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Cognitive Decline Concerns

Navigating Issues with Aging: Cognitive Decline, POA, and SCD

Aging gracefully is a goal we all share, but it’s not without its challenges - particularly when it comes to cognitive health and issues with aging. As we grow older, we may face cognitive challenges such as mild cognitive impairment, Alzheimer’s disease, and dementia. Hopefully this post will help you navigate these issues by understanding the power of attorney, identifying warning signs, and implementing strategies to maintain a healthy brain. So, grab a cup of tea, sit back, and let’s dive into the world of cognitive decline and how to tackle it head-on.

Key Takeaways

  • Engaging in stimulating activities and maintaining a balanced diet can help reduce the risk of cognitive decline.

  • Setting up a Power of Attorney (POA) is important for preserving financial security, while public health professionals can play an important role in helping individuals cope with Subjective Cognitive Decline (SCD).

  • Exercise, cardiovascular disease prevention, social engagement and eating nutritious foods are all key to supporting cognitive health as we age.

Cognitive Challenges in Aging

doctor, surgeon, ct scan

As we age, our mental faculties can undergo changes that affect our memory, language, and judgment. These cognitive challenges can range from mild cognitive impairment, which lies between normal age-related memory decline and dementia, to more severe conditions like Alzheimer’s disease and dementia itself.

Despite the commonality of these challenges, a combination of stimulating activities and a balanced diet can help in mitigating the risk of mild cognitive impairment. So, what exactly are these cognitive challenges, and how do they impact us as we age?

Mild Cognitive Impairment

Mild cognitive impairment (MCI) is a condition that falls between normal age-related memory decline and dementia. It is characterized by slight issues with cognition, such as memory or thinking.

While MCI bears resemblances to Alzheimer’s and dementia, the effects are not as profound. Bear in mind that about 10-15% of those diagnosed with mild cognitive impairment (MCI) progress to develop dementia each year. This highlights the need for careful monitoring in these cases. So, if you’re experiencing memory or thinking problems, don’t hesitate to see a doctor.

Alzheimer's Disease

Alzheimer’s disease is the most common form of dementia, a progressive brain disorder that affects memory, thinking, and behavior. Symptoms include:

  • Memory loss that affects daily life

  • Difficulty with problem-solving, planning, and completing familiar tasks

  • Poor judgment

  • Difficulty remembering recent events or conversations

Furthermore, a study in JAMA found that heavy drinkers had a 22% higher Alzheimer’s risk than nondrinkers. Recognizing these symptoms and seeking assistance if you or a loved one exhibits them is pivotal.


Dementia is a term for a decline in cognitive ability that’s so severe it affects everyday life, including:

  • Memory loss

  • Trouble communicating

  • Issues with problem-solving and decision-making

  • Trouble with planning and organizing

  • Coordination and motor function difficulties

  • Changes in mood and behavior

Some signs of dementia can include memory loss, trouble communicating, issues with problem-solving and decision-making, trouble with planning and organizing, coordination and motor function difficulties, and changes in mood and behavior.

Diagnosing dementia typically involves assessing both physical and mental health, including cognitive tests, medical history, and laboratory tests. Treatment for dementia can include medications, lifestyle changes, and therapies to help manage symptoms and enhance the quality of life. Early detection and intervention are vital for managing dementia and its impacts on daily life.

Power of Attorney and Financial Safeguards

man, sign, paper

As we age, our cognitive challenges may also affect our ability to manage finances and make decisions. This is where the power of attorney (POA) comes into play. A POA is a legal document that allows someone else to act on your behalf, including making financial decisions.

Comprehending the principle of power of attorney and taking steps to prevent financial exploitation is pivotal to safeguarding the financial power and health of older adults.

Understanding Power of Attorney vs Joint Tenancy

A durable power of attorney (POA) stays in effect even if you’re unable to make decisions for yourself, such as managing your finances or paying bills. There are different types of POA, including:

  • Durable POA

  • Springing POA

  • General POA

  • Financial POA

  • Medical POA

However, POAs can be complex, and it’s a good idea to involve a lawyer to help safeguard against potential abuses, especially when it comes to financial transactions.

If you don’t set up a POA ahead of time, a friend or family member might have to go through the court process to get a guardian appointed, which can be a lengthy and expensive ordeal. Thus, it’s imperative to seek legal counsel while establishing a POA for its appropriate execution.

Joint accounts

Often I hear people are being "added" to their relatives bank accounts. Typically meaning they are on the account jointly. There are BIG problems with this-

  • Once a joint account is set up all assets are then legally owned by both parties- either one can use it as they wish- no strings or safe guards.

  • Increases potential liability on both sides- if there was a lawsuit or creditor claim on either side- both parties could be at financial risk.

  • Could impact Medicaid eligibility for the person that needs it-

Bottom line, joint tenancy with someone other than your spouse is NOT advised. Take the extra time for your safety and the safety of your loved on to get a Power of Attorney established.

Preventing Financial Exploitation

Financial exploitation is a growing concern for older adults, and being familiar with power of attorney documents is a crucial step in preventing it. Setting up a trusted contact person who can be contacted by a financial institution in case of unexpected or atypical activity in your financial account can safeguard you and your funds from any fraudulent or exploitative activities.

Maintaining vigilance necessitates regular review of financial accounts and statements, awareness of any irregular activity, and prompt communication with your financial institution if concerns arise. Additionally, be mindful of common signs of financial exploitation, such as unusual activity in bank accounts, unexplained changes in an older person’s accounts, missing valuables, sudden changes to wills or other financial documents, and unexpected unpaid bills. To avoid such issues and efficiently pay bills, partnering with a reputable financial firm can be helpful.

By taking these precautions and considering how many trusted contacts to involve, you can protect yourself and your loved ones from financial exploitation.

Subjective Cognitive Decline (SCD) and Mental Health

doctor, patient, consultation

Subjective cognitive decline (SCD) is when someone notices their confusion or memory loss is getting worse or happening more often. Addressing mental health concerns and developing coping strategies is critical for individuals experiencing SCD.

By teaching people about risk factors that can be changed, pushing for assessment and help early on, and understanding how cognitive decline affects adults and their families, public health professionals can improve the health and well-being of many older adults.

Defining Subjective Cognitive Decline

SCD is a self-reported decline in cognitive function that may or may not be indicative of an underlying condition, such as mild cognitive impairment or dementia. Having SCD can mean sometimes giving up on household tasks or chores or finding it hard to do activities outside the home.

When we’re involved in social activities, we use our attention and memory, which can help with our cognition. Therefore, addressing SCD and promoting social engagement can have a significant impact on maintaining cognitive health.

Mental Health Concerns

dependent, dementia, woman

Mental health concerns associated with SCD include frequent mental distress and functional difficulties in daily activities. Frequent mental distress is when you experience mental distress or have mentally unhealthy days for at least 14 days in a 30-day period.

Functional difficulties associated with SCD may include struggles with memory, concentration, decision-making, and problem-solving.

Strategies for Coping with SCD

To cope with SCD, the following are essential:

  • Public health interventions, including early detection and diagnosis, educational and awareness drives, and access to resources and support

  • Lifestyle modifications

  • Support from healthcare professionals

Lifestyle changes, such as regular exercise, mental activities, and stress management, can also help with SCD. Healthcare professionals can offer support and guidance to individuals with SCD, such as diagnosis, treatment, and referrals to other resources.

Maintaining Physical and Cardiovascular Health

outdoor, fitness, gym

Sustaining physical and cardiovascular fitness is critical in thwarting cognitive decline and fostering overall well-being in older adults. Regular exercise, cardiovascular disease prevention, and good-quality sleep are essential components of a healthy lifestyle that can help support cognitive health and prevent the onset of dementia and other cognitive challenges.

Exercise and Brain Health

Exercise and brain health are closely linked, with regular physical activity shown to contribute to a healthy brain by:

  • Preventing cognitive decline

  • Improving memory and thinking skills

  • Reducing anxiety

  • Helping you focus and concentrate

  • Reducing insulin resistance and inflammation in the brain

To integrate exercise into your daily routine, establish achievable targets, divide your exercise routine into manageable segments, and engage in activities you find enjoyable.

Cardiovascular Disease Prevention

Cardiovascular disease prevention is essential for maintaining cognitive health, as risk factors like high blood pressure, high cholesterol, and diabetes can damage the blood vessels in the brain, reducing the amount of oxygen and nutrients that reach the brain and leading to cognitive decline. Managing these risk factors involves making lifestyle changes, such as eating a healthier diet, exercising more often, quitting smoking, and keeping blood pressure and cholesterol levels in check.

Chronic obstructive pulmonary disease (COPD) is another condition that can impact overall health and well-being, so it’s crucial to manage it effectively to maintain cognitive health. By taking proactive steps to prevent cardiovascular disease and manage chronic conditions, older adults can support their cognitive health and reduce the risk of cognitive decline.

Social Connections and Aging

senior, women, happy

Social connections and engagement play a vital role in preserving mental function and mental health in older adults. Participating in social activities and other activities that challenge mental abilities can help boost cognitive reserve, the brain’s capacity to adapt to age-related changes and damage.

By staying socially engaged and nurturing strong social ties, older adults can reduce the risk of cognitive decline and maintain their mental health.

The Importance of Social Engagement

Social engagement is essential for maintaining cognitive function, as strong social connections can protect memory and reduce the risk of cognitive decline. Social interaction can help reduce stress, which in turn protects memory and cognitive function, and stimulate the brain to boost cognitive function.

Engaging in social activities that challenge mental abilities can help older adults maintain their cognitive health and prevent cognitive decline.

Tips for Staying Socially Active

To stay socially active as we age, it’s important to prioritize social interaction and maintain friendships. Staying in touch with friends, setting aside time for social activities, and being open to meeting new people are essential for maintaining social connections. Group activities can provide opportunities for social interaction and cognitive stimulation, such as joining a book club, taking a class, volunteering, or participating in sports.

Additionally, attending social events, joining support groups, and using online platforms can also provide opportunities for social interaction. By staying socially active and nurturing strong social connections, older adults can support their cognitive health and overall well-being.

Nutrition and Aging

vegetables, fruits, food

Nutrition and aging are closely connected, with certain dietary patterns, such as the Mediterranean-style diet, offering benefits for cognitive health. This diet emphasizes:

  • Fruits

  • Vegetables

  • Whole grains

  • Fish

  • Nuts

  • Seeds

  • Olive oil

It has been shown to lower the risk of mild cognitive impairment and dementia.

Mediterranean-Style Diet Benefits

A healthy diet, such as the Mediterranean-style, focuses on fruits, veggies, whole grains, fish, nuts, seeds, and olive oil, and has been linked to reducing the risk of mild cognitive impairment and dementia.

Studies have revealed that following this diet is linked to a reduced chance of mild cognitive impairment and dementia, making it a beneficial dietary pattern for older adults.

Dietary Tips for Older Adults

For older adults, prioritizing nutrient-dense foods is essential for maintaining cognitive health. This includes:

  • Fruits

  • Veggies

  • Whole grains

  • Lean proteins

  • Healthy fats

At the same time, it is important to limit the intake of processed and sugary foods, as well as sodium, for overall health and well-being.

Staying hydrated is also essential for cognitive health, as it helps reduce the risk of dehydration and supports overall health. Limiting alcohol intake is another important aspect of nutrition for older adults, as excessive alcohol consumption can increase the risk of cognitive decline and other health problems.

When to Seek Professional Help

men, patient, elderly

Identifying the warning signs of cognitive decline and steering through healthcare decisions are critical steps towards addressing aging concerns. Professional assistance becomes vital when encountering:

  • Memory loss

  • Language difficulties

  • Poor judgment

  • Mood shifts

These could signify mild cognitive impairment or dementia.

Early diagnosis and treatment can help slow the progression of cognitive decline and improve quality of life.

Recognizing Warning Signs

Warning signs of cognitive decline include:

  • Memory loss

  • Difficulty with language

  • Poor judgment

  • Mood changes

These symptoms may indicate mild cognitive impairment or dementia, and it’s important to seek help if you or a loved one is experiencing them.

In addition to memory loss, other warning signs of cognitive decline can include difficulty with complex tasks, confusion with time or place, and difficulty with problem-solving. Recognizing these warning signs and seeking professional help can help older adults manage cognitive decline and maintain their quality of life.

Navigating Healthcare Decisions

When consulting healthcare professionals about healthcare decisions, it’s essential to consider your medical history, current health situation, and any potential risks associated with the decision. Discussing concerns with a range of healthcare professionals, like primary care physicians, specialists, and geriatricians, can help you make informed decisions about your cognitive health.

Discussing healthcare decisions with family members is also crucial, as it can help consider the individual’s wishes, the family’s values and beliefs, and potential conflicts of interest. By accessing suitable interventions and support avenues like:

  • medical treatments

  • home health care

  • respite care

  • support groups

Older adults can manage cognitive decline and uphold their quality of life.


Navigating issues with aging, such as cognitive decline and power of attorney, can seem overwhelming. However, by understanding the different cognitive challenges, implementing strategies for maintaining brain health, and seeking professional help when needed, older adults can age with grace and confidence. Embrace the golden years by staying informed, engaged, and proactive in managing your cognitive health and overall well-being.

Frequently Asked Questions

What are the issues of aging?

Aging can lead to issues such as hearing and vision loss, cardiovascular disease, osteoporosis, dementia, back and neck pain, osteoarthritis, chronic obstructive pulmonary disease, diabetes, depression and elder scams and fraud abuse. Behavioral health problems such as depression, anxiety and substance abuse can also complicate the treatment of other medical conditions and reduce quality of life.

What is the hardest thing about aging?

Aging can be difficult as physical and cognitive abilities decline, resulting in the need for increased assistance or a new way of life. This can be emotionally challenging and often leads to relying on others for help with daily tasks.

What are the 5 stages of aging?

The five stages of aging are self-sufficiency, interdependence, dependence, crisis management, and end of life. Older adults generally experience each of these stages at some point in their lives.

What are signs of cognitive decline?

Signs of cognitive decline include memory loss, difficulty finding the right words, becoming easily distracted, missing appointments or social events, trouble following conversations, difficulty making decisions and having trouble navigating familiar places.

What is the difference between mild cognitive impairment and dementia?

Mild cognitive impairment is a less severe form of cognitive decline than dementia, with only slight issues in memory and thinking. Dementia, on the other hand, involves a severe decline in cognitive ability, leading to issues in memory, communication, and judgment.

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