Solving the over medication dilemma

In previous posts, Dr. Green had discussed some of the hazards associated with medication use among older adults. She has also discussed classes of medications that are of concern. In this final post, Dr. Green discusses approaches she has used to deprescribing. Warmest Aloha, [email protected] PS: I say it over and over again: There’s no one more important than the caregiver in the daily life of a frail person.

Medicines that can cause problems in seniors

In our last post Dr. Ariel Green described a patient who improved dramatically when many of her medicines were stopped. In this video, Dr. Green describes the classes of medications that can cause problems in seniors. Dr. Green is an Associate Professor of Medicine at the Johns Hopkins School of Medicine, Division of Geriatric Medicine. Warmest Aloha, [email protected] PS: I say it over and over again: There’s no one more important than the caregiver in the daily life of a frail person.

Medicines, Medicines, Medicines, an Epidemic Problem

Whether it’s hypertension, diabetes, arthritis there’s always a prescription. For every problem there’s one or more drugs. But is this always good? Dr. Ariel Green, Associate Professor of Medicine at Johns Hopkins School of Medicine points out that medicines are sometimes the problem. Geriatricians know. Every pill is a potential problem. Warmest Aloha, [email protected] PS: I say it over and over again: There’s no one more important than the caregiver in the daily life of a frail person.

Making the hospital a better place for seniors

For more than 30 years, Dr. Sharon K. Inouye has dedicated herself to the identification and prevention of delirium in the hospital. She is the founder of the widely replicated Hospital Elder Life Program (HELP). In her last video, Dr. Inouye described prevention of delirium and long-term outcomes. She now discusses the difficulties elderly patients face in the hospital. She also talks about her ongoing efforts.

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Delirium, prevention and long-term outcomes

For more than 30 years, Dr. Sharon K. Inouye has dedicated herself to the identification and prevention of delirium in the hospital. She created the Confusion Assessment Method (CAM), the most widely used method for identification of delirium worldwide. In her last video, Dr. Inouye described the features of delirium. She now discusses preventative strategies and long-term outcomes.

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The Life of a Caregiver: Ojay

I wanted feedback on GeriatricswithAloha.com. A caregiver named Ojay provided that. In the process, I immediately felt that caregivers like Ojay, and patients like his parents,  are the reason I’m working on GeriatricswithAloha. This is the first of a two part video about Ojay. This video talks about how he came to be a caregiver and his daily routine. It was a privilege to get a glimpse of his life.

Fever in a Frail Older Patient | Always a Warning Sign

Tom is the main caregiver for his mom, Beth. He is worried that she’s sick. He calls the doctor: “Hi Doctor, I’m worried about my mom. She just doesn’t seem herself. She doesn’t want to get out of bed. She looks weak. She recognizes me but she isn’t talking. She’s not eating either.” Does she have a fever? “I’m not sure, she feels kinda warm.” How do you know when a frail older person has become sick? In this and future posts I will talk about the importance of They are called “vital” signs for […]

Is Mom in the Hospital? Remember the 8 Ds

Dr. Warren Wong

The hospital is a hard place for older patients. In a previous post, I described three awful things that happen too often. I was frequently asked to help care for frail older patients in the hospital. Based on these experiences, I came up with 8D's.

When you have an older loved one in the hospital, think of these 8 Ds:

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