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Better Health While Aging

Practical information for aging health & family caregivers

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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

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    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

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      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

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          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…]

            177 – Osteoporosis Medications Explained

            by Leslie Kernisan, MD MPH Leave a Comment

            Better Health While Aging
            Better Health While Aging
            177 – Osteoporosis Medications Explained
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            In This Episode:

            Dr. K explains what older adults should know about osteoporosis medications, including when they are usually recommended, how they work, and what side effects or precautions to discuss with your health provider. She covers:

            • Why boosting bone density matters
            • When to consider medication for bone density
            • Hormone replacement therapy for bone loss
            • What to do before starting osteoporosis medication
            • How bone density medications work
            • Bisphosphonates: first-line osteoporosis treatment
            • Raloxifene and denosumab/Prolia
            • Anabolic osteoporosis medications
            • Romosozumab/Evenity
            • Starting medication after a fracture
            • Monitoring bone density during treatment
            • Osteoporosis medications for men
            • What if you don’t want medication?
            • Questions to ask your health provider

            [Read more…]

            176 – Boosting Bone Density: Best Ways to Prevent Fractures as You Age

            by Leslie Kernisan, MD MPH Leave a Comment

            Better Health While Aging
            Better Health While Aging
            176 – Boosting Bone Density: Best Ways to Prevent Fractures as You Age
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            In This Episode:

            Dr. K explains how bone density changes with aging and proven ways that older adults can strengthen bones and lower fracture risk. She covers:

            • Why boosting bone density matters
            • How bone density changes with aging
            • How a DEXA scan checks bone density
            • Osteopenia vs. osteoporosis
            • Calcium and vitamin D
            • Alcohol, smoking, and bone loss
            • Medications that increase bone density
            • Best ways to improve bone density
            • Caffeine, protein, collagen, and supplements
            • What to do if you’re concerned
            • How to protect your bones

              [Read more…]

              175 – How to Prevent Falls in Aging

              by Leslie Kernisan, MD MPH Leave a Comment

              Better Health While Aging
              Better Health While Aging
              175 – How to Prevent Falls in Aging
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              In This Episode:

              Dr. K talks about the most common causes of falling in later life and how geriatricians evaluate falls. She also explains the fall prevention approaches she uses the most.

              She covers:

              • Why do older adults fall?
              • Common causes and risk factors for falls
              • Why medical evaluation matters
              • What a fall evaluation should include
              • Top ways to prevent falls
              • Do canes and walkers help?
              • Dr. K’s approach to fall prevention
              • What to do if you’re concerned

                [Read more…]

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