An ounce of prevention is worth…

The Center on Disease Control in partnership with HHS’ Administration on Aging, Agency for Healthcare Research and Quality, and Centers for Medicare and Medicaid Services released a disturbing report highlighting that many older adults are not receiving critical preventive care that could help them stay healthy. Entitled Closing the Gap: Enhancing Use of Clinical Preventive Services Among Older Adults (pdf), the report outlines and encourages the use of preventive services that might even save a Senior’s life and raises awareness of services that are currently underused by the 65+ population.

In order of importance, the report advises that Caregivers and Seniors immediately begin making use of the following services in order to promote healthier living and longer life expectancy.

Flu vaccinations, Pneumonia vaccinations, Breast cancer screenings, Colorectal cancer screenings, Diabetes screening, Lipid disorder screening, Osteoporosis screening, Smoking cessation counseling, Alcohol misuse screenings and counseling, Aspirin use, Blood pressure screenings, Cervical cancer screenings, Depression screenings and counseling, Obesity screenings and counseling, and Shingles vaccinations.

Is it time to “take the keys” to the liquor cabinet?

It’s a happy time. The whole family has come together for a holiday meal together and now, it’s time for a toast. On break from College, this is the first time that Junior is able to join in. It’s now that it occurs to you… Should Pop be drinking with all his medication? He’s already got a wine glass in hand and is having a laugh with Junior. You have to make a choice, do you cause a scene or do you risk his health by letting him drink?

Family toasting over holiday meal, should Seniors be included?It’s a question that often comes up at the last minute, when the bottle’s uncorked and you’re about to pour. Should you serve alcohol to a Senior? There isn’t one answer, but with the right information a Caregiver can make the right judgment call.

The importance of Drinking.

Drinking alcohol, like driving, is often seen as a rite of passage, something that separates children from adults. Caregivers should be aware that restricting a Senior’s use of alcohol may be received as attacking their adulthood.

Reasons to “Take the Keys” to the liquor cabinet.

Unlike driving, there are few guides that help Caregivers decide if a Senior should “turn in the keys” to the liquor cabinet. Here are some reasons to think about restricting a Senior’s access to alcohol.

  • Dangerous Alcohol and Medication Interactions: Many medications can have dangerous interactions with alcohol that lead to increased risk of illness, injury, or even death. The elderly are especially at risk due to the large amounts of medication they often take.
  • Increased Effect of Alcohol: Several studies have shown that Alcohol has an increased effect on most Seniors, reducing their ability to function to a greater extent and for a longer period of time. This can be especially dangerous for Seniors suffering from cognitive impairment.
  • Worsen Medical Conditions: Alcohol can worsen certain medical conditions, such as High Blood Pressure and Ulcers.
  • Increased Risk of Injury: Drinking alcohol can greatly increase a Senior’s risk of injury from falls.
  • Late Onset Alcoholism: Depression, social isolation, and physical pain can lead to Seniors abusing Alcohol later in life. This is a growing problem in the United States and one that often goes overlooked.
  • Malnutrition: Drinking large amounts of alcohol on a regular basis can flood a Senior’s system with empty calories, quenching appetite and causing malnutrition without weight loss.

The Checklist

If you can answer ‘yes’ to any of the items on the following check list, it may be time to take control of your elderly loved one’s access to alcohol.

  1. Is there a risk of dangerous interaction between Alcohol and the Senior’s Medication? Is the Senior no longer able to respond appropriately to this risk?
  2. Does the Senior have a medical condition that is exacerbated by alcohol consumption? Is the Senior no longer able to respond appropriately to this condition?
  3. Does even a small amount of alcohol have an exaggerated effect on the Senior? Is the Senior no longer able to drink responsibly?
  4. Are there signs that the Senior is at higher risk of incidental injuries such as falls when they drink alcohol? Is the Senior no longer able to respond appropriately to this danger?
  5. Is the Senior showing a signs of Alcohol abuse? Do those signs merit an intervention?

This guide is meant to educate and inform, it is not meant to be a substitute for a Medical Doctor’s advice. The best judge of whether a Senior should give up drinking is their Doctor and a Caregiver should always consult with a Doctor if they’re worried about a Senior drinking.

Preserving health, dignity, and relationship

Refusing to serve alcohol to an elderly loved one might leave them feeling embarrassed, excluded, and like you stripped them of their adulthood. It might result in a nasty scene and hurt feelings, ruining what had been a happy time together. With some forethought you can set up a compromise that preserves both a Senior’s dignity and their health.

  • Talk to the Senior’s Doctor about your concerns beforehand, don’t wait until the family toast to think about alcohol.
  • Talk to the Senior beforehand, tell them your concerns and ask them to compromise. Let them know that you want them to be part of the family traditions but that you’re worried about their health.
  • Serve Low-Alcohol Beverages like ‘Near Beer’ or a light ‘Mixed Drink’; lowering the alcohol content can go a long way, just be sure to always check with the Senior’s Doctor first.
  • Serve Non-Alcoholic Beer like O’Doul’s instead of alcoholic beer or Sparkling Grape Juice instead of Champagne.

These suggestions might not be enough to prevent hurt feelings or wounded pride, but in the end the important thing to remember is that you’re not stealing your loved one’s dignity – you’re trying to protect their health.

More Information

To help equip you to make an informed decision we’ve compiled some additional information that we hope proves helpful.

Some Medications that interact dangerously with Alcohol.

The following are some common medications that can interact dangerously with alcohol. This is by no means a definitive list and to be safe always check the medication warning labels and consult with the Senior’s Doctor.

  • Antibiotics are a common medication used to fight off infectious diseases.
  • Anticoagulants are prescribed to impede the blood’s ability to clot.
  • Antidepressants are an increasingly medication used to counter clinical depression.
  • Oral hypoglycemic drugs help lower blood sugar levels for some individuals suffering from diabetes.
  • Antihistamines are commonly taken to lessen allergic symptoms and to treat insomnia.
  • Antipsychotic drugs are prescribed to lessen psychotic symptoms such as delusions and hallucinations.
  • Antiseizure medications are primarily prescribed to treat epilepsy.
  • Cardiovascular medications are prescribed to treat heart and circulatory system ailments.
  • Narcotic pain relievers are prescribed to lessen moderate to severe pain.
  • Nonnarcotic pain relievers are the most common nonprescription pain relievers and are commonly used by the elderly.

Many other medications can have dangerous interactions with alcohol so, again, to be safe always consult with the Senior’s Doctor. It’s a good idea to keep a list of all medications that the Senior is taking, including over the counter drugs and supplements, on hand to check with the Doctor.

Benefits of Drinking for Seniors?

Light to Moderate Drinking
No more than 14 drinks a week
No more than 2 drinks a day

Several studies have shown that Seniors who drink light to moderate amounts of alcohol also have a lower risk of certain ailments. There are still a lot of unknowns in these studies but the message seems to be that ‘moderation may be best after all.‘ Let’s take a closer look at a handful of the studies.

The results of a study conducted by the David Geffen School of Medicine found that healthy Seniors who drank light or moderate amounts of alcohol were almost 25% less likely to suffer from incident disability or death as compared to non-drinkers or heavy drinkers.

Three Seniors in living room drinking champagne and smiling

Researchers from the Tulane University studied 35 studies and discovered that individuals who drink one to two alcoholic drinks a day were almost 30% less likely to have a stroke than non-drinkers. The same study also found the disturbing correlation that heavy drinkers were almost 70% more likely to have a stroke.

Several studies have shown that individuals who drank light to moderate alcoholic drinks were less likely to suffer from heart disease. The same studies also showed that heavy drinkers were more likely to suffer from heart disease.

The material of this blog is provided for informational purposes only. Elder Depot does not intend to provide medical diagnosis, advice, or treatment. Please consult with a Medical Professional when deciding if a Senior should drink alcohol.

10 Ways for Seniors to Keep Cool

It is hot this summer. Heat Stroke and Dehydration are serious problems for everyone during this hot season, but Seniors are especially at risk. Here are some tips on how to help them stay cool.

  1. Seniors should eat light meals with water saturated foods in the summer. Over 20% of body fluid comes from food, so serve foods like Watermelon, Tomatoes, Cucumbers, Berries, and Soups.
  2. Seniors should drink lots of fluids to avoid dehydrate and heat stroke this summer. Water is best but fruit juices and iced teas are also good.
  3. Caffeine and alcohol are diuretics, this means that they promote water loss in the body. If a Senior drinks a caffeinated or alcoholic drink in the summer they should also drink some other fluids as well to offset the loss.
  4. Perspiration is one of the best ways for the body to cool off. Forget deodorant and towels, let sweat air dry as nature intended and it will carry body heat away with it.
  5. Letting the body air dry after a shower or swim will carry off body heat in the same way as perspiration. Misting the arms lightly in water and letting them air dry will also do the same.
  6. Did you ever wonder why they like it spicy down in New Orleans? Hot spicy foods promote sweating which is, as listed above, one of the best ways to cool off.
  7. Seniors should dress for the heat by wearing light-colored loose-fitting clothing. This will protect from the sun while allowing sweat to air dry. Include a light wide-brimmed hat for added shade.
  8. Even in an air conditioned house fans circulate air and help to keep the room feeling cooler. Consider putting a bucket of ice cubes in front of box fan for an added kick of coolness.
  9. It’s easy to forget how many heat sources fill out modern lives. To keep cool, turn off the computer, monitor, lights, and use the microwave instead of the oven. If possible, switch incandescent light bulbs out for cooler and more energy efficient compact florescent bulbs.
  10. Mint tricks our nerves into feeling cooler. Help a Senior to feel less overheated with a nice mint skin lotion massage or a cool glass of mint ice tea.

Warning: It is possible for individuals with serious heart, liver, or kidney problems to over-hydrate. If an elderly loved one has serious health problems ask their Doctor how much fluid they should drink each day.

Aging and Malnutrition

Proper Nutrition is essential for physical, social, and psychological well-being. Disturbingly, numerous studies show that malnutrition is common among the elderly. Essential Vitamin and Mineral deficiency plague many older adults. Another common problem is diminished calorie intake that leaves older adults without the energy their body needs to fully function.

There are many reasons that older adults are more susceptible to malnutrition, some common causes are listed below.

  • Diminishing Sense of Taste and Smell
  • Inability to Chew
  • Medication Interference
  • Depression
  • Income Restrictions
  • Inability to Shop or Cook
  • Physical and Mental Illness

If you are a caregiver for a family member who may not be receiving adequate calories or nutrition to stay healthy, there are ways to help.

  • Periodically inspect their refrigerator and cupboards to determine if adequate food is available.
  • Assist with preparing meals and leave enough for easy to re-heat leftovers.
  • Provide Nutritional Supplements between meals, such as Nestlé Boost® Nutritional Energy Drinks (check with your physician before changing or altering dietary intakes)
  • A more “taste-enticing” option may be to offer Boost® Nutritional Pudding Cups, available in Vanilla, Chocolate, and Butterscotch flavors.
  • Meals on Wheels”: A non-profit organization that delivers home-cooked meals during the day for those aged 60+ who require assistance. To find out more information on this service and locate a meals-on-wheels provider in your area, please visit their web site at www.mealsonwheelsamerica.org.

What is an Amplified Telephone?

The following is an excerpt from HearingTelephones.com, an informative site sponsored by Elder Depot. Much more information is available on the site including guides on Digital Vs. Analog, Bacteria on Phones, and much more.

What is an Amplified Telephone?

An Amplified Telephone is one that is specially designed to make Sound more ‘Hearable’. Most Basic Amplification increases the Volume or Loudness of Sound. More Advanced Amplification modifies Tone and filters out Background Noise.

Outgoing Sound Amplification?

Most Amplified Telephones only augment Incoming Sound to help the Hard of Hearing but Outgoing Sound Amplified Telephones are also available to help those with soft voices.

Geemarc® AMPLI555 Amplified Phone  +12dB
Clarity® XLC2+™ Cordless 50dB Amplified Phone +15dB
Clarity® Alto Amplified Phone +15dB
Clarity® Alto Plus Amplified Phone +15dB
Geemarc® AMPLI550 Amplified Phone +15dB
Speech Amplified Handset +26dB

How loud is a Decibel?

The reason this question often goes unanswered is complicated and involves logarithmic equations. Skipping the mathematical details, the reason that we can only answer this question with approximations is because every person hears differently and every Sound is unique.

Approximate Decibel ‘Loudness’
0dB The Softest Sound any Human Ear can Hear.
5dB – 15dB Gentle Breeze
15dB – 30dB Whispered Conversation
30dB – 40dB Quiet Country Home
40dB – 50dB Quiet City Home
50dB – 70dB Normal Conversation
70dB – 90dB Times Square, New York at Noon
75dB – 90dB Typical Automobile Assembly Line
90dB – 100dB Riding a Power Lawn Mower
90dB – 100dB Sitting in the Front Row of Full Orchestra
playing William Tell Overture.
110db – 115dB Thunder, from less than a Mile
115dB – 130dB Sitting in the Front Row of a Metallica concert.
120dB – 130dB Sound begins to cause Physical Pain.
This point varies depending on the frequencies a person can hear.
130dB-150dB Jet Engine at Full Throttle from a few Yards.

Decibels, Amplification, and Loudness.

Roughly, the Loudness of a Sound is Doubled with each increase of 10dB. This means that the Loudness of a Sound increases exponentially along the Decibel scale; +10dB would be approximately Twice as Loud, +20dB would be approximately Four Times as Loud, +30dB would be approximately Eight Times as Loud, +40dB would be approximately Sixteen Times as Loud, +50dB would be approximately Thirty-Two Times as Loud, and so on.

The goal of most Amplification is to increase Normal Conversation (50dB to 70dB) to a Loudness that can be heard by the Hard of Hearing. Amplification of 12-26dB usually suffices for Mild Hearing Loss, 30-40dB usually suffices for Moderate Hearing Loss, and 43-67dB usually suffices for Severe Hearing Loss.

Degrees of Hearing Loss
Mild Hearing Loss Moderate Hearing Loss Severe Hearing Loss
Cannot hear Soft Sounds.
May mishear Spoken Words.
Background Noise sometimes drowns out Speech.
Cannot hear Normal Sounds.
Often mishears Spoken Words.
Background Noise often drowns out Speech.
Only Loud Sounds can be heard.
Cannot understand Spoken Words.
12-26dB Amplification 30-40dB Amplification 43-67dB Amplification

Advanced Amplification Technology

Digital Clarity Power ™

Certain Clarity Amplified Telephones feature Digital Signal Processing technology that was first used in hearing aids in 1987 and has since become the industry standard. Clarity was the first to incorporate this patented technology into Amplified Telephones.

Digital Clarity Power™ uses Multiband Compression to determine which incoming sounds are the Human Voice and provide more amplification to those sounds while suppressing background noise. It also features Acoustic Noise Cancellation to reduce echoing, Noise Reduction to filter out static, and Voice Clarity to clarify outgoing sound as well as incoming.

High-Definition Sound (HDS)

Certain Serene Innovation Amplified Telephones feature High-Definition Sound technology.

 

UltraClear™ and ClearDigital™

Certain ClearSounds Amplified Telephones feature UltraClear™ tone management technology and others feature ClearDigital™ Full Digital Power technology.

Telephone Amplifier Units

Amplifier Units that connect to standard Telephones are also available, allowing one to continue using their old phone while still receiving the benefits of amplification.

Hearing Aid Compatible

Many Amplified Telephones are Hearing Aid Compatible. Some are also Telecoil (T-coil) compatible allowing them to be directly connected to many hearing aids; this further helps to filter out background noise.