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5 Medication Tips For Senior Patients

5 Medication Tips For Senior Patients

Medication for all kinds of patients is sensitive and even more so if the patient in question lies in the senior age category. If you’re a senior patient dealing with a chronic medical condition that requires excessive amounts of prescriptive medicine, then you probably know that keeping a track of your daily prescriptive intake and then actually taking your medication at the right time can be quite difficult as you have not been exposed to this kind of a scenario before. These simple tips, however, can make your life a tad bit easier.

1. Ask important questions about your medicines

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    After receiving a list of medicines to help you cope and recuperate from your chronic illness from a professional medical practitioner, it is highly advisable that you ask your doctor all the whats, whys, and hows.

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    It is very important for you to get as much information as you can about your medicines from your doctor because that information will directly affect how you use those medicines to create a better and more rounded impact.

    Although you can go into a very detailed conversation with your doctor regarding your medicines, the most basic and common questions to ask include:

    • How should you take them?
    • What side effects should you expect?
    • What should you do in case something unexpected happens?

    The questions are not just limited to these but these are just a few important questions that will help you to improve your condition at the moment. The more information you get, the better it is for you.

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    2. Keep extra stock in a dry place

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      Storing medicines can be a very useful idea in case you run out of yours and are unable to go to the pharmacy because of unforeseen circumstances. Not to mention, if you’ve got pets and children in your house, proper storage can come in handy to keep your tiny pills away from little children to avoid dangerous situations. In such an instance, the best place to store your medication is a dry cabinet or shelf high enough to be out of reach from the little ones. Additionally, moisture in the air can affect the chemical composition of your medicines and render them useless. Proper care in the storage of your medicines is highly important towards your wellbeing.

      3. Arrange and segregate your medicines in an orderly manner

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        Keeping track of too many pills and too many doses can be overwhelming, especially if you’ve got more than half a dozen pills to keep a track of – or if you’re dealing with a chronic medical condition characterized by memory loss! It becomes even more difficult if you’re not depending on a caregiver. In such a case, organizing your medication in a weekly medication box is a great idea. Not only does this serve as a way to relieve you of the anxiety of having to remember what pills to take and at what time of the day or week, but it also significantly reduces the chances of you missing your medicines or making mistakes by accidentally taking the wrong pill. It does, however, take some time to sort things out. But you can always have someone looking after you help you out with the task.

        4. Follow your prescription

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          Sometimes senior patients suffering from chronic medical conditions tend to be so paranoid that they feel the need to consume higher doses of a particular medicine to ease the discomfort of common symptoms related to their condition, such as headaches, anxiety, and heartburn. Interestingly, you can adopt healthy eating habits to avoid a headache, but you should only be taking your medications as prescribed. Chances are that by taking a dose higher than prescribed, you just might end up making the symptom even worse – possibly even suffer dangerous consequences. On the contrary, if you think that some symptoms are worrying you more than you had expected or been told by your doctor, then you should visit your doctor before taking extra pills on your own. Maybe a change of medicine is what you need.

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          5. Prepare a list

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            If you’ve hired professional caregiver services to attend to your medical needs, preparing a list of all your medicines and dosages in advance for the person attending to you helps a great deal. This way, your caregiver will be fully aware of your medicinal needs and will make sure that you get the correct dose at the right time. Also, make sure you communicate all the questions you asked your doctor on the visit to your caregiver as well. It is best that your caregiver has as much information as you do about your condition – the more the better.

            Medicines are immensely beneficial for those who are sick, especially the elderly who experience much more sensitivity to pain than younger people. It should be taken into consideration that the more sensitive the impact of a medication, the greater involvement you need to have in its upkeep and care. For senior patients, it is highly important to take good care of their medication. The doctor is just a consultant; the medicine is the real agent. Better use and care of it will maximize the impact it has on the disease and lead to a better and healthier life and an even faster recovery from your condition.

            Featured photo credit: Jose Luis Pelaez / Flickr via flickr.com

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            Published on November 30, 2018

            Signs of Postnatal Depression And What to Do When It Strikes

            Signs of Postnatal Depression And What to Do When It Strikes

            Postpartum depression (PPD) strikes about 15% of women around childbirth.[1] Moreover, this mood disorder is estimated to affect 1% to 26% of new fathers.[2] The causes of which are thought to be linked to hormonal changes, genetics, previous mental illness and the obvious change in circumstance.

            The stigma of mental health – with or without support from family members and health professionals – often deters women from seeking help for their PPD. In this article, I will show you 10 ways to begin overcoming PPD.

            Symptoms of Postnatal Depression

            Postnatal depression is defined as depressive disorder, beginning anytime within pregnancy up to the first year of the child’s life. The symptoms of post natal depression are the same as those of depression. In order to receive a diagnosis from the doctor, 5 symptoms must be shown over a two week period. The symptoms and criteria are:

            • Feelings of sadness, emptiness, or hopelessness, nearly every day, for most of the day or the observation of a depressed mood made by others
            • Loss of interest or pleasure in activities
            • Weight loss or decreased appetite
            • Changes in sleep patterns
            • Feelings of restlessness
            • Loss of energy
            • Feelings of worthlessness or guilt
            • Loss of concentration or increased indecisiveness
            • Recurrent thoughts of death, with or without plans of suicide
            • Lack of interest or pleasure in usual activities
            • Low libido
            • Fatigue, decreased energy and motivation
            • Poor self-care
            • Social withdrawal
            • Insomnia or excessive sleep
            • Diminished ability to make decisions and think clearly
            • Lack of concentration and poor memory
            • Fear that you can not care for the baby or fear of the baby
            • Worry about harming self, baby, or partner

            Should you, a friend or your partner be showing any of these signs, I recommend you to seek medical advice.

            Causes of Post Natal Depression

            It is worth noting here that there is a difference between what is commonly known as ‘The Baby Blues’ and post natal depression.

            Postpartum blues, commonly known as “baby blues,” is a transient postpartum mood disorder characterized by milder depressive symptoms than postpartum depression. This type of depression can occur in up to 80% of all mothers following delivery. The Baby Blues should clear within 14 days, if not it is likely an indicator of something more in depth.

            It is not known exactly what causes post natal depression, however there are some correlating factors. These factors have a close correlation and haven’t been shown to cause PPD:

            • Prenatal depression or anxiety
            • A personal or family history of depression
            • Moderate to severe premenstrual symptoms
            • Stressful life events experienced during pregnancy
            • Maternity blues
            • Birth-related psychological trauma
            • Birth-related physical trauma
            • Previous stillbirth or miscarriage
            • Formula-feeding rather than breast-feeding
            • Cigarette smoking
            • Low self-esteem
            • Childcare or life stress
            • Low social support
            • Poor marital relationship or single marital status
            • Low socioeconomic status
            • Infant temperament problems/colic
            • Unplanned/unwanted pregnancy
            • Elevated prolactin levels
            • Oxytocin depletion

            One of the strongest predictors of paternal PPD is having a partner who has PPD, with fathers developing PPD 50% of the time when their female partner has PPD. [3]

            Ways to Overcome Post Natal Depression

            1. Seek Medical Help

            As knowledge of PPD grows, more and more physicians are becoming aware of the indicators and risk factors. This means that health care providers are looking for signs as early as their first prenatal care visit.

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            If you are at risk, letting your provider know early in your pregnancy means that you’ll be given extra support and care throughout the process. It is best to seek treatment as soon as possible.

            If it’s detected late or not at all, the condition may worsen. Experts have also found that children can be affected by a parent’s untreated PPD. Such children may be more prone to sleep disturbances, impaired cognitive development, insecurity, and frequent temper tantrums.

            2. Therapy

            This is the first line of defence against post natal depression and will commonly be prescribed alongside medication. Around 90% of post natal depression cases in women are treated with a combination of the two treatments.

            You don’t need to do anything special to prepare. Your counselor will ask questions about your life, and it’s important you answer honestly. You won’t be judged for what you tell, and whatever you talk about will be just between the two of you. Your counselor will teach you how to look at some things differently, and how to change certain habits to help yourself feel better.

            Therapy is personalized for everyone, but women in counselling for postpartum depression often discuss topics including; who you’re feeling, your behaviour, your actions and your life. (If you need immediate support please call the San Diego Access and Crisis Line at (888) 724-7240. The toll-free call is available 24 hours a day, seven days a week.)

            3. Medication

            There have been a few studies of medications for treating PPD, however, the sample sizes were small, thus evidence is generally weak.

            Some evidence suggests that mothers with PPD will respond similarly to people with major depressive disorder. There is evidence which suggests that selective serotonin reuptake inhibitors (SSRIs) are effective treatment for PPD.

            However, a recent study has found that adding sertraline, an SSRI, to psychotherapy does not appear to confer any additional benefit. Therefore, it is not completely clear which antidepressants are most effective for treatment of PPD.

            There are currently no antidepressants that are FDA approved for use during lactation. Most antidepressants are excreted in breast milk. However, there are limited studies showing the effects and safety of these antidepressants on breastfed babies.

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            4. Communication with Partner

            Don’t blame yourself, your partner, close friends or relatives. Life is tough at this time, and tiredness and irritability can lead to quarrels.

            ‘Having a go’ at your partner can weaken your relationship when it needs to be at its strongest. It can be a huge relief to talk to someone understanding.

            By spending time with your partner doing activities that you both enjoy, like going for a walk, can really help. This change of state, from moving location, can significantly elevate mood whilst providing ‘neutral ground’ in which to open up communication.

            Be honest with your partner and show ways in which they can support you best through this time, even if it’s just talking or letting you have time to go take a shower.

            5. Self Care and Rest

            Don’t try to be ‘superwoman’. Try to do less and make sure that you don’t get over-tired. It’s common that women are the experts at ‘being busy’ and ‘doing it all’.

            Rest whilst the baby is sleeping, and really take time to prioritise yourself. Throughout life, if you’re constantly giving out energy, you will be left feeling unbalanced. It’s important to become aware of one’s energy and making sure to give yourself energy first, before giving out is imperative.

            Your body has just been through the trauma of the birth, which is very stressful. It therefore needs time to recover so taking time to yourself is important. Things as simple as a cup of tea, or shower or listening to music will really help.

            6. Supplementation (especially DHA)

            St John’s Wort is a herbal remedy available from chemists. There is evidence that it is effective in mild to moderate depression. It seems to work in much the same way as some antidepressants, but some people find that it has fewer side-effects.

            One problem is that St John’s Wort can interfere with the way other medications work. If you are taking other medication, you should discuss it with your doctor. This is very important if you are taking the oral contraceptive pill. St John’s Wort might stop your pill working. This can lead to an unplanned pregnancy.

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            It is also worth noting that fish oil (containing DHA) is being shown to correlate with lower instances of PPD. DHA consumption during pregnancy — at levels that are reasonably attained from foods — has the potential to decrease symptoms of postpartum depression,” conclude study researchers led by Michelle Price Judge, PhD, RD, a faculty member at the University of Connecticut School of Nursing.

            7. Movement

            Before starting any exercise program, you should consult with your doctor and find a fully qualified pre and post natal specialist. That being said, there is plenty of movement that can be done prior to ‘hitting the gym’, such as walking.

            Not only does being outside positively benefit you by getting some fresh air and vitamin D. The same is said for your baby, who will likely sleep better once they’ve been outside. Exercise gets your endorphins going, which helps alleviate depression symptoms, It can also get you focused on something for yourself. In an analysis of data from 1996 to 2016, researchers discovered that moms who stayed physically active after birth experienced fewer depressive symptoms.[4] In contrast, one study found women who led a more sedentary lifestyle were, in general, more likely to experience postpartum depression in the first place. [5]

            The type of workout doesn’t matter much. Yoga for pregnant women, stretching, and cardio are essentially equal in terms of making you feel better.

            8. Socializing and Support Groups

            Do go to local groups for new mothers or postnatal support groups. Your health visitor can tell you about groups in your area. You may not feel like going to these groups if your are depressed.

            See if someone can go with you. You may find the support of other new mothers helpful. You may find some women who feel the same way as you do.

            9. Accept Help

            Some cultures believe that the symptoms of postpartum depression or similar illnesses can be avoided through protective rituals in the period after birth. Chinese women participate in a ritual that is known as “doing the month” (confinement) in which they spend the first 30 days after giving birth resting in bed, while the mother or mother-in-law takes care of domestic duties and childcare.

            Whilst this may seem extreme, it’s worth noting that being able to accept help from your friends, partner and family can be extremely beneficial.

            10. Avoid Smoking, Drink and Drugs

            Which may seem common sense, however you may be tempted by the short term ‘fix’.

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            Don’t use alcohol or drugs. They may make you feel better for a short time, but it doesn’t last. Alcohol and drugs can make depression worse. They are also bad for your physical health.

            Final Thoughts

            Most women will get better without any treatment within 3 to 6 months. One in four mothers with PND are still depressed when their child is one-year-old. However, this can mean a lot of suffering.

            PND can spoil the experience of new motherhood. It can strain your relationship with your baby and partner. You may not look after your baby, or yourself, as well as you would when you are well.

            PND can affect your child’s development and behaviour even after the depression has ended. So the shorter it lasts, the better.

            Sometimes there is an obvious reason for PND, but not always. You may feel distressed, or guilty for feeling like this, as you expected to be happy about having a baby. However, PND can happen to anyone and it is not your fault.

            It’s never too late to seek help. Even if you have been depressed for a while, you can get better. The help you need depends on how severe your illness is. Mild PND can be helped by increased support from family and friends.

            Featured photo credit: Derek Thomson via unsplash.com

            Reference

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