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TIPS FOR CAREGIVERS OF SOMEONE WHO HAS ALZHEIMERS DISEASE

Every day can bring a new change or challenge for caregivers of people with Alzheimer’s disease. Now, practical information and advice is at hand with a new series of Alzheimer’s Caregiving Tips from the Alzheimer’s Disease Education and Referral (ADEAR) Center, a service of the National Institute on Aging at NIH.

Based on the NIA publication Caring for a Person with Alzheimer’s Disease, the tip sheets offer brief, reliable, easy-to-understand information on a range of issues. They can help caregivers of people at any stage of the disease—mild, moderate, or severe.

Topics include:

Read, download, or print the tip sheets at www.nia.nih.gov/alzheimers/topics/caregiving 
(Available online only)

Four Drugs Cause Most Hospitalizations in Older Adults

Blood thinners and diabetes drugs cause most emergency hospital visits for drug reactions among people over 65 in the United States, a new study shows.

Just four medications or medication groups — used alone or together — were responsible for two-thirds of emergency hospitalizations among older Americans, according to the report. At the top of the list was warfarin, also known as Coumadin, a blood thinner. It accounted for 33 percent of emergency hospital visits. Insulin injections were next on the list, accounting for 14 percent of emergency visits.

Aspirin, clopidogrel and other antiplatelet drugs that help prevent blood clotting were involved in 13 percent of emergency visits. And just behind them were diabetes drugs taken by mouth, called oral hypoglycemic agents, which were implicated in 11 percent of hospitalizations.

All these drugs are commonly prescribed to older adults, and they can be hard to use correctly. One problem they share is a narrow therapeutic index, meaning the line between an effective dose and a hazardous one is thin. The sheer extent to which they are involved in hospitalizations among older people, though, was not expected, said Dr. Dan Budnitz, an author of the study and director of the Medication Safety Program at the Centers for Disease Control and Prevention.

“We weren’t so surprised at the particular drugs that were involved,” Dr. Budnitz said. “But we were surprised how many of the emergency hospitalizations were due to such a relatively small number of these drugs.”

Every year, about 100,000 people in the United States over age 65 are taken to hospitals for adverse reactions to medications. About two-thirds end up there because of accidental overdoses, or because the amount of medication prescribed for them had a more powerful effect than intended.

As Americans live longer and take more medications — 40 percent of people over 65 take five to nine medications — hospitalizations for accidental overdoses and adverse side effects are likely to increase, experts say.

In the latest study, published in The New England Journal of Medicine, Dr. Budnitz and his colleagues combed through data collected from 2007 to 2009 at 58 hospitals around the country. The hospitals were all participating in a surveillance project run by the C.D.C. that looks at adverse drug events.

A common denominator among the drugs topping the list is that they can be difficult to use. Some require blood testing to adjust their doses, and a small dose can have a powerful effect. Blood sugar can be notoriously hard to control in people with diabetes, for example, and taking a slightly larger dose of insulin than needed can send a person into shock. Warfarin, meanwhile, is the classic example of a drug with a narrow margin between therapeutic and toxic doses, requiring regular blood monitoring, and it can interact with many other drugs and foods.

“These are medicines that are critical,” Dr. Budnitz said, “but because they cause so many of these harms, it’s important that they’re managed appropriately.”

One thing that stood out in the data, the researchers noted, was that none of the four drugs identified as frequent culprits are typically among the types of drugs labeled “high risk” for older adults by major health care groups. The medications that are usually designated high risk or “potentially inappropriate” are commonly used over-the-counter drugs like Benadryl, as well as Demerol and other powerful narcotic painkillers. And yet those drugs accounted for only about 8 percent of emergency hospitalizations among the elderly.

Dr. Budnitz said that the new findings should provide an opportunity to reduce the number of emergency hospitalizations in older adults by focusing on improving the safety of this small group of blood thinners and diabetes medications, rather than by trying to stop the use of drugs typically thought of as risky for this group.

“I think the bottom line for patients is that they should tell all their doctors that they’re on these medications,” he said, “and they should work with their physicians and pharmacies to make sure they get appropriate testing and are taking the appropriate doses.”

link to original posting in the New York Times.

 

Medicare D

Just a reminder, Medicare beneficiaries have until December 7 to enroll in, or change, Medicare D coverage.

For Resources on Medicare D, please go to www.medicare.gov; www.medicareinteractive.org; www.insurance.illinois.gov/ship

Who Are We?

Dutton & Casey, PC (Elder and Disability Law)

Advocates for Elders, Persons with Disabilities, and their Loved Ones.

The law firm of Dutton & Casey, P.C., is committed to serving our clients with the comprehensive and personally tailored service they need and deserve. With 50 years of combined legal experience, we have acquired the depth and breadth of knowledge necessary to address the full scope of elder law and disability issues. 

Our Areas of Concentration:

  • Medicaid Eligibility
  • Elder Abuse, Neglect, and Financial Exploitation Litigation
  • Estate and Disability Planning
  • Guardianship
  • Litigation
  • Mental Health Law
  • Probate Administration
  • Public Benefits
  • Special Needs Planning
  • Trust Administration

* Full Time Social Worker/Certified Care Manager On Staff

Office Locations:

Arlington Heights, Chicago, Skokie, and Vernon Hills, Illinois.

Phone / Video Conferencing  Appointments are also Available.

Contact Information:

Telephone:      312-899-0950 or 847-261-3584

Website:          www.duttonelderlaw.com 

 

-please click here for a flyer on the law firm.

Alzheimer’s: Early Planning Critical to Financial Health

In a recent article in Reuters Magazine, Alzheimer’s: Early Planning Critical to Financial Health, working with a certified elder law attorney is an important step in planning for the future.

Janna Dutton, founder of Dutton & Casey, is one of only 8 certified elder law attorneys in Illinois.

Click here to read the article.

For additional information on how Dutton & Casey can assist you, or someone who you care about, please go our website.

Planning for a Hospital……Discharge

An admission to, and a discharge from,  the hospital can be scary for the patient, and the family. The National Family Caregiver Alliance published a guide on the hospital discharge process. It is vital to pay attention, and be involved, in the plans being for when your relative leaves the hospital.

read the entire article.

……………….

The law firm of Dutton & Casey concentrates in assisting older adults, people with disabilities, and their families. Many times, plans following a hospital stay also include the need for legal planning.  With over 50 years in expertise and offices in Chicago, Skokie, Arlington Heights, and Vernon Hills, the advocates at Dutton & Casey are available to assist. Please click here to read more about how we can assist you or those you care about.

YOUR Elder Law Connection… From Dutton & Casey

The April, 2011 issue of the newsletter from the Law Firm of Dutton & Casey was published today.

Please take a few minutes to read the newsletter… it contains many helpful articles and resources focusing on older adults, adults who have a disability, and the people who care about them, including family members and professionals.

Should there be any questions on the newsletter, to learn more about the many resources that the attorneys and staff can provide, or/and to schedule an appointment with a firm attorney, please go to https://www.duttonelderlaw.com/