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Better Health While Aging

Practical information for aging health & family caregivers

  • Popular Topics
    • Preventing Falls in Aging Adults
    • Medication Safety
    • Dementia, including Alzheimer’s
    • Advance Care Planning & End-of-Life
  • Why Geriatrics
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  • How to use this site

The Better Health While Aging Podcast

Get practical health tips from a geriatrician and other experts! We discuss common health problems that affect people over age 60, the best ways to prevent and manage those problems, and we also often address common concerns and dilemmas that come up with aging parents and other older loved ones.

012 – Q&A: Answers to Your Questions On Aging & Health

by Leslie Kernisan, MD MPH 2 Comments

Better Health While Aging
Better Health While Aging
012 – Q&A: Answers to Your Questions On Aging & Health
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In This Episode:

Dr. K answers nine audience questions related to the health of older adults:

  • How many extra opinions to get from different doctors when you have a serious condition?
  • What causes legs to feel unbalanced and prone to falling?
  • How to deal with declining abilities, dementia, and physical dependency when you don’t have family to provide care or money to hire someone?
  • Is there a way to recapture sexual activity after three impotent years?
  • Why doesn’t Medicare cover hearing aids?
  • Why is it so difficult for people to admit they are aging and why do we shove aging people aside? What can be done about this, to help us prepare for an aging society?
  • Is chronic muscle pain an indication of old age and is it bad to ignore it?
  • What does conservative treatment for severe chronic kidney disease involve and what happens if you decide to not start dialysis?
  • What is normal aging in the area of memory loss?
[Read more…]

011 – Vitamin D: The “Healthy Aging” Dose & FAQs

by Leslie Kernisan, MD MPH 10 Comments

Better Health While Aging
Better Health While Aging
011 – Vitamin D: The "Healthy Aging" Dose & FAQs
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In this Episode:

Dr. K discusses her approach to vitamin D for healthy aging, including:

  • What dose of Vitamin D is likely right for most older adults
  • Why she believes that most older adults should take a vitamin D supplement
  • What experts such as the US Preventative Services Task Force and the American Geriatrics Society recommend
  • Dr. K also addresses many common questions people have about vitamin D, including:
    • What type of Vitamin D should I take?
    • Do I need to have my blood level checked?
    • Will Vitamin D really prevent falls or fractures?
    • Will Vitamin D really prevent dementia, cancer, or premature death?
    • If I’m outside a lot, do I need a vitamin D supplement?
    • What should one’s vitamin D level be?
    • Is a higher level of vitamin D better for you?
[Read more…]

010 – Interview: Choosing a Wearable Medical Alert System for Older Adults

by Leslie Kernisan, MD MPH Leave a Comment

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Better Health While Aging
010 – Interview: Choosing a Wearable Medical Alert System for Older Adults
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In This Episode:

Dr. K talks with Richard Caro, PhD, a co-founder of Tech-Enhanced Life, who recently spent several months testing out wearable medical alert systems. They discuss:

  • What Richard learned through hands-on testing of several different personal emergency response systems (PERS)
  • Key PERS features to consider before buying, including who will respond when the alert is triggered and whether the responder can be heard through the pendant versus the base station
  • The pros and cons of automatic fall-detection
  • How to see past the marketing and learn more about different PERS features, in order to select the right PERS for you
  • Whether there are any stylish and attractive wearable alert systems available for sale in the US
  • Why Richard and his colleagues founded Tech-Enhanced Life
[Read more…]

009 – Q&A: Answers to Your Questions on Helping Older Parents

by Leslie Kernisan, MD MPH 5 Comments

Better Health While Aging
Better Health While Aging
009 – Q&A: Answers to Your Questions on Helping Older Parents
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In This Episode:

Dr. K answers nine audience questions related to helping older parents:

  • How to find a facility for an older father with dementia who is a “two-person assist”? How to make sense of the jargon on care levels and how are facilities classified?
  • How to help an older  mother with bipolar, especially if she seems to be going into a manic phase?
  • How to maintain sanity and better respond to an older father with Alzheimer’s disease, who gets agitated and angry in the afternoons and evenings?
  • Whether to worry about withdrawal symptoms, after an older mother is hospitalized and treated with haloperidol for delirium
  • How to keep assisting without losing hope, in the context of a mother with Alzheimer’s and an older father with Parkinson’s and sleep problems
  • What to do when it’s hard to get an older mother to take her medications, and how to get her to understand the importance of recommended procedures such as cataract surgery
  • What to do if both you and your elderly mother have been diagnosed with mild cognitive impairment, and how to handle caregiving issues
  • Whether anxiety can cause abdominal pain and shortness of breath in someone with dementia, and how to improve bad breath that has been attributed to acid reflux
  • What can be done if an older father with mild cognitive impairment has been refusing to leave the house for several months
[Read more…]

008 – Interview: Helping Families with Memory Loss: The Care to Plan Online Tool

by Leslie Kernisan, MD MPH 4 Comments

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Better Health While Aging
008 – Interview: Helping Families with Memory Loss: The Care to Plan Online Tool
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In This Episode:

Dr. K talks with Professor Joseph Gaugler, PhD, an expert in family caregiving and dementia, who is on the faculty of the University of Minnesota’s Center on Aging. They discuss:

  • Care to Plan, a new online tool developed by Dr. Gaugler and his colleagues, designed to help family caregivers of people with Alzheimer’s and other dementias
  • How Care to Plan uses an easy online 20-question assessment to create a personalized plan of support for family caregivers
  • Why different families may need to prioritize different support strategies
  • Seven different types of support that are known to help family caregivers: Education, Problem Solving, Support Groups, Change Your Thinking, Brain Health, Take a Break, and High-Powered Combinations
  • The benefits of attending a local university-led conference about memory loss and dementia, such as the University of Minnesota’s Caring for a Person with Memory Loss Conference

[Read more…]

007 – How a Personal Health Record Helps You Be Proactive

by Leslie Kernisan, MD MPH Leave a Comment

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Better Health While Aging
007 – How a Personal Health Record Helps You Be Proactive
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In This Episode:

Dr. K explains why she always recommends that older adults and families keep their own copies of key health information. She covers:

  • Why this proactive approach — which is also known as maintaining a personal health record (PHR) helps older adults get better healthcare from doctors
  • The five common healthcare pitfalls that you can avoid or minimize, by maintaining a PHR
  • What health information is most useful to request and why
  • Options for organizing and keeping health information
  • Why it’s good to bring a paper copy of relevant health information to doctors’ visits, and other tips on bringing medical information to doctors
[Read more…]

006 – Interview: Surviving Cancer & Better Healthcare Through Being an e-Patient

by Leslie Kernisan, MD MPH Leave a Comment

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Better Health While Aging
006 – Interview: Surviving Cancer & Better Healthcare Through Being an e-Patient
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In This Episode:

Dr. K talks with “e-Patient Dave” deBronkart, a co-founder of the Society for Participatory Medicine. Dave is a well-known advocate for improving healthcare by encouraging people to become “equipped, enabled, and empowered” when it comes to their own healthcare. They discuss:

  • How getting information from an online patient community helped Dave survive a usually fatal cancer
  • What is an “e-patient,” and why being proactive leads to better healthcare
  • Why public access to health information is creating a sea change in the practice of medicine
  • How the patients’ rights movement is creating a culture change that some doctors find threatening
  • Why it’s better for patients and doctors to act as partners and “share the knowledge”
  • Practical tips on getting more informed regarding your own (or your family member’s) healthcare
  • What kinds of doctors to avoid, and how to get a second opinion
[Read more…]

005 – Interview: Otago & Proven Exercises for Fall Prevention

by Leslie Kernisan, MD MPH 9 Comments

Better Health While Aging
Better Health While Aging
005 – Interview: Otago & Proven Exercises for Fall Prevention
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In This Episode:

Dr. K interviews Tiffany Shubert, PhD MPT, a practicing physical therapist on faculty at the University of North Carolina, and a leading expert on exercise programs for fall prevention. They discuss:

  • What types of exercise work best for fall prevention, and why
  • Why strength and balance exercises are so important for aging adults
  • Why walking is not enough, when it comes to fall prevention
  • Easy tests you can do at home, to check an older person’s leg strength and balance
  • What’s involved in the Otago Exercise Program, an exciting new physical therapy program proven to reduce falls in older adults and endorsed by the Center for Disease Control (CDC)
  • How to find Otago near you
  • Why any exercise or physical therapy program for fall prevention should involve exercises done in standing, that are challenging, that get more challenging over time, and that involve at least two hours/week of exercises
  • Other proven programs to reduce falls in older adults
  • Tips on doing fall prevention exercises in people with Alzheimers or other dementias

[Read more…]

004 – What to Do If You’re Worried About Falls

by Leslie Kernisan, MD MPH Leave a Comment

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004 – What to Do If You're Worried About Falls
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In This Episode:

  • Why older adults fall
  • How to identify underlying health risk factors and fall triggers, so that you can personalize your fall prevention plan
  • The three step process Dr. Kernisan uses to create a fall prevention plan for an older person
  • Medications that geriatricians often reduce or stop, to reduce fall risk
  • How blood pressure medication can increase fall risk, and a simple test to discuss with the doctor
[Read more…]

003 – Interview: Helping Reluctant Parents Address Memory Concerns

by Leslie Kernisan, MD MPH 8 Comments

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Better Health While Aging
003 – Interview: Helping Reluctant Parents Address Memory Concerns
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In This Episode:

Dr. K interviews Linda Fodrini-Johnson, MA MFT CMC, a past president of the National Association of Geriatric Care Managers and the founder of Eldercare Services in the San Francisco Bay Area. They discuss:

  • How adult children can better approach aging parents, when there’s been concern about memory problems or financial transactions
  • What is a geriatric care manager (also known as an aging life care professional), and how they help families address memory concerns
  • How to find a geriatric care manager with the right counseling skills for your needs
  • How to get free help and advice from geriatric care managers and trained aging professionals
  • Why people often tell Linda they wish they’d gotten more help or information sooner
[Read more…]
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Check Out Our Helping Older Parents Podcast

If you’re caring for an aging parent, don’t miss Dr. K’s Helping Older Parents podcast.

It addresses common issues that come up for those assisting an aging parent.

For Those New to Podcasts:

Wondering what a podcast is? Not sure how to listen to the episodes? 

See this post for step-by-step instructions on listening, and answers to FAQs. Includes detailed instructions on how to subscribe, rate, and review too!

Find It Here

Past Podcast Episodes

  • 142 – Vitamin D: Why Less is More in Aging
  • 141 – 4 Most Common Types of Dementia in Aging
  • 140 – How to Exercise to Age Well
  • 139 – How to Treat Mild Cognitive Impairment
  • 138 – How to Promote Brain Health & Memory in Aging
  • 137 – Aging Life Care (and Geriatric Care Managers) Explained: Who They Are & How They Help
  • 136 – 8 Things Doctors Should Check After a Fall
  • 135 – How to Pay for Elder Care
  • 134 – COVID & Aging August 2023 Update: Staying Safe, Boosters & More
  • 133 – COVID Summer 2023 News Update for Aging Adults
  • 132 – COVID 2023 News Update for Aging Adults (2.23.23 Edition)
  • 131 – COVID Update for Aging Adults (12.8.22 Edition)
  • 130 – COVID Booster Update for Aging Adults (9.7.22 Edition)
  • 129 – COVID Update for Aging Adults (7.21.22 Edition)
  • 128 – COVID Update for Aging Adults (5.5.22 Edition)
  • 127 – COVID Update for Aging Adults (2.24.22 Edition)
  • 126 – Update: COVID Vaccination in Aging (1.6.22 Edition)
  • 125 – Update: COVID Vaccination in Aging (12.16.21 Edition)
  • 124 – Does Your Aging Parent Need Help?
    What to check & how to talk about it
  • 123 – Update: COVID Vaccination in Aging (10.28.21 Edition)
  • 122 – Update: COVID Vaccination in Aging (9.9.21 Edition)
  • 121 – Update: COVID Vaccination in Aging (7.29.21 Edition)
  • 120 – Depression in Aging: Diagnosis & Treatment
  • 119 – Update: COVID Vaccination in Aging (5.14.21 Edition)
  • 118 – Updates: COVID Vaccination in Aging (3.26.21 Edition)
  • 117 – Leg Swelling in Aging: What to Know & Do
  • 116 – Interview: Dr. K’s New Book: When Your Aging Parent Needs Help
  • 115 – COVID Vaccination in Aging (12.17.20 Edition)
  • 114 – Coronavirus Updates & Suggestions (11.18.20 Edition)
  • 113 – Interview: Urinary Incontinence In Aging
  • 112 – Flu Shots for Older Adults in COVID Times: What to Know (2020 Update)
  • 111 – Coronavirus Updates & Suggestions (7.16.20 Edition)
  • 110 – Coronavirus Updates & Suggestions (6.11.20 Edition)
  • 109 – Interview: Nursing Homes & Other Long-Term Care During COVID Times
  • 108 – Live QA: Aging Health in COVID Times
  • 107 – Interview: A Guide to Better Medical Care for Families of Aging Adults
  • 106 – Coronavirus Updates & Suggestions (3.27.20 Edition)
  • 105 – Coronavirus Updates & Suggestions (3.20.20 Edition)
  • 104 – Coronavirus Special: Planning to Help Aging Parents (Plus Q&A)
  • 103 – Interview: Better Sex in Later Life
  • 102 – Interview: The Importance of Grandparents & Intergenerational Connections
  • 101 – Interview: Avoiding Holiday Pitfalls with Aging Parents
  • 100 – Interview: Bill Thomas on Ageism, Housing & Changing Aging in 2019
  • 099 – Flu Shots for Older Adults: What to Know (2019 Update)
  • 098 – Interview: Medicare Open Enrollment: What to Know & When to Switch
  • 097 – Interview: Common Elder Law Issues When Helping Aging Parents
  • 096 – Interview: Paying for Long-Term Care: 2019 Updates
  • 095 – Interview: Hearing Aids & Other Hearing Loss Treatment Options
  • 094 – Interview: Hearing Loss in Aging: Why It Matters & Getting Evaluated
  • 093 – Interview: Hiring In-Home Care for Aging in Place: What to Know
  • 092- Interview: Addressing Nighttime Urination & Insomnia in Aging
  • 091 – Interview: Reducing the Risk of Power of Attorney Abuse
  • 090 – More on Avoiding Risky Medications & on Using the 2019 AGS Beers Criteria
  • 089 – Giving Yourself (And Your Family) a Gift on National Healthcare Decisions Day
  • 088 – Interview: Avoiding Inappropriate Prescribing in Aging & What to Know About the Beers Criteria
  • 087- Interview: Coping with Difficult Older Parents
  • 086 – Interview: Creating Age-Friendly Health Systems at UCSF
  • 085 – Understanding Lab Tests:
    4 Common Blood Tests for Older Adults
  • 084 – Interview: Understanding White Matter Changes in the Aging Brain
  • 083 – Interview: Disrupting Dementia and Creating Dementia-Friendly Communities
  • 082- Interview: Bill Thomas on Housing & Communities as Engines of Independence in Aging
  • 081 – Interview: How to Plan Ahead for Your Later Years
  • 080 – Interview: Smartwatches as Medical Alert Devices
    (What to Know & How to Choose)
  • 079 – QA: Advice for Older Parents Frustrated by Their Family’s Concerns
  • 078 – Interview: The Biology of Aging & Longevity
  • 077 – Interview: Making Advance Care Planning Easier Through PREPARE
  • 076 – Flu Shots for Older Adults: What to Know (2018 Update)
  • 075 – Preventing Falls: 4 Approaches to Ask Your Doctor About
  • 074 – Interview: How the Village Model Supports Aging in Place & Community
  • 073 – Anticholinergic Medications & Protecting Brain Health
  • 072 – Cognitive Aging: How Memory & Thinking Change as One Gets Older
  • 071 – Interview: How Estimating Life Expectancy Helps Older Adults Get Better Care
  • 070 – Interview: Addressing & Preventing Financial Exploitation in Aging
  • 069 – Evaluating Memory & Thinking Problems:
    10 Causes & 10 Things to Check
  • 068 – Interview: Putting Older Adults at the Center of Technology Conversations
  • 067 – Interview: Managing Difficult Alzheimer’s Behaviors Without Medications
  • 066 – Interview: Addressing Potential Self-Neglect in Older Adults
  • 065 – Reconsidering “Successful Aging”
  • 064 – What to Know About Constipation & Laxatives
  • 063 – Giving Yourself (And Your Family) a Gift on National Healthcare Decisions Day
  • 062 – Interview: Preventing Hospital Delirium & Maintaining Brain Health
  • 061 – Interview: Using Technology to Balance Safety & Autonomy in Dementia
  • 060 – Interview: Negotiating Family Caregiving Expectations After Hospitalization
  • 059 – Interview: Long-Term Care Insurance & Financing Late-Life Care Needs
  • 058 – Avoiding Missed Flu in Older Adults
  • 057 – How to Manage Cardiovascular Risk Factors for Better Brain Health
  • 056 – Top 10 Checklist for Better Health This Year
  • 055 – Interview: Bill Thomas on Ageism & Innovations to Improve Aging
  • 054 – How to Make Difficult Decisions Easier:
    Using Goals of Care & Weighing Benefits vs Burdens
  • 053 – Interview: Addressing Loneliness in Aging
  • 052 – Maintaining Mobility & Preventing Falls in Aging: Myths & Truths
  • 051 – Interview: Innovations to Help Older Adults & Family Caregivers
  • 050 – Flu Shots for Older Adults: What to Know
  • 049 – Better Primary Care for Older Adults:
    the Oak Street Health Story
  • 048 – How Cerebral Small Vessel Disease Affects Most Aging Brains
  • 047 – Unintended Weight Loss in Aging
  • 046 – Interview: Deprescribing & Reducing Risky Medications in Aging
  • 045 – HIPAA: Key Basics & 5 FAQs for Family Caregivers
  • 044 – Hospice Medications & What to do if You’re Concerned
  • 043 – How Hospice Helps at the End of Life, & Hospice for Alzheimer’s
  • 042 – Why Healthcare is Flawed & How to Improve It:
    The Work of Dr. Lawrence Weed
  • 041 – UTIs and Urine Bacteria in Aging:
    How to get the right diagnosis & avoid unneeded antibiotics
  • 040 – Dehydration in Older Adults:
    How to Prevent It, Detect It, & Treat It
  • 039 – Interview: Creating Age-Friendly Health Systems
  • 038 – FAQs On “Incompetence” & Losing Decision Capacity
  • 037 – Interview: Using Powers of Attorney to Help Older Adults
  • 036 – Interview: Minimizing Family Conflicts & Supporting Aging Parents
  • 035 – Interview: Aging in the Right Place
  • 034 – Preventing Falls: 10 Types of Medication to Reconsider
  • 033 – Safer Treatments for Insomnia in Aging
  • 032 – 5 Top Causes of Sleep Problems in Aging
  • 031 – Choosing the Safest Over-the-Counter Painkiller in Aging
  • 030 – Drugs for Difficult Dementia Behaviors: What to Know
  • 029 – The Healthy Aging Checklist
  • 028 – When Older Parents Resist Help: 4 Tips for Better Talks
  • 027 – Interview: Planning for Aging When Single & Childless
  • 026 – 4 Medications for Alzheimer’s & Other Dementias: FAQs & Tips
  • 025 – Interview: Palliative Care to Live Well with Cancer
  • 024 – Interview: Better Cancer Screening While Aging
  • 023 – Anemia in Aging: 10 Common Causes & What to Ask
  • 022 – QA: Helping a Paranoid Older Parent and Checking Safety
  • 021 – Vitamin B12 Deficiency: Risks, Diagnosis, & Treatment
  • 020 – How to Diagnose & Treat Mild Cognitive Impairment
  • 019 – Interview: How Foundations Are Improving Health & Aging
  • 018 – High Blood Pressure Treatment in Older Adults: Research Findings & Practical Tips
  • 017 – Interview: Paying for Long-Term Care & Other Family Caregiving Challenges
  • 016 – 3 Reasons You Should Have a Home Blood Pressure Monitor
  • 015 – Interview: Practical Advice for Family Caregivers & Next Step In Care
  • 014 – Delirium & Hospital Confusion
  • 013 – Interview: Solving Hard Problems in Helping Aging Parents
  • 012 – Q&A: Answers to Your Questions On Aging & Health
  • 011 – Vitamin D: The “Healthy Aging” Dose & FAQs
  • 010 – Interview: Choosing a Wearable Medical Alert System for Older Adults
  • 009 – Q&A: Answers to Your Questions on Helping Older Parents
  • 008 – Interview: Helping Families with Memory Loss: The Care to Plan Online Tool
  • 007 – How a Personal Health Record Helps You Be Proactive
  • 006 – Interview: Surviving Cancer & Better Healthcare Through Being an e-Patient
  • 005 – Interview: Otago & Proven Exercises for Fall Prevention
  • 004 – What to Do If You’re Worried About Falls
  • 003 – Interview: Helping Reluctant Parents Address Memory Concerns
  • 002 – What to Do If You’re Worried About Someone’s Memory
  • 001 – Introducing the Better Health While Aging Podcast

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