Bladder Incontinence Has Many Causes So Management Can Vary
...Other common types of incontinence among adults include urge incontinence when you have a strong impulse to use the toilet but cannot get there in time; overflow incontinence, which involves urine leakage resulting from weak bladder muscle
Continue reading on Egosancares blog to learn more about the types of incontinence and how they can be managed:
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Source: Minding Our Elders - January 12, 2021 Category: Geriatrics Authors: Carol Bradley Bursack Source Type: blogs
Should We Keep Telling Dad that He Has Alzheimer's?
Photo credit Tessa Rampersad
Dear Carol: My dad, 79, was getting confused about normal things around his house, so when COVID began in March, we convinced him to move in with us. We gave him a bedroom/bathroom suite and it worked fine for a time, but his cognition is deteriorating badly. His doctor diagnosed him with Alzheimer’s, and he’s had some medications, but they haven’t helped. I’ve told Dad that with an Alzheimer’s diagnosis, he’ll need help with finances and that we should move his bank accounts online, but he says he doesn’t have Alzheimer’s and he doesn’t need help and doesn’t want that “co...
Source: Minding Our Elders - January 10, 2021 Category: Geriatrics Authors: Carol Bradley Bursack Source Type: blogs
How To Communicate with Your Older Parents Better
We often forget that our parents are adults who have lived long, and in most cases, responsible lives. They may have been poor parents, ordinary parents, or stellar parents, but the fact that we are trying to help them at this stage implies that they most likely did raise us. While occasionally you’ll meet an elder who willingly turns over all decisions to others, most will continue to want their autonomy. They want to make the decisions that rule their lives. So, when they need help, what do you do?
Continue reading on the Egosancares blog to learn more about how you really can communicate better with your ...
Source: Minding Our Elders - January 7, 2021 Category: Geriatrics Authors: Carol Bradley Bursack Source Type: blogs
Are You Confused About the Difference Between Palliative Care and Hospice Care? Here's Help
Dear Carol: My mom has advanced lung disease as well as late-stage Alzheimer’s. We know that there are no cures for her current conditions, but the doctors don’t seem to have any useful answers for me when I ask about how I can make her life better at this stage. She has an inhaler for her lungs, but they don’t seem willing to prescribe medications or advice other than keep her comfortable. Well, how do I go about that? Should she be on hospice? I’ve heard of something called palliative care, but I don’t understand it and no doctor has mentioned it. Can you help me? – Confused in the Midwest
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Source: Minding Our Elders - January 5, 2021 Category: Geriatrics Authors: Carol Bradley Bursack Source Type: blogs
Olanzapine FTW for Nausea Outside of CINV
by Drew Rosielle (@drosielle)A few months agoan interesting olanzapine study was published which I have been meaning to write a post about. It ' s important because while olanzapine has really established itself in the last decade as a highly effective antiemetic for chemotherapy induced nausea and vomiting, and is now in multiple CINV guidelines (eg Antiemetics: ASCO Guideline), etc, we don ' t have a lot of data for its efficacy for nausea outside of CINV, and so a well-done RCT is welcome.The study is amulti-center, US, adult, randomized, placebo-controlled, double-blind trial of olanzapine for nausea in advanced cancer...
Source: Pallimed: A Hospice and Palliative Medicine Blog - January 1, 2021 Category: Palliative Care Tags: anorexia cachexia nausea olanzapine rosielle Source Type: blogs
My first end-of-life conversation
As a third-year medical student finally in the clinical arena, I ’ve seen much more real medicine in the last three months than the entirety of my life. I’ve learned that the ethical dilemmas and the difficult patients are not restricted to TV medical dramas—it’s real life. On a Saturday morning on my inpatient Internal Medicine […]Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - December 25, 2020 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/shereen-jeyakumar" rel="tag" > Shereen Jeyakumar < /a > < /span > Tags: Education Palliative Care Source Type: blogs
Modified Blalock – Taussig shunt
The original Blalock – Taussig (BT) shunt was designed by Helen B Taussig (physician) and Alfred Blalock (surgeon) at the John Hopkins Hospital. This was based on the observation by Helen B Taussig that infants with severe pulmonary stenosis or pulmonary atresia had worsening of cyanosis after spontaneous closure of ductus arteriosus. The BT shunt was an anastomosis between subclavian artery and pulmonary artery, to enhance pulmonary blood flow those infants with severe cyanotic congenital heart disease with low pulmonary blood flow.
Different techniques have been used to modify a BT shunt when it is not technically fea...
Source: Cardiophile MD - December 23, 2020 Category: Cardiology Authors: Prof. Dr. Johnson Francis Tags: Cardiac Surgery Blalock – Taussig shunt BT shunt classic Blalock – Taussig shunt Modified Blalock – Taussig shunt modified BT shunt Source Type: blogs
What to consider before becoming a medical power of attorney
If a family member or friend asked you to serve as his/her medical power of attorney, what would your answer be? Many people agree to assume this role without a second thought, but you should take some time to understand what your responsibilities as a medical power of attorney would be, why the person has […]Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - December 14, 2020 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/miles-j-varn" rel="tag" > Miles J. Varn, MD < /a > < /span > Tags: Conditions Palliative Care Source Type: blogs
Weekly Overseas Health IT Links – 12 December, 2020.
Here are a few I came across last week. Note: Each link is followed by a title and few paragraphs. For the full article click on the link above title of the article. Note also that full access to some links may require site registration or subscription payment. ----- https://www.digitalhealth.net/2020/11/electronic-system-to-improve-patients-end-of-life-care-shared-nationally/ Electronic system to improve patients ’ end of life care shared nationally Details about an electronic system which supports those who are receiving end of life care in the Humber, Coast and Vale Care Partnership area, have been published nationall...
Source: Australian Health Information Technology - December 12, 2020 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs
Urinary Incontinence Relatively Common with Aging Yet Stigma Persists
Social stigma. It’s a problem for people with nearly any condition that places them outside what is viewed as the norm, whether true or not. Incontinence is no different. Even though large numbers of adults have some form of incontinence, there’s still an unfortunate stigma attached to the condition. This is mostly because we think of a lack of bladder and/or fecal control as a problem that ends after infancy. The thinking goes that once we have been “potty trained,” we’ll be in control of these bodily functions for life. If we slip up, we are shamed. Fast forward a few decades. The reality is that a signif...
Source: Minding Our Elders - December 8, 2020 Category: Geriatrics Authors: Carol Bradley Bursack Source Type: blogs
Lose the Stigma About Incontinence: Even Young People Can be Affected
Dear Carol: I’m only 29, but I am incontinent and will probably remain like this unless there’s some medical miracle. Nerve injuries from a car accident are what caused my problem, but I’ve met other younger people online and in support groups and they have the same complaint that I do. Practically everything that you read about adult incontinence refers to older people with prostate problems, or menopause, or dementia – or whatever. Young people would like to see this condition normalized to some extent. We are not less competent in any way just because we need to use incontinence products. Can you please spread t...
Source: Minding Our Elders - December 4, 2020 Category: Geriatrics Authors: Carol Bradley Bursack Source Type: blogs
Making the Holidays Special for Your Elders No Matter Where They Live
Photo credit Annie Spratt
Even though most of us have happy memories of holiday celebrations when we were young, this time of the year can be stressful. There are pervasive societal expectations that everything should be happy, regardless of our circumstances. Our elders used to be in charge of making the holidays merry while the younger generations were the focus. But as our elders age and begin to lose their abilities, the holiday responsibilities increasingly fall to us.
Our desire is to provide a way for seniors to enjoy the holidays, but their health conditions and living arrangements can make that challen...
Source: Minding Our Elders - December 3, 2020 Category: Geriatrics Authors: Carol Bradley Bursack Source Type: blogs
Confused About Palliative Care Vs. Hospice Care? So Are a Lot of People
Dear Carol: My mom has advanced lung disease as well as late-stage Alzheimer’s. We know that there are no cures for her current conditions, but the doctors don’t seem to have any useful answers for me when I ask about how I can make her life better at this stage. She has an inhaler for her lungs, but they don’t seem willing to prescribe medications or advice other than keep her comfortable. Well, how do I go about that? Should she be on hospice? I’ve heard of something called palliative care, but I don’t understand it and no doctor has mentioned it. Can you help me? – Confused in the Midwest
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Source: Minding Our Elders - December 2, 2020 Category: Geriatrics Authors: Carol Bradley Bursack Source Type: blogs
Magic Mushrooms for Washington Patients? New Push Aims to Speed Psilocybin to the Dying
The Seattle Times reports on a novel strategy to make psilocybin available using state and federal "right to try" laws that allow terminally ill patients access to investigational drugs.Leading palliative care physicians like Ira Byock and Anthony Back... (Source: blog.bioethics.net)
Source: blog.bioethics.net - November 28, 2020 Category: Medical Ethics Authors: Thaddeus Mason Pope, JD, PhD Tags: Health Care syndicated Source Type: blogs
Court Rules Parents May Not Refuse Pain Treatment for Injured Boy
Ms Justice Mary Irvine of the Irish High Court has ruled that a hospital is entitled to withhold invasive interventions and administer a palliative care regime to a profoundly brain-injured boy should his condition substantially deteriorate.John’s pare... (Source: blog.bioethics.net)
Source: blog.bioethics.net - November 24, 2020 Category: Medical Ethics Authors: Thaddeus Mason Pope, JD, PhD Tags: Health Care syndicated Source Type: blogs
