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Better Health While Aging

Practical information for aging health & family caregivers

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029 – The Healthy Aging Checklist

by Leslie Kernisan, MD MPH 2 Comments

Better Health While Aging
Better Health While Aging
029 – The Healthy Aging Checklist
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In This Episode:

Dr. K explains the six key things every older person should do, for healthier aging. She covers her recommendations for:

  • Promoting brain health and emotional well-being
  • Promoting physical health
  • Checking for and addressing commonly neglected senior health problems that can sabotage healthy aging
  • Optimizing the care of chronic medical conditions
  • Getting recommended preventive health services
  • Addressing medical, legal, and financial advance planning
[Read more…]

028 – When Older Parents Resist Help: 4 Tips for Better Talks

by Leslie Kernisan, MD MPH 4 Comments

Better Health While Aging
Better Health While Aging
028 – When Older Parents Resist Help: 4 Tips for Better Talks
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In This Episode:

Dr. K explains four things family caregivers should try, for better conversations with older parents who are resisting help. She covers:

  • How cognitive problems often complicate family conversations
  • The importance of hearing and validating an older person’s emotions
  • How to discuss an older person’s goals, and why safety shouldn’t automatically be the top priority
  • Ways to respond when an older parent voices “unrealistic” goals, such as never having help at home
  • Why it’s important for family caregivers to identify their own fears and desires, when it comes to aging parents
[Read more…]

027 – Interview: Planning for Aging When Single & Childless

by Leslie Kernisan, MD MPH 4 Comments

Better Health While Aging
Better Health While Aging
027 – Interview: Planning for Aging When Single & Childless
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In This Episode:

Dr. K talks with Carol Marak, founder of the Elder Orphans Facebook Group and editor of SeniorCare.com. They discuss aging issues facing those who have no spouse or adult children. They cover:

  • Carol’s experience with her own aging parents, which led her to think of her own future as an aging single woman with no children
  • The controversy around the term “elder orphan,” and why Carol finally chose to use it
  • Isolation, transportation difficulties, affordable housing, and other concerns that are often discussed in the Elder Orphans Facebook group
  • Why affordable housing that enables aging-in-community is so important
  • Cohousing and other options for aging-in-community
  • Choosing a power of attorney for health or finances
  • Carol’s top tips for elder orphans
[Read more…]

026 – 4 Medications for Alzheimer’s & Other Dementias: FAQs & Tips

by Leslie Kernisan, MD MPH Leave a Comment

Better Health While Aging
Better Health While Aging
026 – 4 Medications for Alzheimer's & Other Dementias: FAQs & Tips
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In This Episode:

Only four medications are FDA-approved for the treatment of Alzheimer’s disease and other dementias. Dr. K explains how they work and addresses frequently asked questions. She covers:

  • The two different categories of medication that are FDA-approved, and how they work to help people with dementia
  • The different stages of dementia, and how this relates to the FDA-approval of these drugs
  • How well these drugs work, and what families can expect
  • Common side-effects of these medications
  • Whether these medications work for mild cognitive impairment
  • When to consider stopping these medications
  • Which vitamins might also help treat Alzheimer’s disease
  • Practical tips for people considering these medications or already taking them
[Read more…]

025 – Interview: Palliative Care to Live Well with Cancer

by Leslie Kernisan, MD MPH Leave a Comment

Better Health While Aging
Better Health While Aging
025 – Interview: Palliative Care to Live Well with Cancer
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In This Episode:

Dr. K talks with Amy Berman, RN, Senior Program Officer at the John A. Hartford Foundation, who has been benefitting from palliative care ever since she was diagnosed with Stage IV breast cancer in late 2010. They discuss:

  • Why palliative care is the best friend of the seriously ill, and doesn’t mean “giving up” care
  • How palliative care helps people align medical care with what’s most important to them
  • How palliative care has helped Amy maintain her quality of life, despite having incurable cancer
  • How palliative care complements — rather than replaces — usual treatments for cancer and other serious illnesses
  • The difference between palliative care and hospice
  • Why it’s worth looking for an oncologist who regularly partners with a palliative care team
  • Tips on accessing palliative care for yourself or your relatives
[Read more…]

024 – Interview: Better Cancer Screening While Aging

by Leslie Kernisan, MD MPH Leave a Comment

Better Health While Aging
Better Health While Aging
024 – Interview: Better Cancer Screening While Aging
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In This Episode:

Dr. K talks with Louise Walter, MD, an expert on cancer screening in older adults and the Chief of the Division of Geriatrics at the University of California San Francisco. They discuss:

  • Why it’s important to consider life-expectancy, before pursuing cancer screening
  • How doctors and others can better estimate life-expectancy
  • Why cancer screening can be harmful to some older adults
  • Why it’s important for older people to ask “How soon will this help me?”
  • Why screening for prostate cancer with the “PSA” test is often problematic
  • Dr. Walter’s top tips on making sure you get cancer screening services that are right for you
[Read more…]

023 – Anemia in Aging: 10 Common Causes & What to Ask

by Leslie Kernisan, MD MPH Leave a Comment

Better Health While Aging
Better Health While Aging
023 – Anemia in Aging: 10 Common Causes & What to Ask
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In This Episode:

Dr. K explains what all older adults and families should know about anemia, a common health problem that is not always due to low iron levels. She covers:

  • How anemia is detected and diagnosed in aging adults
  • Symptoms of anemia
  • The most common causes of anemia, and the tests often used to check for them
  • How over-the-counter medications can cause anemia
  • What to ask the doctor
  • How to avoid common pitfalls related to the diagnosis of iron-deficiency anemia
  • How to get better follow-up, if you or your relative is diagnosed with anemia
[Read more…]

022 – QA: Helping a Paranoid Older Parent and Checking Safety

by Leslie Kernisan, MD MPH 4 Comments

Better Health While Aging
Better Health While Aging
022 – QA: Helping a Paranoid Older Parent and Checking Safety
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00:00 / 46:30
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In This Episode:

Dr. K responds to a reader’s question on assessing the safety of an older parent who has become paranoid and has started behaving differently. She covers:

  • Why delusions, hallucinations, and paranoid behavior are so common in older adults
  • The six “Ds” that cause paranoia and other forms of late-life psychosis
  • Why a medical evaluation to identify the causes of psychosis is so important
  • How to check on “levels of decline” and safety, using the Checking Older Parents Quick Start Guide
  • How to tell your parent’s doctor about the problems, even if your parent doesn’t want you to be involved
  • The best sources of useful advice and information, if you are concerned about a parent with signs of late-life psychosis
  • Tips on discussing these issues with a resistant parent
[Read more…]

021 – Vitamin B12 Deficiency: Risks, Diagnosis, & Treatment

by Leslie Kernisan, MD MPH 8 Comments

Better Health While Aging
Better Health While Aging
021 – Vitamin B12 Deficiency: Risks, Diagnosis, & Treatment
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In This Episode:

Dr. K explains what all older adults and family caregivers should know about the surprisingly common problem of vitamin B12 deficiency. She covers:

  • Common symptoms of low vitamin B12, such as anemia (low red blood cell count), neuropathy (nerve problems), and cognitive impairment
  • The role of vitamin B12 in the body
  • What causes pernicious anemia, which is a type of vitamin B12 deficiency
  • Which medications interfere with vitamin B12 absorption and can cause low levels
  • Other risk factors for having low vitamin B12
  • How to test for vitamin B12 deficiency, including when to test for methylmalonic acid
  • How this vitamin deficiency can be treated
[Read more…]

020 – How to Diagnose & Treat Mild Cognitive Impairment

by Leslie Kernisan, MD MPH 2 Comments

Better Health While Aging
Better Health While Aging
020 – How to Diagnose & Treat Mild Cognitive Impairment
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00:00 / 37:17
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In This Episode:

Dr. K responds to a reader who wants to know what works best for treating mild cognitive impairment. She covers:

  • How mild cognitive impairment (MCI) is defined and diagnosed
  • Whether having difficulty connecting names and faces is a sign of MCI
  • What a clinical evaluation for MCI should cover
  • The research on medications, exercise, and other approaches to treating MCI
  • What to know before taking a dementia medication such as donepezil (brand name Aricept) for MCI
  • 9 ways to promote brain health
[Read more…]
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