Freedom Eldercare
July 2008
Freedom Eldercare Newsletter
In This Issue
Falls Fill Up ER
Not Following Doctor's Orders?
Abuse Stays in the Family
The CDC Recommends
Ladies, Have an Aching Back?
Try Tai Chi!
Extra Calories Up Dementia Risk
Fall Prevention
Visit Freedom Eldercare for more information and to download our free resources.

For more ideas on ways to research and make wise choices, we recommend the following resources:

Guidelines for the Prevention of Falls in Older Persons
Information for caregivers and family members of the elderly on methods to prevent falls in the elderly population.

International Fall Prevention Institute
This site contains information on statistics and helpful links for fall prevention.

Center for Disease Control and Prevention
Contains information on how to identify elderly who are at risk for falls, and how to prevent falls in those individuals.

Tremblay, K. R. and C. E. Barner, "Preventing Falls in the Elderly,"Colorado State University Extension
Causes and prevention of falls in the elderly population. 

The AGS Foundation for Health in Aging consumer pamphlet "A patient's guide to preventing falls"
An informational pamphlet on preventing falls in the geriatric community.

Improve Balance: The AGS Foundation of Health in Aging
An informational pamphlet on ways to improve balance in 10 minutes a day.

Reduce Risk of Falling: The AGS Foundation of Health in Aging
An informational pamphlet on ways to reduce your risk of falling.  

Danger of Falls in Elderly: The AGS Foundation of Health in Aging
Information on the danger of falls in the elderly community.
DID YOU KNOW?

20% of the population accounts for 86% of the healthcare
costs.

The top 1% of people who utilize
 healthcare account for 27% of healthcare expenditures, with the average cost of this 1% at $58,000 a year,
and 67% of
these healthcare costs spent
in a hospital.
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Greetings!
Your time is valuable, and we appreciate your reading our newsletter. In order to build a stronger community that is aware of issues in home care, home health care, aging and eldercare, we offer this monthly newsletter. Our intent is to share information that is topical, educational and of interest. Please let us know if you have questions or comments.
Each year, U.S. hospitals have 300,000 admissions for broken hips, and falling is often the cause of those fractures

Balance exercises help avoid the disability - often permanent - that may result from falling. There is a lot of overlap between strength and balance exercises; very often, one exercise serves both purposes.

Any of the lower-body exercises for strength are also balance exercises. They include plantar flexion, hip flexion, hip extension, knee flexion, and side leg raise. Just doing regularly scheduled strength exercises will improve balance at the same time. However, doing strength exercises too often can do more harm than good. Simply do strength exercises, and incorporate balance techniques slowly.

Read more.
"Non-compliant" patients lead to adverse outcomes

Recent studies show that more than 70% of patients do not receive recommended preventative care, while over 50% of chronic disease patients do not receive the follow-up care indicated by evidence-based guidelines.  According to results from the 2006 DOQ-IT Study and the 2005 HEDIS Study, patients who are "non-compliant" with preventative and follow-up care recommendations often fall off the radar screen, leading to adverse outcomes for the patients. New software is now available to physicians' offices that tracks recommended care from annual physicals, to diabetics getting their HbA1c checked, to vaccinations, immunizations, and health screenings. See www.phytel.com for more information on the software that automatically notifies patients of needed health care actions and tracks patients for compliance, while measuring quality. The study referenced can be found here:

http://www.mass.gov/
The National Committee for the Prevention of Elder Abuse estimates that more than a million elderly are abused or neglected in the U.S. each year

Most often, the culprit is a blood relative. It's estimated that 90 percent of elderly abuse is committed by family members -- with adult children making up 40% of that total and spouses comprising 27%. In Indiana, the Elder Crimes Task Force, in collaboration with the Monroe County prosecutor's office, Indiana Legal Services, and Bloomington Hospital, produced a DVD video called "Power of Attorney: What You Need to Know." It educates people on how to protect themselves when signing a power of attorney document, and on other matters, such as how to appoint a health care representative to make decisions regarding their health care should they become incapacitated.

The DVD can be purchased at www.savingourparents.com for $29.95.
Shingles vaccine recommended by the CDC

Officials at the U.S. Centers for Disease Control and Prevention (CDC) say people over age 60 should get the Zostavax vaccine to protect themselves from shingles. Researchers have found the vaccine cuts the occurrence of shingles by about 50% in people age 60 and older, and it reduces the risk by 64% in people ages 60 to 69. The CDC says people ages 60 years and older should get the single dose of Zostavax even if they have already suffered a bout of shingles.

Read more.
Women with vitamin D deficiency are nearly twice as likely to have back pain

Scientists at the University of Delaware have found that older women who have low levels of vitamin D may have a higher risk of suffering back pain. The researchers looked at blood levels of vitamin D in 958 people 65 and older. 58% of the women in the study, and 27% of the men, had at least moderate pain in some part of their body. For men, there was no relationship between vitamin D levels and pain. But the researchers found that women with vitamin D deficiency were nearly twice as likely to have back pain that was moderate or worse.

Read more.
Balance exercises improve stability, and help prevent falls

Studies suggest that tai chi may improve balance and help prevent falls in older adults. Tai chi is a noncompetitive, self-paced system of gentle physical exercise. Tai chi is performed standing with a defined series of postures or movements in a slow, graceful manner. Each movement or posture flows into the next without pausing. Long-term tai chi practitioners have improved knee joint stability, which aids in balance.

To review simple exercises that help in maintaining balance as one ages, visit:

http://www.mayoclinic.com/health/balance-exercises/SM00049
Just say "no" to those calories and reduce dementia risk

A recent study showed that obese people with a large waist size were the most likely to develop Alzheimer's. This new study found that keeping that fat on in your 40s could double or even triple your risk of Alzheimer's disease. Researchers looked at 6,583 people and followed their progress over 30 years. They found that those who had larger waists during middle age were in some cases 270% more likely to develop dementia than the people who had smaller waists. This remained true even if people did not have a body mass index (BMI) that qualified them as obese.

http://news.bbc.co.uk/2/hi/health/7314458.stm
About Freedom Eldercare
Freedom Eldercare is New Jersey's leader in comprehensive eldercare service delivery, providing geriatric care management, home care and home health services plus professional education and training. Home care and geriatric care management services are provided based on individually designed recommendations for care.  For more information, visit us on the Web at www.freedomeldercare.com or call (866) 7-FREEDOM.