At DYA, we could provide direction as to how to manage the total care of your senior loved one. Please call us at (718) 376-7755 or visit us on our website to become acquainted with all we offer. Contact us and visit our website or follow us on Facebook, Twitter, or LinkedIn.

Can Change in Gait Indicate Bigger Problems?

The shuffle.

It’s something we’ve come to accept as a normal part of aging, or as a result of certain medical conditions—following a stroke or coinciding with the onset of Parkinson’s disease. But what if there was more to this sometimes-gradual change in a person’s gait? What if it indicated a shift in cognitive function? Research is beginning to investigate possible connections between the way people walk and their ability to think. As well, there is the possibility that changes in gait may be an early indicator of cognitive impairment stemming from conditions such as dementia or Alzheimer’s disease. Therefore, it is important to take note of an elderly gait.

Recent studies:

AlzheimersRecent studies suggest that thinking skills—memory, planning activities or processing information—decline at nearly the same rate as the ability to walk steadily and information increasingly points to a correlation between trouble walking and difficulty thinking.

A number of studies utilize a dual-tasking testing system to help uncover problems. They ask subjects to simultaneously perform thinking and movement tasks such as walking while counting to 50. While still inconclusive, the results of these tests revealed that subjects who walked more slowly or inconsistently did worse on cognitive tests. The worst of these were suffering the most severe Alzheimer’s. This may indicate that the brain is sufficiently compromised as to be unable to coordinate and efficiently manage more than one task.

Seeming correlation.

This seeming correlation could be an indicator for earlier diagnosis and treatment for conditions such as dementia and Alzheimer’s disease. Once the studies are conclusive, action can be taken. The hope is to integrate an observation-based screening protocol that can be used during routine examinations by doctors, or physical therapy sessions.

Mobility and accessibility needs change. David York Agency and their team of home heath aides will be there to help you every step of the way. Our client intake coordinator is available to answer your questions about in-home healthcare. When you sign on as a client, a free nursing assessment helps tailor a specific care plan performed by a caring home health aide.

For more information about our services, please visit or follow us on our Facebook, LinkedIn or Twitter pages. You can also call us at 718.376.7755 and we will be happy to talk over your specific home healthcare needs.

How Do I Make Sure a Home Health Aide is Fully Qualified?

Growing Need for Home Healthcare

As people live longer, the need for home care likely increases. While some aging seniors can receive personal care from family members, others search for care from a qualified home health aide. Hiring a home health aide can allow your loved one to remain in the comfort of his or her own home while getting the support for the activities of daily living needed. Home health aides may do anything from providing personal care to cooking. If your loved one needs help with general house duties like meal preparation, a specially certified home health aide may be sufficient. It is important to make sure that you find a qualified caregiver that meets the needs of your loved one.  Here are some things you’ll want to make sure your home health aide has.

Certified & Specially Trained

Aide Qualified2

You want to make sure that your home health aide is certified.  Most are either Certified Home Health Aides or Certified Personal Care Aides.  In the state of New York, home health aides receive their certification from a training institute.  All New York approved training institutes will be certified and licensed by the New York State Department of Education.  Home Health Aides maintain their certification by working for a licensed agency that will provide the 12 hours of annual in-service instruction they need to keep their certification current.

Current Credentials & Valid References

It is important that your home health aide have valid references – whether they are previous employers, school professors, or mentors. They should be willing to allow you some time to review and talk with these references.  A reputable home care agency will require this as a matter of course. Such an agency is meticulous about validating all the information on their home health aide’s application.  They also check that their certificates are current and valid with the New York State Department of Health.

Criminal Background Check

A criminal background check is done through fingerprinting.  If your home health aide has committed a crime, they would’ve been finder-printed soon after the time of arrest.  By requesting a finger print background check, you can be sure that your home health aide is clear of a criminal past.  A licensed home care agency takes care of this step for you. In fact, it is not allowed by law to hire aides convicted of a felony.  While it is up to the discretion of each agency to hire someone convicted of a misdemeanor, many will not hire an aide with any criminal background at all as an extra safety net since they are sending aides into client’s homes.

Since the above certification and security checks can be labor intensive, many people searching for a home health aide prefer to use a home health care agency that will relieve you entirely of these tasks.  Additionally, a Registered Nurse will do an initial nursing assessment and provide ongoing assessment and supervision periodically or as needed as part of the service.

David York Agency Qualified Aides

At David York Agency, we ensure that all home health aides and personal care aides are certified and specially trained. We check for current credentials and  valid references. Additionally, our astute personnel specialists interview each and every candidate. All home health aides are thoroughly screened, fingerprinted and checked for a criminal background.  David York Agency also provides frequent in-house/in-service education. The agency is insured and bonded. We only send aides of the highest caliber and integrity to your loved one’s home.

Home health aides should be trusted to take care of aging parents, a spouse or loved one who needs extra help.  Knowing they are fully qualified will ease your mind and help make the decision to hire a lot easier.

For more information on hiring a home health aide, contact David York Agency at 718-376-7755 and visit our website at Please like us on Facebook or follow us on Twitter or LinkedIn.