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Practical information for aging health & family caregivers

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Blood pressure medications linked to serious falls: What you can do

by Leslie Kernisan, MD MPH

BP cuff & medications

Have you had any concerns about an older person falling, or being at risk for a broken hip?

A new clinical research study relevant to millions of older adults was just featured in the news.

The study, completed by a team of geriatrics researchers at Yale, found that in older adults aged 70 or older, taking blood pressure medication was linked to a higher risk of serious falls. (Serious falls as in, falls that caused an ER visit for a fracture, a dislocated joint, or a brain bleed. Serious stuff indeed!)

So, if the person you care for has a diagnosis of hypertension, and if you’ve had any concerns regarding falls or near-falls, these study results should be of interest to you.

In this post, I’ll review the key results of this study. Then I’ll tell you what I think are the most important practical take-aways for family caregivers.

This post will also include some practical tips to help you minimize the risk of your loved one experiencing a serious fall.

[Read more…]

Filed Under: Aging health, Geriatrics For Caregivers Blog, Helping Older Parents Articles Tagged With: blood pressure, fall prevention, falls, medication safety, medications

Tools for Caregivers: the Portable & Up-to-date Medication List

by Leslie Kernisan, MD MPH

At a recent retreat for family caregivers, I proposed four key tools that I recommend to caregivers who want to improve the healthcare of an older person:

  • Journal/notebook, for notes and symptom tracking (see last week‘s post for more details)
  • Portable and up-to-date medication list
  • Organizer to keep copies of medical results and medical records
  • Personal/family task organizer

In this post, I’ll explain why I always recommend caregivers make an effort to maintain a portable and up-to-date medication list. Then I’ll discuss some tech tools that caregivers can consider.

[Read more…]

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

How to identify risky medications for older adults

by Leslie Kernisan, MD MPH

Many family caregivers know that medications can cause side-effects in older people, and may worry that perhaps their loved ones are being affected by medications.

It’s a very reasonable concern to have. Studies have shown that older adults, especially those taking multiple prescription medications, often experience potentially serious side-effects from their medications.

But having talked with many family caregivers over the years, I’ve found that even the savvy ones often haven’t heard of the “Beer’s List.”

What is the Beer’s List?

Technically known as the “American Geriatrics Society Updated Beers Criteria: Medications that Older Adults Should Avoid or Use with Caution,” this is a carefully reviewed list of medications that are “potentially inappropriate” for older adults, and includes many of the medications that we geriatricians tend to stop or reduce in our patients. (Seriously, identifying and reducing these medications is a big part of my clinical practice!)

Although mainly meant to be used as a reference by clinicians, the American Geriatrics Society(AGS)  also provides the information in an easier-to-read format here.

What to do if you realize that you or a loved one is taking a potentially risky medication? Conveniently, AGS addresses this very issue and provides a handy online guide on “What to Do and What to Ask Your Healthcare Provider if a Medication You Take is Listed in the Beers Criteria for Potentially Inappropriate Medications to Use in Older Adults.”

If you’re a caregiver: Have you ever used the Beer’s list as a resource? Other ideas for how caregivers can be empowered to check on their loved one’s medications?

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

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

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