• Home
  • Geriatrics Blog
    • Helping Older Parents Posts
  • Helping Older Parents
  • Podcast
    • Helping Older Parents Podcast
    • Better Health While Aging Podcast
  • Testimonials
  • About
    • About Better Health While Aging
    • About Leslie Kernisan, MD MPH
  • Courses & More

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
  • Why Geriatrics
  • Are you a caregiver?
  • How to use this site

How You Can Help Someone Stop Ativan

by Leslie Kernisan, MD MPH

AtivanHave you heard of Ativan (generic name lorazepam), and of the risks of benzodiazepines drugs in older adults? Is an older person you care for taking prescription medication for sleep, anxiety, or “nerves”?

Would you like an easy, practical tool to help someone stop a drug whose risks often outweigh the benefits?

If so, I have good news: a wonderful patient education tool has been created by a well-respected expert in geriatrics, Dr. Cara Tannenbaum. Best of all, a randomized trial has proved that this tool works.

As in, 62% older adults who received this tool — a brochure with a quiz followed by key information — discussed stopping the medication with a doctor or pharmacist, and 27% were successful in discontinuing their benzodiazepine. The brochure includes a handy illustrated guide on slowly and safely weaning a person off these habit-forming drugs.

This is big news because although experts widely agree that long-term benzodiazepine use should be avoided in older adults, getting doctors and patients to work together to stop has been tough. It is, after all, generally easier to start a tranquilizer than to stop it!

But through a patient education brochure, Dr. Tannenbaum’s team was able to make this tricky process much more doable for older adults, their families, and their doctors.

Why it’s important to try to stop lorazepam & other benzodiazepines

[Read more…]

Filed Under: Aging health, Geriatrics For Caregivers Blog, Helping Older Parents Articles Tagged With: brain health, medication safety, medications, sleep

How to Choose the Safest Over-the-Counter Painkiller for Older Adults

by Leslie Kernisan, MD MPH

Depositphotos_13932212_m-2015-OTC-medication-compressorQ: My 88-year old mother often complains of various aches and pains. What is the safest over-the-counter painkiller for her to take? Aren’t some of them bad for your liver and kidneys?

A: Frequent aches and pains are a common problem for older adults.

If your mother has been complaining, you’ll want to make sure she gets a careful evaluation from her doctor. After all, frequent pain can be a sign of an important underlying health problem that needs attention. You’re also more likely to help your mom reduce her pain if you can help her doctors identify the underlying causes of her pain.

That said, it’s a good idea to ask what over-the-counter (OTC) pain relievers are safest for older people.

That’s because improper use of OTC painkiller tablets is actually a major cause of harm to older adults.

So let me tell you what OTC pain relievers geriatricians usually consider the safest, and which very common group of painkillers can cause serious side-effects in aging adults.

What’s the safest OTC painkiller for an aging parent?

[Read more…]

Filed Under: Aging health, Geriatrics For Caregivers Blog, Helping Older Parents Articles, Q&A Tagged With: medication safety, medications, pain

Deprescribing: How to Be on Less Medication for Healthier Aging

by Leslie Kernisan, MD MPH 58 Comments

medications elderly should avoidHave you ever wondered whether you — or your older relative — might be taking too many medications?

You’re certainly right to ask yourself this. I consider this for all my own patients, and wish every doctor would.

In part, this is because over the years, I’ve had countless older adults express their worries and frustrations, related to their medications. These include:

  • The hassle of having so many pills to take
  • Worries about side-effects
  • Frustration with medication costs
  • Wondering whether a given medication is the “right” one for you, or for your condition
  • The sneaky feeling that some of those medications don’t seem to help much
  • The hassle of coordinating a long medication list among multiple doctors

Needless to say, all of this is not so good for quality of life while aging.

And unlike some things that people worry about, these concerns are all actually justified, given what geriatricians know about older adults and medications.

So if you’ve ever experienced the above worries — or if you (or your older relative) are taking more than five medications — then I want to make sure you know about a process that can improve or resolve all those problems that older adults have with their medications.

It’s called deprescribing, and it’s really essential to optimizing the health of an older person.

In this article, I’ll cover what every older adult and family caregiver should know about it:

  • What is deprescribing?
  • Why is deprescribing especially important for older adults?
  • How does deprescribing work?
  • What medications are most important for older adults to consider deprescribing?
  • How can older adults and family caregivers get doctors to address deprescribing?

This way, you’ll have a better shot at what everyone wants when it comes to medication: [Read more…]

Filed Under: Aging health, Geriatrics For Caregivers Blog, Helping Older Parents Articles Tagged With: deprescribing, medication safety, medications, Medications to avoid with seniors

Preventing Falls: 10 Types of Medications to Review if You’re Concerned About Falling

by Leslie Kernisan, MD MPH 47 Comments

preventing falls medication reviewHave you been concerned about falls for yourself, or for an aging parent?

If so, do you know if any of your medications might be increasing your risk for falls?

In its Stay Independent brochure, the Centers for Disease Control (CDC) recommends older adults do the following four things to prevent falls:

  1. Ask your doctor or pharmacist to review your medicines.
  2. Begin an exercise program to improve leg strength and balance.
  3. Get annual eye check-ups and update your glasses.
  4. Make your home safer.

In this article, we’ll focus on medications for three reasons:

  • Medications are among the most common causes of increased fall risk in older people.
  • Medications are usually among the easiest risk factors to change, when it comes to falls in older adults.
  • Medication-based risks are often missed by busy regular doctors. Older adults and family caregivers can make a big difference by being proactive in this area.

I want you to understand just what types of medications you and your doctors should be looking for, when you address medication review as part of fall prevention. This article will also explain exactly what to do, once you’ve identified any medications that are associated with falls. [Read more…]

Filed Under: Aging health, Geriatrics For Caregivers Blog, Helping Older Parents Articles Tagged With: fall prevention, falls, medication safety, medications, Medications to avoid with seniors

Medications Older Adults Should Avoid or Use with Caution:
The American Geriatrics Society Beers Criteria (2019 Update)

by Leslie Kernisan, MD MPH 26 Comments

Today we’re covering a touchstone resource for geriatricians: the “Beers List” of medications that older adults should avoid or use with caution.

(Technically, it’s called “The AGS Beers Criteria® for Potentially Inappropriate Medication Use in Older Adults.” I personally think of it as the list of “risky medications” for older adults.)

If you want to know which medications older adults, in particular, should be careful with, this is the list!

Now, I have good news and bad news about the Beers criteria.

The good news is that they were just updated and revised, so the Beers Criteria published in January 2019 is about as up-to-date as you can get for this type of guideline document. (Yay!)

The bad news is that this year, the American Geriatrics Society (AGS), which has historically made the list freely available to the public on HealthinAging.org, has not released the updated information for free on its page about the Beers Criteria. (Bummer!)

Instead, they’ve posted a notice that “To access the complete AGS Beers Criteria® and its related resources, please visit GeriatricsCareOnline.org.” From there, the article is available for purchase.

(My suggestion for those who really want the list: consider getting the handy 2019 AGS Beers Criteria® Pocketcard, which is $9.99. Or, ask your health provider to print it for you.)

[Update Dec 2020: I have found a PDF copy of the 2019 Beer’s criteria posted here.]

I think it’s really too bad that it’s become harder for regular people to access this wonderful resource, but oh well.

Whether or not you obtain access to the full 2019 Beers Criteria, I still think it’s important for older adults and families to at least be aware that this resource exists, and to understand how it can help make the medical care of older adults safer.

You absolutely should know that experts in geriatrics and in medication safety go through a very careful process of reviewing the research on medications, and of updating this list of medications that older adults should avoid or use with caution.

So in this article, here’s what I’ll be sharing with you: [Read more…]

Filed Under: Aging health, Geriatrics For Caregivers Blog, Helping Older Parents Articles Tagged With: medication, medication safety

Next Page »

Yours Free: The Quick Start Guide to Checking Older Parents for Health & Safety Problems

Action Plan - Pencil and Checklist

Enter your email to download this free Quick Start Guide

Get The Guide Now »

No spam ever! We collect, use and process your data according to our Privacy Policy.

Find It Here

Disclaimer

The material on this site, including any exchanges in the comments section of the blog, is for informational and educational purposes only.

Any comments Dr. Kernisan may make regarding an individual’s story or comments should not be construed as establishing a physician-patient relationship between Dr. Kernisan and a caregiver, or care recipient.

None of Dr. Kernisan’s website or group information should be considered a substitute for individualized medical assessment, diagnosis, or treatment.

Please see the full Disclaimer for more information.

Please also carefully read our Terms & Conditions of Use, before using this site.

Creative Commons License
This work by Leslie Kernisan MD & Better Health While Aging LLC is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Based on a work at BetterHealthWhileAging.net.

Privacy Policy & Disclosures

Your privacy is very important to us. Your information will never be sold to anyone, whether you browse the site, sign up for email updates, or register for an event.

Pleae read our complete Privacy Policy for more information and for Dr. Kernisan's financial disclosures.

© 2023 Better Health While Aging, LLC · Terms & Conditions · Disclaimer · Privacy Policy · Contact Us