Posts Tagged ‘elderly’

Surgery for Elderly Found Risky

Saturday, December 26th, 2009

surgery

If you ever wondered if surgery was more risky for the elderly, you may have your answer. Science Daily recently ran an article that showed that the risk of complications and early death after performed abdominal surgical procedures apepars to be higher among older adults.

It is estimated that one in six Americans will be age 65 or older by 2020 and that 15 percent of this population will be older than age 85, according to background information in the article [Archives of Surgery]. “Approximately 2 million older Americans undergo abdominal surgical operations each year,” the authors note. “For clinicians, patients and families considering abdominal surgical procedures, informed decision making is challenging because of limited data regarding the risks of adverse perioperative events associated with advancing age.”

The procedures included common surgeries such as gall bladder removal, hysterectomy and colectomy. Complications were recorded within 90 days of discharge and deaths were recorded within 90 days of hospital admission.

The 90-day complication rate was 17.3 percent and the 90-day death rate was 5.4 percent. “Advancing age was associated with increasing frequency of complications (65 to 69 years, 14.6 percent; 70 to 74 years, 16.1 percent; 75 to 79 years, 18.8 percent; 80 to 84 years, 19.9 percent; 85 to 89 years, 22.6 percent; and 90 years or older, 22.7 percent) and mortality (65 to 69 years, 2.5 percent; 70 to 74 years, 3.8 percent; 75 to 79 years, 6 percent; 80 to 84 years, 8.1 percent; 85 to 89 years, 12.6 percent; and 90 years or older, 16.7 percent),” the authors note. “After adjusting for demographic, patient and surgical characteristics as well as hospital volume, the odds of early postoperative death increased considerably with each advance in age category. These associations were found among patients with both cancer and noncancer diagnoses and for both elective and nonelective admissions.”

These results, along with others conducted by the author of the Anti-Aging Firewalls site in the article, Age-related surgery risk, show that vulnerability to multiple causes of illness and death begins to climb at age 50, picks up during the sixth decade of life and goes into overdrive in the 80s. With a majority of population reaching these elder levels within the next few decades, the question over whether age-related surgery risks become higher as one ages is answered. The question now, perhaps, is whether or not surgeries such as the common gall-bladder surgery might remain covered under insurance for those over age eighty?

Only time and the government will tell as they move forward on the health care bill in 2010.

Peace of Mind for the Holidays

Friday, December 4th, 2009
Volunteer this holiday season -- spread the cheer!

Volunteer this holiday season -- spread the cheer!

Do you want to feel good about yourself this holiday season? One way to eliminate some stress over the upcoming holidays is to help others, especially the elderly. The AARP recently announced some startling statistics that may motivate you:

  • 9.9 million seniors age 55 and older lived in poverty before the economic crisis (SOURCE: AARP Public Policy Institute).
  • 52 percent of older Americans had difficulty paying for essential items such as food, gas, and medicine the past year (SOURCE: January 2009 AARP Survey — A Year-End Look at the Economic Slowdown’s Impact on Middle-Aged and Older Americans).
  • 57 percent of seniors expect to delay their retirement and work longer due to retirement losses (SOURCE: January 2009 AARP Survey — A Year-End Look at the Economic Slowdown’s Impact on Middle-Aged and Older Americans).

If you are not elderly, one day you will be — if you live long enough. Think of providing a gift to a senior as karma, as in “what goes around comes around.” While a small gift of food might help, you also can stay aloof and let others handle the process. AARP, for instance, offers one way to give through their annual fund drive. This gift is tax deductible. You also can use Charity Navigator to find a charity that suits your idea of what giving means to you.

If you don’t have two pennies to rub together yourself, you can work a soup kitchen or offer to deliver meals over the holidays. At least you may get a chance to eat a meal, as volunteers often get fed. Consider volunteering at a local homeless shelter, nursing home, hospice or hospital. Some groups you can check with to learn more about local volunteerism include:

  • Holiday Project: The Mission of The Holiday Project is to enrich the experience of the holidays by arranging visits to people confined to nursing homes, hospitals and other institutions. Use this site to learn more about projects in your area.
  • VolunteerMatch: VolunteerMatch strengthens communities by making it easier for good people and good causes to connect, as this is a recruiting tool for nonprofit organizations. Enter your zip code and skills into the site and they can help you get matched up with a need for volunteers in your region.
  • Servenet.org: Since its inception, servenet.org has enabled millions of youth volunteers to connect with local nonprofits to make a difference in communities throughout America. But, you don’t need to be a spring chicken to help out with this organization. They will welcome people of all ages and abilities.

Volunteer this holiday season to help others and to help yourself. When you’re occupied with helping someone else, your troubles may diminish. Additionally, you may learn more about your neighborhood. Who knows? You may even find a new calling (or a new job) as a caregiver by offering your help. If nothing else, you could feel better (as in less stressed) and you will meet new people who can help you spread a that holiday cheer just a bit further.

Tips for Taking Care of Prescriptions for Elderly

Wednesday, October 28th, 2009
Pills that are different colors can be helpful in organizing medications.

Pills that are different colors can be helpful in organizing medications.

Are you helping to take care of an elderly person? Many older people must take several different prescription and nonprescription drugs every day. Because these drugs often are taken during different times of the day, it can become easy for an elderly person (or even a stressed younger person) to become confused about which medication to take at what time.

This confusion can create a situation where an individual may skip a dose or overdose on a particular drug. The following tips can help alleviate some of these issues and more, and can help your loved one manage his or her medications as easily as possible.

  1. Make a list of all medications, including over-the-counter drugs, that the person is taking and keep it up to date. This list is useful both for the patient and for that patient’s doctor.
  2. Keep a medication schedule in the form of a calendar and check off each dose as it is taken.
  3. If the person has trouble remembering to take medications, try associating doses with specific times of day, such as breakfast, lunch and dinner, or waking up or before going to bed.
  4. Use a divided container to prepare a person’s doses for an upcoming week. Containers designed for this purpose are inexpensive (often free) and found at local drugstores.
  5. Be sure that the person takes his or her medications as prescribed. For instance, some medications must be taken between meals, and others must be taken with food or before eating. See #3 to help with association for these medications.
  6. If the patient has problems digesting certain drugs, ask the doctor or pharmacist if other forms are available. In other words, a pill may be hard to swallow, but that pill may be available in liquid, too.
  7. Use containers with easy-open lids rather than child-resistant lids to ease opening the bottle for someone who might suffer from arthritis. These easy-open lids are perfectly appropriate when children no longer reside in the house.
  8. Never transfer drugs from one container to another unless that second container has been labeled appropriately.
  9. When you pick up medicine from the pharmacy, read the label to make sure you understand the dosage required and when that medicine should be taken. If you have questions, it’s easier to ask when you receive the medication than to call later.
  10. Avoid keeping medicines on a bedside table. More than one overdose has been attributed to patients taking drugs too often when he or she is not fully awake. Additionally, the possibility of taking the wrong medication increases in this situation.
  11. Keep medications up to date. If a medication is to be renewed, be sure to let the doctor or pharmacist know about a week before the expiration on the current bottle. This way, you can rest assured that the medication can be continued without a lapse due to holidays, running out at night, etc.
  12. Dispose of all unused and expired prescriptions properly. Unfortunately, disposing of pills and medicines down the drain can increase the chances that local water supplies become contaminated. Keep the medications in the bottles with lids on and dispose of the bottles in the trash. This latter solution is not the best one, but until these bottles and their medications can be disposed of in an environmentally-safe way, people have little choice in how to eliminate the medicines from the household.
  13. Make sure that all pills are accounted for and that the patient is 1) not taking medications that belong to others, and 2) that the patient is not giving away medications.

One way to help cut down on the number of prescriptions that a person might be taking is to ask the doctor or pharmacist if the medication can be combined. For instance, why take a cough medicine and a decongestant when both can be combined and purchased in one package? This type of packaging may save money as well as time, space and confusion.