Podcasts about American Geriatrics Society

In this episode of Better Than Before Breast Cancer™, we're talking about a common and little-talked-about side effect of breast cancer treatment and day-to-day living: digestive changes. If you've experienced bloating, reflux, fatigue, or that uncomfortable feeling of fullness after eating, this episode is for you. You'll learn why hypochlorhydria (low stomach acid) is often misdiagnosed as high stomach acid, how breast cancer treatments like chemotherapy, radiation, and hormonal therapy contribute to poor digestion, and why treating symptoms with acid-blocking medications might be doing more harm than good. Most importantly, we'll cover simple, nurturing steps — like mindful eating habits and nutrient support — to help you feel better, absorb more nutrients, and reconnect with your body's healing capacity.  

Vitaminas em excesso podem fazer mal?! Separe trinta minutinhos do seu dia e descubra, com Mila Massuda, se suplementos vitamínicos realmente ajudam você a viver mais e melhor. #insiderstoreAS ROUPAS MAIS FRESQUINHAS E TECNOLÓGICASCupom: BIOLOGIAEMMEIAHORA⁠https://creators.insiderstore.com.br/BiologiaemMeiaHoraApresentação: Mila Massuda (@milamassuda)Roteiro: Mila Massuda (@milamassuda) e Emilio Garcia (@emilioblablalogia)Revisão de Roteiro: Vee Almeida e Caio de Santis (@caiodesantis)Técnica de Gravação: Julianna Harsche (@juvisharsche)Editora: Lilian Correa (@_lilianleme)Mixagem e Masterização: Rafael de Falco (@rafel.falco) Produção: Prof. Vítor Soares (@profvitorsoares), Matheus Herédia (@Matheus_Heredia), BláBláLogia (@blablalogia), Caio de Santis (@caiodesantis) e Biologia em Meia Hora (@biologiaemmeiahora)Gravado e editado nos estúdios TocaCast, do grupo Tocalivros (@tocalivros)REFERÊNCIASALPHA-TOCOPHEROL, BETA CAROTENE CANCER PREVENTION STUDY GROUP. The effect of vitamin E and beta carotene on the incidence of lung cancer and other cancers in male smokers. The New England journal of medicine, v. 330, n. 15, p. 1029–35, 1994.GORAN BJELAKOVIĆ; GLUUD, C. Surviving Antioxidant Supplements. Journal of the National Cancer Institute, v. 99, n. 10, p. 742–743, 15 maio 2007.HARMAN, D. The Biologic Clock: The Mitochondria? Journal of the American Geriatrics Society, v. 20, n. 4, p. 145–147, abr. 1972.KIM, Y.-I. Does a High Folate Intake Increase the Risk of Breast Cancer? Nutrition Reviews, v. 64, n. 10, p. 468–475, out. 2006.KLEIN, E. A. et al. Vitamin E and the risk of prostate cancer: the Selenium and Vitamin E Cancer Prevention Trial (SELECT). JAMA, v. 306, n. 14, p. 1549–56, 2011.LINUS PAULING. How to live longer and feel better. [s.l.] Corvallis Oregon State University Press, 2015.

Is having a primary care physician the key to better health for older adults? Tune in for an inspiring discussion with Dr. Robert Zorowitz from Humana. Moments with Marianne airs in the Southern California area on KMET1490AM & 98.1 FM, an ABC Talk News Radio Affiliate! Dr. Robert Zorowitz has been Regional Vice President, Health Services for the Northeast Region of Humana for 3 years. He is a graduate of Albany Medical College in Albany, NY, and completed his residency in internal medicine at Long Island Jewish Medical Center and his fellowship in geriatric medicine at the Mount Sinai Medical Center, both in New York. He is a fellow of the American Geriatrics Society and the American College of Physicians. Prior to joining Humana, Dr. Zorowitz enjoyed a long career, practicing geriatric medicine and hospice/palliative medicine in a wide variety of settings, including office, hospital, nursing home and as medical director of several home health and hospice agencies. In his current position, he continues to promote the principles of high-value clinical care for older adults and other Medicare Advantage members.  https://www.humana.comFor more show information visit: www.MariannePestana.com

In today's episode, Matt and Lauren discuss the new CMS GUIDE model for dementia care with Dr. Brystana Kaufman, MSPH, PhD – a health services researcher at the Duke-Margolis Institute for Health Policy at Duke University. The GUIDE model aims to improve the quality of life for people living with dementia by reducing strain on caregivers and enabling individuals to remain in their homes. Brystana talks with the Minding Memory team about a spectrum of topics as related to the GUIDE model including, what motivated CMS to develop and implement the model; what defines a serious illness; how the model supports caregivers; and what an organization needs to have in terms of services in order to participate in the implementation of the GUIDE model. Dr. Kaufman is the co-author of an article in the Journal of the American Geriatrics Society titled “GUIDE Dementia Model: Opportunities for Serious Illness Care” which provides additional insight into the model. Episode Transcript Brystana Kaufman, PhD, MSPH Faculty Profile Article referenced in this episode: Kaufman BG, Grant M. GUIDE dementia model: Opportunities for serious illness care. J Am Geriatr Soc. 2024 Jun;72(6):1935-1938. doi: 10.1111/jgs.18787. Epub 2024 Feb 5. PMID: 38315037. Additional Resources: Guiding an Improved Dementia Experience (GUIDE) Model Health and Aging Policy Fellows You can subscribe to Minding Memory on Apple Podcasts, Spotify, or wherever you listen to podcasts. Hosted on Acast. See acast.com/privacy for more information.

Immense pressure on hospitals from the COVID-19 pandemic prompted CMS to waive its three-day rule for skilled nursing facility (SNF) care. Effective March 1, 2020, this waiver allowed patients to transfer to SNFs without the usual inpatient criteria or a three-day hospital stay. A recent study by Northwestern Medicine published in the Journal of American Geriatrics Society explores the trends in hospital discharges to SNFs during this period.Join study authors Lee A. Lindquist, MD, MPH, and Marianne Tschoe, MD, on this episode of the Better Edge podcast as they discuss their research and findings.

¿Estás buscando una forma efectiva de perder grasa sin sacrificar tu músculo? Este video es para ti. Hoy te revelo los 3 secretos clave para lograr una transformación real en tu cuerpo, manteniendo la masa muscular que tanto esfuerzo te ha costado ganar. Aprenderás cómo hacer un déficit calórico de manera controlada, los entrenamientos de fuerza que necesitas, y la importancia de la proteína en cada comida. Muchos cometen el error de enfocarse solo en bajar de peso, sin saber si están perdiendo grasa o músculo. Esto puede afectar tu metabolismo y tus resultados a largo plazo. Aquí te enseño cómo evitar ese error y obtener los resultados que deseas de forma sostenible y saludable. ¿Qué aprenderás en este video? - Cómo hacer un déficit calórico sin perder músculo. - Ejercicios de fuerza para mantener la masa muscular. - La cantidad de proteína que necesitas para conservar tus músculos. ¡Dale like, suscríbete y activa la campanita! Si te ha gustado este contenido y quieres aprender más sobre entrenamiento, rendimiento y transformación física, asegúrate de suscribirte al canal y activar las notificaciones. Déjame en los comentarios tus experiencias o preguntas sobre la pérdida de grasa y otros temas que quieras ver en futuros videos. Sígueme en redes sociales para más contenido: - Página web: www.faustoalfaro.com - Instagram: https://www.instagram.com/faustoalfaro_/ - X (Twitter): https://twitter.com/Faustoalfaro_ Referencias científicas: - Lambert, C. P., Frank, L. L., & Evans, W. J. (2019). Effects of low-intensity exercise and dietary restrictions on muscle mass and strength in older adults. Journal of the American Geriatrics Society, 67(8), 1586–1592. Este estudio mostró que un déficit calórico moderado ayuda a conservar la masa muscular durante la pérdida de grasa. - Schoenfeld, B. J., Ogborn, D., & Krieger, J. W. (2017). Effects of resistance training frequency on muscular adaptations. Sports Medicine, 46(9), 1377–1387. Concluye que el entrenamiento de fuerza es clave para mantener el músculo durante períodos de déficit calórico. -Mettler, S., Mitchell, N., & Tipton, K. D. (2018). Increased protein intake reduces lean body mass loss during weight loss in athletes. Medicine & Science in Sports & Exercise, 42(2), 326–337. Este estudio demuestra la importancia de una ingesta adecuada de proteínas para preservar la masa muscular en la pérdida de peso.

Kennedy Dunn, 3rd year medical student at Howard U and Oyinemi “Yemi” Iyebote discuss how we define what is Ours and what it means to be human in the 6th episode of Stranger Fruit Vol. II   Timestamp: 0:00 Exploring Psychiatry and Mental Health 6:55 The Intricacies of Mental Health Disorders 14:07 Embracing Emotions and Overcoming Challenges 23:36 Community Support and Understanding Pain 36:44 Navigating Relationships and Societal Roles   Reference: Eaton, W. W., Byrne, M., E. A., & Mors, O. (2008). The epidemiology of psychotic disorders in the community. In J. L. C. & L. W. M. (Eds.), Schizophrenia: Theory, Research, and Therapy (pp. 161-177). Wiley. Hsiao, C. Y., & Kales, H. C. (2018). Antipsychotic use and racial disparities: A review. Journal of the American Geriatrics Society, 66(3), 564-570. Whitfield, E. A., & Williams, D. R. (2017). Racial differences in psychiatric diagnosis and treatment. American Journal of Psychiatry, 174(9), 880-891. Williams, D. R., & Mohammed, S. A. (2009). Discrimination and racial disparities in health: evidence and needed research. Journal of Behavioral Medicine, 32(1), 20-47. Intro Music: Bosch's Garden - by Kjartan Abel. This work is licensed under the following: CC BY-SA 4.0 Attribution-ShareAlike 4.0 International.

The American Geriatrics Society (AGS) Beers Criteria comprises medications older adults should either avoid or use cautiously. It aims to guide healthcare providers in safe prescription practices for those aged 65 and above.  Join us for an insightful discussion with Dr. Michael Steinman, a board member and expert in geriatric medicine, who was essential in updating these guidelines. We'll delve into areas of the Beers Criteria that commonly raise questions regarding patient care and medications contained in this list. Dr. Michael Steinman:  linkedin.com/in/mike-steinman-50ba117 Dr. Scott Stewart:  linkedin.com/in/scott-stewart-34973870   Dr. Tamara Ruggles:  linkedin.com/in/tamara-ruggles-491882251 US Deprescribing Research Network:  https://deprescribingresearch.org/ 2023 AGS Beers Criteria: https://sbgg.org.br/wp-content/uploads/2023/05/1-American-Geriatrics-Society-2023.pdf

Euroanaesthesia is recognised worldwide as one of the most important and influential annual congresses in anaesthesiology and intensive care. This year, TopMedTalk is there in Munich, Germany, bringing you exclusive coverage. This conversation focuses upon perioperative neurocognitive disorders and the significance of biomarkers in predicting and managing these conditions. The paper mentioned, “Examining Subjective Psychological Experiences of Postoperative Delirium in Older Cardiac Surgery Patients” is here: https://pubmed.ncbi.nlm.nih.gov/36201368/ Audre Curtis's experiences on YouTube are interesting: https://www.youtube.com/watch?v=CHA2Hzg5Kkk And the American Geriatrics Society is here: https://www.americangeriatrics.org/ Presented by Desiree Chappell and Kate Leslie with their guests David Scott, Professor and Director of Anaesthesia and Acute Pain Medicine at St Vincent's Hospital Melbourne and University of Melbourne and Lis Evered, Associate Professor of Neuroscience in Anaesthesiology at Weill Cornell Medicine, Scientific Head of Research in the Department of Anaesthesia and Acute Pain Medicine at St. Vincent's Hospital in Melbourne, Australia, Associate professor at the University of Melbourne.

In this episode, we discuss principles for medication use in the geriatric patient population and summarize the updated 2023 American Geriatrics Society Beers Criteria for Potentially Inappropriate Medication Use in Older Adults. Key Concepts The Beer's Criteria was originally developed by Dr. Mark Beers in 1991 to identify medications in which the risks may outweigh the benefits in nursing home patients. This list is now maintained by the American Geriatrics Society and includes a variety of drug safety information related to elderly patients including medications that are considered potentially inappropriate (Table 2 and 3), medications used with caution (Table 4), drug-drug interactions (Table 5), drugs with renal dose adjustments (Table 6), and drugs with anticholinergic properties (Table 7). The newest update prefers apixaban over other DOACs for VTE and atrial fibrillation in elderly patients. This is a very controversial recommendation given that other guidelines (e.g. from the ACC/AHA) have not published a similar preference of one DOAC over another. Many of the medications that are potentially inappropriate involve drugs that have anticholinergic properties and drugs that increase the risk of incoordination and falls. Other resources exist to guide drug therapy decisions in elderly patients. As an example, the STOPP/START criteria (published in the European Geriatric Medicine journal) outlines drugs to avoid but also drugs to consider in elderly patients. References By the 2023 American Geriatrics Society Beers Criteria Update Expert Panel. American Geriatrics Society 2023 Updated AGS Beers Criteria for potentially inappropriate medication use in older adults. J AM Geriatr Soc. 2023;71(7):2052-2081. doi:10.1111/jgs.18372. O'Mahony D, Cherubini A, Guiteras AR, Denkinger M, Beuscart JB, Onder G, Gudmundsson A, Cruz-Jentoft AJ, Knol W, Bahat G, van der Velde N, Petrovic M, Curtin D. STOPP/START criteria for potentially inappropriate prescribing in older people: version 3. Eur Geriatr Med. 2023 Aug;14(4):625-632. doi: 10.1007/s41999-023-00777-y.

Combating Ageism: A Candid ConversationIn this episode of "Sixtysomething" we delve into the topic of Ageism, the discrimination against individuals based on their age, highlighting its prevalence in both personal and professional spheres.Your host, Grace Taylor Segal, shares personal experiences and frustrations with ageism, leading to a detailed discussion on its definition, global impact, and specific challenges faced by older adults, including in employment, healthcare, and media representation.The episode also explores cultural respect for elders around the world, strategies for individuals to cope with and combat ageism, and inspirational stories of individuals achieving significant milestones later in life.Grace encourages open communication, setting boundaries, and being a role model to challenge ageist stereotypes and build a supportive community for seniors.Most important, this episode outlines coping strategies and methods of dealing with ageism in day to day life.* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *Hey Friends! It's me, Grace! I just want to thank you for listening. I hope you'll let me know what you think about the podcast and if any particular episodes resonate with you. Listed just below here is my contact information and all of the social channels where you can find me, as well as the link to our Facebook Group. Some of these are in the infant stages, so please keep that in mind if you don't see too much activity in these early days. We'll get there SOON, I promise.Contact InfoGrace Taylor SegalEmail: grace@gracetaylorsegal.comFacebook: 60something Page (https://www.facebook.com/profile.php?id=61553062496332)Instagram: @60somethingpodFacebook Group: 60Something Podhttps://www.facebook.com/groups/1665326354000332(I'll be expanding this list soon, so please check back to find me on Pinterest & TikTok.)LinksAgeism - Advocacy Groups for SeniorsAARP https://www.aarp.org/Alliance for Retired Americans https://retiredamericans.org/American Geriatrics Society https://www.americangeriatrics.org/American Society on Aging https://www.asaging.org/Leadership Council of Aging Organizations https://www.lcao.org/National Association of Area Agencies on Aging https://www.usaging.org/Books about AgeismAgeism...

Do you know that expression about skipping leg day at the gym? That's not just sage advice for your body!Last week on the show, Dr. Ayesha Sherzai discussed the role of nutrition in fostering brain health. This episode of The Wonder Women Podcast features part two of that conversation where she touches on how resistance training exercise, stress, and sleep impact the brain.So tune in to learn about the cognitive benefits of working out your legs, recognizing your stress triggers, and regulating your stress levels. Dr. Sherzai will also teach you about the link between sleep changes and menopause and why you need to continue challenging your mind.00:46 - Why lower body strength training leads to greater cognitive health5:25 - Why unwinding is the centerpiece of brain health and the importance of differentiating between good and bad stress7:35 - How to figure out your stress triggers and auto-regulate yourself out of it13:01 - How sleep helps your brain and memory consolidation and why your sleep changes as you go through menopause15:55 - How to optimize your cognitive activity and its physical effect on the brainConnect with Dr. Ayesha SherzaiThe Brain Docs | Instagram | YouTubeThe Neuro AcademyThe NEURO Plan Playbook by Drs. Dean and Ayesha SherzaiThe Brain Health Revolution PodcastMentioned In How Exercise, Stress, and Sleep Impact Your Cognitive Health with Dr. Ayesha SherzaiMavros, Yorgi, et al. "Mediation of cognitive function improvements by strength gains after resistance training in older adults with mild cognitive impairment: outcomes of the study of mental and resistance training." Journal of the American Geriatrics Society 65.3 (2017): 550-559.“Social media, mental health, and reliable nutrition information (with Kimberly Wilson, PhD) | The Brain Health Revolution PodcastMichelle MacDonald on InstagramThe Wonder Women Official on InstagramLearn more about transforming your life and being part of The Wonder Women familyLeave a rating and review

It's Friday, March 22nd, A.D. 2024. This is The Worldview in 5 Minutes heard at www.TheWorldview.com. I'm Adam McManus. (Adam@TheWorldview.com) Christian family in India beaten over refusal to deny Christ A Christian couple in central India haven't seen their two young children for more than a month after an attack by followers of a traditional tribal religion drove them from their village for refusing to recant their faith, reports The Christian Post. Aayatu Podiyami, 35, was assaulted twice in Sukma District for refusing to deny Christ. The animist village head asked, “What have you decided? Will you renounce your Christian faith or leave the village?” Podiyami replied, “Where will I go? This is my home. I have been believing in Jesus for four years, and I want to continue believing in Him.” He managed to escape into the jungle on both occasions, but his father, Mangu Podiyami, “is not young and swift” and was unable to outrun the second assault. He explained, “The mob stopped beating him after he passed out, and his assailants thought he was dead.” He and his wife and father have not returned home since taking refuge at a secure place on February 12. The couple has two daughters, ages 7 and 4. He said, “I cannot go back home to see my children. Our assailants are on the watch, eyeing our house, waiting for me to return. God is our only hope. Please pray for us. I can see no way forward.” Pope Francis condemns those who didn't take COVID jab Speaking as part of his newly released memoirs, Pope Francis has issued fresh condemnation of critics of the abortion-tainted COVID jabs, saying that opposition to the shots “distressed” him since “being against the antidote is an almost suicidal act of denial,” reports LifeSiteNews.com. Cuba on ‘verge of collapse' from Marxist policies Protests have continued this week in Cuba over one of the island's worst ever economic and energy crises as food shortages and blackouts push the country toward the "verge of collapse," reports Fox News. Florida Republican Senator Marco Rubio  tweeted, "There is no U.S. food embargo on Cuba. Last year Cuba imported over $300 million in food & commodities from the U.S. The reason Cuba is on the verge of collapse is because Marxism always leads to hunger, poverty, and shortages." Christian teacher fired for refusing to affirm 8-year-old's “gender transition” A teacher in the United Kingdom who was fired for not affirming the gender transition of an 8-year-old is fighting back in court, reports Christian Headlines. The controversy began in 2021 when Hannah, an elementary school teacher, was told that an 8-year-old was joining her class and that the child must be addressed by a new name and pronouns and be allowed to use restrooms and changing rooms of the opposite biological sex. Hannah told administrators she would not affirm the child's new identity because doing so would harm not only the child but the other children in the class. She noted that many trans-identifying children later de-transition. In addition, affirming the child's transgender identity would violate her conscience and her Christian faith. Loneliness in seniors: Worse than alcoholism, obesity, and smoking  Loneliness may be the worst thing for the health of older adults, reports StudyFinds.org. Researchers from the Regenstrief Institute and the Indiana University School of Medicine found that loneliness, which has emerged as a major biopsychosocial stressor, is worse for older people than alcoholism, obesity, and smoking up to 15 cigarettes a day. This study, published in the Journal of the American Geriatrics Society, suggests that primary care clinicians could be at the forefront of addressing this silent epidemic. Apparently, 53% of older adults visiting primary care facilities report feeling lonely. These feelings significantly impact their physical and mental health, reducing their overall quality of life. In Psalm 25:15-18, David writes, “My eyes are ever toward the LORD, for he will pluck my feet out of the net. Turn to me and be gracious to me,  for I am lonely and afflicted.  The troubles of my heart are enlarged; bring me out of my distresses. Consider my affliction and my trouble, and forgive all my sin.” The remarkable man in the iron lung And finally, a man who set the Guinness World Record for living the longest time in an iron lung spoke about the love of God his family showed him, reports The Christian Post. For more than 70 years, Paul Alexander, who died on March 11th at the age of 78, had been confined to a large cylindrical mechanical ventilator that used air pressure to help him breathe since polio paralyzed his chest muscles in 1952 at age 6, three years before the rollout of the polio vaccine. He learned how to write and paint with his mouth using a long plastic stick and spent years learning how to spend limited time outside the iron lung through a special technique of gulping down air, notes The Guardian. When he was 8, his therapist promised him a puppy if he could learn how to use the technique to remain outside the iron lung for three minutes, which influenced the title of his 2020 self-published autobiography, entitled Three Minutes for a Dog: My Life in an Iron Lung. The book took him eight years to type out or dictate. He eventually was able to spend portions of the day outside the iron lung with the help of a modified wheelchair that kept his body upright. With the aid of a tutor, Alexander graduated second in his class at Samuell Alexander High School in 1967 at the age of 21. After two years of fighting assertions from admissions officials that he was too crippled to attend, he also went to college, first at Southern Methodist University in Dallas and then at the University of Texas at Austin, where he received his bachelor's degree in 1978 and a law degree in 1984. After passing the bar exam in 1986, he specialized in family law and bankruptcy as an attorney in Dallas and Fort Worth. During a remarkable videotaped interview with his friend Christopher Ulster in 2022, Alexander detailed the horrific experience of becoming paralyzed at such a young age, but noted how deeply his parents loved him amid his suffering, which he said reminded him of God's love. As he laid in the iron lung, he could look to his right and admired his late parents, whose portraits he kept next to him. He said, "I had a whole life lived with them, and it was amazing.” Alexander also explained the importance of finding purpose regardless of one's limitations. Listen to this audio clip from the 22-minute video interview. ALEXANDER: "You know I get up in the morning and I say, ‘What can I do today to accomplish something?' I look at people and I just want to say, 'Why are you here? What is the purpose? There's a purpose in your life. What do you do to make things better?' Because that's the way I think.” Proverbs 19:21 says, “Many are the plans in a person's heart, but it is the LORD's purpose that prevails.” Close And that's The Worldview in 5 Minutes on this Friday, March 22nd in the year of our Lord 2024. Subscribe by iTunes or email to our unique Christian newscast at www.TheWorldview.com. Or get the Generations app through Google Play or The App Store. I'm Adam McManus (Adam@TheWorldview.com). Seize the day for Jesus Christ.

Dr. Timothy Chen, family medicine expert, is the Medical Director at BlueHealth Baptist in Madison, Mississippi. He received his Bachelor of Science degree in Biological Engineering from Mississippi State University and later attended the University of Mississippi School of Medicine in Jackson. For his residency training, he attended the Carolinas Medical Center in Charlotte, North Carolina. Dr. Chen is proudly affiliated with the American Medical Association and the American Academy of Family Physicians. He also earned a Board Certification from the University of Arizona in Integrative Medicine. Dr. Chen's research interests include health and wellness, evidence-based medicine and population health and policy. He's taken his expertise online with his YouTube channel named “Common Sense Medicine,” in effort to make complex medical knowledge more understandable to everyone. He is married with five kids. Lee Greer, M.D., serves as Corporate Medical Director for Blue Cross & Blue Shield of Mississippi, A Mutual Insurance Company. Dr. Greer holds an undergraduate degree in Civil Engineering from Mississippi State University, a medical degree from the University of Mississippi Medical Center and a Master of Business Administration degree from Yale University. He is certified with the American Board of Family Medicine with a Certificate of Added Qualification – Geriatric Medicine. In his role as Corporate Medical Director, Dr. Greer acts as a liaison between Blue Cross & Blue Shield of Mississippi and the Provider community and supports the development and monitoring of the Company's Quality Management programs to include quality of care best practices. He also provides physician expertise in Company corporate and strategic initiatives and assignments. Dr. Greer serves on the Board of Directors for the Alzheimer's Association – Mississippi Chapter, the Juvenile Diabetes Research Foundation and the Mississippi Colorectal Roundtable. He has previously served as the Chairman of the Board of Directors for Information and Quality Healthcare and the Chairman of the Physician Leadership Committee for the Mississippi Hospital Association. Dr. Greer is a Member of the American Academy of Family Physicians, the Mississippi State Medical Association and the American Geriatrics Society. Dr. Greer is married to Reena Greer. They have one daughter.Link to claim CME credit: https://www.surveymonkey.com/r/3DXCFW3CME credit is available for up to 3 years after the stated release dateContact CEOD@bmhcc.org if you have any questions about claiming credit.

Be especially cautious with anticholinergics if you are concerned about your memory, diagnosed with mild cognitive impairment or dementia, or want to reduce the risk of Alzheimer's.  —Melissa Batchelor, PhD, RN, FNP, FGSA, FAAN   Anticholinergics are medications that block acetylcholine, a crucial neurotransmitter in the body. This blocking leads to lower brain function and can cause drowsiness. While some people take these drugs for their sedative effects, these drugs can be problematic for someone who has a vulnerable brain – meaning a person already experiencing memory problems.   Research links anticholinergic drugs to an increased risk of Alzheimer's disease and hospitalizations in older adults. The American Geriatrics Society warns against these drugs, listing them on the Beers List updated in May of 2023 of medications older adults should avoid or use cautiously. Common Anticholinergic Medications to Avoid   Anticholinergics are present in allergy medicines, muscle relaxants, painkillers, and many over-the-counter (OTC) medications.   Here are seven types of anticholinergic medications that older adults should be cautious about: Sedating antihistamines: e.g., diphenhydramine (Benadryl) is a prime example as a medication that is available over-the-counter but has strong anticholinergic activity. Non-sedating antihistamines, such as loratadine (brand name Claritin) are less anticholinergic and are safer for the brain.   PM versions of OTC pain medications: Most OTC pain medications, such as acetaminophen and ibuprofen (brand names Tylenol and Motrin, respectively) come in a “PM” or night-time formulation, which means a mild sedative — usually an antihistamine — has been mixed in. The same is true for night-time cold and cough medications such as Nyquil.   Medications for overactive bladder: These include bladder relaxants such as oxybutynin and tolterodine (brand names Ditropan and Detrol, respectively).   Medications for vertigo or motion sickness: Meclizine (brand name Antivert) is often prescribed to treat benign positional vertigo. It's also used to treat motion sickness.   Medications for itching: These include the strong antihistamines hydroxyzine (brand name Vistaril) and diphenhydramine (brand name Benadryl), which are often prescribed for itching or hives.   Medications for nerve pain: An older class of antidepressant known as “tricyclics” isn't used for depression that much any longer, but these drugs are occasionally still used to treat pain from neuropathy. Commonly-used tricyclics include amitriptyline and nortriptyline.   Muscle relaxants: These include drugs such as cyclobenzaprine (brand name Flexeril) and they are often prescribed for back or neck pain. Also Paxil (paroxetine) is an SSRI-type anti-depression/anxiety drug that is anticholinergic which is why this drug is almost never prescribed for older adults by a provider with expertise in geriatrics. However, other SSRIs, including Lexapro (Escitalopram), Celexa (Citalopram), and Zoloft (Sertraline) are not anticholinergic, which is why SSRIs aren't on the list above. Find out if you are on an anticholinergic medication by consulting a list or using an "anticholinergic burden scale" calculator.  If you discover that you or a relative is taking such medications, consult a doctor or pharmacist to discuss potential adjustments, safer alternatives, or non-drug treatments.   Read more about the BEERS LIST here: 

Dr. Mark Oldham, Associate Professor of Psychiatry at University of Rochester Medical Center, President-Elect of the American Delirium Society, and Deputy Editor of the Journal of the Academy of Consultation-Liaison Psychiatry, takes us through a deep dive on delirium. This episode covers an enormous amount of material. Contrast  encephalopathy and delirium before diving into the dangerousness of delirium and prevention strategies. Explore the neurobiology of delirium and tie it to validated assessment tools and treatment approaches. We also discuss areas for future research, and learn to appreciate the evolutionary function that delirium serves.This episode also deserves some references! (3:38) Lipowski ZJ. Delirium: Acute Brain Failure in Man. Springfield, IL: Charles C Thomas, 1980.  (7:55) Slooter AJC, Otte WM, Devlin JW, et al. Updated nomenclature of delirium and acute encephalopathy: statement of ten Societies. Intensive Care Med. 2020;46(5):1020-1022.  (21:46)  Marcantonio ER, Ngo LH, O'Connor M, et al. 3D-CAM: derivation and validation of a 3-minute diagnostic interview for CAM-defined delirium: a cross-sectional diagnostic test study [published correction appears in Ann Intern Med. 2014 Nov 18;161(10):764]. Ann Intern Med. 2014;161(8):554-561.   (29:50) Kunicki ZJ, Ngo LH, Marcantonio ER, et al. Six-Year Cognitive Trajectory in Older Adults Following Major Surgery and Delirium. JAMA Intern Med. 2023;183(5):442-450.   (41:40) Mews MR, Tauch D, Erdur H, Quante A. Comparing consultation-liaison psychiatrist's and neurologist's approaches to delirium - A retrospective analysis. Int J Psychiatry Med. 2016;51(3):284-301. = (1:08:08) Girard TD, Exline MC, Carson SS, et al. Haloperidol and Ziprasidone for Treatment of Delirium in Critical Illness. N Engl J Med. 2018;379(26):2506-2516.   (1:09:33) Hui D, Frisbee-Hume S, Wilson A, et al. Effect of Lorazepam With Haloperidol vs Haloperidol Alone on Agitated Delirium in Patients With Advanced Cancer Receiving Palliative Care: A Randomized Clinical Trial. JAMA. 2017;318(11):1047-1056.   (1:31:36) By the 2023 American Geriatrics Society Beers Criteria® Update Expert Panel. American Geriatrics Society 2023 updated AGS Beers Criteria® for potentially inappropriate medication use in older adults. J Am Geriatr Soc. 2023;71(7):2052-2081.  (1:33:54) Burton JK, Craig LE, Yong SQ, et al. Non-pharmacological interventions for preventing delirium in hospitalised non-ICU patients. Cochrane Database Syst Rev. 2021;7(7):CD013307. Published 2021 Jul 19.   (1:35:41) Skrobik Y, Duprey MS, Hill NS, Devlin JW. Low-Dose Nocturnal Dexmedetomidine Prevents ICU Delirium. A Randomized, Placebo-controlled Trial. Am J Respir Crit Care Med. 2018;197(9):1147-1156.   (1:36:00) Subramaniam B, Shankar P, Shaefi S, et al. Effect of Intravenous Acetaminophen vs Placebo Combined With Propofol or Dexmedetomidine on Postoperative Delirium Among Older Patients Following Cardiac Surgery: The DEXACET Randomized Clinical Trial [published correction appears in JAMA. 2019 Jul 16;322(3):276]. JAMA. 2019;321(7):686-696. 

In May 2023, the U.S. Surgeon General, Dr. Vivek Murthy, released an advisory calling attention to the public health crisis of loneliness and social isolation in the U.S. With this widespread issue affecting such a broad population, how does social isolation impact older adults? Dr. Alison Huang joins the podcast to share insights from her study on the relationship between social isolation and the risk of dementia in older adults. Using data from a nine-year National Health and Aging Trends Study (NHATS), she discusses how factors like living alone, limited social networks and reduced activity participation contribute to increased dementia risk. Guest: Alison Huang, PhD, MPH, senior research associate, Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health Show Notes Learn more about the U.S. Surgeon General's 2023 advisory, Our Epidemic of Loneliness and Isolation, on the U.S. Department of Health and Human Services (HHS) website. Read Dr. Huang's study, “Social isolation and 9-year dementia risk in community-dwelling Medicare beneficiaries in the United States,” on the Journal of the American Geriatrics Society website. Learn more about the National Health and Aging Trends Study (NHATS) on their website. Learn more about Dr. Alison Huang on Johns Hopkins Cochlear Center for Hearing and Public Health's website. Learn more about Alzheimer's disease prevention on our website. Connect with us Find transcripts and more at our website. Email Dementia Matters: dementiamatters@medicine.wisc.edu Follow us on Facebook and Twitter. Subscribe to the Wisconsin Alzheimer's Disease Research Center's e-newsletter.

Credits: 0.25 AMA PRA Category 1 Credit™   CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-355 Overview: Discover how primary care providers can actively combat dementia risk in aging patients. In this episode, expert faculty explore recent studies revealing the benefits of dementia prevention and evidence-based activities for reducing risks. Learn how to provide encouragement and social activity prescriptions during visits, and gain essential knowledge to preserve cognitive function, ultimately improving patient care and quality of life. Episode resource links: Cho, G., Betensky, R. A., & Chang, V. W. (2023). Internet usage and the prospective risk of dementia: A population-based cohort study. Journal of the American Geriatrics Society, 71(8), 2419–2429. https://doi.org/10.1111/jgs.18394 Raichlen DA, Aslan DH, Sayre MK, et al. (2023). Sedentary Behavior and Incident Dementia Among Older Adults. JAMA. 330(10):934–940. https://doi:10.1001/jama.2023.15231 Su, S., Shi, L., Zheng, Y., Sun, Y., Huang, X., Zhang, A., Que, J., Sun, X., Shi, J., Bao, Y., Deng, J., & Lu, L. (2022). Leisure Activities and the Risk of Dementia: A Systematic Review and Meta-Analysis. Neurology, 99(15), e1651–e1663. Advance online publication. https://doi.org/10.1212/WNL.0000000000200929 Guest: Jill M. Terrien PhD, ANP-BC    Music Credit: Richard Onorato

Credits: 0.25 AMA PRA Category 1 Credit™   CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-355 Overview: Discover how primary care providers can actively combat dementia risk in aging patients. In this episode, expert faculty explore recent studies revealing the benefits of dementia prevention and evidence-based activities for reducing risks. Learn how to provide encouragement and social activity prescriptions during visits, and gain essential knowledge to preserve cognitive function, ultimately improving patient care and quality of life. Episode resource links: Cho, G., Betensky, R. A., & Chang, V. W. (2023). Internet usage and the prospective risk of dementia: A population-based cohort study. Journal of the American Geriatrics Society, 71(8), 2419–2429. https://doi.org/10.1111/jgs.18394 Raichlen DA, Aslan DH, Sayre MK, et al. (2023). Sedentary Behavior and Incident Dementia Among Older Adults. JAMA. 330(10):934–940. https://doi:10.1001/jama.2023.15231 Su, S., Shi, L., Zheng, Y., Sun, Y., Huang, X., Zhang, A., Que, J., Sun, X., Shi, J., Bao, Y., Deng, J., & Lu, L. (2022). Leisure Activities and the Risk of Dementia: A Systematic Review and Meta-Analysis. Neurology, 99(15), e1651–e1663. Advance online publication. https://doi.org/10.1212/WNL.0000000000200929 Guest: Jill M. Terrien PhD, ANP-BC    Music Credit: Richard Onorato

Schwere Mangelerscheinungen, erhöhtes Krebsrisiko und Depressionen: die Folge eines Vitamin D Mangels? Ob du im Winter Vitamin D supplementieren solltest und was es hier unbedingt zu beachten gibt, erfährst du in dieser Podcast Folge! Hier geht es zur Ernährungsberater Lizenz der KAF Akademie: https://kaf-akademie.de/produkt/ernaehrungsberater-lizenz/ Hier geht es zu Tim's neuem Buch "Dein Weg zum Personal Trainer": https://wegzumpersonaltrainer.de/ (Du übernimmst nur die Versand- und Logistikpauschale) Quellen: Ginde, A. A., Blatchford, P. J., Breese, K., Zarrabi, L., Linnebur, S. A., Wallace, J. I. & Schwartz, R. S. (2016). High-Dose monthly vitamin D for prevention of acute respiratory infection in older Long-Term Care residents: a randomized clinical trial. Journal of the American Geriatrics Society, 65(3), 496–503. https://doi.org/10.1111/jgs.14679 Garland, C. F., Gorham, E. D., Mohr, S. B., Grant, W. B., Giovannucci, E., Lipkin, M., Newmark, H. L., Holick, M. F. & Garland, F. C. (2007). Vitamin D and Prevention of breast Cancer: pooled analysis. The Journal of Steroid Biochemistry and Molecular Biology, 103(3–5), 708–711. https://doi.org/10.1016/j.jsbmb.2006.12.007 Harris, S. S., Pittas, A. G. & Palermo, N. J. (2012). A randomized, placebo‐controlled trial of vitamin D supplementation to improve glycaemia in overweight and obese African Americans. Diabetes, Obesity and Metabolism, 14(9), 789–794. https://doi.org/10.1111/j.1463-1326.2012.01605.x The effect of vitamin D3 on insulin secretion and peripheral insulin sensitivity in Type 2 diabetic patients. (2003). PubMed. https://pubmed.ncbi.nlm.nih.gov/12800453/ Dobnig, H. (2008). Independent association of low serum 25-Hydroxyvitamin D and 1,25-Dihydroxyvitamin D levels with All-Cause and cardiovascular mortality. Archives of internal medicine, 168(12), 1340. https://doi.org/10.1001/archinte.168.12.1340 Biesalski, H. K., Grimm, P. & Nowitzki-Grimm, S. (2020). Taschenatlas Ernährung (8., vollständig überarbeitete Aufl.). Thieme. Rittenau, N. (2020). Vegan Klischee Ade! Wissenschaftliche Antworten auf kritische Fragen zu pflanzlicher Ernährung. Becker Joest Volk Verlag. Deutsche Gesellschaft für Ernährung, Österreichische Gesellschaft für Ernährung & Schweizerische Gesellschaft für Ernährung (Hrsg.). (2021). Referenzwerte für die Nährstoffzufuhr (2. Auflage, 7. aktualisierte Ausgabe). DGE.

Coaching is in.  During the later stages of the pandemic, it seemed every other person, and particularly the junior faculty in our Division, were either being coached, in training to coach, or coaching others.  When I was a junior faculty, coaching wasn't a thing.  Sure, Atul Gawande wrote about coaching in surgery - having someone observe you and coach you on your technical skills- but that's a far cry from the coaching programs focused on empowerment that are exploding around the country today. Today we learn more about coaching from 3 coaches: Greg Pawlson, coach and former president of the American Geriatrics Society, Vicky Tang, geriatrician-researcher at UCSF and coach, and Beth Griffiths, primary care internist at UCSF and coach.  We address: What is coaching? How does it differ from therapy? How does it differ from mentoring What is typically covered in coaching sessions?  What is the evidence (see many links below, sent by Beth) What are the standards for becoming a coach? Who is coaching for? My take: coaching has tremendous potential.  There seems to be a gender story here as well - coaching may be of particular benefit to women who are at higher risk for burnout.  Note, for example, the hot off the press JAMA Network Open trial which demonstrated modest benefits across a range of outcomes was conducted exclusively in female resident physicians.  Kemi Doll, a physician-researcher and coach, has a terrific podcast I highly recommend everyone listen to, though it is targeted at women of color in academic medicine.  On the other hand, there is a concerning side, described in this Guardian article titled, I'm a life coach, you're a life coach: rise of an unregulated industry.  See also the long list of disclosures in the JAMA Network Open study.  Our guests note, rightly, that the same profit motive and concerns are true about colleges.  Still, I remain concerned when I see that the Life Coach School costs $21K; when the founder of the Life Coach School's goal is to grow a $100 million/year business; and when my spidey sense tells me there's something cultish about the empowerment industry.  So, I see the potential of coaching, particularly for groups that face challenges in academic medicine; and I worry about the injection of profit-motives and the goals of industry leaders pushing the meteoric rise of the life coach industry. -@AlexSmithMD 1.  Hot off the presses RCT in JAMA October 2023: Study that looks at 1000 female resident physicians at 26 sites that showed that coaching improved each outcome assessed (burnout, moral injury, imposter syndrome, self-compassion, and flourishing).  https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2810135 2. An RCT for female residents published in JAMA May 2022: This was the initial pilot single institution study by the same team as above. Their findings concluded that it was feasible to implement an online coaching program for female residents and that coaching improved emotional exhaustion, imposter syndrome and self-compassion. https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2791968?fbclid=IwAR0taY5CGpUa5eyfleNIl7RfXLT7qVt0GakKPGlT9ESIPLn0yCKWG9obrZo 3. A March 2022 study of Stanford offering coaching as a benefit to their physicians and finding improved self-compassion and burnout. https://www.mayoclinicproceedings.org/article/S0025-6196(22)00038-6/fulltext 4. The initial RCT published on physician coaching in JAMA in 2019 showing that coaching improves quality of life. This is the first RCT that was available for coaching in physicians.  https://jamanetwork.com/journals/jamainternalmedicine/fullarticle/2740206  5. A 2020 RCT of coaching for primary care physicians shows that coaching improves burnout well-being during the intervention and has a sustained duration at 6 months of follow up.  From Beth Israel and UNC.  https://pubmed.ncbi.nlm.nih.gov/32297776/ 6. The Business Case for Investing in Physician Wellness, again in JAMA. This paper includes coaching as a sign of a more mature physician wellness program and states it has a positive return on investment. https://jamanetwork.com/journals/jamainternalmedicine/article-abstract/2653912    

Dr. Joe Verghese graduated from St. Johns Medical College, Bangalore, India in 1989. He did his postgraduate training in Internal Medicine and Neurology in United Kingdom. He completed his Neurology residency at the Albert Einstein College of Medicine, Bronx, NY in 1998. He did his fellowship training in Neurophysiology as well as Aging & Dementia in 1999 at the same institution. He received a Master of Science degree in Clinical Research Methods with Distinction in 2001. Dr Verghese is board-Certified in Neurology. Dr. Verghese is Professor of Neurology and Medicine, Murray D. Gross Memorial Faculty Scholar in Gerontology, and Director, Resnick Gerontology Center at Einstein. He is the Chief of the Division of Cognitive and Motor Aging (Neurology), and former Chief of Geriatrics (Medicine 2012-2023).Dr. Verghese is a recipient of the Beeson award from the National institute on Aging as well as national awards from the American Geriatrics Society and the Gerontological Society of America. His research interest is the effects of disease and aging on mobility and cognition in older adults. He has over 300 peer-reviewed publications, and several current and past federally funded grants in this area. His current projects include non-pharmacological interventions to prevent dementia, the role of divided attention tasks such as walking while talking in predicting outcomes such as disability and cognitive decline, pre-dementia syndromes (Motoric Cognitive Risk syndrome), and global health studies.In this episode, we dive deep into the evidence between lifestyle and dementia.In this episode we discuss:Different types of dementia.Differentiating dementia from other types of cognitive impairment.Early predictors of dementia.The impact of movement on the brain.Motoric Cognitive Risk Syndrome.The future landscape of dementia care.The podcast episodes drop weekly on Mondays in seasonal chunks. Subscribe to stay up to date, and tune in when you can! Be sure to rate, review, and follow on your favorite podcast app and let me know what other brain & body things you'd like to hear about.For more information about me, check out my website, www.natashamehtamd.com.Follow me on Instagram, Twitter, or Tik Tok @drnatashamehta.This episode is not sponsored.

Un estudio a largo plazo con un grupo de adultos mayores publicado en el Journal of the American Geriatrics Society mostró que las personas que usan el internet de manera regular reducían casi a la mitad el riesgo de padecer demencia, en comparación con personas de la misma edad que no usaban la web. Esta diferencia se mantuvo incluso después de hacer comparaciones con nivel educativo, etnicidad, sexo o signos de deterioro cognitivo al inicio del estudio.Para esta y más noticias, escucha el podcast de Noticias de Tecnología ExpressDisponible en Spotifyhttps://open.spotify.com/show/2BHTUlynDLqEE2UhdIYfMaen Apple Podcastshttps://podcasts.apple.com/us/podcast/noticias-de-tecnolog%C3%ADa-express/id1553334024

In this episode In this illuminating episode, we dive deep into the world of proton pump inhibitors (PPIs), commonly prescribed medications for heartburn and acid reflux. While these drugs have brought relief to millions worldwide, recent studies have begun to uncover potential links between PPI use and an increased risk of dementia. We explore the mechanisms that might underlie this association, the clinical implications for patients, and the broader question of how seemingly unrelated conditions might be connected at a molecular level. Whether you're a healthcare professional, a patient on PPIs, or simply someone curious about the intricate web of human health, this episode promises to offer fresh insights into a hotly debated area of medicine. References: Main papers disucssed in this episode: - Northuis, Carin, et al. "Cumulative Use of Proton Pump Inhibitors and Risk of Dementia: The Atherosclerosis Risk in Communities Study." Neurology (2023). https://n.neurology.org/content/early/2023/08/09/WNL.0000000000207747?utm_source=twitter&utm_medium=organic - Gomm, Willy, et al. "Association of proton pump inhibitors with risk of dementia: a pharmacoepidemiological claims data analysis." JAMA neurology 73.4 (2016): 410-416. https://jamanetwork.com/journals/jamaneurology/article-abstract/2487379 - Li, Min, et al. "Proton pump inhibitor use and risk of dementia: systematic review and meta-analysis." Medicine 98.7 (2019). - Ortiz-Guerrero, Gloria, et al. "Proton pump inhibitors and dementia: physiopathological mechanisms and clinical consequences." Neural plasticity 2018 (2018). - Wijarnpreecha, Karn, et al. "Proton pump inhibitors and risk of dementia." Annals of translational medicine 4.12 (2016). - Haenisch, Britta, et al. "Risk of dementia in elderly patients with the use of proton pump inhibitors." European archives of psychiatry and clinical neuroscience 265 (2015): 419-428. - Batchelor, Riley, et al. "Dementia, cognitive impairment and proton pump inhibitor therapy: a systematic review." Journal of gastroenterology and hepatology 32.8 (2017): 1426-1435. - Gray, Shelly L., et al. "Proton pump inhibitor use and dementia risk: Prospective population‐based study." Journal of the American Geriatrics Society 66.2 (2018): 247-253. - Ahn, Nayeon, et al. "Do proton pump inhibitors increase the risk of dementia? A systematic review, meta‐analysis and bias analysis." British Journal of Clinical Pharmacology 89.2 (2023): 602-616. Follow us: Join the NEURO Academy: NEUROacademy.com Follow us on social media: Instagram: The Brain Docs @thebraindocs Facebook: The Brain Docs TikTok: @thebraindocs Website: TheBrainDocs.com  

Falls are one of the costliest mishaps affecting older adults, and there is evidence suggesting a link between age-related hearing loss and falling. Dr. Laura Campos, a clinical audiologist at the University of Colorado, recently joined Brian Taylor to discuss her study's focus on hearing aid usage and the potential for reduced fall risk in older adults. The research revealed that individuals with hearing loss face a 2.4 times higher risk of experiencing falls compared to their normal-hearing counterparts. Dr. Campos and her team investigated whether hearing aid use could mitigate this risk. The study findings demonstrated that individuals who consistently wore hearing aids, particularly for at least four hours a day, exhibited a significantly lower likelihood of experiencing falls. While the study couldn't establish causality, it underscored a strong association between consistent hearing aid usage and reduced fall risk. Dr. Campos emphasized that incorporating discussions about the potential link between hearing loss, cognitive decline, and falls into clinical practice could offer valuable insights for clinicians. She also highlighted the need for further research to uncover the underlying mechanisms driving these associations and the potential for using objective outcome measures to track the impact of hearing aid usage on fall risk over time. Reference: Campos, L., Prochazka, A., Anderson, M., Kaizer, A., Foster, C., & Hullar, T. (2023). Consistent hearing aid use is associated with lower fall prevalence and risk in older adults with hearing loss. Journal of the American Geriatrics Society, 10.1111/jgs.18461. Advance online publication. https://doi.org/10.1111/jgs.18461 Link: https://pubmed.ncbi.nlm.nih.gov/37314100/ Be sure to subscribe to our channel for the latest episodes each week and follow This Week in Hearing on LinkedIn and Twitter. - https://twitter.com/WeekinHearing - https://www.linkedin.com/company/this-week-in-hearing - https://hearinghealthmatters.org/thisweek/

About half of cancer survivors report difficulty with ADLs and a third difficulty with iADLs.But, unfortunately, only around 1 in 10 older adults with cancer who have a known functional limitation receive a referral to OT or PT. Even less make it to an eval.And, even less than that, complete their full course of rehab. Why are we failing to support such a large percentage of this population?  And, what is the best way to support them when they do make it to us for occupational therapy?Honestly, the results from this randomized control trial we are exploring in this 1-hour episode were not what we hoped to see. The OT/PT provided did not improve functional deficits or maintain functional status for these patients. And, instead of giving a glimpse of how to improve the barriers to receiving OT care, it only seems to drive home the obstacles. Luckily, this is not the full story. After we break down the article, we will be joined by the article's lead author, Mackenzi Pergolotti, PhD, MS, OTR/L about how this paper changed the course of her career. It spurred her to research further into service delivery models that do open the doors to more patients—and points to the improved outcomes we hope for. In order to earn credit for this course, you must take the test within the OT Potential Club.You can find more details on this course here:https://otpotential.com/ceu-podcast-courses/cancer-rehab-otHere's the primary research we are discussing:Pergolotti, M., Deal, A. M., Williams, G. R., Bryant, A. L., McCarthy, L., Nyrop, K. A., Covington, K. R., Reeve, B. B., Basch, E., &; Muss, H. B. (2019). Older adults with cancer: A randomized controlled trial of occupational and physical therapy. Journal of the American Geriatrics Society, 67(5), 953–960.Support the show

Strategies to DePrescribe in the Geriatric Population   Evaluation and Credit:  https://www.surveymonkey.com/r/MedChat50   Target Audience             This activity is targeted toward primary care and geriatric healthcare providers and advanced providers.   Statement of Need  When patients are being treated by multiple providers and/or by a variety of physicians, The caregivers may not be aware of the complete prescription listing a patient has been prescribed. This is especially true if the patient sees providers in multiple healthcare systems, in that a centralized list may not be available in the electronic medical record. These circumstances may lead to potentially inappropriate prescribing (over-, mis- or underprescribing). Additionally, physicians/providers may not routinely do a medication review with patients that are at risk of polypharmacy.   Objectives  At the conclusion of this offering, the participant will be able to:  1.     Define polypharmacy; highlighting the prevalence. 2.     List the factors that contribute to polypharmacy.  3.     Describe the risk factors of polypharmacy.  4.     Review effective strategies for deprescribing of medications. 5.     Discuss key considerations for prescribing new medications.   Moderator Monalisa Tailor, M.D. Internal Medicine Norton Community Medical Associates Norton Healthcare Louisville, Kentucky   Speakers Steve Patton, D.O. Family Practitioner Norton Community Medical Associates - Preston Norton Healthcare Louisville, Kentucky   Amanda Thurman, PharmD Norton Audubon Hospital Norton Healthcare Louisville, Kentucky    Moderator, Speaker and Planner Disclosures   The planners and moderator of this activity do not have any relevant relationships to disclose. The speaker, Amanda Thurman, PharmD, has a relevant relationship with Novo Nordisk – Diabetes as a Speaker. This relationship has been successfully mitigated.   Commercial Support   There was no commercial support for this activity.    Physician Credits Accreditation  Norton Healthcare is accredited by the Kentucky Medical Association to provide continuing medical education for physicians.   Designation  Norton Healthcare designates this enduring material for a maximum of 1.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.   Nursing Credits Norton Healthcare Institute for Education and Development is approved with distinction as a provider of nursing continuing professional development by the American Nurses Credentialing Center's Commission on Accreditation (ANCC). This continuing professional development activity has been approved for 1.0 contact hours. In order for nursing participants to obtain credits, they must claim attendance by attesting to the number of hours in attendance.    For more information related to nursing credits, contact Sally Sturgeon, DNP, RN, SANE-A, AFN-BC at (502) 446-5889 or sally.sturgeon@nortonhealthcare.org.   Resources for Additional Study: STOPP/START criteria for potentially inappropriate medications/potential prescribing omissions in older people: origin and progress Denis O'Mahony (2020) STOPP/START criteria for potentially inappropriate medications/potential prescribing omissions in older people: origin and progress, Expert Review of Clinical Pharmacology, 13:1, 15-22, DOI: 10.1080/17512433.2020.1697676 https://www.tandfonline.com/doi/full/10.1080/17512433.2020.1697676   American Geriatrics Society 2019 Updated AGS Beers Criteria® for Potentially Inappropriate Medication Use in Older Adults https://pubmed.ncbi.nlm.nih.gov/30693946/     Norton Healthcare, a not for profit health care system, is a leader in serving adult and pediatric patients throughout Greater Louisville, Southern Indiana, the commonwealth of Kentucky and beyond. Five Louisville hospitals provide inpatient and outpatient general care as well as specialty care including heart, neuroscience, cancer, orthopedic, women's and pediatric services. A strong research program provides access to clinical trials in a multitude of areas. More information about Norton Healthcare is available at NortonHealthcare.com.     Date of Original Release |March 2023; Information is current as of the time of recording.  Course Termination Date | March 2025 Contact Information | Center for Continuing Medical, Provider and Nursing Education; (502) 446-5955 or cme@nortonhealthcare.org  

Dr. Michael Wasserman's unique combination of professional experience makes him one of the most incisive voices in the long-term care reform space: As both a trained geriatrician and the former leader of California's largest nursing home chain, Wasserman can speak to both the medical and financial problems baked into the eldercare system. He joins Penny Cook to share his vision for a person-centered care revolution in geriatrics, passionately arguing that a one-size-fits-all approach to health care – and particularly eldercare – has done more harm than good. As Wasserman puts it, if you've seen one 90-year-old woman, you've seen one 90-year-old woman; each elder has their own set of health challenges, goals, and support systems, and geriatricians must understand each person before they can provide truly high-quality care. Read the American Geriatrics Society's definition of person-centered care: https://agsjournals.onlinelibrary.wiley.com/doi/pdf/10.1111/jgs.13866 Learn more about the Center for Innovation: https://thegreenhouseproject.org/pioneer-alliance/

Dr. Mehrdad Ayati has identified eight critical challenges that currently face the aging population. Join Us at the Club for a discussion on healthy aging and Dr. Ayati's proposed solutions to these critical challenges. Topics will include global aging trends and demographics, over medications, inappropriate use of vitamins and supplements to stay young, promoting healthy aging rather than just a diagnostic system, and lack of training in health care. Plus, what are the lessons that we have learned from the pandemic? How will it affect the future of our aging population? Dr Ayati is well-known nationally and internationally in the field of geriatric medicine, as a physician, speaker, author, and an educator. As the medical advisor to the U.S. Senate Special Committee on Aging, he raises awareness and provides advice on aging and challenges faced by the aging population in the United States. Dr. Ayati is the editor-in-chief of the Journal of General Medicine, Open Access, and co-author of Paths to Healthy Aging. He is currently a member of the Ethnogeriatric and Quality & Policy Performance Committees of the American Geriatrics Society. He also serves as a community health advisor for Alzheimer's Association, Northern California, and Nevada Chapter. Learn more about your ad choices. Visit megaphone.fm/adchoices

This week we feature a recent study by Katherine Ornstein and colleagues that was published in the Journal of the American Geriatrics Society. Dr. Ornstein studies family caregiving and the home-based clinical care. The study used Medicare claims linked to the National Health and Aging Trends Study to estimate the degree to which people living with dementia use health services from home. We'll discuss what exactly home-based health services are (and how they are typically categorized) and discuss the role these services are expected to play for people living with dementia. The transcript for this episode can be found here. Dr. Ornstein Faculty Profile: https://nursing.jhu.edu/faculty_research/faculty/faculty-directory/katherine-ornstein Article Referenced in Podcast: Ornstein KA, Ankuda CK, Leff B, et al. Medicare-funded home-based clinical care for community-dwelling persons with dementia: An essential healthcare delivery mechanism. J Am Geriatr Soc. 2022;70(4):1127-1135. doi:10.1111/jgs.17621 CAPRA Website: http://capra.med.umich.edu/ You can subscribe to Minding Memory on Apple Podcasts, Spotify, Google Podcasts or wherever you listen to podcasts. Hosted on Acast. See acast.com/privacy for more information.

Credits: 0.25 AMA PRA Category 1 Credit™   CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-299 Overview: Polypharmacy is a burden on patients with dementia. Adverse drug reactions, side effects, the cost, and inappropriate medications that may lead to falls and morbidity/mortality may be conferring more harm than benefit. Unfortunately, 44% of men and 57% of women >65 years take five or more nonprescription and/or prescription medications per day. Join us as we discuss methods for deprescribing polypharmacy in this patient population.  Episode resource links: Growdon, M. E., Gan, S., Yaffe, K., & Steinman, M. A. (2021). Polypharmacy among older adults with dementia compared with those without dementia in the United States. Journal of the American Geriatrics Society, 69(9), 2464–2475. PMID: 34101822 https://doi.org/10.1111/jgs.17291 Narayan, S. W., & Nishtala, P. S. (2017). Discontinuation of Preventive Medicines in Older People with Limited Life Expectancy: A Systematic Review. Drugs & aging, 34(10), 767–776. PMID: 28853000  https://doi.org/10.1007/s40266-017-0487-1 Guest: Jill M. Terrien PhD, ANP-BC    Music Credit: Richard Onorato  

Credits: 0.25 AMA PRA Category 1 Credit™   CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-299 Overview: Polypharmacy is a burden on patients with dementia. Adverse drug reactions, side effects, the cost, and inappropriate medications that may lead to falls and morbidity/mortality may be conferring more harm than benefit. Unfortunately, 44% of men and 57% of women >65 years take five or more nonprescription and/or prescription medications per day. Join us as we discuss methods for deprescribing polypharmacy in this patient population.  Episode resource links: Growdon, M. E., Gan, S., Yaffe, K., & Steinman, M. A. (2021). Polypharmacy among older adults with dementia compared with those without dementia in the United States. Journal of the American Geriatrics Society, 69(9), 2464–2475. PMID: 34101822 https://doi.org/10.1111/jgs.17291 Narayan, S. W., & Nishtala, P. S. (2017). Discontinuation of Preventive Medicines in Older People with Limited Life Expectancy: A Systematic Review. Drugs & aging, 34(10), 767–776. PMID: 28853000  https://doi.org/10.1007/s40266-017-0487-1 Guest: Jill M. Terrien PhD, ANP-BC    Music Credit: Richard Onorato  

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Videos : Found on Youtube 1. BlackRock: The Most Evil Business In The World 2. This company owns the world (and it's our fault) – BlackRock   Canadian Study Gives More Evidence Cancer Is A Lifestyle Disease Largely Caused By Food Cancer Control Alberta, Alberta Health Services and University of Calgary, July 22, 2022 Shockingly, worldwide cancer rates are predicted to rise to 1-in-2 women and 1-in-3 men will be diagnosed with some form of cancer. It is so common already, in fact, that it getting cancer is more common than getting married or having a first baby. In reality, one can significantly reduce the likelihood of getting cancer by making lifestyle changes. According to a recently published study out of Canada, the total proportion of cancer rates which can be attributed to lifestyle and environmental factors is quite high, nearing 41%. Regarding the methods used in the study: We estimated summary population attributable risk estimates for 24 risk factors (smoking [both passive and active], overweight and obesity, inadequate physical activity, diet [inadequate fruit and vegetable consumption, inadequate fibre intake, excess red and processed meat consumption, salt consumption, inadequate calcium and vitamin D intake], alcohol, hormones [oral contraceptives and hormone therapy], infections [Epstein-Barr virus, hepatitis B and C viruses, human papillomavirus, Helicobacter pylori], air pollution, natural and artificial ultraviolet radiation, radon and water disinfection by-products) by combining population attributable risk estimates for each of the 24 factors that had been previously estimated.  The list above essentially outlines the wide range of personal choices we know can increase the risk of cancer, mainly pointing out that food causes cancer. Along with exercise, and common avoidable environmental factors, cancer is somewhat preventable. Overall, we estimated that 40.8% of incident cancer cases were attributable to exposure to the 24 factors included in the analysis (Table 2). Tobacco smoking was responsible for the greatest cancer burden, accounting for an estimated 15.7% of all incident cancer cases (2485 cases), followed by physical inactivity and excess body weight, which were responsible for an estimated 7.2% and 4.3% of incident cancer cases, respectively. All other exposures of interest were estimated to be responsible for less than 4.0% of incident cancer cases each. Brain imaging reveals how mindfulness program boosts pain regulation University of Wisconsin-Madison, July 28, 2022 Research at the University of Wisconsin–Madison's Center for Healthy Minds has isolated the changes in pain-related brain activity that follow mindfulness training—pointing a way toward more targeted and precise pain treatment. The study, published in The American Journal of Psychiatry, identified pathways in the brain specific to pain regulation on which activity is altered by the center's eight-week Mindfulness Based Stress Reduction course. These changes were not seen in participants who took a similar course without the mindfulness instruction—important new evidence that the brain changes are due to the mindfulness training itself, according to Joseph Wielgosz. The study is the first to demonstrate pain-related brain changes from a standardized mindfulness course that is widely offered in clinical settings. Around one-third of Americans experience pain-related problems, but common treatments—like medications and invasive procedures—don't work for everyone and, according to Wielgosz, have contributed to an epidemic of addiction to prescription and illicit drugs. Popular with patients and promising in its clinical outcomes, mindfulness training courses like MBSR have taken a central place in the drive for a more effective approach to pain management. By practicing nonjudgmental, “present-centered” awareness of mind and body, participants can learn to respond to pain with less distress and more psychological flexibility—which can ultimately lead to reductions in pain itself. The study also looked at longer-term mindfulness training. Intriguingly, practice on intensive meditation retreats was associated with changes in the neural signature for influences that shape pain indirectly—for example, differences in attention, beliefs and expectations, factors that often increase the perceived levels of distress in non-meditators. These findings help show the potential for mindfulness practice as a lifestyle behavior. Optimistic Women More Likely to Live Past 90 Harvard University, July 23, 2022 Turns out that focusing on the good things really is the recipe for a longer life. A new study from Harvard University, published in the Journal of the American Geriatrics Society, found that higher levels of optimism were positively associated with longer lifespan, with the most optimistic women even living past 90 years old across a variety of racial and ethnic groups. This study included over 150,000 postmenopausal women across a variety of diverse socio-economic and ethnic groups in the United States. These women, aged 50-79, enrolled in the study and were followed for a period of up to 26 years. The results of this study found that the 25% of subjects who were the most optimistic were more likely to have a 5.4% longer lifespan, and a 10% greater likelihood of living beyond 90 years of age compared to the 25% who were the least optimistic. The authors noted that while social structure factors can affect optimism, there is still reason to look on the bright side of life, regardless of these factors, finding that being optimistic is scientifically significant for longer lifespan and overall longevity. According to Hayami Koga, a PhD candidate in the Department of Social and Behavioral Sciences at Harvard T.H. Chan School of Public Health, this new research concluded that “There's value to focusing on positive psychological factors, like optimism, as possible new ways of promoting longevity and healthy aging across diverse groups.” The research from Harvard noted that women who were the most optimistic were 10% more likely to celebrate their 90th birthday than the least optimistic. Based on total demographics, however, the highest vs. lowest optimism quartile in the Women's Health Initiative study is broken down as follows: Overall – Associated with 5.4% longer lifespan White women – 5.1% longer lifespan Black women – 7.6% longer lifespan Hispanic/Latina women – 5.4% longer lifespan Asian women – 1.5% longer lifespan This data shows that Black women have the highest longevity rates (at 7.6%) compared to other demographics specifically when optimism is brought into play. Maintaining a positive outlook and optimism are undeniably large parts of the equation when it comes to living a long life, but there are other factors and lifestyle choices that come into play to ensure not only healthy lifespan, but healthy quality of life. These factors include: A healthy diet —It has always been important to maintain a healthy diet to benefit overall health. While the Mediterranean diet, which emphasizes fruits and vegetables along with healthy fats and whole grains, is known for its health benefits, the Japanese diet is also a great option, with adherence to this diet being associated with a longer lifespan.  Maintaining a healthy weight—Keeping the number on the scale in a healthy range with a combo of diet and exercise is a large aspect of staying healthy. Nutrients—Targeted nutrients can also help support your longevity efforts. These nutrients include: Nicotinamide riboside: A precursor of NAD+, and a form of vitamin B3 that can fight general fatigue, support cellular energy production, and even contribute to anti-aging. Resveratrol: Skip the wine! Resveratrol has potent anti-aging properties, including fighting free radicals and mimicking calorie restricting diets that are key to longevity. Curcumin: The golden spice is knowing for its anti-inflammatory benefits, and with that, its ability to benefit whole-body health. Working to keep your joints and your brain healthy, it's a no brainer that this extract will keep you as young as you feel. Managing stress—Keeping stress at bay is crucial to living a long and healthy life. There's even evidence that managing stress can “un-gray” your hair! And who wouldn't feel optimistic about that? Is Vitamin E Good for PCOS? Nanjing University of Chinese Medicine, July 25, 2022 Can women with polycystic ovary syndrome (PCOS) get pregnant? The answer is: yes…but it can be more challenging than for women without this hormone imbalance condition. For reproductive-age women, the hallmark of PCOS is high androgen levels (the “male” hormone), which can lead to irregular periods and difficulty getting pregnant. But, as daycares full of babies conceived with a little “help” can attest, there are options. A new study published in BMC Women's Health suggests that vitamin E may be helpful for women with PCOS undergoing ovulation induction. According to the study, women with polycystic ovary syndrome undergoing ovulation induction who received vitamin E had lower levels of oxidative stress and required lower doses of human menopausal gonadotropin. In addition to potentially supporting fertility, vitamin E has many other health benefits for women with PCOS: it also helps maintain healthy levels of insulin, triglycerides and LDL. In addition to the BMC Women's Health publication, placebo-controlled studies have shown the benefits of vitamin E for women with PCOS, especially regarding their reproduction and fertility. In the retrospective study from BMC Women's Health, 321 women with PCOS underwent ovulation induction. 105 received 100 mg/d of vitamin E during the follicular phase 106 received 100 mg/d of vitamin E during the luteal phase 110 did not receive vitamin E The results? Those who took vitamin E showed improved resistance to oxidative damage, healthy endometrium thickness, and decreased hMG dosage for healthy ovulation. Total darkness at night is key to success of breast cancer therapy — Tulane study Tulane University, July 25, 2022 Exposure to light at night, which shuts off nighttime production of the hormone melatonin, renders breast cancer completely resistant to tamoxifen, a widely used breast cancer drug, says a new study by Tulane University School of Medicine cancer researchers. The study, “Circadian and Melatonin Disruption by Exposure to Light at Night Drives Intrinsic Resistance to Tamoxifen Therapy in Breast Cancer,” published in the journal Cancer Research, is the first to show that melatonin is vital to the success of tamoxifen in treating breast cancer. “In the first phase of the study, we kept animals in a daily light/dark cycle of 12 hours of light followed by 12 hours of total darkness (melatonin is elevated during the dark phase) for several weeks,” says Hill. “In the second study, we exposed them to the same daily light/dark cycle; however, during the 12 hour dark phase, animals were exposed to extremely dim light at night (melatonin levels are suppressed), roughly equivalent to faint light coming under a door.” Melatonin by itself delayed the formation of tumors and significantly slowed their growth but tamoxifen caused a dramatic regression of tumors in animals with either high nighttime levels of melatonin during complete darkness or those receiving melatonin supplementation during dim light at night exposure. These findings have potentially enormous implications for women being treated with tamoxifen and also regularly exposed to light at night due to sleep problems, working night shifts or exposed to light from computer and TV screens. “High melatonin levels at night put breast cancer cells to ‘sleep' by turning off key growth mechanisms. These cells are vulnerable to tamoxifen. But when the lights are on and melatonin is suppressed, breast cancer cells ‘wake up' and ignore tamoxifen,” Blask says. A Cup of Cranberries a Day Keeps Dementia Away University of East Anglia (UK), July 26, 2022 While aging is inevitable, cognitive decline doesn't have to be. A recent study from the University of East Anglia found some “berry” good news about a way to help support and maintain brain function: cranberry intervention. According to the study, having the equivalent of one cup of fresh cranberries a day can improve memory, neuronal functioning, and vascular health, enhancing blood flow to the brain. And as a sweet bonus, researchers found the red fruit also helps lower LDL (low-density lipoprotein) cholesterol levels, which can build up in the arteries and result in a higher risk for cardiovascular disease and Alzheimer's. “Cranberries are rich in these micronutrients [flavonoids, anthocyanins and proanthocyanidins] and have been recognized for their antioxidant and anti-inflammatory properties,” the authors said. The researchers from the University of East Anglia performed a placebo-controlled study of parallel groups of healthy 50 to 80-year-olds adults to assess the effects of freeze-dried cranberry powder on cognition, brain function and biomarkers for brain cell signaling. The results revealed that taking cranberry extract for 12 weeks improved memory of everyday events (visual episodic memory) and enhanced blood circulation to certain parts of the brain (regional brain perfusion) compared to the placebo group. Better blood flow means essential nutrients such as oxygen and glucose reach areas of the brain associated with memory consolidation and retrieval.

Summary A lot of us are taking care of older people in our lives or with people with serious illnesses or ongoing health problems, these tips are so helpful so one build confidence. Show Links Check out Health In Aging. HealthinAging.org is a trusted source for up-to-date information and advice on health and aging, created by the American Geriatrics Society's Health in Aging Foundation. Follow the Series Using the tag, Larissa Caregiver Tips, to find all episodes in the series! Subscribe You can subscribe to Larissa's Caregiver Tips podcast on Apple Podcasts, Google Podcasts, Spotify, and wherever you get your audio. If you enjoyed this episode make sure to listen to others here. Join the Conversation! Make sure to join the conversation on your favorite social channel using #coach_larissat. If you enjoyed this episode then make sure to listen to others! Want to advertise/sponsor our show Please email start@lorickroad.com  Disclaimer The views, thoughts, and opinions expressed in this podcast belong solely to the host and guest speakers and are not necessarily representative of the views, thoughts, and opinions held by Lorick Road Road Creative (LRC). TAGS Larissa Caregiver Tips Series

Videos: 1. Jonathan Pie: ‘Boris Johnson Is a Liar' | NYT Opinion (7:42) 2.  Dr Gabor Maté Leaves the Audience SPEECHLESS | One of the Best Speeches Ever (10:36) Zinc found to play an important role in lung fibrosis Cedars-Sinai Medical Center, June 8, 2022 Investigators from the Women's Guild Lung Institute at Cedars-Sinai have discovered that zinc, a common mineral, may reverse lung damage and improve survival for patients with a deadly age-related condition known as idiopathic pulmonary fibrosis (IPF).”This study has the potential to be a game changer,” said Paul Noble, MD, chair of the Department of Medicine. “We identified a root cause of IPF-related lung damage and a potential therapeutic target that might restore the lungs' ability to heal themselves.” Idiopathic pulmonary fibrosis, or IPF, affects 100,000 people in the U.S. and has no known cause. The condition, which leads to scarring of the lungs, called fibrosis, and progressive breathing difficulty, has no cure, and most patients die or require a lung transplant within three to five years of diagnosis. The incidence of IPF rises dramatically with age and affects men more often than women. (NEXT) Do optimists live longer? Harvard School of Public Health, June 8, 2022 In a study published in the Journal of the American Geriatrics Society that included a racially diverse group of 159,255 women, higher levels of optimism were associated with longer lifespans and a greater likelihood of living past 90 years of age. Investigators found that the link between optimism and longevity was evident across racial and ethnic groups, and that lifestyle factors accounted for nearly one-quarter of the optimism-lifespan association.  (NEXT) Sweet cherry anthocyanins support liver health… for rats at least Zhei-Jang University (China), June 1, 2022 Anthocyanins from sweet cherries may protect against diet-induced liver steatosis, or excessive amounts of fat in the liver's tissue, says a new study with rats.  The study, published in the journal Nutrition, built upon the abundant existing literature on the beneficial role anthocyanins have as an antioxidative, anti-inflammatory, and anti-hyperlipidemic component. Specifically, the cyanidin-3-glucoside variant “[has] been reported to ameliorate hepatic steatosis and adipose inflammation,” the researchers wrote. The condition known as liver steatosis is a common non-alcoholic fatty liver disease usually treated with drugs, but according to the researchers, some drug used for treatment “are usually accompanied by some adverse effect.” For 15 weeks, the researchers investigated the effects of sweet cherry anthocyanin supplementation have on alleviating high-fat diet-induced liver steatosis in rodents to explore the possibility of a none-drug treatment for the liver condition. According to the researchers, the results demonstrated how sweet cherry anthocyanins may be developed into a supplement to “protect from high-fat diet-induced hepatic steatosis in mice,”leading to a suggested potential for the anthocyanin's application in the “treatment of hepatic steatosis and other obesity related metabolic disorders.” (NEXT) Bad dreams could be early warning of Parkinson's disease University of Birmingham, June 8, 2022 Older adults who start to experience bad dreams or nightmares could be exhibiting the earliest signs of Parkinson's disease, say researchers at the University of Birmingham. A new study, published in eClinicalMedicine, showed that in a cohort of older men, individuals experiencing frequent bad dreams were twice as likely to be later diagnosed with Parkinson's as those who did not.Previous studies have shown that people with Parkinson's disease experience nightmares and bad dreams more frequently than adults in the general population, but using nightmares as a risk indicator for Parkinson's has not previously been considered.”While we need to carry out further research in this area, identifying the significance of bad dreams and nightmares could indicate that individuals who experience changes to their dreams in older age—without any obvious trigger—should seek medical advice.” The team used data from a large cohort study from the U.S., which contained data over a period of 12 years from 3818 older men living independently.  Participants reporting bad dreams at least once per week were then followed up at the end of the study to see whether they were more likely to be diagnosed with Parkinson's disease. (NEXT) Beetroot boosts sporting performance in athletes University of South Australia, June 8, 2022 Evaluating the performance effects of foods that are thought to have a beneficial effect on aerobic performance, researchers found that beetroot, grapes, sour cherries, and pine bark extract, which contribute to nitric oxide availability in the body, boost endurance exercise performance. Assessing data from 118 studies involving 1,872 participants from 25 different countries, the meta-analysis evaluated the effect of consuming nitrate-rich foods (typically green leafy vegetables), foods that contain polyphenols (such as berries, cherries and cocoa), and L-Citrulline (found in watermelon) on exercise endurance performance. The study, published in the Journal of the International Society of Sports Nutrition, found that the nitrate levels contained in beetroot, which have been shown to boost blood flow and increase the delivery of nutrients and oxygen to muscles during exercise, helped athletes perform better more quickly.

Staff Resiliency in Long Term CareDr. Natalie Manley, assistant professor in the Division of Geriatrics, Gerontology and Palliative Medicine at the University of Nebraska Medical Center, joins NETEC's Dr. Vanessa Raabe to discuss the impact of the COVID-19 pandemic on staff resiliency in long-term care settings. What challenges have long-term care staff and facilities faced during the pandemic? What new challenges have come about since the pandemic began? How is staff burnout affecting long-term care organizations? What can long-term care institutions do to help bolster resiliency on both an institutional and personal level? Join us for these topics and more on this episode of Transmission Interrupted. Questions or comments for NETEC? Contact us at info@netec.org.Visit us on the web at netec.org/podcast.GuestsNatalie Manley, MD, MPH, CMD, HMDCBDr. Manley is board-certified in both internal and geriatric medicine and holds certifications for medical direction in long-term and hospice care. She received her medical and masters of philosophy degrees in public health from the University of Nebraska Medical Center. Dr. Manley completed her residency training and geriatric fellowship at the University of Utah in Salt Lake City. She completed an advanced geriatric fellowship at the VA Medical Center in Salt Lake City. Dr. Manley is a member of the American Medical Directors Association, American Geriatrics Society and American Academy of Hospice and Palliative Medicine. She has done hospice work since 2017 and loves being able to work to help people find joy and peace during all the days of their life.HostVanessa N. Raabe, MDAdult and Pediatric Infectious Disease PhysicianNYU Grossman School of MedicineResourcesAHRQ Evidenced Based Team Training: https://www.ahrq.gov/teamstepps/longtermcare/index.htmlAHRQ TeamSTEPPS: https://www.ahrq.gov/teamstepps/index.htmlAMDA Statement Responding to President Biden's Nursing Home Reform Proposals https://paltc.org/sites/default/files/AMDA%20Response%20to%20SOTU%20Final.pdfAMDA Healing Together Resources: https://paltc.org/?q=HealingTogetherHealth in Aging General Nursing Home Information: https://www.healthinaging.org/age-friendly-healthcare-you/care-settings/nursing-homesIthaca College Stress First Aid Toolkit for Long-Term Care Staff: https://wwwcdn.ithaca.edu/file-download/download/public/30440Nebraska ICAP: https://icap.nebraskamed.com/ Pioneer Network: https://www.pioneernetwork.net/about-us/mission-vision-values/Society for Certified Nursing Assistants: https://www.nahcacna.org/NETEC COVID-19 Novel Coronavirus Resources: https://repository.netecweb.org/exhibits/show/ncov/ncovNETEC COVID-19 Webinar Series Playlist:

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More Health Policy this week! Today, we discuss “SNPs” but this is not a podcast about haircuts during the pandemic. We take a deeper dive into the world of Medicare Advantage and what it means for vulnerable patients facing serious illness and those at the end of life.  We are joined by UCSF geriatrics fellow Alex Kazberouk to talk to Dr. Claire Ankuda (Assistant Professor at Icahn School of Medicine at Mount Sinai and Palliative Care Physician) and Dr. Cheryl Phillips (President and CEO of the Special Needs Plan Alliance and past president of the American Geriatrics Society).  We discuss:  Special Needs Plans (SNPs) for older adults – what they are and what they mean for our patients What happens when a Medicare Advantage patient enrolls in hospice and how that may change with the new “Hospice Carve-In” This is part two of a two part series on Medicare Advantage and healthcare financing. On our prior episode, we heard Dr. Don Berwick's and Dr. Rick Gilfillan's critique of Medicare Advantage plans. This week, we bring up a rebuttal to their critique and also talk about quality data and reporting for Medicare Advantage patients.  Alex plays The Purchaser's Option by Rihannon Giddens (she has so many terrific songs!). Astute online viewers will also spot an appearance of the Team Canada Tokyo 2021 Olympic Jacket and Cheryl's dog. 

In the 9th episode of Season 2 of the Demystifying Diversity Podcast follows host Daralyse Lyons as she dives deeper into Ageism as it is interwoven into the fabric of American society. Daralyse is joined by gerontologists, activists, and researchers for an in-depth examination of the implications that ageism has on both our personal lives and how we operate within society at large. None of us are immune to ageism, especially older and younger individuals. While the previous episode focused on the abuses caused by ageism, this episode offers tangible suggestions for overcoming ageism in ourselves and in others. In this episode, you will learn about: How markers such as a person's age can be reframed through inclusive language. The importance of recognizing and understanding someone's entire lived experience, and appreciating the myriad ways our accumulated experiences shape each of us as individuals. The societal forces that are needed in order to make our society more age-inclusive. The direct links between how a person perceives their own age, and its impact on their overall health and well-being. Ageism's role in furthering capitalism and whiteness, and how if unchecked, it can promote other -isms as well. Our guests in this episode include: Ryan Backer - Ryan is the co-creator of OldSchool, an anti-ageism clearinghouse. He is an age activist striving to undo ageism within an intersectional framework. They aim to eradicate ageism, along with white supremacy, gender bias, ableism, body shaming, homophobia, classism and all other forms of oppression. Lena Makaroun - Lena is an ex-officio board member with the American Geriatrics Society, a nationwide, not-for-profit society of geriatrics healthcare professionals dedicated to improving the health, independence, and quality of life of older people, is a Geriatrician and Research Fellow who also sees patients at the VA Center for Health Equity Research and Promotion in Pittsburgh. She studies the intersection between health policy and health equity, with a particular interest in assessing the social determinants of aging on health and in reducing and preventing elder abuse. Trish D'Antonio - Trish is the Vice President of Policy and Professional Affairs for the Gerontological Society of America, an organization that is dedicated to supporting individuals in living meaningful lives as they age, something which requires a multidisciplinary and intersectional approach. Mia Mullen & Kiersten Jacobs - Two members of LeadingAge's executive team, Mia is LeadingAge's Associate Director of Strategic Initiatives and Kiersten is Senior Director of Shared Learning Initiatives. Together, they work to address the effectiveness of internal and external initiatives and to advance LeadingAge's ageism work, with a strategic focus on diversity, equity, and inclusion. Theresa Reid - Having spent much of her working life in the nonprofit sector, Theresa has spent time to establish and then run the American Professional Society on the Abuse of Children, The Chicago Children's Advocacy Center, ArtsEngine and Living Arts and the Alliance for the Arts in Research Universities. She has chaired her county's chapter of Moms Demand Action for Gun Sense in America. And she is the innovator behind Aging For Life. Theresa sees the connections between social neglect and insufficient resources early in life and the ways these failures haunt us throughout the life course. Kyrié Carpenter - One of the co-founders of OldSchool, Kyrie has worked to shift the tragedy-only narrative of ageism and dementia through her work on the ChangingAging tour. Prior to ChangingAging, she worked with elders living in long-term care and she wrote her thesis on the Anti-Aging Myth in America. Lise Jamison - Lise is a licensed clinical social worker and Executive Director of At Home In Greenwich, a nonprofit membership organization that supports older folks in remaining at home as long as they choose to do so and that provides everything from community engagement to structures of support for individuals as they age. Talia Kaplan - a student, a gymnast, a daughter, a sister, and a huge proponent of intergenerational relationships. Click here for a full transcript of this episode.

The 8th episode of Season 2 of the Demystifying Diversity Podcast follows host Daralyse Lyons as she explores the implications of Ageism and the abuse that is interwoven into the fabric of American society. She is joined by gerontologists, activists, and researchers for an in-depth examination of the implications that ageism has on both our personal lives and how we operate within society at large. None of us are immune to ageism, especially older and younger individuals. In this episode, you will learn about: Ageism's far reaching implications, and how every person is simultaneously the victim of, and a perpetrator of ageist views, actions, etc. How ageism, being something that no one is immune to, creates inherent intersectionality in our identities for all of us. The importance of factoring an individual's entire life experiences into their identity, and not just their age. The critical role of autonomy in an individual's life experience and humanity. The insidious nature of ageism, and that abuse is typically perpetrated by those we know, rather than by strangers. Our guests in this episode include: Ryan Backer - Ryan is the co-creator of OldSchool, an anti-ageism clearinghouse. He is an age activist striving to undo ageism within an intersectional framework. They aim to eradicate ageism, along with white supremacy, gender bias, ableism, body shaming, homophobia, classism and all other forms of oppression. Lena Makaroun - Lena is an ex-officio board member with the American Geriatrics Society, a nationwide, not-for-profit society of geriatrics healthcare professionals dedicated to improving the health, independence, and quality of life of older people, is a Geriatrician and Research Fellow who also sees patients at the VA Center for Health Equity Research and Promotion in Pittsburgh. She studies the intersection between health policy and health equity, with a particular interest in assessing the social determinants of aging on health and in reducing and preventing elder abuse. Trish D'Antonio - Trish is the Vice President of Policy and Professional Affairs for the Gerontological Society of America, an organization that is dedicated to supporting individuals in living meaningful lives as they age, something which requires a multidisciplinary and intersectional approach. Mia Mullen & Kirsten Jacobs - Two members of LeadingAge's executive team, Mia is LeadingAge's Associate Director of Strategic Initiatives and Kirsten is Senior Director of Shared Learning Initiatives. Together, they work to address the effectiveness of internal and external initiatives and to advance LeadingAge's ageism work, with a strategic focus on diversity, equity, and inclusion. Theresa Reid - Having spent much of her working life in the nonprofit sector, Theresa has spent time to establish and then run the American Professional Society on the Abuse of Children, The Chicago Children's Advocacy Center, ArtsEngine and Living Arts and the Alliance for the Arts in Research Universities. She has chaired her county's chapter of Moms Demand Action for Gun Sense in America. And she is the innovator behind Aging For Life. Theresa sees the connections between social neglect and insufficient resources early in life and the ways these failures haunt us throughout the life course. Kyrié Carpenter - One of the co-founders of OldSchool, Kyrié has worked to shift the tragedy-only narrative of ageism and dementia through her work on the ChangingAging tour. Prior to ChangingAging, she worked with elders living in long-term care and she wrote her thesis on the Anti-Aging Myth in America. Lise Jamison - Lise is a licensed clinical social worker and Executive Director of At Home In Greenwich, a nonprofit membership organization that supports older folks in remaining at home as long as they choose to do so and that provides everything from community engagement to structures of support for individuals as they age. Talia Kaplan - a student, a gymnast, a daughter, a sister, and a huge proponent of intergenerational relationships. Rob Lawless - Writer who over the course of the last six years has been on a mission to make 10,000 friends through hour-long individual conversations with people with a myriad of experiences and perspectives. Emily Anderson - Emily is a marketing director and lifestyle expert turned human-centered designer and coding teacher for Girls Who Code. Click here for a full transcript of this episode.

Episode Timeline A lot of us are taking care of older people in our lives or with people with serious illnesses or ongoing health problems, these tips are so helpful so one build confidence. Show Links Check out Health In Aging. HealthinAging.org is a trusted source for up-to-date information and advice on health and aging, created by the American Geriatrics Society's Health in Aging Foundation. Follow Larissa on social media @coach_larissat Follow the Series Using the tag, Larissa Caregiver Tips, to find all episodes in the series! Subscribe You can subscribe to Larissa's Caregiver Tips podcast on Apple Podcasts, Google Podcasts, Spotify, and wherever you get your audio. If you enjoyed this episode make sure to listen to others here. Join the Conversation! Make sure to join the conversation on your favorite social channel using #coach_larissat. If you enjoyed this episode then make sure to listen to others! Want to advertise/sponsor our show Please email start@lorickroad.com  Disclaimer The views, thoughts, and opinions expressed in this podcast belong solely to the host and guest speakers and are not necessarily representative of the views, thoughts, and opinions held by Lorick Road Road Creative (LRC). TAGS Larissa Caregiver Tips Series

Health Check Ep 64: Understanding the loneliness crisis 16:29 mins Synopsis: Every first and third Wednesday of the month, The Straits Times helps you make sense of health matters that affect you. Loneliness is toxic. It is associated with mental health issues such as depression, anxiety, low self-esteem, sleep issues and stress. It can also shorten your life. New research from the Duke-NUS Medical school in Singapore and Nihon University in Tokyo, Japan has found that lonely older adults can expect to live a shorter life than their peers who don't perceive themselves as lonely. Their health would also be affected. The study was published in the Journal of the American Geriatrics Society on July 7.  In this episode, ST senior health correspondent Joyce Teo asks Assistant Professor Rahul Malhotra, lead author of the study and the head of research at the Centre for Ageing Research and Education at Duke-NUS, to tell us more about loneliness.  They discuss the following points: What is loneliness? (1:10) The extent of loneliness among the elderly here (2:50) How to tell if someone is lonely? (12:48) What can be done to help older people who are lonely? (14:15) Produced by: Joyce Teo (joyceteo@sph.com.sg), Ernest Luis & Hadyu Rahim Edited by: Hadyu Rahim & Penelope Lee Subscribe to Health Check Podcast channel, hear the latest episodes every first and third Wednesday of the month and rate us on your favourite audio apps: Channel: https://str.sg/JWaN Apple Podcasts: https://str.sg/JWRX Spotify: https://str.sg/JWaQ Google Podcasts: https://str.sg/J6Wv  Website: http://str.sg/stpodcasts Feedback to: podcast@sph.com.sg Read Joyce Teo's stories: https://str.sg/JbxN --- Discover more ST podcast series: Green Pulse Podcast: https://str.sg/JWaf Health Check Podcast: https://str.sg/JWaN ST Sports Talk Podcast: https://str.sg/JWRE Life Weekend Picks Podcast: https://str.sg/JWa2 #PopVultures Podcast: https://str.sg/JWad Bookmark This! Podcast: https://str.sg/JWas Lunch With Sumiko Podcast: https://str.sg/J6hQ Discover BT Podcasts: https://bt.sg/pcPL Follow our shows then, if you like short, practical podcasts! See omnystudio.com/listener for privacy information.

Today, up to 60% of elderly persons develop delirium during hospitalization for an injury or unintentional fall. Dr. Franco Garcia, geriatric medicine specialist at Massachusetts General Hospital discusses data presented during the 2021 American Geriatrics Society's Annual Meeting, that shows nutrition may be a modifiable risk factor for hospitalized, elderly orthopedic trauma patients. He shares key findings from his study, "Nutritional status is associated with new-onset delirium in elderly, acute care, orthopedic trauma patients: A single-center observational study". #AGS2021 Dr. Esteban Franco Garcia is a Geriatric Medicine Specialist in Boston, Massachusetts. He graduated with honors in 2003. Having more than 18 years of diverse experiences, especially in Geriatic Medicine, Internal Medicine, Dr. Esteban Franco Garcia affiliates with Massachusetts General Hospital, cooperates with many other doctors and specialists in medical group Massachusetts General Physicians Organization Inc.

Amyloidosis is a serious health condition that often goes undiagnosed – leading to improper management and heavy symptom burden on patients and families. New research presented at the 2021 American Geriatrics Society's annual meeting shows the benefit of early diagnosis, the role of genetics, and the benefit of an amyloid specialist. Dr. Sharon Levine, MD, AGSF, Section Head, Geriatric Medicine, Division of Palliative Care and Geriatric Medicine in Boston, MA, and Andrea Kurkul, RP, Nurse Practitioner in Boston, MA, are here to discuss these findings and their study, "A Puzzle Finally Solved". Dr. Sharon Levine, MD is a Geriatric Medicine Specialist in Boston, MA and has over 37 years of experience in the medical field. She graduated from Yeshiva U, College of Medicine medical school in 1984. She is affiliated with Boston Medical Center. #AGS2021 #Amyloidosis

Harm reduction, as so clearly described by our guest Monica Gandhi on this podcast, began as a public health approach that guided management of HIV.  Harm reduction represented an alternative to an abstinence-only approach, which clearly did not work.  In the harm reduction model, you acknowledge that people will take some risks, and that the goal is to decrease risk, not eliminate it.    And yet, here we are with a fear-not-facts approach to the COVID-19 pandemic. Some are advocating for the use of masks in schools, hospitals, and nursing homes in perpetuity.  As in, forever.  Sounds eerily like an abstinence-only approach, right?  Science would dictate that now that we have vaccines, which Monica describes as “the solution,” we don't need to engage in masking (with a few exceptions). Monica Gandhi, an infectious disease doctor at UCSF, has advocated strongly for a fact-based approach to school opening, early masking and now dropping masking, and global access to vaccinations (and temporarily dropping vaccine patents), among other things. You can and should follow her: @MonicaGandhi9 And from Ashwin Kotwal, geriatrician and palliative care doc-researcher, we hear about experiences caring for patients who are afraid to return to normal after a year of masking and forced isolation, despite the toll these experiences have taken on them (documented in his recent paper in the Journal of the American Geriatrics Society).   It's time to get back where we once belonged. (song choice hint) -@AlexSmithMD

COVID has taken a devastated toll in nursing homes.  Despite representing fewer than 5% of the total US events, at least 40% of COVID‐19–related deaths occurred in older individuals living in nursing homes.  The good news is that with the introduction of COVID vaccines in nursing homes, numbers of infections and outbreaks have plummeted.   However, only about 2/3rds of nursing home patients and only about ½ of nursing home staff have been vaccinated, largely due to hesitancy about taking the vaccine. On today's podcast we talk about vaccine hesitancy with Sarah Berry, Kimberly Johnson, and David Gifford and the lessons learned from their “town hall” intervention they did that was just published in the Journal of the American Geriatrics Society.   A couple of take-home messages for me in this study was that vaccine misinformation was rampant, many nursing staff had lingering questions they wanted answered before getting the shot, and that sharing stories and personal experiences is an important way to overcome hesitancy.     In addition to listening to the podcast, we really encourage everyone to take a look at the JAGS article as it has two great tables for anyone willing to do similar town halls.  The first is a summary of the concerns of healthcare staff.  The second is sample responses to address some of these concerns. 

On the one hand, every year we are fortunate to have new medications that help older adults and people living with serious illness.  New treatments for lung cancer with remarkable survival outcomes come to mind, for example.   On the other hand, the tremendous growth in medications has led to an explosion of prescribing, polypharmacy, with attendant side effects and harms.   In this week's podcast, we talk with Nagham Ailabouni, a pharmacist and researcher joining us from Australia (song choice: Down Under!) about her review of major articles on medication safety and quality for older adults.  Dr. Ailabouni summarized the top four hardest hitting in a recent publication in the Journal of the American Geriatrics Society, or JAGS.  The four articles are: Older Medicare Beneficiaries Frequently Continue Medications with Limited Benefit Following Hospice Admission Prescribing of oral anticoagulants in the emergency department and subsequent long-term use by older adults with atrial fibrillation Effect of an Electronic Medication Reconciliation Intervention on Adverse Drug Events: A Cluster Randomized Trial Intensification of older adults' outpatient blood pressure treatment at hospital discharge: national retrospective cohort study Dr. Ailabouni's pet peeve medication she sees prescribed to hospice patients?  High dose metformin.  Listen to the podcast for more! -@AlexSmithMD

David Reuben MD is the Director, Multicampus Program in Geriatrics Medicine and Gerontology and Chief, Division of Geriatrics at UCLA. He is the Archstone Foundation Chair and Professor at the David Geffen School of Medicine and Director of the UCLA Alzheimer's and Dementia Care Program. Dr. Reuben completed his medical school at Emory and residency at Rhode Island Hospital. He pursued a fellowship from UCLA. He has served as principal investigator of numerous large studies including the STRIDE study aimed at reducing serious falls related injuries in the elderly. His bibliography includes more than 200 peer reviewed publications in medical journals and over 30 books including the widely distributed Geriatrics at Your Fingertips. Dr. Reuben has received numerous awards including the Henderson Award from the American Geriatrics Society and the 2008 John Eisenberg Patient Safety and Quality Award. He has served in a number of important leadership roles including the Board Chair of the American Board of Internal Medicine, President of the American Geriatrics Society and President of the Association of Directors of Geriatric Academic Programs. What is the hallmark of a great physician? Today, Dr. David Reuben reflects on how we as physicians are very powerful people: people listen to us, return our phone calls. A great physician, according to Dr. Reuben, is one who uses that power to advocate for their patients. Sharing anecdotes from his own life, Dr. Reuben shares how many of our real achievements never make their ways on a CV. Oftentimes, those lie in the small differences we can make for our patients and their families. And that is true success. Pearls of Wisdom: 1. In a patient encounter, building a relationship with a patient should be the first thing on our checklist. 2. The move from a good internist to a great internist is built on advocacy for the patient. Physicians are powerful. Use that power to advocate. 3.  Your mentor and your role model don't have to be the same person. Having multiple people as mentors offers a variety of perspectives. 4. Think about the long-haul. Is what you're worrying about now going to matter in five years?

More senior citizens take benzos than any other age group. And yet, they are also the group most at-risk for complications. What are the effects of this dangerous combination? And what can be done to buck the overprescribing trend? In today's episode, we look at the stats, the warnings, and the consequences of benzodiazepine and Z-drug use in the elderly. We also shine the spotlight on the website benzo.org.uk, share a story from Grand Junction, Colorado, and discuss anti-depressants and sleepless nights. https://www.easinganxiety.com/post/the-dangers-of-benzodiazepine-use-in-the-elderly-bfp015Video ID: BFP015 Chapters 00:00 Introduction06:41 Mailbag12:02 Benzo News14:45 Benzo Spotlight18:30 Benzo Story25:40 Feature: Benzos and the Elderly44:03 Moment of Peace  Resources The following resource links are provided as a courtesy to our listeners. They do not constitute an endorsement by Easing Anxiety of the resource or any recommendations or advice provided therein. INTRODUCTION “The Lost Years: A Father, A Son, Benzos, and Aging” by D E Foster BENZO NEWS “Benzos added to fentanyl causing hard-to-revive overdose problems” by Karen Graham in Digital Journal“Benzodiazepines intake may increase miscarriage risk” by Medha Baranwal in Speciality Medical Dialogues“‘Hello, It's Me:' Loneliness in Benzo Withdrawal” by D E Foster in Benzo Free “The world's happiest people have a beautifully simple way to tackle loneliness” by Jenny Anderson in QZ.comPodcast Episode #14 — “Finding Faith, Hope, and Acceptance in Benzo Withdrawal: A Conversation with Jennifer Leigh, PsyD”“My Fifth-Year Anniversary” by Holly Hardman on As Prescribed Blog“7 Effective Thought-Stopping Techniques for Anxiety” by Melissa Stanger on Thrive Global“Anxiety ‘epidemic' brewing on college campuses, researchers find” by Will Kane on Berkeley News BENZO SPOTLIGHT Benzo.org.uk FEATURE: Benzos and the Elderly “American Geriatrics Society 2015 Updated Beers Criteria for Potentially Inappropriate Medication Use in Older Adults.”Benzodiazepines: How They Work and How to Withdraw (aka The Ashton Manual) by C. Heather Ashton“Benzodiazepine Use and Risk of Alzheimer's Disease: Case-Control Study.” BMJCommonwealth of Pennsylvania. Prescribing Guidelines for Pennsylvania: Safe Prescribing Benzodiazepines for Acute Treatment of Anxiety & Insomnia.“Physicians' perspectives on prescribing benzodiazepines for older adults: a qualitative study.” Journal of General Internal MedicineBenzo Free: The World of Anti-Anxiety Drugs and the Reality of Withdrawal by D E Foster “Yes, Benzos Are Bad for You” by Dr. Frances Allen“Factors Associated With Long-term Benzodiazepine Use Among Older Adults.” JAMA Intern Med.“No End in Sight: Benzodiazepine Use in Older Adults in the United States.” Journal of the American Geriatrics Society“Benzodiazepine Use in the United States.” JAMA Psychiatry“The Benzodiazepine–Dementia Disorders Link: Current State of Knowledge.” CNS Drugs“Risk of Death Associated with New Benzodiazepine Use Among Persons with Alzheimer's Disease — a Matched Cohort Study.” International Journal of Geriatric Psychiatry“Benzodiazepine Dependence and Withdrawal in Elderly Patients.” The American Journal of Psychiatry“The New Old Age: A Quiet Drug Problem Among the Elderly.” by Paul Span in The New York Times.“Once prescribed, 25% of elderly become dependent on benzodiazepines: JAMA.” by Hina Zahid in Speciality Medical Dialogues. FORMAL REFERENCESAmerican Geriatrics Society (AGS). “American Geriatrics Society 2015 Updated Beers Criteria for Potentially Inappropriate Medication Use in Older Adults.” Beers Criteria Update Expert Panel (2015). Accessed April 9, 2018. http://www.sigot.org/allegato_docs/1057_Beers-Criteria.pdf.Ashton, C. Heather. Benzodiazepines: How They Work and How to Withdraw (aka The Ashton Manual). 2002. Accessed April 13, 2016. http://www.benzo.org.uk/manual.Billioti de Gage, Sophie, Yola Moride, Thierry Ducruet, Tobias Kurth, Hélène Verdoux, Marie Tournier, Antoine Pariente and Bernard Bégaud. “Benzodiazepine Use and Risk of Alzheimer's Disease: Case-Control Study.” BMJ 349(g5205)(2014). Accessed January 30, 2017. doi:10.1136/bmj.g5205.Commonwealth of Pennsylvania. Prescribing Guidelines for Pennsylvania: Safe Prescribing Benzodiazepines for Acute Treatment of Anxiety & Insomnia. Updated May 15, 2017. Accessed April 7, 2018. https://www.health.pa.gov/topics/Documents/Opioids/PA%20Guidelines%20on%20Benzo%20Prescribing.pdfCook, J.M., R. Marshall, C. Masci, and J.C. Coyne. “Physicians' perspectives on prescribing benzodiazepines for older adults: a qualitative study.” Journal of General Internal Medicine 2007 Mar;22(3):303-7. Accessed April 22, 2019. https://www.ncbi.nlm.nih.gov/pubmed/17356959Foster, D E. Benzo Free: The World of Anti-Anxiety Drugs and the Reality of Withdrawal. Erie, Colorado: Denim Mountain Press, 2018. http://www.benzofree.org/book.Frances, Allen. “Yes, Benzos Are Bad for You.” Pro Talk: A Rehabs.com Community, June 10, 2016. Accessed October 13, 2016. https://www.rehabs.com/pro-talk-articles/yes-benzos-are-bad-for-you.Gerlach LB, Maust DT, Leong SH, Mavandadi S, Oslin DW. “Factors Associated With Long-term Benzodiazepine Use Among Older Adults.” JAMA Intern Med. 2018;178(11):1560–1562. doi:10.1001/jamainternmed.2018.2413Maust, Donovan T., Helen C. Kales, Ilse R. Wiechers, Frederic C. Blow, Mark Olfson. “No End in Sight: Benzodiazepine Use in Older Adults in the United States.” Journal of the American Geriatrics Society 64(12)(December 2016):2546-53. Accessed February 17, 2017. doi:10.1111/jgs.14379.Olfson, M., M. King and M. Schoenbaum. “Benzodiazepine Use in the United States.” JAMA Psychiatry 72(2)(February 2015):136-42. Accessed March 7, 2017. doi:10.1001/jamapsychiatry.2014.1763.Pariente, Antoine, Sophie Billioti de Gage, Nicholas Moore and Bernard Bégaud. “The Benzodiazepine–Dementia Disorders Link: Current State of Knowledge.” CNS Drugs 30(1)(January 2016):1-7. Accessed December 12, 2016. doi:10.1007/s40263-015-0305-4.Saarelainen, Laura, Anna-Maija Tolppanen, Marjaana Koponen, Antti Tanskanen, Jari Tiihonen, Sripa Hartikainen and Heidi Taipale. “Risk of Death Associated with New Benzodiazepine Use Among Persons with Alzheimer's Disease — a Matched Cohort Study.” International Journal of Geriatric Psychiatry (November 15, 2017). Accessed April 8, 2018. doi:10.1002/gps.4821.Schweitzer, Edward, George Case, and Karl Rickels. “Benzodiazepine Dependence and Withdrawal in Elderly Patients.” The American Journal of Psychiatry; Washington 146(4)(April 1989):529-31. Accessed April 22, 2019. https://search.proquest.com/openview/8061f199e2c28c42650c88feb8a394cf/1.pdf?pq-origsite=gscholar&cbl=40661.Span, Paula. “The New Old Age: A Quiet Drug Problem Among the Elderly.” The New York Times. March 16, 2018. Accessed April 22, 2019. https://www.nytimes.com/2018/03/16/health/elderly-drugs-addiction.html.Zahid, Hina. “Once prescribed, 25% of elderly become dependent on benzodiazepines: JAMA.” Speciality Medical Dialogues. September 13, 2018. Accessed April 22, 2019. https://speciality.medicaldialogues.in/once-prescribed-25-of-elderly-become-dependent-on-benzodiazepines-jama/.  Introduction In today's intro, I rambled on a bit, as I often do, about the elderly, a blog post I wrote about my dad, but most of all about loss. The loss so many of us feel from those years were trapped on the drugs.  Mailbag This is where we share questions and comments which were discussed: COMMENT: You could attract more listeners if you included anti-depressants in your content. This comment was from Sara in Memphis, Tennessee. She suggested that I could draw more listeners if I included anti-depressants in the content. I agreed and suggested I would try and be more inclusive, but that our primary focus will still be on benzos. QUESTION: I would love for you to do a “bedtime” podcast.This question was from Karla in Chino Hills, California. She suggested I do a “bedtime” version of the podcast for people to listen to when they have insomnia. This was a great idea and I asked for suggestions of what it would entail.  Benzo News We discussed a variety of stories around the benzo community in this section today.  Benzo Spotlight Today's spotlight was on the website benzo.org.uk. This is the home to the Ashton Manual and thousands of links related to benzos, studies, articles and other information.  Benzo Stories Today's story was from Jill in Grand Junction, Colorado.  Feature Today's featured topic: The Effects of Benzodiazepines and Z-drugs on the Elderly The senior population around the world is an at-risk group, especially when it comes to the effects of certain drugs like benzos. Unfortunately, they are also the most likely to take these drugs. In today's feature, I shared several statistics, studies, and articles about the dangers of the overprescribing of these drugs in the elderly population.  The PodcastThe Benzo Free Podcast provides information, support, and community to those who struggle with the long-term effects of anxiety medications such as benzodiazepines (Xanax, Ativan, Klonopin, Valium) and Z-drugs (Ambien, Lunesta, Sonata). WEBSITE: https://www.easinganxiety.comMAILING LIST: https://www.easinganxiety.com/subscribe YOUTUBE: https://www.youtube.com/@easinganx DISCLAIMERAll content provided by Easing Anxiety is for general informational purposes only and should never be considered medical advice. Any health-related information provided is not a substitute for medical advice and should not be used to diagnose or treat health problems, or to prescribe any medical devices or other remedies. Never disregard medical advice or delay in seeking it. Please visit our website for our complete disclaimer at https://www.easinganxiety.com/disclaimer. CREDITSMusic provided / licensed by Storyblocks Audio — https://www.storyblocks.com Benzo Free Theme — Title: “Walk in the Park” — Artist: Neil Cross PRODUCTIONEasing Anxiety is produced by…Denim Mountain Presshttps://www.denimmountainpress.com ©2022 Denim Mountain Press – All Rights Reserved