A New Paradigm Is Needed: Top Experts Question the Value of Advance Care Planning
Prominent researchers say the nationwide effort to get people to spell out how they want to be treated as they die is not improving patients’ care.
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Prominent researchers say the nationwide effort to get people to spell out how they want to be treated as they die is not improving patients’ care.
Fear of covid has kept some adults from moving to nursing homes, and many facilities are in trouble financially. When Nevada, Missouri, officials announced they were planning to close a home specializing in dementia care, members of the community rose up in protest.
The loss of smell is a common issue for many seniors and is often overlooked. Yet it can have serious consequences.
Dr. Susan Massad created a “health team” after learning she had metastatic breast cancer. These friends and family members help her make difficult decisions and lead the most fulfilling life possible.
In light of the pandemic’s shocking death toll among seniors, organizations are trying new strategies to help older Americans get better care.
Ageism in health care settings, which can result in inappropriate or dangerous treatment, is getting new attention during the covid pandemic, which has killed more than half a million Americans age 65 and older.
Long-term relationships between patients and doctors often enrich the quality of care and create deep emotional bonds. When the doctors retire or move on, saying goodbye can be hard.
The condition can be an early signal of Alzheimer’s disease, but not always. Other health concerns could be causing thinking or memory problems, and the new drug, Aduhelm, would not be appropriate for those patients.
Lynn Casteel Harper, a minister at the interdenominational Riverside Church in New York City, discusses the spiritual dimension of aging.
The latest research shows that although deaths in nursing homes received enormous attention, far more older adults who perished from covid lived outside of institutions. People with dementia and other severe neurological conditions, chronic kidney disease and immune deficiencies were hit especially hard.
Relationships with people you know only superficially can help develop a sense of belonging and provide motivation to engage in activities. Research has found that older adults who have a broad array of “weak” as well as “close” ties enjoy better physical and psychological well-being and live longer than people with less diverse social networks.
The potential benefits of Aduhelm are small, its effectiveness is not certain, and even the FDA Thursday shifted its guidance on who should get the drug. But physicians are dealing with an onslaught of interest from patients and their families, and figuring out which patients are best positioned to be helped by the drug will be difficult.
Aduhelm, approved by the Food and Drug Administration last month despite questions about its efficacy, could be prescribed to at least 1 million patients a year, for a price tag of about $56 billion. Experts suggest there might be better ways to spend that money.
Millions of older adults want to be comfortable going online and using digital tools to enhance their lives. But many need help. A number of groups around the country offer assistance.
Experts offer advice on how seniors struggling with physical, emotional and cognitive challenges following a year of being cooped up can address issues such as muscle weakness, poor nutrition, disrupted sleep, anxiety and social isolation.
A little-discussed, long-term toll of the pandemic is that large numbers of older adults have become physically and cognitively debilitated and less able to care for themselves after sheltering in place.
When the covid pandemic hit, Dr. Rebecca Elon was thrust into a new role, primary caregiver for her severely ill husband and her elderly mother. “Reading about caregiving of this kind was one thing. Experiencing it was entirely different,” she says.
How do dozens of people living communally decide what to do during a public health crisis when members have varying tolerance for risk and different opinions about safe practices?
Whether it’s making plans to hug their grandchildren, scheduling long-overdue medical appointments or just petting the neighbor’s dog, seniors are inching back to a lifestyle they’ve missed during the pandemic.
Relatives and advocates are calling for federal authorities to relax restrictions in long-term care institutions and grant special status to “essential caregivers” — family members or friends who provide critically important hands-on care — so they have the opportunity to tend to relatives in need.
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