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Reports |
Articles
Reports
Medicare Part D 2008: Data Spotlight; Low-Income Subsidy Plan Availability
(April 2008)
The authors of this report show that 21% of the persons eligible for the Medicare Part D Low Income Subsidy
(LIS) do not receive this important subsidy. (The Medicare Part D drug benefit program provides premium and cost-sharing assistance to beneficiaries who qualify for the program’s Low Income Subsidy or
LIS.) Unfortunately, the eligibility requirements are difficult to meet.
Report: Health Care Costs
Drive Up the National Retirement Risk Index (February 2008)
Studies show that forty-four percent of US households will be unable to
maintain their standard of living in retirement even if they continue to
work up to age 65 (which is above the current average retirement age) and
annuitize their financial assets. This percentage increases dramatically
once rapidly increasing health costs are included into the calculations.
Report: A Profile of Medicaid Institutional and Community-Based Long-Term Care Service Use and Expenditures Among the Aged and Disabled Using MAX 2002 (January 2008)
The study evaluates how Medicaid enrollees use community-based long-term care services and examines how such community-based services are used across the US. The results indicate significant variation in patterns of long-term care services use and expenditures in 37 states.
Report: Do We Know If
Medicare Advantage Special Needs Plans Are Special? (January 2008)
Enrollment in Medicare Special Needs Plans have doubled during the last
year, but how do these plans actually perform in relation to other
Medicare Advantage plans? SNPs are a new type of Medicare Advantage
managed care plan limited to subgroups of Medicare beneficiaries in three
categories: (1) those dually eligible for Medicare and Medicaid; (2) those
who are institutionalized; and (3) those with severe or disabling chronic
conditions. The researchers at Mathematica Policy Research ask if SNPs are
doing anything special, and if so, how will we know? At this point, the
jury is still out and the answers to these questions are not yet fully
known.
Report: Health Care Reform
and Long Term Care: A Survey of AARP Members in New Mexico (January 2008)
One in five inhabitants of New Mexico lives without health care coverage. A
survey of AARP members showed that 60% worry about whether they can afford
health care. They said they would support “expanding health care for all
even if it means an increase in taxes.”
Report: Financing Medicare: An Issue Brief (January 2008)
The report provides an overview of how Medicare programs are financed and describes its financial challenges. Medicare program expenditures continue to grow steadily, reaching $440 billion in fiscal year 2007. This cost represents 16% of the total federal budget, exceeded only by Social Security benefits (21%) and military (19%) spending in 2007.
Articles
Medicare Plans Affected by Rising Drug Costs
(April 19, 2008)
Since 2006, drug companies have raised the price of specialty medications that seniors use, due to an overall increase in drug prices. Many Medicare Part D plans require policyholders to pay a certain percentage of the cost of a specialty drug. Once patients reach a cap on out-of-pocket spending, the percentage of their payments is reduced while the proportion paid by the federal government increases. According to a Harvard-based study, this practice puts a strain on the federal budget.
Medicare Data Should Stay Private, Government Says in Appeal: The Bush Administration Wants to Keep Limits on Healthcare Records that Could be Used to Rate Doctors
(April 19, 2008)
The Bush administration has used a court appeal to keep Medicare billing records confidential. Consumer groups, health insurance companies and healthcare employers are demanding a release of these records that will inform the public of physicians’ track records. Physicians, on the other hand, support the appeal because it will protect their information. They say it can be misleading and misconstrued because statistics do not accurately represent doctors’ skills. If the information is released, presumably, Medicare patients can compare hospitals and other care facilities and come to their own conclusions about a “good doctor.”
Crisis Ahead for Elderly Health Care? (April 14, 2008)
Millions of US elders may not receive proper health care in the next three decades. An alarming report issued by the Institute of Medicine warns that the United States “faces a massive health care shortage” due to lack of geriatricians and nurses trained to care for older persons in the country.
When a Mind Begins to Disappear: A Young Family's Journey to the Dark Side (April 11, 2008)
This sad story is worthy of reflection. Alzheimer’s is mostly defined as an illness of elderly people. But the number of those suffering from early-onset Alzheimer’s come to about 500,000 in the US. For persons with families, this situation dramatically affects the future of the family, including their economic security.
Crisis of Age Requires Cure (April 5, 2008)
Every day 6,000 Americans turn 65. The Baby Boomer population now reaching retirement age foretells a critical situation about the availability of medical care. More and more older people will need support and care but few medical students want to specialize in geriatrics. Geriatrician Mark Lachs speaks about that problem is this article and how important it is to consider the implications. The idea of aging is not particularly a topic of interest to young people, making it difficult to raise awareness of the impending crisis.
Gov't Raises Payments to Health Insurers (April 7, 2008)
The US government has proposed a payment increase to private insurance companies participating in the Medicare Advantage program starting next year. This proposed 3.6% increase in payments is intended to be an incentive for companies to improve their services to attract new enrollees. Democrats oppose these payment increases, arguing that the Medicare Advantage program is costing the government more than traditional Medicare. Unions and consumer groups are appealing to Congress to end bonus subsidies to private insurers, but President Bush is determined to veto any cuts to these bonus payments.
Care for Elderly Ill Costliest in N.Y., New Jersey, California (April 7, 2008)
With 23% of Medicare beneficiaries suffering from 5 or more chronic illnesses, medical bills are stacking up. Studies have found that the average cost of medicals bills of New York, New Jersey and California elders exceeds the national average by 20%. A Medicare expenditure of $81,143 on an elderly Manhattan resident in the last two years of his or her life compares to only $29,116 spent for the same care in Dubuque, Iowa.
Doctors May Limit Patients After Change in Medicare (April 1, 2008)
Hundreds of doctors will gather in Washington D.C. to rally against the proposed cuts in Medicare payments that will affect how much doctors will be paid for their services. Expenses for doctors seeing Medicare patients are increasing and the practitioners expect to be paid accordingly. Instead of paying doctors the appropriate fees, the US government is redirecting funds to private insurance companies offering Medicare Advantage programs. The article argues that the government needs to stop the cuts in Medicare payments to doctors before a shortage of doctors caring for Medicare patients becomes dire in the US.
Getting Out of a Nursing Home Just Got
Harder (March 24, 2008)
The US government recently implemented new restrictions on Medicaid funding that will require recipients to coordinate their various medical services through “targeted case management.” These restrictions are suggested to have a negative impact on seniors in nursing homes. Per the new policy, states will receive federal Medicaid reimbursement for providing targeted case management for 60 days instead of the former 160 days, which gave nursing home residents more time to seek independent housing. Residents with disabilities and chronic health problems may find it more difficult to get back on their feet after institutionalization and most likely will need more than 60 days.
(Montana Senator Max) Baucus Tackles Cuts in Subsidies for
Medicare Advantage (March 23, 2008)
Senator Max Baucus of Montana, who is also chairman of the Senate Finance Committee, hopes to cut subsidies for private insurance companies selling Medicare Advantage plans. The subsidies for the Advantage plans cost the
US treasury additional tens of billions along with to traditional Medicare
fees. While private insurance companies administering certain Medicare services are being overpaid, seniors are paying more for these services and physicians are not being paid enough. Over 10 percent of the subsidies for private insurance companies go toward marketing and profit rather than physician fees.
Congress Rejects Medicare, Medicaid Cuts (March 14, 2008)
President Bush proposed cuts to Medicare spending that could have caused some New Jersey hospitals to cut back on services or close altogether. However, both Democratic and Republican members of Congress rejected the proposal. On March 14, Congress voted to adopt a budget for 2009 and the House voted for its version of the budget plan. While Democrats suggest their plan will increase spending on education and health care, Republicans oppose it. Congress will ultimately have the final say on federal spending and will work on a budget resolution over the next few months.
Heart-Device Hacking Risks Seen (March 12, 2008)
Researchers from Medtronic learned that it is possible for hackers to shock, shut down your heart or publish personal medical information. This is possible through interference with radio waves used to control defibrillators. These machines are used to
restart the heart with an electrical jolt. It is important to know that this is only a theoretical risk.
Deadline Looms for Medicare Choice (March 9, 2008)
This article offers advice for seniors to consider before the March 31 deadline for changing Medicare program plans. Some individuals have experienced health benefits from Silver Sneakers, a senior exercise program that is part of the Humana Medicare Advantage plan. Seniors are advised to remain with their current plan if their medical care is complicated and they already have an established team of health care providers. Consider asking your doctor for advice and looking at costs and types of treatments covered and how many area healthcare providers exist within the plan’s network. Also, take precautions against fraudulent plans.
Exercise Promoted in Nursing Homes (March 9, 2008)
Due to numerous studies showing the health benefits of exercise for the elderly, physical fitness is being promoted in nursing homes. Such benefits include increase in muscle mass, improved posture and balance and the promotion of healing wounds. Exercise is usually not part of nursing home activities, but should be included in the daily regimen of care to meet the physical fitness needs of most residents. Linda Thurston, who formed the Senior Fitness Movement in Ohio, engages seniors in physical activity that promotes positive health outcomes.
More Prescriptions, Greater Confusion: Medications Improve the Lives of Seniors, but Errors in Taking Them can be Lethal (March 9, 2008)
Medication mismanagement often leads to hospitalizations of older persons. A single senior can be prescribed a variety of medications to treat various medical conditions. But sometimes the drugs’ effects may be antagonistic to other medications, leading to serious health risks. Seniors are also more likely to administer their medications incorrectly, either taking too much or not enough, ending up in emergency situations. It is important for caregivers and home health aides to carefully monitor the drug intake of older persons who cannot manage on their own.
Early Onset Alzheimer's On The Rise (March 8, 2008)
The number of Americans with Alzheimer’s is expected to reach sixteen million by 2050, tripling the current total. As the number rises, the age of onset among those affected will be lower. Early onset Alzheimer’s is becoming more prominent, affecting individuals in their early 50’s. Some people have a genetic disposition to Alzheimer’s and should be aware of their family’s medical history.
Kohl Reacts To AHIP's Most Recent Pledge To Clean Up Sales And Marketing Tactics Of Medicare Advantage Plans (March 05, 2008)
In 2007, America's Health Insurance Plans, a political advocacy group that works with more than a thousand health insurance companies, pledged to stop selling confusing Medicare plans to the elderly. Members of the Senate Special Committee on Aging are skeptical of the company’s ability to clean up its act and are looking into other ways to reduce problems in the health system. A bill, proposed last year, would move responsibility for healthcare out of the hands of the federal government and make individual states the sole champions of regulating and standardizing a state system. Perhaps taking the profit out healthcare would help.
Massachusetts Hospitals Win Suit on Medicare: Reimbursement Must Be Refigured (February 29, 2008)
Hospitals in Massachusetts are winning the battle in a long-running dispute with Medicare. The federal government has been ordered to pay $200 million in reimbursement fees to all sixty-two hospitals involved because the government used the wrong wage index. Medicare officials are disappointed with the decision and are studying the case further to explore other options.
Congress Seeks Parity for Medicare Bills (February 29, 2008)
The US Congress has pressured Medicare to change Palm Beach, Broward and Miami-Dade counties to a single payment unit for Medicare Advantage plans. Payments made to private managed care plans differ from county to county, producing
dispazities based on statistical information used to assess local communities. A larger unit system is currently under review.
Honeywell Lobbied on Medicare Issues (February 28, 2008)
International manufacturer Honeywell, with the support of former government officials, lobbied against the federal government, including the Centers for Medicare and Medicaid (CMS), about issues of reimbursement.
Hospitals Say Medicare Law Won't Spur Changes (February 22, 2008)
A new Medicare law enacted to stop reimbursing hospitals for treating preventable errors will not have a major effect on some institutions as believed, local hospital officials claim. The article suggests the most important problem within hospitals is urinary tract infection from catheters. Hospitals that have a low rate of problems follow stringent regulations, including training a central line team to adhere strictly to protocols, implementing an aggressive hand washing policy, using unique colored clothing to identify patients at risk for falls and putting in new mattresses to reduce the occurrence of bed sores.
Maine’s Aging Boomers: Who Will Pay for Long-term Care (February 19, 2008)
As Maine is on the verge of a 'baby boomer' wave, employees at long-term care facilities are feeling the strain caused from inadequate funding from MaineCare, Maine's state Medicaid program. The industry has improved overall wages, created more categories of workers and offered better compensation for more skilled and educated workers in an attempt to ease the strain. In spite of funding issues, a customer satisfaction survey commissioned by Maine Health Care Association found that 91% of relatives of health care patients rated the care as 'good' or 'excellent.'
Medicare Won't Pay Hospitals for Errors (February 18, 2008)
Medicare will reject payments for errors caused by hospital staff. In some cases, patients have had surgical sponges left in their bodies after operations and the list of errors is constantly growing. Private insurance giants such as Aetna are pressuring hospitals to assume responsibility for these costs generated by preventable errors. Next year, Medicare will impose a move to add three more errors to the “no-pay” list and asserts that this will reduce government spending by $190 million over a five-year period. Hospitals claim to monitor these issues closely to prevent such errors from arising in the future.
Senate Finance Committee Bans American Medical Association From Medicare Reform Bill Talks (February 15, 2008)
The American Medical Association (AMA) is pushing for an increase in physician payments while the Senate Finance Committee wants to cut physician fees. However, Congress has banned the AMA from taking part in these discussions due to its failure to comply with a confidentiality agreement about Medicare talks last year. At this point, Congress is the legislative authority that can intervene to stop the cuts.
To Boost Medicare, Cut Industry Giveaways (February 15, 2008)
In this opinion piece, the author suggests that legislative decisions made under the Bush administration have seriously jeopardized the stability of Medicare, considered one of the most effective public programs in the nation’s history to date. The author argues that Medicare assures medical services for seniors who would otherwise have difficulty obtaining them via private insurance. Furthermore, the introduction of Medicare Part D in 2003 is hindering, rather than helping, seniors acquire their medications. The Bush administration is eating away at the heart of Medicare.
Medicare Orders Health Net to Stop Selling Orange Drug Plans (February 15, 2008)
Health Net Inc., one of the largest US health insurers, offers prescription drug plans to seniors. However, the Centers for Medicare and Medicaid (CMS) have ordered the company to halt marketing and enrollment in its drug plans due to violations of federal regulations. This CMS decision is part of the larger attempt to enforce proper conduct among insurers to prevent seniors from becoming victims of marketing abuse. Medicare officials have ordered Health Net, Inc., one of the largest publicly traded health insurers in the nation, to stop marketing its “Health Net Orange” prescription drug plans.
O'Malley to Unveil CareFirst (BlueCross BlueShield) Program: CareFirst Pledges to Plug Medicare Drug Gap in Maryland (February 15, 2008)
Maryland Governor Martin O’Malley has proposed a partnership with
CareFirst, a BlueCross BlueShield program, to help seniors pay for prescription drugs. The program is intended to cover the gap left by the Medicare prescription drug program. CareFirst will provide enough coverage to spare the State any costs. Lower-income seniors will be covered by the program, which is intended to reduce the number of uninsured elderly.
Need
for Geriatric Nurses Growing (February 2, 2008)
A growing elderly population has created a demand for
geriatric nurses in the Upper Midwest region of the US. Regional colleges
have developed a program to provide resources to improve geriatric nursing
education based on a Hartford Foundation grant. The funding will also be
used to increase the number of quality faculty within those academic
institutions. It is important not only to improve geriatric nursing, but
also to encourage students to enter the field to reduce current shortages.
Long-Term Care Authority to Address Issues Raised by Audit (January 26, 2008)
An audit by the Oklahoma State Department of Human Services raised issues with the Long-Term Care Authority regarding payroll errors, excessive administrative salaries and lack of program controls. The Long-Term Care Authority, based in Tulsa, has created a plan of action to address the issues after failing to seek an appeal. The Authority hopes to renew its Advantage Waiver program contract, thus compliance with the Department is critical.
Researchers Weigh Benefits of Medicare Part D for Seniors (January 25, 2008)
While research analysts have found the Medicare prescription drug plan (Part D) to be effective in lowering seniors’ drug expenditures, it is yet to be determined whether the program is cost-effective for the federal government. Although research shows that individual recipients are saving money, they are also increasing their prescription pills. Researchers suggest that in order to justify federal spending for the program, an analysis is needed to determine whether there is an overall improvement in beneficiaries health.
State's Lawmakers Grapple with Retirement
Issues: Nursing-home Payments, Long Term Care Insurance on the Agenda for
this Session (January 24, 2008)
Washington State legislators are currently addressing issues of long-term
residential facility payment systems, premium increases for long-term care
insurance policies, and increasing pay for low-income workers in the field
of long-term care. A task force formed last year issued a report that
included recommendations for long-term elder care services.
Mayo in Rochester Unlikely
to Limit Medicare Patients (January 24, 2008)
Due to conflicting interests in care priorities, the Mayo Clinic in
Rochester is proposing to set limits on care for Medicare patients at its
Arizona campus. Care needs in Arizona tend to focus on specialty services
while the Mayo Clinic mainly provides primary health care. Mayo maintains
that it provides services based on need, regardless of ability to pay. The
Mayo Clinic will have to address the growing aging population in a time of
capacity shortage.
6,300 Medical Equipment Suppliers Participated in First Round of Medicare Competitive Bidding Program (January 18, 2008)
A Medicare competitive bidding program was mandated in 2003. Last week, during the first round of the program, more than 6,300 bids from medical equipment suppliers were received. The Centers for Medicare and Medicaid Services (CMS) hopes to save billions of dollars for the agency and its policyholders by setting prices for medical products through competitive bidding. So far the program has taken place only in a select few places, but is expected to take bids nationwide next year.
Medicare Helps Push Drug Spending Up (January 8, 2008)
Since Congress created the Medicare prescription drug plan in 2006, pharmaceutical costs have increased rapidly. Influenced by industry lobbyists, the government ruled out any bargaining for lower drug prices. Over a year later, both out-of-pocket spending and public funds used to pay for medications have risen. Even worse, a study shows that despite higher drug expenditures, the US has the worst health outcomes.
Health Spending Exceeded Record $2 Trillion in 2006 (January 8, 2008)
The journal, Health Affairs, reported that Medicaid spending has gone down since it was introduced in 1965. Thanks to Medicare Part D, more beneficiaries are able to acquire prescription drugs, hence the increase in drug expenses. Health care spending currently accounts for 16 percent of the gross domestic product and experts speculate federal funding covers most of the spending.
Retiree Healthcare Crisis Brewing in State (January 8, 2008)
A California commission studying post-employment benefits for public employees says that the State needs $1.2 billion to cover healthcare for state employees. While California is struggling to balance its budget, the appointed commission has advised the State to figure the sum into the budget now as employees are near retirement age. As healthcare costs are expected to rise in the next few years, the commission anticipates a financial crisis.
Feds to Enforce Tighter Restrictions to Help Prevent Medicare Fraud (January 8, 2008)
In recent years, greedy salespersons pushing medical equipment have targeted Medicare beneficiaries. In some cases, they wrangle vulnerable seniors into purchasing unwanted or unnecessary medical equipment, which is paid for by Medicare. Aware of such fraud, federal officials want to end such activity by putting medical equipment suppliers under critical scrutiny by accredited agencies. Suppliers will also be required to set prices through a competitive bidding process.
State OKs Medicare Supplement Plan (January 4, 2008)
A health care insurance company based in Florida has been allowed by the state to market its Medicare supplement plan. Approval was obtained from both the state insurance office and the federal Centers for Medicare & Medicaid (CMS) before the insurance plan was allowed to enroll new members. Prior to the recent approval, the insurance company could not financially support enrollment for the plan, thus marketing was suspended and enrollees dropped. Enrollment for the plan is currently ongoing.
Private Insurance/Other
Reports
Do Out-of-Pocket Health Care Costs Delay Retirement? (February 2008)
The answer to the question is “Yes!” Cutbacks in employer-sponsored retiree health benefits add to the difficulty that many older Americans face paying for health care. The results of the study show that the premium costs associated with retirement before age 65 and expected out-of-pocket health care costs after age 65 do substantially delay retirement.
Articles
Aging Inmates Push Up Cost of Medical Care (March 23, 2008)
The cost of medical care is on the rise this year, due to the costs accrued by inmates aging during their incarceration. The additional costs are speculated to
sum up to more than $1 million. Medical care for cardiac problems, surgeries and cancer treatments contribute largely to this sum. It is suggested that most of these health conditions stem from the inmates’ lifestyles before incarceration and are exacerbated through old age.
State Denies License for Vets Nursing Home (January
18, 2008)
Due to problems with the facility, the West Virginia Veterans Nursing Home has been denied a license by the state. Problems ranged from mechanical errors in setting up equipment to inadequate personal and medical care. The report by state inspectors also cited the facility’s failure to screen job applicants. The million-dollar facility hopes to resolve the problems by the end of the month. It is important to meet state requirements for inspection in order to ensure that residents receive quality care.
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DRUGS/ PHARMACEUTICALS
Reports
Global Action on Aging
Research Bibliography: Psychotropic Drug Use in Nursing Homes
An estimated 80% of elderly nursing home residents suffer from mental disorders, such as Alzheimer's disease, depression, and anxiety and psychotic disorders. While psychotropic medications can be effective in treating mental disorders, there are concerns that overmedication of these vulnerable people can occur. Global Action on Aging is actively involved in researching and documenting the many aspects of overmedication in nursing homes. We have created a page providing links to information and studies on psychotropic drugs use in nursing homes, both in the United States and
internationally.
Articles
Antibiotics Questioned in Care at Life’s End (March 9, 2008)
A recent study has shown that antibiotics administered in nursing homes for dementia patients show evidence of long term damage. The treatments often cause resistance to germs and bacteria which can easily attack already weak immune systems of the elderly. In a study of about 200 patients, 52 who died received the treatment during the last few weeks of life. To raise even more concerns, research also suggests that doctors gave the antibiotics without consideration to the effectiveness of the drugs.
Program Aims to Help Seniors with Drug Costs (February 19, 2008)
Jay Nixon, Attorney General of Missouri, announced last week that his state government intends to provide technology grants to local health organizations to assist seniors with applying for free or reduced-cost prescription drug programs. Nearly 200 programs offered by pharmaceutical companies provide drugs to seniors pro bono or at low cost.
CBO (Congressional Budget Office) Analysis Suggests Allowing Pharmacies To Negotiate Contracts With Part D Plans Would Cost $681M Over Five Years (January 18, 2008)
A report from the Congressional Budget Office (CBO) suggested that a measure permitting independent pharmacies to directly negotiate contracts with health insurance companies would cost the government hundreds of millions. It is believed that the legislation would affect the Medicare prescription drug program by increasing the cost of drugs. This increase would in effect raise the premiums for group health insurance plans.
Aging: Mental
Health Overlooked in Care of Elderly Patients (January 8, 2008)
A new study suggests that primary care physicians may not
spend enough time treating psychiatric disorders commonly found in their
older patients. It seems that self-reported depressed patients never
discussed their condition with their doctors. Patients who
reportedly spoke with their doctors about their emotional state found it
unhelpful. Findings point anew to better communication between doctors and
their older patients.
Aging AIDS Patients Beset
by Complex Health Problems (January 6, 2008)
According to the US
Centers for Disease Control, the rate of older persons living with AIDS
disease has increased 77 percent between 2001 and 2005. However, only a
few studies show the correlation between AIDS among older patients and
other health problems, such as pulmonary disease, diabetes, ulcer,
cancers, and more. Experts expect that the immune system of older AIDS
patients may be weakened as they age further due to cocktails of drugs
that they took earlier to fight the disease.
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HEALTHY LIVING
Reports
The Longitudinal Elder Initiative: Helping Students Learn to Care for Older Adults (April, 2008)
According to the Centers for Disease Control and Prevention, people over 65 amassed 50% of hospital visits and 60% of primary care visits in 2004. In recognition of these facts, nursing programs are now adding geronotological content into their curricula. In addition, the Longitudinal Elder Initiative, a Baccalaureate of Science in Nursing program, pairs students with older persons in the community. The Initiative directors think that this pairing will help the students understand the health needs and care of older adults and give students concrete knowledge of how social, financial and health issues affect older persons over time.
Healthy @ Home (March 2008)
Older adults want to stay independent for as long as possible. In the future, new technologies such as tele-pharmacy or electronic wellness devices may reduce social isolation and decrease the costs of care services. However, the question is whether seniors are aware of the new technologies and willing to use them at home. For answers, the researchers asked seniors and caregivers for their opinions on technology use at home.
Five Million Senior
Citizens With Alzheimer’s, 10 Million Baby Boomers to Join Them (March
18, 2008)
The new Alzheimer’s Association report posts current figures
about those suffering from the disease in the US. At the moment 5.2
million
US
people live with this condition. By 2010, the victims will increase by
500,000 more people each year and by 2050 one million people more per
year, as a result of the baby boomer wave. Alzheimer’s is the 7th
ranking cause of death in the
US
. This study shows how the disease will impact the lives of individuals,
their families and the long term care system.
Treating Depression in Older Adults: Challenges to Implementing the Recommendations of an Expert Panel
(January 2008)
Overcoming challenges in treating depression among older adults should be an important public health priority. In this report, an expert panel identifies interventions which are effective and appropriate in depression treatment among older adults. The report also suggests a close partnership between health care providers, researchers and policy makers to overcome financial and training obstacles that would block the expert panel’s recommendations.
Depression as a Major Component of Public Health for Older Adults (January 2008)
By 2020, depression is projected to occupy the second place (after heart disease) among the illnesses that people have at an older age. Understanding depressive disorders is vital to public health since the rates for the disease rose rapidly in the recent years. Depression is also a strong predictor of suicide among the elderly. The research analyzes risk factors, diagnostic criteria and challenges in treatment of depressive disorders among the elderly.
Articles
Scientists Weigh in on Skin Creams and Their Claims of Harnessing the Power of Stem Cells: Skin Creams Tout Stem Cells' Restorative Powers. But the Science Isn't There Yet
(April 21, 2008)
As stem cell research takes flight in the US, skin cream manufacturers are capitalizing on the presumed benefits of the stem cells’ ability to renew the supply of skin proteins. As advertised, the creams purportedly use stem cell differentiation to induce youthful skin and sell for over $100 for small amounts. However, scientists dispute these claims, stating that products do not contain live stem cells and calling the packaging and advertisement claims misleading. Consumers should be careful when choosing to invest in these products, which may very well produce the same effects as their more affordable anti-aging counterparts.
Escalator Injuries Rise in Older Adults (April 8, 2008)
According to a recent report published in the journal Accident Analysis and
Prevention, the risk of older adults sustaining an injury while riding an escalator is higher than for the general population. Injuries have resulted in hospitalizations and broken bones, which can lead to serious long-term effects. Statistics collected elsewhere have shown that women are more susceptible to falls than men. This study calls attention to the design of escalators and interventions to prevent injuries among increasingly active adults.
Mansfield Nursing Students Go Right to Source on Aging Topics (April 8, 2008)
An accelerated program at MedCentral College of Nursing in Ohio allows students to interact and engage in learning with residents of an assisted living facility. There was conversation about strengthening bones and preventing falls, as students and residents exchanged information on how to maintain a healthier life in old age. They identified medication as the number one risk factor for falls, which can lead to serious injuries, hospitalization and a loss of independence. Hopefully, such programs with a focus on gerontology will encourage more healthcare providers to work with aging people.
Depression
May Raise Risk of Alzheimer's Disease (April 7, 2008)
New studies show that there is a relation between Alzheimer’s and depression. Alzheimer’s patients reported that they were diagnosed with depression when they were younger than 60 years old. But not every person who is diagnosed with depression will also succumb to Alzheimer’s. The challenge is to find out how depression, Alzheimer’s and dementia are related.
Aging, Caring For Aged (April 1, 2008)
As the number of older persons in need of care continues to grow in many US communities, families are bearing the brunt of the demand by either providing hands-on care in the home or financing long-term care for their elders in nursing homes. A special film, “Caring for Your Parents,” highlights the many aspects of caring for an elderly relative that families deal with today. The documentary also points out that adult daughters are more likely to become caregivers of their parents, a trend that continues to grow. Although it is important to provide care for one’s older relatives, caregivers should mind their own health and reach out for support when needed.
Are You a Good Driver? Here’s How to Find Out (March 30, 2008)
The National Highway Traffic Safety Administration and the National Institute on Aging concluded that older drivers are five times more likely to be in a car accident than other drivers. As a result, insurance companies like AAA are offering programs like Roadwise Reviews to evaluate the driving skills of older drivers. Because research has found that computer games like Brain Age may help aging drivers enhance their cognitive skills, software companies are creating programs to improve driving skills.
Senior Lookout: Hepatitis C Becoming More Common in Elder Population (March 26, 2008)
As Baby Boomers start to reach their Golden Years, health professionals are expecting greater numbers of people with viral problems. While diabetes and HIV/AIDS are receiving much publicity, people are ignoring the dangers of Hepatitis C (HCV). People who shared needles, razors, and toothbrushes are prone to the dangers of HCV. The Centers for Disease Control estimated there are about 4.1 million people suffering from the disease, 80% of whom are oblivious to the fact that they carry the disease.
Supporting Seniors in Their Own Homes: A Growing Elderly Population is Turning to a Network of Caregivers and Volunteers to Retain Independence
(March 24, 2008)
Virtual villages allow for seniors living in a self-defined geographical region, for an annual fee, to reach out to a community of volunteers and service providers when in need of transportation or other forms of assistance. These networks were developed in response to the national aging-in-place movement. Aging in their community allows seniors greater autonomy in their everyday lives and may produce positive health benefits, compared to institutionalized individuals.
Medically Based Fitness Centers Pump Up Customers: Boomers Want to be Healthy in Retirement
(March 23, 2008)
Medically based fitness centers seem to be the new trend in achieving fitness and wellness and are increasingly attracting seniors who are nearing their retirement years. These all-inclusive centers are usually affiliated with local hospitals and promote wellness and health through prevention. Special services such as child care and spa treatments will appeal to individuals seeking relaxation and a stress-free environment.
Fending off Denial about our Dwindling Capabilities (March 20, 2008)
In this article, Liz Taylor explains that older people sometimes don’t realize that they need assistance and help in
daily life. They take risks or keep the same habits they have always had. For her, on the contrary, you need to adapt your life when you become older. She gives tips to fight against loneliness and a sad ending, and to stay healthy during retirement.
Baby Boomers Change Food Habits to Fight Feeling Old (March 14, 2008)
Today, many older US citizens are becoming more mindful of what they eat. High blood pressure, diabetes and coronary heart diseases common among the elderly are spurring many to reduce their health risks by changing their dietary habits. Marketing data show baby boomers--those born between 1946 and 1964--driving trends in the food market, seeking local fresh food over the nutritionally enhanced foods eaten during their childhood years. Modifications to food and lifestyle choices can increase longevity and reduce the risk of chronic illnesses.
New Generation Gap as Older Addicts Seek Help (March 6, 2008)
New options are opening for older drug addicts who seek help. With the growing number of older addicts, medical clinics and substance abuse centers are providing special programs and personnel to cater to the needs of older adults who have
drug-related issues and problems.
For the Very Old, a Dose of ‘Slow Medicine” (February 26, 2008)
The new book from Dr. McCullough, Slow Medicine, is directed to children of older parents. The author, whose mother died from old age, advocates for a family-centered end of life for loved ones. Without despising medicine and nursing homes, he explains that good surroundings and companionship for elderly parents can be better than drugs.
Elderly Americans Feel Better (February 25, 2008)
(Article in Russian)
Memory loss and cognitive impairment become less and less common health
issues among elderly in the United States. Scientists from the National
Institute on Aging claim that health of the nation's senior citizens
improved due to higher quality of health care and improvements in economic
status and education level of the elderly.
Fighting Bedsores with a Team Approach (February 19, 2008)
Over two million American patients suffer from pressure ulcers each year. A new team approach has been put into action by doctors and nursing staff nationwide to work collaboratively with all members of the staff to improve the quality of life for patients afflicted with these sores.
Gentlemen, 5 Easy Steps to Living Long and Well (February 19, 2008)
According to a study, certain behavioral changes in lifestyle contributed to longevity for the elderly males involved in the research. Careful monitoring of weight, blood pressure, diabetes, abstaining from smoking, and regular exercise can lead to good health and long life. The message is that a person can take charge of his own destiny and live a long and healthy life.
Guarding Health, And
Independence: As Populations Age, Localities Tailor Services (January 27,
2008)
Thanks to the ElderLink Program launched in January 2007, the awareness of
accidents in the home has enabled many elderly to age-proof their homes,
ensuring a safer environment. More than a third of those 65 years and
older suffer a fall each year. Those aged 85 years and older are four to
five times more likely to encounter these hazards. ElderLink has delivered
the message to older people through seminars and senior centers, taking
the initiative to prevent accidents.
Exercise: It's 'Powerful
Medicine' Baby Boomers Finding It Central to Their Health (January 25,
2008)
This article highlights the importance of regular physical exercise as a
natural way of preventing or delaying the onset of chronic disease common
in older persons. Lifestyle changes, including diet modifications and
increased physical activity, can have beneficial impacts on the lives of
seniors. Drinking plenty of water and having a partner to support one’s
behavioral modifications can be especially helpful.
Building Bones Helps Woman Battle Osteoporosis (January 23, 2008)
Osteoporosis is a condition in which bones become weak and brittle due to calcium loss, causing bone mass to be depleted. This increases the risk for falls and fractures, and is common among the elderly and cancer patients. This article profiles a woman over the age of 50 who is taking cancer medications and is at high risk of developing osteoporosis. The woman was encouraged to do weight-training to build her bones, which experts have reported can reverse osteoporosis or its pre-conditions. It is important for seniors at risk for osteoporosis to learn more about the condition and talk to their physician about exercises to prevent it.
Aging Baby Boomers and Seniors Are at Risk for HIV (January 15, 2008 )
Older people are likely to get HIV/AIDS disease if they have unprotected sex. That’s why Jane Fowler, a active 72 year old woman, argues for more preventive education directed to elderly people. The problem keeps on growing.
The New England Journal of Medicine interviewed 5000 US persons between 57
and 85 years, and learned that they continue to have sex two to three times each month. However, only 38% of the men and 22% of women talk about their sexual lives with their doctors. For Jane Fowler, it may be the time for young people in college to talk to their grandparents.
Seniors Flex Their Muscles in SilverSneakers (January 10, 2008)
Seniors in Iowa are keeping fit through the SilverSneakers program. This nationwide program aims to improve the social and physical well being of older adults. It offers free services and participants have responded with positive reviews, noting its health benefits. Fitness classes include water exercises, aerobics and strength training. Participation allows older adults to interact and develop social relationships as well.
U.S.
Grant Continues URI Program on Geriatrics (January 7, 2008)
Health professionals should know how to respond to elder patients’
health issues. The federal government finances 41 geriatric education
centers around the country. The Baby Boomer generation is maturing into
old age which will soon require skilled experts in geriatrics. The
University of Rhode Island’s program on geriatrics has already provided
training to 6,000 health professionals.
Shut
out by Medicaid (January 6, 2008)
Indiana’s Medicaid program has the most restrictive guidelines policies
in the nation and its program ranks as the sixth-worst in the nation. The
reports say that State policies exclude many Hoosiers from Medicaid
services. Indiana’s State Medicaid Program also lacks guarantees for
quality of care and adequate scope of services. Hoosiers! Awake and demand
that the government serve the people!
Gene Mutation Plus Stroke Increase Dementia Risk (January 1, 2008)
The medical journal Neurology reported that patients have a greater risk of dementia if they have experienced a stroke and carry a gene mutation. Those with the genetic defect may benefit from non-steroidal anti-inflammatory drugs, which have been found to reduce the risk of dementia. This study may be an important precedent for understanding the biology of dementia in older persons.
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