INDIANAPOLIS The bitter cold and snow can be challenging and dangerous for Hoosier seniors, especially those dealing with cognitive decline.Alzheimers or dementia can cause changes in the brain that might impact someones safety, explained Natalie Sutton, the Executive Director for the Alzheimers Association Greater Indiana Chapter. Alzheimer's and dementia impact more than seven million Americans, including more than 121,000 Hoosiers.This is a reality Ali Gottschalk has experienced with her grandparents.Its very real and very scary, Gottschalk told WRTV. Some days memory is there, some days its not, especially during the wintertime, its way more difficult. She and her mom, Sherrie, used to take care of the couple before they transitioned to full-time care.Theyve had enough spills, falls, knocks into things, hips broken twice, going through the surgeries, going through all that, said Gottschalk.According to the Journal of the American Medical Association (JAMA), deaths related to the cold are increasing in the U.S., with numbers doubling from 1999 to 2022. Research also found that mortality rates were highest in the Midwest and among adults 75 and older, who are more susceptible to temperature extremes.The alarming increase is one of the reasons the Alzheimers Association of Greater Indiana is sharing some tips for Hoosier caregivers and loved ones for navigating the winter: Be prepared. Winter storms can be dangerous. Check weather conditions regularly and have emergency plans in place Bundle up. Help the person living with Alzheimers dress warmly for winter weather conditions by wearing dry, loose-fitting layers and covering exposed skin. Prevent slips. Assume all surfaces are slick and take safety measures. Assist the person living with dementia by wearing sturdy shoes and walking slowly when outside. Buddy up. Ask family, friends and neighbors for help with shoveling, grocery shopping or other errands. An Alzheimers Association survey says 84% of caregivers would like more support providing care for someone with Alzheimers or dementia, especially from their family. They also recommend planning indoor activities as much as you can. If you do have to go out with your loved ones, they suggest doing so during the day to limit the chance of Sundowning, which refers to the state of confusion that occurs in the late afternoon and lasts into the night.  The 24/7 Alzheimers Association is also available at 800-272-3900 to provide resources, tips, and guidance.