Dr. Mauk’s Boomer Blog

If you are over age 65, you may be experiencing some of the more trying aspects of aging. Many seniors report having decreased levels of physical mobility while having higher levels of anxiety, stress, depression, and substance addiction. If this sounds like you (or someone you care about), meditative yoga may be able to help. Keep reading to learn how to get started with meditative yoga to help address some common age-related challenges.

Setting Up Your Space

The first thing to do as you prepare to start a meditative yoga practice is to decide where you’ll practice each day. Some people, especially beginners, prefer to start at a licensed yoga studio, where they can learn from a trained professional. Others, such as those who are shy or are more intermediate yoga practitioners, prefer to practice in the comfort of their own home. Whatever the case may be, a meditative yoga room is highly recommended. You might choose a spare bedroom or even a corner of a room. The important thing is to make sure that the space is calming and soothing to you, and that you won’t be distracted or interrupted during your practice.

Next, you’re ready to start practicing – and experiencing the following benefits of meditative yoga:

Physical Mobility

What was once seen as a young person’s exercise, yoga is increasingly being practiced by people across all age groups. In fact, it is estimated that 17 percent of yoga practitioners are in their 50s, while 21 percent are over the age of 60.

So, why should you choose yoga? As we age, our bodies can become more prone to stiffness, muscle ache, joint pain, and injury. By gently stretching the muscles, yoga can reduce overall musculoskeletal pain while simultaneously increasing strength. Stretching is also great for stress relief, and it’s recommended you add it to your daily routine. For instance, stretching can release tension in the body, ease arthritis pain, and loosen age-related stiffness. As your physical ailments melt away, you’ll feel lighter and less weighed down by stress.

Yoga is often commonly used as a preventative exercise to combat muscle injury by keeping muscles adaptable to change. Evidence suggests that meditative yoga can reduce the risk of severe falls by improving balance. Enhanced strength, flexibility, and balance can help seniors live a more independent life. After adding yoga into your life, you may find that stiffness and pain is reduced and everyday activities such as walking, cooking, and chores become easier.

Mental Health

It is estimated that as many as one in five seniors experience a mental health concern as they age. Anxiety, depression, and stress are among the most common mental health concerns among those age 65 and up. Mental health issues are often difficult to treat because they stem from a number of interconnecting genetic, environmental, and lifestyle factors. That being said, there is evidence to suggest that mental health can be improved through increased exercise, reduced muscle tension, and enhanced mindfulness.

Yoga can help draw a connection between the physical and spiritual self and can increase feelings of relaxation, groundedness, and connectivity. Clinical psychotherapist Erin Wiley recommends yoga to her clients because it builds positive skills in coping, stress management, and relaxation. For seniors suffering from anxiety, stress, or depression, yoga can strengthen inner reflection and mindfulness, which can improve overall mental health.

Addiction Treatment and Recovery

Addiction among seniors is often the result of loss, depression, life changes, and/or declining health. Alternatively, an individual may have struggled with addiction throughout his or her life with the adverse physical and mental effects becoming more apparent with age. To help people overcome addiction, treatment facilities are increasingly taking a holistic approach to addiction treatment. These facilities focus on improving the overall well-being of the individual in addition to addressing the addiction itself.

To help people connect their physical and spiritual self, this new holistic method often incorporates yoga. Increasing the connection between mind and body has been proven to increase self-confidence, facilitate emotional healing, and help people manage stress. Meditative yoga can also improve a person’s ability to make positive choices through increased personal reflection. The feeling of personal wholeness associated with yoga can aid immensely in addiction treatment and recovery.

With yoga swiftly gaining popularity, it is clear that millions of people are seeing the incredible benefits yoga has to offer. If you want to tackle some of the most common age-related physical and mental challenges, start connecting your mind, body, and spirit through meditative yoga. Enhanced physical and mental health can aid immensely in helping you live a meaningful, independent life regardless of age. If you are interested in starting a yoga regimen, begin by talking to your doctor.

For seniors, getting old is the new black. You can ask them yourself. Because according to a recent survey, 68% of seniors never feel offended for being treated like one, while 70.3% feel being called ‘old’ is hardly offensive. The truth is, getting old is blessing – not a curse.

For starters, age brings wisdom. By the time the grey hairs start popping up, you’ve had your fair share of experiences. You’ve likely travelled around a bit, held a few jobs, been through good and bad relationships, started a family, and made some life-changing decisions. But when it comes down it, you’re all the wiser for it. Going forward you can make better, more informed decisions, and even give your two cents to the younger generation.

As you mature, so too will your relationships. You’ll likely cut out the friendships that didn’t mean much, and work on the ones that do. Essentially, you’ll start seeking quality, not quantity, across all areas of your life – which isn’t a bad philosophy to live by. Plus, who said getting old isn’t fun?

Take LATA 65 for example, an art organisation in Portugal that’s destroying age stereotypes in the street art scene. By giving senior citizens the tools and knowledge to create their own stencils, the organisation’s goal is to connect the older and younger generations through art, as well as help the elderly get out and about to engage in contemporary culture.

But that’s just one example of how seniors are making the most of their retirement. What else are they getting up to?

How Aussies are living it up in their golden years

Gone are the days of knitting, card games and staying put. Seniors these days are proving to be one the most lively and radical bunch of seniors to date. According to the Golden Years Report, 85% of seniors consider themselves happy, while 80% are doing the things they really want to do.

In fact, most feel younger than they actually are. This can be attributed to being more physically active, learning new things, travelling to new places, having new experiences, being sociable, and having hobbies.

Seniors are also busting ‘old age’ stereotypes. For example, as technology becomes more prominent in our lives, Aussie seniors are no longer relying on others to show them the ropes. Instead, many are now technically savvy and spend plenty of time online. They also have no problem dressing like younger generations, speaking the same lingo (#YOLO), or even getting tattoos.

While they might not be huge spenders, today’s retirees are also spending more money than earlier generations. So instead of slowing down and disappearing modestly into retirement, they’re choosing to fork out just as much money (sometimes more) on their later lifestyles. And why not? Retirement isn’t an expiry date – it’s an excuse to live life to the fullest.

It’s safe to say, Australian seniors are reinventing the concept of ‘getting older’. They’re not confined to the activities and stereotypes usually associated with old age, and are instead open-minded, tech-savvy and progressive. They’re not just comfortable with the modern world, they’re enthusiastically making the most of it. So if there’s one take home message here, it’s this – there’s still plenty to look forward to.

Background

Once thought to be mainly a disorder of children, recurrent seizures or epilepsy is thought to be present in about 7% of older adults (Spitz, 2005) and is usually related to one of the common comorbidities found in older adults (Bergey, 2004; Rowan & Tuchman, 2003). Epilepsy affects up to 3 million Americans of all ages (Velez & Selwa, 2003). Davidson & Davidson (2012) summarized findings of most studies on epilepsy in older adults with these main points:

Seizures can be caused by a variety of conditions in older persons, but “the most common cause of new-onset epilepsy in an elderly person is arteriosclerosis and the associated cerebrovascular disease” (Spitz, 2005, p. 1), accounting for 40–50% of seizures in this age group (Rowan & Tuchman, 2003). Seizures are associated with stroke in 5–14% of survivors (Spitz, 2005; Velez & Selwa, 2003). Other common causes of epilepsy in the elderly include Alzheimer’s disease and brain tumor.
There are three major classifications of epilepsies, although there are many additional types. Generalized types are more common in young people and associated with grand mal or tonic-clonic seizures. A number of cases have an un¬determined origin and may be associated with certain situations such as high fever, exposure to toxins, or rare metabolic events. In older adults, localized (partial or focal) epilepsies are more common, particularly complex partial seizures (Luggen, 2009). In contrast to young adults, Rowan and Tuchman (2003) cite other differences in seizures in the elderly: low frequency of seizure activity, easier to control, high potential for injury, a prolonged postictal period, and better tolerance with newer antiepileptic drugs (AEDs). Additionally, older adults may have coexisting medical problems and take many medications to treat these problems.

Risk Factors/Warning Signs

Risk factors for seizures in older adults include cerebrovascular disease (especially stroke), age, and head trauma. The most obvious signs and symptoms of epilepsy are seizures, although changes in behavior, cognition, and level of consciousness may be other signs. Also, note that exposure to toxins can cause seizures that are not epilepsy. Complex partial seizures in older adults may include symptoms such as “confusion, memory loss, dizziness, and shortness of breath” (Davidson & Davidson, 2012, p. 16). Automatism (repetitive movements), facial twitching with following confusion, and coughing are also signs of the more-common complex partial seizure (Luggen, 2009).

Diagnosis

Diagnosis is made by careful description of the seizure event, a thorough history, and physical. Eyewitness accounts of the seizure incident can be quite helpful, although many community-dwelling older adults go undiagnosed because their seizures are never witnessed. In addition, complete blood work, neuroimaging, chest X-ray, electrocardiogram (ECG), and electroencephalogram (EEG) help determine the cause and type of seizure (National Institute for Health and Clinical Excellence {NICE}, 2012).

Treatment

Treatment for epilepsy is aimed at the causal factor. The standard treatment for recurrent seizures is antiepilepsy drugs (AEDs). The rule of thumb, “start low and go slow,” for medication dosing in older adults particularly applies to AEDs. The elderly tend to have more side effects, adverse drug interactions, and problems with toxicity levels than younger people.
Research has suggested that older adults may have better results with fewer side effects with the newer AEDs than the traditional ones, though about 10% of nursing home residents are still medicated with the first-generation AEDs (Mauk, 2004). The most common older medications used to treat seizures include barbiturates (such as phenobarbital), benzodiazepines (such as diazepam/Valium), hydantoins (such as phenytoin/Dilantin), and valproates (such as valproic acid/Depakene) (Deglin & Vallerand, 2005; Resnick, 2008).
Several newer drugs are also used, depending on the type of seizure. Second-generation AEDs, including gabapentin (Neurontin), lamotrigine (Lamictal), oxcarbazepine (Trileptal), levetiracetam (Keppra), pregabalin (Lyrica), tiagabine (Gabitril), and topiramate (Topamax), are generally recommended over the older AEDs; however, older AEDS such as phenytoin (Dilantin), valproate (Depakote), and carbamazepine (Tegretol) are the most commonly prescribed treatment options (Resnick, 2008). Each of these medications has specific precautions for use in patients with certain types of medical problems or for those taking certain other medications. Regarding side effects in older patients, watch for potential stomach, kidney, neurological (especially poor balance or incoordination), and liver problems. Additionally, some newer extended-release AEDs are thought to be better tolerated and have a lower incidence of systemic side effects (such as tremors) (Uthman, 2004).

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.Burlington, MA: Jones and Bartlett Publishers. Used with permission.

 

Pets Provide Significant Health Benefits By Rachel Blankmeyer, DVM

Some of our closest companions, especially as we age, are our four-legged friends. The human-animal bond provides many benefits to people who may otherwise be isolated due to emotional, behavioral, or physical problems. Research shows several health benefits of pet ownership for older adults, including lower blood pressure, triglycerides, and cholesterol levels. A study by Friedmann & Thomas in 1995 showed that pet ownership actually resulted in increased survival rates after a heart attack. Other studies have shown that pets may provide social support similar to that of a family member for older adults. Consider additional general health benefits such as weight control and stress reduction, and pet ownership seems like a win-win situation!

You may have heard of the Alzheimer’s patient study performed by Edwards & Beck in 2002, where persons with Alzheimer’s disease observed a facility fish tank and demonstrated improved relaxation, alertness, and eating habits. This is a huge deal for patients dealing with dementia because at least 50% experience weight loss, increasing the mortality rate and progression of disease. Stroke survivors may also specifically benefit from animal companionship through improved communication, dexterity, mobility and balance. As a veterinarian, I may be biased, but the facts don’t lie: animals help all of us have a more active daily life, and can enrich our lives emotionally! So, consider the cost-benefit ratio:

Adopting your new forever friend from your local shelter…$35
Pet food for one month…$10
Years of companionship and improved health…priceless.