Mathias Schlogl, MD, MPH is a specialist in internal and geriatric medicine.
Mathias Schlogl, MD, MPH is a specialist in internal and geriatric medicine. Communication is a major focus of his research and clinical interests. He is currently a graduate student at the European Academy of Ageing (EAMA) and works at the University Clinic for Acute Geriatric Care, City Hospital Waid in Zurich.
While current guidelines for urinary incontinence (UI), often refer to older adults with frailty, the details and nuance of continence treatment for this group are often not well-described. It can be time-consuming and costly to support older adults with urinary incontinence. Guidelines that are meant to support service development and clinical practice must take into account the care of older patients if they are to be effective.
Our recently published paper in Age and Ageing focuses on how to bring together well-known communication techniques from the care and treatment of older people as a mnemonic that can be used to guide consultations with older people with continence problems. The HEARTS mnemonic reminds us that communication is key to good care for older people. It should be responsive, empathetic and person-centred.
You can have a conversation with anyone who doesn't self-declare symptoms. Be sensitive, don't make ageist assumptions, listen to both technical and emotional content and promptly respond to continence needs.
Recognize the stigma of UI and the uncertainty associated with the ageing process.
Try to understand the cultural beliefs and values of older adults, take a relationship-centered approach, and do your best to respect and protect autonomy when making decisions about people with cognitive impairment.
Keep your consultations calm and professional. Remember that it is important to show respect for others' dignity.
Learn about the person and their history to personalize your care approach.
Participate in joint decision-making and ensure the establishment of a management plan that includes all possible therapies for patients and their family members.
These principles do not apply to urinary incontinence only, but they are applicable in any situation.
Complexity in continence management for older adults extends beyond communication. Comprehensive Geriatric Assessment is an evidence-based multidisciplinary, multidomain approach that drives a coordinated and iterative approach in care delivery. It works well within the context of continence. However, CGA has not been implemented for older adults with bladder and bowel problems in comparison to other "Geriatric Giants".
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If you want to avoid problems such as strokes and heart disease, there is an easy way.
Get more fruits and vegetables.
Whole grains are better than refined ones. Brown rice is better than white. Switch to whole-wheat pasta
Consider lean proteins such as poultry, fish and beans.
Reduce your intake of processed foods, sugar, salt, saturated fat, and other unhealthy food.
Flexibility is key to eating well, according to Joyce Meng, MD assistant professor at UConn Health's Pat and Jim Calhoun Cardiology Center. You can follow a strict diet plan if you prefer. It's okay if you don't like following a strict diet plan.
Tricia Montgomery (52), founder of K9 Fit Club knows firsthand the benefits of a healthy diet and lifestyle. Her favorite things are eating healthy food and making small, frequent meals. She says, "I don’t deny myself anything." "I still enjoy dessert, key lime pie, yum!" -- I love frozen gummy bears and moderation is the key.
Get regular checkups. Your doctor will keep track of your medical history so that you can stay healthy. If you are at high risk of osteoporosis (a condition that weakens bones), your doctor may recommend more vitamin D and calcium.
You may be recommended by your doctor to have screening tests done to monitor your health and detect conditions before they become serious.
Be open to communication. Meng said, "If you have any questions, ask your doctor." "Ensure you are satisfied with the information." Talk to your doctor if you have concerns about any medication or procedure.
It can be very detrimental to your health. It is impossible to avoid it all, but there are ways you can reduce the effects. Do not take on too many responsibilities. Set limits for yourself and others. It is okay to say no.
To relieve stress, try:
Talking to a friend or family member.
Develop healthy habits
You can prevent problems from coming your way tomorrow if you make the right decisions today.
Brush your teeth twice daily and floss each day.
Limit your alcohol. Limit your alcohol intake to 1 drink per day.
Take your medication exactly as prescribed by your doctor.
Get better sleep. Try to sleep for at least 8 hours. Talk to your doctor if you are having trouble sleeping.
Keep out of direct sunlight between 10 a.m. and 3 p.m.
Wear your seatbelt.
Meng suggests that you take time each day to invest in your own health.
Montgomery was able to see the benefits. Montgomery says that she has overcome health issues, is happy, and has a positive outlook. She says that her life has been forever transformed.