News Posts

/News Posts

Recent news and updates

Guest Blog: Common Signs of Hearing Loss

Hearing loss can have a profound effect on a person and their quality of life. Hearing loss can lead to a withdrawal from social situations, signs of depression and other effects on the health of an individual. Therefore, it is imperative that any loss in hearing be treated as soon as possible. In order for hearing loss to be treated, an individual must recognize that a loss of hearing has occurred. Some hearing loss can have a gradual onset, so the person with the hearing loss may not be fully aware that treatment is needed.

According to the National Academy on an Aging Society, millions of Americans suffer from hearing loss. Those suffering from hearing loss range in symptoms from very mild to severe or near total hearing loss. Of these, 43 percent are those individuals aged 65 and older. However, hearing loss can affect all ages with some 5 percent of children having some form of hearing loss. The causes of specific hearing loss are varied, with some created due to occupational stress, or life choices, or those brought about because of aging.

Audiologists and hearing aid specialists at Hearinglife.com lists the types of hearing loss as:

  • Conductive Hearing Loss
  • Sensorineural Hearing Loss
  • Mixed Hearing Loss

Conductive hearing loss is a result of some form of obstruction in the ear. This type can be temporary and usually corrected via medical procedure and occasionally the application of a mechanical aid.

Sensorineural hearing loss is damage or some other issue affecting the auditory nerve or inner ear. This category encompasses hearing loss due to aging or disease. Correction usually involves the application of assisted hearing devices as this loss is usually permanent.

Mixed hearing loss is attributed to directed sound at excessive volume, such as that found in headphones and in occupational settings. Corrective measures also require the use of a mechanical or assisted hearing device. Based on statistics performed by the Centers for Disease Control and Prevention, mixed hearing loss is a widespread concern affecting over 22 million Americans each year. As suggested by the professionals for Kaiser Permanente Health System, they symptoms of hearing loss appear as:

  • Muffled Hearing
  • Requiring Higher Than Normal Volumes
  • Frequently Misunderstanding Spoken Words
  • Ringing or Pain in the Ear or Fluid Leakage
  • Off Balance or Feeling of Spinning

Any of these, and potentially other symptoms, can occur with hearing loss. Even before hearing loss is suspected, it is generally accepted that hearing should be tested regularly in order to quickly diagnose and treat any hearing loss before it becomes significant to the detriment of the individual and their quality of life.

Save

By | 2017-09-25T09:18:50+00:00 September 25th, 2017|Dr. Mauk's Boomer Blog, News Posts|Comments Off on Guest Blog: Common Signs of Hearing Loss

Hypothyroidism Warning Signs and Treatment

bigstock-Thyroid-gland-19336097

Background

Hypothyroidism results from lack of sufficient thyroid hormone being produced by the thyroid gland. Older adults may have subclinical hypothyroidism, in which the TSH (thyroid-stimulating hormone) is elevated and the T4 (thyroxine or thyroid hormone) is normal; 4.3–9.5% of the general population has this problem (Woolever & Beutler, 2007). In this condition, the body is trying to stimulate production of more thyroid hormone. Some older adults with this condition will progress to have primary or overt hypothyroidism. This is when the TSH is elevated and T4 is decreased. Hashimoto’s disease is the most common cause and represents 90% of all patients with hypothyroidism (American Association of Clinical Endocrinologists [AACE], 2005; Woolever & Beutler, 2007), though certain pituitary disorders, medications, and other hormonal imbalances may be causal factors.

Warning Signs

Older adults may present an atypical picture, but the most common presenting complaints are fatigue and weakness.

Diagnosis

Diagnosis should include a thorough history and physical. Bradycardia and heart failure are often associated factors. Lab tests should include thyroid and thyroid antibody levels (common to Hashimoto’s), and lipids, because hyperlipidemia is also associated with this disorder.

Treatment

Treatment centers on returning the thyroid ¬hormone level to normal. This is done through oral thyroid replacement medication, usually L-thyroxine. In older adults with coexisting cardiovascular disease, starting with the usual doses may exacerbate angina and worsen the underlying heart disease, so it is important to start low and go slow. Titration should be done cautiously, with close monitoring of the older adult’s response to the medication. The does should be adjusted on 6- week intervals until normal levels of thyroid hormone are achieved. Once the TSH is within normal limits, then checking the TSH should be done every 6 to 12 months to monitor effectiveness and blood levels, because hyperthyroidism is a side effect of this therapy and can have serious implications on the older person’s health.

Patients need to learn the importance of taking thyroid medication at the same time each day without missing doses. Sometimes older adults have other problems associated with hypothyroidism, such as bowel dysfunction and depression. Any signs of complicating factors should be reported to the physician, and doctors’ appointments for monitoring should be religiously kept. Strategies for managing fatigue and weakness should also be addressed, because some lifestyle modifications may need to be made as treatment is initiated.

Adapted from Mauk, K. L., Hanson, P., & Hain, D. (2014). Review of the management of common illnesses, diseases, or health conditions. In K. L.
Mauk’s (Ed.) Gerontological Nursing: Competencies for Care. Sudbury, MA: Jones and Bartlett Publishers. Used with permission.

For more information on Hypothyroidism, visit the NIH:
http://www.nlm.nih.gov/medlineplus/ency/article/000353.htm

 

Save

Save

Save

By | 2017-09-21T10:33:23+00:00 September 21st, 2017|News Posts|Comments Off on Hypothyroidism Warning Signs and Treatment

Simple ways to make a bathroom fall proof

bigstock-Female-Doctor-Helping-Disabled-9725798
The NIH Senior Health reports that one in three people over the age of 65 experience a fall each year. Because of the non-porous, easy clean surfaces, more than 80% of these falls happen in the bathroom. The proper equipment will help to keep everyone safer. Be sure to check your loved one’s for the following:

Grab Bars. One of the simplest solutions to preventing bathroom falls is to install grab bars. Choose bars that have a grip-like surface and contrast to the color of the shower, so they are easily visible. Anchor these bars to the studs behind the wall for the best support. Have your loved one step into the tub and show you where the best place to install a safety bar is located. Adding a grab bar next to the toilet is another simple way to prevent falls.

Non-Skid Surfaces. Placing a non-skid floor mat in front of the shower and sink soaks up excess water and prevents slips. Adding a non-skid shower mat to the bathtub will prevent your loved one from sliding on the slippery tub surface when bathing. For additional safety, place non-skid adhesive strips around the sink and vanity area.

Raised Toilet Seat. Adding a raised toilet seat prevents your loved one from losing her balance and falling while trying to sit on the toilet or get up. It is also helpful for those who are losing strength.

Lighting. Many seniors lose depth perception, having brighter lighting will help your senior to judge distances better, such as stepping into the bathtub. Adding motion lights on the path to the bathroom, as well as in the bathroom, will help your loved one to see where she is walking. Having plenty of lighting will help your loved one to locate toiletry items quicker and easier as well.

Declutter. Because many older people end up needing to use a walker or cane, it is important to make sure walking paths are clean and clutter-free. It is important to keep items such as towels off the floor and out of the way as much as possible. The less items your loved one can get hooked on, the safer the home will be.

Preventing a fall from happening is ideal. However, there are times when accidents happen. Consider getting your loved one a medical alert system as an additional layer of safety. The best systems offer waterproof pendants, so they can be worn while bathing. If your loved one does fall, she can press the button and get help immediately, which may save her life.

By | 2017-09-19T09:16:33+00:00 September 19th, 2017|Dr. Mauk's Boomer Blog, News Posts|Comments Off on Simple ways to make a bathroom fall proof
X
- Enter Your Location -
- or -