Episode Archive - Page 19 of 20 - Better Health While Aging

018 – High Blood Pressure Treatment in Older Adults: Research Findings & Practical Tips

by Leslie Kernisan, MD MPH 2 Comments

Better Health While Aging

018 – High Blood Pressure Treatment in Older Adults: Research Findings & Practical Tips

00:00 / 00:57:00

In This Episode:

Dr. K addresses the question “What should my blood pressure be?” for older adults. In this episode she covers:

Why an expert group recommended a higher blood pressure (BP) treatment goal for older adults in late 2013
Whether the newer blood pressure research (known as the SPRINT trial) means you should change your blood pressure treatment
Why the usual ways of measuring BP in the doctor’s office are flawed, and how to better measure BP
Why she recommends a certain BP goal for most older adults, and how seniors can decide if they want to aim for a lower BP goal

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017 – Interview: Paying for Long-Term Care & Other Family Caregiving Challenges

by Leslie Kernisan, MD MPH Leave a Comment

Better Health While Aging

017 – Interview: Paying for Long-Term Care & Other Family Caregiving Challenges

00:00 / 1:02:00

In This Episode:

Dr. K talks with Anne Tumlinson, an expert in long-term care financing and the founder of Daughterhood.org. They discuss:

What is “long-term care” for older adults, and how is it usually paid for?
What are ADLs and IADLs, and how do they relate to nursing home eligibility?
The conditions under which Medicaid (not Medicare!) pays for long-term care
The current role of long-term care insurance and how this type of insurance could be improved
Why Anne started Daughterhood.org in response to seeing friends struggling with helping their parents and paying for care
The two big family caregiver problems that Anne hears about over and over again: how do I pay for this and how do I deal with my siblings?
The guilt, shame, and grief that family caregivers — especially women — often experience when helping older parents
Anne’s tips for family caregivers who are struggling to pay for care or to cope

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016 – 3 Reasons You Should Have a Home Blood Pressure Monitor

by Leslie Kernisan, MD MPH Leave a Comment

Better Health While Aging

016 – 3 Reasons You Should Have a Home Blood Pressure Monitor

00:00 / 35:00

In This Episode:

Dr. K explains why most older adults should have a home blood pressure monitor. She covers:

3 key ways that a home blood pressure (BP) monitor often helps older adults get better healthcare
Why it’s essential to always record pulse along with BP
What is orthostatic hypotension, how it relates to falls, and which medications often cause it
What kinds of health problems can cause a heart rate that is much higher than usual
How a home BP monitor can help when you call a medical telephone advice line
What to ask the doctor after a BP medication has been changed
How often to check blood pressure, if you have a home BP monitor
How to choose a home blood pressure monitor to buy
Which Omron home blood pressure monitor she recommends and why

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015 – Interview: Practical Advice for Family Caregivers & Next Step In Care

by Leslie Kernisan, MD MPH Leave a Comment

Better Health While Aging

015 – Interview: Practical Advice for Family Caregivers & Next Step In Care

00:00 / 1:10:30

In This Episode:

Dr. K talks with caregiving expert Carol Levine, Director of the Families and Health Care Project at the United Hospital Fund of New York and author of “Planning for Long-Term Care for Dummies.” They discuss:

Carol’s experience managing care for her husband for 17 years, after he was badly injured in a car accident
Top challenges that family caregivers face, based on Carol’s work doing surveys and focus groups with family caregivers
Tips on finding, hiring, and working with a paid caregiver in the home
The problem of doctors underestimating the work that family caregivers do
How families can manage the cost of hiring caregivers, and how to manage family conflicts that may arise
Why dealing with the healthcare system is a common source of frustration for families, and how NextStepInCare.org helps families
What society can do to better support family caregivers

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014 – Delirium & Hospital Confusion

by Leslie Kernisan, MD MPH 4 Comments

Better Health While Aging

014 – Delirium & Hospital Confusion

00:00 / 36:10

In This Episode:

Dr. K explains the basics of delirium, a state of worse-than-usual mental function that can affect up to 30-70% of older adults after surgery and during serious illnesses. She covers:

Why delirium has been referred to as post-operative confusion or even ICU psychosis
The story of her father’s delirium
Why people often confuse delirium with dementia, and how the two conditions are related
Why families often notice signs of delirium before doctors and nurses do
3 key reasons delirium is so important for us all to learn more about
10 things to know about delirium, including how it can be diagnosed, treated, and prevented

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013 – Interview: Solving Hard Problems in Helping Aging Parents

by Leslie Kernisan, MD MPH 5 Comments

Better Health While Aging

013 – Interview: Solving Hard Problems in Helping Aging Parents

00:00 / 01:03:53

In This Episode:

Dr. K talks with Carolyn Rosenblatt, RN JD, an elder law attorney who specializes in helping families concerned about older parents and who is the author of “The Family Guide to Aging Parents.” They discuss:

Why concerns about managing money and safety are so common
What you can do if an older person refuses to come in for evaluation or help
Why it’s important for older adults to talk to their families about their finances and assets, and how adult children can bring up this conversation if their parents aren’t addressing it
Why a durable power of attorney for finances is so important and how to do it inexpensively
Why you shouldn’t rely on estate planning done a long time ago
The pros and cons of springing durable powers of attorney
Tips on preventing abuse of a financial power of attorney and on choosing the right person
Tips on advance planning for healthcare

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012 – Q&A: Answers to Your Questions On Aging & Health

by Leslie Kernisan, MD MPH 2 Comments

Better Health While Aging

012 – Q&A: Answers to Your Questions On Aging & Health

00:00 / 57:22

In This Episode:

Dr. K answers nine audience questions related to the health of older adults:

How many extra opinions to get from different doctors when you have a serious condition?
What causes legs to feel unbalanced and prone to falling?
How to deal with declining abilities, dementia, and physical dependency when you don’t have family to provide care or money to hire someone?
Is there a way to recapture sexual activity after three impotent years?
Why doesn’t Medicare cover hearing aids?
Why is it so difficult for people to admit they are aging and why do we shove aging people aside? What can be done about this, to help us prepare for an aging society?
Is chronic muscle pain an indication of old age and is it bad to ignore it?
What does conservative treatment for severe chronic kidney disease involve and what happens if you decide to not start dialysis?
What is normal aging in the area of memory loss?

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011 – Vitamin D: The “Healthy Aging” Dose & FAQs

by Leslie Kernisan, MD MPH 10 Comments

Better Health While Aging

011 – Vitamin D: The "Healthy Aging" Dose & FAQs

00:00 / 29:08

In this Episode:

Dr. K discusses her approach to vitamin D for healthy aging, including:

What dose of Vitamin D is likely right for most older adults
Why she believes that most older adults should take a vitamin D supplement
What experts such as the US Preventative Services Task Force and the American Geriatrics Society recommend
Dr. K also addresses many common questions people have about vitamin D, including:
- What type of Vitamin D should I take?
- Do I need to have my blood level checked?
- Will Vitamin D really prevent falls or fractures?
- Will Vitamin D really prevent dementia, cancer, or premature death?
- If I’m outside a lot, do I need a vitamin D supplement?
- What should one’s vitamin D level be?
- Is a higher level of vitamin D better for you?

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010 – Interview: Choosing a Wearable Medical Alert System for Older Adults

by Leslie Kernisan, MD MPH Leave a Comment

Better Health While Aging

010 – Interview: Choosing a Wearable Medical Alert System for Older Adults

00:00 / 51:30

In This Episode:

Dr. K talks with Richard Caro, PhD, a co-founder of Tech-Enhanced Life, who recently spent several months testing out wearable medical alert systems. They discuss:

What Richard learned through hands-on testing of several different personal emergency response systems (PERS)
Key PERS features to consider before buying, including who will respond when the alert is triggered and whether the responder can be heard through the pendant versus the base station
The pros and cons of automatic fall-detection
How to see past the marketing and learn more about different PERS features, in order to select the right PERS for you
Whether there are any stylish and attractive wearable alert systems available for sale in the US
Why Richard and his colleagues founded Tech-Enhanced Life

[Read more…]

009 – Q&A: Answers to Your Questions on Helping Older Parents

by Leslie Kernisan, MD MPH 5 Comments

Better Health While Aging

009 – Q&A: Answers to Your Questions on Helping Older Parents

00:00 / 57:22

In This Episode:

Dr. K answers nine audience questions related to helping older parents:

How to find a facility for an older father with dementia who is a “two-person assist”? How to make sense of the jargon on care levels and how are facilities classified?
How to help an older mother with bipolar, especially if she seems to be going into a manic phase?
How to maintain sanity and better respond to an older father with Alzheimer’s disease, who gets agitated and angry in the afternoons and evenings?
Whether to worry about withdrawal symptoms, after an older mother is hospitalized and treated with haloperidol for delirium
How to keep assisting without losing hope, in the context of a mother with Alzheimer’s and an older father with Parkinson’s and sleep problems
What to do when it’s hard to get an older mother to take her medications, and how to get her to understand the importance of recommended procedures such as cataract surgery
What to do if both you and your elderly mother have been diagnosed with mild cognitive impairment, and how to handle caregiving issues
Whether anxiety can cause abdominal pain and shortness of breath in someone with dementia, and how to improve bad breath that has been attributed to acid reflux
What can be done if an older father with mild cognitive impairment has been refusing to leave the house for several months

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