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Health Topics

12/31/2023

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Health Blog

Social Anxiety (6/4/2021)
Hearth Health (update 3/16/2021)
Regular Exercise (3/10/2021)
Water Intake and Dehydration (3/9/2021)
Women's Heart Health 101 (2/17/2021)
Insider Tips To Improve ER Visits (1/15/2019)
Learn Hands Only CPR- FREE March 2019 (1/9/2019)
Mental Health First Aid Dec-8-2018 (12/4/2018)
Mental Health First Aid Jan-19-2019 (11/28/2018)
Healthy Aging with Lis Swihart (9/10/2018)
Living with Memory Loss Video (6/22/2018)
Living Well Workshop 2018 (4/19/2018)
Bullying Among Older Adults (3/14/2018)
Vaccinations (12/8/2017)
Hepatitis A (12/7/2017)
Emergency Aid For Mental-Behavioral Health (10/16/2017)
Signs of Stroke (10/29/2017)

Other Health Resources

News > COVID-19
Health Care For All - Washington - Newsletter with Events, Resources
Signs and Symptoms of AFib
Risk factors for AFib can include:
advancing age; diabetes; high blood pressure; sleep apnea; heavy alcohol use; heart disease, such as congestive heart failure and coronary artery disease; prior heart attacks

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Regular Exercise

3/10/2021

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Submitted 3-9-2021 by Emily Lord from Community Life Foundation

Did you know that regular exercise can:

Lower chance of diseases such as heart disease and diabetes
Improve mental health
Decrease risk of falling
Improve cognitive function

How much exercise do I need?
The CDC recommends at least 150 minutes of exercise a week. Be sure and check with your doctor for their recommendation.

Struggling to exercise with the covid-19 pandemic?

Remember that any movement is better than no movement
Try to do exercise in chairs, use household objects as weights
Look for online workouts such as Shag Workout classes-Contact Judi at judi.carr@comcast.net to sign up or look for flyers in the lobbies

Need ideas of stretches to do at home?
Click image to open PDF

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Water Intake and Dehydration Download as PDF
Submitted by Emily Lord from Community Life Foundation

Dehydration is extremely common among adults aged 65 and older.

How much water do I actually need?

Experts generally recommend that adults drink about 8 cups or 64 ounces a day.
Recent research has suggested that water intake should correlate to weight, height, age, and activity output.
Check with your doctor to confirm how much water you should be drinking

What are the signs of dehydration?

Little or no urination
Dark or amber-colored or strong-smelling urine
Extreme thirst
Dry skin that stays folded when pinched
Irritability, dizziness, or confusion
Low blood pressure
Rapid breathing and heartbeat
Weak pulse
Cold hands and feet

5 Ideas for Seniors to Drink More Water

Having trouble meeting your daily goal for water intake? It’s easy to get caught up in the momentum of daily life and forget to stay hydrated. Below are some tips to help older adults stay hydrated and incorporate more water into their daily routine:

Keep water easily accessible: Keep a pitcher of water nearby on a table or carry a water bottle when going out. The more convenient it is to drink water, the more likely you will be to do it.
Incorporate other beverages: While water is always the best choice, you can switch things up with juices, coffee, sparkling water or even soup broth.
Eat your water: Many foods are a great source of water. Popsicles, watermelon, celery, strawberries, and tomatoes are water-rich foods that are also healthy!
Download an app: If you are tech-savvy consider downloading one of the many apps available to help track your water intake as well as provide you with helpful reminders to stay hydrated throughout the day.
Experiment with fruit: Adding different fruits to your pitcher of water can help change the flavor in a subtle way that makes it more satisfying. Experiment with different flavors and find what works for you.

(data from Saint Joseph’s Senior Living Community)

Hydration/Dehydration - To drink or NOT to drink? That is NOT the question!
Fluid intake is important for people of all ages and dehydration in the elderly is especially crucial issue. When older adults become dehydrated, they may experience muscle cramps, disorientation, confusion and many other threatening healthcare conditions. If they are severely dehydrated, they may go into shock, which can be life threatening. In this video training, you will learn more about the importance of hydration and strategies to increase fluid intake for yourself and the people you care for. Presented by Maria L. Wellisch, R.N., LNFA

https://training.mmlearn.org/caregiver-training-videos/dehydration-in-the-elderly

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Insider Tips To Improve ER Visits

1/14/2019

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Source: Dailykos 2019/01/13

The scenario: it’s 2 AM, and you feel awful
You suddenly have chest pain, or worsened difficulty breathing, or severe vomiting — and you just can’t avoid the frightening truth that you need to go to the local ER. Maybe you’ve never been to the ER before, or have only been there a few times and have found it to be a slow and unpleasant place. But here you are, it’s 2 AM, and you are scared that something serious is happening, something that needs medical care…. NOW. You hastily grab your wallet, keys and phone and head for the car, or you call 911 for an ambulance — but either way, you grimace and head to the hospital.

What an ER does well, and what is does not do well
The first and most important thing to understand is that ERs are designed to care for potentially life-threatening or serious acute conditions. Heart attacks, bowel obstructions, kidney stones, allergic reactions and the like — these conditions are what ER staff are trained for, what they generally diagnose and manage quite well. So if you have a relatively new, or a newly worsened symptom such as chest discomfort, difficulty breathing, vomiting, severe abdominal pain, or a new itchy rash all over your body, the ER is the right place for you. What ERs tend to do a lousy job with are conditions that are more chronic in nature — one month of abdominal pain, several weeks of back pain for which you have seen a specialist already, or intermittent headaches for 6 months. We just don’t have the resources, time, or ability to do a great job with such conditions, and your visit to an ER is likely to be frustrating, and result in an expensive co-pay without many answers. Sometimes you just don’t have a choice (maybe you don’t have health insurance or don’t have a regular primary care provider) — but your ER visit often won’t get you the care that you need.

The discussion above may sound obvious to you — but you’d perhaps be surprised to know that easily half of the patients that I see in my ER have conditions that are chronic or mild in nature, and would have been more efficient and more pleasant for the patients to manage in a clinic setting.

Orientation to the ER: who are these medical people and what crazy language are they using?

There are a bewildering array of staff who work in the ER setting. Knowing who they are, and the roles they play, can be a useful bit of knowledge when you visit the place. The ER also has a whole set of bizarro jargon terms, often used by staff to patients without remembering that “civilians” don’t use these words — thus adding to confusion and miscommunication.

Who are these guys?The ER is generally led by a supervising physician (known as the “attending physician” or simply the “attending”, a word I dislike because no one outside an ER actually knows what this means. I always introduce myself as the “supervising physician” to patients and families, everyone gets the meaning of that). The supervising physician makes the final decisions about “disposition”, meaning whether you stay in the hospital or go home, and what treatments you will receive. At many hospital ERs, there is a junior group of physicians who may care for you, physicians-in-training known as “residents”(much more familiar term, thanks to all the medical TV shows out there). If you are in the ER, and a physician walks in and says “Hi, I’m Dr. Jenkins” , it’s important to know if they are resident or supervising doc. It’s totally fair to pleasantly ask them, “Hi Dr. Jenkins, nice to meet you, are you the resident or attending physician?” That way, you will know if they are really calling the shots. It is absolutely your right to speak to the attending; if the resident physician says “you’re going home, everything checked out just fine” but you haven’t actually spoken to the attending (believe it or not, this happens not infrequently, but is not OK) — ask to speak to them. Ditto if the resident is telling you things that are totally confusing, it’s always fair to nicely ask “I appreciate what you are trying to say, doctor, but I’d like to ask some questions of the attending when they get a moment”.
The other crucial person on your ER team is the “primary nurse” — that means the nurse assigned to you during your stay. ER nurses are some of my favorite people in the world — generally strong-willed, sometimes blunt but deeply caring under that gruff exterior, smart and dedicated to their vocation. They can be your best ally during the ER stay — so make sure you are as courteous to them as your condition allows. Like flight attendants, they have a really tough customer service job, with most people complaining or being rude. A few kind words of appreciation towards a primary ER nurse can make a huge difference in their day, and often in the attention paid to you in the ER. You may also meet an “ER tech”, often a paramedic. These techs do a range of activities to support your care, including placing intravenous lines, preparing splints for sprains and fractures, and sometimes serving as a transporter to get you to x-rays or CT scans. Another member of the cast of characters is the “registration clerk” who will collect your information (insurance, drivers license) during your stay. “Consultants” are other physicians you may meet during your stay, called upon for specific expertise, such as surgeons or dermatologists or neurologists. They will help the ER team make decisions, but often are not ultimately responsible for your care.
ER physicians and nurses tend to work fast, and they often forget to drop their ER-speak. Here’s some common terms you may hear: “dispo” means disposition, or whether you are going to be admitted to hospital or sent home — if you hear a nurse say “let me find Dr. Jones and find out your dispo” that’s what they mean. Often abbreviations are used with patients (inappropriately) to explain test results. If a resident says “good news, your CBC was normal” — they mean your “complete

hey, wait, that’s MY blood. Here’s a tube for a CBC.blood count”, a lab test that measures the number of white blood cells, red blood cells and platelets in a given volume of blood. If they say “we’re going to draw a BMP” — sometimes called a “Chem-7”, that means they are going to measure blood electrolytes (such as sodium and potassium). Another common ER blood testing term is “belly labs” — this means blood tests for the liver, gallbladder and pancreas. Another term that is often thrown out there to patients: “acute abdomen” — if a resident says “Mr. Adams, we are worried you have an acute abdomen”, that means they are worried you may have a sudden process in the abdomen often requiring surgery (conditions such as appendicitis or bowel obstruction are often considered “acute abdomens”). If a nurse says “I need to stick you again, Ms. Ramirez”, that means he or she needs to draw blood for another test. They may grab a “butterfly” to “stick you”; a butterfly is a form of needle to draw blood. If you are a family member, and someone tells you that your confused loved one (the patient) is “only A and O x 2” that means alert and oriented to only two criteria (the three criteria often used are person, (“tell me your name”), place (“where are we right now?”) and time (“what is the date today? what day of the week?”). Unfortunately, there are many more jargon terms, enough to fill a book, but hopefully this list of common ones may be useful as you interact with the ER team.

PRO TIP #1: when possible, go to the ER linked to your prior care

There is no universal electronic medical record in the US, unlike many other countries (a sad consequence of not having single-payer healthcare, although I suppose the two don’t have to go hand-in-hand). That means your ER team may not know about your prior heart attack, or your high blood pressure, or your usual asthma medications. Sometimes, such information is critical to your care. If you go to an ER at an unlinked health system, the staff may have no access to your medical records, and may end up duplicating many expensive (and possibly unnecessary) tests. So, if your primary care doctor is affiliated with a specific hospital, or you have recently hospitalized at a specific hospital, it is ideal to go to the ER at that hospital.
No matter where you end up going for emergency care, it’s best to assume that some records may not be in the computer system, and you can help yourself by bringing a few items along. A specific example where you can be a rock-star patient: if you ever get a routine ECG (electrocardiogram, electrical recording of your heart, often called a “12-lead ECG” or simply a “12-lead”), take a photo of your ECG with your phone and put it in your “favorites” — or if you’re old-fashioned like me, just make photocopies and bring one along to the ER). When you go to the ER with chest pain or difficulty breathing, showing the team your old ECG is a hugely helpful thing. Another example — if possible, keep handy any recent blood testing you may have had and similarly put your recent blood tests in your phone or on a folded sheet of paper in your purse or wallet. It could save loads of testing time in the ER, and possibly save you a hospitalization, if the abnormalities they find are actually your usual state. Always be ready to answer the question “are you allergic to any medications?” — putting your allergies on a card in your wallet can be lifesaving.

PRO TIP #2: make sure you have an exit strategy

ER visits tend to be long — expect to stay for hours. This means that sometimes a friend drives you there at 8 PM, but suddenly it’s 2 AM and you’re being sent home. Be sure to plan for a way home. Uber and Lyft have really changed the game for many patients going home from the ER; but if you don’t have the funds or the app, be sure to have a plan. A dear friend who would be sure to answer the phone at all hours and pick you up? A clear knowledge of bus or light rail routes? An emergency $20 for getting a taxi? Whatever your plan, realize you need one — ERs generally don’t provide services to get you home (in the ideal world, they should, in my opinion), so you need to be ready. In a real pinch (no funds, no ride, and it’s freezing cold outside), many ERs will take pity and allow you to stay in the waiting room until daytime or a ride can be found — ask them nicely, explain your predicament, and this might be a last-resort option for you.

PRO TIP #3: bring food or money for vending machines

Trust me. Because ER visits are long, you will get hungry and thirsty. If the ER staff thinks it’s safe for you to eat (corollary pro tip — always ask your ER team if you can eat before you chow down, there may be some snacks available for free in the ER itself (often apple juice, crackers, and sometimes lousy turkey sandwiches are available as ER fare) — but if you can, bring a preferred snack in your purse or backpack, or bring a bunch of quarters for the frequently overpriced vending machines endemic in ER waiting rooms (many don’t take bills, so bring coins). If you’re like me, a 2 AM snickers bar goes a long way towards keeping my despair levels down and my mental alertness up.

PRO TIP #4: bring something to pass the time

Not only will the long ER visit (sometimes 6-8 hours in the ER is common!) make you hungry, it will drive you bananas with boredom. So bring a book, or iPad, or stack of work, or a newspaper — bring something so that you’re not hostage to the crappy TV in the patient room which only picks up Three’s Company re-runs or informercials.

PRO TIP #5: most ERs have phone chargers

If you have an iPhone or common Galaxy model smart phone, and it’s dying in the ER with 2% charge, don’t despair. Most ERs have chargers for staff, and if you ask nicely, your primary nurse can either bring your phone to a charger and bring it back later, or bring a charger to you. This is often a well-kept secret for obvious reasons, but in a pinch, and again if you ask super nicely, they are likely to help you with this. Nothing worse with a dead phone at 2 AM when trying to get a ride home!

PRO TIP #6: get your test results before you go home

Similar to TIP#1, you need to make sure you have your records handy for follow-up visits. It is absolutely your right to the results from any lab or imaging tests. Before you are “dispo’d home” (discharged from the ER), be sure to ask for a print out of all of your lab tests, x-ray reports, etc. Don’t assume this will get to your other health care providers. When you see that specialist in follow-up, bringing the CT report or lab tests will be hugely helpful to expedite your care.

PRO TIP #7: it’s your right to be transferred to your hospital, when possible

Let’s say the ER diagnoses you with a minor stroke, and you’ve had strokes before with all of your care at another hospital that is in the same city as the ER in which you are receiving care. Or you have a bowel obstruction, and you had prior abdominal surgery at another hospital. Let’s also say they want to admit you to the hospital for this condition. You can always ask to be transferred to Hospital X (the place where you have received most of your care). This is common, and often leads to better medical care, but many patients or families don’t realize this is an option. The ER can arrange for an ambulance to take you to the other hospital where you can be admitted. The process is somewhat slow and paperwork-heavy, but it absolutely can be done.

CONCLUSIONS

The ER is a challenging place to receive medical care. There are many more pro tips I could share, but I should stop since this is quite a long diary already — I want to avoid “TL;DR” comments as much as possible. Please let me know if you found this helpful, or what you would like to hear about in future posts, or how I can improve my communication for next time. I’m thinking of doing the next blog on blood clots (pulmonary embolism and deep venous thrombosis). My goal is to serve as the “friendly neighborhood” ER doc to this wonderful community, and keep all of us as safe and healthy as possible so that we can work together to make a better and more progressive world.

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Mental Health First Aid Dec-8-2018

12/4/2018

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Mental Health First Aid
FREE 8-hour Course
Saturday, December 8, 2018
– 8:30am to 5:00pm
Merrill Gardens at Burien
15020 5th Ave SW
Burien, WA 98166
Gmap
CONTACT EMAIL
Karin@agingcareconsult.com
CONTACT PHONE (preferred)
206-999-5934

Use the Registration Form Below to Attend

Three courses are offered in December 2018

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Mental Health First Aid Jan-19-2019

11/28/2018

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Back by popular demand.

What:
Mental Health First Aid Training

When:
Saturday January 19th 2019, 8am-5pm

Where:
Southwest Precinct
Seattle Police Department
2300 SW Webster St, Seattle, WA 98106

Register:
Sue Wyder- (253) 426-5957 or swyder@valleycities.org

Training provided by King County at no charge.

A person you know could be experiencing a mental health or substance abuse problem. Learn an action plan to help! You are more likely to encounter someone in an emotional or mental crisis than someone having a heart attack. Learn how to help a friend, family member, coworker or neighbor in need. Get trained in Mental Health First Aid.

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Healthy Aging with Lis Swihart

9/10/2018

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Healthy Aging with Coach Lis Swihart
Certified Nutritionist and Arivale Coach

The following is an audio recording of a presentation
made on September 10, 2018 at Arrowhead Gardens
Arranged by the AGRC Wellness Committee

Text a question to an Arivale nutritionist
to get a quick answer at 206-202-1223. No charge.

The following ACE brochure was provided with a resistance band to the attendees. Stretching exercises help to maintain muscle tone, balance, and prevent bone loss.

Additional brochures were provided:

Strength Training
Healthy Plate Model
The Optimal Brain Diet

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Living with Memory Loss Video

6/22/2018

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Living with Memory Loss Video

Film about Living with Memory Loss

Phinney Neighborhood Association

Out of the desire be advocates, members of The Gathering Place program who are living with memory loss, chose to create this short documentary, Living with Memory Loss: In Our Own Words.

Memory loss currently carries immense stigma, fear and shame, so they wanted to share some more holistic narratives about their experiences. It is powerful to hear the voices and wisdom of people living with memory loss and we hope that their fiercely open-hearted, humorous and hopeful messages have a positive impact.

This film is freely available for anyone to watch and share widely in their communities.

How would you like to view this video?
_Watch in my web browser
_Download to my computer (high resolution)
https://www.phinneycenter.org/memoryloss-film/

June 22, 2018
via Mona Sanger, Resident Services Coordinator
If you can't watch the video now, Mona plans to show the video in July 2018 in the B Building theater. Stay tuned.

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Living Well Workshop 2018

4/18/2018

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Six Living Well Workshops
Wednesdays, April 25 - May 30, 2018
11:15AM to 1:45PM
B Building Community Room
April 25, 2018
May 02, 2018
May 09, 2018
May 16, 2018
May 23, 2018
May 30, 2018

Join a free 2 1/2 hour Living Well Workshop, held each week for six weeks.
Learn from trained volunteer leaders with health conditions themselves.
Set your own goals and make a step-by-step plan to improve your health.

Sponsored by AGRC Wellness Project, SHAG, and Sound Generations

The workshop was introduced April 18, 2018
by Cassidy Stout from Sound Generations.
An audio recording was made and is provided below.
Tom D. introduced Cassidy. After her presentation, she answered questions from the residents. Toward the end, there was a discussion about moving the workshop times to follow Enhanced Fitness classes. Time kept at 10am to 12:30pm.

Click images below to open in a new tab window

Reading resources for chronic conditions self-management

Sound Generations: Chronic Conditions
Chronic conditions include diabetes, arthritis, HIV/AIDS, high blood pressure, depression, heart disease, chronic pain, anxiety, multiple sclerosis, fibromyalgia, allergies and other ongoing health issues.
In this free six-session workshop, you will learn valuable information from trained leaders on how to…
Relax
Eat well
Exercise safely
Problem-solve effectively
Manage symptoms
Improve communication with your health care team, friends, and family
Set your own goals and make a step-by-step plan to improve your health – and your life.
===================
Living Well with Chronic Conditions Workshop is designed by Stanford University and also known as the Chronic Disease Self Management Program (CDSMP)
CDC.gov - PDF 2 pages:   Chronic Disease Self-Management Program (CDSMP)

Self Management Resources based on Standord University Study

Centers for Disease Control and Prevention
Arthritis Self-Management Education

CDC  PDF 30 pages: Executive Summary of ASMP/CDSMP Meta-Analyses
===================
Living a Healthy Life with Chronic Conditions:
Self-Management of Heart Disease, Arthritis, Diabetes, Depression, Asthma, Bronchitis, Emphysema and Other Physical and Mental Health Conditions 4th Edition
by Kate Lorig DrPH (Author), Halsted Holman MD (Author),
David Sobel MD MPH (Author), Diana Laurent MPH (Author),
Virginia González MPH (Author), & 1 more
4.8 out of 5 stars 44 customer reviews

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Bullying Among Older Adults

3/14/2018

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SHAG's Resident Services facilitated a presentation at Arrowhead Gardens March 14, 2018 on the subject of Bullying Among Older Adults.

Thirty residents attended the meeting.

Facilitator:
Ruben Rivera-Jackman, Director, Resident Services

"Learn about the five types of bullies, understand the psycho-social impacts of bullying behaviors and pinpoint coping skills."

Audio Recording of Event:

Technical Notes

Technical notes:

Conditions: Warmup and wrapup recording sessions were removed. When audience members spoke without using a microphone and they were inaudible, those sections were removed to make the recording shorter for the listener. The wireless speakers picked up occasional buzzing sounds from the handheld microphone. Buzzing sounds were edited out when they didn't overlap voices. Otherwise, sound quality is good.

Tools and techniques: The recording was made by connecting one of two wireless PA speaker auxilary output to a Zoom H6 recorder input. The audio WAV file was edited with Audacity software on a laptop running Ubuntu 16.04 and converted to MP3 22khz before uploading to Weebly host.

Video Playlist in 5 Parts
Use 'hamburger' menu in upper-left corner to navigate playlist.

Technical Notes

Technical notes:

Conditions: Warmup and wrapup recording sessions were removed. The recording in between is intact. Audio was boosted by the PA speakers, but some reverb resulted. Resolution is low-end (320x240) and is distracting in full screen mode. An LED camera light helped in closeups but a bright back-light caused subject to be under exposed. Fan noise was recorded from projector.

Tools and techniques: The video was recorded on a ZTE ZMAX 2 (Z958) smartphone running under Android 5.1 with Open Camera software. Camera was assisted with an external microphone and LED light. The video was edited with OpenShot and FFmpeg software running under Ubuntu 16.04. on a laptop computer. Low resolution (320x240) was used to accommodate long recording time and keep file size manageable.

Direct link: YouTube Playlist

Lessons Learned: Try backlight scene mode to improve visibility under backlight condition. Not supported on all cameras.

The PDF brochure below was provided at the event.
Use widget controls at bottom right corner to download or expand.

ADDITIONAL INFORMATION

AARP: Older Adults Can Be Bullies, Too
NBC News: Mean old girls: Seniors who bully (search leads to dead link)
SeniorHomes.com: Coping with Older Adult Bullying in Senior Living Communities

Bullying Among Older Adults:
How to Recognize and
Address an Unseen Epidemic
by Robin P. Bonifas (Author)
Kindle and Paperback
ISBN-13: 978-1938870095
ISBN-10: 1938870093
Amazon

Bulletin board announcement: bullying among older-adults

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TheGardensGazette.org
Resources > Health Blog
Health and Wellness

Health Topics

Regular Exercise

Water Intake and Dehydration

Insider Tips To Improve ER Visits

Mental Health First Aid Dec-8-2018

Mental Health First Aid Jan-19-2019

Healthy Aging with Lis Swihart

Living with Memory Loss Video

Living Well Workshop 2018

Bullying Among Older Adults

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Resources > Health Blog
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