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Guest Blog: When Should Seniors Stop Driving?

On a list of the greatest fears many seniors have, failing health, hearing loss, and falling often rise to the top. One major fear that few actually talk to their families and doctors about though is losing the ability to drive. In fact, a new AAA study found that over 80 percent of older drivers never discuss their safe driving ability at all with their care networks or medical professionals.

For many seniors, driving is the hallmark characteristic that defines independence. Being able to drive allows seniors to travel, to run their own errands, to get out of their house and socialize. Losing that ability to drive doesn’t just strip those things away, but it also requires seniors to ask for help and coordinate transportation, all of which can leave them feeling like a burden on their caregivers.

What is the danger then? Well not only do older drivers who have outlived their ability to safely drive a vehicle endanger their passengers and other drivers on the road, they put themselves at increased risk for injury and even death. Because older adults typically have more fragile bones and higher rates of chronic illness that can complicate an injury recovery, they are more likely to get hurt or even die in a car crash than younger adults.

Talking About Driving with Your Aging Parent

The bottom line is that simply conducting a dialogue about driving doesn’t mean a senior will lose their license or be held back from driving. In fact, it is quite the opposite. Just as using a cane for walking empowers a senior with mobility limitations to keep moving, talking about safe driving can empower seniors to take helpful steps that keep them safe on the road.

For example, the Senior Driving division of AAA offers loads of helpful resources, tools, and information that connect seniors with local refresher courses on defensive road wise driving, help them understand how medicine can affect safe driving, and much more.

If you need to have a conversation with your aging parent about safe driving, experts recommend approaching it from a place of compassion and empathy. Instead of accusing them of being an unsafe driver, confess the concerns you feel about their safety on the road and ask them about their own perspective. Discuss helpful driving tools, safe driving refresher classes, and even consider attending a senior driving expo together.

By |2023-03-01T15:58:35-05:00March 10th, 2023|Dr. Mauk's Boomer Blog, News Posts|Comments Off on Guest Blog: When Should Seniors Stop Driving?

Guest Blog: Age With Grace- The Proven Diets That Help Relieve Back Pain

Many foods in your diet have been shown to reduce or increase inflammation. Inflammation is the cause of the back pain you experience, typically as you age older. Inflammation can cause all kinds of problems, including low-back pain. Hence, creating a diet with foods rich in anti-inflammatory properties is how to keep a healthy back as you grow older and maintain good nutrition. For example, there are certain solutions that Talk Kratom can provide.

Some specific causes of back or knee pain can include injuries, incorrect posture, a sudden jerk, or lack of exercise. This can last you for up to a day or more extended periods. Although maintaining a proper fitness regime is an excellent idea to ensure your health, your diet is another way to enhance your body’s strength. This article will introduce diets that will help relieve and ultimately reduce back pain.

Extra virgin olive oil

Extra virgin olive oil is rich in properties that help reduce inflammation. It also contains oleocanthal which has a similar effect as non-steroidal anti-inflammatory drugs like aspirin and ibuprofen. However, avoid heating the olive oil to a temperature of about 410 degrees because it will kill some beneficial properties. At lower temperatures, it makes an excellent base for sautéing vegetables. You can even switch out unhealthy butter usage with extra virgin olive oil.

Calcium

Calcium is the most prominent known vitamin to improve bone strength and is essential for the health of your bones in general. Calcium helps maintain the required level of bone mass throughout the lifespan of a human being, especially older aged individuals. An adequate calcium intake will prevent the development of osteoporosis. This disorder is characterized by weak, brittle bones and can result in painful vertebral fractures in the spine. However, calcium alone will not do the job of ensuring your bones remain strong. It would be best if you balanced it with other synergistic nutrients. Calcium is found in foods like dairy products, dark green leafy vegetables such as kale, some types of fish, and many more.

Vegetables

Vegetables are rich in calcium, as stated above. They are also a good source of vitamins A, C, and K. This includes leafy greens and cruciferous vegetables such as broccoli, cabbage, cauliflower, and spinach. They also offer a natural compound called sulforaphane, which is known to block the enzyme that causes joint pain and inflammation.

Green leafy vegetables are fibrous and should be incorporated into your daily diet plan to help your body maintain a healthy life. Other vegetables that come under root vegetables (beets, pumpkin, and carrots) have beta-carotene. It is a powerful antioxidant that significantly reduces knee and back pain.

Fruits

Another food rich in antioxidants and can help your back pain is fruits. Especially the juicy variants of fruits should be a part of your everyday diet. Fruits like oranges, apples, berries, pineapples, and grapes all contain flavonoids and antioxidants. They work in tandem to ease inflammation caused by back pain.

Regular consumption of tomatoes is highly recommended since it contains lycopene. It is an extremely potent antioxidant and prevents ligament cells from perennial damage. It also works towards repairing inflamed tissues in the body.

Magnesium

Magnesium is a mineral required for more than 300 biochemical reactions in the body. When blood magnesium levels drop, magnesium is pulled from the bones. Magnesium deficiency is not uncommon as you may think, and supplements are needed to maintain your bone density to prevent further back problems. The nutrients help greatly relax and contract muscles to ensure that your muscles are strengthened enough to support the spine.

You can find magnesium in green leafy vegetables, beans, fish, nuts, seeds, whole grains, yogurt, bananas, avocados, and even dark chocolate with 70% or higher amounts of cocoa.

To sum up

Some specific diets and foods can help relieve back pain. Extra virgin olive oil contains oleocanthal which has a similar effect as non-steroidal anti-inflammatory drugs. Therefore, use some in your salads and as a substitute for butter. Calcium is prominently known to increase bone strength, and you can find calcium in dairy products, dark leafy green vegetables, and some fish. Similarly, vegetables are versatile and contain vitamins C, E, or K. They offer a natural compound that blocks the enzyme that causes joint pain and inflammation. Another on the list of foods high in antioxidants is fruits. Magnesium consumption in the form of some foods is also necessary to maintain bone density to relieve and prevent any back problems in the future.

We hope this article has been informative and helps you discover a diet that aids you in relieving back pain. Thank you for reading!

By |2023-02-21T12:34:50-05:00February 21st, 2023|Dr. Mauk's Boomer Blog, News Posts|Comments Off on Guest Blog: Age With Grace- The Proven Diets That Help Relieve Back Pain

Guest Blog: Managing Back Pain as You Age

Like other critical parts of the musculoskeletal system, the spine experiences some wear and tear over the decades. Does this mean back pain is inevitable as you get older? Not necessarily.

What Happens to Your Spine as You Age?
The spine itself is composed of a series of stacked bones called vertebrae. Small joints between each vertebra allow for the spine’s range of movement and little rubbery discs with jelly-like centers inside make sure bones don’t rub against one another (they also serve as the spine’s shock absorbers).

Over time, these disks can dry out, shrink, and wear away, causing the spine to compress. This is known as degenerative disc disease. Sometimes the space surrounding the spinal cord will start to narrow too; this is known as spinal stenosis. Arthritis and osteoporosis may also affect the spine as you age leading to joint degradation and even spinal fractures.

Any of these age-related conditions can contribute to back pain, especially when bones start rubbing against one another and nerves get pinched. The body may even go as far as to grow bone spurs in an effort to stabilize a degenerating spine.

Preventing and Managing Back Pain
So, is there anything older adults can do to prevent it or at least manage the pain and discomfort that comes with those types of conditions? Definitely.

Experts recommend taking actions to relieve some of the burden your spine bears during daily activity. This includes:

  • Exercising to strengthen your back and core to more properly support the spine
    Practicing good posture when sitting, using the computer, texting, etc.
    Wearing a back brace for added posture support and lumbar compression
    Eating a healthy diet rich with anti-inflammatory foods that help you maintain a healthy weight and combat systemic inflammation in they body – think fresh fruits, vegetables, whole grains, nuts, seeds, legumes, and lean proteins
    Reducing stress on the back. This may mean utilizing lumbar cushions when driving, updating your mattress to better support your spine when sleeping, and avoiding activities which exacerbate your back pain

Additional Thoughts
Of course, it is also important to remember that acute back pain can also stem from something as simple as a muscle strain. Lifting something heavy, straining your arms and neck reaching for something in an awkward position, even sitting for a long period of time in an uncomfortable chair – any of these things can cause back pain and inflammation.

By |2022-07-30T11:49:49-05:00September 24th, 2022|Dr. Mauk's Boomer Blog, News Posts|Comments Off on Guest Blog: Managing Back Pain as You Age

Healthy Eating Habits for Common Health Conditions

Having a healthy diet is important to your wellness as a whole, but when you have specific health conditions, it may be time to inspect how changes to your diet can impact your well-being. Check out these areas of health that recommend specific diets.

Heart Health

Your cardiovascular health is incredibly important to your overall health. As heart disease is the leading cause of death in the United States, having a diet that promotes heart health is crucial. Eating plenty of fruits, vegetables, and healthy protein will aid in your heart health. Choosing whole-grain options and minimizing processed foods, salt, and alcohol in your diet will also be beneficial to your cardiovascular health.

Creating a diet plan with your doctor can help you understand what foods help or harm you in the long run, as well as help you understand the importance of maintaining a healthy diet. You should monitor your heart health frequently as you age to ensure the swift identification of any changes to your cardiovascular wellness.

Eye Health

As you age, the health of your eyes changes. Between glaucoma, age-related macular degeneration, cataracts, and diabetic retinopathy, it’s incredibly important for you to have your eye health top of mind. Introducing eye-friendly nutrients into your diet can ensure the longevity of your eye health. Lutein, which you’ll find in dark leafy vegetables, along with vitamin c, vitamin e, and omega-3 fatty acids, can all play an important role in the health of your vision.

Aside from your diet, reviewing your corrective lenses on an annual basis is a small task that can yield great results for your overall health. This can include making sure you update your prescription eyeglasses often so you can quickly identify any changes to your vision. Catching these changes early on ensures you take the right steps in adjusting your lifestyle for the sake of your eye health. Prioritizing your vision and making a diet conducive to the optimal health of your eyes can help ward off the onset of many age-related eye problems.

To keep the health of your gut top of mind, creating a gut-conscious diet is imperative. This diet should include probiotics, prebiotics, fiber, and fermented foods. Incorporating foods like this should increase the good bacteria found in your gut which helps ward off illness. If you have any of the above-mentioned autoimmune disorders in your family history, it is important to take care of your gut early on and learn about the ways you can make your health as optimal as possible.

Staying on top of your health will always need to be a top priority. Understanding any conditions you have, or could have in the future based on your family history, helps you create a prevention plan. Diet, exercise, and environmental changes are all things you can alter for the sake of your health. Prioritizing your wellness will always be a necessary step for the longevity of your life.

 

By |2022-03-16T10:19:39-05:00March 10th, 2022|Dr. Mauk's Boomer Blog, News Posts|Comments Off on Healthy Eating Habits for Common Health Conditions

Guest Blog: Managing Family Dynamics with Geriatric Patients: A Guide for Nurse Practitioners

 

Gerontology nurse practitioners face a unique set of challenges within their field. It comes with the territory of caring for older adults that issues such as death, dying, terminal illness, and chronic illness are commonly addressed.

Common Challenges

There are many challenges families face when caring for an older relative. For example, the loss of independence a geriatric patient may have. Families may need to step in and care for the aging patient, which, unfortunately, can add stress to their daily lives. This buildup of stress can lead to caregiver burnout, depression, anxiety, tension within the family, and even anger or resentment.

Another possible challenge is the imbalance of perceived “power” within the family. A scenario for this would be if an elderly patient moves in with their adult child and their family. For many years, the patient was the head of household; the one who made decisions and ran the home. Now, the adult child is the head of household, while the aging parent/ family member is an occupant. The family may experience a “power struggle” which can lead to conflict and strife within the home.

Dealing with chronic illness is another prominent challenge – possibly one of the most significant. Dementia, for example, is a condition which does not improve over time. Dementia affects almost half of adults over age 85. The early stages are the most difficult, as patients experience forgetfulness which could lead to safety concerns (i.e., wandering away from home, leaving the stove on, etc.). Family members may become frustrated easy, but as the disease progresses, they may experience a prolonged “mourning” of the patient.

Along with situational components, there are other factors that contribute to a family’s dynamic. Socioeconomic level, education level, cultural differences, and even something as basic as personalities all contribute to how a family interacts with each other and deals with stress.

Tips for Geriatric Nurse Practitioners

When dealing with geriatric patients and their families, it’s important to first acknowledge that each family unit has unique dynamics. From there, utilizing the nursing process is a great way to address the individual needs of the patient and family. Below are some tips, using the nursing process, that can help geriatric NPs manage the sometimes-complicated dynamics within families.

Assess

The first thing geriatric NPs should do is assess the family’s interactions and communication skills. Ideally, meeting with both the family and patient is ideal. Assessing communication skills such as active listening, non-confrontational statements, and body language will help the NP determine how effective communication is within the family, and what needs to be improved. Geriatric NPs can also assess the patient and family’s knowledge base, readiness to learn, and if anyone is experiencing any of the stages of grief.

Diagnosis

After assessing the family dynamics and interactions, geriatric NPs can create a “diagnosis” of what they may need. For example, if the daughter of an elderly patient with dementia can no longer care for the patient, the NP will need to take action in terms of finding a suitable living arrangement. Another example is if the son of an elderly patient with a chronic disease becomes easily frustrated and angry with them. The NP would have to develop a plan to address the issue.

Planning

After assessing the family and patient’s needs and determining what is needed, the geriatric NP must create a plan to meet their individual needs. Because the needs of the patient and family are unique, breaking apart the needs of each family member will help tailor a plan to help create a healthy family dynamic. For example, using the first scenario above, the NP can create a plan to help the family find a care home for the patient, while assisting to help them manage the emotions involved with possible feelings of loss of control and fear. In the other example, the NP can consider arranging appointments for the son to see a counselor to deal with his feelings regarding his parent’s chronic illness, and how to communicate in a positive manner.

Implementation

The implementation phase of the nursing process is putting the plans into process. For the geriatric NP, this means arranging appointments, providing resources, and collaborating with the rest of the care team. Using the examples above, that could mean providing a list of care homes, putting the family in touch with a social worker, and/or recommending a counselor for the significant life change of transitioning to a care home. In the second example, the NP can recommend family counseling as well, and possibly provide tips for stress management for caregivers.

Evaluation

Evaluating a patient and family’s response to the recommended plan is one of the most essential pieces of dealing with altered family dynamics. This phase is a delicate process, as the NP needs to ensure the family has not only followed through with the treatment plan, but that it was effective as well. If not, the planning and implementation phase would need to be re-structured. In the examples used above, that would mean making follow-up calls to see how the elderly patient is doing in the care home, how the family and patient are doing with the transition, and if there are any other needs. In the second example, the NP can follow up with the elderly patient’s son to see how he is dealing with his parent’s chronic illness. It may also mean working to help manage the chronic illness as well.

Conclusion

Working with families is not unique to nurses and nurse practitioners. However, working with aging patients and their families presents a different set of challenges. While it’s impossible to provide tips on every potential challenge geriatric NPs may face, going back to basics using the nursing process will help identify each individual need so that a plan can be developed to address them. One of the most important things to remember is to include the family whenever possible in the decision-making process, and to maintain as much dignity and independence as possible for the geriatric patient.

By |2022-01-30T20:06:14-05:00January 31st, 2022|Dr. Mauk's Boomer Blog, News Posts|Comments Off on Guest Blog: Managing Family Dynamics with Geriatric Patients: A Guide for Nurse Practitioners