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A Unique Grief: How Caregivers Grieve the cognitive Decline Of Someone They Cherish
Photo credit Claudia But underneath, often unnoticed, there's a knot in our hearts. We're grieving the loss – the loss of function that made our parent need to ask for help. Weren't they the ones who helped us? Weren't they the ones in charge? Generally, these changes are subtle, the grief sneaky. I remember watching my parents age in a normal fashion. I'd occasionally look at them and be startled by the realization that they were aging. But that was all I acknowledged. I never intentionally thought about loss and pain. It dwelled beneath my consciousness. Read the full article on Agingcare about how we who watch l...
Source: Minding Our Elders - August 5, 2019 Category: Geriatrics Authors: Carol Bradley Bursack Source Type: blogs

Off the Couch, Onto the Stage: My First, Only and Not-So-Great Presidential Debate
This article originally appeared on Forbes here. 
Source: The Health Care Blog - August 5, 2019 Category: Consumer Health News Authors: Christina Liu Tags: Democratic Debates Health Policy Politics Medicare For All Michael Millenson Source Type: blogs

Hospice Care Can Help Throughout the End Stages of Life
Photo credit Mikhail Rakityanskiy ...For weeks, each time I walked into Dad's room in the nursing home, he would be rigid in bed, up on one elbow and slamming his fist against his hand. Pow! Pow! Pow! Over and over, he pounded fist against hand. I would try to get him to relax; to lie back. He couldn't comprehend. Pow! Pow! Pow! He was trying to knock out the pain. Read the full article on Agingcare about how hospice care can improve the quality of life for people nearing death:   Carol Bradley Bursack is the Candid Caregiver MedicareFAQ – Medicare Resource Center Support a caregiver or jump-start discussion in sup...
Source: Minding Our Elders - August 4, 2019 Category: Geriatrics Authors: Carol Bradley Bursack Source Type: blogs

How to Refresh Your Caregiving Routine Any Time Of Year
Photo credit Sydney Sims We repeatedly read articles about caregiver burnout and how we must practice self-care. I've written countless articles on that topic myself. Sometimes, I feel like a hypocrite because I know that caregivers often have few choices when it comes to change, and the choices they do have are likely not very attractive. Still, I'd like to suggest some steps that may help some people to think through the year and consider some adjustments. The following are two places that we could possibly make progress: Read the full article on HealthCentral to learn more about how to refresh your caregiving routine to...
Source: Minding Our Elders - August 1, 2019 Category: Geriatrics Authors: Carol Bradley Bursack Source Type: blogs

The Spectrum of Hope: An Interview About Alzheimer's
...In tandem with this effort was a quiet revolution doggedly moving forward.  Long championed by Dr. Bill Thomas of Changing Aging among others, the thinking behind this movement has always been to recognize that people living with Alzheimer’s and other dementia were first and foremost people. Developing dementia doesn’t take away your individuality or humanity any more than developing cancer or diabetes. Therefore, rather than concentrate only on drugs, we need to help caregivers – and yes professionals – better understand how to help people living with dementia cope with the negative aspects of...
Source: Minding Our Elders - July 7, 2019 Category: Geriatrics Authors: Carol Bradley Bursack Source Type: blogs

Swallowing Impairment? People Can Still Enjoy Good Taste!
Dysphagia is a swallowing impairment that can occur after someone has a stroke or any type of brain injury. Dysphagia is also a concern with Parkinson’s disease, multiple sclerosis (MS), oral cancer, and many other injuries and diseases. However, according to the National Institutes of Health (NIH), dysphagia is also a growing concern in Alzheimer’s Disease (AD). The NIH says that dysphagia “frequently leads to aspiration pneumonia, a common cause of death in this population, particularly in the later stage of AD.” Read more on HealthCentral about how to make pureed food tasty for someone who has trouble swal...
Source: Minding Our Elders - June 27, 2019 Category: Geriatrics Authors: Carol Bradley Bursack Source Type: blogs

Up-to-date Legal Form Helps Emergency Personnel Follow Health Directive
Photo credit Cytonn photography Dear Carol: My mom has lived for years with multiple health issues including two rounds of cancer treatment. She's now 79-years-old and suffers from severe bowel and digestive disorders, lung disease, and more. Considering her quality of life, she’s very cheerful and reasonably happy, but she is also realistic and she’s determined not to drag things out as her health continues to deteriorate. Her brain is sharp. She has a health directive and she’s aware that she can get a do-not-resuscitate order. She also knows that life-extending measures can be taken by emergency technicians ...
Source: Minding Our Elders - June 1, 2019 Category: Geriatrics Authors: Carol Bradley Bursack Source Type: blogs

What's the Differences Between Palliative Care and Hospice?
Many people have heard of hospice care but they mistakenly think that it’s just a way to help cancer patients be more comfortable at the end of their lives. Fewer people have heard of palliative care, and they may have no idea what it is. The truth is that hospice and palliative care are related but used for different reasons at different times, and everyone should be well-versed in what they offer. Here, we’ll clarify some points of confusion. View the slideshow on HealthCentral about the differences between palliative care and hospice: Carol Bradley Bursack is the Candid Caregiver MedicareFAQ – Medicare Resource Ce...
Source: Minding Our Elders - May 31, 2019 Category: Geriatrics Authors: Carol Bradley Bursack Source Type: blogs

The Spectrum of Alzheimer's: An Interview With Gayatri Devi, M.D.
...Developing dementia doesn’t take away your individuality or humanity any more than developing cancer or diabetes. Therefore, rather than concentrate only on drugs, we need to help caregivers – and yes professionals – better understand how to help people living with dementia cope with the negative aspects of their illness so that they can live the best life that they can. Read more about the spectrum of Alzheimer's disease (and hope) on HealthCentral: Carol Bradley Bursack is the Candid Caregiver MedicareFAQ – Medicare Resource Center Support a caregiver or jump-start discussion in support groups with real storie...
Source: Minding Our Elders - May 20, 2019 Category: Geriatrics Authors: Carol Bradley Bursack Source Type: blogs

The Folly of Self Referral
By HANS DUVEFELT, MD A lot of Americans think they should be able to make an appointment with a specialist on their own, and view the referral from a primary care provider as an unnecessary roadblock. This “system” often doesn’t work, because of the way medical specialties are divided up. If belly pain is due to gallbladder problems you need a general surgeon. If it’s due to pancreas cancer, you need an oncologic surgeon. If the cause is Crohn’s disease, any gastroenterologist will do, but with Sphincter of Oddi problems, you’ll need a gastroenterologist who does ERCPs, and not all of them do. Now, of ...
Source: The Health Care Blog - May 17, 2019 Category: Consumer Health News Authors: Christina Liu Tags: Medical Practice Physicians Hans Duvefelt primary care Source Type: blogs

Reducing Churn to Increase Value in Health Care: Solutions for Payers, Providers, and Policymakers
Conclusion Churn has vexed insurance executives for decades and is considered by many at this point an inevitable challenge. But now that the value-based movement has led to a refocusing on social determinants of health, incentives are aligned to address this issue. This solution may be a key step towards a healthcare system focused on investing in health rather than in treating illness. Niko has a background in research and consulting and enjoys writing about and solving problems facing the US health care industry. Saeed has more than 25 years of health information technology experience, with a track record of ...
Source: The Health Care Blog - May 15, 2019 Category: Consumer Health News Authors: Christina Liu Tags: Economics The Business of Health Care Uncategorized Churn health innovation Health policy health20 niko lehman-white saeed aminzadeh Source Type: blogs

Why Is the USA Only the 35th Healthiest Country in the World?
By ETIENNE DEFFARGES According the 2019 Bloomberg Healthiest Country Index, the U.S. ranks 35th out of 169 countries. Even though we are the 11th wealthiest country in the world, we are behind pretty much all developed economies in terms of health. In the Americas, not just Canada (16th) but also Cuba (30th), Chile and Costa Rica (tied for 33rd) rank ahead of us in this Bloomberg study. To answer this layered question, we need to look at the top ranked countries in the Bloomberg Index: From first to 12th, they are Spain; Italy; Iceland; Japan; Switzerland; Sweden; Australia; Singapore; Norway; Israel; Luxe...
Source: The Health Care Blog - April 15, 2019 Category: Consumer Health News Authors: Christina Liu Tags: Economics Health disparities Health Policy American healthcare Etienne Deffarges Mediterranean Diet Opioids world health Source Type: blogs

We Can Support Our Grieving Parent but We Can ’t Erase Their Pain
Photo credit Mosoianu Bogdan  Dear Carol: My dad, who had been Mom’s caregiver for years, died suddenly from a stroke. I can’t say that I’m surprised because he was under enormous stress trying to cope with first Mom’s illness from cancer treatments, and more recently her early stage Alzheimer’s diagnosis. Needless to say, we’re all heartbroken over Dad’s sudden death as well as up in the air about how to handle Mom. She seems to be in total denial, though some of her repeated questions may be due to occasional short-term memory loss. How do we help her with this shock and grief? – VB Read the f...
Source: Minding Our Elders - April 13, 2019 Category: Geriatrics Authors: Carol Bradley Bursack Source Type: blogs

Death by 1000 Clicks Redux
By MARK BRAUNSTEIN, MD Back in the ‘stone ages’ when I (an MIT grad) was an intern, I was called at 4 AM to see someone else’s gravely ill patient because her IV had infiltrated.  I started a new one and drew some blood work to check on her status.  When the results came back (on paper) I (manually) calculated her anion gap.  This is simple arithmetic but I had been up all night and didn’t do it right. She died.  On morning rounds the attending assured me that there was nothing I could have done anyway but, of course, in other circumstances it could have made a di...
Source: The Health Care Blog - April 8, 2019 Category: Consumer Health News Authors: Christina Liu Tags: Health Tech Hospitals Physicians Death by 1000 Clicks EHR FHIR Mark Braunstein Source Type: blogs

For American Indians, Health is a Human and Legal Right
Sam Aptekar Phuoc Le By PHUOC LE, MD and SAM APTEKAR Most will be surprised to learn that American Indians and Alaska Natives represent the only populations in the United States with a legal birthright to health care.[1] Even though Article 25 of the UN’s Universal Declaration of Human Rights declares, “everyone has the right to a standard of living adequate for the health and well-being of himself and of his family, including…medical care and necessary social services,” U.S. federal policy only guarantees this human right to enrolled tribal members. The source of this juridical entitlement ...
Source: The Health Care Blog - March 29, 2019 Category: Consumer Health News Authors: Christina Liu Tags: Health disparities Health Policy American Indians Phuoc Le Sam Aptekar Source Type: blogs