Monday, January 7, 2013

SENIORS CAN NOT AFFORD


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FALLING



Did you know that one in three older Americans falls every year? Falls are the leading cause of both fatal and nonfatal injuries for people aged 65+. Falls can result in hip fractures, broken bones, and head injuries. And even falls without a major injury can cause an older adult to become fearful or depressed, making it difficult for them to stay active.If you have an aging parent, grandparent, or neighbor in your life, helping them reduce their risk of falling is a great way to help them stay healthy and independent as long as possible.
And September is the perfect time to take action. Sept. 22 isNational Falls Prevention Awareness Day, sponsored by NCOA's Falls Free© Initiative. This year, 46 states, the District of Columbia, and Puerto Rico will be hosting health fairs, falls risk screenings, and other events to educate older adults about this critical health issue.
The good news about falls is that most of them can be prevented. The key is to know where to look. Here are some common factors that can lead to a fall:
·        Balance and gait: As we age, most of us lose some coordination, flexibility, and balance— primarily through inactivity, making it easier to fall. 
·        Vision: In the aging eye, less light reaches the retina—making contrasting edges, tripping hazards, and obstacles harder to see.
·        Medications: Some prescriptions and over-the-counter medications can cause dizziness, dehydration or interactions with each other that can lead to a fall.  
·        Environment: Most seniors have lived in their homes for a long time and have never thought about simple modifications that might keep it safer as they age.
·        Chronic conditions: More than 90% of older adults have at least one chronic condition like diabetes, stroke, or arthritis. Often, these increase the risk of falling because they result in lost function, inactivity, depression, pain, or multiple medications.    

6 Steps to Reducing Falls
Here are six easy steps you can take today to help your older loved one reduce their risk of a fall:
1. Enlist their support in taking simple steps to stay safe. 
Ask your older loved one if they’re concerned about falling. Many older adults recognize that falling is a risk, but they believe it won’t happen to them or they won’t get hurt—even if they’ve already fallen in the past. A good place to start is by sharing NCOA’s Debunking the Myths of Older Adult Falls. If they’re concerned about falling, dizziness, or balance, suggest that they discuss it with their health care provider who can assess their risk and suggest programs or services that could help.
2. Discuss their current health conditions.
Find out if your older loved one is experiencing any problems with managing their own health. Are they having trouble remembering to take their medications—or are they experiencing side effects? Is it getting more difficult for them to do things they used to do easily?
Also make sure they’re taking advantage of all the preventive benefits now offered under Medicare, such as the Annual Wellness visit. Encourage them to speak openly with their health care provider about all of their concerns.
3. Ask about their last eye checkup. 
If your older loved one wears glasses, make sure they have a current prescription and they’re using the glasses as advised by their eye doctor.
Remember that using tint-changing lenses can be hazardous when going from bright sun into darkened buildings and homes. A simple strategy is to change glasses upon entry or stop until their lenses adjust.
Bifocals also can be problematic on stairs, so it’s important to be cautious. For those already struggling with low vision, consult with a low-vision specialist for ways to make the most of their eyesight.   
4. Notice if they’re holding onto walls, furniture, or someone else when walking or if they appear to have difficulty walking or arising from a chair.
These are all signs that it might be time to see a physical therapist. A trained physical therapist can help your older loved one improve their balance, strength, and gait through exercise. They might also suggest a cane or walker—and provide guidance on how to use these aids. Make sure to follow their advice. Poorly fit aids actually can increase the risk of falling.
5. Talk about their medications.
If your older loved one is having a hard time keeping track of medicines or is experiencing side effects, encourage them to discuss their concerns with their doctor and pharmacist. Suggest that they have their medications reviewed each time they get a new prescription.
My mom had an elaborate spreadsheet to keep track of her medications and schedules. Adding a timed medication dispenser that my sister refilled each month promoted her peace of mind and allowed us to ensure her adherence to the prescribed regime.
Also, beware of non-prescription medications that contain sleep aids—including painkillers with “PM” in their names. These can lead to balance issues and dizziness. If your older loved one is having sleeping problems, encourage them to talk to their doctor or pharmacist about safer alternatives.  
6. Do a walk-through safety assessment of their home.
There are many simple and inexpensive ways to make a home safer. Here are some examples:
·        Lighting: Increase lighting throughout the house, especially at the top and bottom of stairs. Ensure that lighting is readily available when getting up in the middle of the night.  
·        Stairs: Make sure there are two secure rails on all stairs.
·        Bathrooms: Install grab bars in the tub/shower and near the toilet. Make sure they’re installed where your older loved one would actually use them. 

As important as all of the suggestions above are at the root of the problem frequently is
allowing ourselves to let our fitness lag since it is commonly believed that ailments and chronic illness accompany aging. This is a misnomer that many of us have accepted from the media and it is the single most destructive belief that inhibits us improving our quality of life as we age. No you are not supposed to gain weight, have heart disease and diabetes just because you are getting a little older. We do not maintain our fitness because we do not maintain our activity level. Our seniors need more opportunities to move safely  whether it is a regimented fitness plan or just moving around consistently.

Earlier today I saw a story about those motorized carts/wheelchairs that everyone seems to have these days. The reporter indicated that over 80% of them ordered and paid for by Medicare are obtained under false pretenses and are not needed by the owner of these vehicles. My first thought was not the wasted money and fraud but who would want to become immobile? Because this is what is going to occur if you stop moving and begin riding in a chair you do not need, instead of walking. The reporter also indicated that the marketing is driving seniors to demand that they have one as well.

Walking has many benefits including improving balance and strength which often play a part in seniors falling without something actually causing their fall. It is extremely important if you are or are caring for a senior to make sure they are strengthening their limbs and core. It will reduce the chances of them falling and causing greater injury to themselves. Their bones are more brittle and falling often leads to loss of independence and confidence. In some cases it marks a long slide into failing health and sometimes death. It is not okay to write off to getting old since aging can be done gracefully without becoming feeble.

The companies as indicated in their marketing are advocating and pressuring the doctors to write prescriptions even though there is no real need. This is not shocking since they write prescriptions for medicines and treatments that are not really needed and can cause harm. Although this is not a toxic chemical it is a toxic and debilitating situation for those riding. Be happy you are still mobile and ambulatory since the alternative is limiting for you and those around you. If you do not need a cart be thankful you are still able to Get Up Get Moving towards a healthier and more fulfilling lifestyle..........



Remember CHIT CHAT WON'T BURN FAT, Keep It Moving

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