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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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184 – COVID & Flu Vaccines 2026: What Older Adults Need to Know

by Leslie Kernisan, MD MPH Leave a Comment

Click the yellow button to subscribe to the podcast in iTunes. For step-by-step instructions on how to listen with your smartphone or tablet, see here.

In This Episode:

Dr. K shares what’s new for the 2026–27 fall vaccine season, especially for adults 65 and older. 

She covers:

  • Fall Vaccines for Older Adults: COVID, Flu & RSV
  • What Happened With COVID, Flu & RSV Last Year
  • Where COVID Stands in Fall 2026
  • What Changed With Vaccine Guidance in 2026
  • Why Fall Is Vaccine Season
  • 2026–2027 COVID Vaccines
  • Flu Vaccines for 2026–2027
  • Best Flu Vaccine Options for Adults 65+
  • The New mRNA Flu Vaccine
  • RSV Vaccines for Older Adults
  • How to Avoid Getting Sick This Winter
  • When to Use Masks, Ventilation & Testing

    [Read more…]

    183 – 7 Warning Signs of a Struggling Liver You Should Never Ignore

    by Leslie Kernisan, MD MPH Leave a Comment

    Better Health While Aging
    Better Health While Aging
    183 – 7 Warning Signs of a Struggling Liver You Should Never Ignore
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    In This Episode:

    Dr. K covers seven warning signs of a struggling liver, common causes of liver problems in older adults, and practical steps to protect your liver and better understand your lab results.

    She covers:

    • What the Liver Does
    • Why Liver Damage Stays Hidden
    • Three Symptoms of Liver Disease
    • Four Laboratory Signs That Could Be Liver Disease
    • What Causes Liver Disease in Older Adults
    • How to Protect Your Liver

      [Read more…]

      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 2 Comments

        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…]

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