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News

Mental Health Awareness Month - Mental Illness in the Elderly

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May has been the national Mental Health Awareness Month since 1949. Its purpose is to raise awareness and educate the public about mental illnesses like for example depression, schizophrenia, and bipolar disorder. Mental Health Awareness Month also strives to reduce negative attitudes and misconceptions that surrounds mental illnesses.

Mental Illness in the Elderly

Did you know that about 20% of adults aged 55 or older have experienced some type of mental health concern, but nearly one in three of those seniors do not receive treatment?

The statistics on mental illness in seniors are sobering, but with knowledge and vigilance, caregivers can stay aware of the emotional and mental health of their older loved ones and make sure they are properly treated if they are experiencing a problem.

You might not be surprised to read that the most common mental health issue among the elderly is severe cognitive impairment or dementia. An estimated 5 million adults 65 and older currently have Alzheimer’s disease — about 11% of seniors, according to the Alzheimer’s Association.

Depression and mood disorders are also fairly widespread among older adults, and disturbingly, they often go undiagnosed and untreated. The CDC reports that 5% of seniors 65 and older reported having current depression and about 10.5% reported a diagnosis of depression at some point in their lives.

Often going along with depression, anxiety is also one of the more prevalent mental health problems among the elderly. Anxiety disorders encompass a range of issues, from hoarding syndrome and obsessive-compulsive disorder to phobias and post-traumatic stress disorder (PTSD). About 7.6% of those over 65 have been diagnosed with an anxiety disorder at some point in their lives, says the CDC.

Risk Factors for Mental Illness

One of the ongoing problems with diagnosis and treatment of mental illness in seniors is the fact that older adults are more likely to report physical symptoms than psychiatric complaints. However, even the normal emotional and physical stresses that go along with aging can be risk factors for mental illnesses, like anxiety and depression.

The Geriatric Mental Health Foundation lists a number of potential triggers for mental illness in the elderly:

  • Alcohol or substance abuse
  • Change of environment, like moving into assisted living
  • Dementia-causing illness (e.g. Alzheimer’s disease)
  • Illness or loss of a loved one
  • Long-term illness (e.g., canceror heart disease)
  • Medication interactions
  • Physical disability
  • Physical illnesses that can affect emotion, memory and thought
  • Poor diet or malnutrition

10 Symptoms of Mental Illness

As our loved ones’ age, it’s natural for some changes to occur. Regular forgetfulness is one thing, however; persistent cognitive or memory loss is another thing and potentially serious.

The same goes for extreme anxiety or long-term depression. Caregivers should keep an eye out for the following warning signs, which could indicate a mental health concern:

  1. Changes in appearance or dress, or problems maintaining the home or yard.
  2. Confusion, disorientation, problems with concentration or decision-making.
  3. Decrease or increase in appetite; changes in weight.
  4. Depressed mood lasting longer than two weeks.
  5. Feelings of worthlessness, inappropriate guilt, helplessness; thoughts of suicide.
  6. Memory loss, especially recent or short-term memory problems.
  7. Physical problems that can’t otherwise be explained: aches, constipation, etc.
  8. Social withdrawal; loss of interest in things that used to be enjoyable.
  9. Trouble handling finances or working with numbers.
  10. Unexplained fatigue, energy loss or sleep changes.

Don’t hesitate to seek help if your loved one is experiencing any of the symptoms above, urges the Geriatric Mental Health Foundation.

There are professionals out there willing to help, including your family doctor, who is always a good place to start. You could also consult a counselor, geriatric psychiatrist or psychologist. The important part is not to stand by and suffer alone.

With the combined efforts of caregivers, family, friends and mental health professionals, we can help ward off mental illness in our older loved ones and make sure they are on the right track to healthy aging.

Original article: https://www.aplaceformom.com/blog/2013-10-7-mental-illness-in-the-elderly/

 

National Nurses Week - Eight Nurses You Never Knew Existed

National Nurses Week May 6th-12th

International Nurses Day May 12th

This week is dedicated to all the amazing Nurses nationally as well as internationally. The American Nurses Association (ANA) began advocating for a national day to recognize nurses and all their hard work in the 1980s. In 1982, the ANA acknowledged May 6, 1982 as “National Nurses Day,” and president Ronald Reagan followed suit, signing an executive order that proclaimed May 6 as a national day recognizing and honoring the nursing community.

Being a nurse requires special skills and a compassionate personality.

We truly honor all these hard-working and caring professionals!

Eight Nurses You Never Knew Existed

  1. Roller Derby Nurse

Roller Derby

If you’ve ever seen a roller derby it’s pretty obvious that those fierce warriors on wheels would need some medical attention from time to time. For the Windy City Rollers of Chicago that care comes from “Mama Doc,” aka Judy Ramsay, RN, PEDS-SPEC.

A quiet pediatric nurse by day, Mama Doc spends her evenings voluntarily treating the sprains, bumps and bruises that these fiery women receive both in and out of the rink. She consults them on their needs as athletes, but is also happy to discuss with them sensitive personal issues. Her own daughter is a competitor.

“I do get nervous watching [them] out there; my pulse starts racing. My daughter has broken her nose, her leg and her collarbone, but I don’t ever want to inhibit her from feeling that she could do everything she wants in her life.”

  1. NASCAR Nurse

NASCAR

Ranking right up there with the MLB, NFL and NBA, NASCAR is currently one of the four most popular professional sports in America. But even sports fans need medical care, and the attendees of the Daytona 500 in Florida have someone looking out for them while they watch their favorite drivers compete.

Kathy Vance, RN, spends her time at the race doing an initial assessment of the racers and pit members after an accident, but more often than not, she’s helping to stabilize and treat injured or sick fans. She lovingly refers to some of her patients as Daytona’s “over-beveraged guests,” but she treats patients with more serious health issues, as well.

“One woman came in and she was actively having a myocardial infarction. I told her that she was having a heart attack and had to check into the hospital. She refused, saying, ‘I’m sorry. I’m not going to miss the 500 for this. I’ll go and see my doctor when we’re done.'”

  1. Flight Nurse

Flight

Here’s a nursing career path for adrenaline junkies. Nurses at LifeNet in the Heartland out of Omaha, Neb., spend their days soaring over the plain states, rescuing patients from emergencies in remote places that are impossible to reach via ground transport.

Matt Tederman, BSN, CFRN, says, “Kids are always the toughest flights. A few years back, we had this kid who was on a snowmobile in a rural field. He didn’t see a barbed wire fence and ran right into it. He had a very severe laceration on his neck and was in pretty rough shape. We were able to secure his airway and the outcome was positive. It’s flights like that that make you feel you can provide a life-changing service for the patient and their family.”

  1. Prison Hospice Nurse

prison

The over whelming majority of inmates at the maximum-security Louisiana State Penitentiary in Angola, La., are behind bars for life, which also means that’s where they will die. What’s unique about this place is that many of these prisoners will die in the company of compassionate hospice volunteers — inmates themselves — who are trained in hospice care by a corrections nurse.

Tonia Faust, CCNM, RN, is the hospice program coordinator there, and she and her inmate volunteers help to bring palliative care and emotional comfort to inmates in their last days of life.

“When I am working with a patient, my thoughts are in the present. I don’t look at their rap sheets, and I don’t know what the majority of my patients have done to be here. I don’t want to know. I know they’ve done something bad, but my job is to take care of a human being as if he were a family member. I don’t treat these patients any differently than I would a patient out on the street.”

  1. Drug-Endangered Children’s Nurse

Drug

Anyone acquainted with television shows like “Breaking Bad” or “The Wire” might feel they have a working knowledge of the culture behind drug production, distribution and abuse. But no one is more keenly aware of the harsh realities of that world than nurse Peggy Arvin, BSN, RN.

Working as a consultant with the state of Kentucky’s foster care system, Arvin has been on the forefront of helping identify the physical and psychological effects of drug abuse on the most unwitting victims of the trade: children. As meth production in Appalachia began to spike, there was a sudden influx of children coming into foster care with a whole litany of never-before-seen issues. Arvin took action: educating herself about the drug in order to create a protocol for EMS and child-welfare workers to use when they encountered children in a meth home.

“We have one child whose parents owed either meth or money to a relative who kidnapped the child and said, ‘Every day you don’t pay me, I am going to burn the child with a cigarette.’ The two-year-old was brought into foster care, and we found twenty-two burn marks on the child.” The hope is that with the right care, these neglected kids can be treated for their physical and emotional needs and placed in foster homes where they can have a chance at a new, more stable life.

  1. Transgender Outreach and Education Nurse

transg

Members of the LGBT community often face intimidating barriers when seeking adequate, compassionate health care. Health care professionals might not understand their specific needs or might be discriminatory against their lifestyle. Sometimes, in spite of their best intentions, something as simple as a question about gender can immediately alienate a patient.

That’s where Nathan Levitt, RN, MA, BSN, comes in. From his office at the Callen Lorde Community Health Center in New York, Levitt works double duty: he counsels and performs outreach to members of the local community, but he also functions as an educator to health care professionals, instructing them on how to provide LGBT patients with affirmative and sensitive health care.

“I did not know I wanted to be a nurse early on. I did a lot of LGBT-advocacy work and started working with doctors and nurses in San Francisco. That pushed me further to be a nurse because I wanted to help remove the barriers to care that I had faced myself. It’s best to ask, ‘How do you identify your sexual orientation?’ or ‘How do you identify your gender?’ or ‘What pronoun would you like me to use for you?’ What I love about nursing is developing trusting relationships with patients to help them feel more comfortable in an environment that may feel alienating and discriminatory. I just need more hours in the day and night to do the work I love.”

  1. Wound Nurse

wound

“My nickname here is ‘Pus Princess’. I don’t talk about my work at cocktail parties because people think a wound nurse deals in gunshot wounds. I say, ‘Not so much, more like chronic, non-healing things.’ That usually ends the small talk.”

Amanda Owen, BSN, RN, CWCN, is a wound specialist in the Johns Hopkins Hospital’s inpatient ward, treating people with problems the rest of us would probably rather not know about. “I tell people I went to school to become this glamorous looker of disgusting things,” Owens said. Some of her patients will never fully heal and must be continually managed, but some do have miraculous outcomes.

“I didn’t choose wound nursing; it chose me. I was a nurse on a medical nursing floor where I saw all kind of patients. My first successful wound patient was in the hospital for six months. I was able to try every wound product and technique on her to see what worked and what didn’t. Then we had another lady who had this horrible disease and who shouldn’t have healed, but she did because she had specialized care. At the time, the department did not have anyone who specialized in wound care, so that became my specialty.”

  1. Global Health Policy Nurse

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Some nurses aren’t only RNs, they’re also MDs and PhDs, as well, and their work can take place far outside of the realm of day-to-day patient care. Nurse Marilyn DeLuca, PhD, RN, MA, MPA works as both an educator and consultant on issues of public policy, both locally and globally.

Her career began on an ICU ward, but she soon felt she needed to have a better understanding of the policy issues driving health care reform on a larger scale, so she returned to school for a PhD in health policy.

“If we could start from scratch, we would build a very different health care system than the one we currently have. Many of our current problems — high costs and fragmented care — are the result of the unexpected consequences of policy decisions. In the coming years, nurses will likely play more dominant roles in health care delivery. They have the capacity and clinical skills to improve the continuity and quality of care. I would like to see a large-scale project to improve the continuity of care.”

Original & full article: https://www.pbs.org/newshour/health/eight-nurses-you-never-knew-existed

 

Important breakthrough in the Alzheimer’s research – Scientists erase Alzheimer-causing gene in human brain

Alzheimers research

 

 

 

 

 

 

 

 

 

Important breakthrough in the Alzheimer’s research – Scientists erase Alzheimer-causing gene in human brain

Last week brought important news from Californian Scientists. They were able to successfully change a protein associated with Alzheimer’s disease into a more harmless form. This breakthrough is an extremely important stepping-stone towards finding a cure for the disease.

This is the first time the researchers were able to use human cells instead of animals. This is significant as some treatments that have worked with mice have not worked with humans.

“The finding that the breakdown of the ApoE4 protein is associated with Alzheimer’s also provides insight into why treatments that work with mice may fail with humans. Amyloid-β production is not affected by the ApoE4 gene in mice. Treatments that have been shown to be effective with mice may not be as successful with humans because the mouse models don’t address ApoE4-related forms of Alzheimer’s in humans.” Read the whole Forbes article: This Gene May Explain Why Alzheimer's Treatments Succeed With Mice But Fail With Humans.

Facts & Figures

According to the Alzheimer’s Association, every 65 seconds someone in the United States develops the disease. At the moment, 5.7 million Americans are living with Alzheimer’s.

quick facts Alzheimers

Serving and Portion Sizes: How Much Should I Eat?

Eating a variety of foods from each food group will help you get the nutrients you need.

The Dietary Guidelines suggests that people 50 or older choose foods every day from the following:

cups

 

 

 

 

 

 

 

 

 

 

 

  • Fruits—1½ to 2½ cups
  • Vegetables—2 to 3½ cups
  • Grains—5 to 10 ounces
  • Protein foods—5 to 7 ounces
  • Dairy foods—3 cups of fat-free or low-fat milk
  • Oils—5 to 8 teaspoons
  • Solid fats and added sugars (SoFAS) and sodium (salt)—keep the amount of SoFAS and sodium small

Does this mean you have to measure or weigh everything you eat? Not really. Some people find it helps to measure things carefully at first, but once you get used to your new eating plan, strict measuring probably won’t be necessary. But, what exactly is a serving? And is that different from a portion?

The word "serving" can have different meanings depending on how it is used. A Dietary Approaches to Stop Hypertension Plan serving is how much of each food you should eat to meet the plan’s daily recommendation. (Learn more about serving sizes on the Nutrition Facts label .)

The term "portion" means how much of a single food is actually on your dish—a portion size can vary from meal to meal. For example, one restaurant might serve larger portions than another.

Here are some pictures to help you understand about how much you are eating:

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TIP: SNACKING

Snacks are okay, as long as they are smart food choices. If you want an afternoon pick-me-up or after-dinner snack, have a piece of fruit, or spread peanut butter or low-fat cream cheese on whole wheat toast. Don’t forget to include snacks in your daily food count. For example, one tablespoon of peanut butter spread on a slice of whole wheat toast counts toward the grains group and the protein foods group. Some ideas for healthy snacking include:

  • Have an ounce of cheese with some whole-grain crackers, a container of low-fat or fat-free yogurt, or some low-fat popcorn.
  • Put fruit instead of candy in the bowl on your coffee table.
  • Keep a container of cleaned, raw vegetables in the fridge.
  • If you want some chips or nuts, don’t eat from the bag. Count out a serving and put the bag away.

 

 

Original article:

https://www.nia.nih.gov/health/serving-and-portion-sizes-how-much-should-i-eat

 

Summer is arriving – stay hydrated and keep our precious environment on your mind!

The risk of dehydration increases the older we get. According to the Nutrien Reference Values, men should drink about 10 cups and women 8 cups per day depending on their weight. On a hot day, you lose fluids more than normally, especially if you are taking medication. Remember to drink water regularly and always keep some next to you during the summer heat.

ecological

Sheridan Care is preparing for the hot summer season with a new water refill station Flowater. From an ecological point of view, this is a significant investment. Did you know that 79% of 6.9 billion tons of plastic waste ends in Landfills, floating in the oceans or piling up on city streets? Plastic is one of the major environmental issues we have now influencing our health, natural ecosystems, and the climate. Therefore, we use reusable water bottles with our new water refill system. We were able to save 100 bottles from the Landfill in only a few days just our office alone.

Keep yourself hydrated and remember to pay attention to your ecological footprint. You are always welcome to stop by our office to say hi and refill your bottle.

Sources:

http://www.abc.net.au/news/health/2017-10-18/how-much-water-do-we-need-to-drink-a-day/8996668

https://www.nytimes.com/2017/07/19/climate/plastic-pollution-study-science-advances.html

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