Better Health While Aging

117 – Leg Swelling in Aging: What to Know & Do

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Watch the subtitled video and search the transcript by clicking above.
(For a short tutorial on how to search the transcript, see here.)

In This Episode:

Guest host Dr. Nicole Didyk explains what older adults and families should know about leg edema (swollen legs), a common condition that affects aging adults. Dr. Didyk is a geriatrician in Canada, and the founder of the blog and YouTube channel The Wrinkle.

She discusses:

• Why is it common for the lower legs to swell?
• What are the most common medical causes of leg edema and what are some serious causes that should not be missed?
• Which common medications can make leg swelling worse?
• When should you seek immediate medical attention for swollen legs?
• How can chronically swollen legs be treated?
• What to know about using diuretics (water pills) for swollen legs

Better Health While Aging

116 - Interview: Dr. K’s New Book: When Your Aging Parent Needs Help

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In This Episode:

Dr. K talks to fellow geriatrician Dr. Nicole Didyk about her new book: When Your Aging Parent Needs Help: A geriatrician’s guide to memory loss, safety worries, resistance, and more. Dr. Didyk is the founder of the blog and YouTube channel The Wrinkle.

They discuss:

• What led Dr. K to create this step-by-step guide for children of aging parents
• Why the book is set up in four sections: taking stock, taking aim, taking action, plus taking the long view
• How to communicate with your aging parent attentively and respectfully
• How dementia and other memory or thinking issues often play a key role in an older adult’s resistance to change
• Why she included practical “real-life” examples and printable downloadable “cheatsheets” that readers can reference
• The A-B-C-D-E framework for taking action to help an aging parent
• Why adult children often need to check themselves and accept their parents’ choices

Better Health While Aging

115 – COVID Vaccination in Aging (12.17.20 Edition)

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In This Episode:

Dr. K discussed the new Pfizer coronavirus (COVID-19) vaccine, with a special focus on understanding how well it works and how safe it is, in aging adults.

This episode covers:

• What to know about vaccine media reports and older adults
• Why it’s important to try to find out the actual ages (and age distribution) of older participants in vaccine trials
• How Dr. K looks at a published study to determine whether the vaccine works for her patients
• Why the current Pfizer data can’t tell us whether the vaccine works in people over age 75
• Why an expert dissented from the CDC’s decision to prioritize vaccination for nursing home residents
• Dr. K’s current recommendations regarding COVID vaccination and keeping frail older adults safe during the pandemic

Better Health While Aging

114 – Coronavirus Updates & Suggestions (11.18.20 Edition)

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In This Episode:

Dr. K shares an update on the coronavirus (COVID19) situation and more recommendations to help older adults and people concerned about aging parents.

This episode covers:

• The coronavirus situation today
• Why COVID rates are so high right now
• Latest developments in treatment & vaccination
• What this means for older adults
• If you’re wondering “Is it safe to…?”
• Dr. K’s recommendations for the holidays and winter

Better Health While Aging

113 – Interview: Urinary Incontinence In Aging

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In This Episode:

Dr. K discusses urinary incontinence in aging with geriatrician Dr. Nicole Didyk, founder of the blog and YouTube channel The Wrinkle. They discuss:

• Why this is such an important health issue to detect and address
• Why aging tends to bring on urinary continence issues
• The four main types of urinary incontinence to know about
• The DIAPPERS mnemonic geriatricians often use to check for common causes of incontinence
• Which medications can cause or worsen incontinence
• How health providers should evaluate and diagnose incontinence
• How to prevent and treat urinary issues
• Timed toileting and other approaches to managing incontinence in Alzheimer’s and other dementias

Better Health While Aging

112 – Flu Shots for Older Adults in COVID Times: What to Know (2020 Update)

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In This Episode:

Dr. K explains what all older adults and family caregivers should know about the new flu shots available for older adults this year and recommendations for influenza vaccination during this first COVID fall. This episode covers:

• The basics of influenza and why vaccination is important
• What we know about influenza and COVID-19
• Why older adults are at higher risk of harm from the flu and how the vaccine works
• The two key ways you can protect yourself from the flu
• Why this year is a good time to make sure older adults are uptodate on their one-time pneumococcal vaccination
• What to know about flu shots designed for older adults
• Which influenza vaccine she thinks is best for most older adults
• When to get vaccinated by
• What to do if your older relative is unable or unwilling to get vaccinated

Better Health While Aging

111 – Coronavirus Updates & Suggestions (7.16.20 Edition)

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In This Episode:

Dr. K shares the coronavirus (COVID19) information and recommendations she presented on 7/16/20 to members of the Helping Older Parents Membership.

She covers:

• The coronavirus situation today
• Are we better at preventing COVID?
• Are we better at treating COVID?
• Current COVID treatments available in the hospital
• Dr. K’s take on hospitalization for frail older adults with COVID
• Useful resources and her recommendations for this summer

Better Health While Aging

110 – Coronavirus Updates & Suggestions (6.11.20 Edition)

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In This Episode:

Dr. K shares an update on the coronavirus (COVID19) situation and more recommendations to help older adults and people concerned about aging parents.

To watch the video version, click here.

This episode covers:

• The coronavirus situation today
• Key points on what Dr. K has learned about COVID so far (and what we’re still trying to figure out)
• Updates on testing & reducing COVID transmission
• If you’re wondering “Is it safe to…?”
• COVID & Older Adults: the tradeoffs we’re facing
• Nursing homes and COVID
• Dr. K’s recommendations for this summer

Better Health While Aging

109 – Interview: Nursing Homes & Other Long-Term Care During COVID Times

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In This Episode:

Dr. K talks with Dr. Karl Steinberg, an expert in nursing home care and the President-Elect of the Society for Post-Acute and Long-Term Care Medicine. He has been a nursing home and hospice medical director in the San Diego area since 1995, and is currently the chief medical officer for Mariner Health Central, a 20-facility California nursing home management company. They discuss:

• The varied course of COVID illness among nursing home residents
• What older adults and families should know, to address COVID and advance care planning
• Steps that nursing homes are now taking, to reduce COVID risk and manage cases
• What we know about how COVID has affected other forms of long-term care, such as assisted-living
• How we might be able to keep nursing home residents engaged socially and physically, during COVID times
• Whether some facilities may eventually divide residents into those who prioritize isolation and those who are willing to tolerate slightly increased risks in order to benefit from more socialization and activities
• What safer “re-opening” might look like, in nursing homes
• Why it’s essential to get information from your county and state public health department

Better Health While Aging

108 – Live QA: Aging Health in COVID Times

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In This Episode:

Dr. K and her guest experts Dr. Nicole Didyk and Richard Caro, PhD, answer BHWA reader questions about aging health in COVID times.

To watch the video version, click here.

Questions and issues they addressed during this call included:

• The trade-off between safety and other benefits that older adults value
• How to think through making an activity or situation “safer” rather than ask “is it safe?”
• How to maintain physical and mental wellbeing while confined to the home, or to a locked-down facility
• When it’s likely to be “safe” to resume routine health appointments, including eye and dental visits
• How the pandemic situation might affect recovery from hospital delirium
• What we know so far about the course of COVID in older adults who develop symptoms
• What palliative care at home for COVID might look like
• The challenges that nursing homes are currently facing