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Better Health While Aging

Practical information for aging health & family caregivers

  • Popular Topics
    • Preventing Falls in Aging Adults
    • Medication Safety
    • Dementia, including Alzheimer’s
    • Advance Care Planning & End-of-Life
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018 – Can CBD Help With Alzheimer’s Agitation? A geriatrician explains cannabis for dementia

by Leslie Kernisan, MD MPH Leave a Comment

Helping Older Parents Podcast
Helping Older Parents Podcast
018 – Can CBD Help With Alzheimer’s Agitation? A geriatrician explains cannabis for dementia
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In This Episode:

Dr. K addresses a common question, which is “Can CBD — or cannabis — help with Alzheimer’s agitation?” This episode covers the state of the science when it comes to cannabis and dementia, including interesting new research presented in July at the Alzheimer’s Association International Conference.

She covers:

  • CBD for Dementia Agitation
  • What Are CBD & THC (Cannabidiol & Tetrahydrocannabinol)
  • The Endocannabinoid System
  • Why has CBD become so popular?
  • 2026 LiBBY trial of CBD for dementia agitation
  • Dr. K’s take on the LiBBY trial results
  • Why Hospice Eligibility Matters
  • Other Research on CBD, THC & Dementia
  • Cannabinoids vs Antipsychotics
  • Dr. K’s take on cannabinoids for Alzheimer’s agitation
  • If you want to try CBD for dementia

    [Read more…]

    182 – 10 Medications Geriatricians Always Check to Prevent Falls in Aging

    by Leslie Kernisan, MD MPH Leave a Comment

    Better Health While Aging
    Better Health While Aging
    182 – 10 Medications Geriatricians Always Check to Prevent Falls in Aging
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    In This Episode:

    Dr. K explains 10 types of medications to check to prevent falls in aging, especially if you’ve been falling, feeling unsteady, or are concerned about fall risk.

    She covers:

    • Medications and fall prevention
    • Why medications matter for fall risk
    • 3 key types of meds that cause falls
    • 10 types of medication to review for fall prevention
    • What to do if you take these medications
    • Questions to ask your healthcare provider
    • What else to check for fall prevention

      [Read more…]

      017 – Real Eldercare Stories: How Suzanne Cared for Her Mother Until Age 97

      by Leslie Kernisan, MD MPH Leave a Comment

      Helping Older Parents Podcast
      Helping Older Parents Podcast
      017 – Real Eldercare Stories: How Suzanne Cared for Her Mother Until Age 97
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      In This Episode:

      Dr. K talks talks with Suzanne about caring for her mother during her last years of life, including navigating cognitive changes and shifts in needs that neither of them had anticipated. 

      She covers:

      • Real Eldercare Stories: Suzanne W.
      • Suzanne’s caregiving situation when she joined Dr. K
      • Suzanne’s earlier conversations with her mom
      • What Suzanne’s mother had envisioned for her end of life
      • Shifts in memory and care needs
      • Challenges of accepting help
      • Managing distance in caregiving
      • The last year of life
      • Trying to move her from independent living to more care
      • The fall in her last year that changed everything
      • Navigating a higher level of care after the fall
      • How Suzanne’s mother died at age 97
      • Surprises and insights from the caregiving experience
      • Support systems and resources that helped Suzanne
      • Managing uncertainties and planning ahead in eldercare

         

        181 – Hospital Delirium in Older Adults: Symptoms, Causes & Prevention

        by Leslie Kernisan, MD MPH Leave a Comment

        Better Health While Aging
        Better Health While Aging
        181 - Hospital Delirium in Older Adults: Symptoms, Causes & Prevention
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        In This Episode:

        Dr. K explains what hospital delirium is, why older adults are more vulnerable, and how it can be prevented, recognized, and treated.

        She covers:

        • Introduction to hospital delirium
        • What delirium looks like
        • Why older adults are at higher risk
        • Common causes and triggers
        • How to prevent hospital delirium
        • How delirium is diagnosed
        • How hospital delirium is treated
        • Recovery after delirium
        • What families can do
        • Key takeaways

          [Read more…]

          016 – Medications for Sundowning: What Dementia Caregivers Should Know

          by Leslie Kernisan, MD MPH Leave a Comment

          Helping Older Parents Podcast
          Helping Older Parents Podcast
          016 - Medications for Sundowning: What Dementia Caregivers Should Know
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          In This Episode:

          Dr. Kernisan explains the medications that can be used for sundowning and agitation in Alzheimer’s and other forms of dementia. 

          She covers:

          • Medications for sundowning and dementia agitation
          • Recap of sundowning
          • Recap of how to manage sundowning & agitation
          • Medication options for sundowning
          • Antipsychotics for sundowning & agitation
          • Benzodiazepines for sundowning & agitation
          • Antidepressants for sundowning & agitation
          • Dementia drugs and cholinesterase inhibitors for sundowning
          • Less used: Depakote & dextromethorphan-quinidine for sundowning
          • Comparing the medication options
          • What to check before trying medication
          • What dementia/Alzheimer’s caregivers need

            [Read more…]

            015 – Treating Hearing Loss in Alzheimer’s & Dementia

            by Leslie Kernisan, MD MPH Leave a Comment

            Helping Older Parents Podcast
            Helping Older Parents Podcast
            015 - Treating Hearing Loss in Alzheimer’s & Dementia
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            In This Episode:

            Geriatrician Leslie Kernisan, MD MPH, talks with audiologist Dr. Cliff Olson, AuD, about what families should know when trying to treat hearing loss in an older adult with cognitive impairment. They cover:

            • Treating hearing loss when there’s dementia
            • Can treating hearing loss help cognitive function?
            • How audiologists evaluate hearing loss in dementia
            • Mild-to-moderate hearing loss: why OTC hearing aids may not be best
            • Fitting and adjusting hearing aids in dementia
            • Treating severe hearing loss in dementia
            • Lyric hearing aids: an easier option for Alzheimer’s
            • Adjusting to hearing aids in dementia
            • Is it ever too late to treat hearing loss?
            • How to think about hearing aid costs
            • Lyric hearing aid costs and pros/cons
            • How to avoid losing hearing aids
            • Alternatives to hearing aids: Pocketalker and TV headphones
            • Finding a good hearing care professional for someone with dementia

              [Read more…]

              180 – Earwax & Hearing Loss in Older Adults

              by Leslie Kernisan, MD MPH Leave a Comment

              Better Health While Aging
              Better Health While Aging
              180 - Earwax & Hearing Loss in Older Adults
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              In This Episode:

              Dr. K talks with audiologist Dr. Cliff Olson, AuD, about what older adults should know about earwax, hearing loss, and safe earwax removal.

              They cover:

              • Introduction to earwax and hearing loss
              • What is earwax
              • Earwax and aging
              • How earwax affects hearing
              • Safe home earwax removal: what to know first
              • Shower rinsing and earwax prevention
              • Over-the-counter earwax drops
              • Why cotton swabs and ear tools can be risky
              • How audiology professionals remove earwax
              • Earwax and hearing aids
              • Final tips from Dr. Cliff Olson

                [Read more…]

                014 – Sundowning in Alzheimer’s & Dementia: What to know & do

                by Leslie Kernisan, MD MPH Leave a Comment

                Helping Older Parents Podcast
                Helping Older Parents Podcast
                014 - Sundowning in Alzheimer’s & Dementia: What to know & do
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                In This Episode:

                Geriatrician Leslie Kernisan, MD MPH, explains what caregivers should know about sundowning, including why it happens and how geriatricians recommend responding. She covers:

                • Sundowning in dementia
                • What is sundowning?
                • Why sundowning happens
                • Neuropsychiatric symptoms of dementia
                • Sundowning versus delirium
                • Other causes of agitation in dementia
                • How to respond to agitation
                • Before trying medications
                • Medications in sundowning
                • Non-drug approaches for agitation and sundowning
                • Recommended approach to reduce sundowning

                  [Read more…]

                  179 – Hearing Aids Not Working? An Audiologist Explains What Older Adults Should Know

                  by Leslie Kernisan, MD MPH Leave a Comment

                  Better Health While Aging
                  Better Health While Aging
                  179 - Hearing Aids Not Working? An Audiologist Explains What Older Adults Should Know
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                  In This Episode:

                  Dr. K talks with audiologist Dr. Cliff Olson about today’s best and most affordable options for treating age-related hearing loss. They cover:

                  • What is an audiologist?
                  • Medicare coverage for hearing loss
                  • Best practices for a hearing evaluation
                  • How to understand an audiogram
                  • DIY hearing screeners and apps
                  • Treatment options for mild-to-moderate hearing loss
                  • AirPods and over-the-counter hearing aids
                  • Treatment options for moderate-to-severe hearing loss
                  • Why hearing aids sometimes “don’t work”
                  • What is real ear measurement?
                  • What to ask before getting hearing aids
                  • Better hearing aid outcomes with best practices
                  • Types of prescription hearing aids
                  • How to choose the right hearing aid
                  • If budget is a concern
                  • Communication goals your hearing aid should address
                  • Hearing aid fitting and follow-up process
                  • How follow-up adjustments improve results
                  • How long the brain takes to adjust to hearing aids
                  • Why under-amplification can lead to poor results
                  • Hearing loss & dementia
                  • About Costco hearing aids
                  • Final tips from Dr. Cliff [Read more…]

                  178 – Hearing Loss in Aging (Presbycusis)

                  by Leslie Kernisan, MD MPH Leave a Comment

                  Better Health While Aging
                  Better Health While Aging
                  178 - Hearing Loss in Aging (Presbycusis)
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                  In This Episode:

                  Dr. K explains what to know about presbycusis, the medical term for age-related hearing loss, and why it’s worth identifying and treating hearing problems sooner rather than later.
                  She covers:

                  • Why hearing loss matters in aging
                  • What is age-related hearing loss (presbycusis)?
                  • Signs and symptoms of hearing loss
                  • Hearing loss and cognitive decline
                  • Benefits of treating hearing loss
                  • How to know if you have hearing loss
                  • What to know about treating hearing loss
                  • Options for treating hearing loss
                  • Communication strategies that help
                  • What to do if you’re concerned
                  • If you’ve tried hearing aids and they didn’t work

                  [Read more…]

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