Stories & Tips

Seniors on Medicare are Spending Less on Healthcare

How Ageism Hurts Seniors' Health

A new Harvard study has discovered that seniors on Medicare are spending less money on healthcare. In fact, it has lessened dramatically since 2005. By 2012, the reductions saved the average person around $3,000 a year. With the whole senior population, the savings equaled around $120 billion.

Seniors on Medicare are Spending Less on Healthcare

Seniors on Medicare are Spending Less on Healthcare

 

What is causing this drastic change? Could it because there is better preventive care available?

Most economists say that prevention doesn’t actually save money, but does save lives. Prevention programs need a lot of people to be effective, which makes them expensive. If everyone doesn’t get better from the program, then economists consider it a loss.

A Harvard study shows that this isn’t necessarily true. In fact, the study shows that cardiovascular health is the reason there is a spending dip among seniors on Medicare.

This is because heart disease and strokes are what make people spend so much time in hospitals. The number of people suffering from these conditions has declined a lot, this is due to preventive care.

So overall, this study shows that preventive care makes a difference, not only health wise, but money wise too. Who knows what this will mean with Medicare and healthcare spending in the future?

Read more here.

The Brain May Be Able to Repair Itself

The Brain May Be Able to Repair Itself

In a Ted Talk by Jocelyne Bloch, who is a neurosurgeon, she discusses how the brain can fix itself. She shares her frustration about how little self-repair abilities it has. This is why she chose to be a functional neurosurgeon.

The Brain May Be Able to Repair Itself

Functional Neurosurgeon

 

What’s a functional neurosurgeon? It’s a doctor who’s trying to improve a neurological function through different surgical strategies. One of these strategies is well known, deep brain stimulation. That’s when there’s an electrode implanted deep into your brain so that it will make a circuit of neurons to improve a neurological function.

It has helped people with Parkinson’s disease, severe tremors, and severe pain.

Though modulation does not equal repairs. That’s the dream and goal of functional neurosurgeons everywhere, and they may be close to it.

The Brain May Be Able to Repair Itself

 

15 years ago, Bloch, as chief resident, and her team decided to study traumatized brains. They did this by studying bits of swollen brains. They got these samples because when the brain is traumatized, it will swell, and sometimes neurosurgeons have to remove swollen parts of the brain to save a life.

So to study them, they wanted to grow cells from these pieces of tissue. It was difficult, but they discovered that the new cells look like stem cell cultures. Stems cells are immature cells that can turn into any type of cell in the body.

The adult brain has stem cells, but they’re rare and located deep inside. So, it’s hard to get access to them.

Another thing about normal stem cells is that they are very active. They divide a lot and fast. But the stem cells grown from the swollen pieces of brain divided slowly and could even die. But, they are still important because they may be able to help repair the brain in large groups.

They had to prove this though and did a series of experiments.

The Results of These Experiments

 

They found that using those new cells in damaged brains helped them recover around 50% of performance before the traumatic event. It’s not perfect, but it’s a start though Bloch knows that much more research needs to be done.

If you want to learn more, you should watch Bloch’s full video.

7 Different Kinds of Loneliness

Different Ways to Stimulate a Senior's Appetite

Loneliness seems to be one of the modern world’s biggest problems, and we don’t talk about it. People young and old are growing more and more lonely, despite all the technology that can connect us. To be happy, you need to have strong, healthy, loving relationships. Did you know there are 7 different kinds of loneliness?

7 Different Kinds of Loneliness

7 Different Kinds of Loneliness

 

Do any of these types of loneliness sound familiar to you?

1. New Situation Loneliness

This is when you are in a new environment and don’t know anyone. For example, if you moved to a new community and have left your home behind. Plus, you have to start over when it comes to making friends.

2. I’m Different Loneliness

You may be in an environment that you know well, but still feel uncomfortable. You feel different because you share different values, hobbies, likes or dislikes, or more. It can make it hard to connect with people about the things you find important.

3. No Romantic Partner Loneliness

You can have a lot of friends and family, but still be lonely due to not having a romantic partner. You could also have a partner and not feel a deep connection to them.

Having a partner gives you a different kind of connection than from other platonic loved ones.

4. No Pet Loneliness

Pets are an amazing source of unconditional love. If you are used to having a pet and don’t have one at the moment, it can leave a big hole in your heart. This type of relationship can give you love that human ones can’t

5. No Time For Me Loneliness

This is when your friends are too busy to make time to hang out with you. It can happen pretty easily as you get older. It can be hard not to be upset by their lack of companionship, while still understanding that they are busy.

6. Untrustworthy Friends Loneliness

Sometimes there are situations where you start to wonder if your friends have your best intentions at heart. The ability to confide and trust is essential to friendship. Not having this is an easy way to feel lonely.

7. Lack of Quiet Presence Loneliness

There is something about sharing a space with someone without saying a word. You can have an active social life, but relaxing with someone is something special. Not having this can make a home feel lonely.

Read more here.

The Benefits of Living Near Your Grandmother

The Benefits of Living Near Your Grandmother

Did you know that living near your grandmother can have evolutionary benefits? Scientists have been looking into why females of certain species live long past the age of reproduction. What they have come up with is that there are benefits of living near your grandmother.

The Benefits of Living Near Your Grandmother

The Grandmother Hypothesis

 

The key to the evolutionary game is survival and reproduction. Scientists want to know why some females live past reproducing age.

In the 1960s, researchers created the “grandmother hypothesis.” The hypothesis is that grandmothers help mothers have more children by caring for their grandchildren.

Women who have the genetic makeup for longer living ultimately have more grandchildren to carry their longevity genes.

The Benefits of Living Near Your Grandmother—Study 1

 

Two studies have been published recently to look at the hypothesis again.

The first study is done by Kristen Hawkes, an anthropologist at the University of Utah. She was studying the Hadza people who are a group of hunter-gathers in northern Tanzania.

She was amazed by how productive the elderly women were at foraging for food. Their help let moms have more children.

Hawkes also found that throughout history, grandmothers have helped the child population grow.

In 1608, French Catholic priests in present-day Quebec recorded every birth, death, and marriage in their parish.  As more people arrived from other places, the records grew. Researchers believe this is due to grandmothers being so close to their kids and grandkids.

Kids that went elsewhere had 1.75 fewer children than the siblings that stayed in the parish.

It also believed that being close to grandmothers lower child mortality rates and let moms have kids at a younger age.

Why Don’t Grandmothers Live Longer?

 

If grandmothers are so helpful, why don’t they live longer? Why don’t they live long enough to help with great-grandchildren?

The idea is that a grandmother’s ability and usefulness change with age. As they get older, they can’t help as much, and the benefits of living longer could disappear.

This can also happen if there are no more grandchildren to care for or they all grow and don’t need her anymore.

The Benefits of Living Near Your Grandmother—Study 2

 

The second study was done by Simon Chapman, a Ph.D. student at the University of Turku in Finland. He studied a database of preindustrial Finns to confirm the “grandmother hypothesis.

From 1731 to 1895, all births, deaths, and marriages were recorded by the state. The records showed that grandmothers did increase the total number of kids. But, with a few exceptions.

The study showed that grandmothers weren’t always given the opportunity to help. On average, a woman became a grandmother in her 40s. The number of grandkids peaked in her early 60s and then disappeared in her mid-70s.

Having a grandmother aged 50 to 75 increased a toddler’s chance of surviving from age 2 to 5 by 30%. Though, there aren’t benefits of having a grandmother after age 75. An older grandmother reduced a newborn’s chance of surviving to age 2 by 37%.

This is because there are too many mouths to feed. Plus, older grandmothers need more care and can distract from the child.

So, grandmothers are pretty great. Read more about the studies here.

Too Much TV can Hurt Seniors’ Memory

What's the Best Term to Use When Talking About Aging Loved Ones

Remember your parents telling you that TV will rot your brain? In a sense they were right. Only it doesn’t mess with kids’ brains, it actually can hurt seniors’ memory. This is concerning because Americans still watch TV over anything else.

Too Much TV can Hurt Seniors' Memory

All About the Study Participants

 

A pair of British researchers found that too much TV makes verbal memory decline. The study showed that watching TV for more than 3.5 hours a day can contribute to cognitive decline.

The study, published in the English Longitudinal Study of Aging, had 3,590 participants. They started in 2008-9 and were followed up on 6 years later.

The researchers divided the participants into 5 different groups based on their TV habits.

  • Group 1: under 2.5 hours a day
  • Group 2: 2.5-3.5 hours a day
  • Group 3: 3.5-4.5 hours a day
  • Group 4: 4.5-7 hours a day
  • Group 5: over 7 hours a day

Women, single people, and low socioeconomic status people watched the most TV.

Too Much TV can Hurt Seniors’ Memory

 

The team of researchers studied two specific types of cognition, semantic fluency, and verbal memory. Semantic fluency was tested by thinking of as many animals as possible in a minute. Verbal memory was tested by remembering as many words as possible from a spoken list.

They didn’t find any associations with TV and semantic fluency. This is a commonly used marker of cognitive capabilities. They did find that watching more than 3.5 hours of a TV a day was connected to poorer verbal memory.

Accounting for other factors like demographics, health, and behavior, everything suggests that people who watched a lot of TV had worse brains. The most susceptible to decline were people with higher baseline cognition to begin with.

3.5 hours is the amount that causes an effect, not watching TV in general.

It’s thought that this happens because of the stress between your brain and body. When you watch TV, your brain is active, while your body is not. The “alert-passive interaction” can create a kind of cognitive stress that taxes your verbal memory skills.

Though there are cognitive benefits of more active screen watching like internet use and video gaming.

Read more here.

9 Exercises That Will Strengthen Your Knees

8 Exercises Strengthen and Increase Mobility of Hips

Knees. Can’t live with them, can’t live without them. Knee pain is no joke and a very common problem. It’s only second to low back pain. If you have bad knees, not all is lost. There are exercises will help strengthen your knees.

9 Exercises That Will Strengthen Your Knees

9 Exercises That Will Strengthen Your Knees

 

The key to doing exercises that will help your knees is to avoid the ones that cause you pain. We know that sounds obvious, but not all exercises should cause you pain.

For example, don’t do deep squats or high impact activities. Instead, you need to do exercises that focus on strengthening the quadriceps and hamstrings. This way you reduce the strain on your knees.

1. Mini or Partial Squats

This will strengthen your quadriceps.

Hold onto a chair or stable surface with knees shoulder-width apart and knees pointing forward. Next, bend your hips and knees a little as if you are starting to sit and then slowly stand up.

Do this 10 to 12 times.

2. Standing Hamstring Curls

Again, start by holding a chair or stable surface. Next, without moving your hips, bend your knees as far as possible. Try to get your heel up to your butt.

Do this 10 to 12 times with each leg.

3. Marching in Place

On your own, or if you need something stable to hold onto, take steps in place. Bring your knee up to a comfortable height.

Try to do 60 seconds of continuous marching.

4. Heel Raises

This will help your calf muscles.

Once again, hold onto a chair or stable surface. Then rise up on toes and lift your heels off the ground and then bring them back down.

Do 10 to 12 reps.

5. Quad Sets

You can do this exercise on the floor with or without a pillow under your knees. Sit with your legs out in front of you with your knees straight.

If you need to you can lean against a wall or on your hands.

Try contracting your quadriceps muscles and holding them as tight as you can for a few seconds. Then relax.

Do this 10 times. If you want, you can do this a few times a day if your knees ache.

6. Straight Leg Raises

Start with sitting on the floor with your legs and knees straight in front of you. Then doing this one leg at a time, pull your toes towards your knee.

If this is too hard, you can try to lie down on the floor.

Keep your other leg bent with your foot on the floor. Then squeeze your quads in the leg that is straight. After that, lift your foot about a foot off the ground and hold it for 5 seconds. Then slowly lower it back down.

Do this 10 times with each leg.

7. Wall Slides with Ball Squeeze

Stand with your back against the wall and your feet shoulder-width apart. Hold a small ball between your knees. Slowly slide down the wall with knees bent.

Your knees should form a right angle with your quads parallel to the floor.

Hold 5 to 10 seconds and slowly rise up to the starting position.

Do this 10 or more times.

8. Clams

Sadly, this has nothing to do with seafood. Instead, lie on your side with your hip and knee bent to a 90-degree angle. Your feet should be together.

While keeping your ankles together, raise your top knee up around a foot from the other. This will create a clamshell motion.

Repeat 10 to 25 times on each side.

9. Glute Bridges

On your back with your knees bent at a 90-degree angle and feet on your floor, tighten your butt as you lift it up. You should try to go as high as you can without arching your back.

Your shoulders, hips, and knees should align.

Hold this position as you lift one leg up, still keeping knees aligned. Try to hold this position for 3 to 5 seconds and then lower your body.

Do 10 to 25 reps with each side.

Read more here.

How NH Will Handle Healthcare Worker Shortage

Older adults who have Covid-19 can have "atypical" symptoms. making it harder to get proper treatment. The usual symptoms are a fever, an insistent cough, and shortness of breath. Unusal Covid-19 symptoms that can appear among seniors are sleeping more than usual, stop eating, or overall seeming "off." It can get to the point where they stop speaking or even collapse. 

It’s no secret, that New Hampshire’s aging population is big and only getting bigger. Seniors are going to need help, and there may not be enough help to go around. Many are wondering how the state will handle the healthcare worker shortage.

How NH Will Handle Healthcare Worker Shortage

The Financal Cost of the Shortage

 

There is a surprising amount of financial implications for this shortage. Costs like physician vacancies include salaries and fees paid to recruitment firms, lost productivity for employees doing the candidate selection, onboarding costs, like training and credentialing new physicians, and decrease in revenue.

The costs can be as high as $345,000 for the loss of one doctor.

How NH Will Handle Healthcare Worker Shortage

 

According to a December 2018 survey, community health centers have 109 clinical and nonclinical vacancies, and over 2,000 healthcare worker vacancies are scattered across the state. This includes hospitals and community mental health centers.

By 2030, around 1/3 of NH residents will be over 65.

The state is in a good position to invest in recruiting and retaining the healthcare workforce. A group of provider organizations, advocates, and policy experts have been working with Democrats and Republicans to create a bipartisan legislative proposal to secure the workforce we need.

Senate Bill 308

 

This bill combines key policy and budget initiatives to help with the healthcare worker shortage.

It addresses a crucial administrative burden, NH’s criminal background check system. While other New England states do online background checks, our state does not.

Instead, it’s normal for people to have to wait 15 days for a candidate’s application to be seen.

The bill would support the Department of Safety in implementing an online background check system.

Keeping Healthcare Workers in NH

Another problem is that the state is losing qualified workers. NH has one Family Medicine Residency Program with 8 slots. Half of its graduates move across state lines after graduating.

Investing in scholarships with service commitments, career advancement programs, and training programs would help. SB 308 wants to give NH the tools and opportunities that will encourage healthcare professionals to stay.

Encouraging People to Work in the State

The state pays the lowest Medicaid reimbursement rates in the country. Most Medicaid providers haven’t gotten a rate increase in years.

The low rates affect healthcare organizations’ ability to pay competitive wages. This leads to provider turnover and reduces timely access to healthcare services.

SB 308 suggests a modest Medicaid rate increase of 5% in the fiscal year 2020 and 7% in 2021 for all Medicaid services. This would be a needed investment in our healthcare workforce.

The State Loan Repayment Program (SLRP) is the number 1 tool to recruit providers in high need areas like rural NH. This is a difficult place to bring clinicians.

The availability of student loan funds is key for healthcare providers, including community health centers, to compete with providers in the greater Boston area.

Read more here.

Are Seniors Being Pressured to Get Dialysis?

Are Seniors Being Pressured to Get Dialysis?

Dialysis is often the first go to when someone has failing kidneys. Seniors, in particular, are often encouraged to do this. But, are seniors being pressured to get dialysis instead of being encouraged?

Are Seniors Being Pressured to Get Dialysis?

Are Seniors Being Pressured to Get Dialysis?

 

While dialysis can be extremely helpful, for some seniors who are frail, dialysis does nothing for them.

A report in JAMA Internal Medicine, Dr. Susan Wong, and her team looked to see if seniors were being pressured. Wong is a core investigator at the VA Health Services Research and Development Center.

Wong looked through 851 medical records of veterans who had an average of 75. These veterans declined to have dialysis even though they have end-stage renal disease (ESRD).

Wong and her team found 3 major dynamics in the patient/doctor relations.

1. Some physicians constantly go back to dialysis using different methods to get patients to change their minds. When patients stand their ground, doctors questioned their cognitive ability to make that decision for themselves.

2. Physicians decide that dialysis wasn’t a good idea without talking about this decision with the patient.

3. Patients who didn’t want dialysis were told there was little else that doctors could do. Kidney specialists will sign off from the case with a recommendation of hospice care.

In some cases, doctors will bring in family members to try to convince the patient to choose dialysis.

Why is This Happening?

 

Wong thinks that training is the reason doctors won’t accept the patient’s choice when it comes to not getting dialysis.

Without dialysis, people with ESRD could only survive a few days or weeks depending on their kidneys.

Physicians are focused on longevity being the most important thing. This doesn’t always go along with what the patient wants. Quality of life clashes against medical training, which wants to help people live as long as possible.

The study shows that doctors need to remember that their patient is a person and that doctors need to take what the patient wants into consideration.

Read more here.

6 Key Aspects of Person-Centered Care

9 Activities Seniors with Limited Mobility Can Do

Person-centered care is the best kind of care a senior can get. It’s a way that seniors still get to be people instead of numbers. Seniors Helping Seniors NH has a person-centered approach with how we give care. If you or a loved one are receiving care and want to make sure you are getting this kind of care, you need to know the 6 key aspects of it.

6 Key Aspects of Person-Centered Care

6 Key Aspects of Person-Centered Care

 

These practices are what gives a senior dignity while they receive care, especially if they have dementia or Alzheimer’s.

1. Know the Person Living with Dementia

No one wants to be known as a number or diagnosis. You can’t give person-centered care if you don’t recognize the person. You should get the know person’s likes and dislikes, what they were like in the past, hobbies, and so much more.

2. Understand the Person’s New Reality

If someone has dementia, they see the world in a totally different way. This means that they will also communicate differently. By acknowledging it, you will be able to communicate with the senior in a better, smoother, way. This way they feel validated and not talked down to.

3. Take Opportunities to Engage With Senior

Realize that every experience and interaction is an opportunity to connect. It needs to be a meaningful connection to the senior to work. You can join them in their hobbies, watch their favorite show together, and more. Even if the senior has severe dementia, they can still have fun and enjoy activities.

4. Build a Relationship

While it may be your job to take care of a senior (if you are a caregiver and not a family member), you shouldn’t treat a senior like a task. They are a person and deserve respect and dignity. Focus on the interaction and not the tasks. Think “doing with” instead of “doing for.”

5. Have a Supportive Community

Having a community will make you, the senior, and their family feel more secure. It also makes it easy for you to succeed. A community will also support the senior and help fight against the loneliness that most seniors have.

6. Have a Flexible Care Practices

Constantly be aware and assessing care practices will make caring for a senior as effective as possible. People who have dementia will need flexibility in their care because things change for them all the time. It’s good to look at what you are doing and see if you can improve anything.

Read more here.

Tech Start Up Creates AI that Detects Elderly Falls

American Seniors are Dying From Falls

It’s well known that falls are a huge problem for seniors. There are 9,500 deaths related to falls every year. One out of 200 seniors suffers from a hip fracture. Cherry Labs is hoping to change that with their AI that detects elderly falls.

Tech Start Up Creates AI that Detects Elderly Falls

Tech Start Up Creates AI that Detects Elderly Falls

 

Cherry Labs is a Cupertino startup founded in 2016 by Max Goncharov, Stas Veretennikov, and Nick Davidov. They want to prevent fall injuries with an AI in home system, Cherry Home. It’s able to detect and track users with vision sensors and microphones.

Cherry Labs was able to raise 5.2 million dollars to fuel a pilot program.

Cherry Home launched in October and is testing 15 families in the Bay Area. It includes a binocular battery-powered camera with a 165-degree field of view, 1 TB of internal storage, and a lot of sensors, including an infrared sensor, a motion sensor, an accelerometer, an altimeter, and a compass.

Cherry Home says that its algorithms can tell people apart by their faces, lengths of limbs, and more. The system’s cameras can triangulate themselves in a room and create a diagram of their surroundings to keep people in view.

The info it collects is delivered to doctors and caregivers to help them see if any adjustments in treatment or hospital re-admittance may be needed. It has a dashboard where people can see stats and short videos of things like trips.

When it detects a more serious incident, like a fall, it will alert nurses and family members who want to get the notices.

Though the Cherry Home system is on the pricer side. A starter pack for 2 rooms cost $1,600. That’s not even including the subscription service which is $30 a month per sensor.

Read more here.