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How to Care for a Loved One With Dementia: 5 Expert Tips

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How to Care for a Loved One With Dementia: 5 Expert Tips

The details of Gene Hackman’s final days may never be known. But officials in Santa Fe, N.M., said on Friday that it appeared that Mr. Hackman, who had advanced Alzheimer’s as well as heart disease, had spent about a week alone after his wife, who was his caregiver, died at home of a rare viral infection.

Mr. Hackman, 95, may have been among the most famous movie stars of the 20th century, but his circumstances point toward a common challenge, according to experts in dementia and family caregiving. Like Mr. Hackman, about seven million Americans have Alzheimer’s, a type of dementia, and their family members, like his wife, Betsy Arakawa, 65, often help care for them as the disease progresses.

Laura N. Gitlin, a behavioral scientist at Drexel University who researches ways to support caregivers, said that when a patient is diagnosed with dementia, their loved ones rarely receive all the information they need.

“No one really explains to the family what the course of the disease may look like, how to prepare,” she said. “No one checks in on the caregiver.”

Knowing how to prepare for this situation can help improve the quality of life for not only patients, as they adjust to life with the disease, but also those who become devoted to their needs. Here are five tips to consider if you become a caregiver for a loved one with dementia.

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People with dementia may feel uncomfortable or anxious around faces they don’t recognize, and stigma can lead some families to retreat from social life. But becoming reclusive can worsen the disease, said Dr. Helen Kales, a geriatric psychiatrist at the University of California, Davis. Isolation can accelerate cognitive decline and even puts caregivers at a higher risk for developing dementia themselves.

Dr. Kales therefore recommends that patients and their loved ones keep attending social events and trying new things. A couple she worked with started square dancing when one partner was in the early stages of dementia.

“If there are sort of fresh eyes for a situation and respite, that benefits everybody,” she said.

Many primary caregivers feel reluctant to impose, and other family and friends may not know how to help, Dr. Gitlin said. To address this, she suggests holding a meeting and assigning roles. For example, a sibling might plan to call every morning or evening to check in. If the family member with dementia doesn’t answer, they could request a wellness check.

Nancy Goode, executive director of the Margaret Jo Hogg Alzheimer’s Outreach Center in Albany, Ga., which provides adult day care services and support for caregivers, said she tells caregivers to have at least five people they can call for help in an emergency or to regularly help. This could be a friend who might agree to visit every Wednesday for a few hours so the caregiver can run errands.

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When a family member receives a dementia diagnosis, it’s difficult to foresee how the patient’s needs will change as the disease progresses, Dr. Gitlin said. So she recommends caregivers meet with an expert, like a geriatric social worker or a geriatric nurse practitioner, who can evaluate the safety of the patient’s home and how much support will be needed.

That sort of advice doesn’t just come along with the diagnosis, she said, so families have to seek it out and pay for it.

“It seems simple,” she said, “but nobody is given the knowledge and skills that are needed.”

In-home cameras and motion sensors can help relatives who live far away check on family members with dementia. For example, a device can be affixed to a refrigerator that sounds an alarm if the door isn’t opened for a long time; another can be worn by patients and send an alert if they fall. It’s important to discuss privacy concerns and data security when considering such tools, which are becoming more advanced and widely available, Dr. Gitlin said.

“We don’t want to make this all about bells and whistles,” Dr. Kales said, “but I do think that we want to use technology as an adjunct to help people as they go on this journey.”

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The demands of providing for someone with dementia can be so consuming that many caregivers neglect their own health, Ms. Goode said.

“They’re just worn out,” she said. “They’re just totally exhausted.”

Ms. Goode said caregivers often take on all the responsibilities of helping their patients, and encourages them to ask for help so they can make time for their own medical appointments, rest and wellness.

“If you’re not healthy,” Ms. Goode said, “you can’t take care of them.”

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Video: Mamdani Leads in Latest Polls

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Video: Mamdani Leads in Latest Polls

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Mamdani Leads in Latest Polls

Three new polls show Zohran Mamdani leading the New York City mayoral race. The two other major candidates, Andrew Cuomo and Curtis Sliwa, made their last appeals to voters before election day.

“I do not believe the city of New York has a future if Zohran Mamdani is elected mayor.” “I voted for Andrew Cuomo. I’m not a huge fan. I think he has a past. I was here, obviously, when his father was here. You know, with politics comes imperfection.” “His ideas about free transportation, his ideas about child care, his ideas about just the diversity of the city and the importance of diversity. It’s a wonderful thing.” “I voted for the first time. It was very exciting. Just the feel of like, going in there, voting for the first time. They shouted like, ‘Hey, first-time voters!’ So that added to the excitement of everything, and I was just happy to do my part.”

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Three new polls show Zohran Mamdani leading the New York City mayoral race. The two other major candidates, Andrew Cuomo and Curtis Sliwa, made their last appeals to voters before election day.

By McKinnon de Kuyper

October 30, 2025

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Trump says he wants to resume nuclear testing. Here’s what that would mean

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Trump says he wants to resume nuclear testing. Here’s what that would mean

A sub-surface atomic test is shown March 23, 1955 at the Nevada Test Site near Yucca Flats, Nev.

AP/U.S. Atomic Energy Commission


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AP/U.S. Atomic Energy Commission

President Trump said on Thursday that the U.S. would begin testing nuclear weapons again for the first time in decades.

“We’ve halted many years ago, but with others doing testing I think it’s appropriate to do so,” the president told reporters aboard Air Force One.

Experts say that the resumption of testing would be a major escalation and could upend the nuclear balance of power.

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“I think a decision to resume nuclear testing would be extremely dangerous and would do more to benefit our adversaries than the United States,” said Corey Hinderstein, vice president for studies at the Carnegie Endowment for Nuclear Peace.

Here’s what a test would involve, and why the president might be calling for one now.

There’s currently only one place America could test a nuke — near Las Vegas, Nevada

The Nevada National Security Site, approximately 60 miles northwest of Las Vegas, is currently the only place where America could test a nuclear weapon, says Robert Peters, a senior research fellow for strategic deterrence at the Heritage Foundation.

The Nevada site is around 1,300 square miles in size, larger than the state of Rhode Island. Starting in the 1950s, scientists conducted atmospheric nuclear tests at the site, but from 1962 to 1992, testing was done underground.

Today, testing would likely be done in “a complex of deep underground mineshafts,” Peters said.

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Scientists dig a deep shaft either directly below ground or into the side of a mountain. They then put a nuclear device in a chamber at the end of the shaft and seal it up. The detonation is contained by the rock, reducing the risk of atmospheric fallout.

Although underground testing is far safer than atmospheric testing, it still carries risks, said Hinderstein. In the past, some radioactive fallout has leaked from test shafts. Additionally, the test could shake buildings as far away as Las Vegas, and Hinderstein said some of the newer buildings in Vegas could even be at risk of damage.

“All of these big highrises — including Stratosphere, including the Trump Hotel,” she said. “They’re not designed for massive, significant seismic activity.”

America’s last test in Nevada was over 30 years ago

At the end of the Cold War, the nation’s major nuclear powers declared a voluntary moratorium on nuclear testing. Russia, then the Soviet Union, tested its last nuclear weapon in 1990, the U.S. conducted its final test in 1992, and China conducted its last test in 1996.

The U.S. conducted hundreds of underground tests in Nevada. Each massive explosion created a subsidence crater visible at the surface.

The U.S. conducted hundreds of underground tests in Nevada. Each massive explosion created a subsidence crater visible at the surface.

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The voluntary test moratorium has been in place as part of an effort to maintain nuclear stability. The U.S currently uses scientific experiments and supercomputer simulations to make sure its bombs still work.

Last year, NPR was one of a handful of organizations granted rare access to the top-secret underground tunnels where the tests take place. Scientists working in the tunnels said they were confident they could continue to ensure the safety of America’s nuclear weapons without testing.

Although a full-scale nuclear detonation would be “complementary” to current experiments, “our assessment is that there are no system questions that would be answered by a test, that would be worth the expense and the effort and the time,” Don Haynes, a nuclear weapons scientist from Los Alamos National Laboratory told NPR as they walked through the tunnels.

Indeed Hinderstein says, preparing for a nuclear test is no small matter. While a basic demonstration test could be done in approximately 18 months. Conducting a test that would produce scientifically useful data would likely take years.

In this photo taken from video distributed by Russian Defense Ministry Press Service on Wednesday, Oct. 22, 2025, the crew of the Bryansk nuclear submarine of the Russian navy prepares to conduct a practice launch of an intercontinental ballistic missile during the drills of Russia's nuclear forces.

In this photo taken from video distributed by Russian Defense Ministry Press Service on Wednesday, Oct. 22, 2025, the crew of the Bryansk nuclear submarine of the Russian navy prepares to conduct a practice launch of an intercontinental ballistic missile during the drills of Russia’s nuclear forces.

AP/Russian Defense Ministry Press S

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Trump’s announcement is likely reacting to some recent tests by Russia

On Sunday, Russia announced it had conducted a successful test of a new nuclear-powered cruise missile. Then on Wednesday President Vladimir Putin announced the successful test of another doomsday weapon — a nuclear-powered underwater drone, which Russia says can be used to attack coastal cities.

Trump never called out Russia by name, but he did suggest recent testing was behind the announcement. “I see them testing,” he said aboard Air Force One, “and I say, ‘Well if they’re going to test I guess we have to test.’”

While testing nuclear-powered weapons is not the same as testing nuclear weapons themselves, Russia’s tests are highly provocative. They come just months before the expiration of the last nuclear treaty between the U.S. and Russia, designed to put limits on their arsenals.

The back-and-forth has all the hallmarks of the start of an arms race, noted Jon Wolfsthal, the director of global risk at the Federation for American Scientists.

“We saw this play out throughout the Cold War through nuclear testing, nuclear deployments, nuclear investments,” he said.

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Many experts warn that now is not the time to resume nuclear testing

Hinderstein, who served as a deputy administrator of the National Nuclear Security Administration, the agency responsible for America’s nuclear weapons, from 2021-2024, said that a decision to resume testing would not be in America’s interests.

At the end of the Cold War, the U.S. had conducted more than a thousand nuclear tests — far more than any other nation (China, by comparison had conducted just 45).

Other nations, “have more to gain by resuming nuclear testing than the United States does,” she said.

Testing would likely be expensive adds Paul Dean, vice president for global nuclear policy at the Nuclear Threat Initiative. “The cost estimates I’ve seen have been at around, ballpark, $140 million per test,” he said.

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“It’s not necessary to conduct a nuclear explosive test right now” agreed Robert Peters of the Heritage Foundation. But he added. “But there very well be compelling reasons to test in the coming months and years. That’s how bad things are getting.”

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Tracking U.S. Military Killings in Boat Attacks

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Tracking U.S. Military Killings in Boat Attacks

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Note: Images are sourced from social media posts by President Trump and Defense Secretary Pete Hegseth.

Since Sept. 2, the U.S. military has been attacking boats in the Caribbean Sea and eastern Pacific Ocean that the Trump administration says are smuggling drugs, killing dozens of people. A broad range of legal specialists on the use of lethal force have said that the strikes are illegal extrajudicial killings because the military is not permitted to deliberately target civilians — even suspected criminals — who do not pose an imminent threat of violence.

This is a drastic departure from past practice. The Coast Guard, with assistance from the Navy, has typically treated maritime drug smuggling in the Caribbean as a law enforcement problem, interdicting boats and arresting people for prosecution if suspicions of illicit cargo turn out to be correct.

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The White House has said the killings are lawful. It cited a notice to Congress in which the administration said President Trump “determined” that the United States is in a formal armed conflict with drug cartels and that crews of drug-running boats are “combatants.” It has not supplied a legal theory to bridge the conceptual gulf between drug trafficking and an armed attack.

The New York Times is tracking the boat strikes as details become available. The strike locations and casualty figures are drawn from postings by Mr. Trump or Defense Secretary Pete Hegseth, and have not been independently confirmed by The Times.

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Known U.S. strikes in the Caribbean and Eastern Pacific since Sept. 2

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Strikes
14

Killed
61
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Survivors
3

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