Tag Archives: medications

SAFETY TIPS WHEN LEAVING A SENIOR ALONE AT HOME (GUEST POST)

A lot of things can happen which might jeopardize the safety of an elderly person. Even in your own home, safety can be at risk due to certain factors. Living with a senior, either temporarily or permanently, can be a bit challenging in terms of keeping him/her safe all the time.

A mishap can take place any time. That is why it is critical to take extra precautions to avoid untoward incidents. If you need to go somewhere for a while leaving your elderly alone, there are simple safety measures you can do to make sure nothing bad happens to your senior. 

  • Unclutter – Make it a habit to keep every room in your home uncluttered. Cleaning the house is one way of making it safe not just for elderly person, but for everyone as well. Organize things inside the house. Keep things in their proper places. See to it that your floor is free from anything which might trip your senior. Kids love to play on the floor; so be sure to store their toys in a box or in their room after playing. With a tidy and organized home, you do not have to worry about leaving your elderly all alone.
  • Easy accessibility of needs – Take note of every item that your senior needs. Store these items in an easy-to-reach shelves or storage. For instance, keep the commonly used kitchen ware in the drawers so it will be easier for the senior to grab them. Never put anything needed above eye level. This might force your elderly to stand in a stool to reach for it – not a good idea. Before you go, make sure everything your senior need is within reach.
  • Clear hallways/stairways – Check your hallway and stairway. Do you have a rug in there? Even though rug is a practical and a unique decorative item, it is one cause of accident to senior citizen. So, it is better to remove it and place it elsewhere – where your senior do not usually pass by. Clear the stairway from any objects. If needed, you can place non-slip pads on the steps to prevent the risk of falling.
  • Install mat on bathroom – Leaving your senior alone means you cannot look after him/her when going to the bathroom. For added safety measure, put a rubber mat on the bathroom floor to prevent accidental falls. When the floor is wet,  your senior is prone to slipping which could result into broken hips and minor injuries. Additionally, slipping can cause internal hemorrhage leading to death. The rubber mat could save a life.
  • Keep medications close at hands – Before leaving the house, keep all the medications needed in a storage box or container. Some elderly have a maintenance medication, which of course, should be taken at prescribed time. Make a note of the quantity and what time the medicine must be taken. Stick the note on the container so your senior can easily read it. Put the medicine box in the bedside table so your senior will find it quickly.
Keeping your senior safe while you left him/her is pretty simple. For additional safety precaution, purchase an alert device such as medical guardian system to inform you instantaneously when an emergency occurs. Otherwise, you can ask someone to watch over your senior for you.
 
Ashley O’connor loves sharing ideas on how to practice safety at home, on the road, at the office and just about everywhere. Aside from writing, she also enjoys cooking and reading books. Follower her on Twitter at @AshleyOconnor82, Google+ or add her on Facebook.
 
Thanks, Ashley, for the great advice on how to keep our seniors safe. I might add that small pets, such as dogs and cats, are sometimes a hazard to cause someone to fall.  They are innocent bystanders, but many times get underfoot.  Especially when leaving someone alone, it might be a good idea to leave your pet in a kennel or with a friend.  pb

ARTHRITIS SAFETY (GUEST POST)

Arthritis is one of the most common disabilities in the United States, affecting about 21 million adults, according to a National Health Interview Survey from 2007-2009. Arthritis is a term used to describe hundreds of rheumatic diseases and conditions, from fibromyalgia to rheumatoid arthritis. These conditions affect the joints, tissue around the joints, and other connective tissue.
 
Since this disability is so widespread in America, it is important that people with arthritis take the necessary precautions to ease their pain and joint stress. While arthritis is incurable, there are steps people can take to ensure their safety, health, and comfort. 
 
 
Be Conscious of Medications
Many anti-inflammatory medications taken by arthritis sufferers have dangerous interactions with over-the-counter medication. It is important to discuss every medication you take with your doctor. 
 
Prescription arthritis medication also has serious side effects. The most commonly used arthritis medications, NSAIDs (non-steroidal anti-inflammatory drugs), are known to cause stomach problems, heart attacks, and strokes. These side effects can be combated by taking the prescription with food or antacids. 
 
DMARDs (disease modifying anti-rheumatic drugs) are more invasive than NSAIDs and can cause kidney and liver damage. It is important to take frequent blood tests when taking DMARDs.  
 
Protect Your Joints
The use of splints and braces can aid in joint protection. There are other assistive devices like jar openers, raised toilet seats, and “grabbers” that can be used to accomplish basic tasks. 
 
Good posture can also protect the back and joints, as well. Practicing proper body mechanics will make your body move more efficiently. If you work in an office, use wrist support while typing. When you’re sitting down, be sure to have both back and foot support.  
 
Exercise
Regular exercise can improve joint flexibility and make them stronger. Water exercises reduce the stress on joints. Look to the internet for exercise options http://arthritis.answers.com/management arthritis management. 
It has been proven that weight loss can significantly reduce the stress on weight-bearing joints. Losing weight can improve mobility and decrease the need for joint replacement in the future.  
 
Get Proper Sleep
The pain and difficulty that comes with walking can reduce the energy level of arthritis sufferers. In order for a person with arthritis to function at a higher level (both mentally and physically), they must get a proper amount of sleep. 
 
 
Stay Healthy
According to the http://www.cdc.gov/arthritis/ Center for Disease Control  (CDC), people with arthritis are at a higher risk for respiratory infections and the flu. Also, adding Omega-3 fatty acids will greatly decrease stiffness. They naturally reduce inflammation in the body. 
 
Vitamin C is another helpful addition to a diet. It helps the body build collagen and connective tissue. Using olive oil when cooking, instead of butter or other oils. Oleocanthal, the compound found in olive oil, works to prevent inflammation and provides about as much relief as a dose of ibuprofen. 
 
By Liam Garcia
 

THE TOP FIVE RISKS TO BE AWARE OF WHEN RECOVERING FROM SURGERY (GUEST POST)

 When it comes to surgery, most people worry just about the procedure itself and think that once it’s over, you’re “out of the woods.” However, the time spent recovering after surgery is just as dangerous if not more so than during the procedure itself, as the patient is still in a precarious state. While every case is different, there are a few post-op risks that are common to many surgical procedures: 

  • Anesthesia Complications – It may be commonplace in hospitals, but anesthesia can nonetheless cause permanent damage if not properly administered and/or if the patient reacts badly to it. Issues range from a simple sore throat to nausea and vomiting, which can result in dehydration if not properly cared for. Emergence delirium, a condition in which the patient wakes up confused and agitated, is also a threat since patients can injure themselves while still in a daze. Inquire as to the anesthesiologist’s experience and if they have worked with the rest of the team before.
  • Infection – Surgery literally opens up your body to infection, and sanitization procedures notwithstanding, surgical centers and hospitals are hot spots for bacteria and viruses. Nurses in the PACU should keep a close eye on your incision site, change the bandages often, and take immediate action if an infection is suspected.
  • Lack of Oversight – Not all surgical centers have the same staffing policies, and if your PACU doesn’t have enough staff on hand to effectively monitor patients, your condition could rapidly deteriorate without nurses noticing. Look for a one-to-one ratio of nurses to patients, particularly if you’ll be receiving painkillers.
  • Malfunctioning or Incorrectly Set up Equipment – In a recent medical malpractice settlement, a surgical center’s PACU monitoring machines were found to have been muted, which played a role in the death of a 17-year-old girl after a routine tonsillectomy.
  • Medications – Pain management is a main tenant of post-operative care, but narcotics can also come with significant side effects. Fentanyl, for example, is a very strong painkiller often given to surgical patients, but it comes with the risk of respiratory issues. Ask before your procedure if you’ll be given medications following it, and if so what they will be and the potential side effects. 

While you can never protect yourself completely going into a surgical procedure, being aware of the potential risks both during and after the surgery, as well as taking steps to mitigate them, can help you lower the chance of complications. Your doctor may also have helpful information on how to prepare. 

Mario Cattabiani is the Director of Communications at Ross Feller Casey, LLP, a personal injury and medical malpractice law firm. Check out their post-op care checklist for additional information.

HOW TO PREVENT ACCIDENTAL POISONING AT HOME (GUEST POST)

Poison control centers report that more than half of the incidents they handle each year involve children under the age of six. The majority of these poisoning injuries result from the inadvertent ingestion of common household substances. Learning to reduce the likelihood of a poisoning incident in your home is an essential part of safe parenting and childcare provision, simply because even the most closely-watched children can find a way to get into dangerous things during the split second an adult’s back is turned.
Keep an Eye on Medications

The prescription medications that safeguard your health and the over-the-counter pills that ease minor aches and pains can be a blessing to ailing adults, but present a very serious danger to young children. Making sure that all of your household medications are stored in a place children cannot reach and are inside child-resistant containers is imperative. It’s also very important to make sure that you keep an eye on visitors’ belongings. When Grandma stows her pills in a daily dosage container with a simple flip-top and tosses it in her purse for easy access on the go, there’s very little keeping an inquisitive child from ingesting those medications. This especially holds true for toddlers and preschoolers that may have learned to associate “Grandma’s Purse” with “candies and sweets.” Make sure that visitors have a safe place to store their bags while they spend time in your home.

Clean Up Your Household Cleaner Shelf

Keeping all of your household cleaners in the cabinet under the sink is both wildly common and quite convenient. Even if you spring for the cabinet locks touted by baby-proofing experts as infallible, it’s important to keep in mind that no baby-proofing product is immune to failure. Installing cabinet locks is a great idea that can keep children from accessing a variety of unsafe objects, but moving the chemical cleaners to a high cabinet is the most effective way of keeping them out of kids’ reach.

Check the Paint

Buying older houses in rebounding neighborhoods is a popular trend for lots of reasons. Older houses have character, the price point can be more manageable than a shiny, new McMansion and they’re generally packed with charming features. Before moving into your new-to-you home, however, you’ll want to make sure that none of the paint inside it contains lead before you start scraping. Using a lead testing kit is your safest bet, especially if you suspect that the existing paint is a relic from a society that wasn’t so aware of the danger of lead.

Food Poisoning is Still Poisoning

Just because food is intended to be ingested doesn’t mean that it can’t be poisonous. Making sure that you are well informed regarding safe food handling practices and that all foods you feed your child are kept at the proper temperature and prepared in such a manner so harmful bacteria is eliminated is essential to his health. It’s also important to make sure that your child isn’t able to access the contents of the garbage can. Adults might think that the off-putting smell of a garbage can is enough to repel anyone, but the curiosity of an inquisitive child knows no bounds.

Monitor Your Carbon Monoxide Detectors

When you change your clocks and the batteries in your smoke detector at the beginning and end of daylight savings, make sure that you also change the batteries in your carbon monoxide detector and test it to ensure full functionality. Carbon monoxide is tasteless, odorless and colorless, so the only way to truly protect your family from accidental poisoning is to make sure that your first line of defense, your detectors, are working.

Kitchens, bathrooms and garages are the most common sites of accidental household poisonings. Paying special attention to these areas of your home and making sure that any potentially dangerous substances are stored far out of kids’ reach can help you prevent a poisoning emergency in your home. It’s also imperative that you store all chemical products in their original containers, as they contain important information that your physician or poison control specialist will need to ensure that your child gets the proper treatment in the event of an inadvertent poisoning emergency. Parents and childcare providers should also know how to spot the signs of poison ingestion, which consist of burns or redness around the mouth and lips, a chemical smell on kids’ breath, vomiting, dizziness, sleepiness, confusion and other strange behavior, including difficulty breathing, seizures and unconsciousness.

 
Sent to us by Lynda Albertson of  NannyBabysitters
 
Thanks, Lynda, and a reminder that every home should keep a first aid safety kit on hand.
 

 

HOW TO MAKE OUR HEALTHCARE SAFER

We are midway through National Patient Safety Awareness Week, an important observance to remind us all that we, as patients, must do what we can to stay safe when we are in a healthcare setting, such as a hospital.  Mistakes do happen, and may seem small, but it all adds up to the saying, “the worst place to be if you are sick – a hospital”.  We know that many lives are saved by treatment and surgeries that were unimaginable years ago; however, there have been patients who have been harmed by medical errors.  If this happens, it is often a result of a series of small failures that are individually not big enough to cause an accident, but combined can result in an error.  Patients must become involved and informed about their treatment.  Everyone has a role in patient safety, and all will benefit from its successes when patients and caregivers communicate more effectively.

Here are some suggestions from the National Patient Safety Foundation:

  • Keep track of your history: Include medical conditions you have, allergies, hospitalizations, etc.
  • Have the names of your pharmacy, doctors, and clinics ready for quick references.
  • Become a more informed health care consumer: seek information about illnesses or conditions that affect you.  Don’t hesitate to ask questions of your doctor, nurse, pharmacist, or insurance coordinator.
  • Work with your doctor and other health care professionals as a team: give up to date information to everyone who is treating you.  Be sure you understand the care and treatment you will be receiving.
  • Pay attention.  If something doesn’t seem right, call it to the attention of your doctor or health care professional.
  • Involve a family member or friend in your care.  If you are not able to observe or participate fully in your care, ask a family member or friend to help you.  Everyone should have an advocate – a friend or family member, especially for check-in and discharge or doctor’s visits.
  • If you have to be in the hospital, bring a notebook with a list of your medications.  If questions arise, write them down.  Take a big bottle of hand sanitizer, and place it by your bed to remind you and the staff to keep hands clean.
  • Follow the treatment plan agreed upon by you and your doctor.  Ask questions about any instructions that are confusing or unclear.  Take medications exactly as prescribed.  Report anything unusual to your doctor.

Infections can occur after many types of medical procedures.  This is particularly true if you have surgery.  My husband contracted a Strep B infection after hip surgery, which required six weeks of home health care.  Staph infections are very serious and difficult to get over, so both the patient and staff must take all precautions to not allow an infection.

Remember, you are your best advocate when it comes to your health.  Don’t be afraid to ask questions if you didn’t understand the first time.  Especially when in the hospital, and you have waited for the doctor to make rounds, have your questions ready so you won’t forget important things to ask.  Our hospitals are there to help restore us to good health.  They are making strides to correct errors that have been made in the past.  Many times our lives may be in the hands of nurses and physicians.  It is only right to hope for the best care possible.

SAFETY TIPS FOR SENIORS (AND) EVERYONE! PART I

It’s very normal for us to be concerned with our safety as we age.  It’s natural that as we grow older, we take more risks with everyday tasks.  Here are some suggestions that you may have already thought of;  if not, let’s think about ways to make our lives safer.   Take a mental picture of your home, room by room.  Are there some changes we should consider making?  Things in my home that are hazards are loose rugs in my hallway.  If I continue to keep them, I should use double-sided tape or non-slip padding on the underside, especially at corners and center, to prevent them from slipping.  We know that slips, trips, and falls, are serious hazards for workers, as well as seniors. 

Continuing through your home: how about the living room/den?  Are they cluttered?  You should never leave anything on the floor where someone could trip.  Furniture should be arranged to provide clear, easy pathways.  Power and extension cords should be taped along the baseboards of walls to keep them out of the way.  If there are steps in the home, have a ramp or handrail installed.  Having a soft nightlight in each room would help us find our way in the dark.

Going into the kitchen, see if the items you use the most are stored on easy-to-reach shelves, between waist and eye level.  If the step stool is old (please, never use a chair), get a stepladder with handles for extra support.  Keep flammables, like cup towels away from the stove.  Don’t wear loose clothing around the stove while you are cooking.  If you don’t have a fire extinguisher, purchase one, and have the store representative show you how to properly use it. 

Bedroom: never tuck in an electric blanket if you use them.  This can cause overheating and result in a fire.  Heating pads should not be used in bed; if someone falls asleep with it on, burns can result, even at low temperatures.  Have a light near the bed within easy reach.  Install a nightlight between the bed and bathroom to avoid a fall in the dark. 

Accidental falls in the bathroom are a common cause of broken hips; apply self-adhesive non-slip strips to the bottom of the tub or shower.  Have a grab bar inside the shower; installing another one beside the toilet is advisable.  Accessible toilets, 3 to 5” higher than a standard seat, make it safer and more convenient.  It would be wise to have locks that can open doors from both sides. 

Stairway/Porch Steps: one of the most common sites of falls is the stairway, or on the porch.  Stay safe on stairs with light-sensitive night lights in unlit stairwells, hallways, and by placing light switches at doorways, and at top and bottom on stairs.  Railings should be installed for sturdiness on steps of porches.  Paint porches with grit to prevent slips.

 One last point: if you have pets, watch them when you have older visitors, if you are a senior citizen, or have someone living with you that needs a safe haven.  I had a very dear friend, 97 years old, who had always been very careful about falling, because she was a very tiny lady and concerned about breaking her hip.  While visiting, the owner’s large dog greeted her, and knocked her down.  The result was a broken hip, and she died from complications of the surgery.  (She sweetly said, “it wasn’t the dog’s fault!” )  Another first-hand accident I am aware of was when an 80-year old lady was tripped by a young cat.  She also broke her hip, and required weeks of therapy following surgery.  She was in her early 80’s, and survived.  Our animals don’t intend to hurt someone, but we must be vary careful to avoid these types of accidents.

I hope these ideas will be of help.  Tomorrow, we will continue with more tips.  Please stay tuned………………….

SUNSHINE AND CERTAIN MEDICATIONS DON’T MIX!

We have mentioned UVA and UVB rays in several articles and the damage that they can do to your skin and eyes.  Another consideration to factor in is what can happen if you are taking certain medications and are exposed to the sun.  We all worry about skin cancer, but there are other sun illnesses that can occur.  Because of some of the ingredients in certain medications, and depending on the sensitivity of a person, even a very brief exposure to the sun or using a tanning booth or sunlamp can cause a person to experience a burn. 

According to Dr. Mehmet Oz, in a recent article in AARP Magazine, there are three types of sun illnesses: phototoxicity, photoallergy and sun-induced eczema.  Also,  Brian Adams, M.D., a University of Cincinnati dermatologist, reports that some of the most common causes of a phototoxic reaction (sunburn) related to medication ingestion are the tetracyclines, (antibiotics).  This is frequently experienced, minutes to hours after UV exposure, causing pain and exacerbated sunburn.  Photoallergy and sun-induced eczema are more rare, and occur either gradually, over time, or one to two days after UV exposure, and can occur to either sun-exposed skin or anywhere on skin.  Their main symptoms are itching and redness, rash, and possibly blistering. 

According to Dr. Oz, dermatologists think long-term, intense sun exposure may alter our skin in such a way that our immune system no longer recognizes it as our own.  Sun-induced eczema occurs when your entire immune system goes haywire, causing itchy, red skin, or in some cases, blisters.  This is more common in older men who have a history of working outdoors, or women who love to sunbathe.  

This is a list of the types of medications that can irritate your skin if you are taking or using:

  • NSAIDS;
  • Antibiotics;
  • Statins;
  • Hypoglycemics;
  • Diuretics;
  • Sunscreens – containing para-aminobenzoic acid (PABA), cinnamates, benzophenones, salicylates.
  • Fragrances, such as musk ambrette, 6-methylcoumarin, sandalwood. 

Fragrances, you wonder?  A sun allergy, called a photoallergy, comes on more slowly but can be dangerous.  This type of sensitivity usually happens when UV rays convert a chemical, such as a fragrance on your skin, into a substance that your immune system decides to attack, which results in an itchy, red rash that takes several days to go away. 

Experts at the University of Cincinnati report that sunscreen is designed for use under normal circumstances, and certain medications can cause abnormal conditions.  Because we have no preliminary test for knowing what type of reaction a person will have, experience can be hazardous.  The experts say the best defense is to avoid the sun altogether when taking medications recognized as producing an adverse reaction.  If you absolutely have to be out in the sun, take precautions with additional sunscreen and sunblock, paying attention to the face by using zinc oxide on sensitive areas such as the mouth, nose and ears.  Wearing a hat and sun protective clothing is always recommended. 

The American Skin Cancer’s website has a list of medications that can cause adverse reactions to sunlight.  One other thing to remember, (for next winter): some of the worst cases occur in the winter, when skiers, who are on these medications, do not apply any sunscreen to exposed parts of their face because, in part, they think it is too cold to sunburn. 

Source: AARP Magazine

             University of Cincinnati

 

 

 

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