Tag Archives: aging

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Will you need Home Care or Home Health Care

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Will you need Home Care or Home Health Care

Source: EldercareABCBlog

It’s confusing and sometimes difficult to know which care is needed, home care or home health care. Do you know the differences?

A good way to quickly assess which care will serve your relative, follow these simple suggestions.

The first thing to remember about receiving help, you don’t need to be frail, unable to care for oneself, nor does one require to have an illness. Even if a person can take care of self properly, have a quick mind, and agile body, there may come a time they choose a little help around the house. That’s when a person will select home care.

But if the individual develops an illness or a chronic condition and becomes frail and weak, they may need help managing medications, measuring vitals or receiving injections, that’s when home health care is called for assistance.


How to Find Care

If seeking home care, you have a couple of options: hire an agency or hire a private in-home caregiver.

Home Care

A good checklist to use when evaluating for home care, ask if the care recipient needs help with one or more of these activities.

  • Needs help with eating and feeding, taking a bath, going to the bathroom, getting dressed, walking around, and transferring from chair to bed or elsewhere?
  • Needs help with cleaning the house, washing clothes, going to the market, running errands, cooking meals and reminders for medication?
  • Needs help with incontinent care?
  • Needs help to maintain a social life and companionship for social outings?
  • Needs help with transportation and making appointments?
  • Does the family member need a break from giving care?


Home Health Care

  • Needs help managing pain?
  • Needs help learning medication adherence and management?
  • Needs skilled assessments and training?
    Needs disease management and education?
  • Needs help with injections and IV infusions?
  • Needs catheter care and tracheotomy care?
  • Needs help with a ventilator?
  • Needs help with managing diabetes?
  • Needs post-op rehab?
  • Needs occupational and speech therapies?
  • Needs help with discharge planning?
  • Needs help with wound care?
  • Needs assistance enabling durable medical equipment?


Home health is administered by a medically trained staff


Paying for care includes:

  • Out-of-pocket
  • Long-term care insurance
  • Medical health insurance
  • Medicaid and Medicare
  • Cash and Counseling Programs
  • Veterans Administration


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A Relentless Sense of Generational Identification Inspires Boomers to Change Aging

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A Relentless Sense of Generational Identification Inspires Boomers to Change Aging

Source: Boomers

Author: Brent Green

Maybe the longest title of anything that I’ve reposted, but this is a GREAT article and makes me feel a little bit better about being 50+

Peace FlagBack in June 2000, I grabbed the newest issue of TIME magazine from an airport newsstand. One of the articles teased on the cover had an arresting title: “Twilight of the Boomers.”

The generation at that point ranged in age from 36 to 54. Twilight? Really?

Boomers were then in the peak years of middle age, hardly time for a twilight. I kept reading to discover one disparaging assertion after another.

Daniel Okrent, the author, had written a jeremiad insisting that Boomers had nothing left to anticipate but a teeth-chattering downhill thrill ride. In a baby buggy. To oblivion.

Sixteen years later, the aging of the Boomer generation continues to inspire critics, cynics, and doomsayers as acknowledged by a continuing parade of media articles brimming with disaster forecasts.

The oldest Boomers began reaching the eighth decade of life in 2016, so it is fitting to forecast another decline — “a continuing lament”– as they trade off independence for assisted care, nursing homes, hospice, and death. Sucks to be us, Boomers.

Alternatively, let’s reconsider the meaning of aging through a generational lens to reveal what really is new and transformative about Boomer aging.

Durability of Generational Values


Karl Mannheim, a founding father of the field of sociology, conceived the essence of generational theory through a seminal 1923 essay entitled “The Problem of Generations.” Mannheim insisted that when a youth cohort faces substantial turmoil during its formative years between ages 12 and 25, a sense of generational identification strengthens.

The leading-edge of the Boomer generation came of age between 1964 and 1975, an intense era of social, political, and technological changes. Protest marches, lifestyle experimentation, and social role reinvention became hallmarks of Boomer youth, a movement full of fervor, fun, and fantastical ideas about reorganizing society and culture.

Even before I became fully aware of Mannheim’s theories, and as I was finishing the first draft of Marketing to Leading-Edge Baby Boomers in 2002, I was convinced that Baby Boomers had substantial generational affinity influenced by extraordinary turmoil during our youth. But I had no quantitative evidence, other than the insights I have gained since 1978 from creating myriad advertising and promotional campaigns targeting Boomers.

That is, until recently.

The Pew Research Center conducted a national survey from March 10 through April 15, 2015. Researchers studied 3,147 adults who are part of their American Trends Panel, “a nationally representative sample of randomly selected U.S. adults surveyed online and by mail.”

Pew’s study concluded that Baby Boomers have the most pervasive sense of generational identification when compared with four other living generations: The Greatest Generation, the Silent Generation, Generation X, and Millennials or Generation Y. Pew concluded: “Fully 79% of those born between 1946 and 1964, the widely used age range of this generation, identify as Boomers. That is by far the strongest identification with a generational name of any cohort.”

Not only do the majority of Boomers identify with their generational label, 70 percent also feel that their assigned generational label applies to them “very well (31 percent) or fairly well (39 percent).”

Research evidence suggests that values formed during external conflicts and cultural turmoil do not perish with time passing; rather, the sociological phenomena typical of Boomer youth are finding newer ways of manifestation as the generation ages.

Just as I reacted with disgust when reading Daniel Okrent’s TIME magazine article informing me that I had reached the twilight of my life at age 51, outspoken Boomers today forcefully challenge the language and images of ageism.

Challenging the Meaning of Aging


Jenny Sasser, co-author of one of the leading college textbooks on aging, is addressing discontinuities between classic precepts of her field and realities of a generation captured with an aphorism: “Be the change you seek.”

The author declares in her “Gero-punk Manifesto” some uplifting sensibilities about gerontology:

“to be a true punk of any sort is to live experimentally, to live in love with emergence, with the unexpected, the chaotic, the improvisatory, to live with your arms wide open to complexity, guided by your own star, fueled by a good measure of playfulness and well-intentioned rebellion.”


A spirited attitude permeates her challenges to worn-out intellectual constructs about aging. Sasser foretells a revolution in thoughts and actions associated with the field of gerontology. She also believes that Boomers will change social and cultural conceptions of aging while rebutting stereotypical dismissals by critics.

Boomers will not rattle downhill in baby buggies, horrified by the physical and psycho-social limitations imposed by aging. They will not forget that spark of youth when everything was possible, inspiring them now toward innovative strategies addressing what it means to grow old. There is a payoff for the rest of society: This generation will provoke reinvention of the industries that have traditionally served society’s oldest adults, creating trillions in added economic value.

There is a payoff for the rest of society: This generation will provoke reinvention of the industries that have traditionally served society’s oldest adults, creating trillions in added economic value.



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Looking for the Fountain of Youth? Here It Is!

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Looking for the Fountain of Youth? Here It Is!

Source: about health

Original post: November 06, 2015

Looking for the Fountain of Youth? Here It Is!Science tells us that what we call “aging” occurs with age, but not simply because of age. 

The stiffening of the blood vessels and the decline of brain function associated with getting older are affected by what we eat and how much we exercise. If we follow the lifestyle habits associated with slower cardiovascular and brain aging, can we extend lifespan and healthspan? Advances in nutritional science have taught us that eating the right foods enables weight loss and helps to prevent heart disease, cancer and diabetes.


Consider  what happened to a patient of mine named Paul when he made radical changes to the way he eats.

When he was 60 years old, he could not walk a city block without feeling pressure in his chest. Yet, as a gift to himself for his 68th birthday, he celebrated with a brisk run up and down the rolling hills of Central Park in New York City.

What enabled him to achieve such a feat?  As I like to say, the road to good health is as close as the end of your fork.


Paul decided to change his eating habits. 

He began eating primarily nutrient-rich, whole foods:  greens and other colorful vegetables, beans, fresh fruits, nuts, seeds and whole grains. He minimized meat, eggs and dairy and eliminated added sugars, oils, white flour, white rice and processed foods.  In doing so, he reduced the number of calories he consumed while simultaneously increasing the amount of micronutrients (vitamins, minerals, and phytochemicals) and fiber he ingests. I coined the word Nutritarian to describe this longevity-promoting style of eating, that is nutrient-dense and plant rich..

Paul usually ate a huge salad with raw onions and shredded cruciferous vegetables for lunch with a great tasting  nut-based dressing. He also ate beans or lentils in a vegetable-based soup or stew each day. He included three fruits each day, making especially sure to eat berries, pomegranate, cherries, plums and oranges.

He ate raw nuts and seeds to a meal, with a special emphasis on walnuts, hemp, flax and chia seeds, all of which are high in omega-3 fatty acids. And he also made sure to eat a double-size serving of steamed greens at dinner, often adding  mushrooms and onions.


In other words, Paul did what I recommend all my patients do: He  designed his diet to provide  superior nutrient density. 

Though eating  nutrient-rich food is critically important, it is not the only factor that determines good health. For example, Vitamin D , vitamin B12, and proper omega-3 intake are important for optimal health, as well as  limiting sodium and high glycemic carbohydrates.


You may be surprised by how your body can heal itself by simply eating right and getting exercise. 

You may also be amazed that your taste improves as you start to eat healthier, that you actually get more pleasure from eating and you can eat generous portions of great tasting healthy dishes.  Some people would say that they could never give up the processed food they crave. But you need to know that rejecting these foods is a mere temporary loss. What you gain is what Paul found: his highest level of energy and good health he ever had. If he was searching for the Fountain of Youth, he certainly found it. As he told people who asked him how he felt on his 68th birthday, “I honestly feel – no joking, no exaggeration – that I am only at the halfway point of my life.”  The facts are the same dietary portfolio that protects your heart also protects your brain from aging and prevents cancer.


We now know a lot about the factors associated with longevity. 

We know about the diets of societies with a documented long lifespan, such as the Okinawans of Japan and the Seventh-Day Adventists of California. We have evidence that accumulated oxidative stress drives aging, and we know which dietary factors help the body to mitigate oxidative stress. We can now measure the telomere length of circulating white blood cells – telomere shortening is an indicator of aging – and we are learning which dietary factors and behaviors influence telomere length. Studies of calorie restriction in animals have given us information about the cellular signaling pathways associated with longevity, and we can turn on those same genes and signaling pathways with our dietary and lifestyle habits.


This wealth of scientific information has allowed us to design dietary patterns for longevity. 

Go for it!


1. Weiss EP, Fontana L. Caloric restriction: powerful protection for the aging heart and vasculature. Am J Physiol Heart Circ Physiol 2011, 301:H1205-1219.

2.  Joseph J, Cole G, Head E, Ingram D. Nutrition, brain aging, and neurodegeneration. J Neurosci 2009, 29:12795-12801.

3.  Joseph JA, Shukitt-Hale B, Willis LM. Grape juice, berries, and walnuts affect brain aging and behavior. J Nutr 2009, 139:1813S-1817S.

4.  Santos-Parker JR, LaRocca TJ, Seals DR. Aerobic exercise and other healthy lifestyle factors that influence vascular aging. Adv Physiol Educ 2014, 38:296-307.

5.  Fraser GE, Shavlik DJ. Ten years of life: Is it a matter of choice? Arch Intern Med 2001, 161:1645-1652.

6.  Willcox DC, Willcox BJ, Todoriki H, Suzuki M. The Okinawan diet: health implications of a low-calorie, nutrient-dense, antioxidant-rich dietary pattern low in glycemic load. J Am Coll Nutr 2009, 28 Suppl:500S-516S.

7. Beckman KB, Ames BN. The free radical theory of aging matures. Physiol Rev 1998, 78:547-581.

8.  Shammas MA. Telomeres, lifestyle, cancer, and aging. Curr Opin Clin Nutr Metab Care 2011, 14:28-34.

9.  Fontana L. The scientific basis of caloric restriction leading to longer life. Curr Opin Gastroenterol 2009, 25:144-150.

10. Hu F, Liu F. Targeting tissue-specific metabolic signaling pathways in aging: the promise and limitations. Protein Cell 2014, 5:21-35.

11. Verburgh K. Nutrigerontology: why we need a new scientific discipline to develop diets and guidelines to reduce the risk of aging-related diseases. Aging Cell 2015, 14:17-24.

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Basic Facts About Rheumatoid Arthritis

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Basic Facts About Rheumatoid Arthritis

In this helpful article focusing on rheumatoid arthritis from abouthealth.com, we learn that researchers have worked for years to find the cause of the abnormal autoimmune response associated with rheumatoid arthritis. Approximately 1.3 million people in the United States have rheumatoid arthritis and about 1-2 percent of the world population are affected by rheumatoid arthritis.

Explained With Pictures

Causes of Rheumatoid Arthritis:

Researchers have worked for years to find the cause of the abnormal autoimmune response associated with rheumatoid arthritis. There is no single cause which has been found. Common theories point to a genetic predisposition and a triggering event.

Symptoms Associated With Rheumatoid Arthritis:

The primary symptoms associated with rheumatoid arthritis include:

  • joint pain
  • joint swelling or effusion
  • joint stiffness
  • redness and/or warmth near the joint
  • restricted range of motion

Morning stiffness lasting more than an hour, involvement of the small bones of the hands and feet, extreme fatigue, rheumatoid nodules, and symmetrical joint involvement (i.e. both knees not one knee) are all characteristics of rheumatoid arthritis.

Diagnosis of Rheumatoid Arthritis:

There is no single laboratory test or x-ray which can diagnose rheumatoid arthritis. A combination of test results, a clinical examination, and patient medical history together can help determine a diagnosis of rheumatoid arthritis.

Laboratory tests which are commonly ordered to help diagnose rheumatoid arthritis include:

  • rheumatoid factor
  • erythrocyte sedimentation rate
  • C-reactive protein
  • anti-CCP test

X-rays and MRIs are also ordered early on to help with the diagnostic process, and throughout the course of the disease to check on effectiveness of treatment.

Treatment of Rheumatoid Arthritis:

Arthritis medications are the primary course of treatment for rheumatoid arthritis. Each individual patient is evaluated by their rheumatologist and a treatment plan is agreed upon. Along with medication, some forms of complementary treatment or local injections may help relieve pain.

Medications used for rheumatoid arthritis may include:

  • Biologics (Enbrel, Remicade, Humira, Rituxan, Orencia)
  • DMARDs (disease-modifying anti-rheumatic drugs such as methotrexate)
  • Corticosteroids (such as prednisone, hydrocortisone)
  • NSAIDs (nonsteroidal anti-inflammatory drugs such as Celebrex and naproxen)
  • Analgesics (painkillers)

Prevalence of Rheumatoid Arthritis:

Approximately 1.3 million people in the United States have rheumatoid arthritis and about 1-2 percent of the world population are affected by rheumatoid arthritis.

Women are more affected than men. About 75 percent of rheumatoid arthritis patients are women. Men, women, and even children can develop rheumatoid arthritis. Typically, disease onset for rheumatoid arthritis occurs between 30 and 60 years old.

Points of Interest About Rheumatoid Arthritis:

About 20 percent of people who have rheumatoid arthritis test negative for the rheumatoid factor. Those patients are classified as “sero-negative rheumatoid arthritis”. It is generally thought the seronegative patients have a less severe case of rheumatoid arthritis and less disability, but that is not always the case.

Rheumatoid arthritis has been associated with a higher risk of mortality, higher risk of heart disease, and also a higher risk of lymphoma than the general population.

Another point of interest is that smoking has been identified as a risk factor for developing rheumatoid arthritis.


Rheumatoid Arthritis. American College of Rheumatology. 8 Dec 2006.

Rheumatoid Arthritis. Arthritis Foundation. 8 Dec 2006.

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