Healthy Aging: Taking Charge - Denver€¦ · •What are the pros and cons of each choice? ......
Transcript of Healthy Aging: Taking Charge - Denver€¦ · •What are the pros and cons of each choice? ......
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H e a l t h y A g i n g : Ta k i n g C h a r g e
Barbara A Morris MD
Fall 2016
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Healthy
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Aging
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Healthy Aging
Photo by David Jakle
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Today we will discuss: • How to choose a doctor
• Finding Community Resources
• Medication management and pitfalls
• Preventive strategies
• Fall prevention
• Family and friends
• The role of Specialists and hospital care
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It’s Important!
• Partnership between patient and doctor
• Health care team
• Goal based care: getting where you want
to be!
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Choosing your Doctor
• What are you looking for?
• Does gender matter?
• Geriatrician or not?
• Insurance issues?
• Location and office hours?
• Board certification?
• 24/7 availability
• Phone and email policies
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Community Resources
• Medicare.gov
• www.healthinaging.org/find-a-geriatrics-healthcare-professional/.
• www.eldercare.gov
• Spiritual organizations
• Senior and community centers
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NIHSeniorHealth
Healthy Aging: http://nihseniorhealth.gov/category/healthyaging.html
This category offers tips on how to stay healthy, get good health care, and manage lifestyle changes as you age.
•Alzheimer's Caregiving
•Balance Problems
•Complementary Health Approaches
•Creating a Family Health History
•Eating Safely
•Eating Well As You Get Older
•Exercise: Benefits of Exercise
•Exercise: Exercises to Try
•Exercise: How to Get Started
•Exercise: How to Stay Active
•Falls and Older Adults
•Health Screenings and Immunizations
•Healthy Eyes
•Long-Term Care
•Medicare Basics
•Medicare Prescription Drug Coverage
•Older Drivers
•Problems with Smell
•Problems with Taste
•Skin Care and Aging
•Sleep and Aging
•Taking Medicines
•Talking with Your Doctor
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Centura Health at Porter
• Dr. Barbara Morris at Clermont Park & Holly Creek
• Dr. Janice Hartman at Clermont Park & Holly Creek
• Patricia Moxham-Fisher NP at Holly Creek
• Dr. Karyn Leible at Church Ranch
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Keep on Top of Your problems
• You are in charge
• Keep a list of your major health issues
• Set goals and discuss these with your health care team
• Think about what is most important to you – Longevity?
– Quality of life?
– Relationships?
– Purpose?
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Medications
• Medication reconciliation is a BIG safety issue
• Accurate medication lists are very important
• Bring your meds and/or a detailed list of what
you are taking
• Be prepared with your questions
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More on medications
Things to know about each medication:
–Name(generic and trade name)
–Purpose
–Possible side effects
–When to take it
–What it looks like
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Seeing, Hearing, and Comfort
• Wear your hearing aids, if you have them
• Wear your glasses
• If you can’t hear, tell the office staff
• Wear loose fitting clothing that is easy to get on and off
• Bring your walker or cane
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Decision Making
• Health care decision making should be
collaborative
• The doctor and health care team need
your input and partnership
• Listen to the advice, then ask questions
• If you aren’t ready to make a decision, tell
the doctor
• If you need more information, ASK
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Medical Testing
• Why is the test being done?
• What do I need to do to get ready?
• Are there any dangers to the test?
• When will I get the results and what will be
the next steps?
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Making Decisions in Partnership
• What are the choices for different
treatments?
• What are the pros and cons of each
choice?
• Which choice fits with your health goals?
• What side effects or risks are there for the
proposed treatment?
• What are the cost implications?
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Don’t Forget about Prevention! • If your doctor/health care team don’t ask,
you should!
• Bring prior documents about
immunizations and procedures
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Immunizations
• Influenza
• Pneumovax & prevnar
• Tetanus(and pertussis)
• Shingles(zoster)
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Preventive screenings
• Colon cancer
• Breast cancer
• Depression
• Lung cancer screening for smokers
• Memory health
• Bone health
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EXERCISE • Increases energy
• Maintains physical strength
• Improves mood and relieves depression
• Helps manage chronic disease
• Improves balance
• Helps maintain memory and cognitive skills
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What about Falls?
• Keep strong
• Vitamin D supplements
• Regular exercise
• Vision, hearing, footwear
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What about driving?
• Be honest about your driving record
• Allow your family & friends to express their
concerns
• Consider taking a driving test if you or your
family are worried
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To drive we need to be able to move, hear, see and think
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And sex?
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Advance Directives
• What are your wishes for your care in the event you become gravely ill?
• Who shall speak for you?
• What is important to you if you have a terminal illness?
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Living Wills & Power of Attorney for Healthcare
• What is a living will?
• Should I have a living will?
• What is a durable power of attorney for healthcare?
• Who should I appoint?
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What about the MOST form? • CPR(replaces the old do not resuscitate form)
• Medical interventions(full, selective, or comfort focused)
• Artificial nutrition
• Signed by patient or surrogate & provider
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Family & Friends
• Who do you trust to help you with health care decisions?
• A second set of eyes and ears can be helpful
• Make sure your companion knows
what role you want them to play if they join
You during your visit
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What about specialists?
• Who to see?
• Communication is key
• What if I don’t like the specialist I am
referred to?
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Remember
• Your primary care provider is your personal
quarterback
• Keep your provider informed about how you are
doing and what you need to achieve your health
care goals. Make sure they know what is
important to you!
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Centura Health Physician Group Clermont Park
303.649.3155