Our Blog

An ongoing series of informational entries

Our First Blog Entry

October 14, 2016

We are here to help each other through the journey of aging. Here are a list of upcoming seminars for caregivers:


Upcoming Fall 2016 free Seminars for Family Caregivers include:

Caregiver Boot Camp – Dementia 101

(You must be registered to attend. Lunch will be provided.)

Saturday, October 15 — 9 a.m.-3 p.m.

Location: Insight Memory Care Center, 3953 Pender Drive, Suite 100, Fairfax

Directions: 703-204-4664, TTY 711

Caregiving 101 – Prepare to Care

Monday, October 24 — 7-8:30 p.m.

Location: Kings Park Library, 9000 Burke Lake Road, Burke

Directions: 703-978-5600, TTY 711

Hiring In-Home Care — WEBINAR

Wednesday, October 26 — 12-1 p.m.

Location: Your computer or telephone. You will receive an email with access instructions.

10 Legal Issues Caregivers Should Know About

Thursday, November 3 — 7-8:30 p.m.

Location: George Mason Regional Library, 7001 Little River Turnpike, Annandale

Directions: 703-256-3800, TTY 711

Dementia and Caregiving Strategies

Saturday, November 5 — 10-11:30 a.m.

Location: Providence Presbyterian Church

9109 Little River Turnpike

Fairfax, VA 22031

Directions and RSVP: [email protected] or call 571-437-9396.

When is it More Than Just a Bad Day? — WEBINAR

Wednesday, November 9 — 12-1 p.m.

Location: Your computer or telephone. You will receive an email with access instructions.

Simple Meals for Healthy Eating — WEBINAR

Wednesday, November 16 — 12-1 p.m.

Location: Your computer or telephone. You will receive an email with access instructions.

Improving Family Conversations About Aging Issues

Wednesday, November 16 — 7-8:30 p.m.

Location: Chantilly Regional Library, 4000 Stringfellow Road, Chantilly

Directions: 703-502-3883, TTY 711


The Fall 2016 free Seminars for Family Caregivers are designed to help family caregivers of older adults and/or adults with a disability manage the day‑to‑day issues that caregiving presents. Register online, email [email protected], or call 703‑324‑5205, TTY 711. To request reasonable ADA accommodations, call 703-324-5868, TTY 711.

Our Second Blog Entry

October 14, 2016

Please join us November 5, 2016 at 10:30am

Dementia and Caregiving Strategies

Our Third Blog Entry

October 15, 2016

How Many can you answer?


Random Trivia


1. What is the first even prime number?


2. Which anniversary is known as the “golden” wedding anniversary?


3. What does the acronym DOB mean?


4. Of the films Ben Hur, The Ten Commandments, and From Here to Eternity, which does NOT star Charlton Heston?


5. What is the only world capital city that begins with the letter Q?


6. What disease was also known as consumption?


7. Disco music and polyester pants were fashionable in what decade?


8. In Greek mythology, who was the ruler of the Olympic gods?


9. What cocktail consists of crushed ice, rum, and strawberries?


10. In which Canadian province is French the official language?


11. What is the name of Donald Duck’s girlfriend?


12. What male singer recorded the songs “Love Me Tender” and “Heartbreak Hotel”?


13. What actor won an Academy Award for Best Actor for his performance in The African Queen?


14. What is the lowest-ranking suit in the card


15. The terms ante meridian and post meridian are associated with time. What are they more commonly known as?


16. What color is the eight ball in pool?


17. What do the Roman numerals CXCIV equal?


18. What antacid product was famous for its “I can’t believe I ate the whole thing” commercial?


19. What sea is located west of Alaska?


20. What sci-fi film series features characters named C3PO and R2D2?


21. According to the saying, what does “an apple a day” do?



Our Fourth Blog Entry

October 25, 2016

Regular aerobic exercise may safeguard older adults against memory loss


Sometimes we can not get out to do exercise and we want something entertaining to help us get moving. Here is one way to do exercise if you can't get outside:


Working on the Yard: (Read and do the exercises it lists)


It’s a beautiful autumn day, and we’re off to go work in the yard. (Walk in

place.)

First, we put on our boots because it’s muddy outside. (Lift your right knee up

and pretend to pull on your boot. Then extend your leg out before putting your

foot back on the floor. Do the same with your left leg.)

Then we put on our jackets because it’s a bit chilly. (Raise your right arm in

the air and use your left arm to pull down the “sleeve.” Then raise your left arm

in the air and use your right arm to pull down the “sleeve.”)

There are several large oak trees in the yard. The autumn leaves are falling

from the branches. Let’s try to catch them. (Raise your arms in the air and

wave them around while opening and closing your hands.)

It’s time to rake the leaves. (Put your hands together and move your arms

forward and back to the right and then to the left.)


Finally, the big pile of colorful fall leaves looks so inviting that we wish we

were a kid again and could fall into it. (Raise your hands above your head and

arch your back, sitting up as tall as you can.)

Maybe we could just jump into it. (Lift both feet off the floor and extend legs

straight out in front. Hold for a second and then lower back down.)

There’s our neighbor Tom waving to us from his yard. We wave back. (Raise

your right arm and wave your hand back and forth. Do the same thing with

your left.)

We start wandering around the yard looking for any flowers still in bloom.

(Walk in place.)

We have to step over the tall grass. (Step high.)

Oops! We stepped in a large mud puddle. We try to wipe our shoes on the

grass. (Do ankle circles with one foot and then the other.)

We bend down to get a closer look at a shiny object on the ground. (Put your

hands on your knees and slide them down your legs as far as you can. Then

slide them back up.)

It’s just a tiny piece of foil left over from the last cookout. (Shrug shoulders up

and down five times.)

Oh, no. The dog is running into neighbor Tom’s yard! We better clap our

hands to get him back. (Extend arms out to the side and then bring your

hands together.)

Suddenly, the wind picks up. (Make arm circles.)

Hold on to your hat! (Place your hands on your head and pull your shoulders

back.)

All the leaves we raked are blowing away! (Make swimming motions with

arms.)

We hurry as quickly as we can back to our pile of leaves. (March quickly in

place.)

The leaves are really blowing everywhere. (Wiggle your fingers.)


We pull up the hood on our jacket and prepare to rake again. (Reach one arm

behind your head and down your back as far as you can. Repeat with the

other arm.)

But look, all of the leaves are blowing into neighbor Tom’s yard! (Make

swirling arm circle motions with your arms to help them on their way.)

Ah, another job well done! Now it’s time to go inside because the sun is

setting and it’s getting colder outside. (Hug yourself and shiver.)

It turned out to be a perfect autumn day for working in the yard. (Smile

broadly.)


©ActivityConnection.com – Imaginary Fall Yard Work
header

Our Fifth Blog Entry

November 2, 2016

Why use Recreational Therapy?

Come Dance with ElderPro!

WEDNESDAY, November 16th 8:30AM -10:30AM

at Quinn's Auction Galleries, 360 S. Washington Street, Falls Church, VA 22046


Guest speaker: Melissa J. Long CTRS, DPG

Recreational Therapy3, LLC

As we all know, health and well-being is just as important as treatment and triage in the promotion of our senior’s health. This is so notable in the therapy space. In addition to post-event therapies that are well documented, physical/occupational/speech/etc, recreational therapy can also be a fantastic way to promote wellness and recuperation. However, why choose recreational therapy for your clients/patients? It can help recover basic motor functioning and reasoning abilities, build confidence, and socialize more effectively. Treatments may incorporate arts and crafts, animals, sports, games, dance and movement, drama, music, and community outings. Let’s all explore some of the non-traditional ways to provide therapy!


Melissa J Long, CTRS, DPG has been working in recreational therapy with seniors for 13+ years. She is certified in geriatrics and was awarded the American Therapeutic Recreation Association (ATRA) Frank L. Bastile Clinician of the Year 2016. She is currently Co-chair of the Older Adult Section of ATRA and on the Fairfax County High School Student "Shark Tank" Assistive Technology Challenge 2016 Committee. She strives to enhance independence and successful involvement in all aspects of life.


Lastly don't forget to "LIKE ElderPro" on Facebook!



header

 

Our Sixth Blog Entry

November 21, 2016

It is always nice to have a reminder of how to stay safe, especially during the holidays.


Older adults Safety Tip

Develop and practice a home fire escape plan using NFPA's home escape plan grid (PDF, 1.1 MB)


Knowing what to do in the event of a fire is particularly important for older adults. At age 65, people are twice as likely to be killed or injured by fires compared to the population at large. And with our numbers growing every year - in the United States and Canada, adults age 65 and older make up about 12 percent of the population - it's essential to take the necessary steps to stay safe.

Remembering WhenRemembering When: A Fire and Fall Prevention Program for Older Adults, was developed by NFPA and the Centers for Disease Control and Prevention (CDC) to help older adults live safely at home for as long as possible. The program is built around 16 key safety messages – eight fire prevention and eight fall prevention.


Safety tips

To increase fire safety for older adults, NFPA offers the following guidelines:


Keep it low

If you don't live in an apartment building, consider sleeping in a room on the ground floor in order to make emergency escape easier. Make sure that smoke alarms are installed in every sleeping room and outside any sleeping areas. Have a telephone installed where you sleep in case of emergency. When looking for an apartment or high-rise home, look for one with an automatic sprinkler system. Sprinklers can extinguish a home fire in less time that it takes for the fire department to arrive.


Sound the alarm

The majority of fatal fires occur when people are sleeping, and because smoke can put you into a deeper sleep rather than waking you, it´s important to have a mechanical early warning of a fire to ensure that you wake up. If anyone in your household is deaf or if your own hearing is diminished, consider installing a smoke alarm that uses a flashing light or vibration to alert you to a fire emergency. Contact NFPA´s Center for High-Risk Outreach for a list of product manufacturers.


Do the drill

Conduct your own, or participate in, regular fire drills to make sure you know what to do in the event of a home fire. If you or someone you live with cannot escape alone, designate a member of the household to assist, and decide on backups in case the designee isn't home. Fire drills are also a good opportunity to make sure that everyone is able to hear and respond to smoke alarms.


Open up

Make sure that you are able to open all doors and windows in your home. Locks and pins should open easily from inside. (Some apartment and high-rise buildings have windows designed not to open.) If you have security bars on doors or windows, they should have emergency release devices inside so that they can be opened easily. These devices won't compromise your safety, but they will enable you to open the window from inside in the event of a fire. Check to be sure that windows haven't been sealed shut with paint or nailed shut; if they have, arrange for someone to break the seals all around your home or remove the nails.


Stay connected

Keep a telephone nearby, along with emergency phone numbers so that you can communicate with emergency personnel if you're trapped in your room by fire or smoke.



header

 

Our Seventh Blog Entry

November 30, 2016

Alzheimer’s and Falling: Tips to Reduce Risks


By Ava M. Stinnett


As our loved ones age, the risk of falling increases. This may be due to changes in vision or perception, difficulty with balance, or cognitive impairment. Side effects from certain medications and medical conditions can cause dizziness or lightheadedness when standing. People with Alzheimer’s are generally at greater risk of falling. In fact, some studies show that problems with balance, walking, and falling may be an early sign of dementia. Falls are dangerous in that there is not only the risk of serious injury but there can also be the fear of falling again and a loss of confidence, leading to decreased activity.

A study from the medical journal Age and Ageing found that people with Alzheimer’s are three times more likely to suffer from hip fractures than those without the disease. If surgery and hospitalization are required, the resulting depression, disorientation, and disability may increase the chances that the person with Alzheimer’s can no longer be cared for at home.

Here are some suggestions to help prevent falls and allow your loved one to remain mobile and independent for as long as possible.


• Daily exercise, such as walking in the neighborhood, at a local store, or on a treadmill to improve strength and balance


• Regular eye exams to determine if cataracts, double vision, poorly fitting eyeglasses (or an old prescription), or changes to the visual field have occurred


• Increasing light to achieve uniformity across spaces to minimize sudden changes in light levels, shadows or dark areas, and glare; using daylight where possible to help with depression or sleep disorders and improve general health


• Maintaining good foot hygiene—examining the feet for cuts or bruises or long toenails—and wearing shoes that provide good support and have non-slip soles


• Removing clutter, such as books, clothes, slippers, or other objects that someone could trip over, and making sure that rugs, loose carpets, or furniture aren’t posing a potential hazard


• Installing grab bars or handrails where needed


Keep in mind that as Alzheimer’s progresses, it may be accompanied by poor judgment or decision-making skills. Your loved one may attempt to walk alone down the steps, walk outside when the sidewalks are slick from rain or snow, or try to get up from a chair or out of bed without help. Despite gentle and, perhaps, daily reminders, memory loss causes some people with dementia to continue trying to do things independently when it’s no longer safe to do so. Patience, understanding, and the implementation of safety measures are the best solutions for dealing with a challenging disease like Alzheimer’s.



header

 

Our Eighth Blog Entry

December 14, 2016

Dementia and Nighttime Dreaming

By Ava M. Stinnett

Recently, a family member with early stage Alzheimer’s was injured when he slipped as he got out of bed. What we found puzzling isn’t that he had no memory of the actual accident, but that he described seeing himself standing to the side and watching it occur. Was he dreaming, hallucinating, or sleepwalking?

Numerous studies have shown that sleep is just as important as diet and exercise when it comes to leading a healthy life. One study showed that when a person is asleep, their body filters out Alzheimer’s-causing beta-amyloid proteins, and that lack of sleep could possibly lead to Alzheimer’s disease. Much more research is needed, however, to determine a distinct connection between sleep habits and various types of dementia, including Alzheimer’s.

For people with Alzheimer’s, changes in sleep habits are common. This may include developing a habit of daytime napping, difficulty falling and staying asleep, an increase in dreaming (both vivid and recurrent dreams), calling out or yelling, or acting out dreams in their sleep.

Researchers do not completely understand why sleep changes occur. Depression, restless leg syndrome, and chronic pain can affect the quality of sleep. The impact of Alzheimer’s on the brain could certainly be at play. In addition, recent studies have shown that specific medications used to treat Alzheimer’s influence the quality of sleep, and particularly the quality and amount of dreams. The acting out of dreams, especially if it leads to injury or begins to intrude into waking life, can be a serious health risk that demands medical attention. Here are some tips for ensuring that your loved one stays safe.

• Arrange for a thorough medical exam to rule out any potential illnesses that may be contributing to the problem.

• Seek morning sunlight exposure.

• Encourage regular daily exercise, but no later than four hours before bedtime.

• Maintain regular times for meals and for going to bed and getting up.

• Treat any pain with physician-recommended medications or physical therapy routines.

• Create a peaceful environment that promotes restful sleep, such as setting a comfortable room temperature and providing adequate bedding and pillows.

• Provide nightlights and, if necessary, security devices that alert the caregiver when a person gets out of bed.

• If your loved one has been prescribed a cholinesterase inhibitor (tacrine, donepezil, rivastigmine, or galantamine), talk with a doctor about taking the medicine early in the day instead of at bedtime.

Although there are medications available to treat sleep disorders for people with dementia, most experts and the National Institutes of Health (NIH) strongly discourage their use due to the increased risk for falls, confusion, and risk of stroke.

Determining the best course of action can be tough when a family member or loved one is displaying alarming symptoms. You’ll want to try your best to understand all of the available options and to talk with others about the benefits and risks of each choice during your journey with Alzheimer's disease.


www.activityconnection.com



header

 

Our Ninth Blog Entry

January 30, 2017

PFNCA Community Lecture Series: Virginia

The PFNCA Community Lecture Series is held the second Wednesday of most months in Virginia at “the Virginian.” Doors open at 6:30 pm and the program begins at 7 pm.

9229 Arlington Boulevard, Fairfax VA 22031

For specific dates, speakers and their topics, please see below:.

February 8, 2017

Speaker: Melissa J. Long, CTRS, DPG

Topic: Disaster Preparedness and Parkinson’s Disease



Community Lecture Series

PFNCA Community Lecture Series: Maryland

The PFNCA Community Lecture Series is held the third Tuesday of most months in Maryland at St. Mark Presbyterian Church. Doors open at 7 pm and the program begins at 7:30 pm.

10701 Old Georgetown Road North Bethesda MD 20852

For specific dates, speakers and their topics, please see below:

February 21, 2017

Speaker: Melissa J. Long, CTRS, DPG

Topic: Disaster Preparedness and Parkinson’s Disease



http://parkinsonfoundation.org/community-lecture-series

header

 

Our Tenth Blog Entry

February 18,  2017

Pointing Fingers: Dementia-Related Suspicion and Paranoia

By Ava M. Stinnett

As busy adults, we sometimes forget things. Perhaps it’s an appointment, the location of our keys, or why we just walked from the living room into the kitchen. Although this might be annoying, we’re usually able to laugh at ourselves, retrace our steps, and get back on track. The same can’t be said for a person with dementia; the memory loss in dementia is caused by physical changes. The parts of the brain that record and store new information become damaged, so the person is unable to hold the memory of what they’ve said, asked, or done and any response they’ve received.

As the disease progresses, memory loss and changes in personality can sometimes lead the individual to become suspicious and to misperceive certain events or situations. It’s not unusual for a family member, friend, or caregiver to be accused of theft (when your loved one can’t locate possessions), withholding information (because they have forgotten a planned activity or a daily routine), or other offenses. Such circumstances can cause caregivers to feel hurt or guilty and lead to difficulty maintaining an even temper. How can you cope?

First, try not to take it personally. It’s important to be aware that the individual’s poor memory is something they can’t help. If there’s a glitch in their memory, they may try to fill in that faulty memory with a delusion that makes sense to them. It’s perfectly normal for a caregiver to become distressed when you see a loved one experiencing suspicion, paranoia, or feelings of betrayal when you know that you’re doing your best.

Second, don’t argue or try to convince. When a loved one affected by dementia continuously complains that you’re not telling them anything, that they never know what’s going on, or that they feel tricked or betrayed, it’s more than just frustrating. Sometimes the best response is to say, “Oh, I’m sorry; I must’ve forgotten to mention (a particular activity or event).” Or, if an item goes missing, offer to help locate it.

Finally, when you’re at your wit’s end, it might help to take a deep breath and read the first two stanzas from “Do Not Ask Me to Remember – An Alzheimer’s Poem,” by Owen Darnel.

Do not ask me to remember,

Don’t try to make me understand,

Let me rest and know you’re with me,

Kiss my cheek and hold my hand.

I’m confused beyond your concept,

I am sad and sick and lost.

All I know is that I need you

To be with me at all cost.

Sources:

Heerema, Esther, MSW. (2016, August). “Coping with Paranoia and Delusions in Alzheimer’s Disease.” Retrieved from https://www.verywell.com/paranoia-delusions-alzheimers-disease-98563

The Senior List. (2015, December 4). “Do Not Ask Me To Remember – An Alzheimer’s Poem.” Retrieved from www.theseniorlist.com/2015/12/do-not-ask-me-to-remember-an-alzheimers-poem/

“Suspicion, Delusions and Alzheimer’s.” Retrieved from http://www.alz.org/care/alzheimers-dementia-suspicion-delusions.asp

header

 

Our Eleventh Blog Entry

March 10,  2017

What do you think?

SAIDO learning as a cognitive intervention for dementia care: a preliminary study.

Kawashima R, et al. J Am Med Dir Assoc. 2015.

Show full citation

Abstract

OBJECTIVES: The purpose of this study was to examine the beneficial effects on cognitive function by a cognitive intervention program designed for dementia care called Learning Therapy in Japan and SAIDO Learning in the United States (hereinafter "SAIDO Learning," as appropriate). SAIDO Learning is a working memory training program that uses systematized basic problems in arithmetic and language, including reading aloud, as well as writing.

DESIGN, SETTING, PARTICIPANTS, AND INTERVENTION: Twenty-three nursing home residents with dementia were assigned as an intervention group, and another 24 people with dementia at another nursing home were assigned as a control group. Both nursing homes were operated by the same organization, and residents of both nursing homes received essentially the same nursing care. Thirteen and 6 subjects of the intervention and control groups, respectively, were clinically diagnosed as Alzheimer disease (AD).

RESULTS: After the 6-month intervention, the participants with AD of the intervention group showed statistically significant improvement in cognitive function, as measured by the Mini-Mental State Examination (MMSE) compared with the control participants. In addition, post hoc analysis revealed that the Frontal Assessment Battery at Bedside (FAB) scores of the intervention group tended to improve after 6-month intervention. Based on MDS scores, improvements in total mood severity scores also were observed, but only in the intervention group of the participants with AD.

CONCLUSION: These results suggest that SAIDO Learning is an effective cognitive intervention and is useful for dementia care. An additional outcome of this intervention, which has not yet been evaluated in detail, appears to be that it promotes greater positive engagement of a diversity of nursing home staff in the residents' individual progress and care needs.

Copyright © 2015 AMDA – The Society for Post-Acute and Long-Term Care Medicine. Published by Elsevier Inc. All rights reserved.

https://www.ncbi.nlm.nih.gov/m/pubmed/25528280/

header

 

Our Twelfth Blog Entry

April 21, 2017

Mental Notes

  • Scientists have discovered that mental puzzles and exercises can stimulate the dendrites (memory storage compartments) of your brain cells.
  • Severe mental decline is usually caused by disease, whereas most age-related losses in memory simply result from inactivity and a lack of mental exercise and stimulation. Just like physical exercise, when it comes to your brain, "use it or lose it."
  • Put away your calculator and balance your checkbook the old-fashioned way—with pencil and paper. It's mind healthy!
  • Research shows that being around other people is good for your memory. Close ties with others seem to improve mental performance. Maintain social connections for your mind's sake.
  • Make music for your mind's sake! Researchers who study aging and the brain say that playing a musical instrument or learning how to play a new instrument keeps dendrites growing.
header

 

Our Thirteenth Blog Entry

May 12, 2017

Rocking Chair Therapy and Dementia:

Promoting Emotional and Physical Balance

By Ava M. Stinnett

What draws us to a rocking chair? Whether it’s seeing an empty glider on a comfy front porch or a rocker in a child’s nursery, there’s an almost audible calling to sit and enjoy the comforting back-and-forth motion. Perhaps it hails from our original development in the womb where the rhythm of our mother’s movements stimulated blood flow and a sense of calm, much like the sensory stimuli attached to gentle waves against a boat.

We know that a rocking chair can soothe a fussy baby, but how might using a rocking chair benefit those who have dementia? Two studies from the University of Rochester School of Nursing found that the repetitive action of using a rocking chair helped ease tension and behavioral disorders, improve balance and muscle tone, and reduce the need for pain medication. In the studies, nursing home residents diagnosed with dementia due to Alzheimer’s or other causes rocked for half an hour to two and a half hours each day for five days a week. Although not all residents showed improvement in psychological and emotional well-being, those who rocked the most improved the most through the manageable, non-weight-bearing exercise of mild rocking. Nancy M. Watson, PhD, RN, who conducted the studies, said that “a gentle repetitive motion has a soothing effect… and seniors could literally rock away their anxiety and depression. The patients required less medication and their balance improved as well. Further benefits included a happier nursing home staff. And families of rocking seniors were happier because their loved ones were happier.”

One of the reasons for a reduction in pain could be that the gentle exercise of rocking may release endorphins and improve mood. Further, it is believed that the spinal cord can work only in one direction at a time, so when the brain is sending motor impulses down the spinal cord to make the legs rock the chair, pain impulses from the back are blocked and prevented from reaching the brain. Then, muscles in the lower back relax. Orthopedic surgeons often recommend rocking to improve strength and flexibility in the knees and hips.

Whether it’s a traditional rocker or a glider, you’ll want to use a chair that has a solid foundation and a comfortable seat. To maintain or improve physiological relaxation, use a chair that allows the senior’s feet to comfortably reach the floor. Watch carefully to see whether they can easily sit down in and rise up from the chair—with or without help. You may want to gauge the amount of time spent in the chair, slowly increasing the time spent rocking based on beneficial secondary results such as reduced agitation, better sleep, and better pain management.

Sources

Rocking Chair Therapy Research. Retrieved from http://www.rockingchairtherapy.org/research.html.

Houston, K. (1993). An investigation of rocking as relaxation for the elderly. Geriatric Nursing, 14, 186–189.

Watson, N. M., Wells, T. J., and Cox, C. (1998). Rocking chair therapy for dementia patients: Its effect on psychosocial well-being and balance. American Journal of Alzheimer’s Disease & Other Dementias, 13(6), 293–308.

header

 

Our Fourteenth Blog Entry

June 15, 2017

We need to show our value and educate the  caregivers and medical practitioners writing scripts. This is where recreational therapist can bring in non-pharmacological approaches to help decrease inappropriate medications on older adults:


Medication Monitor: Deprescribing Improves Quality of Life

By Mark D. Coggins, PharmD, CGP, FASCP

Today's Geriatric Medicine

Vol. 10 No. 4 P. 8

Deprescribing involves reducing or stopping potentially inappropriate medications (PIMs) that may no longer be of benefit or may be causing harm. The goal is to reduce medication burden or harm while improving a patient's quality of life (QoL). Deprescribing can improve medication appropriateness by reducing polypharmacy, adverse drug events (ADEs), and other medication-related problems (MRPs).1

Evidence-based guidelines improve the treatment for a number of diseases; however, strict adherence to guidelines in frail older adults contributes to medication burden and increased MRPs.2 And while numerous guidelines exist to support prescribers in managing diseases, few guidelines provide deprescribing strategies.

Prescribing requires special knowledge and close monitoring. This includes having the courage to deprescribe and the necessity of avoiding a prescribing cascade where a new medication is prescribed to "treat" side effects of another medication, while believing a new medical condition has developed. Further compounding the danger is "prescribing inertia" or the tendency to automatically renew a medication even if the original indication is no longer present. Individuals with multiple medical problems are at even greater risk for MRPs due to multiple prescribers with different specializations who focus on their own areas of expertise while no one takes an overall responsibility regarding the patient.3


continue http://www.todaysgeriatricmedicine.com/archive/JA17p8.shtml

header

 

Our 15th Blog Entry

July 1, 2017

header

 

Our Sixteenth Blog Entry

August 31, 2017

A new campaign is sparking conversations about aging and senior living in airport security lines and other unlikely spots across the country.

Called “Old People Are Cool,” the initiative is meant to combat ageism and raise the profile of the senior care industry, says Charles de Vilmorin, who started the project. He is CEO and co-founder of Linked Senior, which he describes as a “therapeutic engagement platform” that delivers programs such as cognitive games and music therapy for senior living residents.

For years, he has been saying, “One day, it’s going to be cool to be old,” de Vilmorin tells Senior Housing News. In the fall of 2016, he saw a similar message posted in a public space at the University of New Hampshire. This inspired him to create stickers with the words “Old People Are Cool.”

(continue reading on link below)

https://seniorhousingnews.com/2017/08/31/old-people-cool-campaign-fights-ageism-promotes-senior-living/?platform=hootsuite