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Coronavirus

Coronavirus' Top Targets: Men, Seniors, Smokers

Early data suggested that men were more vulnerable, as they accounted for just more than half the cases, according to the Chinese Center for Disease Control and Prevention. Infected men died twice as often as infected women.
web md - 2 hours ago
Co-parent adoption: A critical protection for LGBTQ+ families - harvard

Co-parent adoption: A critical protection for LGBTQ+ families

Establishing a legal relationship between parents and their children allows both parents to make care decisions. For LGBTQ+ families, this can be especially important. In some states, co-parent adoption, which offers broader protection than a state birth certificate, is available. The post Co-parent adoption: A critical protection for LGBTQ+ families appeared first on Harvard Health Blog.
harvard - 1 day ago
With New Hotspots, Coronavirus on Verge of Pandemic  - web md

With New Hotspots, Coronavirus on Verge of Pandemic

Pandemics are more severe than outbreaks or epidemics. It’s a term that signals that a disease is a threat to the entire world.  While public health officials seemed to downplay the significance of attaching the word to COVID-19, there’s no doubt about its importance in public messaging.
web md - 1 day ago
Hands or feet asleep? What to do - harvard

Hands or feet asleep? What to do

It’s happened to all of us: a hand or leg temporarily “falls asleep,” usually from being in one position for too long. Why does it happen? Are there times when you should be concerned about it? The post Hands or feet asleep? What to do appeared first on Harvard Health Blog.
harvard - 5 days ago
C. difficile (C. diff): An urgent threat - harvard

C. difficile (C. diff): An urgent threat

The bacteria known as C. diff has become a leading cause of infection among hospitalized patients. The infection is more common following antibiotic therapy, and it is challenging to treat because of a high relapse rate. The post C. difficile (C. diff): An urgent threat appeared first on Harvard Health Blog.
harvard - 6 days ago
Can light therapies help with bipolar disorder? - harvard

Can light therapies help with bipolar disorder?

One approach to treating bipolar disorders is manipulation of the body’s circadian rhythms. A recent review of research found that such therapies may help, often in combination with medications and psychotherapy. The post Can light therapies help with bipolar disorder? appeared first on Harvard Health Blog.
harvard - 1 week ago
Good news for those with type 2 diabetes: Healthy lifestyle matters - harvard

Good news for those with type 2 diabetes: Healthy lifestyle matters

Lifestyle changes have been shown to reduce the risk of a cardiovascular event, but can they also help those with diabetes? A recent study found a positive association between healthy lifestyle choices and reduced cardiovascular risk for those with type 2 diabetes. The post Good news for those with type 2 diabetes: Healthy lifestyle matters appeared first on Harvard Health Blog.
harvard - 1 week ago
Rethinking Milk: Science Takes On the Dairy Dilemma  - web md

Rethinking Milk: Science Takes On the Dairy Dilemma

Dairy products are rich in calcium and protein, and they have long been promoted as important for helping kids grow and helping kids and adults build and maintain strong bones. Now a new study questions whether diary deserves its health halo.
web md - 1 week ago
What’s the best way to manage agitation related to dementia? - harvard

What’s the best way to manage agitation related to dementia?

When people with dementia start exhibiting agitated behaviors, doctors often prescribe medications, but these have risks of serious side effects. A new study found that nondrug interventions were more effective than medications in reducing agitation. The post What’s the best way to manage agitation related to dementia? appeared first on Harvard Health Blog.
harvard - 1 week ago
Good for your teeth, bad for your bones? - harvard

Good for your teeth, bad for your bones?

Could an ingredient in toothpaste be harmful to your bones? Triclosan, an antibacterial agent, has been banned from soaps and hand sanitizers by the FDA, and researchers have found that women with the highest levels of triclosan in their urine had low bone density measurements. The post Good for your teeth, bad for your bones? appeared first on Harvard Health Blog.
harvard - 1 week ago
When is a heavy period too heavy? - harvard

When is a heavy period too heavy?

Girls and their parents often wonder when bleeding with a period is too heavy. It's normal for periods to be irregular and occasionally heavy in the first few years after menstruation starts, but some signs of heavy bleeding merit a call to your child’s doctor. The post When is a heavy period too heavy? appeared first on Harvard Health Blog.
harvard - 2 weeks ago
Mind-body therapies can reduce pain and opioid use - harvard

Mind-body therapies can reduce pain and opioid use

Researchers looking for ways to help people manage pain without drugs found that the practice of mind-body therapies was associated with reduced pain intensity, and may also assist some people in reducing their use of opioid medications. The post Mind-body therapies can reduce pain and opioid use appeared first on Harvard Health Blog.
harvard - 2 weeks ago
Skin care shouldn’t be colorblind - harvard

Skin care shouldn’t be colorblind

Because skin color affects the presentation of skin conditions, dermatologists must consider skin color in making diagnoses. Because of this, people of color may want to seek out a dermatologist who understands their specific needs and concerns. The post Skin care shouldn’t be colorblind appeared first on Harvard Health Blog.
harvard - 2 weeks ago
What’s in a number? Looking at life expectancy in the US - harvard

What’s in a number? Looking at life expectancy in the US

Between 1959 and 2014, average life expectancy in the United States rose astoundingly by nearly a decade. Then it began declining. A recent report examining this situation raises tough questions about that unexpected change. The post What’s in a number? Looking at life expectancy in the US appeared first on Harvard Health Blog.
harvard - 2 weeks ago
More Patients Turning to

More Patients Turning to 'Direct Primary Care'

DPC Frontier, which tracks the number of direct primary care practices nationally, estimates there are 1,219 practices in 48 states and Washington, D.C. They range in size from solo practitioners to corporate, multisite direct primary care organizations with thousands of doctors.
web md - 2 weeks ago
With a little planning, vegan diets can be a healthful choice - harvard

With a little planning, vegan diets can be a healthful choice

There is ample evidence to support the healthfulness of a vegan diet. However, those who choose vegan eating may not get enough of some nutrients unless they pay careful attention to their food intake, or choose to take supplements. The post With a little planning, vegan diets can be a healthful choice appeared first on Harvard Health Blog.
harvard - 2 weeks ago
Coronavirus: What parents should know and do - harvard

Coronavirus: What parents should know and do

It’s natural for parents to be worried about whether their children could be at risk from the novel coronavirus. While there is much that is still not known, common sense and simple public health precautions will help protect everyone. The post Coronavirus: What parents should know and do appeared first on Harvard Health Blog.
harvard - 3 weeks ago
Infertility the second time around - harvard

Infertility the second time around

If you have a child and wish for more but are struggling with fertility issues, you may have many feelings and concerns. Here are some steps and strategies you may find helpful. The post Infertility the second time around appeared first on Harvard Health Blog.
harvard - 3 weeks ago
Newer skin cancer treatments improve prognosis for those with cutaneous melanoma - harvard

Newer skin cancer treatments improve prognosis for those with cutaneous melanoma

Though only about 1% of skin cancers are melanomas, they are responsible for 90% of skin cancer deaths. Recent advances in treatment options have improved survival rates for melanoma, but it’s still best to take preventive steps to protect your skin. The post Newer skin cancer treatments improve prognosis for those with cutaneous melanoma appeared first on Harvard Health Blog.
harvard - 3 weeks ago
Be careful where you get your news about coronavirus - harvard

Be careful where you get your news about coronavirus

New information about the spread of coronavirus is coming at us seemingly every minute from many sources. But how much of this information is trustworthy? And which sources should you believe? The post Be careful where you get your news about coronavirus appeared first on Harvard Health Blog.
harvard - 3 weeks ago
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harvard
What’s the best way to manage agitation related to dementia?

What’s the best way to manage agitation related to dementia?

harvard - 1 week ago

You notice your loved one becoming more forgetful. She cannot recall her visit with her granddaughters yesterday. She claims she took her medications this morning, yet you find them untouched in her pill case. You wonder how this mild-mannered woman has become so angry, so quickly. She is often frightened now, disoriented, and unpredictable. Yet she still remembers every detail of your wedding day, the names of your four children, and how to play her favorite piano pieces. When you sing together, time temporarily stands still.

Your loved one received a diagnosis of Alzheimers disease. Nights are the hardest time for her. You worry about her safety when she wanders through the house. She almost broke the door last week; you can tell her arm still hurts when you bathe her. She resists and yells at you when you take her to the bathroom. She has started to show behavioral symptoms of dementia.

Aggression and agitation in dementia

Behavioral and psychological symptoms are very common in dementia, and affect up to 90% of people living with dementia. In addition to memory changes, people with dementia may experience agitation, psychosis, anxiety, depression, and apathy. These behavioral symptoms often lead to greater distress than memory changes.

When people with dementia become agitated or aggressive, doctors often prescribe medications to control their behaviors in spite of the known risks of serious side effects. The most frequently prescribed medication classes for agitation in dementia carry serious risks of falls, heart problems, stroke, and even death.

Caregivers, who often experience burnout in managing aggressive behaviors, welcome medications that can temporarily decrease agitation. Unfortunately, aggressive and agitated behavior often contributes to the decision to transition a loved one to an alternative living situation.

New research shows that nondrug therapies are more effective

According to a new study looking at more than 160 articles, nondrug interventions appeared to be more effective than medications in reducing agitation and aggression in people with dementia. Researchers found that three nonpharmacologic interventions were more effective than usual care: multidisciplinary care, massage and touch therapy, and music combined with massage and touch therapy.

For physical aggression, outdoor activities were more efficacious than antipsychotic medications (a class of drugs often prescribed to manage aggression). For verbal aggression, massage and touch therapy were more effective than care as usual. As a result of this study, the authors recommend prioritization of nonpharmacologic interventions over medications, a treatment strategy also recommended by the practice guidelines of the American Psychiatric Association.

Helpful tips for caregivers

To decrease agitation and aggression with dementia, caregivers can help their loved ones in the following ways:

  • Find a multidisciplinary team of specialists. This may include a psychiatrist to carefully consider the risks and benefits of medications for managing behavior, a geriatrician to optimize your loved ones medical situations, and an occupational therapist to consider modifications of a persons living environment and daily routine.
  • Go for a walk or on an outing for a change of scenery. Physical activity has additional benefits on mood, memory, and lowering anxiety.
  • Add massage and touch therapy, or just provide a calming hand massage.
  • Incorporate music into your loved ones daily routine.
  • Notice the first signs of agitation. Nondrug options work best the earlier they are used.
  • Get creative: discover what works and try using different senses. Aromatherapy, an activity such as folding (and refolding) laundry, brushing hair, or dancing can all be calming.
  • Consult with your physicians. Medications are often prescribed as first-line interventions despite what we know about the effectiveness of nondrug options.
  • Educate all the people caring for your loved one on the interventions that work best, and check in with them about how these approaches are working.

The bottom line

To decrease agitation and aggression in people with dementia, nondrug options are more effective than medications. Physical activity, touch and massage, and music can all be used as tools to manage agitation related to dementia.

The post Whats the best way to manage agitation related to dementia? appeared first on Harvard Health Blog.

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