Stimulating Senses to Stimulate Wellness at Villa Alamar and Alexander Gardens

An innovative sensory stimulation program — involving nature, scents, sounds, and colors to constantly provide pleasant sensory stimuli that promote wellness — helps assisted-living and memory-care residents at Villa Alamar (villaalamar.com) and Alexander Gardens (alexandergardensal.com) maintain their high spirits and positive outlook.

Developed by owner/partner/administrator Mitch Leichter, this Sensory Integration Program for the Advanced Stages of Dementia is seeing great success.

“Our staff is consistently engaging the residents in a proactive manner, where in the past it was reactive,” reported Leichter. “The staff has learned how to interpret body language
from nonverbal residents and have implemented appropriate reminiscent and redirection opportunities predicated on sensor stimuli criteria. In many incidents, an increase in medication has not been needed for some residents experiencing behavioral situations, and in other cases, medications have actually been decreased.”

Leichter explained more about the program to me below, and what follows is a portion of our conversation, edited for clarity and length.

Do you use the sensory integration techniques for both memory-care and senior assisted-living patients? We’ve really focused a lot on Villa Alamar, which is our memory care. It’s a translucent theory that can apply to anyone, but I’ve had more success in the implementation with memory-care dementia residents in the years
that I’ve rolled it out. This is really nice to see the effect.

What are some of the different impacts with people in memory care? The whole focus of sensory integrations is to rethink traditional care. If you try to create a traditional
activity program with a resident that has dementia, you’re making poor assumptions. You can’t assume they are cognitively able to do it, for example, if you say “move right; stand
up; sit down.” We have a huge, beautiful courtyard at Villa Alamar, and we let nature be our program. We have wind chimes, bird feeders, fountains, gardens, our furniture is multicolored for sensory pickup, and we also have classical music playing. The theory is you want to create a Zen moment for your dementia residents. If Mrs. Johnson is sitting down by the fountain and she’s watching the birds eating out of the bird feeder, you want to create that Zen moment, and then you want to perpetuate it. Even at lunch time. Rather than stop her from getting in the moment, we work together, and we allow that moment to perpetuate. And we’ll bring lunch to her and not upset what we tried to do to begin with.

By doing that, we can decrease the behavioral medication, because we’re not moving them around. The staff has been taught to be part of the program, not depart from the program. We let nature do the work, and it’s just magnificent.

That sounds like a very humane approach. Does it help everyone? I have incredible employee retention across both of my properties. Because if you walk into a place that smells good and sounds good and looks good, and the staff realizes that I’m not a corporation — we’re independently owned — they know that we’re focusing on a wellness program. And it’s not just a wellness program for residents; it’s a wellness program for the employees as well. And it works.

It’s the same philosophy in a different situation that we use with the residents, and also when the families come in. It basically slows your cadence down. It slows your heart
rate down, it slows you down, and that’s the whole theory of sensory integration. The term I use is “holistic modalities,” and the fact is that we can reduce the amount of behavioral medications by modifying our program. It works wonders.

Is there anything else we should know? When a family has to place a loved one in memory care or assisted living, there’s a lot of guilt and anxiety. Our job is to provide the
sensory integration approach so that they can calm down and also feel good about their choice. It’s been remarkable at both of our properties — we get the comments all the time. “What’s that smell?” And “Oh my gosh, look at that bird feeder, and that wind chime sounds magnificent. When can I move in?” So I hear that and I’m thinking, “Okay, good, it’s working.” [Laughs.] We want to be holistic in our approach and not force medication onto anybody unnecessarily.

See villaalamar.com and alexandergardensal.com.

Originally published in The Santa Barbara Independent on August 12, 2021. Cover photo by Erick Madrid. To read this special section as it originally appeared in print, click here.

OsteoStrong Builds the Bones of Skeletal Health

My mother was taller than me when I graduated from college, but now I tower over her.
Not because I had a twentysomething growth spurt, but because she’s been plagued by osteoporosis, which literally means “porous bone.”

This horrible condition, which causes the bones to become more porous and fragile, greatly increasing the risk of painful and often disabling broken bones, is a tough one to treat and an impossible one to cure. They think my mom’s osteoporosis was caused by chemotherapy, but genetics and aging are factors too. So naturally I was intrigued when I wrote about OsteoStrong (osteostrong.me) for last year’s Active Aging guide. But at that time, because of the pandemic, the wellness studio was closed to the public, and I wasn’t able to try out the machines for myself.

This year, I finally got to check out the rather novel bone-building exercise approach designed to stimulate bone growth through delivery of high-intensity loads. A franchise operation owned by Yvonne and Jim Parsons, the OsteoStrong program uses special exercise machines that deliver intense bone-stimulating loads through four nearmaximal
isometric exercises.

“The most important thing is that you compress the bone and the axial,” explained
Yvonne of how it works. “And if you noticed, when you were doing each piece of equipment, nothing moves. We get into position and it’s robotic in that sense, but once you get on, nothing moves except you, and it’s the compression of the bone that stimulates the adaptive response.”

The circuit itself takes only about 10 minutes, which is certainly efficient. I didn’t work up a sweat because, as Yvonne explained, “It’s only about the adaptive response. A good
analogy is that it’s like if you walked into a dark room and your pupils expanded. You go
to a gym to get your muscles strong, but you go here to get your skeletal strength.”

The machines work on the principle of “osteogenic” loading. These super-resistance
machines cover every section of the body—a chest press, leg press, core pull, and skeleton stressing vertical lift—and they resemble weight machines with feedback monitors. Clients come in once a week, stand on vibration platforms to warm up, then exert 30 seconds of all-out force at each workout station.

All in 10 minutes! Seriously, I saw at least three people cycle through as I interviewed
Yvonne.

Although my one session at OsteoStrong was not enough time to report any results,
nothing hurt afterward, and the people I saw come in seemed to be all smiles with
a little extra spring in their steps. There are certainly loads of happy customers, as their video testimonials attest to (osteostrong.me/video-gallery).

“People love it,” said Yvonne. “It’s fast, it’s very safe, and it’s so efficient. It seems like it’s not real, but it really is. We can’t say that we cure anything or anything like that, but we have many members who come in and they’ve had their T-score [a measure of bone density] measured, and they come in, and the next year when they get it again, the T-score has improved and bone density has improved. … When your bones are stronger, you’re not having that fear of fracture if you fall. It’s like when you walk off of a curb, people go, ‘Oh no, I don’t have any problem with that anymore.’ Their balance and agility has improved.”

Check it out yourself for free. Call (805) 453-6086 or email santabarbara@osteostrong.me to set up an appointment. See osteostrong.me

Originally published in The Santa Barbara Independent on August 12, 2021. Cover photo by Erick Madrid. To read this special section as it originally appeared in print, click here.

Connect, Discuss, and Explore at Vistas Lifelong Learning

Learning new things and maintaining a vibrant social life are two of the key pillars that experts say will keep our brains sharp and healthy. This is exactly what the nonprofit Vistas Lifelong Learning (vistaslifelonglearning.org) offers to the community.

This volunteer-run organization, which started in 1999, is dedicated to keeping aging brains nimble with ongoing educational programs on a wide variety of topics. Recent
courses included Foods That Changed the World (exploring foods that have changed the world in profound and delicious social, political, and economic ways); Unpacking
the Dementia Epidemic (current thinking about the causes of dementias, dementia management, and how to stay on top of new developments); and Politics and
Religion in Verdi’s Operas (with audio and video extracts from modern performances of the operas).

The depth and variety of the programming is impressive, but the social component of Vistas is equally important to its success. “I think of all the connections that people find through Vistas,” said President Jim Hemmer. “There are two book clubs; there’s a short story class; there are memoir writing classes. And in our in-person programs — which moved to Zoom during the pandemic and will resume in the fall — there’s always a 20-minute coffee break in the middle so people can socialize and see old friends and meet other similarly situated people.”

For Hemmer, who retired from a career as an attorney in Chicago and moved to Santa Barbara with his wife, Francine, in January 2017, becoming part of Vistas has been a great way to engage his brain and find a community. Though it’s not a requirement, many of the Vistas presenters are members as well.

A longtime history buff, Hemmer found his way to the organization through a presentation on the Silk Road that he made to a luncheon group called The Cosmopolitan Club (sbcosmo.com). A Vistas member suggested he present to that group, and the response was so positive that Hemmer ended up teaching three different courses on the journey of the historical Silk Roads through China’s current efforts to reinvigorate them today.

“Vistas really attempts to satisfy this desire to learn things, and being a presenter is a wonderful way of doing that,” said Hemmer. “Taking other people’s classes is also great. I find that because I’m busy preparing presentations, I don’t have time to take all the classes I’d like to. I’ve been very busy during the pandemic, and it’s just great.”

Vistas is a small group, explained Hemmer, fluctuating between 300 and 400 members, and is not affiliated with any college or other institution. Programs are open to the public for a small fee, and the fees are less for members. (Annual membership fees are $40 per person for email-only communications and $50 for snail mail, with individual classes averaging $9 per session for members and $14 for nonmembers.)

“It’s a really varied and interesting group of people,” Hemmer says. The mostly retired members come from very diverse careers, ranging from former judges, teachers, and
docents to social workers, librarians, and secretaries, just to name a few.

Upcoming programs in the fall include a reprise of the Silk Road series; the short history of cryptography; the writer James Baldwin; climate change and the impact on the Great American Waterways; criminal procedure; economic issues; and the social safety net in the U.S., with additional courses and details still being finalized.

“We have a very, very wide palette. There’s somebody for everybody,” said Hemmer. “It’s a wide variety of programs on science, history, current events, music and fine arts, and so on.” Research suggests that humans learn better in social environments. “The brain is triggered more through discussion and questions than from solitary activities such as
independent reading,” said Hemmer.

“So it turns out that Vistas’ cooperative spirit that we’re all in it together and we get our ideas from other members is particularly beneficial in the case of seniors.”

See vistaslifelonglearning.org.

Originally published in The Santa Barbara Independent on August 12, 2021. Cover photo by Erick Madrid. To read this special section as it originally appeared in print, click here.

Turner Medical Arts Offers Treatments for Inside and Out

Looking good and feeling good are intimately intertwined for many people. Turner Medical Arts (turnermedicalarts.com) in Montecito is a multi-specialty practice that fits the bill with a focus on anti-aging medicine in a wide variety of specialties that are unusual to find under one roof.

“Our philosophy on aging?” asked Dr. Duncan Turner, the obstetrician/gynecologist in
charge. “Honestly, it’s no fun. But we can make it easier with individualized, evidence-based treatment plans and care you can count on.”

After concentrating on the obstetrics side of women’s health care in Santa Barbara for more than 40 years, Dr. Turner is now focused on hormones and sexual health to optimize total health. He uses both new technologies and new applications of older technologies to perform minimally invasive procedures that promote vaginal rejuvenation, improve sexual health, assist hormonal replacement, and discourage the aging process.

The team also includes Kirsten DiBenedetto, who assists with contraception and early pregnancy through menopause and beyond; Dr. Alan Viglione, who specializes in anti-aging internal medicine; plastic surgeon Dr. Michael Giuffrida, who handles body contouring and liposuction; oculoplastic surgeon and injectable aesthetic expert Dr. Joseph Chang, who focuses on cosmetic eyelid and facial injections such as Botox; Mary Sidavanh, who oversees IV hydration therapy and medical-grade weight management treatments; and Caitlin Bozek, whose specialty is injectable treatments for hair loss, erectile dysfunction, urinary incontinence, and more.

“Despite different specialties, the byline of our practice is care you can count on for a reason,” said Dr. Turner. “We feel very strongly about our brand being well-portrayed by all of the practitioners and it’s not by chance that we have the group that we have. Despite having different specialties, all of us focus on providing every resource we can for the internal and external wellness of our patients.”

See turnermedicalarts.com.

Originally published in The Santa Barbara Independent on August 12, 2021. Cover photo by Erick Madrid. To read this special section as it originally appeared in print, click here.